Gambaran Umum Perawatan Ulcus Diabeticum Pada Pasien Rawat Inap Di Rumah Sakit Immanuel Bandung Periode Juli 2007-Agustus 2008

The treatment of diabetic ulcer will determine its outcome. The purpose of this study is to describe the general treatment of diabetic ulcer in Immanuel Hospital Bandung, in July 2007--August 2008. The data of this descriptive-retrospective study were collected from the medical records of the hospitalized patients during that period. There were 41 patients: 37% male, 63% female, 46% > 60 years old, 39% 45-60, and 15% 15-45 years old. Conventional dressing was applied to 63% patients, while the 37% were given advanced dressing. Necrotomy-debridement procedure was used to treat 83% patients. Whereas IV nutrition supplementation was given to 7% patients, subcutaneous insulin was given to the patients in 46% cases. The patients hospitalized less than three days were 12% (40% dead case, 40% amputated, 20% discharged without improvement). The patients hospitalized for 3-4 days were 49% (65% with improvement, 10% without improvement, 15% amputated, 10% dead case), The patients hospitalized > 7 days were 39% (52.94% with improvement, 5.88% without improvement, 35.29% amputated, and no dead case). Cases treated with advanced dressing, necrotomy debridement procedure, IV nutrition supplementation and without subcutaneous insulin showed a better outcome; those showing improvement respectively were 86.67%, 55.88%, 54.54%, 63.63%, and those showing shorter hospitalization period respectively  were 80%, 47.05%, 63.63%, 54.54%

Size-Dependent Regulations, Firm Size Distribution, and Reallocation

In France, firms with 50 employees or more face substantially more regulation than firms with less than 50. As a result, the size distribution of firms is visibly distorted: there are many firms with exactly 49 employees. We model the regulation as the combination of a sunk cost that must be paid the first time the firm reaches 50 employees, and a payroll tax that is paid each period thereafter when the firm operates with more than 50 employees. We estimate the model using indirect inference by fitting the discontinuity of the size distribution. The key finding is that the regulation is equivalent to a combination of a sunk cost approximately equal to about one year of an average employee salary, and a small payroll tax of 0.04%. Our structural model fits well the discontinuity in the size distribution. Removing the regulation improves labor allocation across firms, leading in steady-state to an increase in output per worker slightly less than 0.3%, holding the number of firms fixed. However, if firm entry is elastic, the steady-state gains are an order of magnitude smaller

Smoking and suicidal ideation among college students: Smoking expectancies as potential moderators

In the present study, we sought to establish a link between suicidal ideation (SI) and smoking in college students, determine whether psychopathology accounted for the association, and determine whether smoking expectancies were moderators. Participants ( = 607) were identified as nonsmokers, exsmokers, infrequent smokers, or daily smokers. Participants were assessed for smoking patterns, smoking expectancies, psychopathology, SI, and past suicide attempts. Daily smokers had the highest level of SI. There was a dose-response relationship between smoking and SI, such that the higher the daily smoking rate, the greater the SI, even when controlling for depression, alcohol use, and drug use. Trend-level results indicated that at lower smoking rates, elevated smoking-related negative affect reduction (NAR) expectancies were associated with lower SI, while elevated NAR expectancies in combination with higher smoking rates were associated with greater SI. Smoking cessation programs for college students should screen for SI

Financial strain mediates the relationship between socioeconomic status and smoking

Introduction Smoking is the leading cause of preventable death accounting for about 0.48 million deaths in the US every year. Across the socioeconomic status (SES) gradient smoking prevalence differs greatly, with those of lower SES smoking at much higher rates than those of higher SES. Previous studies have shown relationships between socioeconomic status, financial strain, and smoking. However, little research has explored the possibility that financial strain might mediate the relationship between socioeconomic status and smoking. Thus, the goal of the current study was to determine whether financial strain was a mediating factor in the relationship between socioeconomic status and smoking. Methods Participants (N=238) were primarily female (67.6%) and African-American adults (51.7%) from the Dallas metropolitan area. The majority of the sample reported that they did not currently smoke (n=164). Participants who reported currently smoking at baseline (n=74) smoked an average of 9.96 (SD=10.79) cigarettes per day. Results Analyses revealed that financial strain partially mediates the relationship between socioeconomic status and smoking status. Additionally, financial strain was found to significantly partially mediate the relationship between socioeconomic status and cigarettes smoked prospectively over the next 7 days. Conclusions Overall, findings suggest that greater financial strain may be one factor that links SES with current smoking and smoking level among those who smoke

Dual users of e-cigarettes and cigarettes have greater positive smoking expectancies than regular smokers: a study of smoking expectancies among college students

In the present study, we sought to determine the differences among college students using e-cigarettes, cigarettes, or both products (dual users) on smoking outcome expectancies and the role of smoking expectancies and e-cigarette use in cessation attempts. We surveyed 1,370 undergraduate college students from November 2014 to November 2016. : Participants completed questionnaires regarding demographics, smoking status/history, and expectancies. Dual users reported significantly longer smoking histories and more past quit attempts than other smoking groups. Those reporting dual use reported higher expectancies on positive/negative reinforcement and appetite/weight control subscales of the SCQ. E-cigarette use was a negative predictor of cessation attempts. College students appear to be less motivated to use e-cigarettes for cessation and dual users endorsed higher levels of smoking expectancies previously shown to negatively impact treatment outcomes. Students, especially dual users, need targeted interventions to address the dangers of using tobacco products

The association between problematic alcohol use, risk perceptions, and e-cigarette use

Use of e-cigarettes among college students has escalated, in part due to the perception that they are less harmful than traditional cigarettes and have other benefits such as circumventing smoking bans. College students also drink more heavily than other age groups, and e-cigarettes are associated with alcohol, especially among students who engage in problematic drinking. The present study sought to determine if an interaction between problematic alcohol use and increased perceptions of benefits and decreased perceptions of risks of e-cigarettes would predict whether participants had ever used an e-cigarette. The present study included 1,133 undergraduate college students surveyed between November 2014 - November 2016. Participants were primarily Caucasian (82.3%) and female (78.1%). Participants completed questionnaires regarding demographics, smoking status/history, and expectancies. Higher levels of problematic drinking and higher perceived benefits of e-cigarette use were both associated with having tried e-cigarettes. This relationship was significant even when controlling for several covariates such as cigarettes smoking status. However, there was not a significant interaction between problematic alcohol use and perceived benefits or risks of e-cigarettes. There was also no relationship between risk perceptions of e-cigarettes and e-cigarettes use. Both problematic alcohol use and perception of benefits of e-cigarettes were associated with having tried an e-cigarette. This finding is problematic as the use of e-cigarettes may influence further engagement in risky behaviors including problematic drinking or transitioning to regular cigarette use. Thus, it is important to develop interventions to help college students develop more accurate risk perceptions about e-cigarettes