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María Elena Contreras Campos Nora Rodríguez‐Cervantes Sandra Reza‐López Marina Ávila‐Esparza Dora Virginia Chávez‐Corral Margarita Levario‐Carrillo 《Maternal & child nutrition》2015,11(2):164-172
Teenage pregnancy has been associated with adverse effects for the mother and the newborn (NB). In order to compare body composition (BC) between adolescents (Ad) and mature women (MW) during pregnancy and to determine the difference in birthweight and perinatal morbidity, pregnant Ad (n = 40) and MW (n = 227) were studied. BC changes between the second and third trimesters were determined by multifrequency bioelectrical impedance analysis, and birthweight and NB morbidity were evaluated. During the second and third trimesters of the pregnancy, fat mass was lower in the Ad group [16 kg (13–19)] than in the MW group [22 kg (17–27)] (P < 0.01; median and quartiles 1–3). Fat‐free mass increased by 3.09 kg (2.29–4.20) and 2.20 kg (1.0–3.59) (P ≤ 0.01), and total body water increased by 2.77 L (0.84–4.49) vs. 2.04 L (0.55–3.89) (P = 0.36), in the Ad and MW groups, respectively (median and quartiles 1–3). Birthweight was not significantly different between NBs of Ad (3223 ± 399 g) and NBs of MW (3312 ± 427 g, P = 0.22). The youngest Ad (<18 year old, n = 8) had NB with lower birthweight than MW (3031 ± 503 g, P = 0.06). NBs of Ad mothers showed a non‐significant trend towards a higher rate of morbidity relative to the NBs of MW. In conclusion, the BC of Ad differs from that of MW during pregnancy. In addition, the NB infants of Ad mothers tended to have a lower birthweight than those from MW, a result that suggests that the Ad should be in strict prenatal control. 相似文献
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M. de los Ángeles Leal-Felipe M. del Carmen Arroyo-López M. del Cristo Robayna-Delgado Ana Gómez-Espejo Patricia Perera-Díaz Carmen D. Chinea-Rodríguez Natalia García-Correa Alejandro Jiménez-Sosa 《Australian critical care》2018,31(6):355-361
Background
Hospital-acquired pressure injuries are a costly and largely preventable complication occurring in a variety of acute care settings. Patients admitted to the intensive care unit are at greater risk of developing pressure injuries.Objective
To determine whether the efficiency of scales to measure pressure injury risk increase when a continuously updated 3-day moving average method is used.Methods
With a retrospective cohort design we recruited 3085 patients treated between June 2011 and February 2015 in the intensive care unit of a tertiary level university hospital.The present study included 2777 patients admitted to the Intensive Care Unit of the Hospital Universitario de Canarias, Spain.Patients were evaluated daily with two scales to measure pressure injury risk: the Current Risk Assessment Scale for Pressure injury in Intensive Care scale (EVARUCI scale) and the Conscious level-Mobility-Haemodynamics-Oxygenation-Nutrition Index (COMHON). The moving average was used to create a series of three day averages from the complete time-data set. The moving average method was used to analyze data points by creating series of averages of three days subsets of the time-data set. We calculated the efficiency of the method as the product of positive (PPV) and negative predicted values (NPV) for each scale.Results
The efficiency using the moving average method was: PPV x NPV = 0.483 × 0.907 = 0.438 (standard deviation = 0.059), for EVARUCI Scale, and. PPV x NPV = 0.552 × 0.806 = 0.445 (standard deviation = 0.075) for COMHON Index.Conclusions
The efficiency using the moving average method was higher, than the efficiency of other methods previously reported (0.360 ± 0.009 on average). The present study provides a useful procedure for nurses in clinical practice to assess whether a particular patient is protected against the appearance of pressure injury. The instrument should be used focusing on negative predictive value to indicate protection against pressure injury. 相似文献85.
Susana Rodríguez Villa María Teresa Suárez Muñiz Ricardo De Dios del Valle Crisanto Alonso Álvarez 《Enfermería clínica》2018,28(1):44-48
Aim
To compare the evaluation of retinographies by a teleophthalmology nurse and primary care physicians (PCP) with an ophthalmologist referral hospital (gold standard).Methods
Cross-sectional study on a random sample of 337 patients on the teleophthalmology programme from January 2010 to January 2015. We analyzed the diagnostic evaluation (whether or not it presented findings of RD) and the therapeutic assessment (whether or not referral to the opthalmology department was needed) which were conducted independently on the sample retinographies by the PCP, a nurse and an ophthalmologist (gold standard). Reliability and concordance between the gold standard and the PCP and the nurse were checked and the statistical analyses were supported using SPSSv.23.00 software and diagnostic test reliability calculators (EPIDAT 4.1).Results
In the diagnosis of RD, the nurse presented: sensitivity (S): 0.96; specificity (Sp): 0.89; PPV: 0.58; NPV: 0.99; Kappa index: 0.67 and PCP: S: 0.98; Sp: 0.99; PPV: 0.96; NPV: 0.99; Kappa index: 0.96.In the referral to ophthalmology assessed by the nurse: S: 0.83; Sp: 0.83; PPV: 0.51; NPV: 0.96; Kappa Index: 0.53 and PCP: S: 0.62; Sp: 0.76; PPV: 0.36; NPV: 0.90; Kappa index: 0.29.Conclusions
A nursing teleophthalmology programme could perform population screening for RD with the same quality as PCP. This would increase coverage, in addition to providing better use of resources by avoiding intermediate patient appointments through PCP and increased health savings. 相似文献86.
