Background A multi-disciplinary led, charity-funded initiative was implemented to deliver an Activity Promotion Project (APP) on the older adult wards of a large teaching hospital, providing acute medical management for adults over 65 with complex needs. Introduction Previous local studies show that our patients are inactive, lonely and their activity is inhibited by ward culture. Cognitively impaired patients experiencing long delays for placement are often agitated and restless. Staff feel disheartened by their inability to spare time for non-medical needs. To respond to the Social Prescribing directive the APP aims to create a sustainable volunteer team to provide patients with company, stimulation and opportunities to be active. Methods A Volunteer and Activity Coordinator (VAC) was appointed to recruit, train and coordinate applicants for the volunteer role on the unit which is advertised on the trust website. Analysis of volunteer team impact has been through patient, carer and staff surveys. Observational studies recorded patients’ physical position, activity and company as well as use of the dayrooms before and during the project. Interventions Patients of all functional abilities can be referred by any staff member. Individual and group activities include conversation, games, reminiscence quizzes, lunch and tea parties, musical bingo, walking tours, trips to hospital facilities and gardens and visits from therapy dogs and musicians. Before discharge participating patients are given information about local social and exercise opportunities. Results All staff surveyed would recommend the project to colleagues, 97% thought it improved patient mood. One noted: ‘volunteers have created a new energy on the ward, the patients appear to be much more engaged and occupied, and the dayroom is being used as it is intended to be’. Observational data showed a change in the percentage of patients resting in bed from 59% before the intervention to 49% during and a decrease in patients who were alone from 83% to 60%. Conclusions The volunteer team has had a positive effect on ward culture and patient well-being and could be replicated in other ward settings. The programme’s impact is contingent on the consistency and reliability of volunteers, which makes the role of the VAC essential for careful management and communication of clear expectations. The VAC role will be proposed in business planning for next financial year.
The fungal gut microbiota (mycobiota) has been implicated in diseases that disturb gut homeostasis. However, little is known about functional relationships between bacteria and fungi in the gut during infectious colitis. We investigated the role of fungal metabolites during infection with the intestinal pathogen Salmonella enterica serovar Typhimurium. We found that in the gut lumen, both the mycobiota and fungi present in the diet can be a source of siderophores, small molecules that scavenge iron from the host. The ability to use fungal siderophores, such as ferrichrome and coprogen, conferred a competitive growth advantage to Salmonella strains expressing the fungal siderophore receptors FhuA or FhuE in vitro and in a mouse model. Our study highlights the role of inter-kingdom cross-feeding between fungi and Salmonella, and elucidates a new function for the gut mycobiota, revealing the importance of these under-studied members of the gut ecosystem during bacterial infection.
Introduction: Superior attachment of uncinate process is the most important anatomical landmark in frontal recess surgery. The uncinate process is an integral structure of osteomeatal complex and prevents the direct contact of the inspired air with the maxillary sinus. It acts as a shield and also plays a role in muco-ciliary activity. Anatomic variations of the uncinate process have surgical implications. Aim: This study was done to know the different variations of superior attachment of uncinate process. Materials and Methods: In this retrospective observational descriptive study, Computed Tomography (CT) scans of Para Nasal Sinuses (PNS) of 256 patients from Sept 2018 to May 2020 were studied. The results were expressed in percentages and proportions. Results: Among 256 CT images, 139 belonged to males and 117 females. In the CT films examined, on the right side, the most common attachment of uncinate was to lamina papyracea which was (64.8%) followed by skull base (19.5%) and to the middle turbinate(15.6%). Similar findings were seen on left side. Conclusion: Uncinate process shows different variations in its superior attachment. Superior attachment to lamina papyracea was the most common attachment of uncinate in our study.
