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Patients and methods
PMC9926577
Data source and study cohort
OPSCC, Cancer
CANCER
From the Taiwan Cancer Registry Database (TCRD), we enrolled patients who had received a diagnosis of p16-negative OPSCC between January 1, 2008, and December 31, 2018. The follow-up duration was from the index date to December 31, 2019. Biomarkers commonly used in clinical practice include p16 expression (determined t...
PMC9926577
Selection of cases and controls
OPSCC, AJCC, Cancer
CANCER, METASTASIS, CANCER
Inclusion criteria were having a diagnosis of p16-negative OPSCC, being aged > 20 years, and having American Joint Committee on Cancer (AJCC) clinical stage I–IVA cancer without metastasis. The AJCC 8
PMC9926577
Study covariates
comorbidity
Comorbidities were scored using the Charlson comorbidity index (CCI).
PMC9926577
Statistical analysis
REGRESSION
The cumulative mortality rate was estimated using the Kaplan–Meier method. Differences between the pre-CCRT PET–CT and non-pre-CCRT PET–CT groups were determined using the log-rank test. After adjustment for confounders, the Cox proportional regression model was used to model the time from the index date to all-cause m...
PMC9926577
Results
PMC9926577
Survival curves of case and control groups
oropharyngeal squamous cell carcinoma
OROPHARYNGEAL SQUAMOUS CELL CARCINOMA
Figure Kaplan–Meier curves of overall survival for patients with all stages of p16-negative oropharyngeal squamous cell carcinoma receiving concurrent chemoradiotherapyKaplan–Meier curves of overall survival for patients with early stages of p16-negative oropharyngeal squamous cell carcinoma receiving concurrent chemor...
PMC9926577
Discussion
OPSCC, head and neck cancers, toxicity, stroke, AJCC
STROKE, RECURRENCE, CARDIOVASCULAR DISEASE, HEAD AND NECK CANCER
According to the NCCN guidelines [Most previous studies have investigated both p16-positive and p16-negative OPSCC [Many studies have reported that PET–CT can be used for determining the response to treatments, including CCRT, or for the detection of recurrence in head and neck cancers [Compared with the control group,...
PMC9926577
Conclusions
Routine use of pre-CCRT
PMC9926577
Acknowledgements
Lo-Hsu Medical Foundation, LotungPoh-Ai Hospital, supports Szu-Yuan Wu’s work (Funding Numbers: 110908, 10909, 11001, 11002, 11003, 11006. The data sets supporting the study conclusions are included in the manuscript.
PMC9926577
Author contributions
Conception and Design: Tsung-Ming Chen, MD; Wan-Ming Chen, MS, PhD; Mingchih Chen, PhD; Ben-Chang Shia, PhD; Szu-Yuan Wu, MD, MPH, PhD. Financial Support: Lo-Hsu Medical Foundation, LotungPoh-Ai Hospital, supports Szu-Yuan Wu’s work (Funding Number: 10908, 10,909, 11,001, 11,002, 11,003, 11,006, and 11,013). Collection...
PMC9926577
Funding
Lo-Hsu Medical Foundation, LotungPoh-Ai Hospital, supports Szu-Yuan Wu’s work (Funding Number: 10908, 10909, 11001, 11002, 11003, 11006.
PMC9926577
Availability of data and materials
Cancer
CANCER
We used data from the National Health Insurance Research Database and Taiwan Cancer Registry database. The authors confirm that, for approved reasons, some access restrictions apply to the data underlying the findings. The data used in this study cannot be made available in the manuscript, the supplemental files, or in...
PMC9926577
Declarations
PMC9926577
Ethics approval and consent to participate
Cancer
CANCER
The study protocols were reviewed and approved by the Institutional Review Board of Tzu-Chi Medical Foundation (IRB109-015-B). We used data from the National Health Insurance Research Database and Taiwan Cancer Registry database. The authors confirm that, for approved reasons, some access restrictions apply to the data...
