scholarly journals Immediate and Late Complications of Temporary and Permanent Hemodialysis Catheters

10.3823/2407 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Brígida Maria Gonçalves de Melo Brandão ◽  
Rebeca Coelho de Moura Angelim ◽  
Daniela De Aquino Freire ◽  
Kydja Milene Souza Torres ◽  
Michele Natália de Araújo Fernandes ◽  
...  
Keyword(s):  
Blood Flow ◽  
Continuing Education ◽  
Key Words ◽  
Clinical Data ◽  
Nursing Staff ◽  
Late Complication ◽  
Renal Dialysis ◽  
Descriptive Study ◽  
Late Complications ◽  
Key Words Complications

This study aimed to identify the immediate and late complications of temporary and permanent catheters for hemodialysis in a nephrology service. This is an exploratory-descriptive study with quantitative approach, performed in a Nephrology center that is reference in the State and located in Recife/Pernambuco. The sutdy was conducted in the period from April to September 2015 using an instrument developed by the authors, consisting of socio-demographic and clinical data. The study included 40 patients who had a total of 57 complications. The most frequent immediate complication was hematoma (33.4%) and the most common late complication was decreased blood flow (46.1%). Results led to conclude that the nursing staff, in particular, should be alert to the occurrence of complications. For this, it is suggested that training and continuing education be developed as a way to improve the performance of the nursing staff before any sort of problem related to catheters for hemodialysis. Key words: Complications; Catheters; Renal dialysis; Nephrology.

Alternative pulmonary artery reconstruction technique in the arterial switch operation

2021 ◽  
Author(s):  
Hisayuki Hongu ◽  
Masaaki Yamagishi ◽  
Yoshinobu Maeda ◽  
Keiichi Itatani ◽  
Masatoshi Shimada ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Arterial Switch Operation ◽  
Late Complication ◽  
Late Complications ◽  
Reconstruction Technique ◽  
Reconstruction Method ◽  
Arterial Switch ◽  
Switch Operation ◽  
Longitudinal Extension

Abstract OBJECTIVES Late complications of arterial switch operations (ASO) for transposition of the great arteries, such as neo-pulmonary artery (PA) stenosis and/or neoaortic regurgitation, have been reported. We developed an alternative reconstruction method called the longitudinal extension (LE) method to prevent PA bifurcation stenosis (PABS). METHODS We identified 48 patients diagnosed with transposition of the great arteries and performed ASO using the Lecompte manoeuvre for neo-PA reconstruction. In 9 consecutive patients (from 2014), the LE method was performed (LE). Before 2014, conventional techniques were performed in 39 patients (C). The median body weight and age in the LE and C groups were 3.0 and 3.1 kg and 12 and 26 days, respectively. In the LE group, 1 patient underwent bilateral PA banding before ASO. In C, PA banding and arch repair were performed in 1 patient each. Patients who received concomitant procedures were included. RESULTS The median follow-up in LE and C groups was 1.9 and 10.1 years, respectively. Early mortality/late death was not found in group LE and in 1 patient in group C. Only 1 case required ascending aorta sliding plasty in LE, and 8 patients needed PA augmentation for PABS in C. The median velocity of right/left PA was measured as 1.6/1.9 m/s in LE and 2.1/2.3 m/s in C, so it showed a lower value in LE. CONCLUSIONS Excellent mid-term results were obtained with the LE method. It was considered a useful procedure in preventing PABS, which is a primary late complication of ASO. Further follow-up and investigations are needed.

scholarly journals A Comparison of Outcomes and Complications of Totally Implantable Access Port Through the Internal Jugular Vein Versus the Subclavian Vein

2014 ◽  
Vol 99 (2) ◽  
pp. 182-188 ◽  
Author(s):  
Yoshinobu Nagasawa ◽  
Tomoharu Shimizu ◽  
Hiromichi Sonoda ◽  
Eiji Mekata ◽  
Masato Wakabayashi ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Subclavian Vein ◽  
Jugular Vein ◽  
Statistical Significance ◽  
Late Complication ◽  
Insertion Site ◽  
Multivariate Logistic Regression Analysis ◽  
Late Complications ◽  
Complication Rates ◽  
Access Port

Abstract Totally implantable access ports (TIAPs) are generally used in oncology. Few studies have addressed complications associated with the insertion site. A total of 233 consecutive oncology patients were enrolled to receive TIAP inserts via internal jugular vein (IJV) or subclavian vein (SV). Data on clinicopathologic parameters and early/late complications were retrospectively collected. No differences were found early and late complication rates. Catheter injury was observed more frequently in the IJV group (2.9%) than in the SV group (1.0%) without statistical significance. Multivariate logistic regression analysis showed that age, switch to palliative use of TIAP, and the distribution of diseases (low risk in patients with colorectal cancer) were independent risk factors for determining complications. In conclusion, TIAP insertion site showed no impact on the early and late complication rates. Catheter injury appears to occur at the same frequency with both approaches. Therefore, medical doctors may choose their preferred puncture site when performing TIAP insertion.

