scholarly journals Az El Camino zarándokút egészségügyi kockázatai. Tanulságok és tanácsok

2018 ◽  
Vol 159 (38) ◽  
pp. 1535-1542 ◽  
Author(s):  
Péter Felkai
Keyword(s):  
Cause Of Death ◽  
Statistical Data ◽  
Road Traffic ◽  
Travel Medicine ◽  
Female Group ◽  
Limited Information ◽  
Long Distance ◽  
Santiago De Compostela ◽  
Coronary Syndrome ◽  
The Way

Abstract: The Way of St. James (El Camino) is getting more and more popular. Analysis of the age groups of the pilgrims shows that the number of young pilgrims (30< years) is decreasing, but the number of middle-aged people (30–60 years) is slightly increasing, while the number of elderly people (>60 years) has considerably increased. The statistical data of the Pilgrims’ office in Santiago de Compostela also display the continuous elevation in the number of the “pilgrims” who had completed the El Camino without any religious or spiritual reason. Therefore this pilgrim route became a long-distance trekking – in the point of view of travel medicine. The old age is a high risk for travellers moreover in this long distance trekking. Therefore pre-travel counselling would be vital for aged pilgrims. Unfortunately, a few articles have been published only on the medical problems of El Camino. Taking into consideration the possible health damages during the 800 km long “Camino”, the author describes its health hazards. This study could be a useful guideline for pre-travel advice for El Camino pilgrims as only limited information can be gained from the Pilgrims’ Reception Office (PRO) in Santiago de Compostela. Some information was collected from the relevant pages of the internet. Therefore the author could draw limited consequences from the statistical data. Yet, the analysis of the medical causes of the deceased pilgrims told more about the hazards of ‘The Way’. Although the number of female and male pilgrims was equal in the statistical data, yet the mortality rate of the male pilgrims is much more higher than that of the female pilgrims (93–7%). The most frequent cause of death was acute coronary syndrome or its suspicion (40–34%). The second most frequent cause of death was road traffic accident (17,5–25%). The most vulnerable pilgrims are the cyclists in this respect. The exacerbation of any chronic disease was also different among the genders (3–25%) but homicide is a more frequent cause of death in the female group (2%–8%). The cause of death was exhaustion, stroke, hypothermia and drowning (because of the ritual bathing in the sea, after the route completed) as well. Orv Hetil. 2018; 159(38): 1535–1542.

scholarly journals Temporal trends in treatment and outcomes of patients with acute coronary syndrome and concomitant moderate to severe renal failure

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
M Bossard ◽  
F Witassek ◽  
D Radovanovic ◽  
F Moccetti ◽  
P Erne ◽  
...  
Keyword(s):  
Renal Failure ◽  
Temporal Trends ◽  
Limited Information ◽  
Severe Renal Failure ◽  
P2y12 Inhibitors ◽  
Coronary Syndrome ◽  
Number Of Patients ◽  
Percutaneous Coronary ◽  
Coronary Syndromes ◽  
To Receive

Abstract Introduction Limited information about the management and outcomes of patients with acute coronary syndromes (ACS) and moderate to severe renal failure (RF) is available owing to underrepresentation of this population in most studies. Methods We evaluated the use of guideline-recommended therapies and in-hospital outcomes of totally 49'191 ACS patients with normal-mild renal failure (RF) (defined as eGFR &gt;45ml/min/m2) versus moderate-severe RF (eGFR &lt;45ml/min/m2) enrolled in the prospective Acute Myocardial Infarction in Switzerland (AMIS) cohort between 2002 and 2019 according to 2-year periods. Results Overall, 3'478 (7.1%) patients had moderate-severe RF. They were older (65.2+12.9 versus 77.2+10.6 years) and had significantly more comorbidities (including heart failure, cerebrovascular and peripheral vascular disease). Moderate-severe RF patients received less frequently guideline-recommended drugs, including P2Y12 inhibitors, ACEI/ARBs and statins (p&lt;0.0001). Between the first and last 2-year periods, the number of patients with moderate-severe RF and number of performed percutaneous coronary interventions (PCI) increased in this cohort (p-for-trend=0.001). At the same time, in-hospital mortality significantly decreased among ACS patients with and without RF (17.5% to 10.5% and 6.0% to 3.9%, respectively, p-for-trend=0.001 for both, see Figure). Similar trends were observed for other complications, namely cardiogenic shock and reinfarction. However, major bleedings increased significantly over time in patients with and without RF (p-for-trend=0.038 and &lt;0.001, respectively). Conclusions Outcomes of ACS patients with moderate to severe RF improved over the last two decades. Even though the rate of PCI increased in ACS patients with moderate-severe RF, they were less likely to receive guideline-recommended therapies and still suffer a high in-hospitality mortality (&gt;10%). With respect to the increasing burden of ACS patients with RF, our study implicates that more efforts should be undertaken to further improve outcomes of those patients. Funding Acknowledgement Type of funding source: None

