Unhealthy mental states have become common among teachers recently. Subjective physical symptoms are more likely to appear more readily than mental symptoms. In this study, we revealed that the relationship between me...Unhealthy mental states have become common among teachers recently. Subjective physical symptoms are more likely to appear more readily than mental symptoms. In this study, we revealed that the relationship between mental states and subjective physical fatigue or pain in seven body sites among 2449 teachers. The 12-item General Health Questionnaire (GHQ-12) was used to assess mental state. We defined a score of 4 points and over in the GHQ-12 score as unhealthy mental state. We also asked about the presence of subjective physical fatigue or pain in each seven body sites in the past one year. In the results, 30.3% unhealthy mental states were found in females and 22.9% in males. Most of subjective physical fatigue or pains were detected in neck and shoulder, eyes, head and low back. Using multivariate logistic regression, higher scores in the GHQ-12 were positively associated with presence of subjective fatigue or pain in head and eyes in both genders, in lower extremities among females, and in back, upper extremities among males. Our results suggest that physical symptoms in specific body sites with gender differences may be useful in the early identification of unhealthy mental states among teachers. We should have efforts to pay attention to mental states among high school teachers if their symptoms do not get better after taking physical care.展开更多
Introduction: Choosing an appropriate cannulation site is important for doctors and patients. In our clinical practice, we have observed that agitation and pain were less in the postoperative period when the cannula w...Introduction: Choosing an appropriate cannulation site is important for doctors and patients. In our clinical practice, we have observed that agitation and pain were less in the postoperative period when the cannula was inserted site. Cannulation anxiety in adults and especially in children may increase the failure of interventions by activating the sympathetic system in varying degrees we aimed to investigate whether the site of the cannula inserted following the induction of inhalation is associated with postoperative agitation and pain in preschool children who would undergo an otolaryngology operation. Methods: Pediatric patients who would undergo adenoidectomy-tonsillectomy surgery between the ages of 3 - 7 were included in our study regardless of their genders. The patients have been randomly distributed into groups (Group E—hand, Group A—foot). The evaluation was performed 0 and 30 minutes after extubation by FLAAC Pain Scala and PAED. Results: When the hand and foot groups were compared in terms of P0 (PAED 0 min. rating) values, hand group results were statistically significantly higher. Similarly, at the time of P30 (PAED 30. min rating), The Hand group was determined to be high. Conclusion: As a result of the study, we believe that choosing the feet as the cannulation site may be useful in appropriate cases in pediatric patients.展开更多
Background: Dressing of split-thickness skin graft donor sites can be traumatic for the patient. The most advanced and expensive dressings have been compared to the most basic of dressings, with little or no consensus...Background: Dressing of split-thickness skin graft donor sites can be traumatic for the patient. The most advanced and expensive dressings have been compared to the most basic of dressings, with little or no consensus and an unpersuasive level of evidence. We aimed to determine the efficacy of the locally manufactured non-adherent, hydroconductive Drawtex? dressing and compare it to our current standard-of-care dressing, a thin transparent polyurethane film, in the healing of split-thickness donor sites. Methods: This prospective, within-patient controlled study included 27 adult participants, each with two split-thickness skin donor sites. The 54 donor site wounds were compared with regard to time to re-epithelialisation, perceived pain and healed wound