The Use of Children's Medical Records to Predict the Risk of Asthma Attack

1995 ◽  
Vol 40 (5) ◽  
pp. 138-140 ◽  
Author(s):  
R.G. Neville ◽  
F.P. Bryce ◽  
R.A. Clark ◽  
I K Crombie
Keyword(s):  
Childhood Asthma ◽  
Medical Records ◽  
Respiratory Symptoms ◽  
Respiratory Infections ◽  
Large Data ◽  
Respiratory Morbidity ◽  
Asthma Attack ◽  
One Year ◽  
Subsequent Risk

Using a large data base of respiratory morbidity in children the opportunity arose to explore the link between what was written in general practice case records and the subsequent risk of a child developing an asthma attack or hospital admission due to asthma. Children with five or more consultations in one year for respiratory symptoms had a 33% risk of experiencing an asthma attack or 7.1% risk of admission in the following year. Twenty seven percent of children who received antibiotics for “respiratory infections” subsequently had an asthma attack. The potential exists to review past and present symptoms and thus attempt to predict future morbidity. Childhood asthma is an example where the quality of care offered by general practitioners could be improved if a precise estimate of risk could be used to modify clinical management.

scholarly journals Long term pulmonary morbidity after esophageal atresia and tracheoesophageal fistula repair

2021 ◽  
Vol 10 ◽  
pp. 10
Author(s):  
Sathyaprasad Burjonrappa
Keyword(s):  
Quality Of Life ◽  
Esophageal Atresia ◽  
Congenital Malformations ◽  
Respiratory Symptoms ◽  
Respiratory Morbidity ◽  
Esophageal Reflux ◽  
Fistula Repair ◽  
The Impact ◽  
Pulmonary Morbidity

Background: Respiratory morbidity can influence a patient's quality of life after successful EA/TEF (Esophageal Atresia with and without Tracheo-Esophageal Fistula) repair. Multidisciplinary clinics have made it easier to manage comorbidities in patients with complex congenital malformations. The aim of this study was to evaluate the impact of respiratory issues after EA/TEF repair.  Secondarily we sought to evaluate the contribution of respiratory symptoms by Broncho-Pulmonary Dysplasia (BPD) and Gastro-Esophageal-Reflux-Disease (GERD) in patients with EA/TEF. Methods:  Retrospective review of the medical record of 50 patients, who underwent EA/TEF repair, needing hospital readmission for pulmonary morbidity, and subsequently followed up in a surgical clinic was performed. The data collected included patient demographics, presence and nature of significant respiratory comorbidity, findings on imaging studies and bronchoscopy, and results of pulmonary function tests (PFT). Results: Respiratory issues were identified in 75% of the patients. Congenital malformations and tracheomalacia were found in n=7 (14%) of cases. Prematurity associated BPD and Gastro-Esophageal Reflux were not the major cause of respiratory symptoms. Respiratory morbidity in this population included recurrent pneumonia n=18 (36%), reactive airway disease n=16 (32%), bronchiolitis n=4 (8%), bronchiectasis n=2 (4%), laryngitis n=2 (4%) and empyema n=1 (2%). Conclusions: Pulmonary complications significantly impact the quality of life in terms of respiratory events, after successful EA/TEF repair. While GERD is common in surgically repaired EA/TEF patients, its exact role in precipitating pulmonary morbidity needs further study. Tracheomalacia can be managed conservatively without resorting to aortopexy.

scholarly journals Prevalence of Provocative Seizures in Persons with Epilepsy: A Longitudinal Study at Khon Kaen University Hospital, Thailand

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Nutthaya Vongkasamchai ◽  
Sunee Lertsinudom ◽  
Acharawan Topark-Ngarm ◽  
Udomlack Peansukwech ◽  
Kittisak Sawanyawisuth ◽  
...  
Keyword(s):  
Medical Records ◽  
Causative Factor ◽  
University Hospital ◽  
Limited Data ◽  
Asian Populations ◽  
Khon Kaen ◽  
The Mean ◽  
One Year ◽  
Seizure Attacks

Background and Objective. Provocative factors are one causative factor of seizure attacks in persons with epilepsy (PWE). There are limited data of prevalence and major provocative factors in Asian populations.Methods. This study was performed at the Epilepsy Clinic, Khon Kaen University Hospital. The patients who aged 15 years or over, who had been treated at least 3 months with at least one antiepileptic drug, and who were followed up for at least one year were included. Data of seizure control and triggers were collected retrospectively from medical records. Data analysis was performed to identify independent provocative factors.Results. A total of 382 PWE met the study criteria. The mean age was40.4±0.8years. Approximately 44% of the patients had at least one provocative factor. By multivariate analysis, the independent provocative factors with the first three highest adjusted odds ratios were sleep deprivation (adjustedOR=8.64, 95% CI 3.73–19.99), alcohol consumption (adjustedOR=6.76, 95% CI 1.44–31.78), and feeling stressful (adjustedOR=2.97, 95% CI 1.29–6.86).Conclusion. Almost half of seizure attacks may be caused by provocative factors in Thai PWEs and some factors may be preventable. Avoidance of these factors should be emphasized to epilepsy patients for improving clinical outcomes and quality of life.

