Depilatory Agents intoxication and factors contributing to its mortality: A 9-year review

Poisoning with depilatory agents is a rather uncommon entity in western countries. In this study, we describe poisoning with a corrosive arsenic-based depilatory agent (CABD) and factors related to its mortality in a poisoning center in Tehran. In a retrospective study, the medical records of all patients with CABD intoxication who attended the emergency ward of Loghman-Hakim hospital, the only poisoning center in Tehran, over a 9-year period between 2000 and 2009 were reviewed. The majority of patients were men (78.7%, n = 122 vs. women: 21.3%, n = 33). The mean age was 35.55 ± 16.68 years. Mean time of arrival to hospital was 3.63 hours (SD = 4.07). The mortality rate was 5.8% and increased significantly with higher amounts of ingestion and delay in arrival to hospital. CABD poisoning may be lethal if not treated promptly and correctly. Restriction or, if not practical, reduction of harmful components of this substance should be considered.

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Plasmapheresis in the treatment of myasthenia gravis: retrospective study of 26 patients

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2004000300003 ◽

2004 ◽

Vol 62 (2b) ◽

pp. 391-395 ◽

Cited By ~ 9

Author(s):

Rosana Carandina-Maffeis ◽

Anamarli Nucci ◽

José F.C. Marques Jr ◽

Eduardo G. Roveri ◽

Beatriz H.M. Pfeilsticker ◽

...

Keyword(s):

Retrospective Study ◽

Side Effects ◽

Myasthenia Gravis ◽

Plasma Exchange ◽

Mortality Rates ◽

Motor Deficit ◽

Myasthenic Crisis ◽

Clinical Hospital ◽

The Mean ◽

Mean Time

We analyzed the experience of Unicamp Clinical Hospital with plasma exchange (PE) therapy in myasthenia gravis (MG). About 17.8 % of a totality of MG patients had PE performed: 26 cases, 19 women and seven men. The mean age-onset of MG was 28 years, extremes 11 and 69. Minimum deficit observed in the group was graded IIb (O & G) or IIIa (MGFA scale). One patient had prethymectomy PE. In seven the procedures were performed due to myasthenic crisis and in 18 patients due to severe myasthenic symptoms or exacerbation of previous motor deficit. Two patients were also submitted to chronic PE considering refractoriness to other treatments. Twenty-six patients had 44 cycles of PE and 171 sessions. The mean number of sessions was 3.9 (SD ± 1.4) each cycle; median 5, extremes 2 and 6. The mean time by session was 106,5 minutes (SD ± 35.2); median 100.5 (extremes of 55 and 215). The mean volume of plasma exchanged in each session was 2396 ml (SD ± 561); median 2225 (extremes 1512 and 4500). Side effects occurred: reversible hypotension (seven cases), mild tremor or paresthesias (seven cases). Infection and mortality rates due to PE were zero. All patients had immediate benefit of each PE cycle and usually they also received prednisone or other immunosuppressors. Good acceptance of the procedure was observed in 80.7% of patients.

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Our comprehensive experience with tracheostomy in tertiary multi-speciality hospital over four years

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20213900 ◽

2021 ◽

Vol 7 (10) ◽

pp. 1649

Author(s):

Parth B. Kapadia ◽

Manit M. Mandal ◽

Ajay J. Panchal ◽

Rakesh Kumar ◽

Neel Parmar ◽

...

Keyword(s):