quality. Results: By day 5, complete healing of donor site wounds, defined as >90% of epithelialized surface, was significantly higher in the hydroconductive dressing group compared to the polyurethane film group (22.2% and 3.7%, respectively;p < 0.0001). The hydroconductive dressing-treated donor site wounds were significantly less painful at 24-hours, 48-hours and 7-days post-operatively, and had fewer complications and superior wound healing quality. Conclusion: We have demonstrated that the relatively cheap and readily available dressing made locally in South Africa, Drawtex? is at least as safe, and potentially superior in wound healing, when compared to our current standard-of-care dressing.展开更多
目的:研究经脐单孔腹腔镜(TU-LESS)下卵巢囊肿剥除术治疗卵巢囊肿对术后疼痛及卵巢储备功能的影响。方法:以2019年1月-2022年1月樟树市人民医院收治的80例卵巢囊肿患者为对象进行研究,根据系统化随机法将其分为单孔组(n=40)和三孔组(n=...目的:研究经脐单孔腹腔镜(TU-LESS)下卵巢囊肿剥除术治疗卵巢囊肿对术后疼痛及卵巢储备功能的影响。方法:以2019年1月-2022年1月樟树市人民医院收治的80例卵巢囊肿患者为对象进行研究,根据系统化随机法将其分为单孔组(n=40)和三孔组(n=40)。单孔组予TU-LESS卵巢囊肿剥除术,三孔组予传统三孔腹腔镜卵巢囊肿剥除术。比较两组围手术期指标(术中出血量、术后排气时间、住院时间、术中卵巢囊肿破裂率)。使用视觉模拟评分法(VAS)评分比较两组术后1、3 d疼痛程度。记录围手术期并发症。比较术后1、3个月两组血清激素[促黄体生成素(LH)、雌二醇(E2)]变化。术后随访6个月,统计两组卵巢囊肿的复发情况。结果:单孔组术中出血量少于三孔组,术后排气时间、住院时间均短于三孔组,术后1、3 d VAS评分均低于三孔组(P<0.05)。术后3个月,两组E2水平较术后1个月均升高(P<0.05),且单孔组高于三孔组(P<0.05);两组LH水平较术后1个月均降低(P<0.05),且单孔组低于三孔组(P<0.05)。两组卵巢囊肿破裂率、围手术期并发症发生情况及卵巢囊肿复发情况比较,差异均无统计学意义(P>0.05)。结论:相较于三孔腹腔镜手术,TU-LESS卵巢囊肿剥除术治疗卵巢囊肿具有术中创伤小、恢复快等优点,对减少患者术后疼痛感及控制手术对卵巢储备功能损伤有利。展开更多
文摘Unhealthy mental states have become common among teachers recently. Subjective physical symptoms are more likely to appear more readily than mental symptoms. In this study, we revealed that the relationship between mental states and subjective physical fatigue or pain in seven body sites among 2449 teachers. The 12-item General Health Questionnaire (GHQ-12) was used to assess mental state. We defined a score of 4 points and over in the GHQ-12 score as unhealthy mental state. We also asked about the presence of subjective physical fatigue or pain in each seven body sites in the past one year. In the results, 30.3% unhealthy mental states were found in females and 22.9% in males. Most of subjective physical fatigue or pains were detected in neck and shoulder, eyes, head and low back. Using multivariate logistic regression, higher scores in the GHQ-12 were positively associated with presence of subjective fatigue or pain in head and eyes in both genders, in lower extremities among females, and in back, upper extremities among males. Our results suggest that physical symptoms in specific body sites with gender differences may be useful in the early identification of unhealthy mental states among teachers. We should have efforts to pay attention to mental states among high school teachers if their symptoms do not get better after taking physical care.
文摘Introduction: Choosing an appropriate cannulation site is important for doctors and patients. In our clinical practice, we have observed that agitation and pain were less in the postoperative period when the cannula was inserted site. Cannulation anxiety in adults and especially in children may increase the failure of interventions by activating the sympathetic system in varying degrees we aimed to investigate whether the site of the cannula inserted following the induction of inhalation is associated with postoperative agitation and pain in preschool children who would undergo an otolaryngology operation. Methods: Pediatric patients who would undergo adenoidectomy-tonsillectomy surgery between the ages of 3 - 7 were included in our study regardless of their genders. The patients have been randomly distributed into groups (Group E—hand, Group A—foot). The evaluation was performed 0 and 30 minutes after extubation by FLAAC Pain Scala and PAED. Results: When the hand and foot groups were compared in terms of P0 (PAED 0 min. rating) values, hand group results were statistically significantly higher. Similarly, at the time of P30 (PAED 30. min rating), The Hand group was determined to be high. Conclusion: As a result of the study, we believe that choosing the feet as the cannulation site may be useful in appropriate cases in pediatric patients.
