The Usefulness of Short Physical Performance Battery Score for Predicting the Ability of Toilet Activity in Hospitalized Older Patients
Background: It has been still unclear whether the cut-off value of the short physical performance battery for predicting the ability of the toilet activity in the hospitalized older patients. The aim of this study was to reveal the relationship between the short physical performance battery and the ability of toilet activity, and also to determine the cut-off value of the short physical performance battery score for the ability of toilet activity in the hospitalized older patients. Methods: In this cross-sectional study, 71 hospitalized older patients were recruited. The short physical performance battery and the ability of toilet activity using the Barthel index (BI) were measured. The patients were split into two groups, according to the ability of toilet activity (Group 1: 10 point; Group 2: 5 point or less in BI score). A multiple logistic regression analysis was used to assess the relationship between the two groups. Moreover, the cut-off value for dividing into two groups, (Group 1 and Group 2) using the short physical performance battery score, which was calculated by a receiver operating characteristic curve. Results: The short physical performance battery score was an independent explanator for the ability of toilet activity using multiple logistic regression analysis. Besides, the cut-off value of the short physical performance battery for the ability of toilet activity was set in this study. Conclusion: The findings of this study suggest that the cut-off value of the short physical performance battery score could be a useful index to predict the ability of toilet activity in the hospitalized older patients.
Double PTEG (percutaneous trans-esophageal gastro-tubing) was useful in nutrition and decompression for a gastric cancer patient with pyloric stenosis: a case report
Background For gastric cancer patients with strong pyloric stenosis, decompression by nasogastric tube insertion for gastric distension and central venous nutrition management have been performed. However long-term indwelling of the nasogastric tube is accompanied by pain, and Central venous catheter placement is inferior to enteral nutrition from infection risk and nutritional viewpoint. Furthermore, these generally require management in hospitalization. Case presentation An 81-year-old male was referred to our hospital for gastric cancer accompanied by pyloric stenosis. Blood test resulted in low nutrition and anemia. CT showed thickening of the wall from the anterior gastric part to the pylorus and enlargement of 50mm in the regional lymph node, and gastric distention. We planned resection after preoperative chemotherapy. We performed double PTEG (Percutaneous Tran Esophageal Gastro-tubing) from cervical co-wound for decompression and nutrition management of the stomach. Total laparoscopic gastrectomy was performed on day 114 after insertion of the double PTEG. During which time he had been good nutrition and no gastric distention with stayed at home for 42 days. On the 10th postoperative day, he was clinically released from hospital without any complications. Conclusions We conducted a new management to reduce and nourish patients with gastric cancer who had a pyloric stenosis by double PTEG (percutaneous trans-esophageal gastro-tubing), and can perform curative surgery after preoperative chemotherapy including home management period.
Giant hydronephrosis is a rare urinary tract disorder characterized by a collection arising from the kidney. Because of its complications, surgery remains the main treatment. Here we report the case of an 82-year-old woman with multiple comorbidities and diagnosis of giant hydronephrosis. After multidisciplinary concertation between urologists and geriatricians, no specific treatment was initiated. This case report highlights a non-specifically presentation of this rare disorder, including no symptom. The presence of multiple comorbidities has changed the management commonly reported in the literature.
Background Prostate cancer is a common malignancy in men; however, sarcoma of the prostate is an uncommon variant. Sarcoma of the prostate occurs in all age groups with rhabdomyosarcoma being more common in children while leiomyosarcoma occurs more in the older adults. Stromal tumour of uncertain malignant potential (STUMP) occurs in adults. Modalities of treatment include surgery, radiotherapy and chemotherapy used singly or in combination, but all report poor long term survival despite treatment selected. We present 2 cases of prostate stromal tumours. Case report We present two patients in their fourth decade who presented with acute urinary retention. Computed tomography scan was performed in both cases and showed a large tumour arising from the prostate. Prostate specific antigen was less than 4ng/ml in the two cases and core needle biopsy performed and samples taken for histology. The histology reports showed embryonal carcinoma and STUMP in the first and second cases respectively. Conclusion Prostate sarcomas are uncommon but may pursue aggressive clinical course while STUMP has a variable course. Early diagnosis and use of combined modalities of treatment may be required to improve survival.
