scholarly journals Aortic Arch Variants: A Practical Guide to Safe and Timely Catheterization

2018 ◽  
Vol 7 (6) ◽  
pp. 544-555
Author(s):  
Maksim Shapiro ◽  
Eytan Raz ◽  
Peter Kim Nelson
Keyword(s):  
Aortic Arch ◽  
Early Life ◽  
Gross Anatomy ◽  
General Purpose ◽  
Vascular Imaging ◽  
Multiple Perspectives ◽  
Cross Sectional ◽  
Practical Guide ◽  
Low Threshold ◽  
Aortic Arch Angiography

Background: Variations in aortic arch anatomy have been extensively described from multiple perspectives including gross anatomy, embryology, associated cardiac and other anomalies, early life presentation, and cross-sectional diagnosis. There is however a paucity of literature with an emphasis on safe and timely catheterization, particularly when the variants are found during emergent or other catheter angiographic procedures without benefit of prior cross-sectional vascular imaging. The purpose of this review is to try to fill this gap. Methods: A review of past 1,000 diagnostic and therapeutic catheterizations was performed to identify arch variants, which are presented in order of frequency encountered at our institutions. Results: The variants are presented as illustrations and catheter angiographic images, with emphasis on safe and efficient intraprocedural diagnosis and catheterization. Conclusion: Familiarity with more and less common arch variants, along with low threshold for performance of pigtail aortic arch angiography and comfort in use of general purpose and recurved catheters, will ensure success in the vast majority of encountered variations.

Perbedaan Perkembangan Bayi Usia 6 – 11 Bulan Yang Diberikan Asi Eksklusif Dan Non Asi Eksklusif Di Wilayah Kerja Puskesmas Durenan Kabupaten Trenggalek Tahun 2017

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Erike Yunicha Viridula
Keyword(s):  
Community Health ◽  
Health Center ◽  
Exclusive Breastfeeding ◽  
Random Sampling ◽  
Early Life ◽  
Univariate Analysis ◽  
Community Health Center ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
Probability Sampling

ABSTRAKGangguan pertumbuhan bayi pada usia dini menyebabkan bayi diberikan MP-ASI terlalu dini dan ibunya tidak memberikan ASI eksklusif selama 6 bulan pada awal kehidupan bayi. Dari hasil studi pendahuluan pada bayi berusia 6-11 bulan yang mendapatkan ASI eksklusif hampir sepenuhnya meragukan perkembangan. Jika ini terus berlanjut, bayi tidak dapat berkembang dengan baik di usia berikutnya. Tujuan penelitian ini untuk mengetahui perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapat ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan kecamatan Durenan Trenggalek tahun 2017.Desain penelitian ini adalah studi inferensial dengan pendekatan cross sectional. Sampel yang diambil dalam penelitian ini adalah ibu dengan bayi 6-11 bulan pada bulan Oktober di Puskesmas kecamatan kecamatan Durenan Trenggalek pada tahun 2017 berjumlah 40 responden yang diambil menggunakan metode probability sampling dari jenis sistem simple random sampling. Data dianalisis dengan analisis univariat bahwa distribusi frekuensi variabel independen dan dependen dan analisis bivariat menggunakan Mann-Whitney U.Hasil penelitian menunjukkan bahwa dari 20 responden 95% yang mendapatkan ASI eksklusif memiliki perkembangan yang sesuai, 5% memiliki perkembangan yang meragukan, 0% mengalami gangguan perkembangan. Sementara 20 responden diberi 40% menyusui non eksklusif memiliki perkembangan yang sesuai, 60% memiliki perkembangan yang meragukan, dan 0% mengalami gangguan perkembangan. Hasil analisis statistik menunjukkan ada perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapat ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan Durenan Trenggalek tahun 2017.Jadi dapat disimpulkan bahwa ada perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapatkan ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan Durenan Trenggalek tahun 2017. Sehingga diharapkan bayi mendapat ASI eksklusif selama 6 bulan pertama dan dilanjutkan hingga 2 tahun dengan makanan pendamping (MP-ASI).Kata kunci : ASI eksklusif, ASI tidak eksklusif, pengembangan ABSTRACTDisorder of Infant growth in early life caused baby are given Complementary feeding (MP-ASI) too early and the mother didn’t give exclusive breastfeeding for 6 months in early life of baby. From the results of preliminary studies in infants aged 6-11 months who get non exclusive breastfeeding had almost entirely dubious developments. If this continues, the baby can’t develop properly in the next age. The purpose of this study to determine development differences in infants aged 6-11 months who get exclusive breastfeeding  and non- exclusive breasfeeding in community health center sub district Durenan Trenggalek district in 2017. The design of this study is inferential study with cross sectional approach.  Samples which taken in this study were mothers with infants 6-11 months in October in community health center sub district Durenan Trenggalek district in 2017 amounted to 40 respondents drawn using probability sampling method of the type system simple random sampling.  Data were analyzed by univariate analysis that the frequency distribution of independent and dependent variables and bivariate analysis using Mann-Whitney U. The results showed that of the 20 respondents 95% who get exclusive breastfeding had appropriate development, 5% had dubious developments, 0% had disorder development. While 20 respondents were given 40% non exclusive breastfeeding had appropriate development, 60% have dubious development, and 0% had disorder development. Statistical analysis showed there are differences development in infants aged 6-11 months who get exclusive breastfeeding and non-exclusive breasfeeding in community health center sub district Durenan Trenggalek in 2017. So can be concluded that there are differences development in infants aged 6-11 months who get exclusive breastfeeding and non-exclusive breasfeeding in community health center sub district Durenan Trenggalek in 2017.So expected the babies got exclusive breastfeeding for the first 6 months and continued to 2 years with complementary foods (MP-ASI).Key Words : exclusive breastfeding, non exclusive breastfeding, development

