Sudden natural death ‘at the wheel’: a retrospective study over a 15-year time period (1982–1996)

1999 ◽  
Vol 103 (2) ◽  
pp. 101-112 ◽  
Author(s):  
A Büttner ◽  
Miriam Heimpel ◽  
W Eisenmenger
Author(s):  
Maria Grazia Cagetti ◽  
Araxi Balian ◽  
Nicole Camoni ◽  
Guglielmo Campus

A retrospective study was performed to verify if the number of admissions for urgent dental care in the Urgent Dental Care Service of San Paolo Hospital in Milan (Italy) was directly related to the different phases of the COVID-19 pandemic. Different periods were analyzed: 25 March–5 April 2019 (pre-COVID); 23 March–3 April 2020 (lockdown); 8 June–19 June 2020 (reopening); and November 9–November 20 (second wave). Raw data regarding admissions, diagnoses, and treatments were extracted. Descriptive and bivariate analyses were performed. The survey included 901 admissions, 285 in pre-COVID, 93 during lockdown, 353 in reopening, and 170 in the second wave. In each time period, statistically significant differences were found in the prevalence of each kind of diagnoses (χ2(3) = 20.33 p = 0.01 for endodontic emergencies, χ2(3) = 29.05 p < 0.01 for cellulitis/phlegmon, χ2(3) = 28.55 p < 0.01 for periodontal emergencies, Fisher’s Exact Test p < 0.01 for trauma, and χ2(3) = 59.94 p < 0.01 for all other kinds of diagnosis). A remarkable increase in consultations (+186.36%) and other treatments (+90.63%) occurred during reopening. Tooth extraction was the most frequently delivered treatment, but suffered the largest reduction during lockdown (−79.82%). The COVID-19 pandemic has highly affected dental activity in north Italy, underling the weaknesses of a private dental system in a pandemic scenario.


1987 ◽  
Vol 27 (2) ◽  
pp. 79-84 ◽  
Author(s):  
C. P. David ◽  
Khin Khin Sein ◽  
Hau Kong Lung

A five year survey established interstitial pneumonitis to be the major cause of sudden and unexpected death under the age of 40. A total of 255 cases was reviewed. There was prevalence in infants under the age of 12 months and in the males of the other age groups. 79.9 per cent of cases died in their sleep and 38.8 per cent had preceding ‘flu’-like symptoms. Chronic heart or lung diseases were present in 7.8 per cent of cases. The influenza group of viruses is suggested to be the aetiological agent and further studies are being planned.


2008 ◽  
Vol 47 (01) ◽  
pp. 08-12 ◽  
Author(s):  
C. Happel ◽  
N. Döbert ◽  
F. Grünwald ◽  
L. Spilker

SummaryAim: The effectiveness of radioiodine therapy (RIT) is proven. The aim of this study was to determine, how much time passes between diagnosis of thyroid autonomy or occurrence of functional and/or local symptoms on one hand and RIT on the other hand. Patients, methods: This retrospective study comprises 196 patients, who were treated with radioiodine for thyroid autonomy between 2002 and 2005. Evaluated parameters are begin of functional and/ or local symptoms, first scintigraphy with relevant Tc-Uptake as time point of primary diagnosis of thyroid autonomy and time point of implementation of RIT. Results: Between first scintigraphy with relevant Tc-Uptake and implementation of RIT 0–72 months passed (median: 3 months). 160 patients (81.6%) had a prior diagnosis of goitre by their general practitioner and 163 patients (83.3%) had a prior diagnosis of TSH suppression. The time period between first recommendation of RIT and implementation of RIT was 0–89 months (median: 2 months). In 142 patients (71.4%) functional and/or local symptoms were present over 73 months (median; range: 0–180 months) before the first scintigraphy with therapy relevant Tc-Uptake was conducted. Conclusion: Despite clear recommendations in corresponding guidelines too much time passes between first symptoms (median: 73 months), primary diagnosis of therapy relevant thyroid autonomy (median: 2 months) and implementation of RIT. Patients with functional and/or local symptoms should be examined for thyroid autonomy early. If thyroid autonomy is proven, RIT should be planned immediately, especially in high-risk patients.


