EVALUATE THE RESULTS OF REVISION SINUS SURGERY FOR RECURRENT SINUSITIS AFTER FUNCTIONAL ENDOSCOPY SINUS SUGERY IN ADULTS

2017 ◽  
pp. 107-113
Author(s):  
Viet Thanh Dinh ◽  
Thanh Thai Le
Keyword(s):  
Risk Factors ◽  
Comprehensive Evaluation ◽  
Clinical Intervention ◽  
Clinical Findings ◽  
Sinus Surgery ◽  
Surgical Results ◽  
Cross Sectional ◽  
Surgical Methods ◽  
Revision Sinus Surgery ◽  
Recurrent Sinus

Objectives: To clarify the causes and risk factors for recurrent sinusitis after FESS in order to contribute to reducing the proportion of revison sinus surgery. Materials and methods: Cross sectional and descriptive study with clinical intervention in 35 patients with recurrent sinusitis after FESS from 3/2014 to 6/2016. Results: The common risk factors related to recurrent sinusitis after FESS are: no follow up 52,7%, smoking 37,1%, GERD 28,65%, chemical fumes exposure 25,7%. Clinical findings during operation: nasosinus polyp 65,7%, blocked osteomeatal complex 97,1%, blocked maxillary ostium 97,1%, blocked frontal recess 68,6%, blocked sphenoid ostium 45,7%, ulcinate process remnant 31,4%, ethmoidal air cells remnant 48,6%. Surgical results according to functional symptoms after 3 months and 6 months: after 3 months: good 80% , fair 20%. After 6 months: good are 83,3%. Endoscopic sinus surgical results: after 3 months: good 71,4%, after 6 months: good 66,6% CT scan imaging shows clear sinuses: after 3 months good and 6 months are good at 57,1% and 44,4% respectively. Conclusions: Recurrent sinusitis when surgery to comprehensive evaluation. Proposed a complete surgical methods to help patients from recurrent sinus. Surgeons must complete surgical manipulation. Ensure all patient get built and reconstructted draining sinus. Make sure to follow for all patients after operation. Key words: recurrent sinusitis, FESS (Functional Endoscopy Sinus Sugery)

Risk Factors for Recurrent Sinus Surgery in Cystic Fibrosis: Review of a Decade of Experience

2007 ◽  
Vol 21 (4) ◽  
pp. 478-482 ◽  
Author(s):  
Samuel S. Becker ◽  
Alessandro de Alarcon ◽  
Steven R. Bomeli ◽  
Joseph K. Han ◽  
Charles W. Gross
Keyword(s):  
Risk Factors ◽  
Cystic Fibrosis ◽  
Pulmonary Function Tests ◽  
Tertiary Care ◽  
Sinus Surgery ◽  
Alternative Interventions ◽  
Initial Surgery ◽  
Revision Sinus Surgery ◽  
Initial Procedure ◽  
Recurrent Sinus

Background Patients with cystic fibrosis (CF) who undergo endoscopic sinus surgery often require multiple revision procedures. Our objective was to identify risk factors for revision sinus surgery in patients with CF, to better identify this subset of patients who might be better suited for alternative interventions at their initial procedure. Methods Patients with CF who presented to our academic tertiary care sinus clinic between 1994 and 2003 were reviewed. Data were collected from CT scans using the Lund-Mackay scale. Data are collected on demographics, comorbidities, CF genotype, number and type of sinus surgeries, and pulmonary function tests. Results Eighty-one patients met inclusion criteria. Fifty patients were <18 years old at presentation. Forty-one patients were Δ508 homozygotes, 32 patients were Δ508 heterozygotes, and 5 patients were non-Δ508 heterozygotes. Respiratory comorbidities were asthma alone (28%) and aspirin triad (5%). Eighteen (22%) patients either smoked or lived with smokers. The mean Lund-Mackay score before the initial surgery was 16. Twenty patients were treated with medication only; 35 patients underwent 1 surgery; 14 patients underwent 2 surgeries; 8 patients underwent 3 surgeries; 2 patients underwent 4 surgeries; and 2 patients underwent 5 surgeries. Patients with higher Lund-Mackay scores at their initial CT were more likely to undergo repeat surgeries (p < 0.05). Conclusion CF patients with high Lund-Mackay scores at their initial surgery are more likely to undergo several revision surgeries. These patients should be considered for more alternative initial management of their sinuses.