Medical Education ◽

Retrospective Study ◽

Surgical Procedure ◽

Case Series ◽

Final Outcome ◽

Patient Age ◽

Significant Case ◽

Surgical Emphysema ◽

The Mean ◽

Mean Time

Background: Tracheostomy is a common surgical procedure used to achieve a secure airway in patients in elective as well as emergency conditions. Our study accounts for our first-hand experience with the procedure in our tertiary multi-speciality hospital.Methods: It is a four year (January 2017 to February 2021) retrospective study in which all the 246 cases of tracheostomies were taken into account which were performed during this study period in the department of otorhinolaryngology (ENT), Surat Municipal Institute of Medical Education and Research (SMIMER), Surat (India). The patients were thoroughly followed up until the final outcome of the tracheostomy was established. Results: A total of 246 tracheostomies were performed, 63.82% of which were in men. The mean patient age was 42 years. The majority (76%) were elective, performed for various indications, while the remaining 24% were emergency tracheostomies. All tracheostomies were performed by otorhinolaryngologists. Complications relating to tracheostomy were documented in 40 patients (16%) intra-operatively and/or post-operatively which included bleeding, surgical emphysema, granulations along the stomal site and rarely shock. The mean time to decannulation was 13.48 days.Conclusions: Our study takes into account and discusses the findings of all the 246 tracheostomies which were performed during the study period of 4 years. Elective cases form the majority although there is a significant case series of emergency tracheostomies performed for a range of pathologies.

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Abstract 29: A Neighborhood Local Volunteer Response Network Improves Response Time for Cardiac Arrest

Circulation ◽

10.1161/circ.138.suppl_2.29 ◽

2018 ◽

Vol 138 (Suppl_2) ◽

Author(s):

Karl B Kern ◽

Carter Newton ◽

Charles " Wunder ◽

Thomas P Colberg ◽

Marvin J Slepian

Keyword(s):

Cardiac Arrest ◽

Response Times ◽

Retirement Community ◽

Time Of Arrival ◽

Time Saving ◽

Response Network ◽

Community Boundaries ◽

The Mean ◽

Mean Time ◽

Hospital Cardiac Arrest

Background: Minutes are crucial in the treatment of out-of-hospital cardiac arrest (CA). Immediate chest compressions and early defibrillation are keys to good outcomes. Local neighborhood volunteer (vol) response programs may decrease delays to early CPR and AED use. We hypothesized that a coordinated effort of alerting trained neighborhood vols simultaneously with 911 activation of professional EMS providers would provide earlier CPR and defibrillation in such communities. Methods: We developed a program of simultaneously alerting CPR and AED trained neighborhood vols and the local EMS system for cardiac arrest events in a retirement community in Southern Arizona, encompassing approximately 17,300 homes and 21,500 residents. EMS services are provided by 5 stations within the community boundaries. Within a single housing development neighborhood, 9 vols and the closest EMS station were involved in 3 days of mock CA notifications (total of 12 different alerts at various times during daytime hours were sent). This provided a total of 120 response opportunities, 12 for EMS and 108 for vols. The distance to the mock event and the time from alert to arrival were recorded and compared. Results: In the selected 55+ neighborhood, the two groups differed significantly in both distance to the mock cardiac arrest event and in response times. The volunteers average 0.33±0.19 miles from the mock CA incidences while the closest EMS station was 3.3 miles from the tested neighborhood (p<0.0001). Response times (time from call to arrival) were also different. The earliest Vol arrived at 1min 30sec±48sec*, 2 Vols & AED at 1min 38 sec±53sec*, all arriving Vols at 3min 23 sec*, and EMS at 7min 20 sec±1min 13sec (*p<0.0001 vs EMS). Conclusion: When the neighborhood volunteers in this testing period were geographically closer to the mock CA event, they arrived significantly sooner to the scene than did the EMS service. The mean time of arrival for at least 2 vols with an AED was 5 min 42 sec faster than the professional rescuers. The implications for such a time saving could be as much as a 240% increase (25% to 85%) in survival for those with shockable rhythms.

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Mortality from liver cirrhosis in Espírito Santo State, Brazil

Cadernos de Saúde Pública ◽

10.1590/0102-311x00098213 ◽

2014 ◽

Vol 30 (6) ◽

pp. 1335-1340

Author(s):

Patricia Lofego Gonçalves ◽

Carlos Sandoval Gonçalves ◽

Fausto Edmundo Lima Pereira

Keyword(s):

