scholarly journals Gambaran karakteristik gagal jantung pada bayi baru lahir di RSUP Prof. Dr. R. D. Kandou Manado periode tahun 2013-2015

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Reggie C. Gautama ◽  
Erling D. Kaunang ◽  
Suryadi N.N. Tatura
Keyword(s):  
Heart Failure ◽  
Medical Records ◽  
Laboratory Tests ◽  
Leukocyte Count ◽  
Heart Diseases ◽  
Clinical Manifestations ◽  
Direct Bilirubin ◽  
Cross Sectional ◽  
Breathing Difficulty ◽  
High Level

Abstract: Heart failure is one of the cardiovascular diseases to be the focus of attention. This study was aimed to obtain the characteristics of heart failure in newbornsat Prof. Dr. R. D. Kandou Hospital Manado in 2013-2015. This was a retrospective descriptive study with a cross-sectional design using data of medical records in Department of Pediatrics and Medical Records Center of Prof. Dr. R. D. Kandou Hospital Manado. The results showed that there were 22 samples consisted of males 55% and females45%.Clinical manifestations were as follows: fever (68%), cyanosis (64%), and breathing difficulty (45%). The physical examinations that were taken into account were vital signs (pulse: 152.86 x/minute; respiration rate: 70.59 x/minute; body temperature: 36.86°C), anthropometry (body weight: 3495.45 grams), head examination (anemic conjunctiva: 9%; icteric sclera: 42%), lung examination (retraction: 95%, ronchi: 14%), and heart examination (pansystolic murmur: 82%; systolic ejection murmur: 14%). The supportive workups that were taken into account included echocardiography (VSD: 68%; ASD: 9%; ASD and VSD: 9%; other congenital heart diseases: 14%), chest X-ray (normal: 91%; infiltrate spots in both lungs: 9%), and laboratory tests (low Ht count 45%; low Hb count 55%; low platelet count 68%; high leukocyte count 73%; high level of total bilirubin 77%; high level of direct bilirubin 73%; electrolytes (within normal limit: calcium 50%; sodium 46%, potassium 68%; and chloride 54%). Conclusion: In this study, the most dominant gender was male, and the clinical manifestations as follows: fever, cyanosis, and breathing difficulty; physical examination as follows: tachycardia, tachypnea, hypothermia, hyperthermia, icteric sclera, prominent retraction, and pansystolic murmur. Meanwhile, in the supportive workups the most common manifestations were VSD in echocardiography, and the laboratory tests as follows: decreased hematocrit count, hemoglobin, and platelets, and increased leukocyte count, and total and direct bilirubin levels. Keywords: characteristics, heart failure, newborn infant Abstrak: Gagal jantung merupakan salah satu penyakit kardiovaskular yang menjadi fokus perhatian. Penelitian ini bertujuan untuk mengetahui gambaran karakteristik penderita gagal jantung pada bayi baru lahir di RSUP Dr. R. D. Kandou Manado tahun 2013-2015.Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang menggunakan data rekam medik di Bagian Ilmu Kesehatan Anak dan Pusat Rekam Medik RSUP Dr. R. D. Kandou Manado. Hasil penelitian mendapatkan sebanyak 22 sampel, terdiri dari sampel laki-laki sebanyak 55% dan perempuan 45%. Gambaran klinis berupa demam (68%), sianosis (64%) dan sesak napas (45%). Pemeriksaan fisik yang dinilai berupa tanda vital (nadi: 152,86x/menit; respirasi: 70,59x/menit; suhu: 36,860C), antropometri (berat badan: 3495,45 gram), pemeriksaan kepala (konjungtiva anemis: 9%; sklera ikterik: 42%), pemeriksaan paru-paru (retraksi: 95%; rhonki: 14%) dan pemeriksaan jantung (bising pansistolik: 82%; bising;ejeksi sistolik: 14%). Pemeriksaan penunjang ialah ekokardiografi (VSD: 68%; ASD: 9%; ASD dan VSD: 9%; PJB lainnya: 14%), foto toraks (normal: 91%; bercak infiltrat pada kedua lapang paru: 9%) dan pemeriksaan laboratorium (Ht rendah 45%; Hb rendah 55%; trombosit rendah 68%)leukosit tinggi 73%; kadar bilirubin total tinggi (77%); kadar bilirubin direk tinggi (73%); elektrolit (dalam batas normal: kalsium (50%), natrium (46%), kalium (68%), dan klorida (54%)) normal). Simpulan: Dalam studi ini yang terbanyak ditemukan ialah jenis kelamin laki-laki, temuan klinis demam, sianosis dan sesak napas, pemeriksaan fisik takikadia, takipneu, hipotermi dan hipertermi, sklera ikterik, retraksi, dan bising pansistolik.Pada pemeriksaan penunjang terbanyak ditemukan ialah VSD pada ekokardiografi dengan hasil laboratorium penurunan hematokrit, hemoglobin, dan trombosit serta peningkatan leukosit, bilirubin total, dan direk.Kata kunci: karakteristik, gagal jantung, bayi baru lahir