Risk Factors for Post–Open-Globe Injury Endophthalmitis

2020 ◽  
Vol 4 (5) ◽  
pp. 353-359
Author(s):  
Aditya Uppuluri ◽  
Marco A. Zarbin ◽  
Neelakshi Bhagat
Keyword(s):  
Risk Factors ◽  
Univariate Analysis ◽  
Binary Logistic Regression ◽  
Clinical Findings ◽  
National Inpatient Sample ◽  
Open Globe Injury ◽  
Adult Group ◽  
Cross Sectional ◽  
Increased Risk ◽  
Open Globe

Purpose: The objective of our project is to use the National Inpatient Sample Database to identify risk factors for endophthalmitis in cases of open-globe injury (OGI). Methods: This is a cross-sectional observational study of 48 627 cases of OGI from the National Inpatient Sample Database. We performed regression analysis using IBM SPSS Statistics 23. Codes from the International Classification of Disease, Ninth Revision were used to identify ocular findings and conditions. Variables with P values less than .05 on univariate analysis were included in the multivariable regression model; Bonferroni correction was applied to these results. Results: Of the 48 627 cases of OGI, 37 440 (77.0%) occurred in the adult group (21 years and older). Overall, 1018 (2.1%) cases developed posttraumatic endophthalmitis, with 74.5% cases in the adult group. Endophthalmitis developed in 293 (4.5%) eyes with an intraocular foreign body (IOFB). Results of binary logistic regression showed the clinical findings of traumatic cataracts, hypopyon, vitreous inflammation, corneal ulcers, or IOFBs were associated with an increased risk of developing endophthalmitis after OGI. Conversely, orbital fractures, rupture-type injuries, and intraocular tissue prolapse were associated with a decreased likelihood of being diagnosed with endophthalmitis. Conclusions: Endophthalmitis developed in 2.4% of pediatric OGIs and 2.0% of adult OGIs. Traumatic cataract, hypopyon, vitreous inflammation, corneal ulcer, keratitis, retinal detachment, IOFB, and diabetes increased the risk of post-open-globe endophthalmitis.

scholarly journals Anemia prevalence and etiology among women, men, and children in Ethiopia: a study protocol for a national population-based survey

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Amare Worku Tadesse ◽  
Elena C. Hemler ◽  
Christopher Andersen ◽  
Simone Passarelli ◽  
Alemayehu Worku ◽  
...  
Keyword(s):  
Risk Factors ◽  
Comprehensive Evaluation ◽  
Potential Effect ◽  
Population Based ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Control Programs ◽  
Detailed Assessment

Abstract Background Anemia remains a public health challenge in Ethiopia, affecting an estimated 56% of children under age 5 years, 23% of women of reproductive age and 18% of adult men. However, anemia etiology and the relative contribution of underlying risk factors for anemia remains unclear and has hindered implementation of anemia control programs. Methods/design Anemia Etiology in Ethiopia (AnemEE) is a population-based cross-sectional survey of six regions of Ethiopia that includes children, women of reproductive age, and men from regionally representative households. The survey will include detailed assessment of anemia, iron, inflammatory and nutritional biomarkers, diet, comorbidities, and other factors. The objectives of AnemEE are 1) to generate evidence for decision-making on the etiology of anemia in Ethiopia among men, women and children and 2) to simulate the potential effect of iron fortification and other interventions on the prevalence of anemia and risk of iron overload. Discussion AnemEE will provide the most comprehensive evaluation of anemia etiology in Ethiopia to date due to its detailed assessment of diet, biomarkers, infections and other risk factors in a population-based sample. By generating evidence and simulating potential interventions, AnemEE will inform the development of high-impact anemia control programs and policies. Trial registration ClinicalTrials.gov, NCT04002466. Registered on 28 June 2019. Retrospectively registered.

scholarly journals Assessment of Risk Factors for Atherosclerosis in Individuals of Different Categories of Cardiovascular Risk Using the Aterostop Calculator

