scholarly journals Analysis of the venomous snakebite patients treated in the Uzice general hospital (Western Serbia) between 2006 and 2018

2021 ◽  
pp. 14-14
Author(s):  
Sonja Nikolic ◽  
Marija Antic ◽  
Aleksandra Pavic ◽  
Rastko Ajtic ◽  
Sladjana Pavic
Keyword(s):  
General Hospital ◽  
Previous Analysis ◽  
Venomous Snake ◽  
Snake Species ◽  
Mild Pain ◽  
Central Register ◽  
Life Threatening ◽  
Per Se ◽  
The 1960S ◽  
Vipera Ammodytes

Introduction/Objective. A countrywide survey of venomous snakebites was never conducted in Serbia: the making of a central register was initiated only in 2018. We collected and analyzed the available data regarding venomous snakebites in the Uzice region (Western Serbia). The previous analysis from this hospital was published in 1968. Methods. We retrospectively analyzed the data regarding the venomous snakebite patients treated in the Uzice General Hospital between 2006 and 2018 and compared these with the data from the 1960s, from one more hospital in Serbia, and from two ex- Yugoslav countries. Results. In 13 years, 249 persons were treated. Of all cases, 10.4% were with inconspicuous symptoms (mild pain at the place of bite), 68.7% were with mild to moderate symptoms, and 20.9% were more or less severe. No fatalities were recorded. Conclusion. Although usually not a life-threatening issue, venomous snakebites are quite common and can cause serious complications. With proper education, many can be avoided. Also, bearing in mind not only the biodiversity per se but also the importance of snakes? venoms for the making of various medically important products, we emphasize the need for proper protection of all three venomous snake species in Serbia, namely Vipera ammodytes (nose-horned viper), V. berus (European adder), and V. ursinii (meadow viper).

The Grounded Theory Method

2020 ◽  
pp. 166-199
Author(s):  
Antony Bryant
Keyword(s):  
Grounded Theory ◽  
Evaluation Criteria ◽  
Theory Method ◽  
Grounded Theory Method ◽  
Per Se ◽  
The 1960S ◽  
Key Aspects

The term grounded theory was introduced to the research lexicon by Barney Glaser and Anselm Strauss in the 1960s, particularly with the publication of The Discovery of Grounded Theory in 1967. The term itself is somewhat misleading since it does not refer to a theory per se but rather to a method that facilitates the development of new theoretical insights—grounded theories. In this chapter the method is outlined, together with some background to its appearance and subsequent developments. Some key aspects are demonstrated using brief examples and exercises. Later sections describe the main features, procedures, outputs, and evaluation criteria.

A study on the venom yield of venomous snake species from Argentina

Toxicon ◽  
1998 ◽  
Vol 36 (12) ◽  
pp. 1949-1957 ◽  
Author(s):  
Adolfo R de Roodt ◽  
Jorge A Dolab ◽  
Pedro P Galarce ◽  
Eduardo Gould ◽  
Silvana Litwin ◽  
...  
Keyword(s):  
Venomous Snake ◽  
Snake Species

scholarly journals Reconsidering the Age and Typological Character of “Pox Pottery” from Guerrero, Mexico

2021 ◽  
pp. 1-14
Author(s):  
Douglas J. Kennett ◽  
Barbara Voorhies ◽  
Josue Gomez
Keyword(s):  
Formative Period ◽  
Early Age ◽  
Cultural Traditions ◽  
Isthmus Of Tehuantepec ◽  
Per Se ◽  
The 1960S ◽  
Formative Ceramics ◽  
Early Formative

We revisit the age and typological character of “Pox Pottery” that was reported in the 1960s by Charles Brush who considered it to be uniquely early (~2440 BC). Investigating the same two sites in coastal Guerrero where Brush excavated, we recovered Early Formative ceramics, some with the “pox” attribute. Here, we report potsherd frequencies for these deposits at both sites according to regional ceramic typologies, as well as AMS 14C dates used to establish a Bayesian stratigraphic chronology for each site to better constrain the age of these Early Formative period deposits. We argue that “Pox Pottery” is not a ceramic type per se and that the “pox” attribute occurs in multiple Early Formative period ceramic types. The earliest pottery is similar to other Red-on-Buff ceramic traditions from the Central Mexican Highlands and west of the Isthmus of Tehuantepec. Our chronological work demonstrates that these ceramics date between 1820 and 1400 cal BC, consistent with other recent studies indicating an early age of Red-on-Buff ceramics and suggesting shared cultural traditions distinct from the contemporary Locona interaction sphere that emerged in parallel.

