scholarly journals Study of the pattern and management of blunt chest injuries in rural setup

2017 ◽  
Vol 4 (10) ◽  
pp. 3482
Author(s):  
Kuldeep Sharma ◽  
Sushrut Pradeep Tated ◽  
Ashish Ashokrao Hatkar
Keyword(s):  
Cause Of Death ◽  
Chest Trauma ◽  
Public Health Problem ◽  
Age Group ◽  
Radiological Findings ◽  
Common Cause ◽  
Chest Injuries ◽  
The Common ◽  
Two Wheeler

Background: Trauma is recognized as a serious public health problem. In fact, it is the leading cause of death and disability in the first four decades of life and is the third most common cause of death overall. Trauma may lead to short or long-term disability. Objective was to study the pattern of chest injuries with resultant underlying damage, in rural set up.Methods: The present study was carried out among 500 cases of age group 15 to 75 years, all religions and both sexes. All patients received in the Emergency Room (ER/Casualty) were immediately attended and history, primary survey and resuscitation were done simultaneously. X ray chest-erect position was taken and subsequent management either operative or non-operative was done according to clinic-radiological findings. After discharge, patients were followed on OPD basis till the time they return to the normal activity.Results: Majority of patients (31%) were from 55 to 65 years of age group and were male (64.2%). Vehicular accident was the commonest (56.8 %) cause of injury. Vehicular accidents were the most common cause of chest injuries. In vehicular accidents two-wheeler riders were the common victims (55.28%). Assault was 2nd most common mode of injury. Among those patients who sustained chest trauma had average VAS 6 (49.2%) followed by 4 (45%). Majority of patient were treated conservatively (93.6%).Conclusions: The most active age group and males were affected with commonly vehicular accidents. They mainly suffered chest injuries. 

scholarly journals Clinical Profile of Acute Poisoning in Children at a Teaching Hospital in Lalitpur

2014 ◽  
Vol 34 (2) ◽  
pp. 100-103 ◽  
Author(s):  
Ajaya Kumar Dhakal ◽  
D Shrestha ◽  
A Shakya ◽  
SC Shah ◽  
H Shakya
Keyword(s):  
Teaching Hospital ◽  
Hospital Admissions ◽  
Acute Poisoning ◽  
Childhood Mortality ◽  
Age Group ◽  
Common Cause ◽  
Mortality And Morbidity ◽  
History Of ◽  
The Common ◽  
Poisoning In Children

Introduction: Acute poisonings are one of the common cause of emergency visits and hospital admissions and is potentially preventable cause of childhood mortality and morbidity. The objectives of this study were to identify the common type of poisoning in children, to determine types of poisoning according to age and to find out the common age group in which the incidence of poisoning was high.Materials and Methods: It was a descriptive observational study done in a teaching hospital in Lalitpur, Nepal in patients aged 1 month to 18 years who visited the emergency department and were admitted to hospital with history of alleged poisoning from 2009 July to 2014 January.Results: Fifty patients were included. Drugs, kerosene and organophosphorus were most common cause of poisoning. Drugs and kerosene below 10 years of age and organophosphorus and drugs above 10 years of age were common types of poisoning. Maximum numbers (50%) of children with poisoning cases were below five year of age. Mean duration of hospital stay was 2.1days and mean age of poisoning was 7.8 years with a male(54%) predominance. Majority of poisoning occurred at home (84%) and 68% of patients were symptomatic at presentation to hospital with 84% of patients presenting to hospital within six hours.Conclusion: This study showed that drugs, kerosene and organophosphorus were most common forms of poisoning. Young children were most vulnerable for acute poisoning.DOI: http://dx.doi.org/10.3126/jnps.v34i2.10139J Nepal Paediatr Soc 2014;34(2):100-103 

Adolescent HIV and infection

2018 ◽  
pp. 74-77
Author(s):  
Rashida Ferrand
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Cause Of Death ◽  
Mortality Rates ◽  
Age Group ◽  
Chronic Infections ◽  
Major Barrier ◽  
The Social ◽  
Health Programmes