Kardiologiia ◽  
2021 ◽  
Vol 61 (3) ◽  
pp. 12-17
Author(s):  
M. Y. Zubareva ◽  
P. P. Malyshev ◽  
A. A. Ansheles ◽  
I. V. Sergienko
Keyword(s):  
Risk Factors ◽  
Comprehensive Evaluation ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Lipid Lowering ◽  
Cross Sectional ◽  
National Medical ◽  
Extreme Risk ◽  
First Results

Aim        To analyze first results of using the Aterostop calculator for a comprehensive evaluation of the risk for cardiovascular diseases (CVD).Material and methods        A cross-sectional study analyzed major and additional risk factors in 460 subjects without apparent disease and in patients with documented CVD of atherosclerotic origin using the application (calculator) Aterostop developed in the National Medical Research Center of Cardiology in Moscow, Russia.Results   45.4% of evaluated persons belonged to the categories of very high and extreme risk. Age and frequencies of smoking, arterial hypertension, and diabetes mellitus (DM) increased with the increase in risk; the growth of DM was exponential. 129 (28%) individuals used lipid-lowering medications at the time of study. Their plasma levels of low-density lipoprotein cholesterol (LDL-C) were significantly lower than in those who did not received this treatment. However, achieving the target level was inversely proportional to the risk: the greatest proportion of individuals who reached the LDL-C target was in the category of low risk and the smallest proportion was in the category of extreme risk (75 % vs. 3.7 %, respectively).Conclusion            The results obtained with the calculator Aterostop were consistent with earlier reports of insufficient effectiveness of primary and secondary prevention of atherosclerotic CVDs, which requires more tight and fruitful cooperation of the physician and the patient.

scholarly journals Prevalence of foot varicose veins in hairdressers and some related factors in Gonabad

2021 ◽  
Author(s):  
T Baloochi Beydokhti ◽  
A Ghadimifar ◽  
M Mohammadi ◽  
R Soleimani Moghaddam
Keyword(s):  
Risk Factors ◽  
Work Experience ◽  
Varicose Veins ◽  
Clinical Findings ◽  
Related Factors ◽  
Cross Sectional ◽  
Significance Level ◽  
Prolonged Standing ◽  
Study Results ◽  
The Relationship

Introduction: Physical postures at work and occupational conditions are among the important risk factors that increase the prevalence of varicose veins. These include prolonged standing and tedious postures that are unavoidable in the hairdressing profession. This study aimed to investigate the relationship between the prevalence of foot varicose veins and occupational and demographic factors in hairdressers. Materials and Methods: This cross-sectional-correlational study was conducted on 90 hairdressers in Gonabad in 2015. The participants were selected using a random method. After completing the demographic information questionnaire, the samples were examined according to CEAP criteria (clinical findings, etiology, anatomical findings, and pathophysiology). The collected data were analyzed using Chi-square, Fisher, and independent t-tests using SPSS software version 20 at a significance level of p <0.05. Results: Out of 90 patients, 45 were male, and 45 were female, and (77.8%) had an average working time of more than 6 hours. Most of the men (51.1%) and women (53.3%) had varicose veins of the lower extremities of both limbs. The relationship between varicose veins of hairdressers and education (P = 0.031), work experience (P = 0.043), regular exercise (p = 0.012), smoking (P = 0.009) was significant. Conclusion: The present study results indicate the high prevalence of lower limb varicose veins in hairdressers. This disorder causes many mental and physical disorders and ultimately affects the individual's work efficiency, so controlling risk factors and preventing this complication in hairdressers seems necessary.

