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Dietary Factors Associated with Obesity in Patients with Schizophrenia Living at Home  [PDF]
Yukiko Inamura, Teiji Izumi, Kouji Sakurai, Takemi Katsui, Nobuko Murayama
Food and Nutrition Sciences (FNS) , 2012, DOI: 10.4236/fns.2012.310182
Abstract: Since a fact-finding survey was conducted in 2005 all over Japan on the eating habits of psychiatric patients living at home, and the results showed that 44.6% of the patients were obese. We carried out a study of dietary factors associated with obesity in patients with schizophrenia living at home in order to develop a dietary education program. Twenty obese patients and 20 non-obese patients were randomly selected from 30 - 50s male patients with schizophrenia in one mental hospital. Dietary survey of 3-non-consecutive-day was conducted. Eighteen obese patients and 17 non-obese patients completed the survey. The obese patients had significantly higher intake of carbohydrate (P = 0.02), consumption of snacks with junk foods (P = 0.04), and intake of energy from snacks (P < 0.001) than those of non-obese patients. Based on this dietary survey, it becomes necessary to focus on snacks, in addition to basic focus on balanced diet to prevent further obesity in those schizophrenic patients.
Trends of Pediatric Outpatients Prescribing in Umm Al Quwain, United Arab Emirates  [PDF]
Suleiman I. Sharif, Aseel H. Nassar, Fatima K. Al-Hamami, Maha M. Hassanein, Ashkur H. Elmi, Rubian S. Sharif
Pharmacology & Pharmacy (PP) , 2015, DOI: 10.4236/pp.2015.61002
Abstract: Background: Data with regard to local drug prescribing in pediatric population is scarce. This study was carried out to investigate the patterns of drug prescribing for pediatric outpatient in a general hospital in the United Arab Emirates. Methods: A total of 707 prescriptions were collected from a governmental hospital in Umm Al Quwain, United Arab Emirates covering the months of June and July, 2014. Encounters issued for patients older than 12 years were rejected. A total of 520 prescriptions for age groups ranging from 1 week to 12 years were studied. Prescriptions were analyzed using WHO drug use indicators. Results: All prescriptions were electronic and head lettered by the name of the hospital. Average number of drugs per prescriptions was 2.6 and all drugs were generics. Name of patient, age and gender and prescriber’s name and E-signature were present in 100%. Patient’s address, allergy and diagnosis were present in 21.15%, 83.26% and 64.42% of prescriptions respectively. Complete dosage regimen was present in all encounters. Patients were prescribed one, two, three, four or more than four drugs per prescription in 23.84%, 27.88%, 26.53%, 12.69%, and 8.65% respectively. The most commonly prescribed therapeutic classes of drugs were antibiotics (44.60%), antihistamines (43.65%), and analgesics/antipyretics (32.30%). The most commonly prescribed drugs among each class were amoxicillin (40%), xylometazoline (61.23%), and paracetamol (87.5%). Conclusion: Present results indicate that prescribing trends for pediatric population seems to be rational. However, there is over use of antibiotics and there are some areas that warrant further attention by the prescribers for a more significantly rational prescribing.
Investigation of Specifics of Self-Management towards Dealing with Cancer Pain among Adult Outpatients  [PDF]
Masako Yamanaka
Health (Health) , 2018, DOI: 10.4236/health.2018.1011116
Abstract: Purpose: This study aimed to identify specifics of self-management towards dealing with cancer pains among adult outpatients. Methods: Semi-structured interviews were conducted with 16 adult outpatients (9 males and 7 females) who suffered from cancer pain and the data obtained were analyzed using the qualitative synthesis method of KJ Ho. Results: An analysis of the results revealed these key findings for the following symbolic wording of the semi-structured interviews: Cooperative relationship with medical professionals; Problems originating from cancer pain; Self-regulation of analgesic medications based on the interactions with medical professionals; Self-regulation of the analgesic medications based on the physical perceptions of the effects; Self-regulation to maintain a balanced and calm mind, Fulfilling life by the pain alleviation and liberation from the restrictions imposed by the cancer; and Efforts to maintain their lives by themselves. Conclusion: Based on the cooperative relationship established with medical professionals, the patient carried out the self-regulation of cancer pain using analgesics, and self-regulation to maintain a balanced and calm mind. Nurses must therefore sufficiently educate patients regarding how to communicate successfully with medical professionals in order to improve cancer patients’ pain management regarding both physical and mental aspects.