PMC9926577
Consent for publication
Authors provide a full Transfer of Copyright to Journal of Otolaryngology-Head & Neck Surgery.
PMC9926577
Competing interests
Competing
No Competing interests.
PMC9926577
References
PMC9926577
Background
dengue
DENGUE, DISEASES, CHIKUNGUNYA
Arbovirus diseases such as dengue, Zika, and chikungunya are a public health threat in tropical and subtropical areas. In the absence of a vaccine or specific treatment, vector management (in this case the control of the primary vector
PMC10227988
Methods
DENGUE, DISEASE
Baseline surveys were conducted in 5,997 households, randomly selected from 24 clusters (neighbourhoods with on average 2000 houses and 250 households inspected) in the metropolitan area of Cucuta, Colombia. The study established population characteristics including water management and mobility as well as larval-pupal...
PMC10227988
Results
INFESTATION, DISEASE
In all 24 study clusters similar social and demographic characteristics were found but the entomological indicators and estimated disease incidence rates varied. The entomological indicators showed a high vector infestation: House Index = 25.1%, Container Index = 12.3% and Breteau Index = 29.6. Pupae per person Index (...
PMC10227988
Conclusions
The production of
PMC10227988
Supplementary Information
The online version contains supplementary material available at 10.1186/s12889-023-15893-4.
PMC10227988
Keywords
Open Access funding enabled and organized by Projekt DEAL.
PMC10227988
Introduction
dengue, Arboviral diseases, arboviral disease, Zika
ARBOVIRAL DISEASE, DENGUE, INFESTATION, CHIKUNGUNYA
Arboviral diseases such as dengue, Zika and chikungunya (DZC) are a public health threat in tropical and sub-tropical countries due to the increase of the global burden promoted by the rapid spread of their mosquito vectors, In Colombia, The transmission risk of arboviral disease outbreaks in endemic regions has tradit...
PMC10227988
Methods
PMC10227988
Place of study
DEL
The study was conducted within 2.5 months in 2019–20 in Metropolitan Cucuta in the North-East of Colombia, including the city of Cucuta (629,414), and two adjacent municipalities Villa del Rosario (93,735) and Los Patios (81,411 inhabitants) located in the Norte de Santander state [
PMC10227988
Study design and sample size
This is the baseline study (using a cluster design) for a large cluster randomized trial on the impact of treating water containers with a protective paint. The sample size was calculated for detection of a 50% reduction in the House Index with > 99% power at 5% significance level. Given a baseline HI of 30%, an intra-...
PMC10227988
Sampling procedure for household survey and entomological inspections
On the basis of available maps, the city was stratified into high, middle and low endemic/infested areas for Selection of clusters in CucutaMap shows the 16 clusters selected in Cucuta which were visited by interviewers and vector control staffVector control staff and trained interviewers participated in the survey. Th...
PMC10227988
Data collection
The baseline surveys included a household questionnaire and entomological survey (see Additional files
PMC10227988
Household questionnaire
Demographic and health data was collected through face-to-face interviews using a standard questionnaire that included both structured and semi- structured questions. Household questionnaire was adapted from published research in Colombia [
PMC10227988
Entomological survey
The standard entomological survey form was adapted following the guidelines of Standard Operational Procedures (SOPs) by WHO [
PMC10227988
Dengue surveillance and case definition
dengue fever, dengue, DF
DENGUE FEVER, DENGUE
Data of the national surveillance system were obtained from SIVIGILA (the national health surveillance system), aggregated by year and setting (study areas) over the study period. Notified dengue cases including those classified as dengue fever (DF) and severe dengue, relying on a clinical case definition or lab confir...
PMC10227988
Data management and analysis
DENGUE FEVER
Descriptive analyse and double data entry was practiced (to minimize data entry errors) into a database using Microsoft Office Excel software by an assistant and supervised by the research team. The analysis was done using SPSS software version 28.0.1.1 (15).Socio-demographic data were entered in a database. We assesse...
