Discharging patients directly to home from the intensive care unit(ICU)is becoming a new trend.This review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU patients.By analyz...Discharging patients directly to home from the intensive care unit(ICU)is becoming a new trend.This review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU patients.By analyzing available evidence and healthcare professionals'experiences,the review explores the potential impacts on patient outcomes and healthcare systems.The practice of direct discharge from the ICU presents both opportunities and complexities.While it can potentially reduce costs,enhance patient comfort,and mitigate complications linked to extended hospitalization,it necessitates meticulous patient selection and robust post-discharge support mechanisms.Implementing this strategy successfully mandates the availability of home-based care services and a careful assessment of the patient's readiness for the transition.Through critical evaluation of existing literature,this review underscores the significance of tailored patient selection criteria and comprehensive post-discharge support systems to ensure patient safety and optimal recovery.The insights provided contribute evidence-based recommendations for refining the direct discharge approach,fostering improved patient outcomes,heightened satisfaction,and streamlined healthcare processes.Ultimately,the review seeks to balance patientcentered care and effective resource utilization within ICU discharge strategies.展开更多
BACKGROUND Running is a hugely popular sport.Unfortunately,running-related injury(RRI)rates are high,particularly amongst amateur and recreational runners.Finding ways to reduce RRI rates and maximise comfort and perf...BACKGROUND Running is a hugely popular sport.Unfortunately,running-related injury(RRI)rates are high,particularly amongst amateur and recreational runners.Finding ways to reduce RRI rates and maximise comfort and performance for runners is important.Evidence regarding whether orthotics can successfully improve these parameters is limited and contradicting.Further research is required to provide runners with clearer guidance on the usefulness of orthotics.AIM To investigate the effect of Aetrex Orthotics on comfort,speed and RRI rates during recreational running.METHODS One hundred and six recreational runners were recruited on a voluntary basis via running clubs and social media pages and randomised into either the intervention or control group.Participants in the intervention group ran with Aetrex L700 Speed Orthotics inserted in their usual running shoes,whilst participants in the control group ran in their usual running shoes with no orthotics.The study ran for an 8-wk period.Participants provided data relating to running comfort,distance,and time during weeks 3-6.Participants provided data relating to any RRIs they sustained during all 8 wks.Running distance and time were used to calculate running speed in miles per hour(mph).For each outcome variable,95%confidence intervals and P values were calculated to assess the statistical significance between the groups.For comfort and speed data,univariate multi-level analysis was performed,and for outcome variables with significant between group differences,multi-level multivariate analysis was performed to evaluate any confounding effects of gender and age.RESULTS Ninety-four participants were included in the final analysis(drop-out rate=11%).Comfort and speed from 940 runs and 978 injury data reports were analysed.Participants who ran with orthotics reported,on average,speeds 0.30 mph faster(P=0.20)and comfort scores 1.27 points higher(P≤0.001)than participants who ran with no orthotics.They were also 2.22 times less likely to sustain an injury(P=0.08)than participants who ran with no orthotics.However,findings were only significant for comfort and not for speed or injury rates.Age and gender were found to be significant predictors of comfort.However,the improvements in comfort reported by participants who ran with orthotics were still significant after adjusting for age and gender.CONCLUSION This study found orthotics to improve comfort and speed and prevent RRIs whilst running.However,these findings were only statistically significant for comfort.展开更多
