Clinical Observation of Peripartum Cardiomyopathy

Research relevance: the article presents the results after clinical observation of peripartum cardiomyopathy in a patient aged 30 years. Purpose of the study: to analyze the results of a clinical study conducted in the cardiology department of the Osh Medical United Clinical Hospital. Research methods: a differential diagnosis of acute myocarditis, idiopathic dilated cardiomyopathy and peripartum cardiomyopathy was carried out. Research results: taking into account the life history, laboratory and instrumental examination data, the diagnosis was peripartum cardiomyopathy. Conclusion: the treatment carried out gave a satisfactory clinical effect.

The Potentially Protective Effects of Anti-Lipid, Hypoglycemic, and Anti-Hypertensive Agents for Perioperative Mortality in Geriatric Group

Background Great efforts were made to collect information and identify risk factors in predicting post-anesthetic mortality. In this study, we use national health insurance data base, including medications, underlying comorbidities and surgical factors to assess the relationship between these factors and mortality after surgery. Methods This is a retrospective, population based study. The study population who underwent general anesthesia (GA) were retrieved from the National Health Insurance Research Database in Taiwan between January 1, 2005 and December 31, 2013. We classified the study patients into 4 major comparison groups by surgical procedures, including major organ transplantation (heart, liver, lung, kidney, or pancreas), CV surgery, major neurosurgery, and others according to the diagnostic codes of the international classification of diseases, ninth revision, clinical modification (ICD-9-CM) codes. We proposed a logistic regression model with valuable variables which can significantly predicts the post-anesthesia mortality. We also designed different models for 4 subgroups according the results. Results A total of 833,685 subjects were included in this study, and the most common comorbidity was hypertension. Age was an important determinant associated with post-operation mortality among different surgical types. Perioperative prescription could reduce risks of operation. The prediction model based on the preliminary training group also performed well in the validation group (AUROC=0.8753 for in-hospital mortality; AUROC= 0.8767 for 30-days mortality). A reliable predicting model can help anesthesiologists to decide the anesthesia method or monitors, as well as helping physicians to take care of their patients after operation. Conclusions While GA is commonly used for the majority of the patients undergoing operations, the prediction model that we proposed from this nationwide study could identify the predictors for post-operation mortality. The potentially protective effects of anti-lipid, hypoglycemic, and anti-hypertensive agents were encouraging in geriatric preoperative group. It is expected that applying this prediction model and prescription into clinical practice could improve surgical risk stratification and further improve patient outcomes. Trial registration The protocol of this study was approved by the National Taiwan University Hospital Research Ethics Committee (Trial Registration 201411078RINC). Informed consent was waived by the National Taiwan University Hospital Research Ethics Committee due to the retrospective and anonymous nature of the claims data.

RESILIENCY QUOTIENT PERAWAT DI RUMAH SAKIT DI JAKARTA [NURSES’ RESILIENCE QUOTIENT IN A JAKARTA HOSPITAL]

<p><strong>BAHASA INDONESIA </strong>Perawat merupakan kelompok tenaga kesehatan yang berisiko mengalami tekanan kerja, apabila tidak dapat diadaptasi akan menimbulkan stress kerja dan jika berlangsung lama dengan intensitas yang tinggi dapat berujung pada burnout. Oleh sebab itu, perawat membutuhkan resiliensi untuk dapat bertahan dalam menghadapi berbagai masalah dan tuntutan pekerjaan di rumah sakit. Penelitian tentang resiliensi pada perawat di Indonesia masih sangat sedikit, begitu juga di satu rumah sakit swasta di Jakarta penelitian mengenai resiliensi belum pernah dilakukan. Penelitian ini bertujuan untuk mengetahui gambaran <em>resiliency quotient</em> pada perawat di rumah sakit swasta di Jakarta. Penelitian ini adalah penelitian kuantitatif dengan menggunakan desain penelitian deskriptif. Populasi dalam penelitian ini adalah perawat di satu rumah sakit swasta di Indonesia. Sampel penelitian berjumlah 156 perawat dengan menggunakan metode <em>Convenience Sampling</em>. Pengambilan data menggunakan kuesioner R<em>esiliency Quotient</em> (RQ) Russell dan Russell (2007) dengan jumlah pertanyaan sebanyak 32 item (<em>Cronbach’s Alpha </em>0,951). Analisis data menggunakan teknik analisis deskriptif. Hasil penelitian ini menunjukan bahwa mayoritas perawat masuk dalam kategori resilient yaitu sebanyak 137 perawat (87,82%),18 perawat (11,54%) sangat resilient, dan satu perawat (0,64%) sedikit resilient. Pada penelitian selanjutnya diharapkan untuk menggali lebih dalam faktor-faktor yang memengaruhi resiliensi pada perawat.</p><p><strong>BAHASA INGGRIS </strong><em>Nurses are a group of healthcare workers who are at risk of experiencing work pressure which mightl cause job stress and in turn might lead to burnout. Therefore, nurses need to be resilient to be able to face various problems and work demands in the hospital. Research on resiliency of nurses in Jakarta is still insufficient, as is in a private hospital in western Indonesia where research on resiliency has never been done. Purpose: This study aimed to describe nurse’s resiliency quotient. This was a descriptive quantitative study. The population was nurses in a private hospital in western Indonesia, obtaining 156 respondents. The instrument used was Resiliency Quotient (RQ) questionnaire by Russell and Russell (2007) with 32 questions. The result showed that the majority (87,82%) of nurses were resilient, 18 (11.54%) nurses were very resilient, and only 1 (0.64%) who was slightly resilient. It is expected that the next study will explore in depth about factors contributing to nurses’ resiliency.</em></p>