The osteomeatalunit plays an important role in the development of chronic rhinosinusitis with nasal polyposis. Fifty patients were studied. Most were Caucasian and had moderate/severe allergic rhinitis symptoms. Mean Age was 36 (6 14.5) years. Rhinoseptoplasty was associated with improvement in all QOL scores irrespective of turbinate Intervention (P < 0.001). Analysis of covariance was conducted to control for potential confounders. There was no difference Between the groups in absolute score changes for Nasal Obstruction Symptom Evaluation-Portuguese (NOSE-p) (250.5 vs. 247.6; P 5 0.723), Rhinoplasty Outcome Evaluation (ROE) (47 vs. 44.8; P 5 0.742), and all World Health Organization Quality Of Life Scale-Abbreviated (WHOQOL-brief) score domains (P > 0.05). There were no differences between the groups regarding Presence of the complications. Surgical duration was higher in the EPIT group (212 minutes 6 7.8 vs. 159.1 6 5.6; P? 0.001). Fifty patients were studied. Most were Caucasian and had moderate/severe allergic rhinitis symptoms. Mean Age was 36 (6 14.5) years. Rhinoseptoplasty was associated with improvement in all QOL scores irrespective of turbinate Intervention (P < 0.001). Analysis of covariance was conducted to control for potential confounders. There was no difference Between the groups in absolute score changes for Nasal Obstruction Symptom Evaluation-Portuguese (NOSE-p) (250.5 vs. 247.6; P 5 0.723), Rhinoplasty Outcome Evaluation (ROE) (47 vs. 44.8; P 5 0.742), and all World Health Organization Quality Of Life Scale-Abbreviated (WHOQOL-brief) score domains (P > 0.05). There were no differences between the groups regarding Presence of the complications. Surgical duration was higher in the EPIT group (212 minutes 6 7.8 vs. 159.1 6 5.6; P? 0.001). Fifty patients were studied. Most were Caucasian and had moderate/severe allergic rhinitis symptoms. Mean Age was 36 (6 14.5) years. Rhinoseptoplasty was associated with improvement in all QOL scores irrespective of turbinate Intervention (P < 0.001). Analysis of covariance was conducted to control for potential confounders. There was no difference Between the groups in absolute score changes for Nasal Obstruction Symptom Evaluation-Portuguese (NOSE-p) (250.5 vs. 247.6; P 5 0.723), Rhinoplasty Outcome Evaluation (ROE) (47 vs. 44.8; P 5 0.742), and all World Health Organization Quality Of Life Scale-Abbreviated (WHOQOL-brief) score domains (P > 0.05). There were no differences between the groups regarding Presence of the complications. Surgical duration was higher in the EPIT group (212 minutes 6 7.8 vs. 159.1 6 5.6; P? 0.001). Fifty patients were studied. Most were Caucasian and had moderate/severe allergic rhinitis symptoms. Mean Age was 36 (6 14.5) years. Rhinoseptoplasty was associated with improvement in all QOL scores irrespective of turbinate Intervention (P < 0.001). Analysis of covariance was conducted to control for potential confounders. There was no difference Between the groups in absolute score changes for Nasal Obstruction Symptom Evaluation-Portuguese (NOSE-p) (250.5 vs. 247.6; P 5 0.723), Rhinoplasty Outcome Evaluation (ROE) (47 vs. 44.8; P 5 0.742), and all World Health Organization Quality Of Life Scale-Abbreviated (WHOQOL-brief) score domains (P > 0.05). There were no differences between the groups regarding Presence of the complications. Surgical duration was higher in the EPIT group (212 minutes 6 7.8 vs. 159.1 6 5.6; P? 0.001). Materials and Methods Observational Descriptive Study Design. Medical Records Department and CT Archives of Radiology Department, Father Muller Medical College Hospital(FMMCH), Mangalore. Three months after approval from ethics committee, data extraction period was from 29-09-2018 to 20-05-2020. Inclusion Criteria: All age group patients with chronic rhinosinusitis and nasal polyposis who underwent FESS in FMMCH, Mangalore from 29-09-2018 to 20-05-2020. Exclusion Criteria: Patients with Malignancy of nose and PNS, road traffic accident cases and Revision nasal surgery cases. Result and Discussion: In our study, 16(10.4%) patients were ≤20 years old, 32(20.8%) patients were 21-30 years old, 34(22.1%) patients were 31-40 years old, 28(18.2%) patients were 41-50 years old, 22(14.3%) patients were 51-60 years old, 14(9.1%) patients were 61-70 years old,7(4.5%) patients were 71-80 years old and 1(0.6%) patient was 81-90 years old. There were 70(45.5%) female patients and 84(54.5%) male patients. For complete disease clearance and safe performance of endoscopic sinus surgery a thorough knowledge of the CT scan of the paranasal sinuses is a necessary requirement in modern the modern endoscopic sinus surgery era. Hence a better understanding of the anatomy of the osteomeatal complex plays a vital role in the outcome of endoscopic sinus surgery performed for chronic rhinosinusitis. Conclusion: We concluded in our study that deviated nasal septum was seen in 83% of our patients which was the most common anatomical variant followed by concha bullosa, aggernasi, haller cell and paradoxical middle turbinate. The most common attachment of the uncinate process was to the lamina papyracea.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.