Background The reestablishment of continuity after Hartmann operation is considered a major surgical procedure with high morbidity and mortality. The optimal interval time between the Hartman procedure and reversal is controversial. Our study aimed to evaluate the effectiveness of laparoscopic Hartmann reversal and to determine the optimal timing of operation. Methods All patients who underwent laparoscopic Hartmann reversal from 2008 to 2019 (11 years) at the University Medical Center (UMC) in Ho Chi Minh City were recruited and divided into 2 groups according to the interval time (≤ 4 or > 4 months). The short-term operative outcomes of these groups were compared. Results There were 66 patients who underwent laparoscopic Hartmann reversal (mean age: 63.2 years old); ∼ 77% of them had colorectal cancer, and 17% had complicated diverticular disease. The mortality rate, anastomotic leakage rate, and overall complication rate were 0%, 1.5%, and 13.2%, respectively. Early operation was performed in 36 patients, and late reversal in 28 patients. There was no difference in mortality, anastomotic leakage, operative complications, and hospital stay between the two groups. Conclusion Laparoscopic Hartmann reversal was effective with acceptable morbidity and mortality at the UMC. There was no observed impact of the interval time between the Hartmann procedure and laparoscopic Hartmann reversal on the short-term operative outcomes.
Background: Internet addiction and poor sleep quality are two types of common mental health disorders among high school students. This study was conducted to determine the prevalence of poor sleep quality and its association with internet addiction in high school students. Methods: A cross-sectional study was conducted on 820 high school students in Dong Hoa town, Phu Yen province in April 2021. The students were requested to fill out a structured questionnaire. internet addiction was evaluated by the short version Internet Addiction Test (s-IAT). The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality. Results: The prevalence of poor sleep quality was 33.5% among high school students. The proportion of students with internet addiction evaluated by the s-IAT was 21%. The association between internet addiction and poor sleep quality remained statistically significant with p<0,001 (OR=2.98, 95% CI: 2.05-4.34) after adjusting for potential confounding variables. Conclusion: The proportions of internet addiction and poor sleep quality were high and there was an association between them. Students should not use the internet after 9 pm and should spend at least 8 hours each night on sleep.
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