QUALITY OF LIFE AND SOME RELATED FACTORS IN BRAIN INJURY PATIENTS DUE TO LAND TRAFFIC ACCIDENTS AFTER DISCHARGING AT NINH BINH PROVINCIAL GENERAL HOSPITAL IN 2018

This is an epidemiological study through a retrospective review of 215 medical records of patients with brain injury due to land traffic accidents treated at Ninh Binh Provincial General Hospital. Research results show that among the 5 factors of the scale measuring quality of life in Vietnam, the factor of anxiety and sadness was the least recorded by patients. Up to 96.5% of subjects did not feel the presence of this factor.Up to 42.7% of the subjects felt a little element of pain and discomfort. Married people living with family had higher quality of life scores than single or separated/divorced people. The older the age group, the lower the mean score of quality of life (p<0.05). People with higher incomes had higher quality of life scores than those with lower incomes (p<0.05).

THE SITUATION OF PRATICE CERVICAL CANCER PREVENTION AMONG REPRODUCTIVE AGE WOMEN AND HAVING GYNECOLOGICAL EXAMINATION AT LAM DONG GENERAL HOSPITAL

Objectives: The aims of this study to assess the practice of preventing cervical cancer of 15 - 49 years old and having gynecological examination women at Lam Dong General Hospital. Research method: A cross-sectional description. Interviewed practice about cervical cancer prevention of 400 women. Results: Over the course of the study, 400 women showed the number of women who had not been vaccinated is still high at 85.5%, the rate who had not been screened for cervical cancer is 62.3%. Based on the results of the study, we recommend that reproductive age women should be communicated more frequently about HPV vaccination and periodic cervical cancer screening to prevent cervical cancer.

Maternal vitamin B12, folate during pregnancy and neurocognitive outcomes in young adults of the Pune Maternal Nutrition Study (PMNS) prospective birth cohort: study protocol

IntroductionThe Developmental Origins of Health and Disease (DOHaD) hypothesis proposes that intrauterine and early life exposures significantly influence fetal development and risk for disease in later life. Evidence from prospective birth cohorts suggests a role for maternal B12 and folate in influencing neurocognitive outcomes in the offspring. In the Indian setting, B12 deficiency is common during the pregnancy while rates of folate deficiency are lower. The long-term influences of maternal nutrition during the pregnancy on adult neurocognitive outcomes have not been examined. The Pune Maternal Nutrition Study (PMNS) is a preconceptional birth cohort into its 24th year and is considered a unique resource to study the DOHaD hypothesis. We found an association between maternal B12 status in pregnancy and child’s neurocognitive status at 9 years of age. We now plan to assess neurocognitive function and MRI measurements of brain structural–functional connectivity at young adult age to study its association with maternal nutritional exposures during the pregnancy.Methods and analysisAs part of ongoing prospective follow-up in young adults of the PMNS at the Diabetes Unit, KEM Hospital Research Center, Pune India, the following measurements will be done: neurocognitive performance (Standardised Tests of Intelligence, Verbal and Visual Memory, Attention and Executive Functions), temperament (Adult Temperament Questionnaire), psychopathology (Brief Symptom Inventory and Clinical Interview on Mini Neuropsychiatric Interview 7.0). Brain MRI for structural T1, resting-state functional connectivity and diffusion tensor imaging will be performed on a subset of the cohort (selected based on exposure to a lower or higher maternal B12 status at 18 weeks of pregnancy).Ethics and disseminationThe study is approved by Institutional ethics committee of KEM Hospital Research Center, Pune. The results will be shared at national and international scientific conferences and published in peer-reviewed scientific journals.Trial registration numberNCT03096028

Um ano de e-mails não solicitados: o modus operandi de revistas e editoras predatórias

Objectives: To quantify, characterize and analyze e-mail from predatory journals (PJ) received by an academic in dentistry. Materials and methods: E-mails received in 2019 and suspected of being potentially predatory were pre-selected. The Ottawa Hospital Research Institute (OHRI) checklist was applied to identify the suspected biomedical PJ, including the following criteria: article processing charge (APC), fake impact factor, the journal being listed in the Directory of Open Access Journals (DOAJ) and the Committee on Publication Ethics (COPE). We also extracted information on the lack of an impact factor on Journal Citations Reports, non-journal affiliated contact e-mail address, flattering language, article and/or personal citation, unsubscribe link, being listed in the National Library of Medicine (NLM) current catalog and indexed on Medline. Results: A total of 2,812 unsolicited suspected e-mails were received, and 1,837 requested some sort of manuscript; among these, 1,751 met some of the OHRI criteria. Less than half (780/1,837, 42%) referred to some area of dentistry. The median APC was US$399. A false impact factor was mentioned in 11% (201/1,837) of the e-mails, and 27% (504/1,837) corresponded to journals currently listed in the NLM catalog. Journals listed in DOAJ and COPE sent 89 e-mails. Conclusions: The email campaign from PJ was high and recurrent. Researchers should be well informed about PJ’ modus operandi to protect their own reputation as authors and that of science.