scholarly journals Spatial analysis of risk of morbidity and mortality by COVID-19 in Europe and the Mediterranean in the year 2020

2020 ◽  
Vol 60 (1) ◽  
Author(s):  
Jesús Enrique Andrades-Grassi ◽  
Ledyz Cuesta-Herrera ◽  
Guillermo Bianchi-Pérez ◽  
Hilda Cristina Grassi ◽  
Juan Ygnacio López-Hernández ◽  
...  
Keyword(s):  
Spatial Analysis ◽  
Morbidity And Mortality ◽  
Mortality Data ◽  
Time Process ◽  
Gamma Model ◽  
Risk Models ◽  
Mortality Process ◽  
Spatial Risk ◽  
The Mediterranean ◽  
The Individual

Disease mapping seeks to represent the risk of a disease. This paper focuses on the spatial analysis of risk for pandemic COVID-19 in Europe and the Mediterranean. Morbidity and mortality data for 54 countries in ratio format were used. Two hypotheses were considered, the first one is that the data are homogeneous and the second one is that the ratios are defined in a heterogeneous manner requiring the stratification on the basis of covariables and the methodology of Jenks’ intervals. Spatial risk models were applied as well as methods for the representation of clusters. The results show that the best representation is obtained with the Poisson-Gamma Model under stratification. The variations in the ratios are due to the individual policies of each country for the management of the pandemic. The cluster analysis shows that there is a high mortality process in Eastern Europe. The behavior of the pandemic should be evaluated in the space-time process as well as in other heterogeneous and highly unequal regions.

An Eight-Year Analysis of Surgical Morbidity and Mortality: Data and Solutions

2006 ◽  
Vol 72 (11) ◽  
pp. 1070-1081
Author(s):  
Michael A. Goldfarb ◽  
Thomas Baker
Keyword(s):  
Surgical Outcome ◽  
Medical Center ◽  
Morbidity And Mortality ◽  
Mortality Data ◽  
Time Process ◽  
Operative Techniques ◽  
Barriers To Adoption ◽  
Surgical Morbidity ◽  
Technical Complications ◽  
Common Problems

In this article, a reproducible process for presenting, analyzing, and reducing early and late surgical morbidity and mortality (M&M) is detailed. All M&M cases presented from 1998 through 2005 at Monmouth Medical Center were categorized. Residents and nurses were empowered to report the complications. The five major categories were overwhelming disease on admission, delays in treatment, diagnostic or judgment complications, treatment complications, and technical complications. From the 53,541 operations performed over 8 years, 714 patients were presented, which included 147 deaths and 1,132 category entries. The most common problems were technical complications in 474 (66.4%) patients. The data have generated actionable solutions, many with low barriers to adoption, resulting in safer, less expensive surgical management. Surgical outcome benchmarks have been established and are used for credentialing surgeons. The “Hostile Abdomen Index” has been developed to assess the safest choice for abdominal operative access, pre- and intraoperatively. We explained the real-time process that generated solutions for the entire department as well as changes relevant to residency training and individual operative techniques.

scholarly journals Association of the Chronotype Score with Circulating Trimethylamine N-Oxide (TMAO) Concentrations

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1671
Author(s):  
Luigi Barrea ◽  
Giovanna Muscogiuri ◽  
Gabriella Pugliese ◽  
Chiara Graziadio ◽  
Maria Maisto ◽  
...  
Keyword(s):  
Mediterranean Diet ◽  
Metabolic Profile ◽  
Cardiometabolic Risk ◽  
Linear Regression Analysis ◽  
Biological Rhythms ◽  
Unhealthy Lifestyle ◽  
Gut Dysbiosis ◽  
Study Population ◽  
The Mediterranean ◽  
The Individual

