scholarly journals Correlation Between Hemodynamic Status and Survival Rates in Severe Burn Patients During Emergency Phase

2020 ◽  
Vol 9 (2) ◽  
pp. 1390-1395
Author(s):  
Rasi Rahagia ◽  
Anggun Pranessia Anggrasari
Keyword(s):  
Survival Rate ◽  
Medical Records ◽  
Survival Rates ◽  
The Body ◽  
Burn Patients ◽  
Severe Burn ◽  
Relationship Analysis ◽  
Hemodynamic Status ◽  
Documentary Analysis ◽  
The Relationship

Disturbance in the hemodynamic status in the severe burn is a serious problem that occurs most frequently in the emergency phase. The hemodynamic status of burn patients is influenced by the physiological response of the body to the characteristics of the burn severity. This study aimed to analyze the relationship between the hemodynamic status and the survival rate of severe burn patients in the emergency phase at RSSA Malang. This research was a documentary analysis employing a retrospective design on 80 samples of the medical records in RSSA Malang in the last 2 years. The results of the relationship analysis showed that the factors associated with the survival rate were the systolic blood pressure (p = 0.000) and respiratory rate (p = 0.000). Thus, monitoring the hemodynamic status in the emergency phase is vital to evaluate the effectiveness of therapy in increasing the survival rate in severe burn patients.

scholarly journals Morse taper implant macrodesign, loading protocol and site of installation – retrospective study of 5,601 implants

2019 ◽  
Vol 48 ◽  
Author(s):  
Rafael Coutinho Mello MACHADO ◽  
Geninho THOMÉ ◽  
Sergio Rocha BERNARDES ◽  
Ana Claudia Moreira MELO
Keyword(s):  
Survival Rate ◽  
Medical Records ◽  
Survival Rates ◽  
The Body ◽  
Insertion Torque ◽  
Term Survival ◽  
Long Term Survival ◽  
Treatment Objective ◽  
Final Survival

Abstract Introduction The long-term implant-supported prosthetic rehabilitation monitoring is extremely important in evaluating parameters that could interfere in the success of the treatment. Objective To evaluate the influence of macrodesign (shape of the body and apex), length and diameter, insertion torque, site of installation as well as the loading protocol, on long-term survival rates. Material and method The data obtained was from the medical records of rehabilitated patients who had had at least one Morse taper implant surgery done at ILAPEO School between 2006 -2012. Incomplete medical records, from which it would have been impossible to extract all data essential to complete the study, were excluded. Result A total of 1,142 patient’s medical records comprised the sample; documenting the progress of 5,601 implants, done in both jaws and mandibles. The final survival rate was 98.31%, over an average time of 37.54 months. The type of implant most used was cylindrical (70.33%). The mean installation torque most evidenced in the study was between 41 and 50 Ncm. A logistical regression analysis showed that none of the following variables, site of installation, body and apex shape designs and length, had any significant statistical influence on implant loss. Torque increase and diameter influenced implant loss while immediate loading favored implant maintenance. Conclusion It can be concluded that Morse taper implants present a long-term survival rate that can be lowered by excessive torque, as well as by the diameter of the implant.

Pre-embarkment Prognostication for Acute Paraquat Poisoning

1990 ◽  
Vol 9 (6) ◽  
pp. 381-384 ◽  
Author(s):  
Hiroshi Yamaguchi ◽  
Shigehito Sato ◽  
Seiji Watanabe ◽  
Hiroshi Naito
Keyword(s):  
Survival Rate ◽  
Medical Records ◽  
Base Excess ◽  
Colour Reaction ◽  
Arterial Blood ◽  
Blood Ph ◽  
Paraquat Poisoning ◽  
Qualitative Test ◽  
Relationship Of ◽  
The Relationship

1 In order to assess which laboratory parameters could be related to the prognosis of patients with acute paraquat poisoning, we reviewed the medical records of 160 patients who had ingested paraquat in an attempt at suicide. 2 Serum creatinine and potassium concentrations, arterial blood bicarbonate and base excess levels, arterial blood pH, volume of paraquat ingested and the strength of the urinary paraquat qualitative test (sodium dithionate colour reaction) on admission in the surviving patients were significantly different from those of the patients who died within 48 h of ingestion. 3 The relationship of the quantity Eq1 defined as: Eq1 = ([K +] × [HCO-3]) / ([Cre] × 0.088) (mEq l-1 ) against the interval of time after ingestion to admission (T) had a significant correlation with prognosis ( P < 0.01). Patients with Eq1 > (1500 - 399 × LogT) had a 90% survival rate, Eq1: (930 - 399 × LogT) < Eq1 ≤ (1500 - 399 × LogT) 38% and Eq1 ≤ (930 - 399 × LogT) 3%, P < 0.01.

