scholarly journals Incidence of Severe Hypothermia and Its Impact on Postoperative Surgical Complications and Time Delay to Adjunct Treatments in Breast Surgery Cancer Patients: A Case-Controlled Study

2021 ◽  
Vol 10 (16) ◽  
pp. 3702
Author(s):  
Cyrus Motamed ◽  
Gregoire Weil ◽  
Chaima Dridi ◽  
Jean Louis Bourgain
Keyword(s):  
Quality Assurance ◽  
Cancer Patients ◽  
Breast Surgery ◽  
Information Management System ◽  
The Body ◽  
Controlled Study ◽  
Wound Complications ◽  
Control Group ◽  
Severe Hypothermia ◽  
Hypothermia Group

Introduction: Unintended postoperative hypothermia frequently occurs upon arrival in the post anesthesia care unit (PACU). As part of our quality assurance program in anesthesia, we regularly monitor the incidence of this complication through our anesthesia information management system (AIMS). In this case-controlled retrospective study, our goal was to detect the incidence of unintended severe hypothermia in our breast surgery cancer patients, and subsequently to analyze the consequence of this complication in terms postoperative cutaneous infection, as well as its impact on further complementary treatment, such as radiotherapy and chemotherapy. Methods: This study was a retrospective analysis conducted through our AIMS system from 2015 through 2019, with extraction criteria based on year, type of surgery (breast), and temperature upon arrival in PACU. A tympanic temperature of less than 36 °C was considered to indicate hypothermia. Severe hypothermia was considered for patients having a temperature lower than 35.2 °C (hypothermic) (n = 80), who were paired using a propensity score analysis with a control group (normothermic) (n = 80) of other breast cancer surgery patients. Extracted data included time of surgery, sex, age, ASA status, and type and duration of the intervention. Results: The mean incidence of hypothermia was 21% from 2015 through 2019. The body mass index (BMI) was significantly lower in the hypothermia group before matching, 23.5 ± 4.1 vs. 26.4 ± 6.1 kg/m2 in normothermic patients (p < 0.05). The hypothermia group also had significantly fewer monitoring and active warming devices. No difference was noted for wound complications. Time to complementary chemotherapy and or radiotherapy did not differ between groups (52 ± 21 days in group hypothermia vs 49 ± 22 days in the control group). Conclusion: Severe intraoperative hypothermia remains an important quality assurance issue in our breast surgery cancer patients, but we could not detect any long-term effect of hypothermia.

scholarly journals Enhanced recovery after surgery protocol for prostate cancer patients undergoing laparoscopic radical prostatectomy

2018 ◽  
Vol 47 (1) ◽  
pp. 114-121 ◽  
Author(s):  
Chunhua Lin ◽  
Fengchun Wan ◽  
Youyi Lu ◽  
Guojun Li ◽  
Luxin Yu ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Radical Prostatectomy ◽  
Cancer Patients ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
The Body ◽  
Laparoscopic Radical Prostatectomy ◽  
Control Group ◽  
Tube Removal ◽  
Hospitalization Costs

Objective To determine the value of an enhanced recovery after surgery (ERAS) protocol for prostate cancer patients undergoing laparoscopic radical prostatectomy (LRP). Methods We conducted a retrospective cohort study using clinical data for 288 patients who underwent LRP in our hospital from June 2010 to December 2016. A total of 124 patients underwent ERAS (ERAS group) and the remaining 164 patients were allocated to the control group. ERAS comprised prehabilitation exercise, carbohydrate fluid loading, targeted intraoperative fluid resuscitation and keeping the body warm, avoiding drain use, early mobilization, and early postoperative drinking and eating. Results The times from LRP to first water intake, first ambulation, first anal exhaust, first defecation, pelvic drainage-tube removal, and length of hospital stay (LOS) were all significantly shorter, and hospitalization costs and the incidence of postoperative complications were significantly lower in the ERAS group compared with the control group. No deaths or reoperations occurred in either group, and there were no readmissions in the ERAS group, within 90 days after surgery. Conclusion ERAS protocols may effectively accelerate patient rehabilitation and reduce LOS and hospitalization costs in patients undergoing LRP.