Psychological Resilience Provides No Independent Protection From Suicidal Risk

Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Danica W. Y. Liu ◽  
A. Kate Fairweather-Schmidt ◽  
Richard Burns ◽  
Rachel M. Roberts ◽  
Kaarin J. Anstey
Keyword(s):  
Risk Factors ◽  
Well Being ◽  
Current Status ◽  
Psychological Resilience ◽  
Cross Sectional ◽  
Life Project ◽  
Resilience Factors ◽  
First Time

Abstract. Background: Little is known about the role of resilience in the likelihood of suicidal ideation (SI) over time. Aims: We examined the association between resilience and SI in a young-adult cohort over 4 years. Our objectives were to determine whether resilience was associated with SI at follow-up or, conversely, whether SI was associated with lowered resilience at follow-up. Method: Participants were selected from the Personality and Total Health (PATH) Through Life Project from Canberra and Queanbeyan, Australia, aged 28–32 years at the first time point and 32–36 at the second. Multinomial, linear, and binary regression analyses explored the association between resilience and SI over two time points. Models were adjusted for suicidality risk factors. Results: While unadjusted analyses identified associations between resilience and SI, these effects were fully explained by the inclusion of other suicidality risk factors. Conclusion: Despite strong cross-sectional associations, resilience and SI appear to be unrelated in a longitudinal context, once risk/resilience factors are controlled for. As independent indicators of psychological well-being, suicidality and resilience are essential if current status is to be captured. However, the addition of other factors (e.g., support, mastery) makes this association tenuous. Consequently, resilience per se may not be protective of SI.

Trauma-Related Shame, Sexual Assault Severity, Thwarted Belongingness, and Perceived Burdensomeness Among Female Undergraduate Survivors of Sexual Assault

Crisis ◽  
2019 ◽  
Vol 40 (2) ◽  
pp. 134-140 ◽  
Author(s):  
Christopher R. DeCou ◽  
Stephanie P. Kaplan ◽  
Julie Spencer ◽  
Shannon M. Lynch
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Sexual Assault ◽  
Self Report ◽  
Psychosocial Risk ◽  
Thwarted Belongingness ◽  
Female Undergraduate ◽  
Perceived Burdensomeness ◽  
Cross Sectional ◽  
And Behavior

Abstract. Background and Aim: This study evaluated trauma-related shame as a mediator of the association between sexual assault severity and perceived burdensomeness and thwarted belongingness. Method: A total of 164 female undergraduates who reported attempted or completed sexual assault completed self-report measures of sexual assault, trauma-related shame, perceived burdensomeness, and thwarted belongingness. Results: Using path analysis, trauma-related shame mediated the association between sexual assault severity and perceived burdensomeness, and between sexual assault severity and thwarted belongingness. Limitations: The findings of this study are limited by the retrospective, self-report, and cross-sectional nature of these data, and do not allow for causal inference. Conclusion: Trauma-related shame warrants additional investigation as a mechanism that explains the association between sexual assault and psychosocial risk factors for suicidal ideation and behavior.

PRRSV: Risikofaktoren und Herdenprävalenz in Deutschland

2019 ◽  
Vol 47 (02) ◽  
pp. 132-132
Author(s):  
Sebastian Ganz
Keyword(s):  
Risk Factors ◽  
Cross Sectional Study ◽  
Respiratory Syndrome Virus ◽  
Sectional Study ◽  
Cross Sectional ◽  
Klinische Symptome

Nathues C, Janssen E, Duengelhoef A et al. Cross-sectional study on risk factors for Porcine Reproductive and Respiratory Syndrome virus sow herd instability in German breeding herds. Acta Vet Scand 2018; 60 (1): 1–8 In mit PRRSV (Porcine Reproductive and Respiratory Syndrom Virus) infizierten Schweinebeständen zeigen die Tiere oftmals ernsthafte klinische Symptome. Die Schwere der Symptomatik hängt von der Virulenz der jeweiligen Virusstämme ab. Deshalb ist die Impfung gegen diesen Erreger sinnvoll und wird empfohlen, auch wenn sie nicht immer klinische Fälle verhindert bzw. das Virus vollends eliminiert. Aufgrund dessen rückt die Prävention durch Verbesserung der innerbetrieblichen Abläufe zunehmend in den Fokus. Um solche Maßnahmen erfolgreich etablieren zu können, ist es wichtig, den epidemiologischen Status der Herde und mögliche Risikofaktoren zu kennen. Ziel der Studie war deshalb, die Prävalenz der Infektion in Sauenbetrieben in Norddeutschland zu eruieren und verschiedene Arbeitsabläufe hinsichtlich des Risikos der Erregerverbreitung zu untersuchen.

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