scholarly journals Etiologies of Hospitalized Acute Bronchiolitis in Children 2 Years of Age and Younger: A 3 Years' Study During a Pertussis Epidemic

2021 ◽  
Vol 9 ◽  
Author(s):  
Sainan Chen ◽  
Yuqing Wang ◽  
Anrong Li ◽  
Wujun Jiang ◽  
Qiuyan Xu ◽  
...  
Keyword(s):  
Young Children ◽  
Medical Records ◽  
Clinical Presentation ◽  
Leukocyte Count ◽  
Clinical Manifestations ◽  
Human Bocavirus ◽  
Acute Bronchiolitis ◽  
Laboratory Examination ◽  
A Prospective Study ◽  
Infants And Young Children

Objective: In recent years, the incidence of Bordetella pertussis infection in infants and young children has been increasing. Multiple studies have suggested that B. pertussis may be one of the pathogens of bronchiolitis in infants and young children. However, the prevalence and clinic characteristic of B. pertussis in bronchiolitis is controversial. This prospective descriptive study evaluated the prevalence and clinical manifestations of infants and young children hospitalized for bronchiolitis with B. pertussis.Methods: Children hospitalized with bronchiolitis were eligible for a prospective study for 36 months from January 1, 2017, to December 31, 2019. Besides B. pertussis, 10 common respiratory viruses and Mycoplasma pneumoniae (MP) were confirmed by laboratory tests. Medical records of patients were reviewed for demographic, clinical characteristics, and laboratory examination.Results: A total of 1,092 patients with bronchiolitis were admitted. B. pertussis was detected in 78/1,092 (7.1%) patients. Of the 78 patients with B. pertussis bronchiolitis, coinfections occurred in 45 (57.7%) patients, most frequently with human rhinovirus (28/78, 35.9%), followed by MP (9/78, 11.4%), and human bocavirus (6/78, 7.7%). The peak incidence of B. pertussis infection was in May. A high leukocyte count could help distinguish B. pertussis–associated acute bronchiolitis from other acute bronchiolitis etiologies. After excluding coinfections, children with B. pertussis–only bronchiolitis exhibited a milder clinical presentation than those with RSV-only infection; also, children with MP-only and other pathogen infections revealed similar severity. The morbidity of B. pertussis was common (31/78, 39.7%) in infants with bronchiolitis under 3 months.Conclusion: In summary, B. pertussis is one of the pathogens in children with bronchiolitis, and coinfection of B. pertussis with other viruses is common in bronchiolitis. B. pertussis should be considered when patients hospitalized with bronchiolitis present a longer course and have an elevated leukocyte count. Patients with B. pertussis–associated bronchiolitis present a milder clinical presentation.

scholarly journals Relationship between stroke etiologies and clinical manifestations/Oxfordshire

2021 ◽  
Author(s):  
Silas Paulo Lima de Souza ◽  
Antonio Carlos Dias Andrade ◽  
Vinicius Leal Borges da Cruz ◽  
João Paste ◽  
Tiago Timotio de Almeida ◽  
...  
Keyword(s):  
Medical Records ◽  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Large Artery ◽  
Anterior Circulation ◽  
Vessel Occlusion ◽  
Cross Sectional ◽  
Reference Hospital ◽  
Toast Classification

