Length Of Staying Research Articles

Characteristics of COVID-19 vaccinated and unvaccinated patients admitted to Careggi University Hospital, Florence, Italy

More than 11.5 billion COVID-19 vaccine doses have been administered around the world. Although vaccine effectiveness for severe infections is reported to be 89.0%, breakthrough infections are common and may lead to severe outcome in fragile population. We conducted a real-world observational study on 420 COVID-19 admitted patients from July 2021 to January 2022 in a tertiary level Italian hospital. We collected patient’s vaccination and SARS-CoV-2 serological status, SARS-CoV-2 treatments, oxygen supports, intensive (ICU) and subintensive (sub-ICU) care unit admissions, length of staying (LoS) and in-hospital mortality. One-hundred-seventy-two vaccinated and 248 unvaccinated patients were admitted during the study period. Vaccinated group (Vg) had a significantly more elevated Charlson Comorbidity Index than Unvaccinated group (UVg), and no statistical differences were found in terms of in-hospital mortality, LoS or ICU and sub-ICU admissions. Among Vg, anti-S antibodies were detected in 86.18% of patients (seropositives). Vaccinated seronegative patients’ in-hospital mortality was significantly higher than vaccinated seropositive patients (33.33% vs 10.69%, p = 0.0055): in particular, mortality rate in 45–69 years old population was higher in vaccinated seronegative group, and comparable in patients ≥ 70 years old. No differences in terms of outcome were registered between Vg and UVg, taking into account that Vg was considerably older and with more comorbidities. In line with other recent observations, higher mortality rate was evidenced for seronegative vaccinated patients. Primary prophylaxis and early treatments result to be necessary, especially for older and immunosuppressed populations.

Research progress of time in bed of pulmonary embolism patients caused by deep vein thrombosis

Acute pulmonary embolism has high morbidity and mortality, and the embolus of deep venous thrombosis of lower limb results in 90% pulmonary embolism. Acute deep venous thrombosis and its caused pulmonary embolism patients are asked to stay in bed strictly for a period of time. Although this theory lacks strong evidence support, this treatment way is followed in clinical doctors at past decades. There is different opinions about the length of staying bed during clinical treatment process, so this paper summarizes recent five years research and we hope this literature review can guide clinical nursing work. Key words: Review; Pulmonary embolism; Formation of venous embolism; Length of bedtime

Ceylanpınar Tarım İşletmesinde Yetiştirilen Siyah Alaca Sığırların Ömür Boyu Verim Performanslarının Belirlenmesi

In this study, lifetime yield performances of Holstein Fresian cattle raised in Ceylanpinar Agriculture Farm wereevaluated. Data for herd life, productive life, total calf numbers, total real milk yield, lactation length and daily milk yield wereanalyzed. Herd life varied between 1004 and 5471 days with an average of 2229.07±18.53 days (74.3 months). Average length ofstaying in production was determined to be 1236.10±13.87 days (41.2 months) ranging between 345 and 3929 days. Calf numbersproduced lifetime varied between 1 and 8 with an average of 3.4±0.036. The average total real milk yield and lactation length weredetermined to be 16105.28±215.69 kg and 864.62±11.031 days (28.8 months), respectively. Daily milk yield varied between 9.57and 46.50 kg with an of average 18.60±0.08 kg. Findings indicate that herd life is appropriate however; calf numbers per cow islow. The results of this study may provide valuable data for the farms in similar conditions.

Study on concomitant surgical correction of pelvic organ prolapse and TVT-O for treatment of stress urinary incontinence

To investigate the necessity, safety and efficacy of transobturator tension-free vaginal tape (TVT-O) for treatment of stress urinary incontinence (SUI) during transvaginal corrective operation of pelvic organ prolapse (POP). From Jan. 2005 to Dec. 2010, 92 patients undergoing transvaginal pelvic reconstruction surgery for correction of POP concomitant TVT-O for treatment of SUI in Department of Obstetrics and Gynecology affiliated to Beijing Chaoyang Hospital as concomitant surgery group were enrolled in this retrospective study matched with 90 patients with mild SUI without SUI surgery as non-concomitant surgery group and 120 patients without SUI as control group.Variable clinical index, clinical efficacy and complications were compared among those three groups. Compared with those in the other two groups, the mean age [(62 ± 11) years] was lower (P = 0.007,0.038), the operation time only slightly increased (12.8 min and 12.9 min respectively) significantly in concomitant TVT-O group. The bleeding loss and the length of staying hospital after operation all exhibited no significant differences within three groups (P > 0.05). The effective rate for SUI was 96.7% (89/92) in concomitant TVT-O group, corrective operation of POP was ineffective for 74.4% (67/90) SUI, 9.2% (11/120) patients presented new SUI in the patients without SUI preoperatively. TVT-O is a simple, safe and effective method in the treatment of SUI, which is more suitable for performing simultaneously during the corrective operation of POP.Efficacy of SUI correction was limited in those patients undergoing only pelvic reconstructive surgery. However, a preventive anti-incontinence procedure is not recommended because of the lower incidence in POP patients without SUI preoperatively.

Application of cup-shaped womb manipulator auxiliary peritoneoscope in entire womb excision

Objective To study the superiority and safety of cup-shaped womb manipulator auxiliary peritoneoscope in entire womb excision. Methods 180 cases with hysterectomy were randomly divided into cup-shaped womb manipulator auxiliary peritoneoscope group(treatment group) and tradition into the abdominal group( control group) ,and the amount of bleeding and postoperative complications,and patient recovery were observed in the two groups. Results Compared with the control group, the quality of life of patients with anal exhaust time, average length of staying, postoperative recovery daily time were significantly improved, and there were statistically significant differences between two groups ( P ＜ 0. 05 ). There was no serious complication in the two groups. Conclusion Cup-shaped womb manipulator auxiliary peritoneoscope hysterectomy was a safe and feasible operation,and could relieve harm and improve patients quality of life. Key words: Cup-shaped womb manipulator; Peritoncoscope; Womb total excision technique