scholarly journals Determining the Relationship Between Fever of Without focus and Latent Pneumonia in Feverish Children in Bandar Abbas, Iran

2021 ◽  
Vol 10 (2) ◽  
pp. 47-50
Author(s):  
Mohammad Meidari ◽  
Mehran Ahmadi ◽  
Marjan Tari Verdi ◽  
Shahram Zare ◽  
Maryam Mohammadian ◽  
...  
Keyword(s):  
Emergency Department ◽  
Unknown Origin ◽  
Signs And Symptoms ◽  
Pediatric Emergency ◽  
Significant Difference ◽  
The Mean ◽  
The Difference ◽  
Bandar Abbas ◽  
Wbc Count ◽  
The Relationship

Background: Fever is one of the most common causes of children’s referral to the emergency department, for which in 20% of cases no clear source is found. Latent pneumonia is not easily differentiable as one of the differential diagnoses of fever of unknown origin (FUO). This study aimed to determine the relationship between FUO and latent pneumonia in feverish children referring to pediatric emergency department. Materials and Methods: The present analytical research was carried out on 220 children with FUO aged 3-36 months referred to pediatric hospital of Bandar Abbas, Iran in 2019. To find the signs and symptoms, demographic information, history, and physical examination results were recorded by a physician using a predetermined checklist. Chest x-ray and blood sample were prepared for white blood cell (WBC) count, C-reactive protein (CRP), and absolute neutrophil count (ANC). Results: The mean age of the patients was 18.38±8.6 months. There was no significant difference between the mean fever, pulse rate, respiratory rate, WBC count, erythrocyte sedimentation rate (ESR), and ANC among the three groups differentiated by their diagnosis. The mean CRP in the bacterial pneumonia group was 68.17±24.13, while it was 35.00±20.43 in the viral infection group and 35.71±26.20 in the group of other diseases; the difference was statistically significant (P=0.004). Conclusion: Although there was no significant difference between WBC, ANC, and ESR and latent pneumonia, there was a significant difference between CRP and latent pneumonia, whose value was larger in these patients.

Alcohol use in adolescence: 5 years admissions at a pediatric emergency department

2018 ◽  
Vol 32 (4) ◽  
Author(s):  
Marlene Rodrigues ◽  
Teresa Pontes ◽  
Juliana Almeida ◽  
Alexandra Estrada ◽  
Susana Carvalho
Keyword(s):  
Emergency Department ◽  
Alcohol Use ◽  
Pediatric Emergency ◽  
Heavy Episodic Drinking ◽  
High Rate ◽  
Easy Access ◽  
Pediatric Emergency Department ◽  
Exact Test ◽  
Significant Difference ◽  
The Mean

AbstractObjectiveTo characterize the profile and pattern of alcohol consumption in adolescents, admitted with acute alcoholic intoxication (AAI) at a pediatric emergency department of North Portugal.MethodsRetrospective descriptive study of adolescents aged between 10 and 17 years, admitted with AAI between 2012 and 2016. The following variables were evaluated: age, gender, drinking context, quantity and type of alcohol, Glasgow Coma Scale (GCS), previous episodes, associated injuries, transport to the emergency department, other drug consumption, blood alcohol level (BAL), blood glucose level, treatment and orientation. The χ2/Fisher’s exact test and t-Student test were performed (p < 0.05).ResultsA total of 180 adolescents with AAI presented. The majority of adolescents were older than 15 years old (71%) and 3% were younger than 14 years old. The mean age was 15.9 years [standard deviation (SD) 1.1 years] and 65% were males. The most common type of alcohol consumed was distilled drinks (60%). Recurrent alcohol use was identified in 7% and binge drinking was reported in 37% of patients. The mean BAL was 1.58 g/L (SD 0.6 g/L) and there were other drug consumptions (mainly cannabinoids) observed in 11% of patients. After emergency department discharge, 17% were followed at hospital consultation. There was no significant difference between boys and girls or between BAL and injuries or other drugs consumption.ConclusionThis study confirms a high rate of alcohol use among adolescents, in particular “heavy episodic drinking”, revealing an easy access to alcohol at this age. The integration of alcohol use prevention programs in community and education systems should be encouraged and implemented in every adolescent consultation.

scholarly journals Correlation between the Condyle Position and Intra-Extraarticular Clinical Findings of Temporomandibular Dysfunction