Individual differences in the chronotype, an attitude that best expresses the individual circadian preference in behavioral and biological rhythms, have been associated with cardiometabolic risk and gut dysbiosis. Up to now, there are no studies evaluating the association between chronotypes and circulating TMAO concentrations, a predictor of cardiometabolic risk and a useful marker of gut dysbiosis. In this study population (147 females and 100 males), subjects with the morning chronotype had the lowest BMI and waist circumference (p < 0.001), and a better metabolic profile compared to the other chronotypes. In addition, the morning chronotype had the highest adherence to the Mediterranean diet (p < 0.001) and the lowest circulating TMAO concentrations (p < 0.001). After adjusting for BMI and adherence to the Mediterranean diet, the correlation between circulating TMAO concentrations and chronotype score was still kept (r = −0.627, p < 0.001). Using a linear regression analysis, higher chronotype scores were mostly associated with lower circulating TMAO concentrations (β = −0.479, t = −12.08, and p < 0.001). Using a restricted cubic spline analysis, we found that a chronotype score ≥59 (p < 0.001, R2 = −0.824) demonstrated a more significant inverse linear relationship with circulating TMAO concentrations compared with knots <59 (neither chronotype) and <41 (evening chronotype). The current study reported the first evidence that higher circulating TMAO concentrations were associated with the evening chronotype that, in turn, is usually linked to an unhealthy lifestyle mostly characterized by low adherence to the MD.

scholarly journals Demographic Losses Due To Alcohol-Related Mortality in Lithuania: Results Obtained Through Combining Death Records with the 2011 Population Census Data

2014 ◽  
Vol 53 (1) ◽  
pp. 15-23
Author(s):  
Daumantas Stumbrys ◽  
Domantas Jasilionis ◽  
Dalia Ambrozaitienė ◽  
Vlada Stankūnienė
Keyword(s):  
Marital Status ◽  
Mortality Risk ◽  
Census Data ◽  
Population Data ◽  
Mortality Data ◽  
Population Census ◽  
The Republic ◽  
The Individual ◽  
Education Groups ◽  
Related Mortality

This paper presents the results of a study on sociodemographic mortality differentials in Lithuania based on censuslinked mortality data. Population data come from the individual records of the 2011 Population and Housing Census of the Republic of Lithuania. The results of the research demonstrate that education and marital status are very strong predictors of alcohol-related mortality. Among males aged 30 and older, the alcohol-related mortality risk in non-married groups is up to 3.4 times as high as in the group of married males. The alcohol-related mortality risk in lower-education groups is up to 3.7 times as high as in the group of those with higher education. The findings of the study suggest that the elimination of educational differences would allow avoiding 55.7 %, the elimination of marital status differences – 40.2 %, the elimination of ethnic group differences – 11.1 % of alcohol-related deaths.

scholarly journals PORTABLE ART OBJECTS DISCOVERED IN THE UPPER PALEOLITHIC OF ROMANIA

2019 ◽  
Author(s):  
E.-C. Nitu ◽  
O. Cirstina ◽  
F.-I. Lupu ◽  
M. Leu ◽  
A. Nicolae ◽  
...  
Keyword(s):  
Social Identity ◽  
Mediterranean Area ◽  
Upper Paleolithic ◽  
Aesthetic Value ◽  
Art Objects ◽  
Use Wear ◽  
New Findings ◽  
North Eastern ◽  
The Mediterranean ◽  
The Individual

In addition to their undeniable aesthetic value, ornaments are the element that may differentiate the various social groups or individuals belonging to certain groups. More specifically, body decoration is closely related to social identity. The ornament, as a form of communication, has a certain advantage over other means of communication because, once displayed, perhaps even more than language itself, the individual wearing it need not make any effort to deliver his/her message, social sta-tus, their belonging to a group etc. The first adornments used during the Paleolithic are beads, while perforated shells are among the earliest examples of this sort. In a few cases, the perforated shells come from species rarely used in the Paleolithic, brought from long distances, in terms of the settlements in which they were found so, apart from individualizing and characterizing a certain group, they may represent important documents regarding migrations over wide areas and even regarding the origin of a culture. This is shown by new discoveries made in an early Gravettian layer at the Poiana Cireului site (Piatra Neam, north-eastern Romania), dated between 30 ka and 31 ka BP (Niu et al., 2019). The ornaments discovered here include a unique association of perforat-ed shells represented by three species of mollusks: Lithoglyphus naticoide, Litho-glyphus apertus and Homalopoma sanguineum (an exclusively Mediterranean spe-cies). This occupation differs from Central and Eastern European Gravettian tradi-tions through the symbolic behavior of the communities, defined by the use of perfo-rated shells of freshwater and marine (Mediterranean origin) mollusk belonging to species very rarely used in the Palaeolithic. Poiana Cireului is one of the very few Gravettian sites where perforated Homalopoma sanguineum shells were found and is the only Gravettian settlement where Lithoglyphus naticoides shells were used. We present the ornaments discovered and the results of analysis performed to identify the perforation methods and the use-wear traces. The presence of a Mediterranean species at the Poiana Cireului settlement located more than 900 km from the nearest source suggests the connection of communities here with the Mediterranean area. In the light of these new findings, the origin and diffusion of the Gravettian from the Mediterranean to the east of the Carpathians are a hypothesis that should be considered. Niu, E.-C., Crciumaru, M., Nicolae, A., Crstina, O., Lupu, F. I., Leu, M. (2019). Mobility and social identity in the Early Upper Palaeolithic: new personal ornaments from Poiana Cireului site (Piatra Neam, Romania). PLOS ONE, 14 (4), e0214932. https://doi.org/10.1371/journal.pone.0214932