scholarly journals Results of the implementation of integrated care after cardiorespiratory arrest in a university hospital

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Evelyn Carla Borsari Mauricio ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Ruth Ester Assayag Batista ◽  
Meiry Fernanda Pinto Okuno ◽  
Cássia Regina Vancini Campanharo
Keyword(s):  
Medical Records ◽  
Neurological Status ◽  
Spontaneous Circulation ◽  
University Hospital ◽  
Cardiorespiratory Arrest ◽  
Advanced Airway ◽  
One Year ◽  
Airway Access ◽  
Discharge Method

ABSTRACT Objectives: to identify the care measures performed after cardiorespiratory arrest (CRA) and to relate them to the neurological status and survival at four moments: within the first 24 hours, at the discharge, six months after discharge, and one year after discharge. Method: retrospective, analytical and quantitative study performed at the Emergency Department of a university hospital in São Paulo. Eighty-eight medical records of CRA patients who had a return of spontaneous circulation sustained for more than 20 minutes were included and the post-CRA care measures performed in the first 24 hours were identified, as well as its relationship with survival and neurological status. Results: the most frequent post-CRA care measures were use of advanced airway access techniques and indwelling bladder catheterization. Patients who had maintained good breathing and circulation, temperature control and who were transferred to intensive care unit had a better survival in the first 24 hours, after six months and one year after discharge. Good neurological status at six months and one year after discharge was associated with non-use of vasoactive drugs and investigation of the causes of the CRA. Conclusion: the identification of good practices in post-CRA care may help to reduce the mortality of these individuals and to improve their quality of life.

Analisis Benchmarking Terhadap Kinerja Perusahaan Kontraktor Di Dinas Pupr Kota Blitar

REVITALISASI ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 56
Author(s):  
Dessy Kusuma Wardani ◽  
Edy Swasono
Keyword(s):  
Consumer Satisfaction ◽  
Success Factors ◽  
Successful Implementation ◽  
Company Performance ◽  
Community Satisfaction ◽  
Construction Work ◽  
Acquisition Rate ◽  
One Year ◽  
Construction Product

This study aims to identify the dominant factors of the successful implementation of benchmarking on the performance of contracting companies and test the significance of the application of benchmarking on the performance of contracting companies. The research sample was saturated samples of 65 qualified contractor companies. The method and type of research used were correlational methods of multiple regression analysis using SPPS. The results of the study concluded that 1.Benchmarking significantly influences the performance of contracting companies in the Blitar City DPUPR; 1. The ranking of success factors for the Blitar City contractor companies in the process of implementing benchmarking (1) planning, (2) data collection, (3) acception and action and (4) analysis; 2.Benchmarking has proven to significantly improve company performance as measured by increasing (1) Corporate Finance (2) Company productivity, (3) DPUPR Consumer Satisfaction, (4) Community Satisfaction, (5) Quality of the company's construction technical personnel, (6) Satisfaction employee work, (7) Project acquisition rate in one year, (8) Effective completion of construction work, (9) Construction product quality.

Health-related quality of life one year after surgical treatment of the type I chronic aortic dissection

2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Oksana Kamenskaya ◽  
Asya Klinkova ◽  
Irina Loginova ◽  
Alexander Chernyavskiy ◽  
Dmitry Sirota ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Aortic Dissection ◽  
Type I ◽  
Health Related Quality ◽  
Chronic Aortic Dissection ◽  
Related Quality ◽  
Health Related ◽  
One Year

Workflow Scheduling for Scientific Application in Homogeneous Cloud Environment

2017 ◽  
Vol 7 (7) ◽  
pp. 137
Author(s):  
. Monika ◽  
Pardeep Kumar ◽  
Sanjay Tyagi
Keyword(s):  
Cloud Computing ◽  
Big Data ◽  
Large Data ◽  
Workflow Scheduling ◽  
Cloud Environment ◽  
Computing Environment ◽  
Scientific Application ◽  
Cloud Computing Environment ◽  
Flow Of Information

In Cloud computing environment QoS i.e. Quality-of-Service and cost is the key element that to be take care of. As, today in the era of big data, the data must be handled properly while satisfying the request. In such case, while handling request of large data or for scientific applications request, flow of information must be sustained. In this paper, a brief introduction of workflow scheduling is given and also a detailed survey of various scheduling algorithms is performed using various parameter.

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