PMC10227988
Ethical considerations
ALBERT
The household questionnaire was only applied to adults who provided information related to the purpose of this study. No child or adolescent below the age of 18 was interviewed in this study. All people participating in the study were informed in local language through the study information sheet in a written and oral ...
PMC10227988
Results
In the baseline survey, a total of 5,997 households with 23,408 people in 24 clusters were visited by the field team. Some data were missing, or some questions were not answered by household participants, these values were excluded from the analysis.
PMC10227988
Peoples’ mobility
The insect vector
PMC10227988
Epidemiological information
dengue, arboviral disease
CHIKUNGUNYA, DENGUE, MIXED INFECTION, DEL, DENGUE, CHIKUNGUNYA, ARBOVIRUS DISEASE
Across all clusters, 2.0% (468/23,093) of household members reported to have had any arboviral disease (DZC) during the last 12 months (Dengue incidence was 0.84%). This ranged from 3.0% (116/3,814) in Los Patios, 2.3% (90/3,948) in Villa del Rosario, to 1.7% (262/15,331) in Cucuta. A small group of respondents (68 per...
PMC10227988
Dengue incidence notified by the National surveillance system, 2015–2021
dengue
DENGUE
During the 7-year period, 2015–2021, 8,190 dengue cases were notified by SIVIGILA in the study areas. The number of annual case notifications varied from a low of 333 cases in 2020 (173.1 per 100,000 population) to a high of 1,949 cases in 2019 (1,013.4 per 100,000 population), with a mean of 1,170 cases per year (inci...
PMC10227988
Most infested container types
A total of 14,386 water holding containers were found in the entomological inspection. These included containers used for water storage as well as some discarded mainly small containers not used for water storage but in which water had accumulated. Overall, the most common containers were concrete ground tanks (48.5%; ...
PMC10227988
Pupal productivity in different water container types
DEL
The total number of pupae collected across all cluster was 20,400. Of these 13,800 pupae were collected from the clusters in Cucuta (271 households) with a median of 50.9 total pupae per household; 2,328 pupae were collected from the 4 clusters of the municipality of Los Patios (80 households) with a median of 29.1 and...
PMC10227988
Ground tanks and water use
SEPARATION
Characteristics of the concrete ground tanks (Regarding the sources of drinking water, only 2.2% (133/5,997) of the houses take drinking water from these ground tanks while the majority uses it for laundry (97.8%) and drink water from the tap provided by the municipal water company. We observed in our survey that peopl...
PMC10227988
Willingness to receive a new vector control intervention
DISEASES, ARBOVIRUS DISEASE
The community in all clusters was interested in receiving the proposed novel vector control method (insecticidal coating for water containers). Overall, 88.3% of respondents held this view and there was no significant difference between clusters (5,296/5,997). The experience of the vector control staff (24 inspectors) ...
PMC10227988
Discussion
arboviral diseases
This study is designed as the baseline study for a large Cluster Randomized Trial (CRT) but provides also by itself important information on the: epidemiological, entomological, and socio-demographic characteristics and assesses the transmission risk of arboviral diseases in an endemic area of Colombia.
PMC10227988
Vector infestation level
The field team reported similar socio demographic characteristics in all clusters, but entomological characteristics were varied. High vector densities were found throughout all clusters. All clusters had a HI above 5% (range 6.0%-37.5%; Table
PMC10227988
Main Ae. aegypti breeding sites
Concrete ground tanks were the most common type of water containers in all clusters. The population in Cucuta has historically collected water for multiple uses as a common practice of their daily routine due to the occasional shortage of tap water which has been a continuous problem in the region and other parts of th...
PMC10227988
Vector control
In Colombia, vector control, such as the application of the organophosphate temephos in ground water containers, is generally only practiced in epidemic situations. For routine control, communities are recommended to keep containers covered and clean [This study showed that almost half of the population (48.7%) had not...