Mucosal ulcers are a common yet often overlooked complication during orthodontic treatment,significantly impacting patient comfort and compliance.This letter aims to highlight the prevalence,potential causes,and manag...Mucosal ulcers are a common yet often overlooked complication during orthodontic treatment,significantly impacting patient comfort and compliance.This letter aims to highlight the prevalence,potential causes,and management strategies for mucosal ulcers in orthodontic patients.By reviewing recent literature and clinical observations,we underscore the necessity for proactive measures and tailored interventions to mitigate the incidence and severity of these lesions.Emphasizing the role of patient education and the use of protective devices,we call for a multidisciplinary approach to enhance patient care and treatment outcomes.This discussion is particularly relevant in the context of evolving orthodontic techniques and materials,which necessitate continuous adaptation of clinical practices to ensure patient safety and well-being.展开更多
BACKGROUND Evidence regarding the effectiveness of using orthotics in improving comfort,increasing running speed and helping to reduce injury rate during running is limited and mixed.Alongside the increasing popularit...BACKGROUND Evidence regarding the effectiveness of using orthotics in improving comfort,increasing running speed and helping to reduce injury rate during running is limited and mixed.Alongside the increasing popularity of running is the increasing rate of running-related injuries(RRIs).Further research into whether orthotics could be used to help reduce RRIs would be highly beneficial for those affected.Additionally,there is a need to clarify whether orthotics use increases comfort during running and helps improve running speed.AIM To investigate whether running with Aetrex Orthotics improves comfort and performance and reduces injury whilst running.METHODS Runners were recruited on a voluntary basis if they were 18 or older with no serious health conditions,ongoing foot pain or deformity,previous foot surgery in their lifetime or any surgery in the past 6 mo.Participants were randomly assigned to either an intervention group or a control group.All participants were asked to complete runs and provide quantitative data regarding comfort during running,running time and distance,and any RRIs over an 8-wk study period.Participants in the intervention group ran with Aetrex L700 Speed Orthotics,whilst participants in the control group ran without orthotics.Other than the addition of orthotics for participants in the intervention group,all participants were asked to run as they usually would.This report presents preliminary data from the first 47 participants recruited for this study.Running speed was calculated from running distance and time and given in miles per hour.For each outcome variable,the mean for each group,effect size and 95%confidence interval were calculated,and a t-test was performed to determine if between-group differences were statistically significant.RESULTS Data for all three primary outcomes was provided from a total of 254 runs by the 23 participants in the intervention group and a total of 289 runs by the 24 participants in the control group.Participants in the intervention group reported higher comfort scores(8.00±1.41 vs 6.96±2.03,P≤0.0001),faster running speeds(6.27±1.03 vs 6.00±1.54,P=0.013),and lower RRI rates(0.70±1.01 vs 1.21±1.53,P=0.18)than those in the control group.These findings were statistically significant for comfort and running speed but not for RRI rate,with statistical significance considered if P<0.05.No adjustments were made for group differences in age,gender,tendency for RRIs or usual running speed.CONCLUSION This preliminary report provides evidence for orthotics use in increasing comfort levels and running speed,but no significant difference in RRI rate.展开更多
目的观察分析混合痔外剥内扎术护理中,对患者施加舒适护理的效果。方法以2022年1月1日至2022年12月31日前来就医治疗的82例混合痔外剥内扎术患者为研究对象,按照患者资料信息中记录的护理方法,将患者分为观察、对照两组。观察组(n=41)...目的观察分析混合痔外剥内扎术护理中,对患者施加舒适护理的效果。方法以2022年1月1日至2022年12月31日前来就医治疗的82例混合痔外剥内扎术患者为研究对象,按照患者资料信息中记录的护理方法,将患者分为观察、对照两组。观察组(n=41)的护理方法是舒适护理,对照组(n=41)的护理方法是常规护理,以疼痛(VAS)、睡眠质量指数(PSQI)、焦虑(SAS)与抑郁(SDS)评分,康复时间,并发症发生率,生活质量评分及总满意率为观察指标,对比两组的护理效果。结果两组的术后1 d VAS值差异无统计学意义(P<0.05);观察组术后3 d、7 d时的VAS值均为低于对照组(P<0.05)。护理前,两组的PSQI值差异无统计学意义(P<0.05);护理后,观察组的PSQI低于对照组(P<0.05)。护理前,两组的SAS、SDS评分差异无统计学意义(P<0.05);护理后,观察组SAS、SDS评分低于对照组(P<0.05)。观察组3项康复时间指标值分别为疼痛消退时间(11.24±2.76)d、伤口愈合时间(10.25±2.14)d、住院时间(4.11±1.06)d,均小于对照组的(15.14±3.75)d、(13.22±2.89)d、(5.24±1.09)d(P<0.05)。观察组并发症总发生率低于对照组(P<0.05)。护理前,两组患者的生活质量评分差异无统计学意义(P<0.05);护理后,观察组的评分高于对照组(P<0.05)。观察组的总满意率为97.56%高于对照组的80.49%(P<0.05)。结论舒适护理下,患者的术后疼痛、不良心理状态、并发症情况,以及睡眠质量、生活质量均得到了有效的改善,且康复时间更短,满意度更高,因此,舒适护理在混合痔外剥内扎术患者护理中的应用效果较好。展开更多