Infectious diseases remain the leading cause of death in adolescents despite the improvements in public health that have occurred in the past decades. While mortality rates from infections are slowly declining in this age group, an exception is HIV, with HIV-related deaths having tripled in the last decade. As with other infections, the risk of acquiring HIV is partly explained by the biological and physical environment. However, the biological changes and the social and behavioural context of adolescence play an important role in determining risk. Notably, infections can result in long-term complications and consequent disability. While effective methods to prevent and treat many common infections do exist, the major challenges are to make these accessible to adolescents, an age-group that is often neglected by health programmes. In addition, adherence to treatment for chronic infections such as HIV, remains a major barrier to ensuring successful outcomes.

scholarly journals Long-Term Trends in Unintentional Fall Mortality in China: A Population-Based Age-Period-Cohort Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Zhenkun Wang ◽  
Youzhen Hu ◽  
Fang Peng
Keyword(s):  
Public Health Problem ◽  
Mortality Rates ◽  
Population Based ◽  
Mortality Data ◽  
Major Public Health Problem ◽  
Age Group ◽  
Men And Women ◽  
Long Term Trends ◽  
Unintentional Falls

Background: Unintentional falls seriously threaten the life and health of people in China. This study aimed to assess the long-term trends of mortality from unintentional falls in China and to examine the age-, period-, and cohort-specific effects behind them.Methods: This population-based multiyear cross-sectional study of Chinese people aged 0–84 years was a secondary analysis of the mortality data of fall injuries from 1990 to 2019, derived from the Global Burden of Disease Study 2019. Age-standardized mortality rates of unintentional falls by year, sex, and age group were used as the main outcomes and were analyzed within the age-period-cohort framework.Results: Although the crude mortality rates of unintentional falls for men and women showed a significant upward trend, the age-standardized mortality rates for both sexes only increased slightly. The net drift of unintentional fall mortality was 0.13% (95% CI, −0.04 to 0.3%) per year for men and −0.71% (95% CI, −0.96 to −0.46%) per year for women. The local drift values for both sexes increased with age group. Significant age, cohort, and period effects were found behind the mortality trends of the unintentional falls for both sexes in China.Conclusions: Unintentional falls are still a major public health problem that disproportionately threatens the lives of men and women in China. Efforts should be put in place urgently to prevent the growing number of fall-related mortality for men over 40 years old and women over 70 years old. Gains observed in the recent period, relative risks (RRs), and cohort RRs may be related to improved healthcare and better education.

scholarly journals Palliative treatment of uncontrollable hypercalcemia due to parathyrotoxicosis: denosumab as rescue therapy

2015 ◽  
Vol 2015 ◽  
Author(s):  
Reiner Jumpertz von Schwartzenberg ◽  
Ulf Elbelt ◽  
Manfred Ventz ◽  
Knut Mai ◽  
Tina Kienitz ◽  
...  
Keyword(s):  
Monoclonal Antibody ◽  
Cause Of Death ◽  
Serum Calcium ◽  
Parathyroid Carcinoma ◽  
Rescue Therapy ◽  
List Type ◽  
Common Cause ◽  
Severe Hypercalcemia ◽  
Forced Diuresis