Introduction: The classification of strokes subtypes is important, since they have different management and prognoses. This study aims to verify associations between the etiologies of the stroke according to the TOAST classification and the clinical presentation by the subtypes of the Oxfordshire scale. Methods: A descriptive cross-sectional study, with patients admitted to a stroke unit of a reference hospital in Salvador-BA between 11/2017 and 03/2020. We included patients over 18 years of age and didn’t include patients with inaccuracies in the filling of medical records or who didn’t meet the criteria for admission to the cohort. Results: 300 patients between 25 and 98 years old (mean: 64 years; SD: 13.34) were analyzed. Regarding cardioembolic etiology (CE), 34 patients (45.3%) had lacunar syndromes (LACS) and 25 (33.3%) Partial Anterior Circulation Syndrome (PACS). Patients with Large Artery Atherosclerosis (LAA) 24 (40.7%) had PACS while 21 (35.6%) of the LACS patients diagnosed with small vessel occlusion (SVO) 22 (62.9%) had LACS. Futhermore, patients with cryptogenic strokes (CS) had predominantly PACS and LACS, 27 (31%) and 40 (46%) respectively. Conclusion: Based on the results of acute strokes of CE, SVO and CS origin are related to LACS. The events originated by LAA are more associated with PACS. Events caused by SVO were related to lacunar syndromes, corroborating with findings in the literature.

scholarly journals Feasibility of Asynchronous and Automated Telemedicine in Otolaryngology: Prospective Cross-Sectional Study

10.2196/23680 ◽  
2020 ◽  
Vol 8 (10) ◽  
pp. e23680
Author(s):  
Dongchul Cha ◽  
Seung Ho Shin ◽  
Jungghi Kim ◽  
Tae Seong Eo ◽  
Gina Na ◽  
...  
Keyword(s):  
Medical Records ◽  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Interrater Agreement ◽  
Diagnostic Model ◽  
Sectional Study ◽  
Perfect Agreement ◽  
Cross Sectional ◽  
Machine Learning Model ◽  
Community Transmission

Background COVID-19 often causes respiratory symptoms, making otolaryngology offices one of the most susceptible places for community transmission of the virus. Thus, telemedicine may benefit both patients and physicians. Objective This study aims to explore the feasibility of telemedicine for the diagnosis of all otologic disease types. Methods A total of 177 patients were prospectively enrolled, and the patient’s clinical manifestations with otoendoscopic images were written in the electrical medical records. Asynchronous diagnoses were made for each patient to assess Top-1 and Top-2 accuracy, and we selected 20 cases to conduct a survey among four different otolaryngologists to assess the accuracy, interrater agreement, and diagnostic speed. We also constructed an experimental automated diagnosis system and assessed Top-1 accuracy and diagnostic speed. Results Asynchronous diagnosis showed Top-1 and Top-2 accuracies of 77.40% and 86.44%, respectively. In the selected 20 cases, the Top-2 accuracy of the four otolaryngologists was on average 91.25% (SD 7.50%), with an almost perfect agreement between them (Cohen kappa=0.91). The automated diagnostic model system showed 69.50% Top-1 accuracy. Otolaryngologists could diagnose an average of 1.55 (SD 0.48) patients per minute, while the machine learning model was capable of diagnosing on average 667.90 (SD 8.3) patients per minute. Conclusions Asynchronous telemedicine in otology is feasible owing to the reasonable Top-2 accuracy when assessed by experienced otolaryngologists. Moreover, enhanced diagnostic speed while sustaining the accuracy shows the possibility of optimizing medical resources to provide expertise in areas short of physicians.

scholarly journals Gambaran Komplikasi Kehamilan dengan Penyakit Jantung di RSUD Arifin Achmad Provinsi Riau Periode 2013-2017