2011 ◽  
Vol 05 (03) ◽  
pp. 354-360 ◽  
Author(s):  
Sevgi Sener ◽  
Faruk Akgunlu
Keyword(s):  
Signs And Symptoms ◽  
Clinical Findings ◽  
Test Reliability ◽  
Upper Cervical Spine ◽  
Significant Difference ◽  
Upper Cervical ◽  
Condyle Position ◽  
Condylar Position ◽  
The Difference ◽  
The Relationship

ABSTRACTObjectives: To investigate the relationship between different clinical findings and condyle position. Methods: Tenderness on masseter (MM), temporal (TM), lateral pyterigoid (LPM), medial pyterigoid (MPM) and posterior cervical (PSM) muscles, limitation, deviation and deflection in opening of mouth, clicking, crepitating, tenderness on lateral palpation of temporomandibular joint (TMJ) area for each side of 85 patients were evaluated. Each side of patients was categorized into the clinical findings: no sign and/or symptom of temporomandibular dysfunctions (TMDs), only extraarticular findings and only intraarticular findings, extra and intraarticular findings. Condyle positions of 170 TMJs were determined the narrowest anterior (a) and posterior interarticular distance (p) on midsagittal MRIs of condyles and expressed as p/a ratio and these ratio were transformed into logarithmic base e. Spearman’s Correlation was used to investigate the relationship between the condyle position and the clinical findings. The difference between the condyle positions of different groups was tested by T test. Reliability statistic was used to determine intra-observer concordance of two measurements of condylar position. Results: A significant relationship was found between the condyle position and tenderness of PSM. There was no significant difference between the groups in aspect of the condyle position. Occlusion and condyle position correlated with significantly. Conclusions: The inclination of the upper cervical spine and craniocervical angulations can cause the signs and symptoms of TMD and condyle position is not main cause of TMDs alone but it may be effective together with other possible etiological factors synergistically. (Eur J Dent 2011;5:354-360)

Utility of EEG as Diagnostic and Tarapeutic Approach in Examiners in Forensic Population-prevention of Criminal Recidiv

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
V. Talevska
Keyword(s):  
Criminal Behavior ◽  
Control Group ◽  
Significant Relation ◽  
Forensic Population ◽  
Safety Measures ◽  
Significant Difference ◽  
Eeg Changes ◽  
The Mean ◽  
The Difference ◽  
The Relationship

Aims:To define the importance for the difference between the EEG in patients with criminal behavior and in control group. To examine the relationship between the EEG of the patients with criminal behavior and diagnosis as well as the prompt registration of EEG changes.Material and methods:158 EEG investigations examined at the Psychiatric Hospital in Demir Hisar for 24 months with aggressive and criminal behavior.Results and discussion:In men normal EEG (69.44%) prevails. The means age of patients in examiner group with abnormal EEG is significant higher from the means age in patient's with normal EEG. There was the significant difference between normal and abnormal EEG and the diagnoses. There is not significant difference between the patient's behavior and EEG, and there was significant difference between EEG and its criminal factor. There was not relation between EEG and the patient's sex in control group. The difference between the means age (37.73 god.) in control group with abnormal EEG and the mean age of patients with normal EEG is significant. There was not significant relation between EEG and patient's diagnosis of control group. There was not connection between patient's behavior and EEG in control group. There was significant difference between EEG in examiner group and in control group.Conclusion:There was significant difference between EEG in control and in examiner group.Suggested measures:Easily diagnosis providing of psychiatric disorders with aggressive and criminal behavior with EEG -help and safety measures at examiners with criminal behavior.

scholarly journals Investigation of relationship between smartphone addiction and internet addiction in working children in industry

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Emriye Hilal Yayan ◽  
Yeliz Suna Dağ ◽  
Mehmet Emin Düken ◽  
Ayşegül Ulutaş
Keyword(s):  
Internet Addiction ◽  
Smart Phone ◽  
Smartphone Addiction ◽  
Face To Face ◽  
Working Children ◽  
Significant Difference ◽  
Dependence Scale ◽  
The Mean ◽  
The Difference ◽  
The Relationship