Title: Efficacy of Tacrolimus as Maintenance Therapy after Cyclophosphamide for Treating Antineutrophil Cytoplasmic Antibody-associated Vasculitis

2021 ◽  
Author(s):  
Jung Yoon Pyo ◽  
Lucy Eunju Lee ◽  
Sung Soo Ahn ◽  
Jason Jungsik Song ◽  
Yong-Beom Park ◽  
...  
Keyword(s):  
Survival Rate ◽  
Maintenance Therapy ◽  
End Stage Renal Disease ◽  
Medical Records ◽  
Survival Rates ◽  
Antineutrophil Cytoplasmic Antibody ◽  
Relapse Free Survival ◽  
Free Survival ◽  
Stage Renal Disease ◽  
End Stage

Abstract Background: Azathioprine, methotrexate, or rituximab is used for the maintenance therapy of antineutrophil cytoplasmic antibody-associated vasculitis (AAV). Although the efficacy of tacrolimus (TAC) in various autoimmune diseases has been demonstrated, there have been few reports on the efficacy of TAC in AAV. We investigated the efficacy of TAC as maintenance therapy for AAV and compared its efficacy with that of AZA.Methods: We retrospectively analyzed the medical records of 81 AAV patients who received cyclophosphamide (CYC) as induction therapy and AZA or TAC as maintenance therapy. All-cause death, relapse, and progression to end-stage renal disease (ESRD) were analyzed.Results: Among 81 AAV patients, 69 patients received AZA alone, 6 patients received TAC alone, and 6 patients received TAC after AZA for maintenance therapy. Overall, 11 patients (13.6%) died, 30 patients (37.0%) experienced relapse, and 16 patients (19.8%) progressed to ESRD during a median of 33.8 months. No significant differences were observed in cumulative patients’, relapse-free, and ESRD-free survival rates between patients administered AZA alone and TAC alone. There were no significant differences in the cumulative patients’ and relapse-free survival rate between patients who received AZA alone and TAC after AZA. However, the cumulative ESRD-free survival rate was lower in patients who received TAC after AZA than in those who received AZA alone (P = 0.027). Conclusions: Patients who received TAC as maintenance therapy showed a higher incidence of ESRD than those who received AZA, but this might be attributed to the lack of efficacy of AZA rather than the low ESRD prevention effect of TAC.

A Retrospective Study of Factors Influencing the Survival of Modified Meek Micrografting in Severe Burn Patients

2020 ◽  
Author(s):  
Peng Zhang ◽  
Wensheng Wang ◽  
Gaozhong Hu ◽  
Lili Yuan ◽  
Siyuan Ma ◽  
...  
Keyword(s):  
Survival Rate ◽  
Skin Graft ◽  
Characteristic Curve ◽  
Univariate Analysis ◽  
Operation Time ◽  
Burn Patients ◽  
Severe Burn ◽  
Survival Group ◽  
Factors Affecting ◽  
High Level

Abstract Modified Meek micrografting is a common method for treating severe burn patients. This study was to analyze the factors affecting the survival of modified Meek micrografting, thereby improving the survival rate of skin grafts. Eighty-three patients who underwent modified Meek micrografting were analyzed. According to the survival rate of skin graft after operation, the patients were divided into good skin survival group (GSSG, survival rate ≥ 70%, 47 cases) and poor skin survival group (PSSG, survival rate &lt; 70%, 36 cases). The baseline data, surgical information, perioperative laboratory indicators, and prognosis of the patients were statistically analyzed. The univariate analysis and repeated measurement showed the burn severity, Meek skin graft area, duration of anesthesia, the postoperative sepsis shock, the mortality, the neutrophils percentage on the third day after surgery (NEU3), and the growth rate of neutrophils percentage from the first to third day after surgery (NEU3-1%) in the GSSG were significantly lower than those in the PSSG, whereas the perioperative average albumin levels and the perioperative average pre-albumin levels were higher. Receiver operating characteristic curve showed that the NEU3 had a good predictive value for the survival of skin slices. Maintaining perioperative albumin levels at a high level, controlling perioperative infection, and shortening the operation time as much as possible may improve the survival rate of modified Meek micrografting.

