Prehospital procedure in injuries – injury analysis in the Śląskie Voivodeship in Katowice

2020 ◽  
Vol 7 (4) ◽  
pp. 284-290
Author(s):  
Anna Chowaniec ◽  
Olimpia Karczewska ◽  
Piotr Szwedziński
Keyword(s):  
Medical Records ◽  
Road Traffic ◽  
Common Type ◽  
Retrospective Data ◽  
Aim Analysis ◽  
Public Places ◽  
Analgesic Treatment ◽  
Retrospective Data Analysis ◽  
Medical Teams ◽  
The City

The aim: Analysis of injuries suffered in street and road traffic and in public places in the Śląskie Voivodeship in the city of Katowice from January 1, 2017 to October 10, 2017. Material and methods: The study was based on a retrospective data analysis covering 248 Medical Rescue Activity Cards of the Voivodship Ambulance Service in Katowice – Katowice station from January 1 to October 10 2017. Results: Among 248 victims were 120 men and 128 women. 8 women who were injured were pregnant. In the analyzed material, 234 people (94%) were sober, while 14 people (6%) were found to be under the influence of alcohol. Among 248 victims, 83 people suffered multi-organ trauma, while 62 people were injured. 14 patients (5.6%) assessed pain using the NRS scale, while analgesic treatment was initiated in 22 people (8.9%). Conclusions: The most common type of injuries among victims of street and road traffic and in public places in Katowice from January 1 to October 10 2017 were bruises. Most often injuries occurred on Wednesday and Saturday, the least often on Sunday. None of the persons injured in prehospital procedures had a vacuum mattress, some had an orthopedic board (18.1%) and a cervical collar (32.3%). The personnel of the Emergency Medical Teams do not routinely use tools to assess the intensity of pain (only 5.6% of victims have documented pain assessment using the NRS scale on the MCR card). Consider changing the format of the medical records used by emergency teams to include a separate heading to assess pain intensity.

scholarly journals Comparative clinical effectiveness and safety of super bioavailable itraconazole and conventional itraconazole in management of dermatophytosis: a retrospective data analysis

2021 ◽  
Vol 7 (3) ◽  
pp. 388
Author(s):  
Harshal Mahajan ◽  
Dhiraj Dhoot ◽  
Gaurav Deshmukh ◽  
Hanmant Barkate
Keyword(s):  
Data Analysis ◽  
Symptom Score ◽  
Safety Profile ◽  
Medical Records ◽  
Clinical Effectiveness ◽  
Total Symptom Score ◽  
Retrospective Data ◽  
Complete Clearance ◽  
Retrospective Data Analysis ◽  
The Difference

<p class="abstract"><strong>Background:</strong> A newer itraconazole formulation i.e., super bioavailable itraconazole has been launched recently in India which is claimed to overcome all the pharmacokinetic challenges faced with conventional itraconazole. The present retrospective data analysis was undertaken to evaluate the effectiveness and safety of super bioavailable itraconazole in comparison with conventional itraconazole in the treatment of dermatophytosis in Indian patients.</p><p class="abstract"><strong>Methods:</strong> The present multi-centric, retrospective data analysis was done at 12 dermatological centers across India from July 2020 to December 2020. Medical records of patients of dermatophytosis, who were prescribed with either super bioavailable itraconazole 50 mg twice daily for four weeks or conventional itraconazole 100 mg twice daily for four weeks were included in the study.<strong></strong></p><p class="abstract"><strong>Results:</strong> 56% patients (n=30) in super bioavailable itraconazole group achieved complete clearance of their symptoms (cured) compared to only 34% patients (n=17) in conventional itraconazole group and this difference was statistically significant (p=0.02). Significantly more patients achieved complete clearance of their lesions in super bioavailable itraconazole-37 patients (69%) compared to conventional itraconazole group-25 patients (49%) at the end of 4 week therapy (p=0.04). The difference in total symptom score (∆TSS) in super bioavailable itraconazole group was more (5.81) as compared to conventional itraconazole group (4.75) (p=0.09). Both the treatment were well tolerated.</p><p class="abstract"><strong>Conclusions:</strong> From the findings of the present study, super bioavailable itraconazole was more effective with similar safety profile as compared to conventional itraconazole in the treatment of dermatophytosis.</p>

scholarly journals The Performance of Artificial Intelligence in Cervical Colposcopy: A Retrospective Data Analysis

