No So Sunny

PEDIATRICS ◽  
1995 ◽  
Vol 95 (5) ◽  
pp. 801-802
Author(s):  
Carole L. Mangrem ◽  
Robert J. Leggiadro
Keyword(s):  
Emergency Department ◽  
High Risk ◽  
Risk Group ◽  
Medical Center ◽  
White Male ◽  
High Risk Group ◽  
Infant Feeding Practices ◽  
Regional Medical ◽  
Regional Medical Center ◽  
History Of

We recently cared for a young patient who we believe represents a serious example of egg-associated salmonellosis in a member of a high-risk group because of his young age. His case serves to remind pediatricians to discuss infant feeding practices with parents and to warn them of the potential hazards of eggs related to salmonellosis. This previously healthy 5-month-old white male was brought to the emergency department of a Mississippi regional medical center with a 1-day history of fever and irritability.

The sleep macroarchitecture of children at risk for depression recruited in sleep centers

2012 ◽  
Vol 28 (3) ◽  
pp. 168-173 ◽  
Author(s):  
F. Bat-Pitault ◽  
D. Da Fonseca ◽  
S. Cortese ◽  
Y. Le Strat ◽  
L. Kocher ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
High Risk ◽  
Children And Adolescents ◽  
Depressive Episode ◽  
Risk Group ◽  
Sleep Stage ◽  
Sleep Onset ◽  
High Risk Group ◽  
Sleep Efficiency ◽  
History Of

AbstractObjectiveThe primary aim of this study was to compare the sleep macroarchitecture of children and adolescents whose mothers have a history of depression with children and adolescents whose mothers do not.MethodPolysomnography (PSG) and Holter electroencephalogram (EEG) were used to compare the sleep architecture of 35 children whose mothers had at least one previous depressive episode (19 boys, aged 4–18 years, “high-risk” group) and 25 controls (13 males, aged 4–18 years, “low-risk” group) whose mothers had never had a depressive episode. The total sleep time, wakefulness after sleep onset (WASO), sleep latency, sleep efficiency, number of awakenings per hour of sleep, percentages of time spent in each sleep stage, rapid eye movement (REM) latency and the depressive symptoms of participants were measured.ResultsIn children (4–12 years old), the high-risk group exhibited significantly more depressive symptoms than controls (P = 0.02). However, PSG parameters were not significantly different between high-risk children and controls. In adolescents (13–18 years old), the high-risk subjects presented with significantly more depressive symptoms (P = 0.003), a significant increase in WASO (P = 0.019) and a significant decrease in sleep efficiency compared to controls (P = 0.009).ConclusionThis study shows that children and adolescents born from mothers with a history of at least one depressive episode had significantly more depressive symptoms than controls. However, only high-risk adolescents presented with concurrent alterations of sleep macroarchitecture.

scholarly journals Diagnostic Yield of Echocardiography in Syncope Patients with Normal ECG

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Nai-Lun Chang ◽  
Priyank Shah ◽  
Sharad Bajaj ◽  
Hartaj Virk ◽  
Mahesh Bikkina ◽  
...  
Keyword(s):  
Diagnostic Yield ◽  
Severe Aortic Stenosis ◽  
Medical Center ◽  
Test Results ◽  
Hospital Records ◽  
Regional Medical ◽  
Regional Medical Center ◽  
History Of ◽  
Echocardiographic Findings

Aim. This study aimed to assess the role of echocardiography as a diagnostic tool in evaluating syncope patients with normal versus abnormal electrocardiogram.Methods. We conducted a retrospective study of 468 patients who were admitted with syncope in 2011 at St. Joseph’s Regional Medical Center, Paterson, NJ. Hospital records and patient charts, including initial emergency room history and physical, were carefully reviewed. Patients were separated into normal versus abnormal electrocardiogram groups and then further divided as normal versus abnormal echocardiogram groups. Causes of syncope were extrapolated after reviewing all test results and records of consultations.Results. Three hundred twelve of the total patients (68.6%) had normal ECG. Two-thirds of those patients had echocardiograms; 11 patients (5.7%) had abnormal echo results. Of the aforementioned patients, three patients had previous documented history of severe aortic stenosis on prior echocardiograms. The remaining eight had abnormal but nondiagnostic echocardiographic findings. Echocardiography was done in 93 of 147 patients with abnormal ECG (63.2%). Echo was abnormal in 27 patients (29%), and the findings were diagnostic in 6.5% patients.Conclusions. This study demonstrates that echocardiogram was not helpful in establishing a diagnosis of syncope in patients with normal ECG and normal physical examination.

