Diarrheal morbidity and predisposing factors among children under 5 years of age in rural East Ethiopia

AbstractThe purpose of this study was to evaluate the outcomes of isolated medial patellofemoral ligament (MPFL) reconstruction, regardless of the presence of predisposing factors. A total of 21 knees that underwent isolated MPFL reconstruction from March 2014 to August 2017 were included in this retrospective series. Radiographs of the series of the knee at flexion angles of 20, 40, and 60 degrees were acquired. The patellar position was evaluated using the patellar tilt angle, sulcus angle, congruence angle (CA), and Caton-Deschamps and Blackburne-Peel ratios. To evaluate the clinical outcome, the preoperative and postoperative International Knee Documentation Committee (IKDC) and Lysholm knee scoring scales were analyzed. To evaluate the postoperative outcomes based on the predisposing factors, the results were separately analyzed for each group. Regarding radiologic outcomes, 20-degree CA was significantly reduced from 10.37 ± 5.96° preoperatively to −0.94 ± 4.11° postoperatively (p = 0.001). In addition, regardless of the predisposing factors, delta values of pre- and postoperation of 20-degree CA were not significantly different in both groups. The IKDC score improved from 53.71 (range: 18–74) preoperatively to 94.71 (range: 86–100) at the last follow-up (p = 0.004), and the Lysholm score improved from 54.28 (range: 10–81) preoperatively to 94.14 (range: 86–100) at the last follow-up (p = 0.010). Isolated MPFL reconstruction provides a safe and effective treatment for patellofemoral instability, even in the presence of mild predisposing factors, such as trochlear dysplasia, increased patella height, increased TT–TG distance, or valgus alignment. This is a Level 4, case series study.

Download Full-text

Updates in the Prevalence of Rotavirus Gastroenteritis in Babylon City

Al Mustansiriyah Journal of Pharmaceutical Sciences ◽

10.32947/ajps.18.2.369 ◽

2018 ◽

pp. 1-12

Keyword(s):

Health Care Providers ◽

Rural Areas ◽

Causative Organism ◽

Care Providers ◽

Sample Collection ◽

Rotavirus Infection ◽

Rotavirus Gastroenteritis ◽

Age Range ◽

Latex Test ◽

Children Under 5

Background: Diarrhea is a main cause of morbidity and mortality in children under 5 years old. Globally it is responsible for approximately four billion cases and three million deaths annually. In developing countries, it causes two million deaths each year. The major causative organism is rotavirus which is responsible for one-third of hospitalizations with approximately 40% mortality. Objectives: To determine the prevalence and demographic characteristics of rotavirus infection in Babylon city, Iraq. Materials and Methods: Fecal samples were taken from children with age range of 6 months to 5 years complained of diarrhea during the period beginning in October 2016 till August 2017. The age, gender, residence, the type of feeding, place of the sample collection and duration of diarrhea were recorded. Specimens were analyzed by Latex test for detection of rotavirus. Results: A total of 349 children presented with diarrhea, the rotavirus antigen was detected in 169 fecal specimens from children with diarrhea (48%). More percentages of positive rotavirus specimens were seen in the 5year of age. No gender differences were observed, meanwhile samples obtained from rural areas and breastfed children showed less rotavirus positive infection. Conclusion: The present study confirms that rotavirus infection is still currently a prevalent gastroenteritis causative agent and required careful clinical attention. Pediatricians and health care providers are needed to be encouraged to take into account the children who at risk for developing rotavirus infection including age, residence and type of feeding.

Download Full-text

Updates in the Prevalence of Rotavirus Gastroenteritis in Babylon City

Al Mustansiriyah Journal of Pharmaceutical Sciences ◽

10.32947/ajps.18.02.369 ◽

2018 ◽

pp. 1-12

Keyword(s):