Liver Cirrhosis ◽

Mortality Rate ◽

Hepatitis B ◽

Medical Records ◽

Years Of Life Lost ◽

Death Certificates ◽

Espírito Santo ◽

The Mean ◽

Espirito Santo ◽

Annual Mortality

To study mortality from liver cirrhosis in Espírito Santo State, Brazil, we reviewed death certificates (DC) from 2000-2010 and medical records of deceased patients with investigation of alcoholism and hepatitis B or C. From a total of 218,410 DC, 3,554 deaths from liver cirrhosis were retrieved. The annual mortality rate was 19.8/100,000 for men and 4.31/100,000 for women, without significant changes after correction for ICD-R98 and R99 and without a significant increase in the annual percentage change. In 49% of death certificates, the aetiology of cirrhosis was defined: of these alcoholism in 81.5% of cases and viral hepatitis in 15.7%. Aetiology was confirmed in 262 reviewed records, including alcoholism (40.5%); hepatitis B or C (26.7%); other (3.8%); and cryptogenic (10.6%). The mean annual potential years of life lost were 5,946 years and 1,739 years for men and women respectively. The mortality rate from cirrhosis in Espírito Santo State is intermediate in relationship to worldwide data; alcoholism and hepatitis B or C were the main aetiologies; probably alcoholism is overestimated and hepatitis B and C viruses are underestimated as causes of cirrhosis registered on death certificates.

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Tear Rates of the Ipsilateral ACL Graft and the Contralateral Native ACL Are Similar following ACL Reconstruction

The Journal of Knee Surgery ◽

10.1055/s-0040-1713861 ◽

2020 ◽

Author(s):

Nadia Nastassia Ifran ◽

Ying Ren Mok ◽

Lingaraj Krishna

Keyword(s):

Acl Reconstruction ◽

Medical Records ◽

Cruciate Ligament ◽

Acl Graft ◽

Increased Risk ◽

Significant Difference ◽

The Mean ◽

Anterior Cruciate ◽

Mean Time

AbstractThe aim of the study is to compare the tear rates of ipsilateral anterior cruciate ligament (ACL) grafts and the contralateral native ACL as well as to investigate the correlation of gender, age at time of surgery, and body mass index (BMI) with the occurrence of these injuries. The medical records of 751 patients who underwent ACL reconstruction surgery with follow-up periods of 2 to 7 years were retrospectively analyzed. Survival analyses of ipsilateral ACL grafts and contralateral native ACL were performed. Univariate and multivariate logistic regression analyses were performed to identify risk factors that were associated with these injuries. The tear rates of the ipsilateral ACL graft and contralateral ACL were 5.86 and 6.66%, respectively with no significant difference between groups (p = 0.998). The mean time of tears of the ipsilateral ACL and contralateral ACL was also similar (p = 0.977) at 2.64 and 2.78 years, respectively after surgery. Both the odds of sustaining an ipsilateral ACL graft and contralateral ACL tear were also significantly decreased by 0.10 (p = 0.003) and 0.14 (p = 0.000), respectively, for every 1-year increase in age at which the reconstruction was performed. However, graft type, gender, and BMI were not associated with an increased risk of these injuries. There was no difference between tear rates of ipsilateral ACL graft and contralateral ACL following ACL reconstruction. Patients who undergo ACL reconstruction at a young age are at an increased risk of both ipsilateral graft and contralateral ACL rupture after an ACL reconstruction. Patients who are young and more likely to return to competitive sports should be counselled of the risks and advised to not neglect the rehabilitation of the contralateral knee during the immediate and back to sports period of recovery. This is a Level III, retrospective cohort study.

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The structure of the shower front of large extensive air showers

Canadian Journal of Physics ◽

10.1139/p68-163 ◽

1968 ◽

Vol 46 (10) ◽

pp. S9-S12 ◽

Cited By ~ 8

Author(s):

A. J. Baxter ◽

A. A. Watson ◽

J. G. Wilson

Keyword(s):

Experimental Study ◽

Measurement Errors ◽

Time Distribution ◽

Finite Size ◽

Extensive Air Showers ◽

Time Of Arrival ◽

Air Showers ◽

The Mean ◽

Mean Time ◽

Theory And Experiment

Using a method described previously (Baxter et al. 1966), an experimental study has been made of the time distribution of energy from the shower front of large extensive air showers detected by the Haverah Park 500-m array. Data are given on the mean time of arrival of energy in showers at axial distances over the range 250–950 m for all zenith angles, while average time distributions of the energy in the shower front are presented for some typical distance and zenith angle intervals. Experimental observations are compared with a theoretical prediction; a real discrepancy appears to exist between theory and experiment since about 25% more energy is observed in the 25 ns after the first detectable signal than is predicted. The result suggests a higher or more concentrated origin for muons than normally assumed.Assessment of measurement errors, particularly those arising from the sampling of a diffuse shower front by detectors of finite size, suggests that no intrinsic differences in the properties of the majority of air showers have yet been detected by this method.