Efficiency of correction of autonomic disorders in the conditions of meteo-climatic maladaptation by the methods of reflex and crystal therapy

2015 ◽  
Vol 9 (4) ◽  
pp. 0-0
Author(s):  
Михайлова ◽  
A. Mikhaylova ◽  
Круглянин ◽  
K. Kruglyanin ◽  
Файзуллоев ◽  
...  
Keyword(s):  
Nervous System ◽  
Environmental Changes ◽  
Climatic Conditions ◽  
The Body ◽  
Controlled Study ◽  
Health Improvement ◽  
Control Group ◽  
Vegetative Nervous System ◽  
Significant Difference ◽  
Autonomic Disorders

The change of climatic conditions often leads to stress and sometimes failure of adaptive resources. Vegetative nervous system is one of the main participants of adaptation to environmental changes. Its functions inevitably decline in cases of short-term change of meteorological and climatic conditions, especially, in people with history of vascular dystonia. The article presents the results of correction of the autonomic function by the methods of reflex- and crystal therapy in the conditions of maladaptation due to meteo-climatic changes. Due to its popularization in world medical practice and absence of research within evidence-based medicine, non-drug therapy, used in complementary medicine, in particular crystal therapy, require evaluation of its effectiveness for correction of autonomic disorders in cases of maladaptation and comparing with the generally accepted method of reflexology. Crystal therapy is a method of health improvement, which involves applying precious and semiprecious minerals to various parts of the body. Assessment of vegetative nervous system in healthy men and women with the diagnosis of vascular dystonia was carried out on the first day and 7-8 days after the arrival to Anapa. Randomized, blind, placebo controlled study has shown significant difference of the effect of reflex- and crystal therapy from the control group and the placebo group, in the correction of vegetative disturbances according to the heart rate variability and a number of mental health indicators. It has proven the effectiveness of reflexotherapy in the case of a high degree of maladaptation and crystal therapy in case of mild to moderate severity of maladaptation, identified according to the coefficient of weather variability in traffic along various routes.

scholarly journals Distal Chevron Osteotomy vs The Simple, Effective, Rapid, Inexpensive Technique (SERI) for Mild to Moderate Isolated Hallux Valgus: A Randomized Controlled Study

2020 ◽  
Author(s):  
Ezequiel Palmanovich ◽  
Nissiom Ohana* - equal first author contribution ◽  
Ilan Small ◽  
Iftach Hetsroni ◽  
Eyal Amar ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Hallux Valgus ◽  
Controlled Study ◽  
Wound Complications ◽  
Invasive Technique ◽  
Control Group ◽  
Chevron Osteotomy ◽  
The Mean ◽  
One Year

Abstract Background Hallux valgus is a common foot deformity that leads to functional disability with serious sequelae. Minimally invasive surgery is often used to treat hallux valgus in order to reduce wound complications and improve recovery time. The objective of this study was to compare a Simple, Effective, Rapid, Inexpensive (SERI) technique with a simple Chevron technique in patients with minimum of one-year follow. Methods and Materials Between the years 2014-2015 we performed a prospective study comparing the SERI minimally invasive technique to treat symptomatic hallux valgus with a standard chevron osteotomy technique. All procedures were performed by a single fellowship trained foot and ankle surgeon. Twenty-one patients were randomized to the SERI cohort and 15 to the standard Chevron technique. Results The mean pre-operative intermetatarsal angle (IMA) of the SERI group was 14.8 ± 1.9 (11.9 - 22.9). The mean pre-operative IMA of the Chevron control group was 13.3 ± 2.3 (10.4 -18.2) (p = 0.038). The mean IMA two weeks after surgery was 6.0 ± 2.3 (2.4-12) in the SERI group, and 6.1 ± 3 (2.6-13.1) in the control group. At the two week and one year follow up, there was no significant difference found in the IMA between the two groups (p = 0.871). Neither groups reported symptomatic transfer metatarsalgia throughout the follow up period. The SERI group had increased metatarsophalangeal joint (MTPJ) motion (p < 0.001) however, all other parameters with similar. Conclusion The SERI technique provided comparable outcomes at up to one year follow up when compared to a standard Chevron osteotomy for moderate hallux valgus. This study demonstrated good reproducible results using the SERI technique for moderate hallux valgus.