PMC10227988
Considerations for the forthcoming intervention study
toxicity, Chagas disease, leishmaniasis
SECONDARY, CHAGAS DISEASE, LEISHMANIASIS
This study provides cluster specific information on socio-economic indicators and cluster size, on the estimated mosquito abundance, the main breeding places and their pupal productivity, the type and size of water containers, water use for drinking and cleaning which should be considered for the planning of the interv...
PMC10227988
Limitations
infection
INFECTION
Although some studies have shown an association between arbovirus infection and occupation [
PMC10227988
Acknowledgements
DIAZ, DEL
The authors would like to thank the participating families in this study. We gratefully acknowledge the team of the Centre for Medicine and Society, Master Programme Global Urban Health at Freiburg University, particularly Dr. Sonia Diaz for her encouragement and support on this work. We thank the vector control team i...
PMC10227988
Authors’ contributions
MP
All authors contributed to the concept and design of the study. MAC, RCS and AK did the interviewer training, and drafted the paper. All authors read and approved the study and the procedures. MAC and RCS prepared the submission to the ethical committee and prepared the logistics. MAC, RCS and JY prepared the field stu...
PMC10227988
Funding
Open Access funding enabled and organized by Projekt DEAL. MAC and RCS received a scholarship for their doctoral studies from the Ministry of Science, Technology and Innovation (Minciencias) and the State of Norte de Santander in Colombia (Grant number: 753, program: The article processing charge was funded by the Germ...
PMC10227988
Availability of data and materials
All data generated or analysed during this study are included in this published article (Additional file
PMC10227988
Declarations
PMC10227988
Ethics approval and consent to participate
The participation in this study was voluntary, anonymous and did not represent a risk for the participants or their families. This study did not include human participants that are minors. Socio-demographic information was provided by a household participant (the head of house or parent) who had to be at least 18 years...
PMC10227988
Consent for publication
Not applicable.
PMC10227988
Competing interests
The authors declare no competing interests.
PMC10227988
References
PMC10227988
Background
This study aimed to determine the effect of telephone counseling based on Orem’s Self-Care Model on adherence to treatment and resilience of patients with coronary angioplasty.
PMC10552216
Methods
cardiovascular and respiratory diseases
This randomized clinical trial was performed on 80 patients in the Cardiac Intensive Care Unit of Shiraz University of Medical Sciences. Patients were randomly divided into two groups of 40 (intervention and control). Questionnaires on adherence to treatment of chronic patients and resilience for patients with cardiova...
PMC10552216
Results
Before the intervention, no significant difference was found between the groups about adherence to treatment and resilience. However, after the intervention, a significant difference was found between the groups as to adherence to treatment and resilience (P < 0.001).
PMC10552216
Conclusion
Nursing consultation using telephone calls based on Orem’s model increases the adherence to treatment and resilience of patients undergoing coronary angioplasty. Telephone counseling can help the patients adhere to their treatment plans and develop resilience skills.
PMC10552216
Keywords
PMC10552216
Introduction
death, traumatic, disability, ’
DISORDER, CARDIOVASCULAR DISEASE, DISEASE, EVENTS, CORONARY ARTERY DISEASE, COMPLICATIONS
Cardiovascular diseases are predicted to be the main cause of death and disability in the world by 2030 [One of the behaviors related to the disease and self-care is patients’ adherence to a treatment regimen that can predict successful treatment and reduce the severity of the disease and its complications [Resilience ...
PMC10552216
Methods
PMC10552216
Design
The present study was a randomized clinical trial. This was registered in the Iranian Registry of Clinical Trail (Number IRCT20210303050562N1, approved 18/06/2021). (
PMC10552216
Setting
The study was performed at eight Cardiac Intensive Care Unit (CCU) wards in the hospitals affiliated with Shiraz University of Medical Sciences in 2021.