scholarly journals PERSONAL ORNAMENTS DISCOVERED IN THE EARLY UPPER PALEOLITHIC OF POIANA CIREȘULUI-PIATRA NEAMȚ (ROMANIA)

2019 ◽  
Author(s):  
E.-C. Nitu ◽  
O. Cirstina ◽  
F.-I. Lupu ◽  
M. Leu ◽  
A. Nicolae ◽  
...  
Keyword(s):  
Social Identity ◽  
Mediterranean Area ◽  
Upper Paleolithic ◽  
Aesthetic Value ◽  
Use Wear ◽  
New Findings ◽  
North Eastern ◽  
The Mediterranean ◽  
The Individual ◽  
Early Upper

In addition to their undeniable aesthetic value, ornaments are the element that may differentiate the various social groups or individuals belonging to certain groups. More specifically, body decoration is closely related to social identity. The ornament, as a form of communication, has a certain advantage over other means of communication because, once displayed, perhaps even more than language itself, the individual wearing it need not make any effort to deliver his/her message, social sta-tus, their belonging to a group etc. The first adornments used during the Paleolithic are beads, while perforated shells are among the earliest examples of this sort. In a few cases, the perforated shells come from species rarely used in the Paleolithic, brought from long distances, in terms of the settlements in which they were found so, apart from individualizing and characterizing a certain group, they may represent important documents regarding migrations over wide areas and even regarding the origin of a culture. This is shown by new discoveries made in an early Gravettian layer at the Poiana Cireului site (Piatra Neam, north-eastern Romania), dated between 30 ka and 31 ka BP (Niu et al., 2019). The ornaments discovered here include a unique association of perforat-ed shells represented by three species of mollusks: Lithoglyphus naticoide, Litho-glyphus apertus and Homalopoma sanguineum (an exclusively Mediterranean spe-cies). This occupation differs from Central and Eastern European Gravettian tradi-tions through the symbolic behavior of the communities, defined by the use of perfo-rated shells of freshwater and marine (Mediterranean origin) mollusk belonging to species very rarely used in the Palaeolithic. Poiana Cireului is one of the very few Gravettian sites where perforated Homalopoma sanguineum shells were found and is the only Gravettian settlement where Lithoglyphus naticoides shells were used. We present the ornaments discovered and the results of analysis performed to identify the perforation methods and the use-wear traces. The presence of a Mediterranean species at the Poiana Cireului settlement located more than 900 km from the nearest source suggests the connection of communities here with the Mediterranean area. In the light of these new findings, the origin and diffusion of the Gravettian from the Mediterranean to the east of the Carpathians are a hypothesis that should be considered. Niu, E.-C., Crciumaru, M., Nicolae, A., Crstina, O., Lupu, F. I., Leu, M. (2019). Mobility and social identity in the Early Upper Palaeolithic: new personal ornaments from Poiana Cireului site (Piatra Neam, Romania). PLOS ONE, 14 (4), e0214932. https://doi.org/10.1371/journal.pone.0214932

scholarly journals Spatial analysis of dengue hemorrhagic fever in Talaud Islands regency

2020 ◽  
Vol 8 (1) ◽  
pp. 104
Author(s):  
Chreisye K. F. Mandagi ◽  
Angela F. C. Kalesaran ◽  
Febi K. Kolibu
Keyword(s):  
Spatial Analysis ◽  
Population Density ◽  
Dengue Hemorrhagic Fever ◽  
Secondary Data ◽  
Hemorrhagic Fever ◽  
Spatial Description ◽  
District Health ◽  
Study Approach ◽  
Spatial Risk ◽  
Risk Areas