Parathyroid carcinoma is a rare disease leading to severe hypercalcemia due to hyperparathyroidism. Surgery is the primary treatment option. A more progressive form of the disease is characterized by parathyrotoxicosis, and subsequent hypercalcemia is the most common cause of death. We report a case presenting with severe hypercalcemia due to parathyrotoxicosis from parathyroid carcinoma treated for the first time using the monoclonal antibody denosumab as a rescue therapy and present long-term follow-up data. The 71-year-old patient presented with severe hypercalcemia due to metastatic parathyroid carcinoma. Despite undergoing treatment with bisphosphonates, cinacalcet hydrochloride, and forced diuresis, the patient`s condition deteriorated rapidly due to resistant hypercalcemia. Surgery performed because of spinal metastasis and forced diuresis lowered calcium levels, albeit they remained in the hypercalcemic range and significantly increased when forced diuresis was stopped. Considering a palliative situation to overcome hypercalcemia, we decided to administer denosumab, a monoclonal antibody that binds to the receptor activator of nuclear factor-kappa B ligand. After a single subcutaneous administration of 60 mg denosumab, calcium levels normalized within one day. Subsequent denosumab injections led to permanent control of serum calcium for more than 2 years despite rising parathyroid hormone levels and repeated surgeries. Together with recent cases in the literature supporting our observation, we believe that denosumab is relevant for future trials and represents an effective tool to control hypercalcemia in patients with advanced stages of parathyroid cancer. Learning points Severe hypercalcemia is the most common cause of death in patients with parathyroid carcinoma. The monoclonal antibody denosumab rapidly lowered severely elevated serum calcium levels due to parathyrotoxicosis. Denosumab was effective in the long-term treatment of hypercalcemia despite progression of parathyroid carcinoma.

scholarly journals Retrospective Study on Suicidal Cases at Sir Salimullah Medical College Morgue House in the Year 2008

1970 ◽  
Vol 37 (2) ◽  
pp. 50-51
Author(s):  
Tejendra Chandra Das ◽  
Mostaque Rahim ◽  
Md Nazmul Hoq ◽  
Mosahef Uddin Ahmed ◽  
Sharmin Yasmin ◽  
...  
Keyword(s):  
Cause Of Death ◽  
Age Group ◽  
Post Mortem ◽  
Common Cause ◽  
Young Females ◽  
Factors Associated ◽  
Medical College ◽  
Unnatural Death ◽  
Number Of Factors ◽  
The World

Suicide is one of the commonest causes of unnatural death in the world. The number of suicide is increasing over the period of time. Our research focused on a number of factors associated with the occurrence of suicide, these includes- age, gender, religion, cause of death, modes of death. A total of 95 cases of suicide were studied in Sir Salimullah Medical College morgue house in the year 2008. The victims were composed of 33 males (34%) & 62 females (66%) and the age group of 21-30 years was the most common, which indicates occurrence of suicide is more common in young females. Of 95 cases, the most common cause of death was due to asphyxia, 88 cases (92%). Other cases include respiratory failure- 3 cases (3%), hemorrhage & shock- 4 cases (5%). In the discrimination of cause of death, we obtained information on victims & witness as well as investigating the scene & post mortem examination of the victim.   DOI: 10.3329/bmj.v37i2.3593 Bangladesh Medical Journal 37(2) 2008 50-51

scholarly journals Donor and tissue profiling at the time of eye donation at a tertiary care hospital in western India

2018 ◽  
Vol 5 (6) ◽  
pp. 2349
Author(s):  
Devdatta J. Gohel ◽  
Atul Kamath M. ◽  
Dhananjay A. Bhosale ◽  
Binita N. Gadhavi
Keyword(s):  
Cause Of Death ◽  
Care Center ◽  
Tertiary Care ◽  
Western India ◽  
Corneal Tissue ◽  
Care Hospital ◽  
Age Group ◽  
Common Cause ◽  
Tissue Profiling ◽  
Eye Donation

Background: The purpose of this study was to analyse the donor and tissue profiling of eyes donated at a tertiary care center in western India.Methods: Eye bank records were analysed for the period December 2014- December 2016. Variables studied included donor demographics (age, gender, ethnicity) cause of death of donor, consent for donation, whether the donation was voluntary or motivated, death to preservation interval, preservation to utilization interval, corneal suitability for transplantation and corneal tissue utilization.Results: During this study period, 200 corneal tissues were retrieved from 100 donors (male: female= 33: 17). The mean age of donors was 63 years (range: 18-91 years). Most common age group of donors belonged to 70-79 year age group. Most of the donors belonged to the class III of socio-economic status (35%). The most common cause of death was cardiorespiratory arrest (63%). Majority donors were voluntary (71%). Most consent for eye donation was given by sons (51%) or daughters (17%). Most of the donations were done at the deceased houses (64%). Mean death to preservation interval was 2.8 hours. Total corneas suitable for transplantation were 43% out of which 20% were utilised with the most common cause for disuse being septicaemia (23%) and poor quality of tissue (57%). Majority of patients had comorbidities with hypertension being most common (76%).Conclusions: With fairly less corneal tissue utilization, there is need for awareness among people in order to know the proper technique of preservation of eyes once death occurs and to increase motivational donations. 

