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Search Results: 1 - 10 of 1794 matches for " Patients "
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Importance of regional differences in the features of type 2 diabetes mellitus in one and the same country—The example of Thailand  [PDF]
Supattra Srivanichakorn, Tassanee Yana, Pattara Sanchaisuriya, Yu Yu Maw, Frank Peter Schelp
Journal of Diabetes Mellitus (JDM) , 2013, DOI: 10.4236/jdm.2013.33023

Background: A dataset from a nationwide assessment of type 2 diabetes mellitus (T2DM) patients fromThailandwas reassessed. Objective: Prevalence of T2DM is highest in the northeast ofThailandand the intention of the study was to assess whether the clinical picture and behavior of patients from the northeast differ from the rest of the country. Materials and Methods: The variables of two groups of patients i.e. those from the northeast ofThailandand patients from the remaining three other regions, with the exception ofBangkok, were compared. The dataset consisted out of clinical laboratory data and the results of a questionnaire recording knowledge and admitted compliance of patients. Results: A higher proportion of patients from the northeast have elevated triglyceride levels and lower high density lipoprotein (HDL) fractions in comparison with the patients derived from the other three regions. The northeasterners know very well and better than the patients of the other regions how to take care of them while having T2DM yet the proportion of those with glycated hemoglobin (HbA1c) values over 6.4% was higher for them than for the other group of patients. Conclusion: In depth investigation by health educators would be useful in order to find out how the relationship between knowledge and practice could be improved for patients from the northeast of Thailand.

Overt Hypothyroidism in Hospitalized Patients: Clinical Characteristics  [PDF]
Pnina Rotman-Pikielny, Oksana Borodin, Rivka Zissin, Yair Levy
Open Journal of Endocrine and Metabolic Diseases (OJEMD) , 2013, DOI: 10.4236/ojemd.2013.32019

Objectives: Hypothyroidism is usually detected in an outpatient setting, but might be diagnosed during hospitalization. The prevalent symptoms are not fully defined. This study aimed to determine the clinical characteristics of in-patients with overt hypothyroidism. Methods: The medical records of 23 inpatients (16F/7M, age 61.5 ± 21.8 years), who had 29 admissions with a primary diagnosis of hypothyroidism from January 1997 to December 2007 were retrospectively reviewed. They comprised 0.01% of all adult medical admissions during the study. Results: Fifty-five percent had a pre-admission diagnosis of hypothyroidism, 10% were nursing home residents and 38% had cognitive decline. Sixtynine percent presented with multiple complaints, mostly weakness and constipation, reported by 89% and 68%, respectively. Thyrotropin level was 74.3 ± 53.5 mIU/L (normal 0.23 - 4) and free thyroxine was 0.43 ± 0.29 ng/dL (normal 0.8 - 2). Elevated creatinine phosphokinase, anemia (hemoglobin < 12 g/dL) and hyponatremia (sodium < 135 mEq/L) were present in 89%, 62%, and 13%, respectively. Conclusions: Overt hypothyroidism during hospitalization occurs infrequently and mostly in patients with previously diagnosed hypothyroidism. Clinical manifestations include multiple non-specific symptoms, mainly weakness and constipation, while typical hypothyroid symptoms such as cold intolerance and weight gain are often overlooked. A high index of suspicion is needed to detect hypothyroidism in the hospital setting.