scholarly journals Unscheduled return visits by patients to a german emergency department are a high risk group for initial wrong diagnosis

2018 ◽  
Vol 17 (4) ◽  
pp. 178-181
Author(s):  
Felix Ludwig ◽  
◽  
Wilhelm Behringer ◽  
Steffen Herdtle ◽  
Christian Hohenstein ◽  
...  
Keyword(s):  
Emergency Department ◽  
High Risk ◽  
Risk Group ◽  
Vital Signs ◽  
High Risk Group ◽  
Normal Limits ◽  
Wrong Diagnosis ◽  
Return Visits ◽  
Special Patient Population ◽  
Special Patient

The aim was to classify patients who returned unscheduled to an emergency department within 7 days. We categorized the patients’ cases arbitrarily according to the underlying cause of the return. The main causes for returning unscheduled were: “patient related” (24,2%), “illness related” (35,4%), “physician related” (18,3%), “system related” (3,8%) and “other” (21,7%). We also analyzed missed diagnoses, as the literature describes this special patient population as a high risk group. 15,4% of all return cases had a wrong diagnosis. No typical risk constellation/symptom could be found. Vital signs or blood values were within normal limits as well.

scholarly journals An Oral History of the “Joint” Nursing Experience at Landstuhl Regional Medical Center

2000 ◽  
Vol 165 (2) ◽  
pp. 131-134 ◽  
Author(s):  
Glenn R. Ermer ◽  
Brenda J. McEleney ◽  
Iris J. West
Keyword(s):  
Oral History ◽  
Medical Center ◽  
Nursing Experience ◽  
Regional Medical ◽  
Regional Medical Center ◽  
History Of

scholarly journals Time course of changes in maternal left ventricular function during subsequent pregnancy in women with a history of gestational hypertensive disorders

2018 ◽  
Vol 315 (4) ◽  
pp. R587-R594 ◽  
Author(s):  
Michinari Hieda ◽  
Jeung-Ki Yoo ◽  
Dan-dan Sun ◽  
Yoshiyuki Okada ◽  
Rosemary S. Parker ◽  
...  
Keyword(s):  
High Risk ◽  
Left Ventricular Function ◽  
Ventricular Function ◽  
Time Course ◽  
Risk Group ◽  
Cardiovascular Complications ◽  
Left Ventricular ◽  
Subsequent Pregnancy ◽  
High Risk Group ◽  
History Of

Women with a history of gestational hypertensive disorders (GHD) are at increased risk for developing perinatal cardiovascular complications (e.g., gestational hypertension, preeclampsia, etc.) in subsequent pregnancies. The underlying mechanisms remain uncertain, but impaired maternal left ventricular function may be one contributing factor for these complications. We evaluated the time course of changes in left ventricular function before, during, and after pregnancy in women with prior GHD. Sixteen women with a history of GHD (the high-risk group) and 25 women without such a history (controls) were enrolled. Resting hemodynamic and echocardiographic measurements were longitudinally performed before pregnancy, during early pregnancy (4–8 wk of gestation), during late pregnancy (32–36 wk of gestation), and postpartum (6–10 wk after delivery). Pregnancy outcomes were obtained after delivery. At prepregnancy, there was no difference in blood pressure and heart rate between the groups. Corrected isovolumic relaxation time was longer, E/ eʹ was larger, and Tei index was greater in the high-risk group than controls. Moreover, the rate of GHD during the study was significantly greater in the high-risk group than controls [odds ratio = 8.94 (95% confidence interval: 1.55–51.5), P = 0.007]. Multiple logistic regression analysis adjusted for age demonstrated that prepregnancy E/ eʹ was an independent predictor for GHD ( P = 0.017). Thus, women with a history of GHD have modestly impaired cardiac function prepregnancy compared with controls, which identifies an increased susceptibility to developing cardiovascular complications during a subsequent pregnancy.

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