scholarly journals CLINICAL PROFILE OF CHILDREN PRESENTING WITH SEIZURE

2021 ◽  
Vol 5 (12) ◽  
Author(s):  
Rakesh Thakur ◽  
Sumeet Verma
Keyword(s):  
Health Care ◽  
Descriptive Study ◽  
Health Care Facilities ◽  
Clinical Profile ◽  
Age Group ◽  
Common Cause ◽  
Common Causes ◽  
Care Facilities ◽  
Acute Symptomatic Seizure ◽  
The Common

Background: This study is to describe the clinical profile of children presenting with seizure including common causes of seizure and classify the seizure types. Methods:  Hospital-based, analytic and descriptive study. This study includes all children in the age group 6 months to 12 years who presented in the department of paediatrics with seizure. Results: Seizures presented with fever in 36.00% of cases Conclusions: Seizures are one of the common causes of hospitalization. It can be inferred from this study that CNS infections are the most common cause of acute symptomatic seizure. The improvement in health care facilities like sanitation and immunization is warranted to prevent it. Keywords: Seizures, GTCS, Children

scholarly journals Development of Underwear with Integrated 12 Channel ECG for Men and Women

2017 ◽  
Vol 17 (4) ◽  
pp. 344-349
Author(s):  
Stephanie Trummer ◽  
Andrea Ehrmann ◽  
Alexander Büsgen
Keyword(s):  
Cardiac Arrest ◽  
Cardiovascular Diseases ◽  
Cardiac Arrhythmia ◽  
Cause Of Death ◽  
Research Groups ◽  
Medical Practices ◽  
Men And Women ◽  
Ecg Signals ◽  
The Common

Abstract Cardiovascular diseases are the most frequent cause of death worldwide. Cases of cardiac arrest can often be attributed to undetected cardiac arrhythmia. Detecting rare episodes of arrhythmia necessitates long-term ECG measurements along days or weeks. However, due to the relatively small number of electrodes used for these ECGs, abnormal episodes can still go unrecognized. This article thus describes the development of underwear with ten inbuilt textile ECG electrodes, allowing for the measurement of long-term 12-lead ECG. As against the constructs of other research groups, the position of electrodes offers the same detection directions as the common 12-lead ECG equipment in hospitals or medical practices. Long-term tests have shown the suitability of the sensory underwear variants for men and women to detect reliable ECG signals without disturbing the patients’ comfort.

P0451TEN-YEAR OUTCOME DIFFERENCES IN LUPUS NEPHRITIS PATIENTS TREATED WITH CYCLOPHOSHAMIDE AND MYCOPHENOLATE- BASED TREATMENT REGIMEN

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Narayan Prasad ◽  
Jithu Kurian ◽  
Vikas Agarwal ◽  
Dharmendra Bhadauria ◽  
Amit Gupta
Keyword(s):  
Lupus Nephritis ◽  
Serum Creatinine ◽  
Cause Of Death ◽  
Patient Survival ◽  
Class Iii ◽  
Renal Survival ◽  
Common Cause ◽  
Class Iv