The effects of mindfulness meditation and progressive muscle relaxation on fatigue and quality of life in breast cancer patients receiving adjuvant paclitaxel: A three-arm randomized trial.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e12051-e12051
Author(s):  
Zehra Gok Metin ◽  
Nur Izgu ◽  
Canan Karadas ◽  
Leyla Ozdemir ◽  
Umut Demirci
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Patients ◽  
Muscle Relaxation ◽  
Progressive Muscle Relaxation ◽  
Controlled Study ◽  
Control Group ◽  
Breast Cancer Patients ◽  
Cancer Data

e12051 Background: Breast cancer patients often suffer from fatigue during adjuvant paclitaxel regimen which frequently impairs quality of life (QOL). Therefore, this three-arm randomized controlled study aimed to examine the effects of mindfulness-based stress reduction (MBSR) and progressive muscle relaxation (PMR) on fatigue and QOL in breast cancer patients receiving adjuvant paclitaxel. Methods: Participants were randomly assigned to either a MBSR (n = 20), (PMR) (n = 19) or control group (CG) (n = 15). Participants in the intervention groups were instructed on MBSR and PGE, the steps of interventions were recorded a voice recorder and a WhatsApp group was designed by the principal investigator. Participants were asked to listen the recorded audio files during exercises. The intervention groups continued MBSR or PMR 20 min. each day, totally 12 weeks at their home. The CG received only an attention placebo education on breast cancer. Data collection tools included Brief Fatigue Inventory (BFI) and Functional Living Index-Cancer (FLIC). Data were collected at three time points: baseline (T1), week 12 (T2), and week 14 (T3) for follow-up assessment. Kruskal Wallis tests was used for data analysis. Results: BFI scores were significantly lower in the MBSR, PMR groups compared with the CG at T2 and at T3 (p < .01). As for FLIC scores, there were no significant differences between the study groups at T2 and at T3 (p > 0.05). Conclusions: A brief, MBSR and PMR initiated concurrently with adjuvant paclitaxel regimen decreased fatigue severity. Based on the results, MBSR and PMR can be recommended as supportive therapies for breast cancer patients receiving adjuvant paclitaxel.

scholarly journals Early Nutritional Education in the Prevention of Childhood Obesity

2021 ◽  
Vol 18 (12) ◽  
pp. 6569
Author(s):  
Mario Gato-Moreno ◽  
María F. Martos-Lirio ◽  
Isabel Leiva-Gea ◽  
M. Rosa Bernal-López ◽  
Fernando Vegas-Toro ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Intervention Group ◽  
Overweight And Obesity ◽  
The Body ◽  
Secondary Outcome ◽  
Outcome Variable ◽  
Controlled Study ◽  
Control Group ◽  
Nutritional Education ◽  
Overweight Or Obesity

Early childhood is a critical period for obesity prevention. This randomized controlled study evaluated the effectiveness of an educational intervention preventing obesity in preschool-age children. A nutritional education intervention, with a follow-up session one year later, was conducted with parents of children aged 3 to 4 years of public schools in the province of Málaga. The main outcome variable was the body mass index z-score (zBMI). The prevalence of overweight or obesity was the secondary outcome variable. The sample comprised 261 students (control group = 139). Initial BMI, weight, height-for-age and prevalence of overweight and obesity were similar for both groups. After the first year of the intervention, the zBMI of the intervention group decreased significantly from 0.23 to 0.10 (p = 0.002), and the subgroup of patients with baseline zBMI above the median decreased from 1 to 0.72 (p = 0.001), and in the second year from 1.01 to 0.73 (p = 0.002). The joint prevalence of overweight and obesity increased in the control group (12.2% to 20.1%; p = 0.027), while in the intervention group, there were no significant changes. This preschool educational intervention with parents improved their children’s BMI, especially those with a higher BMI for their age, and favored the prevention of overweight or obesity.

