Long-Term, Low-Frequency Cluster of a German-Imipenemase-1-Producing Enterobacter hormaechei ssp. steigerwaltii ST89 in a Tertiary Care Hospital in Germany

As inadvertent eustachian tube injury during adenoidectomy can have serious short- and long-term implications, a simple anatomic correlate that could predict the optimal curette choice for adenoidectomy, especially in severely hypertrophic cases, is beneficial. This study evaluates the correlation of the distance between the lateral borders of the upper central incisors and the distance between the tori tubarius in the nasopharynx. One hundred one consecutive patients undergoing adenoidectomy at a pediatric tertiary care hospital were enrolled in this study. The patients ranged in age from 7 months to 15 years. No complications were noted in any of the procedures. During the operation, the distance between the central upper incisors was measured in millimeters, as was the inter-tubarius width (ITW). A multiple regression analysis was completed to assess the correlation between central incisor width and ITW. Age and inter-incisor width were positively correlated with ITW in a statistically significant manner (p = .007 and p = .006, respectively). The distance between the lateral borders of the upper central incisors predicts the distance between the tori tubarius in the nasopharynx. Therefore, an adenoid curette the window of which does not overlap the lateral aspects of the central upper incisors can be used relatively safely, even in fields with poor visualization.

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Sleep Quality among Medical Students of a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.4813 ◽

2020 ◽

Vol 58 (222) ◽

Author(s):

Nabin Sundas ◽

Saransh Ghimire ◽

Suzit Bhusal ◽

Rakshya Pandey ◽

Krishna Rana ◽

...

Keyword(s):

Academic Performance ◽

Medical Students ◽

Sleep Quality ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Poor Sleep ◽

Care Hospital ◽

Poor Sleep Quality ◽

Cross Sectional

Introduction: Medical students are under constant stress due to demanding academic load, fearof exam failure and hectic schedules. These factors can lead to poor sleep quality among medicalstudents. Sleep quality of medical students not only determine their academic performance but isalso important in determining long term effect on cognitive, psychosocial, behavioural as well asphysical health of individuals. Although there are not enough recent studies to assess sleep qualityof students, it is necessary to evaluate the condition of sleep among students. This study aims to findout the prevalence of poor sleep quality among medical students. Methods: This descriptive cross-sectional was conducted among undergraduate medical studentsof Kathmandu Medical College from October to November 2019 after taking ethical clearance fromInstitutional Review Committee of a tertiary care hospital before collecting data from participants.Subjects were recruited by simple random sampling from students of first, second, third and finalyears and were asked to fill the self-reported questionnaires, using Pittsburgh Sleep Quality Index.Descriptive statistical analysis was done using Statistical Software for Social Sciences version 24. Results: Out of 217 selected medical students, 96 (44.23%) of students have poor sleep quality withprevalence among male and female students as 41 (39.8%) and 55 (48.2%) respectively. The meanduration of sleep among students was 6.7±1.6 hours. Conclusions: Significant numbers of medical students have poor sleep quality which may affecttheir academic performance and may have long term impact on their health. Efforts must be directedtowards educating about the sleep hygiene as well as proper time management skills.

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Skin Autoimmunity Secondary to Alemtuzumab in a Tertiary Care Spanish Hospital

Neurology Clinical Practice ◽

10.1212/cpj.0000000000001126 ◽

2021 ◽

pp. 10.1212/CPJ.0000000000001126

Author(s):

Rocío López Ruiz ◽

Félix Sánchez Fernández ◽

María Ruiz de Arcos ◽

Julio Dotor García-Soto ◽

Alejandro Fuerte Hortigón ◽

...

Keyword(s):

Adverse Events ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Case Series ◽

Autoimmune Disorders ◽

Care Hospital ◽

Retrospective Case ◽

Spanish Hospital ◽

Infusion Reactions

AbstractBackground and Objective:The most common adverse events following Alemtuzumab include adverse infusion reactions, infections and autoimmune disorders. Skin adverse events are common during infusion but there are few reported cases of long-term skin autoimmune disease.Methods:A retrospective case series of patients developing long-term autoimmune skin disorders following alemtuzumab administration in a tertiary care hospital.Results:Of 133 patients treated with alemtuzumab, eight patients (6.02%) developed nine autoimmune cutaneous adverse events, including four events of alopecia areata, two of vitiligo, two of chronic urticaria and one of inflammatory atrichia. Three of them occurred between the first and the second infusion.Discussion:The lesions described are secondary to autoimmune disorders, probably related to immune dysregulation due to a differential lymphocyte repopulation following alemtuzumab. Autoimmune cutaneous adverse events may be frequent, and it would be recommended to monitor its appearance in order to treat them.

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Evaluating the Long-Term Trends and Impact of a Rapid Response System in a Single-Center, Tertiary-Care Hospital

10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a2456 ◽

2019 ◽

Author(s):

T. Lee ◽

G. Lighthall

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Rapid Response ◽

Care Hospital ◽

Single Center ◽

Rapid Response System ◽

Response System ◽

Long Term Trends

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Long-term outcomes and predictors of survival after cardiopulmonary resuscitation for in-hospital cardiac arrest in a tertiary care hospital in Thailand

Therapeutics and Clinical Risk Management ◽

10.2147/tcrm.s157483 ◽

2018 ◽

Vol Volume 14 ◽

pp. 583-589 ◽

Cited By ~ 3

Author(s):

Panita Limpawattana ◽

Wannaporn Aungsakul ◽

Chomchanok Suraditnan ◽

Anupol Panitchote ◽

Boonsong Patjanasoontorn ◽

...

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Long Term Outcomes ◽

Hospital Cardiac Arrest

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Prevalence of prediabetes in children and its association with risk factors

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20193705 ◽

2019 ◽

Vol 6 (5) ◽

pp. 1957

Author(s):

Amitha Rao Aroor ◽

Tharun C. Varghese ◽

Santosh T. Soans

Keyword(s):

Risk Factors ◽

Lifestyle Modification ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Included Study ◽

Care Hospital ◽

Younger Age ◽

Frequent Consumption

Background: Type 2 Diabetes is becoming more common at younger age group. It is important to screen children and adolescents for prediabetes to prevent long-term complications of diabetes. This study was conducted to study the prevalence of prediabetes in children and its association with risk factorsMethods: It is a Prospective hospital-based study. Children aged 6 to 18 years admitted in the Pediatric ward of tertiary care hospital were included. Study was done over a period of 2 years November 2015-October 2017. Participants were screened to find out the prevalence of prediabetes. Prediabetes was defined as fasting glucose concentration (FBS)of 100-125 mg/dl or a HbA1c value of between 5.7% and 6.4%, or a two-hour post-glucose tolerance concentration (OGTT) of 140-199mg/dl.Results: 607 children participated in the study.56.3% were males. Prevalence of Prediabetes was 20.4% with a combination of OGTT, FBS and HbA1c tests. Prevalence by OGTT was 5.9%, HbA1c 4.1% and by FBS was 17.1%. Higher prevalence of prediabetes was associated with male gender, frequent consumption of junk foods, decreased physical activities, overweight, obesity and high waist to hip ratio. Combination of FBS with GTT and FBS with HbA1c had better sensitivity and specificity when compared to combination of OGTT with HbA1c .Conclusion: Screening of children for prediabetes at younger age especially those with risk factors and intervention with lifestyle modification may help in delaying the progression of the disease.

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