scholarly journals Systematic review of clinical outcomes after prophylactic surgery

2016 ◽  
Vol 98 (6) ◽  
pp. 353-357 ◽  
Author(s):  
CR Davis ◽  
AEJ Trevatt ◽  
A Dixit ◽  
V Datta
Keyword(s):  
Systematic Review ◽  
Acute Appendicitis ◽  
Prophylactic Surgery ◽  
Cochrane Central Register ◽  
Short Term ◽  
Asymptomatic Patients ◽  
Central Register ◽  
Life Threatening ◽  
History Of

Introduction Prophylactic appendicectomy is performed prior to military, polar and space expeditions to prevent acute appendicitis in the field. However, the risk–benefit ratio of prophylactic surgery is controversial. This study aimed to systematically review the evidence for prophylactic appendicectomy. It is supplemented by a clinical example of prophylactic surgery resulting in life-threatening complications. Methods A systematic review was performed using MEDLINE® and the Cochrane Central Register of Controlled Trials. Keyword variants of ‘prophylaxis’ and ‘appendicectomy’ were combined to identify potential papers for inclusion. Papers related to prophylactic appendicectomy risks and benefits were reviewed. Results Overall, 511 papers were identified, with 37 papers satisfying the inclusion criteria. Nine reported outcomes after incidental appendicectomy during concurrent surgical procedures. No papers focused explicitly on prophylactic appendicectomy in asymptomatic patients. The clinical example outlined acute obstruction secondary to adhesions from a prophylactic appendicectomy. Complications after elective appendicectomy versus the natural history of acute appendicitis in scenarios such as polar expeditions or covert operations suggest prophylactic appendicectomy may be appropriate prior to extreme situations. Nevertheless, the long-term risk of adhesion related complications render prophylactic appendicectomy feasible only when the short-term risk of acute appendicitis outweighs the long-term risks of surgery. Conclusions Prophylactic appendicectomy is rarely performed and not without risk. This is the first documented evidence of long-term complications following prophylactic appendicectomy. Surgery should be considered on an individual basis by balancing the risks of acute appendicitis in the field with the potential consequences of an otherwise unnecessary surgical procedure in a healthy patient.

Recommendations for the structure, organization, and operation of intensive cardiac care units

2015 ◽  
Author(s):  
Menachem Nahir ◽  
Doron Zahger ◽  
Yonathan Hasin
Keyword(s):  
Myocardial Infarction ◽  
Major Change ◽  
Cardiac Care ◽  
Complex Patients ◽  
Cardiovascular Patients ◽  
Life Threatening ◽  
The 1960S ◽  
European Society Of Cardiology ◽  
Acute Cardiac Care ◽  
Cardiac Care Unit

Care for the critically ill cardiovascular patients and their families requires a unique environment that is structurally different from other clinical units. Coronary care units were introduced in the 1960s for the main purpose of prevention and prompt treatment of life-threatening cardiac arrhythmias related to acute myocardial infarction. Since then, major progress in cardiology in general and acute cardiac care, in particular, dictated a major change in the structure and organization of these units, symbolically expressed in the new title of ‘intensive cardiac care unit’. Contemporary intensive cardiac care units receive older and more complex patients, often with multiple comorbidities and diverse diagnoses. The modern intensive cardiac care unit incorporates sophisticated monitoring and up-to-date equipment to meet the changing needs of the patient with cardiovascular disease requiring critical care. The intensive cardiac care unit operates in the centre of the hospital’s cardiology service, receiving patients from the mobile care unit (directly or via an ST elevation myocardial infarction network), the emergency department, and other wards, including coronary, structural, and electrophysiology intervention laboratories and operating rooms. Patients are usually unstable and require immediate full attention by highly trained medical and nursing staff. The 2005 recommendations for the structure, organization, and operations of the intensive cardiac care unit were issued by Hasin et al. for the Working Group of Acute Cardiac Care of the European Society of Cardiology, which serves as basis for this chapter. The chapter will focus on the requirements for staffing, training, and accreditation, as well as the structure organization and equipment of the intensive and intermediate cardiac care units.

scholarly journals Surgical Needs at the End of the Battle of Mosul: Results from Mosul General Hospital

