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Background and study aims
Acute upper gastrointestinal bleeding is one of the main causes of hospitalisation. The purpose of this study was to determine the prognostic factors in non-variceal upper gastrointestinal bleeding.Patients and methods
Clinical outcomes, demographic and laboratory variables of the subjects were collected from the HIS software and national code with the SQL format from three hospitals in Qazvin. The data were linked to the database software designed by the author. Clinical and upper endoscopic findings of patients’ records were collected through a questionnaire form in the designed software database.Results
In this study, 29.2% of patients with favourable outcome and 64.2% of patients with unfavourable clinical outcomes had a history of anticoagulant drug use before hospitalisation (p?<?0.001). The prevalence of chronic cardiovascular disease, chronic liver disease, chronic lung disease, diabetes and dialysis was higher in subjects with poor clinical outcomes than those with a favourable clinical outcome.53.1% of subjects with favourable clinical outcome and 90.5% of subjects with undesirable clinical outcomes received packed red blood cell transfusion (p?<?0.001). 16.1% of subjects with desirable clinical outcome and 86.3% of subjects with undesirable clinical outcomes received endoscopic haemostatic treatment which was statistically significant (p?<?0.001).Conclusion
Undesirable clinical outcome in patients with acute non-variceal upper gastrointestinal bleeding has a significant statistical association with longer hospitalisation, chronic underlying disease, anticoagulant administration, packed red blood cell infusion, higher Forrest stage, low systolic blood pressure, higher age, low haemoglobin, low platelet count, high INR and high BUN at the onset of diagnosis. 相似文献2.
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Olivier Chiche Josep Rods‐Cabau Francisco Campelo‐Parada Afonso B. Freitas‐Ferraz Ander Regueiro Chekrallah Chamandi Tania Rodriguez‐Gabella Mlanie Ct Robert DeLarochellire Jean‐Michel Paradis Eric Dumont Daniel Doyle Siamak Mohammadi Sbastien Bergeron Philippe Pibarot Jonathan Beaudoin 《Echocardiography (Mount Kisco, N.Y.)》2019,36(4):722-731
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Mahin Hosseininejad Elham Mirzamohammadi Seyed Abolfazl Mohsenizadeh Saber Mohammadi 《Diabetes & Metabolic Syndrome: Clinical Research & Reviews》2021,15(5):102223
AimsThe rising prevalence of metabolic syndrome has made it a major health concern. Chronic occupational exposure to organic solvents affects different systems of the body. This study aimed to investigate the association between exposure to organic solvents and the prevalence of metabolic syndrome in petroleum refinery workers.MethodThis study was conducted in 2019–2020 on workers employed in an Iranian petroleum refinery. The demographic and occupational information on the participants was obtained using the interview method. Their height, weight, and blood pressure were measured by the occupational health team, and fasting blood samples were taken from them to measure the paraclinical parameters.ResultsIn this study, 1009 petroleum refinery workers were analyzed. The prevalence of metabolic syndrome in workers was 20.1% and it was about two times higher in exposed workers (CI 95%: 1.61–3.35) compared to non-exposed ones. Factors associated with the prevalence of metabolic syndrome include age, higher BMI, exercise, and longer exposure to organic solvents.ConclusionFindings of this study suggested that exposure to organic solvents is associated with increased prevalence of metabolic syndrome (the highest association was observed with elevated serum triglycerides). Besides, longer exposure to organic solvents increased the risk of developing metabolic syndrome. 相似文献
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Javad VATANI Farideh GOLBABAEI Somayeh Farhang DEHGHAN Azam YOUSEFI 《Industrial health》2016,54(1):14-19
The present study aimed to investigate the applicability of Universal Thermal
Climate Index (UTCI) as an innovative and science-based index in public health researches,
in occupational heat stress assessment. All indoor and outdoor workers (200 people) of
Brick industries of Shahroud, Iran participated in the research. First, the environmental
variables such as air temperature, wet-bulb temperature, globe temperature, air velocity
and relative humidity were measured; then UTCI and WBGT (wet-bulb globe temperature)
indices were calculated. Simultaneously, physiological parameters including systolic and
diastolic blood pressure, oral temperature, skin temperature, tympanic temperature and
heart rate of workers were measured. UTCI and WBGT indices were 34.2 ± 2°C, 21.8 ± 1.8°C
in the outdoor environments and 38.1 ± 4.4°C, 24.7 ± 3.3°C at the indoor environments,
respectively. There were the weak inverse relationships between UTCI and WBGT indices at
the outdoor environments and physiological responses such as systolic blood pressure, and
diastolic blood pressure. However, there were no similar results for indoor environments.
The significant relationships were found between UTCI and WBGT at both indoor and outdoor
environments. Both UTCI and WBGT indices are suitable for assessing the occupational heat
stress. Although, UTCI index seems more appropriate for heat stress assessment in the
environments with low humidity and air velocity. 相似文献