The COVID-19 pandemic has shined a light on the importance of housing as a social determinant of health. To prevent millions of American renters from being evicted from their homes during the COVID-19 pandemic and potentially becoming homeless, the Centers for Disease Control and Prevention (CDC) issued a temporary eviction ban order on September 4, 2020 that has currently been extended through June 30, 2021. This paper examines the rationale for the CDC temporary eviction ban order from a public health perspective. It then uses statistical techniques to explore the relationship between political and demographic variables and temporary eviction bans enacted in individual states during the pandemic. Results show a statistically significant relationship between political party control of the state legislature and temporary state eviction bans which suggests that partisanship has largely driven the use of temporary eviction bans as a policy response to COVID-19 at the state level.
Cases of sexual diseases with alpha-emitting nanoparticulates : Parkinson’s, Primary Biliary Cholangitis (prostate and clitoris) – and opening the breast implant debate
These diseases can be called sexual diseases thanks to retro-analysis of the global process of development and degenerescence and combination of the author’s earlier works with research of other authors that demonstrate in new ways the argument. Cultures that encourage sexual repression produce diseases mechanically and exogeneous factors of internal contamination with alpha emitters demultiplicate the effects spilling from these cultural choices. It is possible that researchers investigating Parkinson’s have already years ago understood the link with alpha decay and “flagged” it but because they thought that Parkinson patients had to suffer due to their full responsibility in depriving their own prostate whereas homosexuality shows how stimulating it creates well-known powerful orgasms went not beyond the allegory of alpha emitting nanoparticulates in their articles (which is why this is called “flagging” – “signaling”).
Ultrafiltration (UF) Effectiveness on intradialytic hypertension (IDH) in chronic hemodialysed patients in a nephrology unit in Dakar: UF-IDH clinical trial
Introduction Progressive ultrafiltration (UF) could improve IDH. The aim of this work was to evaluate the effectiveness of progressive UF in the management of IDH. Methods This randomized clinical trial in two groups: interventional group A (UF, n = 12) and control group B (n = 12), was conducted in chronic hemodialysis patients with IDH. A first phase of cross-sectional collection of BP before and after dialysis, during 2 weeks, made it possible to obtain this cohort of 24 patients. A progressive decrease in basal weight of 0.25 kg per session as a function of hemodynamic tolerance was achieved in group A. The primary endpoint, the proportion of patients with disappearance of IDH, was assessed at baseline end of the 4th and 8th week. Results At the 4th week, the IDH disappeared in 83.3% and 41.7% of the patients of the group A and B respectively with a hazard ratio (HR) at 0.29; IC 95 = [0.14-0.59]; p = 0.035. At the 8th week, the IDH was missing in 72.7% and 66.7% of the patients of the group A and B respectively with a HR at 0.76; IC 95 = [0.58-1.00]; p = 0.75. In addition, the decrease in basal weight was associated with the occurrence of side effects (p = 0.0001) with a HR of 5 [1.45-7.27]. UF discontinuation was required in 4 patients in group A (36.4%). Conclusion Progressive UF was associated with a significant reduction in the prevalence of IDH in our patients at week 4.
Research status and development direction of controlling factors of graphite mineralization in coal measures
Coal-measure graphite mineralization control is affected by many factors. In order to explore the ore-forming control factors and influence mechanism, the paper comprehensively analyzes the influence and mechanism of each factor from five aspects of coal rock composition, coal grade, temperature, pressure and mineralizer, combined with geological examples. The results show that in the process of graphite mineralization in coal measures, the components of coal and rock have the ability of graphitization, but the higher the degree of metamorphism of coal as carbon source, the higher the degree of graphitization of products, the higher the ore-forming temperature, and the higher the degree of graphitization. The development of tectonic movement promotes the graphitization, but the degree of graphitization is different and complicated due to the stress dissipation. Different minerals in coal have different effects on graphite mineralization in coal measures, and its mechanism needs to be further explored. Finally, it is pointed out that the research direction of coal series graphite lies in the different graphitization mechanism of the same rank coal and the different influence mechanism of different minerals in coal.