Sintomas neuropsiquiátricos nas demências: relato preliminar de uma avalia??o prospectiva em um ambulatório do Brasil
Vega, úrsula Maria;Marinho, Valeska;Engelhardt, Eliasz;Laks, Jerson;
Arquivos de Neuro-Psiquiatria , 2007, DOI: 10.1590/S0004-282X2007000300026
Abstract: this study aimed to evaluate the behavioral and psychological symptoms in dementia (bpsd) and to correlate the level of the functional dependence, cognitive decline and neuropsychiatric symptoms in outpatients. in this prospective study, 35 elderly with dementia (dsm-iv) were evaluated over the course of one year with the mini-mental state examination (mmse), clinical dementia rating scale (cdr), neuropsychiatric inventory (npi) and functional activities questionnaire (faq). spearman correlation was used to compare cognitive, functional and behavioral symptoms in the first and last visits. the psychotic versus non-psychotic subgroups were compared by means of cognitive and functional performance. the mann-whitney test was used for the comparison. the mmse scores declined and the npi scores showed better results at endpoint. prevalence of depressive symptoms was 58.8%, agitation 55.9%, and delusion 41.2%. significant correlations were found for functional and mmse scores, years of formal education and npi, but not for duration of disease. psychotic symptoms had negative effects on daily activities of outpatients and were associated with functional decline.
A colangiopancreatografia retrógrada endoscópica pode ser realizada com seguran?a em caráter ambulatorial
Mar?al, Mara Virginia Lellis;Thuler, Fernanda Prata Borges Martins;Ferrari, Angelo Paulo;
Arquivos de Gastroenterologia , 2005, DOI: 10.1590/S0004-28032005000100003
Abstract: background: endoscopic retrograde cholangiopancreatography is effective technique to approach various biliary and pancreatic disorders. safety of endoscopic retrograde cholangiopancreatography on an outpatient basis has been questioned. objectives: to evaluate the safety of outpatient endoscopic retrograde cholangiopancreatography and describe procedure complications. patients/method: we prospectively assessed outpatients endoscopic retrograde cholangiopancreatography during 2001 to 2003 period. complications were defined according to consensus criteria and all adverse effects related to procedure were included. results: one hundred and ninety five outpatients endoscopic retrograde cholangiopancreatography were performed, 79 (40.5%) diagnostic and 116 (59.5%) therapeutic. the study group included 112 women, mean age 51 (± 18.9) years. the most common diagnoses were: biliary calculi (30.2%), benign stenosis, (13.8%), malignant obstruction (10.2%) and chronic pancreatitis (10.2%). success was achieved in 88.6% of diagnostic endoscopic retrograde cholangiopancreatography and 78.5% in therapeutic. complications necessitating observation developed in 10 (5.1%) of 195 endoscopic retrograde cholangiopancreatography, among them, 7 (3.6%) were hospitalized, (2 acute pancreatitis, 2 perforations, 1 bleeding, 1 cardio-respiratory e 1 fever). among 188 patients initially discharged 8 (4.2%) needed readmission (1 acute pancreatitis, 1 bleeding, 1 perforation, 3 cholangitis, 2 abdominal pain). comparing the first group where complications were immediately identified to the second, no significant statistical difference concerning to age, sex, diagnoses and procedure difficulty degree was found. conclusion: sample size and negative statistical results failed to determinate independent risk factors for outpatients endoscopic retrograde cholangiopancreatography complications. however, there were no deaths or bad evolution in patients released after examination, confirming the safety
Prevalência ultra-sonográfica de litíase biliar em pacientes ambulatoriais
Torres, Orlando Jorge Martins;Barbosa, érica Sampaio;Pantoja, Patrícia Brand?o;Diniz, Maria Carlete Silva;Silva, José Ribamar Sousa da;Czeczko, Nicolau Gregori;
Revista do Colégio Brasileiro de Cirurgi?es , 2005, DOI: 10.1590/S0100-69912005000100011
Abstract: background: the aim of this study is to determine the sonographic prevalence of gallstone disease in out-patients. methods: from july 2001 to march 2002, five hundred patients who underwent an ultra-sonografic exam for non-biliary disease were evaluated. there were 250 male and 250 female with age range from 19 to 72 years old. results: the prevalence of cholelitiasis or patients who had been underwent to cholecystectomy due to cholelithiasis was 18.4%. gallstones prevalence increased with age (sixty years old or over), female sex, more than four pregnancies and body mass index (bmi) over 30. conclusion: the prevalence of gallstones increased in patients with risk factors.