Aim:  The aim of the study was conducted to examine the relationship between smartphone addiction and internet addiction of working children in industry.Material and Method: This research was carried out with 183 children working at various work places in Diyarbakır province center between January and March 2017 as a descriptive relational. Child Information Form, Young Internet Addiction Scale and Smart Phone Dependence Scale were used in the study. The data were collected by face-to-face interview technique.Results: According to the statistical results of the study group, the average age of the students participating in the study was 14.53 ± 2.08. The average Internet and smartphone addiction scores of children whose mother were not alive (p = 0.000) or whose father (p = 0.000) were not alive and whose internet use was not supported (p = 0.000) were found to be higher. The mean scores of the groups were found to be significantly different. The mean internet and smart phone addiction scores of the children who worked well with the master at work (p = 0.000, p = 0.035) were found to be low and there was a significant difference between the groups. Children who were exposed to violence in the work environment (p=0.000) are quite high internet and smart phone addiction scores and the difference between the groups was found to be significant. It had founded that the children who use smart phone and internet for fun (p = 0.001, p = 0.002), chatting (p = 0.005) and browsing sites (p = 0.038, p = 0.001) was higher phone addiction and internet addiction scores. It was determined that there was a meaningful difference between the average scoresConclusion: Working children showed high internet and smart phone addiction behaviors, this resulted from originated family and social environment.

scholarly journals The Analysis of the Compassion Levels of the Classroom Teachers in Terms of Different Variables

2018 ◽  
Vol 6 (7) ◽  
pp. 63
Author(s):  
Murat Çalışoğlu
Keyword(s):  
Classroom Teachers ◽  
School Life ◽  
Significant Difference ◽  
Statistical Program ◽  
The Mean ◽  
The Difference ◽  
Data Frequency ◽  
The Village ◽  
The Relationship ◽  
The City

A teacher should be just and compassionate to be a good teacher. If there is weakness in these two, what a pity for those children who are trained by that teacher! Because one of the biggest diseases of this time is that mercilessness and unjustness are the raising trends. The purpose of this study is to analyze the mercy levels of the classroom teachers in terms of different variables. The study was conducted on 227 classroom teachers, 132 females and 95 males, working in Ağrı Province, Turkey in 2017.In the study, the Compassion Scale (CS) developed by Pommier (2011) and adapted to Turkish by Seher Akdeniz and Mehmet Engin Deniz was applied to the teachers. A statistical program was used to analyze the data. Frequency distribution to determine demographic characteristics, t test to analyze the relationship between compassion level and two independent variables, and ANOVA variant analysis to analyze the relationship between compassion level and variables more than two were used in the analyses of the data. The difference between the variables was interpreted on the basis of p0.05 significance level.According to the findings, it was determined that there is a significant difference between the level of compassion of the teachers and the gender, the settlement they work in, and their term of office. It was determined that the mean scores of male teachers were higher than the female teachers in the dimensions of indifference, disconnection and intercourse in the sub-dimensions of compassion level, the mean scores of the teachers working in the village in the sub-dimension of being aware of the sharing is higher than the teachers working in the city, and the mean scores of the teachers with 6-10 years of period of office is higher than those with 16 years of period of office in the sub-dimension of being aware of the sharing and the mean scores of the teachers with 5 years and below of period of office is higher than those with 6-10 years of period of office in the sub-dimension of disengagement.It can be recommended that increasing the compassion levels of the teachers in social and school life will have a positive effect on their relationships with students. It is also of higher importance to analyze other variables which are thought to positively affect compassion.

scholarly journals Passive Periodontal Sensation Threshold of Upper Molars in Patients with Myofascial Pain

2018 ◽  
Vol 12 (1) ◽  
pp. 1012-1020 ◽  
Author(s):  
Atsutoshi Hirata ◽  
Seiya Kato ◽  
Acing Habibie Mude ◽  
Kazuhiro Oki ◽  
Tadashi Matsunaga ◽  
...  
Keyword(s):  
Temporomandibular Disorders ◽  
Null Hypothesis ◽  
Myofascial Pain ◽  
Control Group ◽  
Significant Difference ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Tooth Axis ◽  
The Relationship

Background and Objective: The relationship between periodontal sensation and Myofascial Pain (MP) is not yet fully clarified. The aim of this study was to test the null hypothesis that there is no difference in the periodontal sensation threshold between subjects with MP and subjects with no Temporomandibular Disorders (TMD). Methods: Participants have clinically assessed in accordance with the Research Diagnostic Criteria for Temporomandibular Disorders version 1.0 guidelines and assigned to the MP group (mean age 54.8 ± 14.8 years; 1 male and 11 females) or the control group (mean age: 63.9 ± 13.2 years; 1 male and 15 females). The Passive Periodontal Sensation Threshold (PPST) was evaluated using impulsive mechanical stimulation on the occlusal surface parallel to the tooth axis of the maxillary first molar, if present. The difference in the mean PPST between the MP group and the control group was evaluated using the Student t-test after checking for homoscedasticity. Results: The mean PPST value was 1050.1 ± 480.3 mN in the MP group and 712.3 ± 288.5 mN in the control group. A significant difference was observed between these mean PPST values (p = 0.045). Conclusion: There was a significant difference in PPST between the MP group and the control group. Although the etiology of the change of PPST is still unknown, the higher PPST value observed in MP patients suggests that future study on occlusal dysesthesia or occlusal sensation-related pathosis is warranted.

