Students within community college (CC) systems are an at-risk group for alcohol use, presenting limitations for access to campus intervention programs. While the Brief Alcohol Screening and Intervention for College Students (BASICS) program is accessible online, the task of pinpointing at-risk community college students and subsequently linking them to intervention programs remains a significant obstacle. This research project introduced a novel social media strategy for identifying students at risk, leading to a quicker provision of BASICS.
A randomized, controlled trial investigated the practicality and approvability of Social Media-BASICS. Recruitment for the study involved five community centers as sources. Fundamental steps in the process incorporated a survey and the nurturing of social media relationships. Evaluations of social media profiles, based on monthly content analysis, took place during a nine-month period. Intervention prompts showcased alcohol references, signifying a rise or problematic alcohol usage patterns. Participants exhibiting such content were randomly assigned to either the BASICS intervention group or an active control group. selleck kinase inhibitor Measures and analyses were employed to determine the feasibility and acceptability of the process.
In a survey completed by 172 CC students, the average age was found to be 229 years, characterized by a standard deviation of 318 years. The group was largely composed of women (81%), with a notable portion (67%) identifying as White. Among the participants, a notable 120 (representing 70%) displayed posts about alcohol on social media, initiating their participation in intervention programs. From the group of randomized participants, 94 (93%) completed the pre-intervention survey in compliance with the 28-day post-invitation deadline. Participants largely reported favorable acceptance of the intervention.
The intervention combined two validated methods: the identification of problem alcohol use on social media and the provision of the Web-BASICS intervention. The findings confirm that innovative web-based approaches offer a viable path to connecting with individuals experiencing chronic health conditions.
By combining two validated methods, this intervention accomplished the identification of problematic alcohol use on social media and the provision of the Web-BASICS intervention. The findings support the viability of new web-based programs for reaching individuals within the CC population.

Evaluating the implications of sodium-glucose cotransporter 2 inhibitors (SGLT2i) use on complications such as euglycemic diabetic ketoacidosis [eDKA], mortality, infection, hospital and cardiovascular intensive care unit [CVICU] length of stay in cardiac surgical patients.
An analysis of previously collected data.
At the university hospital, where the study of medicine is interwoven with its practical application.
Adults who are having cardiac surgery.
A comparison between SGLT2i use and the non-usage of SGLT2i.
The study, conducted by the authors, investigated the prevalence of SGLT2i and the frequency of eDKA in patients undergoing cardiac surgery within 24 hours of admission to the hospital, covering the period from February 2, 2019 to May 26, 2022. Wilcoxon rank sum and chi-square tests were employed to compare the outcomes, as needed. The cardiac surgery cohort comprised 1654 patients; 53 (32%) of these received SGLT2i preoperatively; a subgroup of 8 (151% of 53) experienced eDKA. No significant differences were observed in hospital length of stay (median [IQR] 45 [35-63] days vs 44 [34-56] days, p=0.46), CVICU length of stay (median [IQR] 12 [10-22] days vs 11 [10-19] days, p=0.22), 30-day mortality rate (19% vs 7%, p=0.31), or sternal infections (0% vs 3%, p=0.69) between patients with and without SGLT2i use, according to the study. Hospital length of stay was akin across patients prescribed SGLT2i, irrespective of eDKA status (51 [40-58] days versus 44 [34-63] days, p=0.76); nevertheless, the CVICU length of stay was more extended for individuals with eDKA (22 [15-29] days compared to 12 [9-20] days, p=0.0042). Similarly low rates of mortality (00% vs 22%, p=0.67) and wound infections (00% vs 00%, p > 0.99) were observed.
Following cardiac surgery, a percentage of 15% of patients who had been on SGLT2i exhibited eDKA postoperatively, and this was connected to an increased length of stay within the Cardiovascular Intensive Care Unit. Future research into the perioperative utilization and management of SGLT2i is a high priority.
Prior to cardiac procedures, a noteworthy 15% of SGLT2i users experienced postoperative eDKA, a factor correlated with an extended CVICU length of stay. Future research must examine perioperative SGLT2i management strategies for a comprehensive understanding.