Social and early life adversity and chronic health conditions among Tunisian adults

2018 ◽  
Vol 10 (4) ◽  
pp. 949-958
Author(s):  
Sana El Mhamdi ◽  
Andrine Lemieux ◽  
Manel Ben Fredj ◽  
Ines Bouanene ◽  
Arwa Ben Salah ◽  
...  
Keyword(s):  
Early Life ◽  
Significant Risk ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Outcome Variable ◽  
Collective Violence ◽  
Cumulative Number ◽  
Cross Sectional ◽  
Mediation Effects ◽  
Chronic Health

Abstract Early life adversities (ELAs) are shown as significant risk factors for chronic health conditions (CHCs). ELAs include multiple types of abuse such as the social abuse (peer, community, and collective violence). The purpose is to describe the relationship between childhood social abuse and chronic conditions in adulthood among a sample of adults in Tunisia and to investigate the role of obesity and tobacco use as mediators of this association. A cross-sectional study was conducted in Tunisia, from January to June 2016 using the Arabic Adverse Childhood Experiences International Questionnaire (ACE-IQ). Items of social abuse (peer violence, witnessing community violence, and exposure to collective violence) were analyzed. A total of 2,120 adults were enrolled. After adjustment for age, gender, and intrafamilial ELA, social adversities were associated significantly with the selected CHC. Experiencing more than two social ELA increase the risk of occurrence of hypertension and coronary diseases. After accounting for the indirect effect of body mass index, statistically significant partial mediation effects were observed for the cumulative number of social ELA as the exposure variable and chronic diseases as the outcome variable (p ≤ .001; % mediated = 44.5%). These findings support an association between many chronic health disorders and childhood social abuse, independently of intrafamilial ACEs.

scholarly journals Decision Making Success; The Thrust of Virtual Meetings in the Nigeria Banking Sector

2020 ◽  
pp. 36-46
Author(s):  
Patrick N. Nwinyokpugi ◽  
Amachree Ibim Taribo
Keyword(s):  
Decision Making ◽  
Banking Sector ◽  
Rank Order ◽  
General Purpose ◽  
Senior Managers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Port Harcourt ◽  
Virtual Meetings ◽  
Rivers State