LASER 532-NM ND:YAG PICOSECOND IN TREATMENT OF SOLAR LENTIGO AND EPHELIDES

2020 ◽  
pp. 72-77
Author(s):  
Ha Bui Manh ◽  
Thanh Le Thai Van
Keyword(s):  
Side Effects ◽  
Key Words ◽  
Descriptive Study ◽  
Patient Evaluation ◽  
High Efficacy ◽  
Mild Pain ◽  
Solar Lentigo ◽  
Pre Treatment ◽  
532 Nm

Aims: To evaluate the efficacy, side effects of laser 532-nm Nd:YAG picosecond in treating solar lentigo and ephelides at HCMC hospital of dermato-venereology. Objectives and Method: Prospective - descriptive study. There were 43 patients dealing with solar lentigo and ephelides treated with laser 532-nm Nd:YAG picosecond. Each patient went through 3 treatments with one month interval, three months follow up for delayed side effects and recurrent. Evaluating the treatment by MI, VLCS, self-patient evaluation with 5 grades scale. Evaluating side effects of the treatment by 5 grade Wong-Baker scale. Collected data were analysed with SPSS.20.0. Results: Based on MI at the end of the study, the effectiveness of the treatment gained 81.4% good, 16.3% average and 2.3% bad. Self-patient evaluation revealed 76.7% good, 20.9% average and 2.3% bad. VLCS of post-treatment reduced 7.44 ± 2.14 unit compares with of pre-treatment. Recently after treatment, 100% patients had erythema and mild pain in 5 grade Wong-Baker scale, 20.9% had mild edema, 2.3% had post imflammatory hyperpigmentation (PIH). Two ephelides cases recurred 3 months after treatment (4.6%). Conclusions: Laser 523-nm Nd:YAG picosecond has high efficacy and less side effects in treating solar lentigo and ephelides. Key words: solar lentigo, ephelides, laser 532-nm Nd:YAG picosecond

scholarly journals Nursing care time and quality indicators for adult intensive care: correlation analysis

2012 ◽  
Vol 20 (4) ◽  
pp. 651-658 ◽  
Author(s):  
Paulo Carlos Garcia ◽  
Fernanda Maria Togeiro Fugulin
Keyword(s):  
Intensive Care ◽  
Correlation Analysis ◽  
Intensive Care Units ◽  
Quality Indicators ◽  
Nursing Care ◽  
Nursing Staff ◽  
Care Delivery ◽  
Average Length ◽  
Quality Care ◽  
Descriptive Study

The objective of this quantitative, correlational and descriptive study was to analyze the time the nursing staff spends to assist patients in Adult Intensive Care Units, as well as to verify its correlation with quality care indicators. The average length of time spent on care and the quality care indicators were identified by consulting management instruments the nursing head of the Unit employs. The average hours of nursing care delivered to patients remained stable, but lower than official Brazilian agencies' indications. The correlation between time of nursing care and the incidence of accidental extubation indicator indicated that it decreases with increasing nursing care delivered by nurses. The results of this investigation showed the influence of nursing care time, provided by nurses, in the outcome of care delivery.

scholarly journals Pancreatic window and open necrosectomy; a surgical alternative for walled-off pancreatic necrosis in a second level hospital in Mexico

2020 ◽  
Vol 8 (11) ◽  
pp. 4158
Author(s):  
Pedro A. Alvarado-Bahena ◽  
Enrique Chavez-Serna ◽  
Jonatan Salgado-Vives ◽  
Uraik F. Hernandez-Bustos ◽  
Dante A. Saldivar-Vera ◽  
...  
Keyword(s):  
Developing Countries ◽  
Acute Pancreatitis ◽  
Minimally Invasive ◽  
Pancreatic Necrosis ◽  
Late Complication ◽  
Late Complications ◽  
Open Approach ◽  
Invasive Procedures ◽  
Open Necrosectomy ◽  
Level Hospital