Estudio de pacientes transeúntes en una unidad de hemodiálisis
Lerma García,Daniel; Sausa Micó,Verónica; Linarejos Huertas,Belén;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2004, DOI: 10.4321/S1139-13752004000400002
Abstract: due to the location of our unit in an important tourist destination, there are many patients who ask us for treatment. nursing staff face challenges in addition to the clinical nature of the patient, such as language, the different therapeutic handling of patients in dialysis in other countries and the lack of nursing registers to help us develop care plans to guarantee continuity in the therapeutic plain. the aim of the study is to characterise the type of outpatients who received treatment in our haemodialysis unit from may to october in the years 2001 and 2002. an observational, descriptive and retrospective study was made of a total sample of 17 patients. one of our own registers was used in the data collection, divided into three sections: personal data, dialysis tendency and intradialysis complications. one element that is necessary to guarantee the continuity of the nursing care is the outpatients register, which must accompany each person when they travel to other dialysis units.
Residentes em psiquiatria têm documentado problemas relacionados ao álcool em pacientes ambulatoriais?
Corradi-Webster, Clarissa Mendon?a;Laprega, Milton Roberto;Furtado, Erikson Felipe;
Revista de Psiquiatria do Rio Grande do Sul , 2009, DOI: 10.1590/S0101-81082009000300008
Abstract: introduction: consumption of alcohol by psychiatric patients can lead to many negative consequences. the objectives of this study were to identify the problematic use of alcohol in a group of psychiatric outpatients and to verify if this consumption was documented in their medical records by psychiatry medical residents. methods: descriptive and cross-sectional study, carried out at the psychiatric outpatient clinic of a university hospital located in ribeir?o preto, stat of s?o paulo, brazil. a convenience sample comprising 127 psychiatric outpatients was used. data were collected using an interview (sociodemographic data and alcohol disorder screening instrument - cage) and by means of a review of all the notes written by psychiatry residents on medical charts (questionnaire for collecting data from the records). for data analysis, the cage cutoff points > 1 and > 2 were used. results: at cage > 1, 33.9% were cage positive (n = 43). among the individuals with a positive cage score, 60.5% (n = 26) had no record of alcohol use on their medical charts (chi-square = 20.12; p < 0.001). at cage > 2, 16.5% were cage positive (n = 21). in 38.1% (n = 8) of these cases, alcohol use was not documented on their medical charts (chi-square = 29.10; p < 0.001). conclusion: undernotification of alcohol use was high. topics related to early identification of and intervention for alcohol use-related problems should be included in the training of psychiatry residents.
Antibiotic Resistance in Escherichia Coli Strains Isolated from Urine of Inpatients and Outpatients
Abolfazl Davoodabadi,Abbas Farahani,Marzieh Ranjbaran
Zahedan Journal of Research in Medical Sciences , 2012,
Abstract: The urinary tract infections regarded as a health problem around the world and not only as an agent of nosocomial infections but also infections in the community. Community acquired UTIs cause significant illness in the first 2 years of life [1]. Urinary tract infections in both inpatient and outpatient are common and widespread use of antibiotics is often the cause of emerging one or more antibiotic-resistant microorganisms [2]. Most studies have shown higher antibiotic resistance in bacterial strains isolated from hospitalized patients than outpatients. In this study, antibiogram was performed using disk diffusion susceptibility method according to NCCLS standards of the International Committee [3]. 8 different antibiotics, including ciprofloxacin (CP: 30 μg), ceftriaxone (CRO: 30 μg), cephalotin (CF: 30 μg), cefixime (CFM: 5 μg), cotrimoxazole (SXT), nalidixic acid (NA: 30 μg), nitrofurantoin (FM: 300 μg), gentamicin (GM: 10 μg) were used for antibiogram. During 1388 the total number of urine samples sent to hospital microbiology laboratories valiasr (aj) of Arak was 5156, of which 446 samples (65.8%) were positive for E. coli culture.
Breast cancer morbidity in elderly patients treated at the outpatient department, abac
?urkovi?-Vukovi? Ljubinka,Ivanovi? Branka
Archive of Oncology , 2002, DOI: 10.2298/aoo0203143d
Abstract:
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