2019 ◽  
Vol 44 (3) ◽  
pp. 673-679
Author(s):  
Fredrik Bäckström ◽  
Denise Bäckström ◽  
Lin Sadi ◽  
Peter Andersson ◽  
Andreas Wladis
Keyword(s):  
General Hospital ◽  
Red Cross ◽  
Final Phase ◽  
Hospital Data ◽  
Related Condition ◽  
Northern Iraq ◽  
Number Of Children ◽  
Body Regions ◽  
Life Threatening ◽  
Official Declaration

Abstract Purpose The aim of the study was to analyze the surgical needs of patients seeking emergency care at the Mosul General Hospital in the final phase of the battle of Mosul in northern Iraq between an international military coalition and rebel forces. During the conflict, the International Red Committee of the Red Cross (ICRC) supported the hospital with staff and resources. Ceasefire in the conflict was declared at the end of July 2017. Methods Routinely collected hospital data from the ICRC-supported Mosul General Hospital from June 6, 2017, to October 1, 2017 were collected and analyzed retrospectively. All patients with weapon-related injuries as well as all patients with other types of injuries or acute surgical illness were included. Results Some 265 patients were admitted during the study period. Non-weapon-related conditions were more common than weapon-related (55.1%). The most common non-weapon-related condition was appendicitis followed by hernia and soft tissue wounds. Blast/fragment was the most frequent weapon-related injury mechanism followed by gunshot. The most commonly injured body regions were chest and abdomen. Children accounted for 35.3% of all weapon-related injuries. Patients presented at the hospital with weapon-related injuries more than 2 months after the official declaration of ceasefire. A majority of the non-weapon-related, as well as the weapon-related conditions, needed surgery (88.1% and 87.6%, respectively). Few postoperative complications were reported. Conclusions The number of children affected by the fighting seems to be higher in this cohort compared to previous reports. Even several months after the fighting officially ceased, patients with weapon-related injuries were presenting. Everyday illnesses or non-weapon-related injuries dominated. This finding underlines the importance of providing victims of conflicts with surgery for life-threatening conditions, whether weapon related or not.

scholarly journals FIRST CONFIRMED RECORD OF THE VENOMOUS CORAL SNAKE MICRURUS IBIBOBOCA (SERPENTES, ELAPIDAE) IN MINAS GERAIS, BRAZIL

2021 ◽  
Vol 25 (01) ◽  
pp. 179-183
Author(s):  
Maria Clara do Nascimento ◽  
◽  
Alexander Zaidan de Souza ◽  
Anderson Oliveira ◽  
Henrique Costa ◽  
...  
Keyword(s):  
Atlantic Forest ◽  
Minas Gerais ◽  
The State ◽  
Forest Area ◽  
Coral Snake ◽  
Venomous Snake ◽  
Snake Species ◽  
First Time

We report for the first time the occurrence of the venomous snake species Micrurus ibiboboca in the state of Minas Gerais, Brazil, based on a specimen collected in an Atlantic Forest area. This is the sixth record of a venomous coral snake in Minas Gerais and increases to 160 the number of known snake species in the state.

scholarly journals Neonatal Near Miss and its associated factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

2019 ◽  
Author(s):  
Habtamu Gebrehana Belay ◽  
Simachew Kassa Limenih ◽  
Toyiba Hiyaru Wassie ◽  
Minale Bezie Ambie
Keyword(s):  
General Hospital ◽  
Odds Ratio ◽  
Associated Factors ◽  
Adjusted Odds Ratio ◽  
Northwest Ethiopia ◽  
Near Miss ◽  
Life Threatening ◽  
Awi Zone ◽  
Heart Rate Pattern ◽  
Neonatal Near Miss

Abstract Background: Neonatal mortality is a significant problem in many low-resource countries, yet for every death there are many more new-born who suffer a life-threatening complication but survive. Neonatal near miss has been proposed as a tool for assessment of quality of care in neonates who suffered any life-threatening condition. However, there was limited evidence on magnitude of neonatal near miss and determinant factors in Ethiopia. The aim of this study was to assess proportion and associated factors of neonatal near miss among deliveries at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019. Methods: Institutional based cross sectional study was conducted from February 1, 2019 to April 30, 2019 among 404 live births. Structured and pretested questioner used for mothers and structured checklist for neonates. Bivariate and multivariate logistic regressions model were fitted to identify factors associated with neonatal near miss. An adjusted odds ratio with 95 % confidence interval (CI) was computed to determine the level of significant. Result: Proportion of neonatal near miss was found to be 23.3 % with 95% CI: (19.1% -27.7%). Primiparous[Adjusted odds ratio(AOR):2.01, 95%CI:(1.03-3.95)], referral linkage [AOR:3.23, 95%CI:(1.89-5.513)], maternal perception of reduced fetal movement[AOR:5.95, 95%CI:2.47-14.33], premature rupture of membrane [AOR: 3.10, 95%CI: (1.27-5.59)], prolonged labor [AOR: 3.00, 95%CI:(1.28-7.06)], obstructed labor/cephalo-pelvic disproportion [AOR: 4.05; 95%CI: (1.55-10.57)] and non-reassuring fetal heart rate pattern [AOR: 3.75, 95%CI: (1.69-8.33)] were significantly associated with neonatal near miss. Conclusion: Proportion of neonatal near miss in the study area was found to be higher than studies in WHO neonatal near miss systemic review. Strength referral linkage and efforts needed to continue compressive maternal and neonatal care to avoid preventable causes of neonatal morbidity and mortality.

