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81.
Sense of coherence among elderly somatic patients: predictive power regarding future needs of care 总被引:2,自引:0,他引:2
G. LARSSON PhD I. JOHANSSON RN E. HAMRIN RN BM DMSC 《Journal of nursing management》1995,3(6):307-311
The main aim was to study the predictive power of sense of coherence regarding future needs of care among elderly patients evaluated as medically ready for discharge from somatic emergency care. A secondary aim was to study the consistency of sense of coherence over time among patients with this kind of experience. The sample consisted of 53 Swedish patients (mean age 82.8 years, SD = 6.6 years) who had completed their medical treatment at surgical or orthopaedic departments. The predominant diagnosis was lower limb fractures. Sense of coherence was assessed twice, on the day the patient was evaluated as medically ready for discharge and 1 month later. On the second assessment occasion, 28 patients had returned to their homes, 17 were staying at institutions, and eight had died. Patients who returned to their homes reported the strongest sense of coherence while still in hospital. Patients who were staying at institutions scored lowest on the overall sense of coherence scale and on the comprehensibility subscale. Patients who died before the second measurement occasion scored lowest on the meaningfulness subscale. A correlation of 0.51 was noted between the two assessments of sense of coherence, indicating a moderate temporal consistency. 相似文献
82.
In the community, acute hypoglycaemia is commonly caused by therapies for
diabetes mellitus or the excessive consumption of alcohol. Although most
episodes do not require admission to hospital, little information is
available on the causes and outcome of those that do. We retrospectively
surveyed adult patients admitted to a large urban teaching hospital with
acute hypoglycaemia in a 12-month period, identifying 56 admissions of 51
patients. Forty-one had diabetes mellitus, 33 (80%) of whom were receiving
treatment with insulin. The others had hypoglycaemia induced by excessive
consumption of alcohol or by deliberate self-poisoning with insulin. A
history of psychiatric illness and/or chronic alcoholism was common.
Neurological manifestations of hypoglycaemia were the principal reason for
admission, observed on 50 occasions (89%), and 11 events (20%) had
precipitated convulsions. Although many patients (59%) had received
treatment for hypoglycaemia before admission, hypoglycaemia recurred in 16%
of patients in hospital. Four patients (7%) died following admission, but
in only one case was this the direct result of hypoglycaemia. However,
within 15 months of the index hypoglycaemia event, a further six patients
(11%) had died, mostly of causes unrelated to hypoglycaemia. Patients who
require hospital admission for treatment of hypoglycaemia have a high
incidence of neurological manifestations, a high rate of mental illness and
other medical disorders, and may represent a high-risk subgroup with a poor
long-term prognosis.
相似文献
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Christina Kleiser Angelika Schaffrath Rosario Gert BM Mensink Reinhild Prinz-Langenohl B?rbel-Maria Kurth 《BMC public health》2009,9(1):46
Background
Obesity among children and adolescents is a growing public health problem. The aim of the present paper is to identify potential determinants of obesity and risk groups among 3- to 17-year old children and adolescents to provide a basis for effective prevention strategies. 相似文献88.
Ruilang Lin BS Wen Feng PhD Yating Yang PhD Jiaqin Xu PhD Hui Yang BM Jingyi Wu BS Jiong Li PhD Guoyou Qin PhD Yongfu Yu PhD Jiaohua Chen PhD 《Journal of clinical hypertension (Greenwich, Conn.)》2023,25(5):480-488
Association between calcium intake and premature mortality in the general population has been well studied, but little is known about the association among specific populations. The authors aim to evaluate the association among people with hypertension and to provide a proper reference range of dietary calcium intake. This prospective cohort study included 8534 US adults with hypertension from National Health and Nutrition Examination Survey cycles 2003–2014. Dietary calcium intakes were self-reported and mortality status was ascertained by National Death Index records. During a median follow-up of 5.9 years, 1357 death occurred. Compared with participants of dietary calcium intake in quintile 1, participants in quintiles 2 and 4 had a 27% (HR: 0.73, 95% CI: 0.60–0.89) and a 29% lower risk (HR: 0.71, 95% CI: 0.57–0.88) of all-cause mortality respectively. The authors also observed a 34% lower risk (HR: 0.66, 95% CI: 0.45–0.97) of CVD death among participants in quintile 3 and a 37% lower risk (HR: 0.63, 95% CI: 0.40–0.99) of cancer-related death in participants in quintile 4 respectively. Restricted cubic spline (RCS) regression revealed a consistent protective effect of dietary calcium in participants with a daily intake of over 1000 mg, but a daily intake over 1200 mg fails to show further protective effect. Our findings suggest that elevated dietary calcium was associated with lower mortality risk from all-causes, cardiovascular disease (CVD) and cancer, and supplying sufficient dietary calcium intake, between 1000 and 1200 mg per day, in people with hypertension may be considered cost-effective to decrease risk of premature death. 相似文献
89.
Baohua Zhu MD Chengjiang Liu MD Ph.D Lan Zhang MD Jun Wang MS Mingling Chen MD Yuegang Wei BM 《Journal of Cosmetic Dermatology》2023,22(3):1083-1098
Background
Vitiligo was an autoimmune disease and some guidelines for the management of vitiligo encouraged the use of NB-UVB combination therapies to enhance repigmentation.Objectives
To compare the effectiveness of current NB-UVB combination regimen at the improvement in repigmentation through a systematic review and network meta-analysis.Methods
We searched the electronic databases for randomized controlled trials related to NB-UVB combination therapy for vitiligo till October 2022. STATA15.0 software was applied to carrying out data analysis.Results
A total of 28 eligible studies involving 1194 participants were enrolled in the analysis. The NMA results revealed that compared with NB-UVB, carboxytherapy [OR = 32.35, 95% CI (1.79, 586.05)], Er: YAG laser+ topical 5% 5-FU [OR = 10.74, 95% CI (4.05, 28.49)], needling/micro-needling [OR = 3.42, 95% CI (1.18, 9.88)], betamethasone intramuscular injection [OR = 3.08, 95% CI (1.17, 8.13)], topical tacrolimus [OR = 2.54, 95% CI (1.30, 4.94)], and oral Chinese herbal medicine compound [OR = 2.51, 95% CI (1.40, 4.50)] integrated with NB-UVB were more efficacious in excellent to complete repigmentation response rate (≥75%). Besides, NB-UVB+ Er: YAG laser+ topical 5% 5-FU [OR = 0.17, 95% CI (0.04, 0.67)] and NB-UVB+ needling/micro-needling [OR = 0.24, 95% CI (0.06, 0.88)] were less likely evaluated as ineffective repigmentation response (≤25%).Conclusions
All combination therapies ranked higher than NB-UVB monotherapy in inducing successful repigmentation and avoiding failed treatment in patients with vitiligo. Comprehensive consideration, NB-UVB+ Er: YAG laser+ topical 5% 5-FU and NB-UVB+ needling/microneedling would be the preferred therapeutic approaches. 相似文献90.
A. J. Vipond BM MRCP Senior House Officer in Medicines S. Bakewell MB ChB Registrar in Anaesthetics R. Telford BSc FRCA Consultant Anaesthetist A. J. Nicholls MB FRCP Consultant Renal Physician 《Anaesthesia》1996,51(12):1156-1158
We report a case of severe lithium toxicity precipitated by a thiazide diuretic and compounded by an angiotensin converting enzyme inhibitor. There was severe vasodilatation refractory to noradrenaline. 相似文献