Fattening performance and some carcass characteristics of hereford and angus steers fed a high roughage

This study was carried out to compare the fattening performances, some slaughter and carcass characteristics of 10-month-old Hereford (HER) and Angus (ANG) steers fed a high roughage with the same care and feeding conditions in Türkiye. A total of 40 steers, 20 HER and 20 ANG from the same herd, were selected as homogeneously and randomly divided into two groups. The average body weights of the breeds were determined as 276.85±9.70 and 288.10±9.86 kg, respectively, and the differences between the breeds were insignificant (P>0.050). All animals were fed ad-libitum with two different Total Mixed Rations (TMRs) prepared with a concentrate: roughage ratio of 34:66% during the fattening. In the experiment, fattening feed containing 14.12% crude protein (CP) and 2671 kcal/kg metabolic energy (ME) for the first 300 days and fattening finisher feed containing 14.11% CP and 2717 kcal/kg ME for the last 45 days were used. At the end of the study, which lasted for a total of 345 days, the 1 kg live weight costs of the animals were calculated. Differences were insignificant between the two breeds in terms of body weights, final weights (slaughter weights), total weight gains, daily live weight gains, daily dry matter consumption, feed conversion ratios, hot and cold carcass weights, head weight to carcass ratio and longissimus muscle area (LMA) during fattening (P>0.050). Head and skin weights (P=0.000 and P=0.003) and subcutaneous fat thickness (SFT) (P=0.000) were higher in the HER breed. The profit ratio with the cost did not change. It was concluded that both breeds had similar characteristics

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

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

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

The original version of this article unfortunately contained a mistake

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

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

Vulvar Cavernous Hemangioma: Case Report

Vascular tumors of the female genitalia are unusual. Hemangiomas are benign tumors of the blood vessels. Usually they are asymptomatic and may be quite small. Histologically they are characterized by the endothelial cells and varying amount of supporting tissue. In this study a reproductive age woman who had symptomatic vulvar cavernous hemangioma is discussed

Evaluation of Knowledge of Traditional and Complementary Medicine of Medical School Students

Amaç: Günümüzde, toplumdaki birçok birey gerek tedavi, gerek koruyucu amaçlı, gereksekültürel olarak geleneksel ve tamamlayıcı tıp (GETAT) yöntemlerine gittikçe artan oranlardabaşvurmaktadır. İnsan sağlığının korunmasında birincil derecede sorumlu olan hekimlerin moderntıp kadar geleneksel ve tamamlayıcı tıbbın da esas uygulayıcıları olması gereklidir. Bu nedenleGETAT‘ın tıp eğitimi müfredatında sağlıklı bir şekilde planlanmasına katkıda bulunmak için; buçalışmamızda tıp fakültesi öğrencilerinin GETAT uygulamaları hakkındaki bilgi, tutum vedavranışlarını değerlendirmeyi amaçladık.Gereç ve Yöntem: Tanımlayıcı nitelikte olan bu çalışma Nisan 2018- Haziran 2018 tarihleriarasında Düzce Üniversitesi Tıp Fakültesinde okuyan dönem I, II, III, IV, V ve VI öğrencileriyleyapılmıştır. Çalışmaya katılmak istemeyen ve ulaşılamayan öğrenciler hariç gönüllü olantoplamda 276 öğrenciye (183 kadın, 93 erkek) tarafımızca hazırlanan 22 soruluk anket internetyoluyla uygulanmıştır.Bulgular: Çalışmamıza katılan tıp fakültesi öğrencilerinin arasında en sık bilinen GETATyöntemleri; akupunktur (%77,5), kupa uygulaması (%75,3), fitoterapi (%67,3) iken en sıkkullandıkları yöntemler; fitoterapi (%33,3) ve kupa uygulamasıydı (%11,5). GETAT hakkındakibilgiye nereden ulaştıkları sorgulandığında sadece %31,8‘inin (n:85) tıp fakültesi eğitimindenulaştığı saptandı ve %94,2‘si (n:242) GETAT uygulamaları hakkında tıp fakültesinde yeterlieğitim verilmediğini düşünmekteydi. Katılımcıların % 82,6‘si (n:218) GETAT uygulamalarınınmodern tıbbın içine entegre olması ve hekimlerce uygulanmasının gerekli olduğu kanısındaydı.Sonuç: Çalışmamızda tıp fakültesi öğrencilerinin GETAT uygulamaları ile ilgili bilgidüzeylerinin yeterli olmadığı ve bu bilgileri çoğunlukla tıp fakültesinden öğrenmedikleri ancaktıp eğitiminde de yer verilmesini ve modern tıp ile entegre olarak kullanılmasını istediklerisaptanmıştır. Tıp fakültesi müfredatında yapılacak düzenlemeler ve tıp fakültesi öğrencilerini dekapsayacak şekilde topluma yönelik yapılacak olan GETAT eğitimleri bu konudaki boşluğudolduracaktır.Objective: Nowadays, many individuals in the community apply complementary and alternativemedicine (CAM) for treatment purposes, protective purposes as well as culturally traditionalpurposes. It is necessary that the physicians who are primarily responsible for the prevention ofhuman health, should be substantially practitioners of traditional and complementary medicine aswell as modern medicine. We aimed to evaluate the knowledge, attitudes and behaviors ofmedical faculty students about CAM practices in this study. Therefore study is planned tocontribute to the organising of CAM in the curriculum of medical education.Methods: This descriptive study was carried out between April 2018 and June 2018. Students ofTerm I, II, III, IV, V and VI of Düzce University Faculty of Medicine were included to thestudy. A questionnaire with 22 questions was administered to 276 volunteer students (183 female,93 male) except unreacheable and non-volunteer students by internet.Results: The most commonly known CAM methods among the medical faculty students;acupuncture (77.5%), cup application (75.3%), phytotherapy (67.3%); the most commonly usedmethods are phytotherapy (33,3%) and cup method (11,5%). When questioned about theinformation source of CAM; 31.8% (n: 85) had learned information regarding CAM at themedical school education. And 94.2% (n 242) of students thought that there was not enougheducation regarding practice of CAM at the medical faculties. 82.6% of the participants (n: 218)believed that CAM practice should be integrated into modern medicine and performed byphysicians.Conclusion: In our study, medical faculty students' knowledge levels about CAM practices werenot sufficient and they mostly had not been learned at the medical faculty. But it was determinedthat the students want this information to be included in medical education and to be used asintegrated with modern medicine. Gap about this subjects will be filled with arrangements whichwill be made in the medical faculty curriculum and CAM trainings for both community andmedical students

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

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

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

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

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study (Intensive Care Medicine, (2021), 47, 2, (160-169), 10.1007/s00134-020-06234-9)

The original version of this article unfortunately contained a mistake. The members of the ESICM Trials Group Collaborators were not shown in the article but only in the ESM. The full list of collaborators is shown below. The original article has been corrected