Traumatic hemoperitoneum in 28 cases: a retrospective review

1995 ◽  
Vol 31 (3) ◽  
pp. 217-222 ◽  
Author(s):  
CM Mongil ◽  
KJ Drobatz ◽  
JC Hendricks
Keyword(s):  
Survival Rate ◽  
Medical Records ◽  
Surgical Intervention ◽  
Survival Rates ◽  
Clinical Signs ◽  
Small Animal ◽  
Trauma Patients ◽  
Blood Products ◽  
Peripheral Pulse ◽  
Abdominal Hemorrhage

This study was conducted to evaluate and describe presenting clinical signs, course, management, and outcome of small animal patients that suffered severe traumatic hemoperitoneum. The medical records of 28 blunt trauma patients diagnosed as having hemoperitoneum and requiring the transfusion of blood products for stabilization were analyzed. The survival rate was 16/28 (57%). Six patients died from natural causes, and six patients were euthanized. Euthanized patients were not considered for the analysis of outcome. The survival rates for six animals that had surgical intervention and 16 animals that were treated medically were 67% and 75%, respectively. Statistically, larger animals had a better prognosis (p less than 0.05, unpaired t-test) for survival. Presenting clinical signs, packed cell volume (PCV), peripheral pulse rate, effusion PCV, site of intra-abdominal hemorrhage, and age were not found to correlate statistically with survival nor with the decision to perform an abdominal exploratory.

An Environmental Risk Assessment Model for the Chemical Synthestic Pharmaceutical Wastewater by Euglena

2012 ◽  
Vol 518-523 ◽  
pp. 1844-1847
Author(s):  
Hua Rong Sun ◽  
Qi Zou ◽  
Xiao Long Wang
Keyword(s):  
Risk Assessment ◽  
Survival Rate ◽  
Environmental Risk ◽  
Environmental Risk Assessment ◽  
Function Analysis ◽  
Survival Rates ◽  
Difference Spectrum ◽  
Assessment Model ◽  
Pharmaceutical Wastewater ◽  
Relationship Analysis

Trying to carry out environmental risk assessment for the chemical synthestic pharmaceutical wastewater quantificational, the investigation for the fauna of aquatic protozoa, co-relationship analysis among different concentrations of wastewater and survival rates of primarily selected protozoa, and fitting function analysis were performed. At last the euglena, the representative bio-indicator, was selected according to the principles of being dominant species, high co-relationship and high coefficient of fitting function. The optimal culture time was set as 60 mins empirically, that at this point the survival rates of euglena were influenced by the concentrations of wastewater mainly with the biggest difference spectrum of 0.183 and highly significant negative co-relationship (r=-0.9988, P=0.022). The equation of fitting function was: y=-0.69x+0.82; the risk levels were set according to the fitting function: survival rate≥0.82, no risk; 0.41<survival rate<0.82, low risk; 0.000<survival rate≤0.41, medium risk; survival rate≤0.000, high risk.

scholarly journals THE RELATIONSHIP BETWEEN SEASON VARIATIONS AND DEPTH LEVEL ON THE GROWTH AND SURVIVAL RATE OF PEARL OYSTER SEEDS (Pinctada maxima) IN KAPONTORI BAY, BUTON ISLAND

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
M S Hamzah
Keyword(s):  
Survival Rate ◽  
Environmental Conditions ◽  
Survival Rates ◽  
Pearl Oyster ◽  
Mass Mortality ◽  
Depth Level ◽  
Growth And Survival ◽  
Pearl Oysters ◽  
The Relationship ◽  
Similar Growth

<p>The pearl oyster (<span style="text-decoration: underline;">P</span>. <span style="text-decoration: underline;">maxima</span>) farming particularly in the Kapontori Bay, Buton Island waters and in other areas had complained for the mass mortality of pearl oysters saplings on the shell width between 3-4 cm. The mass mortality, was allegedly as a result of changing in environmental conditions and triggered by the shift in seasons. This research aimed to determine the effect of seasonal variations in water conditions at different depth levels on growth and survival of seedlings of pearl oysters conducted on March 27, 2007 to February 28, 2008. This research was very useful for pearl oyster farming in an effort to suppress the mass mortality rates based on the appropriate level of depth and seasons. The variance analyses showed that depth levels affected the survival rates of the pearl oyster seeds significantly (P&lt;0.01). Based on honest significantly difference test, it also showed that the percentage number of survival rate was found higher within the depth of 2m (93.33%). Based on the relationship analyses between length and weight of shell body in all depths indicated a similar growth pattern of  minor allometric (b&lt;3). The growth, survival rate, and environmental conditions based on depth levels on pearl oyster saplings were discussed in this paper.</p> <p>Keywords: Seasonal variation, survival rate, growth, pearl shell (<span style="text-decoration: underline;">P</span>. <span style="text-decoration: underline;">maxima</span>), depth level</p>

scholarly journals Neonatal Physiological Jaundice and Repertoire of Movements on the Second or Third Days of Life