PMC10552216
Eligibility criteria for participants
mental illness
The inclusion criteria of the study were being hospitalized post-PCI patients; ranging in age from 18 to 65 years; being able to communicate and no hearing or speech problems; having access to mobile or landline phone and ability to use it; being able to read and write; and being able to perform daily activities. On th...
PMC10552216
Sample size
The research sample size was determined using medcalc software and the study conducted by Akhu-Zaheya et al. (2017) [
PMC10552216
Randomization
BLIND
To conduct the randomization, we firstly selected eight CCU wards as eight separate strata. Then, using a statistical software and eight separate strata, we prepared a list of random allocation for 80 subjects. A statistician who was not a member of the research team generated the list and made sequentially numbered co...
PMC10552216
Blinding
BLIND
In this study, the individual who collected the data and the statistician were blind to the groups. Also, the outcomes were assessed by a blinded examiner before and 8-weeks after the intervention. Moreover, the researcher who selected the participants and allocated them to the groups was blind to them. Flowchart of th...
PMC10552216
The intervention
heart disease
DISEASE, HEART DISEASE
In the interventional group, in addition to educational pamphlets and routine hospital care, telephone counseling was performed for 8 weeks. It was conducted by a MSc nurse that had 3 years of experience working as a nurse in CCU wards. Each patient gave us his/her contact number as well as that of a family member; the...
PMC10552216
The control group
DISEASE
The control group received routine care without any interventions. The patients received the routine care as follows: educational pamphlets and standard hospital care including education about diet, activity, medications, and educational pamphlets about disease and medicine, and the way to see a doctor at the time of d...
PMC10552216
Outcomes
diabetes
HYPERLIPIDEMIA, HYPERTENSION, HEART DISEASE, DIABETES
Data collection tools included demographic and clinical characteristics forms, adherence to treatment of chronic patients (Modanloo 2013) [The demographic and clinical characteristics form which was collected at a baseline included information on the patient’s age, gender, marital status, educational level, job, body m...
PMC10552216
Adherence to treatment
Modanloo’s Chronic Patients Adherence Questionnaire was used to assess adherence to the treatment of heart patients in various dimensions (acceptance of medication, diet, weight control, physical activity, follow-up time for treatment, and lifestyle changes). This scale has 40 items in the form of 7 subscales in the ar...
PMC10552216
Resilience
cardiovascular and respiratory diseases
Resilience for patients with cardiovascular and respiratory diseases was designed by Ebadi et al. in 2016. This scale has 29 items with 5 subscales in the dimensions of positive adjustment (10 questions), self-management dimension (7 questions), rational empowerment dimension (7 questions), treatment adherence dimensio...
PMC10552216
Ethical considerations
We obtained the code of ethics (1400.167. IR.SUMS.REC) from the Research Ethics Committee of Shiraz University of Medical Sciences; we also obtained permission from the University of Medical Sciences and related hospitals. The written informed consent was signed by the participants in the study. They were assured of th...
PMC10552216
Statistical analyses
diabetes
HEART DISEASE, HYPERLIPIDEMIA, REGRESSION, HYPERTENSION, DIABETES
To describe the findings, we used the mean, frequency percentage, variance, and standard deviation. To determine the confounders and other factors that might be associated to adherence to treatment and resilience, we used multiple linear regression analysis. It showed that age, gender, marital status, educational level...
PMC10552216
Results
PMC10552216
Sample characteristics
The final sample of 80 respondents was randomly assigned into two groups of 40, intervention and control subjects. The youngest participant in this study was 41 years old and the oldest was 65 years old, and the mean age of the participants was 56.60 ± 5.546 years. According to the Mann-Whitney test, there was no signi...
PMC10552216
Discussion
heart failure, cardiovascular diseases
HEART FAILURE, CARDIOVASCULAR DISEASES
The results of the study showed that there was a difference between the two groups in terms of adherence to treatment and resilience after the intervention. The results of the present study also showed that the mean scores of adherence to treatment and resilience were significantly different in the intervention group b...