The Evaluation of the Patients with Clefts in Aegean Region in Turkey between the Years 2000 to 2011  [PDF]
Ege Dogan, Erdal Is?ksal, Servet Dogan
Open Journal of Stomatology (OJST) , 2014, DOI: 10.4236/ojst.2014.46042
Abstract: Purpose: The evaluation of the patients with clefts; the number, type, distribution by gender, etiological factors in Aegean region in Turkey between the years 2000 to 2011. Material and Method: The patients with clefts who referred to Ege University from different cities were evaluated. The number of the clefts, the type of the clefts, and the causative etiological factors which were known, were recorded for each year separately, from 2000 to 2011. At the same time, the distribution of the gender was made for each year. Chi-square test is used for the statistical evaluation. Results: According to the results of the study, the numbers of the patients with clefts were increased day by day. Totally 741 (49.6% female, 50.4% male) patients with clefts were identified. Unilateral complete cleft lip and palate appeared in the left side was seen more in males (23.8%), while seconder palate cleft was seen more in females (16.7%). Drugs, which were used in the first trimester of the pregnancy, were the most seen etiological factors for the clefts (42.5%), while genetic was 23.3% only. Conclusion: The prevention for one of the mostly seen congenital anomaly; cleft lip and palate is still unknown. For this reason, the determination of the newborn babies with cleft lip and palate has an important role in order to give these patients more effective treatment.
Effect of Massage Therapy in Cancer Patients  [PDF]
Marcia Alves, Maria Helena de Agrela Gon?alves Jardim, Bárbara Pereira Gomes
International Journal of Clinical Medicine (IJCM) , 2017, DOI: 10.4236/ijcm.2017.82010
Abstract: The increase in longevity and incidence of chronic diseases reveals an increased importance in terms of public health. The oncologic illness is a debilitating and progressive pathology with need for prevention and symptomatic relief. In order to find the answer to the question: “What is the effect of massage therapy in cancer patients?” we have reviewed the empirical literature indexed in databases online, finding only 21 articles published between 1990 and 2015. It was possible to verify some of the effects of massage therapy, particularly in relieving pain, decreased anxiety, depression and nausea and increased well-being. However, it was not found the effect of this intervention on the relief of suffering and the quality of life of patients. With the heterogeneity of methodologies, studies suggest the development of more homogeneous research, materials and methods to assess the effects of massage therapy in cancer patients.
Model of Verbal Communication with Blind Patient: Application in Nursing Appointment  [PDF]
Kátia Nêyla de Freitas Macêdo-Costa, Lorita Marlena Freitag Pagliuca, Antonia Ferreira Alves Sampaio, Paulo César de Almeida, Cristiana Brasil de Almeida Rebou?as
Health (Health) , 2014, DOI: 10.4236/health.2014.615224
Abstract: It was aimed at validating the applicability of the Model of Verbal Communication with blind people in nursing appointment in the stages of the nursing process. A methodology of quantitative study was used with 30 nurses and 30 blind people who participated in the study, divided in control and experimental groups. 30 nursing appointments took place; they were recorded and analyzed by three judges. The experimental group had excellent performance in following protocol (95.6%); taking notes informing the reason for silence (93.4%); and avoiding long silence (100%). In interventions, it presented excellence in all the items, in the evaluation stage, there were no bad/terrible actions. In none of the actions the control group presented better performance than the experimental one. The use of the Model is recommended in nursing appointment with blind patient.
Stigma and Non-Disclosure in Psychiatric Patients from a Southeast Asian Hospital  [PDF]
Leslie Lim, Justine Goh, Yiong-Huak Chan
Open Journal of Psychiatry (OJPsych) , 2018, DOI: 10.4236/ojpsych.2018.81007
Abstract: Objective: We compared stigma experienced by psychiatric patients and controls in various social domains and hypothesized higher levels of stigma and higher rates of non-disclosure by psychiatric patients. Methods: Psychiatric outpatients and a control group of medical outpatients were assessed for experienced discrimination through a structured questionnaire that included adapted items from the Discrimination and Stigma Scale (DISC-12). Controls were assessed on discrimination related to physical, rather than mental health issues. Statistical analyses were conducted with Pearson’s chi-squared tests and one-way Analyses of Variance (ANOVA). Results: In total, 202 patients comprising 99 psychiatric patients and 103 controls gave consent to the study. Psychiatric patients experienced higher levels of discrimination (F (1, 196) = 24.4, p < 0.001), and in more areas of life (F (1, 196) = 22.5, p < 0.001) than controls. Compared to controls, a higher proportion of psychiatric patients practised non-disclosure of their illness. Conclusion: Our study confirmed that psychiatric patients experienced considerable stigma and coped by non-disclosure of their condition.
Patterns of Antiplatelet and Anticoagulant Agents Use in Urological Inpatients and Their Perception of Adverse Reactions  [PDF]
Ioannis Anastasiou, Anastasios Mihalakis, Vassilios Mygdalis, George Koutalellis, Ioannis Adamakis, Constantinos Constantinides, Dionisios Mitropoulos
Surgical Science (SS) , 2012, DOI: 10.4236/ss.2012.34038
Abstract: Purpose: To evaluate the rate of any type of anticoagulant drug use in urological inpatients and patients awareness of their effect on coagulation. Material and methods: This observational study was conducted prospectively in a cohort of 193 consecutive urological inpatients who were asked to state the medications they were taking and following that, were specifically asked whether they were taking aspirin or other antiplatelet/anticoagulant agents. In case they did so, they were further asked why they were taking them, whether they knew their effect on coagulation and who had informed them on the matter. Results: Forty-seven patients received some kind of antithrombotic treatment. Twenty-nine per cent of aspirin users had to be specifically prompted in order to state its use, in comparison to 35.7% and 25% of other antiplatelets and warfarin users, respectively. Half of patients receiving warfarin were not aware of its effect on coagulation in comparison to 32.3% and 21.4% of those taking aspirin and other antiplatelets, respectively. Conclusion: Urologists should be aware of the high use of such agents by their patients and that not all patients are aware of their effect on coagulation, while some, even fail to report their use and have to be specifically prompted.
A review of HELLP syndrome, in 17 patients  [PDF]
Davut Güven, Kadir Bakay, ?dris Ko?ak, Cazip üstün
Open Journal of Obstetrics and Gynecology (OJOG) , 2012, DOI: 10.4236/ojog.2012.23066
Abstract: Introduction Preeclampsia is a well known obstetric complication characterized with hypertension and proteinuria whereas HELLP syndrome (hemolysis, elevated liver enzymes, low platelet count) which was first stated by Prichard in 1954 and described by Weinstein in 1982, is a multisystemic disease usually seen in the third trimester and in the postpartum period, usually in 48 - 72 hours following delivery [1]. Aim In this study we aim to share our experience in 17 patients with HELLP syndrome treated in our clinic between January 2005 and March 2008 in regard of the current literature. Material and Methods 17 patients diagnosed with HELLP syndrome between January 2005 and March 2008 were retro-spectively re-evaluated in regard of symptoms, treatment options and prognosis. As such this is a retro-spective study focusing on case reports. Conclusion As noted before main focus of treatment should be on patient stability, in other words, palliative care under intensive care conditions.
Obesity communication among patients by health professionals: Findings from the Weight Care Project  [PDF]
S. Anne Moorhead, Vivien E. Coates, Alison M. Gallagher, Geraldine Nolan, Kathy Murphy, Diane E. Hazlett
Health (Health) , 2013, DOI: 10.4236/health.2013.58A3015
Abstract: Obesity is on the increase worldwide and is a major global public health problem. In an increasingly obesogenic environment, it’s important that health professionals are equipped to identify and address obesity issues within their clinical practice. As part of the Weight Care Project, the aim of this study was to explore the obesity-related communication issues for primary care and community-based health professionals. The study design was a quantitative survey, which was completed by 382 primary care and community-based health professionals across Northern Ireland and Republic of Ireland working with adults and children. Key findings included that the majority of the health professionals (86%) recognized having a role in giving obesity advice, acknowledged that in clinical practice communication of obesity messages is both complex and challenging (81%), and reported difficulty in sensitively addressing obesity issues (27%). The health professionals surveyed stated that they communicate obesity messages to their patients using a range of different methods, mainly verbally to individuals, leaflets and factsheets. Numerous benefits of communicating obesity messages were reported; the main one was interacting with patients to build trust. Identified barriers to commu