2022 ◽  
Vol 2022 ◽  
pp. 1-6
Author(s):  
Yuqian Zhao ◽  
Yucong Li ◽  
Lu Xing ◽  
Haike Lei ◽  
Duke Chen ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Medical Records ◽  
Precancerous Lesions ◽  
Diagnostic Study ◽  
Retrospective Data ◽  
High Grade ◽  
Hpv Testing ◽  
Retrospective Data Analysis ◽  
Sensitivity Specificity ◽  
Histopathological Results

Objective. We aimed to evaluate the performance of artificial intelligence (AI) system in detecting high-grade precancerous lesions. Methods. A retrospective and diagnostic study was conducted in Chongqing Cancer Hospital. Anonymized medical records with cytology, HPV testing, colposcopy findings with images, and the histopathological results were selected. The sensitivity, specificity, and areas under the curve (AUC) in detecting CIN2+ and CIN3+ were evaluated for the AI system, the AI-assisted colposcopy, and the human colposcopists, respectively. Results. Anonymized medical records from 346 women were obtained. The images captured under colposcopy of 194 women were found positive by the AI system; 245 women were found positive either by human colposcopists or the AI system. In detecting CIN2+, the AI-assisted colposcopy significantly increased the sensitivity (96.6% vs. 88.8%, p = 0.016 ). The specificity was significantly lower for AI-assisted colposcopy (38.1%), compared with human colposcopists (59.5%, p < 0.001 ) or the AI system (57.6%, p < 0.001 ). The AUCs for the human colposcopists, AI system, and AI-assisted colposcopy were 0.741, 0.765, and 0.674, respectively. In detecting CIN3+, the sensitivities of the AI system and AI-assisted colposcopy were not significantly higher than human colposcopists (97.5% vs. 92.6%, p = 0.13 ). The specificity was significantly lower for AI-assisted colposcopy (37.4%) compared with human colposcopists (59.2%, p < 0.001 ) or compared with the AI system (56.6%, p < 0.001 ). The AUCs for the human colposcopists, AI system, and AI-assisted colposcopy were 0.759, 0.674, and 0.771, respectively. Conclusions. The AI system provided equally matched sensitivity to human colposcopists in detecting CIN2+ and CIN3+. The AI-assisted colposcopy significantly improved the sensitivity in detecting CIN2+.

TILTAI IR KELTAI KAIP XVIII AMŽIAUS VILNIAUS PAVIETO BAJORŲ TEISINIŲ GINČŲ OBJEKTAI IR NUSIKALTIMŲ ERDVĖS

2018 ◽  
pp. 299-318
Author(s):  
Domininkas Burba
Keyword(s):  
Eighteenth Century ◽  
Rural Areas ◽  
Common Type ◽  
General Situation ◽  
Small Object ◽  
Violent Crimes ◽  
Rural Space ◽  
Green Bridge ◽  
Violent Conflicts ◽  
The City

