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Patent hemostasis of radial artery:Comparison of two methods

World Journal of Cardiology 2021年第10期13卷 574-584页

作者： Vassileios Kyriakopoulos Andrew Xanthopoulos Michail Papamichalis Spyridon Skoularigkis chara tzavara Emmanouil Papadakis Sotirios Patsilinakos Filippos Triposkiadis John Skoularigis Department of Cardiology Konstantopoulio General HospitalAthens 14233Greece Department of Cardiology University Hospital of LarissaLarissa 41110Greece Department of Health Medical SchoolUniversity of AthensAthens 11527Greece

BACKGROUND Radial artery obstruction is the most common complication of coronary angiography performed via transradial *** hemostasis can significantly reduce the risk of radial artery *** studies utilized sophisticated methods to evaluate radial artery *** and easily applicable methods for successful patent hemostasis are currently *** To determine which method(pulse oximeter vs the traditional radial artery palpation)is better to achieve patent *** This prospective,single center study included 299 consecutive patients who underwent coronary angiography or percutaneous coronary intervention between November 2017 and July *** less than 18 years old,with a history of radial artery disease,or no palpable artery pulse were excluded from the *** were randomly assigned to two *** the first group,radial artery flow was assessed by palpation of the artery during hemostasis(traditional method).In the second group,radial artery patency was estimated with the use of a pulse *** different compression devices were used for hemostasis(air chamber and pressure valve).The primary study endpoint was the achievement of successful patent *** The two groups(pulse oximeter vs artery palpation)had no significant differences in age,sex,body mass index,risk factors,or comorbidities except for supraventricular *** percentage of patients with successful patent hemostasis was significantly higher in the pulse oximeter group(82.2%vs 68.1%,P=0.005).A lower percentage of patients with spasm was recorded in the pulse oximeter group(9.9%vs 19.0%,P=0.024).The incidence of local complications,edema,bleeding,hematoma,vagotonia,or pain did not differ between the two *** the multivariate analysis,the use of a pulse oximeter(OR:2.35,95%CI:1.34-4.13,P=0.003)and advanced age(OR:1.04,95%CI:1.01-1.07,P=0.006),were independently associated with an increased probability of succe

关键词： Radial access Patent hemostasis Palpation Oximeter Coronary angiography Radial artery occlusion

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Testing the value of simple arterial blood pressure measurements in a Greek children’s hospital

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Open Journal of Pediatrics 2013年第2期3卷 108-115页

作者： Konstantinos Tsoumakas Konstantina Giamaiou chara tzavara Vasiliki Matziou Ioannis Elefsiniotis Evangelia Lagona Centre for Health Services Research Department of Hygiene Epidemiology and Medical Statistics Athens University Medical School Athens Greece Faculty of Nursing National and Kapodistrian University of Athens Athens Greece First University Department of Paediatrics “Aghia Sophia” Children’s Hospital Athens Greece

Arterial hypertension begins in childhood and may continue, without intervention, throughout adulthood with severe health *** base of timely diagnosis is the systematic blood pressure (BP) measurement. Background: The study aims at revealing the level of parental and community awareness and testing the value of a simple measurement in uncovering children who need further assessment when performing an in-hospital BP screening. Methods: BP was measured in 600 children (0 - 17 yr, mean age 5.1 ± 4.3 yr) at a Children’s hospital. Parents were asked to fill in a specially structured questionnaire. Results: In 47.2% of the subjects (40.1% of them were Greeks and 60.6% foreigners), BP had never been checked before (p arterial BP had never been checked before. Surprisingly, a health certificate was issued for school purposes for 81.2% of the schoolchildren of this study, and 75.3% of the enrolled children were allowed to participate in sports clubs without first checking BP. Moreover, parents demonstrated a low level of alertness with respect to paediatric hypertension. Conclusions: Simple arterial BP measurements can ensure early detection and thus early referral to specialists.

关键词： Children Hypertension Blood Pressure Screening Community Awareness

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Reliability and validity of the Strengths and Difficulties Questionnaire in Greek adolescents and their parents

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Health 2013年第11期5卷 1774-1783页

作者： George Giannakopoulos Christine Dimitrakaki Kalliroi Papadopoulou chara tzavara Gerasimos Kolaitis Ulricke Ravens-Sieberer Yannis Tountas Centre for Health Services Research Department of Hygiene Epidemiology and Medical Statistics Athens University Medical School Athens Greece Centre for Health Services Research Department of Hygiene Epidemiology and Medical Statistics Athens University Medical School Athens Greece Department of Child Psychiatry Athens University Medical School Aghia Sophia Children’s Hospital Athens Greece Centre for Health Services Research Department of Hygiene Epidemiology and Medical Statistics Athens University Medical School Athens Greece Department of Child Psychiatry Athens University Medical School Aghia Sophia Children’s Hospital Athens Greece Faculty of Early Childhood Education Athens University School of Education Athens Greece Robert Koch Institute Child and Adolescent Health Berlin Germany

The Strengths and Difficulties Questionnaire (SDQ) is a brief screening measure of emotional and behavioural difficulties in children and adolescents. The aim of this study was to assess reliability and validity of the Greek version of the SDQ. A representative Greek sample of 1194 adolescents (aged 11 to 17 years) and their parents completed the SDQ along with other measures. Internal consistency reliability was determined by calculation of the Cronbach α coefficient. Varimax Orthogonal Transformation was conducted to test the factor structure of the questionnaire. Validity was further examined by investigating the correlation of the SDQ with the KIDSCREEN questionnaire and its association with demographic factors. The inter-rater agreement between parent and self-reports was analyzed with Pearson’s correlation coefficient. Intra-class correlation coefficients (ICCs) were computed to determine test-retest stability. For both parent and the self-report SDQ versions, most items loaded onto their predicted factors in consistency with the originally proposed five-factor structure. Internal consistency reliability was acceptable with a Cronbach α above 0.70 for all SDQ scales except for conduct and peer problems. Inter-rater correlations ranged from 0.33 to 0.45. Test-retest stability was good (ICCs > 0.60). Correlation coefficients between the SDQ and KIDSCREEN questionnaire were significant. Small effect sizes (d > 0.5) of the socioeconomic status were found for all of the SDQ scale mean scores. In conclusion, the SDQ was found to have satisfying psychometric properties and could be suitable for assessing emotional and behavioural problems in Greek adolescents.

关键词： Adolescents Emotional and Behavioural Problems Strengths and Difficulties Questionnaire Reliability Validity

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