2019 ◽  
Vol 13 (2) ◽  
pp. 27
Author(s):  
Muhammad Arif Syafei ◽  
Donel Suhaimi ◽  
Irwan Irwan
Keyword(s):  
Heart Failure ◽  
Heart Disease ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Pulmonary Oedema ◽  
Medical Records ◽  
Heart Diseases ◽  
Sampling Technique ◽  
Cardiac Complications ◽  
Perinatal Complications

Heart disease is the major non-obstetric cause of morbidity and mortality in pregnancy Several studies showed thatpregnancy with heart diseases are related to maternal and perinatal complications such as mortality, heart failure,arrhytmias, pulmonary oedema, low birth weight, and prematurity. The aim of this study is to know the incidence,characteristic, and complications of pregnancy with heart disease. This study was using descriptive retrospectivedesign with total sampling technique. The sources of data were medical records of patients in January 2013 – December2017 with number of sample is 37 patients. Cardiac complications was found in 19 (57,6%) cases that was composed ofarrhytmias (24,2%), prematurity (21,2%), pulmonary oedema and low birth weight both 15,2%, and heart failure (9,1%).

scholarly journals Clinico-Etiological profile of congestive heart failure (CHF) in children

2021 ◽  
Vol 11 (2) ◽  
pp. 258-263
Author(s):  
Sunil Kumar Agarwalla ◽  
Sarada Prasanna Pradhan
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Heart Diseases ◽  
Oxygen Demand ◽  
Signs And Symptoms ◽  
Future Generation ◽  
Cross Sectional Study ◽  
Ebstein Anomaly ◽  
College Hospital ◽  
Cross Sectional

Congestive heart failure (CHF) occurs when the heart doesn’t pump blood to meet the oxygen demand of the various organs. Usually congenital heart disease (CHD) like VSD, PDA, CoA, TGA physiology, ECD, Ebstein anomaly present with CHF before U5 age. In India most common cause of CHF from 5 to 15 yrs. age is due to Rheumatic Fever / RHD. We also get cases like pericardial effusion, constrictive pericarditis, DCM, AR in rheumatic disease, iron overload causing myocardial failure in Thalassemia and anemia presenting as CHF as in more than 5-year children. CHF cases contribute to about 10% of mortality in children.We conducted a Hospital based descriptive and cross-sectional study from November 2018 to October 2020 at Pediatric department of M.K.C.G Medical College Hospital, Berhampur. All pediatric patients with signs and symptoms of CHF as per clinical diagnosis in the age group of 1 month to 14 year were included in our study. The study population was 136. Out of the total cardiac cases, 57% were CHD, 43% were acquired. Among the total 105 cardiac cases of CHF, CHD were 60(57.2%). Out of the total CHD, acyanotic heart diseases were 46.7% and acquired heart diseases constituted 42.8%. Out of total 136 cases 87(63.2%) were discharged, 23(17.6%) died, 19 cases (14%) were referred to higher centre. After data collection detail analysis was made by SPSS software. An initiative regarding addressing the problematic Congestive heart failure along with its clinical management will definitely help the future generation and researchers.

Epidemiological characteristics of patients Hypertension attended 48Hospithal in 2019

2021 ◽  
pp. 40-61
Author(s):  
NAIF TAWFIQ AL-NWANY
Keyword(s):  
Heart Failure ◽  
Heart Diseases ◽  
Cross Sectional Study ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Registration System ◽  
Number Of Patients ◽  
Life Style Changes ◽  
Epidemiological Characteristics

Introduction: Hypertensive is one of the most health problems in the world. People who have hypertension become high risk for other diseases . This study was conducted to identify distribution of hypertensive among patients attended 48 Hospital during 2019. Method : A cross-sectional study was conducted and collected the data of all patients diagnosed with hypertension during the year 2019 as registered by 48 medical compound. The study area has electronic information system which is data collected and filled by physician or specialist in different medical departments and outpatient clinics. The data in excel sheet contain information's about the disease including: name, age, sex and marital status, complications and laboratory tests lipid profile for each patient. Results and conclusion: Hospital registration system indicated the admission of total number of patients with hypertensive was 2225 during that year. Chi square and fisher test analysis showed that the most patients with hypertensive were with age group above 60 year (50%) , married (97.8%) , residence in Sana'a 88.4% . Females under age 60 years (62%), males above age 60 years (56.9%) and hypertension was significant with age with p-value 0.001. Hypertensive heart diseases patients without heart failure (82.7%) most them : (83%) above age 40 years , females (84.7%) and married (82.7%).The most complication of hypertension were heart disease (82%), renal disease (5.9%) , heart failure (5.1%) and stroke (3.2%). In future the researchers need study more about hypertensive risk factors such as life style changes .