文摘Background: Dressing of split-thickness skin graft donor sites can be traumatic for the patient. The most advanced and expensive dressings have been compared to the most basic of dressings, with little or no consensus and an unpersuasive level of evidence. We aimed to determine the efficacy of the locally manufactured non-adherent, hydroconductive Drawtex? dressing and compare it to our current standard-of-care dressing, a thin transparent polyurethane film, in the healing of split-thickness donor sites. Methods: This prospective, within-patient controlled study included 27 adult participants, each with two split-thickness skin donor sites. The 54 donor site wounds were compared with regard to time to re-epithelialisation, perceived pain and healed wound quality. Results: By day 5, complete healing of donor site wounds, defined as >90% of epithelialized surface, was significantly higher in the hydroconductive dressing group compared to the polyurethane film group (22.2% and 3.7%, respectively;p < 0.0001). The hydroconductive dressing-treated donor site wounds were significantly less painful at 24-hours, 48-hours and 7-days post-operatively, and had fewer complications and superior wound healing quality. Conclusion: We have demonstrated that the relatively cheap and readily available dressing made locally in South Africa, Drawtex? is at least as safe, and potentially superior in wound healing, when compared to our current standard-of-care dressing.
文摘目的:研究经脐单孔腹腔镜(TU-LESS)下卵巢囊肿剥除术治疗卵巢囊肿对术后疼痛及卵巢储备功能的影响。方法:以2019年1月-2022年1月樟树市人民医院收治的80例卵巢囊肿患者为对象进行研究,根据系统化随机法将其分为单孔组(n=40)和三孔组(n=40)。单孔组予TU-LESS卵巢囊肿剥除术,三孔组予传统三孔腹腔镜卵巢囊肿剥除术。比较两组围手术期指标(术中出血量、术后排气时间、住院时间、术中卵巢囊肿破裂率)。使用视觉模拟评分法(VAS)评分比较两组术后1、3 d疼痛程度。记录围手术期并发症。比较术后1、3个月两组血清激素[促黄体生成素(LH)、雌二醇(E2)]变化。术后随访6个月,统计两组卵巢囊肿的复发情况。结果:单孔组术中出血量少于三孔组,术后排气时间、住院时间均短于三孔组,术后1、3 d VAS评分均低于三孔组(P<0.05)。术后3个月,两组E2水平较术后1个月均升高(P<0.05),且单孔组高于三孔组(P<0.05);两组LH水平较术后1个月均降低(P<0.05),且单孔组低于三孔组(P<0.05)。两组卵巢囊肿破裂率、围手术期并发症发生情况及卵巢囊肿复发情况比较,差异均无统计学意义(P>0.05)。结论:相较于三孔腹腔镜手术,TU-LESS卵巢囊肿剥除术治疗卵巢囊肿具有术中创伤小、恢复快等优点,对减少患者术后疼痛感及控制手术对卵巢储备功能损伤有利。
文摘目的:观察丙泊酚中/长链脂肪乳注射液[利泊芬(Propofol-Lipuro)]在全凭静脉麻醉中的有效性和安全性。方法:采用前瞻性、区组随机、盲法、多中心、阳性药平行对照临床试验。选取207例择期手术患者,美国麻醉医师学会(American So-ciety of Anesthesiologists,ASA)分级Ι～Ⅱ级,年龄18～65岁。将207例患者随机分为两组,试验组(n=104):丙泊酚中/长链脂肪乳注射液组,对照组(n=103):丙泊酚长链脂肪乳注射液组。所有患者均采用丙泊酚/瑞芬太尼靶控输注全凭静脉麻醉方式行全身麻醉,丙泊酚3μg/mL,血浆靶控输注至患者睫毛反射消失后,开始瑞芬太尼靶控输注。观察患者麻醉期间的临床效应和不良事件发生情况。结果:试验组和对照组患者睫毛反射消失所需时间和丙泊酚药量比较,差异无统计学意义。两组患者全麻过程中的丙泊酚、瑞芬太尼总用量差异无统计学意义。试验组不良事件的发生率为30.77%,对照组不良事件的发生率为48.54%,试验组显著低于对照组(P<0.05)。在所有发生的不良事件中,注射部位疼痛发生率最高,其在试验组的发生率为25.00%,对照组的发生率为44.66%,试验组显著低于对照组,差异有统计学意义(P<0.05)。结论:丙泊酚中/长链脂肪乳注射液利泊芬与丙泊酚长链脂肪乳注射液得普利麻相比,用于全凭静脉麻醉的诱导与维持同样安全有效,但能显著降低患者注射痛的发生率。
