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The diagnosis of asymptomatic cardiac myxoma was present in 28.4% of patients, with an increasing trend for incidence over the years. This is possibly due to increased opportunistic screening (with electrocardiogram and clinical examination) as well as higher usage of medical imaging.INTRODUCTION Stroke is a leading cause of death and disability, with the administration of reverse transcriptase-plasminogen activator (rtPA) improving outcomes in a time-dependent manner. Only 52.3% of our eligible stroke patients received rtPA within 60 minutes of arrival. We aimed to better the percentage of acute stroke patients receiving rtPA within 60 minutes of arrival at the emergency department (ED). METHODS Results from the first year of a clinical practice improvement project, where quality improvement interventions were implemented, are presented. Primary outcome measure was percentage of acute ischaemic stroke patients receiving rtPA within 60 minutes of arrival at ED. Secondary outcome measures included time periods forming total door-to-needle (DTN) time and factors for delay to thrombolysis. Interventions introduced were establishment of standardised acute stroke activation guidelines, screening question at ED registration, prehospital notification of stroke activation, public education, scripting for thrombolysis consent and easy access to equipment. RESULTS Percentage of patients thrombolysed within 60 minutes increased to 60.6% (p = 0.27) and DTN time decreased from 59 minutes to 54.5 minutes (p = 0.15). These were due to reduced door-to-physician time, door-to-imaging time and decision time, though not significantly. There was no significant increase in symptomatic intracranial haemorrhage or mortality secondary to stroke. There was significant reduction in length of stay by 1.5 days (p less then 0.048). CONCLUSION The interventions resulted in an increasing but non-significant trend of acute stroke patients receiving thrombolysis within 60 minutes. Outcomes will be monitored for a longer duration to demonstrate trends and sustainability.Objectives To determine the complete range of carious conditions and furthermore to compare the risk factors and patterns of dental caries amongst schoolchildren aged 12 and 15 years in Bhubaneswar. Material and Methods Cross-sectional descriptive survey was performed among 800 schoolchildren to assess the dental caries status by Caries Assessment Spectrum and Treatment (CAST) scoring. Chi-square, parametric t-test, one-way ANOVA with post hoc Bonferroni and stepwise multiple linear regression were utilized for statistical analysis. Results Study population comprised of 476 (59.5%) boys and 324 (40.5%) girls, of which 356 (44.5%) and 444 (55.5%) represented the 12- and 15-years age group respectively. Prevalence of dental caries was 60.6% (Mean 0.38+0.545). Younger age group children presented a significant (p less then 0.05) lower caries prevalence (54.8%) as against 65.3% in 15 years children. Majority, 189 (23.6%) revealed distinct visual change in enamel (code 3). Acuteness of disease constructed on maximum CAST score for each subject showed that teeth with morbidity (28.5%) is higher followed by reversible pre-morbidity (23.6%) and serious morbidity (6.5%). Predominantly first molars were generally influenced. Significant interpreters in plunging order for DMFT were frequency of cleaning teeth and sweet score. Conclusions A creative instrument named CAST index describes full continuum of dental caries. Its utilization in epidemiological studies is exceptionally encouraging as it is less tedious and more cost effective. It can possibly be a useful tool for planning caries control programs in both individual and community levels. Idasanutlin mouse © Copyright by the National Institute of Public Health - National Institute of HygieneBackground Diet and physical activity are very important lifestyle features with an impact on the development and proper functioning of the body. Objective The aim of the study was to assess the relationship between the level of physical activity and selected somatic indicators and the diet quality of students studying in the field of Health Sciences. Material and methods The studied group consisted of 609 students aged 18-30. The study identified four categories of diet quality indicators based on the index of a healthy diet and the index of an unhealthy diet. These indicators were subjected to statistical analysis in relation to the level of physical activity determined by the International Physical Activity Questionnaire (IPAQ) method and selected somatic features of the subjects Body Mass Index (BMI), Waist-Hip Ratio (WHtR) and Waist Circumstance (WC). Results A high level of physical activity statistically significantly differentiated the categories of diet quality indicators. A larger percentage of respondents with a high level of physical activity had an indicator with the best health features of diet characteristics among all diet quality indicators selected in the study. Also, obesity according to the BMI and abdominal obesity with a high risk of metabolic complications according to the WC index statistically significantly differentiated the categories of diet quality indicators. A larger percentage of obese subjects according to BMI and WC, characterized the indicator about the worst health features of diet among all diet quality indicators selected in the study. Conclusions Education programs related to healthy eating should be implemented among students of Health Sciences, especially those who are overweight or obese. © Copyright by the National Institute of Public Health - National Institute of HygieneBackground Mistakes in dietary choices and an unbalanced diet reduce the exercise capacity of athletes. Nutritional behaviours are conditioned by environmental and individual factors. Objective The aim of the study was to assess the scale of improper eating behaviours among high-performance Polish athletes depending on gender, sports level and type of discipline. Material and methods The study was conducted among 610 athletes (391 men and 219 women). The group consisted of 289 athletes of individual disciplines and 321 team sports athletes representing the championship sports class (282 individuals) as well as the first and second classes (328 subjects). The authors’ validated nutritional behaviour questionnaire was used, referring to the recommendation of the Swiss nutrition pyramid for athletes. In statistical analysis, the Chi2 test was applied (α=0.05). Results Athletes most often demonstrated improper behaviours regarding insufficient frequency of consuming vegetable fats (61.78%), fruits (59.89%), wholegrain products (59.
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