scholarly journals Etiological profile in patients with heart failure

2020 ◽  
Vol 8 (8) ◽  
pp. 2845
Author(s):  
Madhavi Sarkari ◽  
Mithilesh Yadav ◽  
Ashutosh Kr. Rai
Keyword(s):  
Heart Failure ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Heart Diseases ◽  
Failure Criteria ◽  
Epidemiological Studies ◽  
Elderly Male ◽  
Cross Sectional ◽  
Valvular Heart Diseases ◽  
Rheumatic Heart

Background: The incidence and prevalence rates of heart failure (HF) are increasing worldwide. The prevalence of HF rises exponentially with increasing age and affects 4% to 8% of people older than 65. The leading causes of HF in India include coronary artery disease (CAD), diabetes, hypertension, rheumatic valvular heart diseases and primary cardiac muscle diseases. Rheumatic heart disease (RHD) is still a common cause of HF in India. Epidemiological studies have estimated that 1.5% to 2% population experience HF and it is the main reason for hospital admission of elderly patients. The objective of this study was to establish the etiological factors of heart failureMethods: A cross sectional study of 150 patients above the age of 18 years presented with heart failure diagnosed clinically on the basis of Framingham heart failure criteria and echocardiography, done over a period of one year in department of medicine in BRD medical college Gorakhpur Uttar Pradesh.Results: A total of 150 patients were include in this analysis the majority of patients were male (57.3%). Age of patients ranged from 18 - 70 years and 84% patients were above the age of 40 years.Conclusions: Heart failure was more prevalent in elderly male above 40 years of age. Myocardial infarction, DCMP, rheumatic heart disease and hypertensive heart failure are the common etiology leading to heart failure.

scholarly journals LVAD Use in the Treatment of End-Stage Heart Failure

2019 ◽  
pp. 43-47
Author(s):  
B. M. Todurov ◽  
H. I. Kovtun ◽  
A. O. Shpachuk ◽  
I. N. Kuzmich ◽  
A. N. Druzhina ◽  
...  
Keyword(s):  
Heart Failure ◽  
Heart Transplantation ◽  
Western Europe ◽  
Heart Diseases ◽  
Severe Congestive Heart Failure ◽  
Left Ventricular ◽  
High Morbidity ◽  
Long Run ◽  
High Level ◽  
End Stage

Circulatory failure, developing at a certain stage of the course of most heart diseases, is a progressive process, associated with high morbidity and mortality. The effectiveness of generally accepted conservative and resynchronizing therapy for disease progression is relatively low. Mortality of patients with clinically severe congestive heart failure (CHF) reaches 26-29% within a one year after diagnosis. Thus, heart transplantation is the main option for patients with endstage heart failure. About 5,000 heart transplants are performed annually in the world, with 95% of them occurring in North America and Western Europe. But even in countries with a high level of transplantation activity, donor organs of the required quality are still sorely lacking. In such a situation, the main alternative to transplantation may be the use of artificial heart ventricles usually called as ventricular assist device (VAD). In the long run, VAD therapy can serve as a tool for healing (“bridge to recovery”), as a tool of awaiting of further transplantation (“bridge to transplantation”), or as a destination therapy. The article presents the experience of using VAD (in the form of left ventricular bypass) in five patients with end-stage CHF. In order to replace the function of the heart LV, a miniature implant system for auxiliary blood circulation INCOR VAD (Berlin Heart GmbH, Berlin, Germany) was used. Our experience from 5 cases has successfully demonstrated that the implantation of a system for long-term mechanical support of the heart to patients with progressive heart failure can be an effective method of treatment that can safely extend the waiting time for heart transplantation.