In view of the numerous challenges associated with contemporary meeting practice in an ever growing technologically driven society, the general purpose of the study was to determine how virtual meetings influence successful decision making process in the Nigeria banking sector. This descriptive research adopted a cross-sectional survey approach in investigating a homogenously characterised section of the sector in Port Harcourt, Rivers State, Nigeria. Eighteen (18) banks were chosen based on the convenience in accessibility and a census of all the senior managers including Information Technology based personnel were drawn for study. Thus, a census population derived was 216. A 5-point Likert Scale structured close-ended questionnaire was designed and adopted for data collection from the targeted respondents. This instrument was further validated for face/content validity and subjected to Croubach’s Alpha reliability test. Data collected were tested and analysed using the Spearman’s Rank Order Correlation Coefficient statistic and presented for clarity using the SPSS. Findings revealed the moderating effect of technology for virtual meetings and decision making success in the industry studied. Also, significant relationships exist between the different dimensions of virtual meetings and measures of decision making success in the banking sector and therefore recommendations were made in support of their adoption.

scholarly journals “Innovative Anatomy assessment methods in COVID-19 Pandemic: statistical observations and students viewpoints”

2020 ◽  
Author(s):  
Nidhi Gupta ◽  
Suniti Pandey ◽  
Ashutosh Anshu
Keyword(s):  
Method Development ◽  
Assessment Tool ◽  
Medical Science ◽  
Gross Anatomy ◽  
Assessment Method ◽  
Assessment Methods ◽  
Response Distribution ◽  
Cross Sectional ◽  
Significant Difference ◽  
Post Hoc

Background: Currently anatomy training and assessment is seriously disrupted in COVID-19 Pandemic lockdown. New challenges of anatomy curriculum and assessment method development are being attempted based upon resources, expertise and technical skills of educators. This study aims at creating a standard operation procedure (SOP) for conducting gross anatomy assessment, finding statistical relevance and discusses viewpoints of students reflected in feedback. Materials and methods: a retrospective cross sectional study was conducted on 250 first year students at GSVM Medical College Kanpur India. Students were briefed about SOP and were given choice to opt for either of three interview modalities of assessment tool [Viz. Telephonic Interview (GROUP T), Whatsapp© video call (GROUP W) and Zoom© meetings (GROUP Z)] and submit subjective feedbacks to assessor regarding new assessment format. The marks obtained as response distribution were subjected to descriptive statistics. One way ANOVA was applied to test any difference in means at (P<0.05) followed by post-hoc pair wise test amongst groups corrected to Bonferroni adjusted alpha level of [P<0.0167] per test. Results: Among 97.2% respondent ANOVA test result pointed that the types of interview pattern preferred had no significant impact on obtained score [F (2,240) = 2.80, p = .062], post-hoc test further confirmed that there was no significant difference between groups. Conclusion: the assessor and students both need to evolve and adapt to paradigm changes. Student’s feedback will serve to tailor the assessment tool by refining validity, consistency, reliability and interaction dynamics of assessment designs. Alternative evidence based futuristic assessment methods exploration are call of the hour. Bangladesh Journal of Medical Science Vol.19(0) 2020 p.S 21-S 27

scholarly journals Association between early life factors and accelerometry-based physical activity measures in children aged 5-7 years old

2020 ◽  
Vol 31 (1) ◽  
Author(s):  
Maria Laura Siqueira de Souza Andrade ◽  
Carla Menêses Hardman ◽  
Mauro Virgílio Gomes de Barros
Keyword(s):  
Physical Activity ◽  
Birth Order ◽  
Early Life ◽  
Cross Sectional Study ◽  
Physical Activities ◽  
Moderate Intensity ◽  
Cross Sectional ◽  
Activity Measures ◽  
Early Life Factors ◽  
Daily Time

The present study aims to verify if there is an association between early life factors (birth weight, exclusive breastfeeding, birth order and preterm birth) and accelerometry-based physical activity measures in children aged 5 to 7 years old. It is a cross-sectional study carried out with children from public and private schools in Recife, Brazil. A questionnaire was applied to the children's parents. Of the 784 children participating in the study, 491 had at least three days of valid monitoring. It was possible to identify that the children classified as the fourth ones, as to birth order, or over, were 83% less likely to have a low percentage of daily time spent on moderate-intensity physical activities compared to firstborns (OR = 0.17; 0.03-0.80). Only birth order was negatively associated with low percentage of daily time spent on moderate physical activities, even after adjustment for confounding factors.

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