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EN
Study aim: To determine the effectiveness of a newly designed series of fitness segments that can be used to provide healthy behaviour knowledge (HBK) for 5th grade Physical Education classes. Material and methods: 641 pupils from six intervention (n = 401) and five control (n = 240) schools were used. The intervention schools received a five-week intervention of 12-minute fitness segments for each class period. A cognitive test that has been shown to produce valid and reliable scores (28-questions) was used to assess pupils’ HBK at pre – and post – examination. Pedometers were also used to examine physical activity levels differences. Hierarchical Linear Modeling using a two-level multilevel model was used to investigate mean changes in HBK between intervention and control groups. Results: Pupils in the intervention classes had 0.8-unit greater mean improvements in HBK than did control pupils (p < 0.05). Girls also had greater mean changes in HBK than did boys (p < 0.05). There was no statistical difference between intervention and control groups in physical activity levels. Conclusion: This type of fitness segment can be one strategy used by teachers to aid the instruction of HBK without decreasing physical activity participation in classes.
EN
Invasive procedures for treatment of trigeminal neuralgia (TGN) include percutaneous radiofrequency thermocoagulation (PRT), partial sensory rhizotomy (PSR), and microvascular decompression (MVD). Using a nationwide discharge registry from The Netherlands, we assessed the frequency of use and patient characteristics, and evaluated treatment failure for each patient undergoing PRT, PSR, or MVD from January 2002 through December 2004. Only patients without a procedure in the year prior were included. Primary outcome was readmission for repeat procedures for TGN or known complications within 1 year. Comparability of patient populations was assessed through propensity scores based on hospital, age, sex, and comorbidity. Conditional logistic regression matched on propensity score was used to calculate relative risks (RR) with 95% confidence intervals (CIs) for repeat procedures or complications. During the study period, 672 patients with TGN underwent PRT, 39 underwent PSR, and 87 underwent MVD. Hospital type was the predominant determinant of procedure type; age, sex, and comorbidity were weak predictors. The RR for repeat procedures for PSR was 0.21 (95% CI: 0.07 to 0.65) and for MVD was 0.13 (95% CI: 0.05 to 0.35) compared with PRT (RR 1). For complications, the RR of PSR was 5.36 (95% CI: 1.46 to 19.64) and of MVD was 4.40 (95% CI: 1.44 to 13.42). Sex, urbanization, and comorbidity did not influence prognosis, but hospital and surgical volume did. In conclusion, although PSR and MVD are associated with a lower risk of repeat procedure than PRT, they seem to be more prone to complications requiring hospital readmission.
PL
Inwazyjne procedury stosowane w leczeniu nerwobólu trójdzielnego (NT) obejmują przezskórną termokoagulację prądem o częstotliwości fal radiowych (PRT), częściową rizotomię czuciową (PSR) i odbarczenie mikronaczyniowe (MVD). Za pomocą ogólnokrajowego holenderskiego rejestru wypisów oceniliśmy częstość wykonywania tych zabiegów i charakterystykę pacjentów, a także oceniliśmy niepowodzenia leczenia u każdego pacjenta poddanego PRT, PSR lub MVD w okresie od stycznia 2002 roku do grudnia 2004 roku. Uwzględniono jedynie pacjentów, których nie poddawano procedurze w poprzedzającym roku. Główną miarą wyniku leczenia było ponowne przyjęcie w celu powtórzenia procedury leczącej NT lub wystąpienie znanego powikłania w ciągu roku od pierwszego zabiegu. Porównywalność populacji pacjentów oceniono na podstawie wskaźnika skłonności uwzględniającego szpital, wiek, płeć i choroby współistniejące. Do obliczenia ryzyka względnego (RR) z 95% przedziałami ufności (CI) dla powtórzenia procedury lub wystąpienia powikłań wykorzystano warunkową regresję logistyczną dopasowaną względem wskaźnika skłonności. W czasie objętym badaniem, PRT wykonano u 672 chorych na NT, PSR - u 39 pacjentów, a MVD - u 87 pacjentów. Rodzaj szpitala był główną determinantą rodzaju procedury: wiek, płeć i choroby współistniejące były słabymi predyktorami. RR dla powtórzenia procedury w porównaniu z PRT (RR=1) wyniosło w przypadku PSR 0,21 (95% CI: 0,07 - 0,65), a dla MVD wyniosło 0,13 (95% CI: 0,05 - 0,35). RR wystąpienia powikłań wyniosło dla PSR 5,36 (95% CI: 1,46 - 19,64) a dla MVD wyniosło 4,40 (95% CI: 1,44 - 13,42). Płeć, stopień urbanizacji, ani choroby współistniejące nie wpływały na rokowanie; znaczenie rokownicze miały za to szpital i liczba wykonywanych zabiegów chirurgicznych. Podsumowując, chociaż PSR i MVD wiążą się z mniejszym ryzykiem powtórzenia procedury niż PRT, wydają się w większym stopniu związane z powikłaniami wymagającymi kolejnego przyjęcia do szpitala.
EN
INTRODUCTION: The contemporary health care system is increasingly becoming more responsive to the needs of patients and their families. Patients and family members have priority in decision-making. The family witnessed resuscitation refers to offering the option to a family member to remain present at their loved ones during the resuscitation. Objectives: To assess the effectiveness of educational sessions on the knowledge, attitudes, and experiences of nurses about family-resuscitation witnessed. MATERIAL AND METHODS: A quasi-experimental study was conducted in Lady Reading Hospital Peshawar, Khyber Pakhtunkhwa, Pakistan. The study was carried out over six months. In total, 31 participants were recruited in the study using a convenient sampling technique. Data were collected using a standard questionnaire. Sessions were conducted to educate nurses on resuscitation witnessed by the family. RESULTS: The mean age of the participants was 29.77 years. More than half (51.6%) of the participants were male. There was a significant difference between pre- and post-intervention knowledge (P=0.000), attitude (P=0.000), and experience (P = 0.000). There was also a positive association of knowledge with educational level (P=0.02), experience (P=0.001), and job position (P=0.001). Similarly, the attitude of the participants was also associated with experience (P=0.000) and education status (P=0.002). Additionally, the experience of the participants was also associated with education status (P=0.01) and Job Position (P=0.000). CONCLUSIONS: Educational interventions have a significant effect on the knowledge, attitude and experiences of nurses toward family witness resuscitation.
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