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Does endoscopic intervention prevent subsequent gastrointestinal bleeding in patients with left ventricular assist devices?A retrospective study

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World Journal of Gastroenterology 2021年第25期27卷 3877-3887页

作者： Sonali Palchaudhuri Ishita Dhawan Afshin Parsikia edo y birati Joyce Wald Shazia Mehmood Siddique Laurel R Fisher Division of Gastroenterology and Hepatology University of PennsylvaniaPhiladelphiaPA 19104United States Division of Cardiovascular Medicine University of PennsylvaniaPhiladelphiaPA 19104United States

BACKGROUND Patients with left ventricular assist devices(LVADs)are at increased risk for recurrent gastrointestinal bleeding(GIB)and repeat endoscopic *** assessed the frequency of endoscopy for GIB in patients with LVADs and the impact of endoscopic intervention on preventing a subsequent *** To evaluate for an association between endoscopic intervention and subsequent *** aims were to assess the frequency of GIB in our cohort,describe GIB presentations and sources identified,and determine risk factors for recurrent *** We conducted a retrospective cohort study of all patients at a large academic institution who underwent LVAD implantation from January 2011–December 2018 and assessed all hospital encounters for GIB through December *** performed a descriptive analysis of the GIB burden and the outcome of endoscopic procedures *** performed multivariate logistic regression to evaluate the association between endoscopic intervention and subsequent *** In the cohort of 295 patients,97(32.9%)had at least one GIB hospital *** were 238 hospital encounters,with 55.4%(132/238)within the first year of LVAD *** resolved on its own by discharge in 69.8%(164/235)*** GIB occurred in 55.5%(54/97)of patients,accounting for 59.2%(141/238)of all *** the 85.7%(204/238)of encounters that included at least one endoscopic evaluation,an endoscopic intervention was performed in 34.8%(71/204).The adjusted odds ratio for subsequent GIB if an endoscopic intervention was performed during a GIB encounter was not significant(odds ratio 1.18,P=0.58).CONCLUSION Patients implanted with LVADs whom experience recurrent GIB frequently undergo repeat admissions and endoscopic *** this retrospective cohort study,adherence to endoscopic guidelines for performing endoscopic interventions did not significantly decrease the odds of subsequent GIB,thus suggesting the uniqueness of the LVAD pop

关键词： Gastrointestinal bleeding Left ventricular-assist device Endoscopic intervention,Inpatient care Hospital readmissions Recurrent bleeding

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Sexual Identity, Preference and Prevalence of Forced Sexual Intercourse among young People in an Urban Community in Ovia North East Local Government Area, edo State, Nigeria

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Advances in Sexual Medicine 2018年第3期8卷 25-38页

作者： C. Okafor Kingsley C. Azuike Emmanuel y. Adam Vincent Department of Public Health Federal Medical Centre Keffi Nigeria Department of Community Medicine Chukwuemeka Odumegwu Ojukwu University Teaching Hospital Awka Nigeria Department of Community Medicine University of Benin Teaching Hospital Benin City Nigeria

Background: young people are at risk of being victims or perpetrators ofcoerced or forced sexual sex. In predominantly low- and middle-income countries, this contributes significantly to their risk for HIV infection, unwanted pregnancy, and sexually transmitted diseases. Current trends show that young people sexual identity and preferences affect their sexual and reproductive health. Objective: This study aims to determine prevalence of coerced or forced sexual intercourse, sexual identity and sexual preferences of young people in Oluku Community, Ovia North East, Local Government, edo State, South Nigeria. Methods: A descriptive cross-sectional study conducted in June, 2013 using multi-stage sampling method. Results: A total of 400 young people participated in this study. The mean age was 17.8 ± 3.9 years. A higher proportion of respondents were of the Bini ethnic group 145 (36.3%). Most respondents were Christians 346 (86.5%) while 33 (8.2%) were Moslems. Majority of the respondents had secondary education 271 (67.8%), most were single 363 (90.8%) and were from families with a monogamous setting 289 (72.3%). The prevalence of forced sex was 12.9%, similarly, condom use during forced sex was 27.8%. More females (15.3%) than males (9.6%) had experienced forced sex;forced sex was common among young people from older age group, monogamous homes, and those living in a flat or self contained. Majority (95.3%) of adolescent’s sexual preference was vaginal, only a few preferred oral (3.3%) and anal sex (1.5%). Religion was associated with sexual preference and identity. The sexual identity of most (98.0%) young person’s was heterosexual (or different sex), while 0.5% were homosexual (or same sex) and 1.5% bisexual (or both). Conclusion and Recommendations: Legislation against forced and coerced sex, rape and other forms of sexual violence should be formulated and implemented.

关键词： Sexual Identity Sexual Preferences Homosexuals Forced/Coerced Sex young People

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