scholarly journals Effect of Vibratory Therapy in Decreasing the Vaccination-induced Pain in Infants: Randomized Controlled Study

2021 ◽  
pp. 9-18
Author(s):  
Amar Taksande ◽  
Shruti Chaudhary ◽  
Abhilasha Singh Panwar ◽  
Aditi Jhamb ◽  
Rupesh Rao ◽  
...  
Keyword(s):  
Pain Perception ◽  
Pain Scale ◽  
The Body ◽  
Controlled Study ◽  
Control Group ◽  
Randomized Controlled ◽  
Vibration Therapy ◽  
C Fibers ◽  
Gate Control Theory ◽  
Nutritive Sucking

Background: Different non-medical therapies such as Non-nutritive sucking (NNS), oral sucrose with or without NNS (non-nutritive sucking), wrapping with thin blanket or cloth, kangaroo mother care (KMC), songs as well as multi-sensory stimulation are beneficial in pain reduction among neonates and infants.  According to the gate control theory, vibrations applied sat a site on the body block the nociceptive signals via the A???? and C fibers reducing the pain perception. When used along with many other nonpharmacological methods, This technique has been shown to minimize discomfort in pain-inducing treatments such as Intravenous cannulation, vaccines, heel prick, etc. The primary purpose of this study is to analyze vibrational therapy effects on infants  pain perception, thereby, providing evidence for a better pain management strategy in vaccination centers. Objective: To determine the efficacy of vibration therapy on pain perception by infants during vaccine administration. Material and Methods:  Out of total 90 eligible healthy infants who come for routinely immunization will be given either vibrational therapy (interventional group) or breastfeeding(control therapy) after doing randomization in this randomized controlled trial. The baseline vitals include cardiac rate (HR), respiratory rate (RR), and oxygen (SpO2) will be recorded before, during, and after vaccination during this treatment. Similarly, we will report Visual analog scales (VAS), Neonatal Infant Pain Scale (NIPS), and Wong-Baker FACES Pain Rating Scale, Modified Behavioral Pain Scale (MBPS)  after giving the vaccine to the infant. Results: After completion of the study we will come to know the effect of vibratory therapy on pain control. The pain intensity with the help of the NIPS score will get less in the vibratory group than in the control group. The level of distress by using the Color Analogue Scale, MBPS scale, and FLACC scale, during the vaccine-related procedure will get a lower score in the infants  who has taken vibratory therapy than the control group. Conclusion: study will probably give us information about vibration therapy, which will be an effective method for managing the pain after vaccination in infants.

Effects of improved hypoallergenic fabrics in medical wigs in patients with breast cancer with chemotherapy-induced alopecia: a randomised clinical trial

2021 ◽  
pp. bmjspcare-2020-002309
Author(s):  
Nao Tamai ◽  
Takeo Minematsu ◽  
Mari Ikeda ◽  
Yuko Mugita ◽  
Hiromi Sanada
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Intervention Group ◽  
Metastatic Breast ◽  
Randomised Clinical Trial ◽  
Controlled Study ◽  
Control Group ◽  
Breast Cancers ◽  
Breast Cancer Patients ◽  
Barrier Functions

PurposeChemotherapy causes changes in appearance in patients with cancer. Therefore, to have a normal life, it is necessary for patients to wear a wig. However, wearing a wig may strain an already sensitive scalp during chemotherapy. This study aimed to assess the effects of a hypoallergenic medical wig in breast cancer patients with chemotherapy-induced alopecia (CIA).MethodsA randomised, single-blind, controlled study was conducted from January 2015 to July 2017 in Tokyo, Japan. Women with non-metastatic breast cancers were enrolled. Participants were provided a hypoallergenic medical wig or a traditional medical wig. The primary endpoint was incidence of scalp dermatitis, including erythema, rash and erosion. The secondary endpoints were incidence of scalp symptoms, alterations in scalp barrier functions and quality of life (QOL). Patients were followed at the start of the first chemotherapy administration and at 13th week.ResultsFifty-nine women were included in the analysis. At 13th week, the incidence of erythema was 44.8% among patients in the intervention group and 86.7% among patients in the control group, in the intention-to-treat analysis (p<0.01). The incidence of erosion tended to decrease in the intervention group at the 13th week (p=0.09). The incidence of scalp symptoms, alterations in scalp barrier functions and QOL were not significantly different between the groups.ConclusionsThe incidence of dermatitis, including erythema, rash and erosion, decreased when wearing the new hypoallergenic medical wig. The gentle hypoallergenic medical wig is useful in improving erythema in cancer patients with CIA.Trial registration number UMIN000021289.