Author(s):  
Zainab Yahaya

A four-year retrospective study was conducted to determine the distribution of parasitic diseases of sheep encountered at the zonal veterinary clinic katsina from 2012 to 2015. A total of 391 cases were recorded during the time period, out of which 115 cases of parasitic diseases were identified. The obtained data were subjected to statistical analysis using descriptive statistics. The result indicated that the overall prevalence of parasitic diseases is 29.40%, with helminthosis (26.60%) as the most prevalent parasitic disease in the study area. Other parasitic diseases of sheep identified during the study are lousiness (0.77%), coccidiosis (1.53%), and tick infestation (0.24%). It is recommended that farmers should be enlightened on the menace of these parasitic diseases, with emphasis on routine deworming, and use of appropriate drugs for prevention and control of these parasitic diseases.


2017 ◽  
Vol 56 (3) ◽  
Author(s):  
Kathy E. Raven ◽  
Theodore Gouliouris ◽  
Julian Parkhill ◽  
Sharon J. Peacock

ABSTRACTVancomycin-resistantEnterococcus faecium(VREfm) bloodstream infections are associated with high recurrence rates. This study used genome sequencing to accurately distinguish the frequency of relapse and reinfection in patients with recurrentE. faeciumbacteremia and to investigate strain relatedness in patients with apparent VREfm and vancomycin-susceptibleE. faecium(VSEfm) mixed infection. A retrospective study was performed at the Cambridge University Hospitals NHS Foundation Trust (CUH) between November 2006 and December 2012. We analyzed the genomes of 44E. faeciumisolates from 21 patients (26 VREfm isolates from 12 patients with recurrent bacteremia and 18 isolates from 9 patients with putative VREfm/VSEfm mixed infection). Phenotypic antibiotic susceptibility was determined using a Vitek2 instrument. Genomes were compared with those of a further 263E. faeciumisolates associated with bacteremia in patients at CUH over the same time period. Pairwise comparison of core genomes indicated that 10 (71%) episodes of recurrent VREfm bacteremia were due to reinfection with a new strain, with reinfection being more likely with increasing time between the two positive cultures. The majority (78%) of patients with a mixed VREfm and VSEfm infection had unrelated strains. More than half (59%) of study isolates were closely related to another isolate associated with bacteremia from CUH. This included 60% of isolates associated with reinfection, indicating acquisition in the hospital. This study provides the first high-resolution insights into recurrence and mixed infection byE. faeciumand demonstrates that reinfection with a new strain, often acquired from the hospital, is a driver of recurrence.


Author(s):  
Shairoly Singh ◽  
Ishan Arora ◽  
Shireen Singh

Background: In India, a large majority of blood donors are deferred due to anemia. Anemia is a temporary cause of deferral which can be easily treated. Deferrals due to anemia can be easily identified in blood bank and can be treated and managed effectively.Methods: A retrospective study was carried out in Department of Blood Bank of Pt. Jawahar Lal Nehru Govt. Medical College, Chamba (H.P) over a time period of one year from 1st Jan 2017 to 31st Dec 2017.Results: We observed that the total number of deferrals was 90 out of all blood donors forming 9%. Out of all deferrals, those due to anemia were 23 (25.5%). Prevalence of anemia in female donors is much higher, constituting 26.31% and anemia in male donors in our study is lower forming 1.8%.Conclusions: Our study concluded that percentage of anemia is much higher in females than males. Educating and counseling females about prevention and treatment of anemia would help in lowering the percentage of anemia in females in our community.