2021 ◽  
Author(s):  
Jolanta Witanowska ◽  
Iwona Doroniewicz ◽  
Alicja Affanasowicz ◽  
Beata Jarecka ◽  
Monika Bugdol ◽  
...  
Keyword(s):  
Medical Records ◽  
Video Recording ◽  
The Body ◽  
Transcutaneous Bilirubin ◽  
Qualitative And Quantitative ◽  
Movement Characteristics ◽  
Elevated Bilirubin ◽  
Movement Parameters ◽  
The Relationship ◽  
High Bilirubin

Abstract Physiological jaundice appears after the first day of life and has a mild form in most cases. High bilirubin levels can lead to jaundice of the basal ganglia and cause severe movement disorders in the form of extrapyramidal forms of cerebral palsy. The aim of the study was to assess the effect of bilirubin levels on the motor activity of infants and the relationship between bilirubin levels and selected sociometric and biometric characteristics. The study included a group of 77 newborns of both sexes. Medical records were analyzed to determine their socio- and biometric characteristics. Bilirubin levels were evaluated using transcutaneous bilirubin (TcB) measurement with a Minolta JM-103 jaundice meter according to Kramer’s method consisting in bilirubin measurements in different parts of the body. The head measurement was considered the most important for infants on the second or third day of life, and it was considered a reference for other variables. Analysis of neonatal activity was performed using video recording with a Sony camera with Full HD 1080p resolution (1920x1080, 60 fps). Each infant was assessed independently by three experts qualified in Prechtel's General Movements Assessment diagnosis. No statistically significant differences in quantitative movement characteristics were observed between infants with normal and elevated bilirubin levels. The relationships were found between sociometric and biometric characteristics and bilirubin levels measured on the head. The analyses indicated that in the course of physiological jaundice, the bilirubin levels had no effect on their qualitative and quantitative movement parameters in the group of infants studied.

scholarly journals Ovarian cancer in Alexandria from 1988 to 1997: trends and survival

1999 ◽  
Vol 5 (4) ◽  
pp. 727-739
Author(s):  
N. H. Mahdy ◽  
M. Abdel Fattah ◽  
H. Ghanem
Keyword(s):  
Ovarian Cancer ◽  
Prognostic Factors ◽  
Survival Rate ◽  
Cancer Registry ◽  
Medical Records ◽  
Survival Rates ◽  
Significant Survival ◽  
Increasing Trend ◽  
Poorly Differentiated ◽  
Well Differentiated

The trend of incidence of ovarian cancer was studied, the 5-year survival rate calculated and prognostic factors for survival determined. Data were collected from the Alexandria Cancer Registry and medical records in various hospitals. A total of 358 cases of ovarian cancer were diagnosed from 1988 to 1997. A significant increasing trend in incidence of ovarian cancer from 1.23/100 000 in 1988 to 3.16/100 000 in 1997 was found. The overall 5-year survival rate was 46%. The 5-year survival rates for tumour stages I to IV were 85%, 71%, 41% and 22% respectively, which was statistically significant. Survival rates with poorly differentiated tumours were significantly worse than with moderate or well differentiated tumours

scholarly journals The significance of changes in platelet concentration during the early phase after severe burn injury in a Chinese mass casualty

2017 ◽  
Vol 5 ◽  
Author(s):  
Beiming Shou ◽  
Junqiang Li ◽  
Chenqi Tang ◽  
Qian Tan ◽  
Dongfeng Zheng ◽  
...  
Keyword(s):  
Septic Shock ◽  
Acute Kidney Injury ◽  
Burn Injury ◽  
Kidney Injury ◽  
Mass Casualty ◽  
The Body ◽  
Burn Patients ◽  
Severe Burn ◽  
Successful Resuscitation ◽  
Platelet Concentration

Abstract Background Changes in platelet concentration are common in severe burn patients. Platelets play a key role in the course of disease. This study aims to explore the significance of platelet concentration during the course of the disease in victims of a mass burn casualty. Methods A total of 180 patients were involved in the “8.2” Kunshan explosion accident in China. The examined data included age, gender, total burn area (% TBSA), third-degree burn area (% TBSA), and platelet concentration within the first 5 days after the burn injury. The patients were divided into two groups according to four indicators (resuscitation, acute respiratory distress syndrome, acute kidney injury, septic shock). We collected several types of data for the patients and divided the patients into a complication group and non-complication group according to the diagnostic criteria. We analyzed the platelet concentration of the two groups using t tests to determine whether significant differences were present. P values &lt; 0.05 were considered statistically significant. Results The group with successful resuscitation had higher platelet concentration than the failure group on day 3 and day 5. The patients who suffered from acute kidney injury (AKI) and septic shock had a lower platelet concentration than non-sufferers on day 3 and day 5. Conclusions The platelet concentration of burn patients can dynamically reflect the pathophysiological changes of the body. It can be used as an early objective indicator of prognosis in mass burn casualty cases.

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