scholarly journals Emlődaganatos nőbetegek komplex támogató terápiája. Egy pszichológiai intervenciós kutatás előzetes eredményei

2019 ◽  
Vol 160 (18) ◽  
pp. 700-709
Author(s):  
Victoria Wittmann ◽  
Melinda Látos ◽  
Zoltán Horváth ◽  
Zsolt Simonka ◽  
Attila Paszt ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Intervention Program ◽  
Intervention Group ◽  
Interdisciplinary Studies ◽  
The Body ◽  
Control Group ◽  
Breast Cancer Patients ◽  
Stress Relieving ◽  
Body Sculpture

Abstract: Introduction: Interdisciplinary studies confirm that the traumatic nature of cancer diagnosis and the long course of treatment may often lead to a series of emotional problems among cancer patients, this way precluding physical and psychological recovery. Aim: The aim of the study was to create a complex psychosocial intervention program for breast cancer patients and to present our preliminary results. Method: In our 6 week long study, 50 breast cancer patients were assessed. The intervention group comprised of 20 patients, the control group comprised of 30 patients. Measurements included the Beck Depression Inventory (BDI), the Spielberger State and Trait Anxiety Inventory (STAI), the Surgical Fear Questionnaire (SFQ), the Visual Analogue Scale (VAS), the Functional Assessment of Cancer Therapy – Breast (FACT-B) and the Breast-Impact of Treatment Scale (BITS). Therapeutic tools used were the PRISM-D and the Body-Sculpture Test. Results: Our results indicate that the psychological interventions may have an instant stress-relieving and calming effect on our patients, this way providing social support. The type of surgery significantly influenced the levels of body change stress. Conclusion: Our results highlight the importance of early psychological screening among breast cancer patients before and after surgery as well. Orv Hetil. 2019; 160(18): 700–709.

Moderate body hypothermia alleviates behavioral and EEG manifestations of audiogenic seizures in metaphit-treated rats

2007 ◽  
Vol 85 (10) ◽  
pp. 1032-1037 ◽  
Author(s):  
Dragan Hrnčić ◽  
Danijela Vučević ◽  
Aleksandra Rašić ◽  
Tatjana Radosavljević ◽  
Dušan Mladenović ◽  
...  
Keyword(s):  
Wistar Rats ◽  
Time Course ◽  
Epileptiform Activity ◽  
Audiogenic Seizures ◽  
The Body ◽  
Control Group ◽  
Reflex Epilepsy ◽  
Anticonvulsant Treatment ◽  
Hypothermia Group ◽  
Ice Pack

We investigated the effects of hypothermia on the incidence and EEG signs of audiogenic seizures in rats treated with metaphit (1-[1(3isothiocyanatophenyl)-cyclohexyl] piperidine), an experimental model of generalized reflex epilepsy. After i.p. injection with metaphit (10 mg/kg) Wistar rats were exposed to audiogenic stimulation at hourly intervals during the time course of the experiment. After intermittent use of an ice pack 8 h after the metaphit treatment, when seizure was fully developed, the body temperature was reduced to 30 ± 0.5 °C in one half of the rats, and maintained at 37 ± 0.5 °C in the other half. Saline-injected rats served as a control group. In the hypothermia group, the incidence of audiogenic seizures induced by metaphit was completely suppressed during the 3 consecutive testing times, while no signs of epileptiform activity were noted in EEG tracings. The termination of hypothermic treatment resulted in the recovery of seizure susceptibility, and during audiogenic stimulation, bursts of spiking activity were recorded in the EEGs of metaphit-treated rats. These findings indicate that moderate body hypothermia is an effective anticonvulsant treatment for audiogenic seizures in metaphit-treated rats.