文摘Discharging patients directly to home from the intensive care unit(ICU)is becoming a new trend.This review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU patients.By analyzing available evidence and healthcare professionals'experiences,the review explores the potential impacts on patient outcomes and healthcare systems.The practice of direct discharge from the ICU presents both opportunities and complexities.While it can potentially reduce costs,enhance patient comfort,and mitigate complications linked to extended hospitalization,it necessitates meticulous patient selection and robust post-discharge support mechanisms.Implementing this strategy successfully mandates the availability of home-based care services and a careful assessment of the patient's readiness for the transition.Through critical evaluation of existing literature,this review underscores the significance of tailored patient selection criteria and comprehensive post-discharge support systems to ensure patient safety and optimal recovery.The insights provided contribute evidence-based recommendations for refining the direct discharge approach,fostering improved patient outcomes,heightened satisfaction,and streamlined healthcare processes.Ultimately,the review seeks to balance patientcentered care and effective resource utilization within ICU discharge strategies.
基金Supported by Aetrex,Inc.414 Alfred Avenue Teaneck,NJ 07666,USA。
文摘BACKGROUND Running is a hugely popular sport.Unfortunately,running-related injury(RRI)rates are high,particularly amongst amateur and recreational runners.Finding ways to reduce RRI rates and maximise comfort and performance for runners is important.Evidence regarding whether orthotics can successfully improve these parameters is limited and contradicting.Further research is required to provide runners with clearer guidance on the usefulness of orthotics.AIM To investigate the effect of Aetrex Orthotics on comfort,speed and RRI rates during recreational running.METHODS One hundred and six recreational runners were recruited on a voluntary basis via running clubs and social media pages and randomised into either the intervention or control group.Participants in the intervention group ran with Aetrex L700 Speed Orthotics inserted in their usual running shoes,whilst participants in the control group ran in their usual running shoes with no orthotics.The study ran for an 8-wk period.Participants provided data relating to running comfort,distance,and time during weeks 3-6.Participants provided data relating to any RRIs they sustained during all 8 wks.Running distance and time were used to calculate running speed in miles per hour(mph).For each outcome variable,95%confidence intervals and P values were calculated to assess the statistical significance between the groups.For comfort and speed data,univariate multi-level analysis was performed,and for outcome variables with significant between group differences,multi-level multivariate analysis was performed to evaluate any confounding effects of gender and age.RESULTS Ninety-four participants were included in the final analysis(drop-out rate=11%).Comfort and speed from 940 runs and 978 injury data reports were analysed.Participants who ran with orthotics reported,on average,speeds 0.30 mph faster(P=0.20)and comfort scores 1.27 points higher(P≤0.001)than participants who ran with no orthotics.They were also 2.22 times less likely to sustain an injury(P=0.08)than participants who ran with no orthotics.However,findings were only significant for comfort and not for speed or injury rates.Age and gender were found to be significant predictors of comfort.However,the improvements in comfort reported by participants who ran with orthotics were still significant after adjusting for age and gender.CONCLUSION This study found orthotics to improve comfort and speed and prevent RRIs whilst running.However,these findings were only statistically significant for comfort.
文摘Mucosal ulcers are a common yet often overlooked complication during orthodontic treatment,significantly impacting patient comfort and compliance.This letter aims to highlight the prevalence,potential causes,and management strategies for mucosal ulcers in orthodontic patients.By reviewing recent literature and clinical observations,we underscore the necessity for proactive measures and tailored interventions to mitigate the incidence and severity of these lesions.Emphasizing the role of patient education and the use of protective devices,we call for a multidisciplinary approach to enhance patient care and treatment outcomes.This discussion is particularly relevant in the context of evolving orthodontic techniques and materials,which necessitate continuous adaptation of clinical practices to ensure patient safety and well-being.