scholarly journals Comparative Analysis of Different Local Anesthetic Solutions Available in Market: An In Vitro and Clinical Study

2021 ◽  
Author(s):  
Eisha Imran ◽  
Faisal Moeen ◽  
Beenish Abbas ◽  
Bakhtawar Yaqoob ◽  
Mehreen Wajahat ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Local Anesthetic ◽  
Compositional Analysis ◽  
Bacterial Activity ◽  
Similar Composition ◽  
Ph Values ◽  
Significant Difference ◽  
The Mean ◽  
The Difference

Abstract Objectives The study aimed to evaluate and compare various commercially available local anesthetic solutions. Materials and Methods A total of 150 commercially available local anesthetic cartridges of similar composition (2% lidocaine with epinephrine 1:100,000) were randomly collected and divided into 3 groups. The designations of groups were selected from their product names such that each group consisted of 60 cartridges. Group S (Septodont, France) Group M (Medicaine, Korea) and Group H (HD-Caine, Pakistan). The samples were divided into five sub-groups, each consisting of 10 cartridges from each group to investigate each parameter. Results The acquired data was statistically analyzed and compared (using SPSS version 12). Compositional analysis revealed a non-significant (P>0.05) difference when the three Groups were compared with standard lidocaine and epinephrine solutions. The mean pH values of samples from group S, M and H respectively fell within the range of pH values of commercially available solutions. Non-significant difference in EPT values of Group S and H was found when efficacy was compared (p = 0.3), however a significant difference (p < 0.01) was observed in contrast to Group M. Anti-bacterial activity was observed in all the group and a non-significant difference in cell viability values of Group S and M was found (p = 0.6), while the difference was significant in comparison to Group H. Conclusion Within the limitations of these investigations, it appears that the properties of different manufacturers fall within the recommended ranges as mentioned in literature and do not appear to be statistically different in the variables we have tested.

scholarly journals Covid-19 and acute conjunctivitis: Controversial data from a tertiary refferral Italian center

2021 ◽  
pp. 112067212199104
Author(s):  
Giuseppe D’Amico Ricci ◽  
Claudia Del Turco ◽  
Elena Belcastro ◽  
Marco Palisi ◽  
Mario R Romano ◽  
...  
Keyword(s):  
Emergency Department ◽  
Odds Ratio ◽  
Signs And Symptoms ◽  
Time Span ◽  
Nasopharyngeal Swab ◽  
Eye Disorders ◽  
Eye Examination ◽  
The Relationship ◽  
Acute Conjunctivitis ◽  
Piedmont Region

Purpose: Although acute conjunctivitis has been listed from the beginning as a possible sign of COVID-19, the likelihood of this association remains unclear. The aim of this study was to investigate the relationship between COVID-19 and conjunctivitis. Methods: In this retrospective, observational study, we recruited all patients with signs and symptoms of acute conjunctivitis seen at the Eye Emergency Department (ED), Turin Eye Hospital, between 01/01/2020 and 12/05/2020 and cross-checked our data with the Piedmont Region online COVID-19 registry in the same period. Results: Among 10,065 patients seen at our ED during the timespan considered, 88 underwent a nasopharyngeal swab (NS) for SARS-CoV-2 detection within 4 weeks before/after our examination. On average, NS was performed −0.72 ± 1.8 weeks before/after eye examination. Of the 77 patients with a negative NS, 26 (33.8%) had a diagnosis of acute conjunctivitis, whereas the remaining 51 (66.2%) had other eye disorders. Among the 11 patients with COVID-19, 7 (63,6%) had a diagnosis of acute conjunctivitis. We found a non-statistically significant increase in NS positivity rate (21.2%) among cases examined at our ED for acute conjunctivitis, compared to the NS positivity rate (7.3%) in patients examined for all other eye conditions ( p = 0.092). The Odds Ratio of having a positive NS in patients with acute conjunctivitis was 3.43 (95% I.C. = 0.9–12.8, p = 0.06). Considering online-registry data of Turin population during the same time-span, among 2441 positive NS cases only 27 (1.1%) presented with acute conjunctivitis. Conclusion: Our results do not reveal a statistically significant correlation between COVID-19 and acute conjunctivitis. Synopsis The present study analyzes retrospectively data from a tertiary eye referral center to investigate the relationship between COVID-19 infection and conjunctivitis.