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Prevalence of Dermatological Presentations of Canine Leishmaniasis in a Nonendemic Area: A Retrospective Study of 100 Dogs

Veterinary Medicine International ◽

10.1155/2014/374613 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Roberta Perego ◽

Daniela Proverbio ◽

Giada Bagnagatti De Giorgi ◽

Eva Spada

Keyword(s):

Immune System ◽

Retrospective Study ◽

Medical Records ◽

Canine Leishmaniasis ◽

Inclusion Criteria ◽

Continuous Stimulation ◽

Exfoliative Dermatitis ◽

The Mean ◽

Endemic Areas ◽

Stimulation Of

This retrospective study determined the prevalence of dermatological lesions associated with canine leishmaniasis (CanL) in a nonendemic area in Italy. The medical records of 131 dogs with CanL were reviewed and, of these, 115/131 dogs (88%) had dermatological manifestations of which 100/131 dogs (76%) met the inclusion criteria. Sixty-two percent of dogs were male and 38% were female and the mean age was 6.4 years. Thirty-two percent of dogs were mixed breeds; the remainder represented a variety of pure breeds. In 79% of dogs dermatological signs occurred in association with systemic signs of CanL, whilst 21% of dogs had only dermatological manifestations. The most common dermatological manifestation was exfoliative dermatitis (74%), followed by ulcerative (18%) and nodular (11%) lesions. In 51% of dogs the lesions were localized mainly on the pinnae, head, and pressure points; in the remaining 49% lesions were generalized. The only statistically significant association was between Retriever breed and animals with only dermatological signs (P=0.0034, OD 5.97, CI 0.996–37.933). In this study dermatological manifestations of CanL were very commonly reported, and their prevalence is similar to previous studies in endemic areas despite the fact that dogs living in nonendemic areas are not exposed to repeated infectious bites and continuous stimulation of the dermal immune system.

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Endoscopic posterior cordotomy for treatment of dyspnea due to vocal fold immobility

Multidisciplinary Respiratory Medicine ◽

10.4081/mrm.2020.35 ◽

2020 ◽

Vol 15 ◽

Author(s):

Narin Nard Carmel Neiderman ◽

Max Chason ◽

Anat Wengier ◽

Oshri Wasserzug ◽

Oren Cavel ◽

...

Keyword(s):

Retrospective Study ◽

Respiratory Distress ◽

Surgical Procedures ◽

Medical Records ◽

Vocal Fold ◽

Surgical Intervention ◽

Acute Setting ◽

Vocal Fold Immobility ◽

The Mean

Introduction: Several surgical procedures have been described for the treatment of respiratory distress secondary to vocal fold immobility (VFI), but the contribution of posterior cordotomy (PC) to tracheostomy weaning or prevention has not been studied in depth, particularly in the acute setting. The objective of this study was to show the effectiveness of PC to relieve dyspnea, prevent the need for tracheostomy, and enable decannulation in patients with VFI. Methods: We conducted a retrospective study and reviewed the medical records of all patients whose dyspnea warranted surgical intervention from January 2013 to January 2018. Data were retrieved on epidemiology, etiology, and duration of VFI, tracheostomy dependence, success in decannulation from tracheostomy or respiratory relief, number of procedures until decannulation, and complications. Results: Twelve suitable patients were identified of whom eleven had bilateral VFI and one had unilateral VFI. Five were tracheostomy-dependent. Ten patients underwent unilateral PC, and two patients underwent bilateral PC. All the patients experienced respiratory relief, eleven after a single PC and one after two PCs. All tracheostomy-dependent patients were decannulated. The mean follow-up after PC was 24.55 months during which none of the patients required a re-tracheostomy and three patients required revision of the PC. There were no surgical complications. Postoperatively, eight patients (67%) experienced a breathy voice and three patients (25%) had dysphagia for fluids. No patient had aspiration pneumonia. Conclusions: We conclude that PC is an easy, safe, and effective procedure for tracheostomy weaning and respiratory relief in patients with VFI. A revision PC may be indicated in some patients. A breathy voice is to be expected, and a few patients will experience dysphagia to fluids that may be addressed by instructing the patient to use a fluid thickener and take small sips.