scholarly journals Immune-Mediated Inflammation in Vulnerable Atherosclerotic Plaques

Molecules ◽  
2019 ◽  
Vol 24 (17) ◽  
pp. 3072 ◽  
Author(s):  
Harald Mangge ◽  
Gunter Almer
Keyword(s):  
Blood Lipids ◽  
Atherosclerotic Plaques ◽  
Conventional Imaging ◽  
C Reactive Protein ◽  
Blood Biomarkers ◽  
Clinical Endpoints ◽  
Reactive Protein ◽  
Immune Mediated ◽  
Life Threatening ◽  
Per Se

Atherosclerosis is a chronic long-lasting vascular disease leading to myocardial infarction and stroke. Vulnerable atherosclerotic (AS) plaques are responsible for these life-threatening clinical endpoints. To more successfully work against atherosclerosis, improvements in early diagnosis and treatment of AS plaque lesions are required. Vulnerable AS plaques are frequently undetectable by conventional imaging because they are non-stenotic. Although blood biomarkers like lipids, C-reactive protein, interleukin-6, troponins, and natriuretic peptides are in pathological ranges, these markers are insufficient in detecting the critical perpetuation of AS anteceding endpoints. Thus, chances to treat the patient in a preventive way are wasted. It is now time to solve this dilemma because clear results indicate a benefit of anti-inflammatory therapy per se without modification of blood lipids (CANTOS Trial, NCT01327846). This fact identifies modulation of immune-mediated inflammation as a new promising point of action for the eradication of fatal atherosclerotic endpoints.

A re-visionist Her-story of De cierta manera ([1974] 1977): Reading Yoruba myth in Sara Gómez’s revolutionary classic1

2021 ◽  
Vol 18 (2) ◽  
pp. 195-210 ◽  
Author(s):  
Susanne Hackett
Keyword(s):  
Popular Culture ◽  
Intellectual History ◽  
Moral Philosophy ◽  
Feature Film ◽  
Additional Filter ◽  
Recent Scholarship ◽  
Per Se ◽  
Moral Lesson ◽  
The 1960S ◽  
The Impact

Recent scholarship on Sara Gómez has expanded upon existing discourse on her work beyond her singular feature film, De cierta manera/One Way or Another ([1974] 1977) to examine not only her earlier documentary shorts of the 1960s, but to demonstrate the impact that her body of work has had on a subsequent generation of Cuban filmmakers who continue her mission to critique the Revolution through an antiracist and feminist lens – contemporary filmmakers such as Gloria Rolando, Sandra Gómez and Susana Barriga. This article seeks to push this conversation forward by arguing several interrelated points: (1) that De cierta manera contains symbolic, visually embedded references to a specific patakí (myth) about the Afro-Cuban orishas Ogun and Ochún; (2) that De cierta manera holds this in common with Gloria Rolando’s Oggun: An Eternal Presence (1991), which tells the patakí in a more explicit manner, and therefore the two films warrant comparison and (3) lastly, that this interpretation of De cierta manera offers a novel take on a ‘classic’ Cuban revolutionary film, offering additional interpretive layers that do not change the message of the film, per se, but complicate it by adding an additional filter through which to view and interpret it: that of Yoruba moral philosophy. The Afro-Cuban word patakí in Cuban Lucumí liturgical speech refers to a parable with a moral lesson, and is derived from the word pàtàkì, which means ‘[something] important’ in the Yorùbá language of West Africa. This article will attempt to answer how and why this particular myth is ‘important’ (pàtàkì) to the reading of De cierta manera and argue for a broader re-centring and privileging of African-derived philosophical frameworks within Cuban intellectual history and popular culture.

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