Health Care Providers ◽

Rural Areas ◽

Causative Organism ◽

Care Providers ◽

Sample Collection ◽

Rotavirus Infection ◽

Rotavirus Gastroenteritis ◽

Age Range ◽

Latex Test ◽

Children Under 5

Background: Diarrhea is a main cause of morbidity and mortality in children under 5 years old. Globally it is responsible for approximately four billion cases and three million deaths annually. In developing countries, it causes two million deaths each year. The major causative organism is rotavirus which is responsible for one-third of hospitalizations with approximately 40% mortality. Objectives: To determine the prevalence and demographic characteristics of rotavirus infection in Babylon city, Iraq. Materials and Methods: Fecal samples were taken from children with age range of 6 months to 5 years complained of diarrhea during the period beginning in October 2016 till August 2017. The age, gender, residence, the type of feeding, place of the sample collection and duration of diarrhea were recorded. Specimens were analyzed by Latex test for detection of rotavirus. Results: A total of 349 children presented with diarrhea, the rotavirus antigen was detected in 169 fecal specimens from children with diarrhea (48%). More percentages of positive rotavirus specimens were seen in the 5year of age. No gender differences were observed, meanwhile samples obtained from rural areas and breastfed children showed less rotavirus positive infection. Conclusion: The present study confirms that rotavirus infection is still currently a prevalent gastroenteritis causative agent and required careful clinical attention. Pediatricians and health care providers are needed to be encouraged to take into account the children who at risk for developing rotavirus infection including age, residence and type of feeding.

Download Full-text

A new shallow landslides inventory for Southern Lunigiana (Tuscany, Italy) and analysis of predisposing factors

Rendiconti online della Società Geologica Italiana ◽

10.3301/rol.2018.66 ◽

2018 ◽

Vol 46 ◽

pp. 149-154

Author(s):

Enrico D'Addario ◽

Emanuele Trefolini ◽

Elisa Mammoliti ◽

Michele Papasidero ◽

Vincenzo Vacca ◽

...

Keyword(s):

Shallow Landslides ◽

Predisposing Factors

Download Full-text

Predisposing Factors, Demographics, Angiographic Features, and the Possible Role of Inflammation in Coronary Perforations—A 10-year Single-center Experience

The American Heart Hospital Journal ◽

10.15420/ahhj.2011.9.2.87 ◽

2011 ◽

Vol 9 (2) ◽

pp. 87 ◽

Cited By ~ 1

Author(s):

Preeti Chandra ◽

Saurav Chatterjee ◽

Nishant Koradia ◽

Deepak Thekkoott ◽

Bilal Malik ◽

...

Keyword(s):

Risk Factors ◽

Artery Bypass ◽

Bypass Graft ◽

Coronary Intervention ◽

Predisposing Factors ◽

Covered Stents ◽

Optimal Management ◽

Balloon Inflation ◽

Catheterization Laboratory ◽

Cell Counts

Background:Coronary perforation during percutaneous coronary intervention is a rare but dreaded complication. The risk factors, optimal management, and outcome remain obscure.Objectives:To determine the predisposing factors, optimal management, and preventive strategies. We retrospectively looked at coronary perforations at our catheterization laboratory over the last 10 years. We reviewed patient charts and reports. Two independent operators, in a blinded approach, reviewed all procedural cineangiograms. Data were analyzed by simple statistical methodology.Results:Nine patients were treated conservatively and six patients were treated with prolonged balloon inflation. Six patients were treated with polytetrafluoroethylene (PTFE)-covered stents. One patient required emergency coronary artery bypass graft. No deaths were reported. Subjects with perforations also had a significantly higher total white blood cell count (means 12,134 versus 6,155, 95 % confidence interval [CI], p< 0.0001, n=22), total absolute neutrophil count (means 74.2 % versus 57.1 %, 95 % CI, p<0.0001, n=22), and neutrophil:lymphocyte ratio (means 3.65 versus 1.50, 95% CI, p<0.0001, n=22).Conclusions:Coronary perforations are rare but potentially fatal events. Hypertension, small vessel diameter, high balloon:artery ratio, use of hydrophilic wires, and presence of myocardial bridging appear to be possible risk factors. Most perforations can be treated conservatively or with prolonged balloon inflation using perfusion balloons. Use of PTFE-covered stents could be a life-saving measure in cases of large perforations. Subjects with perforations also had greater systemic inflammation as indicated by elevated white cell counts.

Download Full-text

Nutrition deficit during intensive care stay: incidence, predisposing factors and outcomes

Minerva Anestesiologica ◽

10.23736/s0375-9393.20.14068-9 ◽

2020 ◽

Vol 86 (5) ◽

Author(s):

Juho P. Nurkkala ◽

Timo I. Kaakinen ◽

Merja A. Vakkala ◽

Tero I. Ala-Kokko ◽

Janne H. Liisanantti

Keyword(s):

Intensive Care ◽

Predisposing Factors ◽

Intensive Care Stay

Download Full-text