Background: The number of dengue hemorrhagic fever (DHF) cases in Indonesia from January to February 2016 was 8,487 with 108 deaths. DHF is an infectious disease that continues to increase from 2014 until 2016 in Manado city. DHF cases in Talaud Islands Regency from 2014 to 2016 were 143 cases. Regional spatial analysis would simplify the distribution of DHF cases in high-risk areas. To be aware of the DHF outbreak cycle, it is necessary to model spatial risk factors based on geographic information systems (GIS) to tackle and eradicate DHF cases by region.Methods: This study aimed to analyze the spread of DHF in Talaud regency based on age, sex, population density and area height. The design of this research is qualitative analytic by using an ecological study approach. The research scope was 19 districts in Talaud regency. Secondary data are used which consists of case number, age, sex, population density, and area height taken from the Talaud district health office with 66 DHF cases in 2018-2019 and analyzed using the GIS approach through spatial analysis.Results: Based on the number of DHF cases that is most in the age group of 5-11 years. Male gender is more likely to suffer from DHF than female. Spatial description of the condition of the altitude in the Talaud Islands regency at risk of suffering from DHF is>50 meters above sea level. Spatial description of population density with most DHF cases is not densely populated area with less than 1,620 inhabitants per km.Conclusions: The health office of Talaud islands regency needs to actively promote health by providing information about eradicating mosquitoes.

scholarly journals “Real-time” risk models of postoperative morbidity and mortality for liver transplants

2018 ◽  
Vol 3 (1) ◽  
pp. 75-95 ◽  
Author(s):  
Shigeru Marubashi ◽  
Naoaki Ichihara ◽  
Yoshihiro Kakeji ◽  
Hiroaki Miyata ◽  
Akinobu Taketomi ◽  
...  
Keyword(s):  
Real Time ◽  
Postoperative Morbidity ◽  
Morbidity And Mortality ◽  
Liver Transplants ◽  
Risk Models

scholarly journals Outcomes of Revascularized Acute Mesenteric Ischemia in the American College of Surgeons National Surgical Quality Improvement Program Database

2011 ◽  
Vol 77 (7) ◽  
pp. 832-838 ◽  
Author(s):  
William B. Newton ◽  
Matthew J. Sagransky ◽  
Jeanette S. Andrews ◽  
Kimberly J. Hansen ◽  
Matthew A. Corriere ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Mesenteric Ischemia ◽  
Mortality Rates ◽  
Quality Improvement Program ◽  
Morbidity And Mortality ◽  
Definitive Treatment ◽  
Mortality Data ◽  
Improvement Program ◽  
Surgical Quality ◽  
American College Of Surgeons

This report examines outcomes of revascularization for acute arterial mesenteric ischemia (AAMI) using the American College of Surgeons National Surgical Quality Improvement Program database. Patients with International Classification of Diseases, 9th Revision and Current Procedural Terminology codes indicating AAMI with concomitant mesenteric revascularization were identified. Demographic, risk factor, procedural, morbidity, and mortality data were examined. Associations with morbidity and mortality were analyzed by logistic regression. One hundred forty-two cases of AAMI were identified. Seventy-one cases were thrombotic and 71 were embolic according to revascularization codes. Mean age was 66 years, 84 per cent of patients were white, and 54 per cent were female. Unadjusted major morbidity and mortality rates were 69 and 30 per cent, respectively. Patients with thrombotic AAMI were more likely to have a lower body mass index, greater than 10 per cent weight loss in the past 6 months, and a history of smoking. Patients with embolic AAMI were more likely to present emergently with sepsis. Unadjusted morbidity and mortality rates were 78 and 38 per cent for embolic and 61 and 23 per cent for thrombotic AAMI, respectively. Multi-variable predictors of morbidity included bowel resection at the time of revascularization, transfer admission, and involvement of a surgical resident. Multivariable predictors of mortality included impaired functional status, increased age, and postoperative sepsis. Cause of AAMI was not a significant predictor of morbidity or mortality. In a large sample of AAMI cases, AAMI remained a highly lethal and morbid condition. Predictors of morbidity and mortality included indicators of advanced presentation, treatment delay, and patient-related factors specific to AAMI, including debility and advanced age. Efforts directed at prevention and increasing the speed of diagnosis and definitive treatment appear to be necessary to improve outcomes.

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