The coast and benefits of helicopter emergency medical services instead of the ground unit in traumatic patients: A cost-effectiveness analysis  [PDF]
Amin Shams Akhtari, Naghmeh Sadat Jafari, Hamid Kariman, Afshin Amini, Vahid Monsef, Mohamad Noorizadeh, Neda Gholizadeh
Health (Health) , 2013, DOI: 10.4236/health.2013.55119

Study objective: Aero medical crews offer an advanced level of practice and rapid transport to definitive care; however, their efficacy remains unproven. Previous studies have used relatively small sample sizes or have been unable to adequately control the effect of other potentially influential variables. Here we explore the impact of aeromedical response in patients with moderate to severe traumatic brain injury. Methods: This was a cross-sectional study using our county trauma registry. All patients with trauma injury, who referred to our emergency department by helicopter or car, were included. The impact of aeromedical response was determined using logistic regression, adjusting for age, sex, mechanism, preadmissionGlasgowComa Scale score and Injury Severity Score. Finally, the aeromedical patients undergoing field intubation were compared with ground patients undergoing emergency department (ED) intubation. Results: A total of 243 patients meeting all inclusion and exclusion criteria and with complete data sets were identified. Overall mortality was 25% in the air- and ground-transported cohorts, but outcomes were not significantly better for the aeromedical patients when adjusted for age, sex, mechanism of injury, hypotension, Glasgow Coma Scale score, head Abbreviated Injury Score, and Injury Severity Score (adjusted odds ratio [OR] 1.90; 95% confidence interval [CI] 1.60 to 2.25; P: 0001). Good outcomes (discharge to home, jail, psychiatric facility, rehabilitation, or leaving against medical advice) were also higher in aeromedical patients (adjusted OR 1.36; 95% CI 1.18 to 1.58; P: 0001).

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