ABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Adolescent , Young Adult , Adult , Middle Aged , Mobile Applications , Smartphone , Asthma/drug therapy , Treatment Adherence and Compliance , Administration, Inhalation , Prospective StudiesABSTRACT
BACKGROUND AND AIMS: Early oral feeding after colorectal resections is one of the many factors that contributes to enhance recovery after surgery, mainly impacting on postoperative ileus. The aim of this study was to evaluate the impact of early postoperative oral feeding in patients undergoing elective colorectal resection. METHODS: Patients were randomly assigned to either a conventional postoperative dietary regimen or a free diet on the first postoperative day. RESULTS: Altogether 29 patients were enrolled. Clinical characteristics were similar in both groups. Good nutritional status was seen in 86% of patient in the traditional care (TRAD) group versus 46% in the early fed (EF) group (p<0.05). There was no difference between groups in terms of procedures. Median hospital stay was 5.0 days in the TRAD group versus 3.0 days in the EF group (p<0.05). Complication rates and acceptance of diet were similar in both groups. Diarrhea occurred more frequently in the TRAD group (OR=1.86; IC 95%:1.08-3.20). CONCLUSION: Early oral intake is well tolerated, leads to significant shorter hospital stay and does not increase complications.
Subject(s)
Colon/surgery , Nutritional Support/methods , Postoperative Care/methods , Adult , Aged , Anastomosis, Surgical , Colorectal Surgery , Female , Humans , Ileus/prevention & control , Length of Stay , Male , Middle Aged , Pilot Projects , Postoperative Complications/epidemiology , Young AdultABSTRACT
UNLABELLED: It was the aim of this study to compare the diagnostic properties of two second generation anti-CCP antibodies assays (Quanta Lite CCP, Inova and EliA CCP, Phadia) with an assay containing a new antigen mixture (Quanta Lite CCP 3, Inova) and RF IgM. METHODS: Sera from 86 RA patients and 90 control patients with other diseases, such as infections, connective tissue diseases, or other rheumatic diseases, were analysed using the four different methods. Specificity (84.4%) and PPV (80.3%) were lowest for RF IgM and highest for EliA CCP (specificity 97.8%, PPV 96.7%), the other values being close to those of EliA CCP. Sensitivity was highest for Quanta Lite CCP (73.3%). Efficiency was highest for Quanta Lite CCP (84.1%) at the lower cut off followed by EliA CCP at both cut offs (83.0%). The discrimination between RA sera (mean value 407.67 U/ml) and control sera (4.54 U/ml) and the relative risk (23.34) were best for EliA CCP. The results of this study reveal that there was no advantage of the anti-CCP antibodies assay applying a new antigen mixture (Quanta Lite CCP 3 ELISA) compared to two second generation anti-CCP antibodies assays (Quanta Lite CCP ELISA and EliA CCP).
