Difficulties in Diagnosis and Therapy of Infective Endocarditis in Children and Adolescents—Cohort Study

Despite the progress in management and prophylaxis measures, infective endocarditis (IE) is still a condition associated with high mortality rates and severe complications. Fortunately, the incidence of IE is much lower in children and adolescents, with only 0.05–0.12/1000 cases being reported in hospitalized pediatric patients. According to recent data, IE is, in most cases, a complication of pre-existing congenital heart disorders, in up to 75–90% of cases. About 8–10% of all IE cases occur in children without a pre-existing heart condition, due to the widespread use of catheters and invasive procedures, or are associated with immunosuppression. The overall mortality rate due to IE among children and adolescents is 16–25%, a fairly high incidence despite advances made in management and treatment methodologies. We present a retrospective case study conducted in the Pediatric Cardiology Department of ‘St. Maria’ Emergency Children’s Hospital of Iași between February 2007 and February 2020, including 54 children aged between 23 days and 17 years. Our study was aimed at revealing the evolution of IE in recent years in the pediatric population, at identifying the main causes leading to the onset and progress of the disease, at assessing the incidence of clinical and paraclinical manifestations and at determining efficient diagnosis and therapy approaches for the population under survey.

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P0795 THE FACE OF INFECTIVE ENDOCARDITIS: IS IT REALLY CHANGING, A 10 YEAR RETROSPECTIVE CASE STUDY IN A COMMUNITY HOSPITAL

European Journal of Internal Medicine ◽

10.1016/s0953-6205(09)60814-1 ◽

2009 ◽

Vol 20 ◽

pp. S259

Author(s):

Mohammad Muezz Uddin ◽

Ihsan Mahmood Rafie ◽

Naeem Shaukat ◽

Salman Nishtar ◽

Mohammad Vali ◽

...

Keyword(s):

Infective Endocarditis ◽

Community Hospital ◽

Retrospective Case ◽

The Face ◽

Retrospective Case Study

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Technology and Hospital Information System: A Case of Implementation of Electronic Clinical Records in Hospital Maternity Irene Neto in Lubango, Angola

Journal of Business and Economics ◽

10.15341/jbe(2155-7950)/11.10.2019/012 ◽

2019 ◽

Vol 10 (11) ◽

pp. 1131-1135

Author(s):

Tomas Hambili Paulo Sanjuluca ◽

◽

Ricardo Correia ◽

Anabela Antunes de Almeida ◽

Ana Gloria Diaz Martinez ◽

...

Keyword(s):

Maternity Hospital ◽

Management Support ◽

Retrospective Case ◽

System A ◽

Clinical Records ◽

Retrospective Case Study ◽

The Impact ◽

And Child Health

Introduction: In order to have a good assessment of the quality of maternal and child health care, it is essential that there is up-to-date and reliable information. Objective: To evaluate the impact of the implementation of a computerized database of clinical processes in the admission, archive and medical statistics section, of Maternity hospital Irene Neto/Lubango-Angola. Methodology: A descriptive study with a quantitative and qualitative approach to carry out a retrospective case study deliveries and newborns, records from 2014 to 2017. Final considerations: The implementation of this project may contribute to the improvement of clinical management support management of the hospital as well as facilitating access to information for research and scientific production.

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Paranasal Sinus Mucocele Clinical, imagistic and biochemical aspects

Revista de Chimie ◽

10.37358/rc.18.8.6513 ◽

2018 ◽

Vol 69 (8) ◽

Author(s):

Doina Vesa ◽

Cristian Martu ◽

Razvan Leata ◽

Ludmila Lozneanu ◽

luminita Radulescu ◽

...

Keyword(s):

Facial Asymmetry ◽

Retrospective Case ◽

Mri Scans ◽

The One ◽

Ethmoid Sinuses ◽

Retrospective Case Study ◽

Cellular Components ◽

Ct And Mri

Paranasal mucoceles are a type of cysts that evolve slowly and are asymptomatic; this poses a difficulty in diagnosing the patient because the symptoms can go unnoticed. The mucocele evolves unpredictably. On the one hand, it can become infected turning into pyoceles and on the other hand, it can invade important regions such as the orbital, cranial or genian regions, creating facial asymmetry. This is a retrospective case study of 37 patients diagnosed with sinus mucoceles, followed up by clinical examination and paraclinical tests such as CT and MRI scans. The biochemical components of the liquid from within the mucocele were analyzed and the following criteria were recorded: NaCl-, Cl-, Na+ and cholesterine as well as cellular components such as mastocytes, macrophages, hematocytes and leucocytes. In all cases, the treatment option was surgery with favorable post-operative and follow-up evaluation. The mucoceles that appeared post-operatively (maxillary and ethmoid sinuses) evolved more rapidly than the mucoceles that were induced byan external injury. Longer follow-up of operated patients permitted a more timely diagnosis of recurrences.

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Development of a 'toolkit' to identify medical students at risk of failure to thrive on the course: an exploratory retrospective case study

BMC Medical Education ◽

10.1186/1472-6920-11-95 ◽

2011 ◽

Vol 11 (1) ◽

Cited By ~ 29

Author(s):

Janet Yates

Keyword(s):

At Risk ◽

Medical Students ◽

Failure To Thrive ◽

Retrospective Case ◽

Students At Risk ◽

Risk Of Failure ◽

Retrospective Case Study

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Overview and Management of Chronic Kidney Disease Inpatients at Royal Prima General Hospital Medan in 2020

Archives of The Medicine and Case Reports ◽

10.37275/amcr.v3i1.156 ◽

2021 ◽

Vol 3 (1) ◽

pp. 214-223

Author(s):

Yuke Armika ◽

Nerseri Barus

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

General Hospital ◽

Complete Blood Count ◽

Low Back ◽

Research Subjects ◽

Retrospective Case ◽

Record Data ◽

Retrospective Case Study

Chronic kidney disease (CKD) is a condition in which there is a gradual decline in kidney function. This disease is progressive and usually irreversible. Indications for hospitalized CKD patients with severe complications and do not allow inpatient therapy. This study was aimed to describe the overview and management of chronic kidney disease inpatient in Royal Prima General Hospital Medan. The type of research used is research with a descriptive and retrospective case study design. This study is based on medical record data related to inpatient CKD patients' diagnostic and management features at the Royal Prima General Hospital Medan in 2020. The research subjects were all inpatients diagnosed with CKD, whereas 100 research subjects with complete medical records were included in this study. It was found that the highest age group was 57-65 years, as much as 37.0%, and men as much as 27%. The chief complaint was shortness of breath at 43% and additional complaints, the most of which were fever + low back pain + edema at 38%. On physical examination, most of the inspections were weak, 55%. Most palpation was sociable 57%. There was auscultation of four abdominal regions and normal positive bowel sounds (93%). Complete blood count + blood sugar level + electrolytes + urea + creatinine 70%, the most combination medication is NaCl 0.9% + Furosemide injection 31%. Based on the length of stay, the longest was 13-14 days (20%).

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