PMC10552216
Conclusion
DISEASE, COMPLICATIONS
The results of the present study showed that nursing counseling by telephone based on the Orem’s model increased the adherence to treatment and resilience of patients who had undergone coronary angioplasty. Therefore, mobile counseling, as an inexpensive method, can change the focus of the treatment and care from the c...
PMC10552216
Acknowledgements
RCC
RCC
This article is the result of a Master’s thesis (NO: 22289) in the School of Nursing and Midwifery of Shiraz University of Medical Sciences. We would like to express our sincere thanks and appreciation to the Vice Chancellor for Research and Graduate Studies of the University, the esteemed officials and staff of the ho...
PMC10552216
Author contributions
Khatereh Rostami, Mahsa Maryami, and Masoume Rambod contributed to this study. All of the authors participated in conceptualization, designed, drafted, read, and revised the manuscript, and approved the study and manuscript. Khatereh Rostami, Mahsa Maryami, and Masoume Rambod participated in data collection management....
PMC10552216
Funding
This work was supported by Shiraz University of Medical Sciences, Shiraz, Iran. (NO: 22289)
PMC10552216
Data Availability
The data that support the findings of this study are available from [Khatereh Rostami], but restrictions apply to the availability of these data, which were used under license for the current study, so they are not publicly available. Data are, however, available from the authors upon reasonable request and with permis...
PMC10552216
Declarations
PMC10552216
Ethics approval and consent to participate
We obtained the code of ethics (1400.167. IR.SUMS.REC) from the Research Ethics Committee of Shiraz University of Medical Sciences and we confirm that all methods were performed in accordance with the relevant guidelines and regulations. The study received the code of IRCT20210303050562N1 (Registration date: 18/06/2021...
PMC10552216
Consent for publication
Not applicable.
PMC10552216
Competing interests
The authors declare that they have no competing interests.
PMC10552216
References
PMC10552216
Background
shock
SHOCK
High dose vasopressors portend poor outcome in vasodilatory shock. We aimed to evaluate the impact of baseline vasopressor dose on outcomes in patients treated with angiotensin II (AT II).
PMC10163684
Methods
hypotensive, Shock, shock
HYPOTENSIVE, SHOCK, SHOCK
Exploratory post-hoc analysis of the Angiotensin II for the Treatment of High-Output Shock (ATHOS-3) trial data. The ATHOS-3 trial randomized 321 patients with vasodilatory shock, who remained hypotensive (mean arterial pressure of 55–70 mmHg) despite receiving standard of care vasopressor support at a norepinephrine-e...
PMC10163684
Results
Of 321 patients, the median baseline NED in the low-NED subgroup was similar in the AT II (n = 56) and placebo (n = 48) groups (median of each arm 0.21 µg/kg/min,
PMC10163684
Supplementary Information
The online version contains supplementary material available at 10.1186/s13054-023-04446-1.
PMC10163684
Keywords
PMC10163684
Introduction
death, shock
VASODILATORY SHOCK, SHOCK
Vasodilatory shock is the most common form of shock and can result in high rates of organ failure and death [Angiotensin II (AT II) is an endogenous peptide hormone and a component of the renin–angiotensin–aldosterone system (RAAS). This compound has a unique mechanism of action, distinct from those of catecholamines a...
PMC10163684
Methods
PMC10163684
Study design
The design of ATHOS-3 has been previously reported [
PMC10163684
Patients
shock
SHOCK
Patients enrolled in ATHOS-3 were ≥ 18 years of age with vasodilatory shock, MAP of 55–70 mmHg, despite adequate volume resuscitation and receipt of vasopressors at a dose > 0.2 µg/kg/min NED for 6–48 h prior to enrollment; background vasopressor use was not standardized and included catecholamines and vasopressin base...
PMC10163684