Abstract Background and Aims Lupus nephritis (LN) poses a considerable impact on the morbidity and mortality of SLE patients. Long term comparative outcome data with cyclophosphamide (CYP) and mycophenolate mofetil (MMF) based regimen from the Indian subcontinent is sparse. We assessed the renal and patient survival of these patients for the types of induction CYP or MMF and the two maintenance therapies – MMF or Azathioprine. We determined the predictors of death and dialysis dependency in the study population. Method In this retrospective study, we analysed outcomes of 100 LN patients, total 67 (26 class III, 25 class IV, 6 class III+V, and 10 class IV+V)) treated with CYP (euro lupus-40 and NIH- Dharmendra Bhadauria 27), and 33 with MMF based regimen with the steroid between July 2008 to June 2018. The class distribution of the patients in the two groups was similar. The data were archived regarding demography, clinical, histopathological features, and the treatment given of all 100 biopsy-proven LN patients. Outcomes between two regimens CYP and MMF in terms of remission, dialysis dependency, and patient survival were compared. The renal survival and patient survival at the end of follow-up between two groups were also analysed. Results The clinical characteristics were similar in both groups, except the activity index was high in CYP patients (6.13 ±4.48 Vs. 4.61 ± 2.80); however, the chronicity index was similar. The overall remission was 70% at the end of induction. The CR, PR, and NR in the CYP group was 46.2%, 23.9 %, 29.9% respectively; however, in the MMF group was 57.6%, 12.1%, and 30.3%, respectively. More patients died in CYP (14.9%) than those in MMF (9.1 %) patients. The 1-, 2-, 3-, 4-, 5- and 10-years patient survival in the CYP induction was 89.5%, 86.2%, 86.2%,83.8%, 83.8% and 83.8% however in MMF was 93.9%, 93.9%, 89%, 89%, 89% and 89% respectively. The most common cause of death was sepsis 9/13(69.2%), followed by uremia. The high serum creatinine, low Hb, male, thrombocytopenia, microscopic haematuria, leukocyturia, nephrotic proteinuria, lack of remission in 12 months, dialysis, doubling of creatinine on follow-up were significant predictors of mortality. The 1-, 2- 3-, 4-, 5- and 10- years renal survival (event death-censored, but dialysis dependency) in CP group was 98.5%, 96.7%, 94.7%, 92.4%, 92.4% and 84 % respectively however in the MMF was 96.8 %, 96.8%, 91.9%, 91.9%, 91.9%, and 78.8% respectively. (Figure 1)At the end of the study, dialysis dependency in the MMF group and CYP group was 7.5% and 12.1 %, respectively (NS). In the maintenance therapy, 3/56(5.3%) had to double of creatinine in MMF, and 7/34 (20.5%) in the AZA group (p=0.03). Conclusion Long term outcomes in terms of patient and renal survival of LN patients treated with CP and MMF based induction is similar. Serum creatinine doubling was more with MMF than AZA based maintenance. The majority of death occurred during induction, and sepsis was the most common cause of death.

scholarly journals Prospective Evaluation of Suicide Cases Presented to National Environmental and Clinical Toxicology Center - Egypt

2019 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Public Health Problem ◽  
Clinical Toxicology ◽  
Female Dominance ◽  
Research Centre ◽  
Age Group ◽  
Prospective Evaluation ◽  
Common Cause ◽  
Toxicological Research ◽  
Socio Demographic Factors ◽  
National Environmental

Suicide is a tragic and potentially preventable public health problem. It is the 3rd leading cause of death among young adults worldwide. It was reported that drug overdose was the most common means of suicide in Egypt. Pesticides are a common suicidal agent. Aim of this study is to assess the prevalence of suicidal cases admitted to National Environmental and Clinical Toxicology Research Centre (NECTR) during six months period from (April to September 2017) regarding the most common poison used and different socio-demographic factors in attempt to identify high risk individuals in our community. This prospective study included 162 suicidal cases who were admitted to the National Environmental and Clinical Toxicological Research Center. The results of this study showed that the most frequent age group was those between 18-40 years (60.5%) followed by those below 18 years (33.3%) with female dominance (79%). The most frequently ingested agents were pesticides (34%) followed by miscellaneous agents (30.9%) then psychoactive agents (11.1%). The most common cause of attempting suicide was social problems (69.1%) followed by psychological causes (11.7%). The mortality rate was (4.3%).

Sign in / Sign up

Export Citation Format

Share Document