scholarly journals Reported and unreported potentially important incidental findings in urgent nonenhanced abdominal CT for renal colic

2021 ◽  
Author(s):  
Elena Belloni ◽  
Stefania Tentoni ◽  
Ilaria Fiorina ◽  
Chandra Bortolotto ◽  
Olivia Bottinelli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Health Status ◽  
Pleural Effusion ◽  
Incidental Findings ◽  
Renal Colic ◽  
Legal Issues ◽  
Abdominal Ct ◽  
Significant Difference ◽  
Original Report ◽  
The Difference

PURPOSE: To retrospectively evaluate the prevalence of reported and unreported potentially important incidental findings in consecutive nonenhanced abdominal CTs performed specifically for renal colic in the urgent setting. METHOD: One radiologist, blinded to the finalized report, retrospectively re-evaluated nonenhanced abdominal CTs performed from January through December 2017 on adult patients from the Emergency Department with the specific request of urgent evaluation for renal colic, searching for potentially important incidental findings. RESULTS: The CTs of 312 patients were included in the study. Thirty-eight findings were reported in 38 different CTs, whereas the re-evaluation added 47 unreported findings in 47 different CTs, adding to total of 85 findings (27%). The difference in the proportion of reported and unreported potentially important incidental findings between the original report and re-evaluation was significant (P<.001). No significant difference was found between the age of patients with and without reported findings. The proportion of potentially important findings did not vary significantly among the three shifts neither in the original report nor in the re-evaluation. The most frequent findings, both reported and unreported, were pleural effusion, lymphadenopaties and liver nodules. CONCLUSIONS: Potentially important additional findings are frequently present in urgent nonenhanced abdominal CTs performed for renal colic, and many are not described in the finalized reports. Radiologists should take care not to under report potentially important incidental findings even in the urgent setting because of the possible consequences on the patient’s health status and in order to avoid legal issues, while satisfying the need for timely and efficient reporting.

4971Blood viscosity and its relevance to the diagnosis and management of pulmonary hypertension: a new elephant in the cathlab

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
A Kempny ◽  
K Dimopoulos ◽  
A E Fraisse ◽  
G P Diller ◽  
L C Price ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Cardiac Catheterization ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Pulmonary Vasculature ◽  
Pulmonary Vascular Disease ◽  
Significant Difference ◽  
The Difference ◽  
Clinically Significant ◽  
The Relationship

Abstract Background Pulmonary vascular resistance (PVR) is an essential parameter assessed during cardiac catheterization. It is used to confirm pulmonary vascular disease, to assess response to targeted pulmonary hypertension (PH) therapy and to determine the possibility of surgery, such as closure of intra-cardiac shunt or transplantation. While PVR is believed to mainly reflect the properties of the pulmonary vasculature, it is also related to blood viscosity (BV). Objectives We aimed to assess the relationship between measured (mPVR) and viscosity-corrected PVR (cPVR) and its impact on clinical decision-making. Methods We assessed consecutive PH patients undergoing cardiac catheterization. BV was assessed using the Hutton method. Results We included 465 patients (56.6% female, median age 63y). The difference between mPVR and cPVR was highest in patients with abnormal Hb levels (anemic patients: 5.6 [3.4–8.0] vs 7.8Wood Units (WU) [5.1–11.9], P<0.001; patients with raised Hb: 10.8 [6.9–15.4] vs. 7.6WU [4.6–10.8], P<0.001, respectively). Overall, 33.3% patients had a clinically significant (>2.0WU) difference between mPVR and cPVR, and this was more pronounced in those with anemia (52.9%) or raised Hb (77.6%). In patients in the upper quartile for this difference, mPVR and cPVR differed by 4.0WU [3.4–5.2]. Adjustment of PVR required Conclusions We report, herewith, a clinically significant difference between mPVR and cPVR in a third of contemporary patients assessed for PH. This difference is most pronounced in patients with anemia, in whom mPVR significantly underestimates PVR, whereas in most patients with raised Hb, mPVR overestimates it. Our data suggest that routine adjustment for BV is necessary.

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