Historic city, tourism performance and development: The balance of social behaviours in the city of Santiago de Compostela (Spain)

2016 ◽  
Vol 16 (3) ◽  
pp. 282-293 ◽  
Author(s):  
Belén Mª Castro Fernández ◽  
Rubén Camilo Lois González ◽  
Lucrezia Lopez
Keyword(s):  
Numerical Data ◽  
City Centre ◽  
City Development ◽  
Santiago De Compostela ◽  
Final Destination ◽  
City Tourism ◽  
Set Up ◽  
Historic City ◽  
The City ◽  
The Way

Santiago de Compostela is an iconic place. From the 9th century through to the present day the city has acted as the final destination of a major pilgrimage route named after it. In the article we ask ourselves how the contemporary reinvention of the pilgrimage and pilgrimages on the Way of St. James has boosted tourism development in the city. Development has been concentrated in the historic city centre and in the area around the cathedral. The importance of tourism has transformed the significance of the city itself, which acquires a magical component as a place of arrival and encounter for all kinds of visitors. The historic city has been set up in the 20th century as a destination for the Way and for cultural tourism. The buildings, particularly those connected with the pilgrimage route, become highly attractive and symbolic places and tourists carry out a number of rituals in them. They travel and enjoy Santiago as a unique experience. The study of tourism and of the tourist transformation of Santiago de Compostela is undertaken using a qualitative and quantitative method. The article analyses the heritage and symbolic value of the historic centre, together with the growth of its tourism activities. Numerical data are also provided on the perceptions and behaviour of visitors using surveys carried out by the city's Tourism Observatory.

POLA PEMENUHAN HAK DAN KEWAJIBAN SUAMI ISTRI LONG DISTANCE RELATIONSHIP (LDR) DI DESA BATUJAYA, KARAWANG

2020 ◽  
Vol 1 (2) ◽  
pp. 165-178
Author(s):  
Reza Umami Zakiyah ◽  
Eneng Nuraeni
Keyword(s):  
Married Couple ◽  
Descriptive Analysis ◽  
Mutual Trust ◽  
Analysis Method ◽  
Communication Tool ◽  
Biological Aspect ◽  
Long Distance ◽  
Distance Relationship ◽  
Husband And Wife ◽  
The Way

Ideally, a married couple lives together to carry out their respective duties and obligations. However, because the demands of work cause some of them must be far apart and live the life of Long Distance Relationship (LDR) as happened in Batujaya Village, Kec. Batujaya, Kab. Karawang. The problem that arises is how the pattern of fulfilling the rights and obligations of husband and wife in Batujaya Village, Kec. Batujaya, Kab. Karawang. How to communicate on LDR and how to overcome the difficulties that arise between the two. Through research using descriptive analysis method, the results of the study show that: (1) The pattern of fulfilling the rights and obligations of a husband and wife who are on a LDR at Batujaya Village, Kec. Batujaya, Kab. Karawang can be understood in three aspects, namely the Financial/material aspect is done by meeting in person/transferring money through Alfamart/ATM/POS. The biological aspect when far apart is by interacting by telephone, occupying with homework. Psychological aspects, namely by giving attention over the phone or when meeting by serving all their needs. (2) The way of LDR husband and wife communication via telephone, massage, whatsapp, and video call, but for those who do not use the telephone as a communication tool, the communication is carried out directly when meeting. (3) The way to overcome the difficulties that arise between the two is to maintain mutual trust, understanding, commitment, intensive communication, mutual attitude. The difficulties faced are financial, trust, communication, cooperation and sexual needs.Idealnya pasangan  suami istri hidup bersama dalam satu  rumah untuk melaksanakan tugas dan kewajiban masing-masing. Namun, karena tuntutan pekerjaan menyebabkan sebagian dari mereka harus berjauhan dan menjalani kehidupan Long Distance Relationship (LDR) seperti yang terjadi di Desa Batujaya, Kec. Batujaya, Kab. Karawang. Masalah  yang timbul yaitu bagaimana pola pemenuhan hak dan kewajiban suami istri di Desa Batujaya, Kec. Batujaya, Kab. Karawang. Bagaimana cara komunkasi suami istri LDR dan bagaimana cara mengatasi kesulitan yang timbul diantara keduanya. Melalui penelitian yang menggunakan metode deskriptif analisis ini, hasil penelitian menunjukan bahwa: (1) Pola pemenuhan hak dan kewajiban suami istri Long Distance Relationship (LDR) di Desa Batujaya, Kec. Batujaya. Kab. Karawang dipahami dalam tiga aspek yaitu Aspek Finansial/materi dilakukan dengan pola bertemu langsung/mentransfer uang melalui Alfamart/ATM/POS. Aspek biologis ketika berjauhan yaitu dengan berinteraksi melalui telepon, menyibukan diri dengan pekerjaan rumah. Aspek psikologis yaitu dengan memberikan perhatian lewat telepon ataupun saat bertemu secara langsung dengan melayani segala kebutuhan masing-masing. (2) Cara komunikasi suami istri LDR melalui telephone, sms, whatshap, dan Video call, tetapi untuk mereka yang tidak menggunakan telepon sebagai alat komunikasi, maka komunikasinya dilakukan secara langsung pada saat bertemu. (3) Cara mengatasi kesulitan yang timbul diantara keduanya yaitu saling menjaga kepercayaan, pengertian, komitmen, komunikasi intensif, sikap saling terbuka. Adapun kesulitan yang dihadapi yaitu masalah keuangan, kepercayaan, komunikasi, kerjasama dan kebutuhan seksual.