scholarly journals Risk Factors for Prostate Cancer Patients Among Gezira State-Central of Sudan

1970 ◽  
Vol 12 (4) ◽  
Author(s):  
Fatima A Hamad ◽  
And D. O. Abuidris
Keyword(s):  
Prostate Cancer ◽  
Risk Factors ◽  
Family History ◽  
Cancer Patients ◽  
The Body ◽  
Control Group ◽  
Education Levels ◽  
Male Patients ◽  
The Mean ◽  
Disease Family

The aim of this study is to assess the risk factors for prostate cancer among Sudanese patients treated in National Cancer Institute (NCI), Gezira University, Wadmedani, Sudan. The study was performed on 268 prostate cancer patients, age ranging between 45-98 years. Similar number of 268 persons (age and sex matched) was used as control group .The study period was from May-2006 to December-2009. Data was collected from patients using a questionnaire which was filled in order to obtain information regarding: age, residence, tribe, education levels, occupation, marital status, stage of disease, family history and habits .The body mass index (BMI) was determined by anthropometrics measurements ( weight& height). Prostate cancer is the commonest cancer among male patients treated in the NCI. The mean age of patients was 72.2±9.25. Most of patients (73.9%) were over 66-years. Family history is positive in 18(6.7%) of the patients. Rural inhabitants were 79.8% of all cases. The disease is equally distributed among different tribes. The illiteracy among cases is 39.1%. The commonest occupation was farming (60.1%). Majority (90.7%) of the patients were married. Most cases (85.4%) presented with stage ІІІ and ІV. 73% of the patients had one or more of unhealthy habits (smoking, snuff and alcohol). the BMI was high in 6.9% of the patients. Risk factors for prostate cancer in the study area, which may appear to have a high significant effect, were: the age, education level, occupation, unhealthy habits and the BMI. ABSTRAK: Tujuan kajian ini dijalankan ialah untuk menilai faktor-faktor risiko untuk kanser prostat di kalangan pesakit-pesakit yang dirawat di Institut Kanser Kebangsaan (NCI), Universiti Gezira, Wadmedani, Sudan. Kajian dijalankan pada 268 pesakit kanser prostat, berumur di antara 45-98 tahun. Jumlah bilangan pesakit yang sama iaitu seramai 268 orang (sama umur dan jantina) telah digunakan sebagai kumpulan kawalan.Tempoh kajian ialah pada Mei 2006 sehingga Disember 2009. Data diperolehi daripada pesakit-pesakit dengan menggunakan boring soal selidik yang diisi untuk mendapatkan maklumat: umur, tempat tinggal, puak, taraf pendidikan, pekerjaan, status perkahwinan, peringkat penyakit, sejarah keluarga dan tabiat-tabiat. Indeks jisim badan (BMI) telah ditentukan melalui pengukuran antropometri (berat dan ketinggian). Kanser prostat ialah kanser yang paling banyak dihidapi pesakit-pesakit yang dirawat di NCI. Purata umur ialah 72.2±9.25. Kebanyakan pesakit (73.9%) berumurlebih 66 tahun. Sejarah keluarga ialah positif pada 18 (6.7%) pesakit. Penduduk luar bandar ialah 79.8% daripada keseluruhan jumlah kes. Penyakit ini terbahagi sama rata di antara puak-puak. Kadar buta huruf di antara kes-kes ialah 39.1%. Pekerjaan yang paling banyak ialah bertani (60.1%). Majoriti (90.7%) pesakit telah berkahwin. Kebanyakan kes-kes (85.4%) menghidapi peringkat III dan IV penyakit. 73% daripada jumlah pesakit mempunyai satu atau lebih tabiat yang kurang sihat (merokok, menghidu, dan alkohol). 6.9% pesakit mempunyai indeks jisim badan (BMI) yang tinggi. Faktor-faktor risiko untuk kanser prostat di dalam kawasan kajian yang menunjukkan kesan signifikan yang tinggi ialah: umur, taraf pendidikan, pekerjaan, tabiat-tabiat kurang sihat dan indeks jisim badan (BMI).

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