Nutritional potential of anti-anemic drinks based on Manihot esculenta L. or Graptophyllum pictum L. leaf extracts consumed in Yaoundé Cameroon
Anemia is a global public health problem. In Cameroon, the most vulnerable to anemia are children under 5 years of age (60%) and pregnant women (40%). To reduce prevalence of anemia, several approaches have been adopted, including promoting the production and consumption of iron-rich foods/products. The objective of this work was to study the nutritional potential of anti-anemic drinks based on extracts from the leaves of either Manihot esculenta or Graptophyllum pictum consumed by the populations of the city of Yaoundé in Cameroon. Macronutrient contents were determined using the standard A.O.A.C. methods, while mineral contents were analyzed using the atomic absorption spectrophotometry. Bioactive compounds such as total polyphenols, flavonoids, and saponins were analyzed. Vitamin C was determined by the 2,6 dichlorophenol indophenol spectrophotometric method (DCPIP) and the contents of anti-nutrients (tannins, phytates, oxalates, saponins, hydrocyanic acid) quantified using standard methods. The results of these analyses show that the mean protein contents in the studied anti-anemic drinks ranged from 0.64 ± 0.08 g/100 mL to 1.84 ± 0.02 g/100 mL (M. esculenta drink); and 0.25 ± 0.01 g/100 mL (G. pictum drink). Sugar contents ranged from 0.30 ± 0.02 g/100 mL to 0.45 ± 0.01 g/100 mL (M. esculenta drink), and 0.29 ± 0.01 g/100 mL (G. pictum drink). As concerns iron contents, and vitamin C contents were inversely proportional across M. esculenta drinks containing 25% milk (2.29 ± 0.15 mg/100 mL iron; 57.9 ± 0.2 mg/100mL vit C) through 50% milk (1.70 ± 0.03 mg/100 mL iron; 147.19 ± 16.05 mg/100 mL vit C) to 75% milk (1.01 ± 0.11 mg/100 mL iron; 221.1 ± 16.96 mg/100 mL vit C). Likewise, iron and vit C levels in the G. pictum drink were 0.18 ± 0.01 mg/100 mL and 999.1 ± 41.2 mg/100 mL respectively. In general, although some anti-nutrients were…
The predictive power of approach and autonomous goal motivation for work engagement among public sector employees
This paper compares the relative predictive power of approach goal motivation and autonomous goal motivation for work engagement among public sector employees. To do so, it employs the goal-striving reasons framework within which people’s approach goal motivation is measured as well as the self-concordance theory which measures people’s autonomous goal motivation. Findings are based on cross-sectional and longitudinal data of 132 public service employees at time 1 and 78 employees at time 2. Overall, the results show, using multiple regression analysis, that approach goal motivation significantly predicts work engagement whereas autonomous goal motivation is not a significant predictor of work engagement. On an individual goal-reason level, a similar picture emerges. Pleasure and altruism, the two approaching goal-striving reasons, are descriptively more strongly correlated with work engagement than their comparable self-concordance reason of intrinsic and identified goal motivation. When testing the predictive power of pleasure and altruism with intrinsic and identified goal motivation simultaneously, using multiple regression analysis, pleasure remains the only significant predictor of work engagement at time one and time two. The findings suggest that approach motivation is a stronger predictor of work engagement than autonomous goal motivation for public sector employees. Additionally, the findings also indicate that pleasure is more important for the work engagement of public sector employees than their altruistic goal motivation on an individual goal-reason level.