Hysterectomies at the Conakry university hospitals: social, demographic, and clinical characteristics, types, indications, surgical approaches, and prognosis

2014 ◽  
Vol 24 (4) ◽  
pp. 379-382 ◽  
Author(s):  
I.S. Baldé ◽  
T. Sy ◽  
B.S. Diallo ◽  
Y. Diallo ◽  
M.N. Mamy ◽  
...  
2021 ◽  
pp. 095148482110287
Author(s):  
Valdery Moura Junior ◽  
M Brandon Westover ◽  
Feng Li ◽  
Eyal Kimchi ◽  
Maura Kennedy ◽  
...  

Using observational data and variation in hospital admissions across days of the week, we examined the association between ED boarding time and development of delirium within 72 hours of admission among patients aged 65+ years admitted to an inpatient neurology ward. We exploited a natural experiment created by potentially exogenous variation in boarding time across days of the week because of competition for the neurology floor beds. Using proportional hazard models adjusting for socio-demographic and clinical characteristics in a propensity score, we examined the time to delirium onset among 858 patients: 2/3 were admitted for stroke, with the remaining admitted for another acute neurologic event. Among all patients, 81.2% had at least one delirium risk factor in addition to age. All eligible patients received delirium prevention protocols upon admission to the floor and received at least one delirium screening event. While the clinical and social-demographic characteristics of admitted patients were comparable across days of the week, patients with ED arrival on Sunday or Tuesday were more likely to have had delayed floor admission (waiting time greater than 13 hours) and delirium (adjusted HR = 1.54, 95%CI:1.37–1.75). Delayed initiation of delirium prevention protocol appeared to be associated with greater risk of delirium within the initial 72 hours of a hospital admission.


2021 ◽  
Vol 121 (1) ◽  
pp. 31
Author(s):  
L.A. Burygina ◽  
V.A. Orlov ◽  
A.V. Zhilenkova ◽  
D.E. Makaryan ◽  
A.N. Khannanova ◽  
...  

Neurology ◽  
1997 ◽  
Vol 48 (6) ◽  
pp. 1598-1604 ◽  
Author(s):  
G. W. Albers ◽  
N. Bittar ◽  
L. Young ◽  
C. R. Hattemer ◽  
A. J. Gandhi ◽  
...  

2020 ◽  
Vol 75 (3) ◽  
pp. 26-33
Author(s):  
Yu.V. Kukhtenko ◽  
◽  
L.A. Ryaskov ◽  
O.A. Kosivtcov ◽  
I.V. Mikhin ◽  
...  

Diagnostics, tactics of medical and surgical treatment of various diseases of the thyroid gland is a topical issue in patients of older age groups. The peculiarity of this category of patients is high comorbidity, so the volume of surgery should be determined not only by the type and severity of the course of thyroid pathology, but also by the clinical characteristics of concomitant diseases. To date, the issue of choosing the volume of surgery in elderly and senile patients remains debatable.


2018 ◽  
Vol 24 (4) ◽  
pp. 153-156 ◽  
Author(s):  
Mathieu Millogo ◽  
Richard W-L Ouedraogo ◽  
Vincent Ily ◽  
Tarcissus Konsem ◽  
Dieudonné Ouedraogo

Introduction: A bite from another human is an unusual cause of maxillo-facial traumatology. Our objective was to describe the epidemiologic and clinical characteristics of labial lesions caused by this kind of bite. Patients and methods: A descriptive prospective study was carried out at the University hospitals of Yalgado OUEDRAOGO and Blaise COMPAORE in Ouagadougou in Burkina Faso between June 2012 and May 2017. Results: We collected a sample of 28 patients with an average age of 32.5 years. The sex ratio was about 0.3. All the bites had been inflicted by women. The victims generally came from an underprivileged socioprofessional background. The bite had occurred during a brawl in 26 patients (92.9% cases) and in some context of aggression among 2 patients. The lesions were located on the lower lip among 21 patients, the upper lip among 4 patients, and along the commissure among 3 patients and resulted in a loss of tissue among 23 patients (82.1%). The treatment was surgical in nature, using trimming and labialization with satisfactory results in all cases. Conclusion: The circumstances surrounding the bites are not always clear and the lesions are almost always serious and require delicate treatment.


2020 ◽  
Author(s):  
Sara H.A.Agwa ◽  
Hesham Elghazaly ◽  
Sarah El-Nakeep ◽  
Ahmad Moustafa ◽  
Manal H El-Sayed ◽  
...  

Abstract Purpose: COVID-19 is the most recent pandemic causing morbidity and mortality. Although a part of the pathogens causing SARI, it is unique in causing pulmonary thrombosis and lung fibrosis. Thus different management is needed. We aimed o explore the start of SARS-CoV-2 in preserved SARI samples to know the exact time of its emergence in our hospital, to conduct whole-genome sequencing in positive SARS-CoV-2 samples to define its strain. To assess the clinical characteristics of the severe respiratory infection admitted to El-Demerdash hospitals in that same period from our own file reports.Methods: We conducted a retrospective cohort study among SARI patients who were admitted to Ain Shams university hospitals. preserved nasopharyngeal& oropharyngeal swabs from 333 SARI patients were used in SARS-CoV-2 detection by RT-Real time PCR. Moreover, whole-genome sequencing of SARS-CoV-2 positive samples was performed. Clinical characteristics of the SARI patients were analyzed in the same period to show the relation to morbidity and mortality.Results: The first case of SARS-CoV-2 was detected in a 6months aged female patient on mid-April 2020, B.1.1.7, clade GR. Co-infection (with both bacterial and viral) was most prevalent in pediatrics than adults, but mortality was higher in adults than pediatrics (18.1% versus 7.1%). ICU admission was higher in adults than in the pediatric group (65% versus 12.8%). Co-morbidities were associated with higher mortality and more severe infection. The most common bacterial infection in both adults and pediatrics was Klebsiella pneumoniae, followed by Staphylococcus aureus and Streptococcus pneumoniae. Conclusion: COVID-19 didn’t start till mid-April in the Egyptian hospitals as remarked by this tertiary hospital’s data. Co-infection is the most prevalent in children and further research is needed in this area.


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