A Prospective Study on Severe Hypotension in Critically Ill Patients Sedated with Propofol
Sherif Abdelmonem, Tamer Helmy, Iman El Sayed and Salma Ghazal
Article Type: Original Research | First Published: June 06, 2019
We aimed to verify if mean arterial pressure (MAP) at initiation of Propofol infusion and the APACHE score can predict the risk of severe hypotension. A prospective study on 100 patients treated with Propofol during their stay at the Main University Hospital between 2017 and 2018. We estimated relative risks (RRs) of severe hypotension according to MAP and APACHE score categories using a modified Poisson model for binary outcome....
Nurses' Experiences and Perceptions of Hourly Rounding: A Private Australian Catholic Hospital Single Case Study
Karen Francis, RN, PhD, MEd, MHlthScPHC, Andriy Kurtsev, RN, Donna Walter, RN, Cara Steele, BBSc, PGDPsy, PGDip, Stats and Carolyn Staines, BSc, PhD
Article Type: Research Article | First Published: June 05, 2019
Evidence suggests that structured nursing rounds are associated with positive outcomes. However, a number of barriers to effective hourly rounding have been reported. Rounding practices were implemented in a medical/ surgical ward at a regional hospital in Australia, in 2014, aiming to reduce the risk of patient falls and enhance the patient experience. A qualitative, exploratory descriptive single case study design was utilised. Fifteen (15) nurses participated in the study and data were generated using Hermeneutic phenomenological interview technique. Transcriptions of each interview were an...
Marriage and Fertility Issues: Ethical Dilemma Faced by Gay with HIV/AIDS in the Context of Chinese Culture
Lin Zhang, Lei Shen, Wei-Ti Chen, Meiyan Sun, Wenxiu Sun, Zheng Zhu and Hongzhou Lu
Article Type: Case Report | First Published: June 06, 2019
Acquired Immunodeficiency Syndrome (AIDS) is a kind of serious infectious disease caused by Human Immunodeficiency Virus (HIV). In the report of World AIDS Day of 2015, the UNAIDS estimated that there are 3690 million HIV affected people and AIDS patients, including 200 million people newly infected with HIV and 1.2 million AIDS-related death that year. There are 15.8 million people living with HIV were accessing antiretroviral therapy as of June 2015. According to the latest AIDS report: by the end of November 30, 2015, it estimated HIV-infected people and AIDS patients about 580,400 cases, 1...
Incidence of Hypoglycemia in Patients with Renal Dysfunction Treated for Hyperkalemia with Regular Insulin: A Single Center, Retrospective Cohort Study
Dannielle R Brown, PharmD, BCPS, Chase C Brown, Tracie A Delay, Genevieve L Hayes and Ruth C Campbell
Article Type: Research Article | First Published: June 03, 2019
The primary outcome was the incidence of hypoglycemia during the hospitalization after the administration of insulin for hyperkalemia. Key secondary outcomes included incidence of hypoglycemia within 24 hours of insulin administration and identification of risk factors associated with hypoglycemia. Data collected included patient age, sex, race, history of diabetes, stage of CKD, weight, body mass index (BMI), baseline blood glucose, inciting serum potassium concentration, units of regular insulin administered, and grams of dextrose given with insulin....
Risk of Legionellosis from Exposure to Water Aerosol from Industrial Cooling Tower
Margita Spalekova, Martina Kotrbancova, Miriam Fulova and Danka Simonyiova
Article Type: Original Article | First Published: June 05, 2019
Community-acquired cases of Legionella infection or even outbreaks can be attributed to inhalation of aerosols from devices such as hot water system, cooling towers, hot tubs, industrial equipment and indoor fountains. Legionellae survive in water in temperatures between 20°C and 50°C and tend to colonize particularly water systems rich of sludge, rust, biofilms and amoebae where they can multiply. Cooling towers (CT) in industry are used as heat-transfer devices in which warm water is cooled by evaporation in atmospheric air. Aerosols can transmit Legionellae to susceptible hosts, w...
Left Ventricular Pacing in Patients with Mechanical Tricuspid Valve Replacement
Sara Khodor, Shreya Mishra, Dany Sayad and Anant Kharod
Article Type: Case Report | First Published: June 01, 2019
In patients with mechanical tricuspid valve replacement (TVR), management of atrioventricular conduction abnormalities can be challenging given inaccessibility of the right ventricle (RV) with an endocardial pacing lead. While implantation of an epicardial lead may serve as an alternative; it requires invasive surgical placement and is not an ideal option in patients with prior thoracotomy. The development of specialized leads have made lead implantation via coronary sinus (CS) an attractive alternative for pacing in this patient population....
Relationship between Hypovitaminosis D and Cardiac Abnormalities in Pre Dialysis Chronic Kidney Disease
Maria Carolina Neves, Luis Sette, Monica Becker, Lucila Valente and Brivaldo Markman Filho
Article Type: Research Article | First Published: June 01, 2019
The presence of structural and functional changes in the left ventricle (LV) are good predictors of cardiovascular events in patients with chronic kidney disease (CKD) and are associated with decreasing renal function. Studies in CKD patients on hemodialysis evidenced associations of serum 25-OH vitamin D (vit D) with myocardial function and structural changes. However, it is not known whether serum vit D is associated with Doppler echocardiogram (ECHO)-based cardiac changes in patients with CKD managed conservatively....
Hyperlipidemia Management in Proprotein Convertase Subtilisin- Kexin Type 9 (PCSK 9) Inhibitors Era
Abdulhalim Jamal Kinsara
Article Type: Original Article | First Published: June 01, 2019
Significant improvement in control of cardiovascular risk factors has been driven by performance measurement that focused on attainment of specific risk factor thresholds for blood glucose, lipids and blood pressure. Diet, statin and ezetimibe have reasonably controlled hyperlipidemia. However the discovery of proprotein convertase subtilisin-kexin type 9 inhibitors has given new hope of reaching the target lipid profile especially in the high-risk group and familial hypercholesterolemia. Here with we reviewed the current data and explore the cardiovascular prevention effect of this group....
Fast Track Colorectal Surgery for Deep Endometriosis: A Prospective Randomized Trial
Irene Gentile, MD, Roberto Rossini, MD, Marco Scioscia, MD, Davide Brunelli, MD, Marcello Ceccaroni, MD and Giacomo Ruffo, MD
Article Type: Original Article | First Published: June 01, 2019
Application of fast track protocols in laparoscopic colorectal surgery has been assessed in oncological cases with contrasting results. This study was to assess the feasibility and advantages in a group of young women suffering from bowel endometriosis. Over one year, 227 women were recruited for this prospective randomized study on fast track protocol for laparoscopic surgery for bowel endometriosis. Patients were allocated to a perioperative fast-track or conventional care in a 1:3 ratio and clinical outcomes and costs were evaluated....
Self-Esteem as the Mediating Factor between Parenting Styles and Creativity
Huong TM Pham and Betsy Ng
Article Type: Review Article | First Published: June 03, 2019
Creativity is increasingly valued as a skill for the future workplaces. Educators and employers are paying more and more attention to creativity training, the effectiveness of which relies on an understanding of creativity influencing factors. Yet, the seed for creativity might be sawn early in life and nurtured through years in family and school. Links between parenting styles and creativity have been reported in literature. However, parenting styles only explain for a small variation in creativity, suggesting the roles of other factors. This paper goes further by exploring the links between ...