17 research outputs found

    Use of anticoagulants and antiplatelet agents in stable outpatients with coronary artery disease and atrial fibrillation. International CLARIFY registry

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    Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

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    Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

    Componentes do peso vivo em cordeiros e borregos Polwarth e cruzas Texel x Polwarth Live weight components in Polwarth and Texel x Polwarth lambs and hoggets

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    O estudo teve por objetivo comparar e quantificar o peso vivo ao abate e seus componentes em cordeiros e borregos Polwarth (Ideal) com cruzas de Texel x ovelhas Polwarth. Foram sacrificados 59 cordeiros com 116 dias de idade, sendo 40 Polwarth (21 machos e 19 fêmeas) e 19 cruzas de Texel x ovelhas Polwarth (7 machos e 12 fêmeas) e 24 borregos com 450 dias de idade, sendo 14 Polwarth e 10 cruzas de Texel x ovelhas Polwarth. Os animais foram criados em condições extensivas de campo nativo ao sul do Brasil (Pelotas-RS) e castrados aos 30 dias de idade. Em termos de valores absolutos, para peso vivo e seus componentes, não se detectaram diferenças significativas entre cordeiros puros e cruzas; para borregos, verificou-se que os cruzas apresentaram maiores pesos (peso vivo ao abate, carcaça quente e fria, cabeça, pulmões com traquéia, fígado, gordura renal e pélvica e rins). Em valores percentuais, foram verificados efeitos significativos entre puros e cruzas, somente em cordeiros, para pele e pulmões com traquéia e, um efeito de sexo para patas e fígado. Os resultados evidenciaram que o cruzamento entre ovelhas Polwarth com Texel, para aumento da produção de carne em condições extensivas de campo nativo, é viável em borregos (maior idade e peso) e não para cordeiros.<br>This work was undertaken to compare and quantify live body weight, at slaughter, and its components of Polwarth and Polwarth x Texel (ram) lambs and hoggets. Fifty-nine lambs (116 days old) were slaughtered. From that, forty were Polwarth (21 males and 19 females) and nineteen were Polwarth x Texel cresses (7 males and 12 females). Also, twenty-four hoggets (450 days old) were slaughtered. Fourteen hoggets were Polwarth and ten Polwarth x Texel cresses. The animals were raised under range conditions on native pasture, in seuthem Brazil (Pelotas-RS), and castrated at 30 days eld. There were no significant diferences, in absolute values, for body weight and its components, among purebred lambs and crosses; for hoggets, the crosses have shown higher weights (live body weight at slaughter, warm and cool carcass, head, lungs plus trachea, liver, kidney plus pelvic fat, and kidney). In percentage values, significant effects were observed among rebred and crosses only with lambs for hide and lungs plus trachea and sex effect for legs and liver. The results have shown that the crossbreeding among Polwarth (ewes) and Texel, for the increment of meat production under range conditions, is possible at a later age and weight (hoggets) but not for lambs
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