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Laparoscopic versus open appendectomy retrospective study

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20172259 ◽

2017 ◽

Vol 4 (3) ◽

pp. 620

Author(s):

Haitham S. Rbihat ◽

Khaled M. Mestareehy ◽

Mohammad S. Al lababdeh ◽

Talal M. Jalabneh ◽

Mohammad E. Aljboor ◽

...

Keyword(s):

Retrospective Study ◽

Postoperative Pain ◽

Laparoscopic Appendectomy ◽

Open Appendectomy ◽

Advantages And Disadvantages ◽

Abdominal Abscesses ◽

Zero Rate ◽

The Mean ◽

The Cost ◽

Mean Time

Background: Laparoscopic cholecystectomy is taken into account as a standard method of performing cholecystectomy and has substituted the old method throughout the world, while laparoscopic appendectomy still not attaining that reputation. In this paper, a retrospective study was done to compare between both laparoscopic and open appendectomy.Methods: Two hundred eighty-five patients were analyzed after appendectomy using either open or laparoscopic procedures. The data was compared over a period of 36 months. Surgical technique was the same among 6 surgeons, standard postoperative care for all patient groups. The outcome measures included comparing of mean operative time, days of hospitalization, postoperative pain and rate of wound infection.Results: Concerning open appendectomy the mean time was 28 minutes with 2 days of hospitalization. The postoperative pain extent was for 36 hours and rate of wound infection was 8/159. While in laparoscopic appendectomy the mean time was 55 minutes with one day hospitalization. The postoperative pain was for 12 hours and zero rate of wound infection.Conclusions: In general laparoscopy has plenty of gains over open surgery as discussed before but laparoscopic appendectomy is not easier, nor does it avoid general anesthesia. The cost for laparoscopic appendectomy is higher than for open appendectomy. The operative and post-operative complications are more critical (e.g.: intra-abdominal abscesses & perforation of bowel) as compared to open appendectomy. We have to assess the advantages and disadvantages, indications and contraindications when taking a decision for laparoscopic surgery. We suppose it would be very early to say that laparoscopic appendectomy is superior or can replace open appendectomy.

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Limited Mobility to the Bed Reduces the Chances of Discharge and Increases the Chances of Death in the ICU

Clinics and Practice ◽

10.3390/clinpract12010002 ◽

2021 ◽

Vol 12 (1) ◽

pp. 8-16

Author(s):

Talita Leite dos Santos Moraes ◽

Joana Monteiro Fraga de Farias ◽

Brunielly Santana Rezende ◽

Fernanda Oliveira de Carvalho ◽

Michael Silveira Santiago ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Retrospective Study ◽

Medical Records ◽

High Mobility ◽

University Hospital ◽

Limited Mobility ◽

The Mean ◽

The University

Background: Progressive mobility in the ICU has been recommended; however, the definitions of low, moderate, and high mobility in the ICU still diverge between studies. Therefore, our objective was to classify the mobility of the sample from verticalization and active withdrawal from the bed, and from that, to analyze the chances of discharge, death, and readmission to the ICU. Materials and methods: This is an observational and retrospective study that consults the medical records of individuals admitted to the ICU of the University Hospital of Sergipe (HU/SE) between August 2017 and August 2018. Mobility level was classified based on the Intensive Care Unit Mobility Scale (IMS). Results: A total of 121 individuals were included. The mean age was 61.45 ± 16.45, being 53.7% female. Of these, 28 (23.1%) had low mobility, 33 (27.3%) had moderate mobility, and 60 (49.6%) had high mobility. Individuals with low mobility were 45 times more likely to die (OR = 45.3; 95% CI = 3.23–636.3) and 88 times less likely to be discharged from the ICU (OR = 0.22; 95% CI = 0.002–0.30). Conclusion: Those who evolved with low mobility had a higher chance of death and a lower chance of discharge from the ICU. Moderate and high mobility were not associated with the investigated outcomes.

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