Walled-off pancreatic necrosis is defined as a necrotic collection with a defined wall, which generally occurs in 15% of patients in the fourth week after acute pancreatitis. Actually, open surgery is reserved for selected cases, with minimally invasive treatments such as image-assisted percutaneous drainage or endoscopic ultrasound being the procedures of choice. However, in developing countries the open approach continues to be an effective therapeutic alternative. We present the case of a 47-year-old male patient with no significant history who developed severe acute pancreatitis secondary to hypertriglyceridemia and who later developed walled-off pancreatic necrosis as a late complication. As a treatment, a debridement of the necrotic tissue with marsupialization was performed using the bradley III technique, secondary to the procedure, a pancreatic fistula was developed. After 8 weeks of hospitalization, in which he had a favourable response to surgical treatment, with spontaneous closure of the fistula without complications. Surgical management of late complications of acute pancreatitis remains controversial. Although minimally invasive procedures are the first option nowadays, in developing countries, open necrosectomy remains a good option for the treatment of these types of complications.

scholarly journals Pleasure and suffering in intensive care unit nursing staff

2011 ◽  
Vol 19 (3) ◽  
pp. 565-572 ◽  
Author(s):  
Helena Eri Shimizu ◽  
Djalma Ticiani Couto ◽  
Edgar Merchan-Hamann
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Freedom Of Expression ◽  
Descriptive Study ◽  
Descriptive Statistics ◽  
Critical Levels ◽  
Cross Sectional ◽  
Causal Factors ◽  
Professional Achievement

The aim of this study was to analyze the causal factors of pleasure and suffering in Intensive Care Unit (ICU) nursing staff and to compare the occurrence of these factors at the beginning and end of the career. This was a cross-sectional descriptive study conducted with 26 nurses and 96 nursing technicians. The previously validated Pleasure and Suffering Scale was used. The data were analyzed using descriptive statistics with the SPSS 12.0 software and the Kruskal Wallis test was used to assess the presence of these factors at the beginning and end of the career. The results indicated that, for both the nurses and the nursing technicians, the factors that contribute to feelings of pleasure, professional achievement and freedom of expression, and the factors that cause suffering, professional exhaustion and lack of recognition, were encountered at critical levels.

Faktor–faktor Gaya Pembuatan Keputusan dalam Pembelian Barangan di Kalangan Pengguna

2012 ◽  
Author(s):  
Siti Aisyah Panatik @ Abdul Rahman
Keyword(s):  
Decision Making ◽  
Consumer Behavior ◽  
Key Words ◽  
Quality Factor ◽  
Descriptive Study ◽  
Survey Method ◽  
Significant Difference ◽  
Decision Making Styles ◽  
Fashion Consciousness ◽  
Dominant Influence

Kajian ini bertujuan untuk melihat faktor–faktor yang mempengaruhi gaya pembuatan keputusan serta perbezaan gaya pembuatan keputusan pengguna dalam membeli sesuatu barangan berdasarkan jantina dan etnik. Terdapat lapan faktor utama yang dikaji iaitu faktor kekeliruan terhadap pilihan yang banyak, tabiat setia kepada jenama, gerak hati, kesedaran kepada fesyen terkini, kesempurnaan kualiti, kesedaran kepada harga, rekreasi, dan kesedaran kepada jenama. Kajian deskriptif ini berdasarkan kaedah tinjauan dengan menggunakan 480 orang pengguna yang membeli–belah di tiga pasaraya terbesar di Johor Bahru (Pasaraya Giant di Plentong dan Tampoi serta Carefour). Dapatan kajian menunjukkan bahawa faktor kesempurnaan merupakan faktor yang paling tinggi mempengaruhi gaya pembuatan keputusan pembelian barangan di kalangan pengguna. Manakala tidak terdapat perbezaan yang signifikan dalam gaya pembuatan keputusan pengguna berdasarkan jantina. Kajian ini juga menunjukkan terdapat perbezaan signifikan gaya pembuatan keputusan dalam pembelian barangan berdasarkan etnik Melayu, Cina dan India. Kata kunci: Gaya pembuatan keputusan, tingkah laku pengguna, pengguna The purpose of this study is to determine the factors that influence decision–making style among consumers as well as to identify consumers’ decision–making style differences based on gender and ethnics. Eight factors which influence decision making style among consumers were investigated such as confusion caused by too many choices, loyalty to brand, impulsiveness, novelty fashion consciousness, perfect quality, price conscious, recreational and brand conciousness. This descriptive study used a survey method which involved 480 consumers of three supermarkets in Johor Bahru (Giant at Plentong and Tampoi, and Carrefour). Results indicated that the perfect quality factor was the dominant influence on decision–making styles among respondents and that there is no difference of decision–making style based on gender. However, there is a significant difference of decision–making styles based on Malay, Chinese, and Indian ethnicity. Key words: Decision-making style, consumer behavior, consumer

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