基金Supported by Aetrex,Inc.414 Alfred Avenue Teaneck,NJ 07666,USA。
文摘BACKGROUND Evidence regarding the effectiveness of using orthotics in improving comfort,increasing running speed and helping to reduce injury rate during running is limited and mixed.Alongside the increasing popularity of running is the increasing rate of running-related injuries(RRIs).Further research into whether orthotics could be used to help reduce RRIs would be highly beneficial for those affected.Additionally,there is a need to clarify whether orthotics use increases comfort during running and helps improve running speed.AIM To investigate whether running with Aetrex Orthotics improves comfort and performance and reduces injury whilst running.METHODS Runners were recruited on a voluntary basis if they were 18 or older with no serious health conditions,ongoing foot pain or deformity,previous foot surgery in their lifetime or any surgery in the past 6 mo.Participants were randomly assigned to either an intervention group or a control group.All participants were asked to complete runs and provide quantitative data regarding comfort during running,running time and distance,and any RRIs over an 8-wk study period.Participants in the intervention group ran with Aetrex L700 Speed Orthotics,whilst participants in the control group ran without orthotics.Other than the addition of orthotics for participants in the intervention group,all participants were asked to run as they usually would.This report presents preliminary data from the first 47 participants recruited for this study.Running speed was calculated from running distance and time and given in miles per hour.For each outcome variable,the mean for each group,effect size and 95%confidence interval were calculated,and a t-test was performed to determine if between-group differences were statistically significant.RESULTS Data for all three primary outcomes was provided from a total of 254 runs by the 23 participants in the intervention group and a total of 289 runs by the 24 participants in the control group.Participants in the intervention group reported higher comfort scores(8.00±1.41 vs 6.96±2.03,P≤0.0001),faster running speeds(6.27±1.03 vs 6.00±1.54,P=0.013),and lower RRI rates(0.70±1.01 vs 1.21±1.53,P=0.18)than those in the control group.These findings were statistically significant for comfort and running speed but not for RRI rate,with statistical significance considered if P<0.05.No adjustments were made for group differences in age,gender,tendency for RRIs or usual running speed.CONCLUSION This preliminary report provides evidence for orthotics use in increasing comfort levels and running speed,but no significant difference in RRI rate.
文摘目的观察分析混合痔外剥内扎术护理中,对患者施加舒适护理的效果。方法以2022年1月1日至2022年12月31日前来就医治疗的82例混合痔外剥内扎术患者为研究对象,按照患者资料信息中记录的护理方法,将患者分为观察、对照两组。观察组(n=41)的护理方法是舒适护理,对照组(n=41)的护理方法是常规护理,以疼痛(VAS)、睡眠质量指数(PSQI)、焦虑(SAS)与抑郁(SDS)评分,康复时间,并发症发生率,生活质量评分及总满意率为观察指标,对比两组的护理效果。结果两组的术后1 d VAS值差异无统计学意义(P<0.05);观察组术后3 d、7 d时的VAS值均为低于对照组(P<0.05)。护理前,两组的PSQI值差异无统计学意义(P<0.05);护理后,观察组的PSQI低于对照组(P<0.05)。护理前,两组的SAS、SDS评分差异无统计学意义(P<0.05);护理后,观察组SAS、SDS评分低于对照组(P<0.05)。观察组3项康复时间指标值分别为疼痛消退时间(11.24±2.76)d、伤口愈合时间(10.25±2.14)d、住院时间(4.11±1.06)d,均小于对照组的(15.14±3.75)d、(13.22±2.89)d、(5.24±1.09)d(P<0.05)。观察组并发症总发生率低于对照组(P<0.05)。护理前,两组患者的生活质量评分差异无统计学意义(P<0.05);护理后,观察组的评分高于对照组(P<0.05)。观察组的总满意率为97.56%高于对照组的80.49%(P<0.05)。结论舒适护理下,患者的术后疼痛、不良心理状态、并发症情况,以及睡眠质量、生活质量均得到了有效的改善,且康复时间更短,满意度更高,因此,舒适护理在混合痔外剥内扎术患者护理中的应用效果较好。