Dual endothelin‐1 receptor antagonism attenuates platelet‐mediated derangements of blood coagulation in Eisenmenger syndrome 下载免费PDF全文
B. Kevane S. Allen K. Walsh K. Egan P. B. Maguire M. C. Galligan D. Kenny R. Savage E. Doran Á. Lennon E. Neary F. Ní Áinle 《Journal of thrombosis and haemostasis》2018,16(8):1572-1579
Essentials
- Eisenmenger syndrome is characterised by thrombotic and hemorrhagic risks of unclear aetiology.
- Calibrated automated thrombography was used to assess these coagulation derangements.
- Platelet activity supported abnormalities in procoagulant and anticoagulant pathway function.
- Endothelin‐1 antagonism appeared to ameliorate these derangements.
Summary
Aims
The mechanisms underlying the competing thrombotic and hemorrhagic risks in Eisenmenger syndrome are poorly understood. We aimed to characterize derangements of blood coagulation and to assess the effect of dual endothelin‐1 receptor antagonism in modulating hemostasis in this rare disorder.Methods
In a 10‐month recruitment period at a tertiary cardiology referral center, during which time there were over 14 000 outpatient consultations, consecutive subjects with Eisenmenger syndrome being considered for macitentan therapy (n = 9) and healthy volunteers (n = 9) were recruited. Plasma thrombin generation in platelet‐rich and platelet‐poor plasma was assessed by calibrated automated thrombography prior to and following therapy.Results
Median peak plasma thrombin generation was higher in platelet‐rich plasma obtained from Eisenmenger syndrome subjects relative to controls (median peak thrombin [25th–75th percentile]: 228.3 [206.5–258.6] nm vs. 169.9 [164.3–215.8] nm ), suggesting a critical mechanistic role for platelets in supporting abnormal hypercoagulability in Eisenmenger syndrome. Abnormal enhanced sensitivity to the anticoagulant activity of activated protein C was also observed in platelet‐rich plasma in Eisenmenger syndrome, suggesting that derangements of platelet activity may influence the activity of anticoagulant pathways in a manner that might promote bleeding in this disease state. Following 6 months of macitentan therapy, attenuations in the derangements in both procoagulant and anticoagulant pathways were observed.Conclusions
Abnormal platelet activity contributes to derangements in procoagulant and anticoagulant pathways in Eisenmenger syndrome. Therapies targeting the underlying vascular pathology appear to ameliorate these derangements and may represent a novel strategy for the management of the competing prothrombotic and hemorrhagic tendencies in this disorder.87.
Rationale,design and preliminary results of the GALIPEMIAS study (prevalence and lipid control of familial dyslipidemia in Galicia,northwest Spain) 下载免费PDF全文
Rosa María Argüeso‐Armesto Teresa‐Rosalia Pérez‐Castro José Luis Díaz‐Díaz Avelino Rodríguez‐González María Eugenia Ameneiros‐Lago Alberto del Alamo‐Alonso José Manuel de Toro‐Santos Pablo Ángel Fernández‐Catalina Marta Pena‐Seijo Jose Antonio Díaz‐Peromingo Antonio Pose‐Reino Carlos Alberto Názara‐Otero María Rosa Vázquez‐Freire Lisett Escobar‐Seoane Pedro Gordo‐Fraile María del Mar Castellanos‐Rodríguez José Ángel Rodríguez‐Fernández Javier Muñiz 《International journal of clinical practice》2018,72(9)
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Intraparental Inconsistency: The Influence of Parenting Behaviors on Aggression and Depression in Children 下载免费PDF全文
Miguel Á. Carrasco Francisco Pablo Holgado‐Tello Miguel Ángel RodrÍguez Serrano 《Family relations》2015,64(5):621-634
The authors examined several different predictive and mediation models of longitudinal parental inconsistency over a 3‐year time span. They hypothesized that parental behavior (communication/affection, kindness, and positive control) mediated the relationship between parental inconsistency (mother or father) and two emotional problems in children: (a) aggression and (b) depression. Data were obtained from a 3‐wave study (2007, 2008, and 2009) of 523 Spanish families with children ranging from 9–15 years of age at the beginning of Wave 1 (41.3% boys). Structural equation models revealed that multiple dimensions of parenting (mother or father) fully or partially mediated the relationship between longitudinal parental inconsistency and the child's adjustment. Communication/affection and kindness are the main processes through which parental inconsistency affects a child's aggression and depression. These results represent an important contribution to the improvement of parenting models of relationships between parental inconsistency and child adjustment. 相似文献
90.
Fernández-Ávila Daniel Gerardo Patino-Hernandez Daniela Kowalskii Sergio Vargas-Caselles Alfredo Sapag Ana Maria Cachafeiro-Vilar Antonio Meléndez-Muñoz Lucia Santiago-Pastelín Carlos Graf Cesar Rossetto Chayanne Palleiro Daniel Trincado Daniela Fernández-Ávila Diana Arrieta Dina Reyes Gil Then Baez Jossiel Ugarte-Gil Manuel F. Cardiel Mario Colman Nelly Chávez Nilmo Burgos Paula I Montúfar Ruben Sandino Sayonara Fuentes-Silva Yurilis Soriano Enrique R. 《Clinical rheumatology》2021,40(7):2913-2920
Clinical Rheumatology - Studies conducted by various scientific societies have shown that the demand for specialized rheumatology care is greater than the projected growth of the workforce. Our... 相似文献