1.—The Competitors and the Result

1906 ◽  
Vol 10 (40) ◽  
pp. 50-51
Keyword(s):  
Great Britain ◽  
North Sea ◽  
English Channel ◽  
Long Distance ◽  
The North ◽  
The North Sea ◽  
The Way

No fewer than seven nations tried to win the Gordon Bennett Cup in the race which started from the Tuileries Gardens, in Paris, on September 30th. But the wind was in an unfavourable direction for the accomplishment of a long distance record. To some, the English Channel barred the way, to some, the North Sea.The cup offered for the greatest distance covered has been accorded to the American aeronaut, Mr. Frank P. Lahm, who descended 15 miles north of Scarborough.It will be seen in another part of this Journal that in December next, Members of the Aëronautical Society of Great Britain will hear an account of the Gordon-Bennett race from Colonel J. E. Capper, who took part in the race, having accompanied Mr. Rolls in the “ Britannia.” In this account, therefore, it will suffice to merely tabulate the competitors and results.

Heart disease and gender in mass print media

2008 ◽  
Vol 14 (1) ◽  
pp. 18-20
Author(s):  
Juanne Clarke
Keyword(s):  
Heart Disease ◽  
Cause Of Death ◽  
Heart Attack ◽  
Print Media ◽  
Men And Women ◽  
High Achieving ◽  
And Gender ◽  
Developed World ◽  
As If ◽  
The Way

Heart disease is a major cause of death, disease and disability in the developed world for both men and women. Nevertheless, the evidence suggests that women are under-diagnosed both because they fail to visit the doctor with relevant symptoms and because doctors tend to dismiss the seriousness of women's symptoms of heart disease. This study examines the way that popular mass print media present the possible links between gender and heart disease. The findings suggest that the ‘usual candidates’ for heart disease are considered to be high achieving and active men for whom the ‘heart attack’ is sometimes seen as a ‘badge of honour’ and a symbol of their success. In contrast, women are less often seen as likely to succumb, but they are portrayed as if they are and ought to be worried about their husbands. Women's own bodies are described as so problematic as to be perhaps useless to diagnose, because they are so difficult to understand and treat.

scholarly journals Epidemiology of road traffic crashes among long distance drivers in Ibadan, Nigeria

2015 ◽  
Vol 15 (2) ◽  
pp. 480 ◽  
Author(s):  
AM Adejugbagbe ◽  
AA Fatiregun ◽  
A Rukewe ◽  
T Alonge
Keyword(s):  
Road Traffic ◽  
Long Distance ◽  
Traffic Crashes ◽  
Road Traffic Crashes ◽  
Ibadan Nigeria

scholarly journals MORTALITY AND COVID-19: A SNAPSHOT OF A TERTIARY CARE FACILITY IN PAKISTAN

2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
MA Rana ◽  
A Qayyum ◽  
M Hashmi ◽  
MMU Saif ◽  
MF Munir ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Cause Of Death ◽  
Tertiary Care ◽  
Sudden Cardiac Arrest ◽  
Care Facility ◽  
Multiple Organ ◽  
Coronary Syndrome ◽  
Tertiary Care Facility ◽  
Biochemical Profiles ◽  
Novel Coronavirus

