AIM: To investigate whether illness severity has an impact on gastric residual volume (GRV) in medical critically ill patients. METHODS: Medical intensive care unit (ICU) patients requiring nasogastric feeding were en...AIM: To investigate whether illness severity has an impact on gastric residual volume (GRV) in medical critically ill patients. METHODS: Medical intensive care unit (ICU) patients requiring nasogastric feeding were enrolled. Sequential Organ Failure Assessment (SOFA) score was assessed immediately preceding the start of the study. Acute Physiology and Chronic Health Evaluation (APACHE) Ⅱ scores were recorded on the first, fourth, seventh, and fourteenth day of the study period. GRV was measured every 4 h during enteral feeding. The relationship be-tween mean daily GRV and SOFA scores and the correlation between mean daily GRV and mean APACHE Ⅱ score of all patients were evaluated and compared. RESULTS: Of the 61 patients, 43 patients were survivors and 18 patients were non-survivors. The mean daily GRV increased as SOFA scores increased (P < 0.001, analysis of variance). Mean APACHE Ⅱ scores of all patients correlated with mean daily GRV (P = 0.011, Pearson correlation) during the study period. Patients with decreasing GRV in the first 2 d had better survival than patients without decreasing GRV (P = 0.017, log rank test). CONCLUSION: GRV is higher in more severely ill medical ICU patients. Patients with decreasing GRV had lower ICU mortality than patients without decreasing GRV.展开更多
Objective:This study aimed at exploring the attempters'perception of community social services included any barriers to seeking help and services.Method:The participants were patients with self-harming behavior ag...Objective:This study aimed at exploring the attempters'perception of community social services included any barriers to seeking help and services.Method:The participants were patients with self-harming behavior aged 15 years or above.A set of guiding questions were designed to explore the general barriers and accessibility to community social services.A voice recording was made,which was later converted into a text transcript and then preceded for content analysis with co-occurrence and similarity matrix interpretation.Two males and nine females with a history of self-harm aged between 24 and 58 years were recruited for the interviews.Result:The participants had diverse experiences and backgrounds,and attitudes toward community social services.However,there was a shared perception of the need to enhance community social services.There were four main themes and 12 sub themes identified.The main theme included the service availability,service accessibility,affordability and acceptability.For details,participants were unaware of the available types of care/social services in the community,and were unaware about the nearby social services.They also suggested extending service hours and focused services should be offered to help people with different backgrounds and needs.Actually,those with experience of service utilization had both positive and negative perspectives and they gave suggestions for service delivery,mainly extending service hours and offering focused services such as for gambling control and financial planning.In view of interaction with service providers,counseling skills and trust were highly appreciated by the participants.Conclusion:The results identified common circumstances of falling into financial hardship(gambling)and social fragmentation(divorce,poor family relationships,and poor marital relationships),which also suggested to enhance services on center location,service arrangement,and skill of caregivers.展开更多
Milk is a food of great value, it provides more essential nutrient than any other natural food. The presence of pathogenic bacteria and antibiotic residues in milk can cause a real danger to consumers. Effectively, th...Milk is a food of great value, it provides more essential nutrient than any other natural food. The presence of pathogenic bacteria and antibiotic residues in milk can cause a real danger to consumers. Effectively, the milk consumption contaminated by bacteria can have an immediate impact which means a toxi-infection. Therefore, the presence of antibiotics residues in milk can constitute an important risk at the allergic and antibiotic resistance cases on the consumer. The present study concerning the pathogens germs identification and Antibiotic residues seeking in milk and their impact on the human health, has been realized on a total number of 80 samples of raw milk resulted from direct sale channel （dairies） throughout Blida different regions localities. The Microbiological analysis has shown only three conform samples to JORA Standards. Really, milk non-conformity results to the microbiological standards consisting on total aerobic mesophilic flora total count, total coliforms, Thermotolerant coliforms E. coli, Faecal streptococcus, Staphylococcus aureus have shown the following contamination rate： 61.25%, 93.75%, 86.25%, 55%, 93.75% and 50%. Salmonella is characterized by a total absence in all analyzed milk samples. Moreover, the antibiotics residues research by Delvotest SP make plainly visible 33 positive samples. Further, two samples of the three which were judged conform to the bacteriology standards has been found contaminated by the antibiotic residues. The analyzed milk quality can be considered as a real danger to the consumption.展开更多