scholarly journals Clinical and Para-clinical Features of Brucellosis With and Without Spondylodiscitis

2021 ◽  
Vol 8 (2) ◽  
pp. 39-44
Author(s):  
Fariba Keramat ◽  
Seyyed Hamid Hashemi ◽  
Farzaneh Esna-ashari ◽  
Kaveh Kaseb
Keyword(s):  
Back Pain ◽  
Medical Records ◽  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
Vertebral Involvement ◽  
Spinal Mri ◽  
The Mean

Background: Brucellosis is a common zoonotic disease with protean clinical manifestations. Osteoarticular involvement is the most common complication of the disease. This study aimed to compare the clinical and para-clinical manifestations of brucellosis among the patients with and without spondylodiscitis. Methods: In this comparative and cross-sectional study, 135 patients having brucellosis with and without spondylodiscitis and admitted to Sina hospital in Hamadan, Iran from March 2009 to March 2014 were included. Clinical and para-clinical data of the patients were obtained from their medical records in the hospital based on a designed checklist. Results: Thirty-five patients having brucellar spondylodiscitis (BS) with the mean age of 55.60±14.31 years, and 100 patients having brucellosis without BS with the mean age of 43.27±18.35 years were examined. A significant difference was found between the mean age of the patients with spondylodiscitis and that of those without spondylodiscitis (P<0.001). All patients with spondylodiscitis complained of back pain and vertebral tenderness, while 60% of the patients without BS suffered from back pain but experienced no vertebral tenderness (P=0.003). The most common vertebral involvement in spinal MRI of the patients with BS was L4-L5 (45.7%). Patients with spondylodiscitis had more increased ESR and CRP than those without spondylodiscitis (P<0.001). Conclusion: It is recommended that Brucellar spondylodiscitis be considered in the differential diagnosis of the patients with prolonged fever, back pain, and vertebrae tenderness in the endemic areas.

scholarly journals Feasibility of Asynchronous and Automated Telemedicine in Otolaryngology: Prospective Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Dongchul Cha ◽  
Seung Ho Shin ◽  
Jungghi Kim ◽  
Tae Seong Eo ◽  
Gina Na ◽  
...  
Keyword(s):  
Medical Records ◽  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Interrater Agreement ◽  
Diagnostic Model ◽  
Sectional Study ◽  
Perfect Agreement ◽  
Cross Sectional ◽  
Machine Learning Model ◽  
Community Transmission

BACKGROUND COVID-19 often causes respiratory symptoms, making otolaryngology offices one of the most susceptible places for community transmission of the virus. Thus, telemedicine may benefit both patients and physicians. OBJECTIVE This study aims to explore the feasibility of telemedicine for the diagnosis of all otologic disease types. METHODS A total of 177 patients were prospectively enrolled, and the patient’s clinical manifestations with otoendoscopic images were written in the electrical medical records. Asynchronous diagnoses were made for each patient to assess Top-1 and Top-2 accuracy, and we selected 20 cases to conduct a survey among four different otolaryngologists to assess the accuracy, interrater agreement, and diagnostic speed. We also constructed an experimental automated diagnosis system and assessed Top-1 accuracy and diagnostic speed. RESULTS Asynchronous diagnosis showed Top-1 and Top-2 accuracies of 77.40% and 86.44%, respectively. In the selected 20 cases, the Top-2 accuracy of the four otolaryngologists was on average 91.25% (SD 7.50%), with an almost perfect agreement between them (Cohen kappa=0.91). The automated diagnostic model system showed 69.50% Top-1 accuracy. Otolaryngologists could diagnose an average of 1.55 (SD 0.48) patients per minute, while the machine learning model was capable of diagnosing on average 667.90 (SD 8.3) patients per minute. CONCLUSIONS Asynchronous telemedicine in otology is feasible owing to the reasonable Top-2 accuracy when assessed by experienced otolaryngologists. Moreover, enhanced diagnostic speed while sustaining the accuracy shows the possibility of optimizing medical resources to provide expertise in areas short of physicians.

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