Background: Since SARS CoV-2 infection began in China and has evolved into a pandemic, mortality associated with this illness has been under discussion and hypercoagubility, severe acute respiratory syndrome and septicemia with multiple organ insufficiency have been cursed as potential causes of death in cases infected with the novel coronavirus. We did a retrospective analysis of cases admitted to our highly dependent and intensive care unit, and we tried to identify the leading cause of death in our cases. Methods: This is a single center retrospective study carried out at Bahria International Hospital Lahore over a 3-month period (May 10th to July 10th 2020) in which we analyzed the clinical and biochemical profiles of the COVID-19 patients who died during this period. Results: A total of 108 patients were admitted during this period out of which 11 patients died. 7 of them were men and 4 women. Majority of them had sudden cardiac arrest due to acute coronary syndrome followed by multiorgan dysfunction syndrome and acute respiratory distress syndrome. Conclusion: Acute coronary syndrome due to hypercoagubility was the leading cause of death in our patients.

scholarly journals Characteristics of Road Traffic Accident Cases Reported in a Tertiary Military Hospital

2020 ◽  
Vol 15 (2) ◽  
pp. 213-217
Author(s):  
Md Moshiur Rahman ◽  
Farzana Zafreen ◽  
Abu Noman Mohammed Mosleh Uddin
Keyword(s):  
Cause Of Death ◽  
Road Safety ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Military Hospital ◽  
Road Traffic Accidents ◽  
Traffic Crashes ◽  
Road Traffic Crashes

Introduction: Road traffic accidents (RTA) are the eighth leading cause of death globally, and the leading cause of death in Bangladesh. The road safety situation in Bangladesh has been deteriorating with increasing number of road accident deaths, largely as direct consequences of rapid growth in population, motorization, urbanization and lack of investment in road safety. Objectives: To describe the injury characteristics of road traffic accidents cases that reported at Combined Military Hospital (CMH), Dhaka. Materials and Methods: This descriptive cross-sectional hospital based study was conducted on all the RTA cases reported to medical inspection room CMH, Dhaka from 01 March to 30 June 2010. A total of 126 RTA victims irrespective of age and sex were included, data were collected by face to face interview using a pre-tested questionnaire. Results: A total of 126 road traffic accident victims both sexes were studied. The majority of the study subjects were men 103 (81.7%) and most of them were in 31-40 years group (27%), Muslims (98.41%) were the majority. In our study regarding educational qualification of RTA victims most of them were SSC qualified (44’4%) and primary level (15.1%). Military services holder (45.2%) was the majority of road traffic crash victims. Bus/Minibus (32.5%) was responsible for the majority of road traffic crashes and motor vehicle passengers (42.9%) were main victims. Laceration & cut injury were (38.1%) and multiple injury (18.3%) were the most common injury. Main roads (49.2%) were the commonest site of the accidents.  Regarding place of occurrence main roads 62 (49.2%) was the most common site and noon 41 (32.5%) was the most common time of occurrence of accidents. Conclusion: Road traffic crashes constitute a major public health problem in our setting and contribute significantly to unacceptably high morbidity and mortality. Urgent preventive measures targeting at reducing the occurrence of road traffic crashes is necessary to reduce the morbidity and mortality resulting from these injuries. Early recognition and prompt treatment of road traffic injuries is essential for optimal patient outcome. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 213-217

RHEUMATIC PNEUMONITIS IN CHILDHOOD

PEDIATRICS ◽  
1948 ◽  
Vol 2 (6) ◽  
pp. 688-693
Author(s):  
HAROLD B. LEVY ◽  
JOHN D. COFFEY ◽  
CHARLES E. ANDERSON
Keyword(s):  
Heart Failure ◽  
Rheumatic Fever ◽  
Cause Of Death ◽  
Respiratory System ◽  
Bacterial Pneumonia ◽  
Pulmonary Involvement ◽  
Sufficient Data ◽  
Precipitating Factor ◽  
The Way

Sufficient data are presented to indicate the pathologic entity of rheumatic pneumonitis and its position of importance as an outstanding cause of death in rheumatic fever, either primarily or secondarily. In each of the five autopsied cases, there was sufficiently severe and widespread pulmonary involvement to suggest that the pneumonitis led the way to the fatal termination, either by impairment of the respiratory system alone, or by further adding to the load of an already dangerously impaired cardiac mechanism. If, as Stewart has said, the danger of bacterial pneumonia is such an acute one as a precipitating factor in heart failure, how much more perilous is the existence of a severe involvement which appears to be part and parcel of the rheumatic picture as a whole.

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