scholarly journals A retrospective study of 221 hospitalized patients with fever in the Department of General Practice at Jichi Medical University Hospital

2012 ◽  
Vol 35 (4) ◽  
pp. 279-285
Author(s):  
Shinichi Uchida ◽  
Shizukiyo Ishikawa ◽  
Maki Kumada ◽  
Shigehiro Kuroki ◽  
Eiji Kajii
2018 ◽  
Vol 46 (7) ◽  
pp. 748-750 ◽  
Author(s):  
Julianna Desmarais ◽  
Cong-Qiu Chu

Objective.To evaluate the efficacy and safety of anakinra in inpatient management of acute gout and pseudogout.Methods.Hospitalized patients with acute gout (n = 77) or pseudogout (n = 11) or both (n = 3) were analyzed for response to anakinra and adverse effects.Results.Half of all patients had comorbidities limiting the treatment choice. Anakinra was well tolerated, and 92% of gout flares and 79% of pseudogout flares responded to treatment.Conclusion.Anakinra is an effective and safe treatment for acute gout and pseudogout in hospitalized patients, particularly in those with comorbidities.


Author(s):  
Iordanov I. ◽  
Uzunova V. ◽  
Uchikov P. ◽  
Podnov L. ◽  
Sakakushev A. ◽  
...  

Colorectal cancer complications are seldom analyzed for occurrence through day and night, working days and weekends, as well as throughout seasons. We hypothesized that information and analysis of high/low complicated colon cancer incidence in the above mentioned terms can improve our preparedness and manage better the resources for superior outcomes. Therefore we performed a retrospective study/2010 – 2018/ of 165 patients with complicated colorectal cancer operated on emergently or urgently in the Second Clinic of General and Thoracic Surgery, University Hospital St George, Plovdiv, Medical University Plovdiv, Bulgaria.


2011 ◽  
Vol 26 (S2) ◽  
pp. 397-397
Author(s):  
I. Sánchez Lorenzo ◽  
I. López Saracho ◽  
A. Ledo Rubio ◽  
D. Gómez Pizarro

IntroductionThe syndrome confusional acute (SCA) is one of the most frequent mental disorders in patients hospitalized by medical diseases. It is characterized by acute onset symptoms fluctuating course, impaired attention, unorganized thinking, and altered level of conciousness. Though it is considered to be a reversible disease, often it is a sign of future deterioration of the cognitive functions.ObjectiveTo determine delirium prevalence and risk factors in a cohort of hospitalized patients. To know the characteristics of this population and the psychopharmaceuticals used.MethodologyA descritptive and retrospective study was conducted, based on the review of 2642 medical records of hospitalized patients in the Clinical University Hospital of Valladolid between July, 2007 and February, 2010.Results893 (33,8%) presented delirium. 63,3% were men and 36,7% were women. The mean of age was 77 years. Turned out as significant predictive factors with highest percentages: cardiovascular disease (18,3%), traumophaty (15,1%). The principal motive of consultation was surgical pathology (48,1%). 30% presented cognitive deterioration also. They were medicated with tiaprizal (75%), olanzapina (24%), quetiapina (22,5%) and other medications.ConclusionsThe SCA is a frequent syndrome and has a negative impact on morbidity, as well as in resource use. It is possible to identify risk patients. The SCA can be the form of presentation of a physical serious disease or appear as a serious complication of a disease or of treatment. The treatment must divide in three principal aspects: prevention, treatment of the causal disease and symptomatic treatment of the delirium.


2020 ◽  
Author(s):  
Hatan Mortada ◽  
Nader Malatani ◽  
Basim Awan ◽  
Hattan Aljaaly

BACKGROUND Across the globe, Pressure Injury (PI) has been implicated billion costs annually and mortality were 60,000 deaths out of 2.5 million hospitalized patients from complication related to PI. Through avoiding PI will avoid the incidence of other illnesses, decrease the financial costs and improve the quality of life for our patients. OBJECTIVE Therefore, this retrospective study aimed to identify most influential factors which increase the risk of developing pressure injuries among hospitalized patients at a university hospital according to the Waterlow scale. METHODS Data were collected retrospectivity including patients who developed pressure injury during January 2016 to December 2018 were evaluated using Waterlow pressure injury risk assessment tool at King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia. The analysis was performed in 95% confidence interval using the Statistical Package for Social Science (SPSS), version 23.0 (IBM, Armonk, NY, USA). Ethical approval was obtained from the Institutional Review Board and the Research Ethics Committee. RESULTS Total 272 cases were included in this study. Highest number of cases belong to age group 50 to 64 years, 83 (30.5%). The majority had stage 2 pressure ulcer, 165 (60.7%). The most frequent location of pressure ulcer was ‘back’, 97 (35.7%). History of undergoing major surgery was statistically significantly associated with higher stage of pressure ulcer (p-value .040). The mean Waterlow pressure injury score for all cases was 27.19 ± 13.143. There is a moderate uphill correlation between neurological deficit score and Waterlow PI score was observed, (Correlation coefficient: .447, p. <.001). Multinomial logistic regression analysis revealed increasing age is a significant predictive factor for developing higher stages of pressure ulcer (p .046). CONCLUSIONS This study indicated that major surgery, neurological deficit, low hemoglobin, and increasing age are strong predictors for developing higher stages of pressure injury. Therefore, health care contributors should consider these risks when applying a comprehensive pressure injury management plan.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Caiying Wang ◽  
Huimin Zhang ◽  
Yanlan Zhang ◽  
Lin Xu ◽  
Min Miao ◽  
...  

Abstract Background The incidence of pertussis shows an increasing trend in recent years, but some clinicians often lack sufficient understanding of the clinical characteristics and risk factors for severe pertussis, and more effective measures should be taken to reduce the incidence and mortality of pertussis in young infants Methods A retrospective study was conducted, and 184 infants and children with pertussis who had been hospitalized in the Department of Pediatrics of Beijing Ditan Hospital affiliated with Capital Medical University from January 2016 to December 2017 were included. Clinical data of the patients were collected and the clinical characteristics were statistically analyzed Results Among the 184 patients, 41.85% were infants < 3 months of age, and 65.22% of the total patients were not vaccinated against pertussis. There were 22 critically ill children, among whom 4 died, and compared with mild cases, they had a higher proportion of children younger than 3 months of age and infants not vaccinated against pertussis (63.64% vs. 38.89% and 100% vs. 60.49%, respectively); a higher proportion of children with severe pneumonia (100% vs. 0%); higher leukocyte count(× 109/L , 35.80 ± 20.53 vs 19.41 ± 8.59); and a higher proportion of children with severe hyperleukocytosis (18.18% vs. 0%, respectively) (P<0.05) Conclusions 1. Infants aged <3 months not vaccinated for pertussis appear more likely to become infected and have more severe disease. 2. Severe pneumonia and hyperleukocytosis are the main mechanisms underlying severe pertussis.


2019 ◽  
Vol Volume 12 ◽  
pp. 3935-3942 ◽  
Author(s):  
Qingxia Liu ◽  
Leping Liu ◽  
Yanming Li ◽  
Xia Chen ◽  
Qun Yan ◽  
...  

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