The catabolic state of peritoneal carcinomatosis is exacerbated by the high-risk cytoreductive surgery (CRS). Optimizing perioperative nutrition plays a pivotal role in achieving improved post-operative results. This systematic review analyzed the literature on the effects of preoperative nutrition status and interventions on clinical outcomes in patients undergoing combined CRS and HIPEC.
The PROSPERO registry (registration number 300326) holds details of the systematic review. Following the PRISMA guidelines, a comprehensive search of eight electronic databases was conducted on May 8th, 2022, and the results reported. Studies reporting on nutrition status in patients undergoing CRS with HIPEC, using screening instruments, nutritional assessment tools, interventions, or clinical outcomes directly related to nutrition, were part of this review.
After screening 276 studies, 25 were found to be relevant enough for inclusion in the review. CRS-HIPEC patients' nutrition assessments commonly use the Subjective Global Assessment (SGA), sarcopenia evaluated through computed tomography, pretreatment albumin levels, and body mass index (BMI). Surgical outcomes subsequent to SGA interventions were evaluated in three retrospective case studies. A statistically significant association was found between malnutrition and the development of postoperative infectious complications, particularly in patients classified as SGA-B (p=0.0042) and SGA-C (p=0.0025). A notable association between malnutrition and increased hospital length of stay (LOS) was established in two studies (p=0.0006, p=0.002), while another study linked malnutrition to lower overall survival rates (p=0.0006). Eight studies investigating preoperative albumin levels revealed diverse and contrasting connections to post-operative results. Five studies did not show a connection between BMI and the occurrence of morbidity. A single study contradicted the practice of routinely inserting nasogastric tubes (NGT).
Preoperative evaluation of nutritional status, encompassing tools like the SGA and objective sarcopenia assessments, can predict the nutritional state of CRS-HIPEC patients. selleck kinase inhibitor Optimizing nutrition is a significant factor in preventing complications.
Preoperative evaluation of nutritional status, encompassing tools like SGA and objective sarcopenia assessments, contributes to predicting nutritional standing in CRS-HIPEC patients. Proper nourishment plays a vital role in the prevention of complications.

Proton pump inhibitors (PPIs) prove successful in curtailing the formation of marginal ulcers post pancreatoduodenectomy. Still, the impact these elements have on the complications arising in the perioperative period has not been characterized.
The 90-day perioperative outcomes of all patients undergoing pancreatoduodenectomy at our institution between April 2017 and December 2020 were retrospectively assessed to investigate the impact of postoperative proton pump inhibitors (PPIs).
A sample of 284 patients was considered; 206 patients (72.5%) received perioperative PPIs, whereas 78 (27.5%) did not. The two cohorts demonstrated congruence in their demographic composition and operative variables. The postoperative analysis showed a statistically significant (p<0.005) increase in both overall complications (743% in the PPI group versus 538% in the control group) and delayed gastric emptying (286% versus 115%) in the PPI group. Despite this, there were no distinctions found in infectious complications, postoperative pancreatic fistulas, or anastomotic leakage. Multivariate analysis revealed that PPI use was independently associated with a more substantial risk of both overall complications (OR 246, CI 133-454) and delayed gastric emptying (OR 273, CI 126-591), as indicated by a p-value of 0.0011. Proton pump inhibitors were given to all four patients who experienced marginal ulcers within the ninety days post-operative period.
A pronounced link was established between postoperative proton pump inhibitor use and a more substantial rate of overall complications and slower gastric emptying following pancreatoduodenectomy.
A statistically significant relationship exists between postoperative proton pump inhibitor administration and a greater number of overall complications along with slower gastric emptying after undergoing pancreatoduodenectomy.

Performing a laparoscopic pancreaticoduodenectomy (LPD) presents a significant surgical challenge. Employing a multidimensional approach, we studied the learning curve (LC) characteristics of LPD.
A review of patient data involved those undergoing LPD surgery under a single surgeon's care, extending from 2017 to 2021. A multi-layered analysis of the LC was executed by integrating Cumulative Sum (CUSUM) and Risk-Adjusted (RA)-CUSUM strategies.
One hundred thirteen patients were chosen. Conversion rates, postoperative complications overall, severe complications, and mortality presented as 4%, 53%, 29%, and 4%, respectively. Based on RA-CUSUM analysis, competency exhibited a three-tiered pattern: procedures 1-51 representing foundational competence, procedures 52-94 highlighting proficiency, and procedures exceeding 94 indicating mastery. selleck kinase inhibitor Phase two and three exhibited significantly reduced operative times compared to phase one, as evidenced by the decreased durations (58,817 vs. 54,113 minutes, p=0.0001 in phase two, and 53,472 vs. 54,113 minutes, p=0.0004 in phase three). Complications were markedly less frequent during the mastery phase than the competency phase, with rates of 42% versus 6% respectively (p=0.0005).