基金Supported by Kaohsiung Veterans General Hospital, Grant No.VGHKS 94-082
文摘AIM: To investigate whether illness severity has an impact on gastric residual volume (GRV) in medical critically ill patients. METHODS: Medical intensive care unit (ICU) patients requiring nasogastric feeding were enrolled. Sequential Organ Failure Assessment (SOFA) score was assessed immediately preceding the start of the study. Acute Physiology and Chronic Health Evaluation (APACHE) Ⅱ scores were recorded on the first, fourth, seventh, and fourteenth day of the study period. GRV was measured every 4 h during enteral feeding. The relationship be-tween mean daily GRV and SOFA scores and the correlation between mean daily GRV and mean APACHE Ⅱ score of all patients were evaluated and compared. RESULTS: Of the 61 patients, 43 patients were survivors and 18 patients were non-survivors. The mean daily GRV increased as SOFA scores increased (P < 0.001, analysis of variance). Mean APACHE Ⅱ scores of all patients correlated with mean daily GRV (P = 0.011, Pearson correlation) during the study period. Patients with decreasing GRV in the first 2 d had better survival than patients without decreasing GRV (P = 0.017, log rank test). CONCLUSION: GRV is higher in more severely ill medical ICU patients. Patients with decreasing GRV had lower ICU mortality than patients without decreasing GRV.
基金The study was supported by Kowloon West Cluster Clinical Research ethic committee,HK
文摘Objective:This study aimed at exploring the attempters'perception of community social services included any barriers to seeking help and services.Method:The participants were patients with self-harming behavior aged 15 years or above.A set of guiding questions were designed to explore the general barriers and accessibility to community social services.A voice recording was made,which was later converted into a text transcript and then preceded for content analysis with co-occurrence and similarity matrix interpretation.Two males and nine females with a history of self-harm aged between 24 and 58 years were recruited for the interviews.Result:The participants had diverse experiences and backgrounds,and attitudes toward community social services.However,there was a shared perception of the need to enhance community social services.There were four main themes and 12 sub themes identified.The main theme included the service availability,service accessibility,affordability and acceptability.For details,participants were unaware of the available types of care/social services in the community,and were unaware about the nearby social services.They also suggested extending service hours and focused services should be offered to help people with different backgrounds and needs.Actually,those with experience of service utilization had both positive and negative perspectives and they gave suggestions for service delivery,mainly extending service hours and offering focused services such as for gambling control and financial planning.In view of interaction with service providers,counseling skills and trust were highly appreciated by the participants.Conclusion:The results identified common circumstances of falling into financial hardship(gambling)and social fragmentation(divorce,poor family relationships,and poor marital relationships),which also suggested to enhance services on center location,service arrangement,and skill of caregivers.
文摘Milk is a food of great value, it provides more essential nutrient than any other natural food. The presence of pathogenic bacteria and antibiotic residues in milk can cause a real danger to consumers. Effectively, the milk consumption contaminated by bacteria can have an immediate impact which means a toxi-infection. Therefore, the presence of antibiotics residues in milk can constitute an important risk at the allergic and antibiotic resistance cases on the consumer. The present study concerning the pathogens germs identification and Antibiotic residues seeking in milk and their impact on the human health, has been realized on a total number of 80 samples of raw milk resulted from direct sale channel （dairies） throughout Blida different regions localities. The Microbiological analysis has shown only three conform samples to JORA Standards. Really, milk non-conformity results to the microbiological standards consisting on total aerobic mesophilic flora total count, total coliforms, Thermotolerant coliforms E. coli, Faecal streptococcus, Staphylococcus aureus have shown the following contamination rate： 61.25%, 93.75%, 86.25%, 55%, 93.75% and 50%. Salmonella is characterized by a total absence in all analyzed milk samples. Moreover, the antibiotics residues research by Delvotest SP make plainly visible 33 positive samples. Further, two samples of the three which were judged conform to the bacteriology standards has been found contaminated by the antibiotic residues. The analyzed milk quality can be considered as a real danger to the consumption.