2020 ◽  
Vol 22 (2) ◽  
pp. 60-65
Author(s):  
Muhammad Ali Azad ◽  
AKM Asaduzzaman ◽  
Mohammad Delwar Hossain ◽  
Faysal Bin Mohsin ◽  
Abdullahis Safi

Introduction: Thyroid surgery is a common modality of treatment for both benign and malignant thyroid disorders.Relationship between inferior thyroid artery (ITA) and recurrent laryngeal nerve (RLN) is crucial in preservation of recurrent laryngeal nerve. Thorough anatomical knowledge and meticulous surgery will ensure the integrity of recurrent laryngeal nerve. Objective: The purpose of this study is to observe the anatomical position of recurrent laryngeal nerve in relation to inferior thyroid artery which will eventually lead to identification of recurrent laryngeal nerve peroperatively. Methods: A cross sectional retrospective study was conducted during the time period of 1st January 2013 to 31st December 2015 in Combined Military Hospital, Dhaka among 200 patients who had undergone thyroidectomy. Results: In this series on the right side 71.8% cases RLN was dorsal to ITA, 21.7% cases it was ventral and in 6.5% cases RLN runs in between the branches of ITA. In case of left side 74.5% cases RLN was dorsal to ITA, 22.5% cases it was ventral and in 3% cases RLN runs in between the branches of ITA. Conclusion: Usually RLN runs dorsal to ITA. In left side it is deeper and in case of right side it is more superficial. RLN may pass through the branches of ITA, but it is not very common. Bangladesh J Otorhinolaryngol; October 2016; 22(2): 60-65


Author(s):  
Laura Campogiani ◽  
Mirko Compagno ◽  
Luigi Coppola ◽  
Vincenzo Malagnino ◽  
Gaetano Maffongelli ◽  
...  

In recent years, a decrease in the incidence of tuberculosis (TB) has been recorded worldwide. However, an increase in TB cases has been reported in foreign people living in low-incidence countries, with an increase in extrapulmonary TB (EPTB) in the western region of the world. In the present work, a retrospective study was conducted in two Italian infectious diseases wards to evaluate the clinical characteristics of TB admission in the time period 2013–2017. A significant increase in TB was shown in the study period: 166 (71% males) patients with TB were enrolled, with ~70% coming from outside Italy (30% from Africa, 25% from Europe, and 13% from Asia and South America). Compared to foreign people, Italians were significantly older (71.5 (interquartile range, IQR: 44.5–80.0) vs. 30 (IQR: 24–40) years; p < 0.0001) more immunocompromised (48% vs. 17%; p < 0.0001), and affected by comorbidities (44% vs. 14%; p < 0.0001). EPTB represented 37% of all forms of the disease, and it was more incident in subjects coming from Africa than in those coming from Europe (39.3% vs. 20%, respectively). In logistic regression analysis, being European was protective (odd ratio, OR (95% CI): 0.2 (0.1–0.6); p = 0.004) against the development of EPTB forms. In conclusion, an increase in the rate of TB diagnosis was documented in two Italian reference centers in the period 2013–2017, with 39% of EPTB diagnosed in patients from outside Europe.


2019 ◽  
Vol 59 (3) ◽  
pp. 180-186 ◽  
Author(s):  
Phoebe Sharp ◽  
Simon Hudson ◽  
Laura Hikin ◽  
Paul R Smith ◽  
Stephen R Morley

IntroductionSynthetic cannabinoids (SC), designed to mimic delta-9-tetrahydrocannabinol, the natural component of cannabis, have seen a rapid increase in popularity since 2008. Nearly 200 SC have been detected to date. However, there are limited data available reporting the changing trend in their use. Here, we report the temporal changes in SC use, as well as the demographic profile of users.MethodIn this retrospective study, case background and toxicology findings were collected from forensic toxicology reports dated between 1 April 2014 and 31 March 2018 that included a positive result for the presence of one or more SC and/or metabolites.ResultsA total of 113 cases were positive for SC; 103 (91.2%) of the individuals were male, with a median age of 40 years (range 15–80 years). Over the four-year time period, a total of 12 different SC were detected; seven of these SC were detected in more than six cases each. The most commonly detected SC had a lifetime of one to two years before being replaced. Discussion and conclusion: Our data show that SC were being used for approximately one to two years before they were superseded by newer structures. It is therefore extremely difficult to predict future patterns of SC use and is consequently not advisable to offer limited screening.


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