Bridges and ferries, as objects of dispute and crime locations among the eighteenth century nobles of Vilnius district, is the main topic of research in this article. Case materials and auxiliary documents from the records of Vilnius district castle and land courts reveal how often bridges are mentioned in the court processes in both violent and non-violent crimes. Research explores what types of violent crimes took place on bridges or ferries most often. It also works on questions of geographic localisation and statistics, discussing general situation of bridges in Vilnius and its neighbouring areas in the eighteenth century. Bridges are regularly mentioned in the books of the eighteenth century Vilnius castle and land courts, albeit most references are not related to conflicts and bridges are mentioned as orientation marks or in reference to location of a real estate object. Both non-violent legal disputes, involving bridges as objects, and violent crimes on the bridges were not in multitude, however non-violent crimes were in smaller numbers. There were seven dispute cases about lands, properties and plots of land where bridges and ferries are mentioned. Non-violent conflicts mostly took place in rural areas of the district, four of them, and three such disputes happened in Vilnius (one on the Green Bridge and two on the bridges over the River Vilnia). Most commonly recorded violent crime on a bridge was beating and, since this was the most common type of crime perpetrated by nobles in the eighteenth century Vilnius district, this trend is logical. A bridge is once mentioned in the record about a raid. In terms of location, more crimes on the bridges took place in the rural space, although this particular space wasn’t dominant, since six crimes were reported in the province and five in the city – two in Vilnius on the Green (Stone) Bridge, two on the bridges over the River Vilnia and one on a ferry near Šnipiškės. Trends in crime locations match general crime tendencies in Vilnius district, where more crimes took place in the rural space than in the urban one. One may guess, that the rare mention of bridges partially testifies to the fact that in the eighteenth century Vilnius district level of communication was not high and there were not too many bridges. On the other hand, when assessing trends in violent crimes in Vilnius district it was revealed that bridge based crimes comprised only one percent of all crimes. Having in mind that bridge is a relatively small object, compared to several different or other urban and rural spaces, this number isn’t that small. Keywords: Vilnius district, castle court, land court, crimes, nobles, peasants, bridges, ferries, passings.

Skull and Face Injuries and Associated Factors in Pedestrian Victims of Traffic Accidents: A Single Trauma Center Analysis

2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti
Keyword(s):  
Medical Records ◽  
Associated Factors ◽  
Traffic Accidents ◽  
Age Group ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
The Face ◽  
Chi Square Test ◽  
The City

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.

scholarly journals Retrospective data analysis of animal poisoning events in Liguria

2021 ◽  
pp. 100178
Author(s):  
R. Avolio ◽  
T. Andreoli ◽  
C. Ercolini ◽  
W. Mignone ◽  
R. Beltrame ◽  
...  
Keyword(s):  
Data Analysis ◽  
Retrospective Data ◽  
Retrospective Data Analysis

scholarly journals A new model for COVID-19 control and its implementation in the city of Honghu, China: a case report

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
He-ran Wang ◽  
Meng-chun Gong ◽  
Jing-Yuan Sun ◽  
Jian Sun ◽  
Yi Guo ◽  
...  
Keyword(s):  
Management Strategy ◽  
Human Infection ◽  
Public Health Emergency ◽  
Medical Resources ◽  
Case Presentation ◽  
Management Measures ◽  
Rapid Spread ◽  
Medical Teams ◽  
Novel Coronavirus ◽  
The City

Abstract Background Novel coronavirus pneumonia has been the most serious worldwide public health emergency since being identified in December 2019. The rapid spread of the pandemic and the strong human to human infection rate of COVID-19 poses a great prevention challenge. There has been an explosion in the number of confirmed cases in several cities near Wuhan, including the highest in Honghu, Jinzhou. Owing to the limited admission capacity and medical resources, increasing numbers of suspected cases of COVID-19 infection were difficult to confirm or treat. Case presentation Following the arrival of the Guangdong medical aid team on 11 February, 2020, COVID-19 care in Honghu saw changes after a series of solutions were implemented based on the ‘Four-Early’ and ‘Four-centralization’ management measures. The ‘Four-Early’ measures are: early detection, early reporting, early quarantine, and early treatment for meeting an urgent need like the COVID-19 pandemic. ‘Four-centralization’ refers to the way in which recruited medical teams can make full use of medical resources to give patients the best treatment. These solutions successfully increased the recovery rate and reduced mortality among patients with COVID-19 in Honghu. Conclusions This management strategy is called the ‘Honghu Model’ which can be generalized to enable the prevention and management of COVID-19 worldwide.

scholarly journals Understanding Spatial Variability of NO2 in Urban Areas Using Spatial Modelling and Data Fusion Approaches

Atmosphere ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 179
Author(s):  
Said Munir ◽  
Martin Mayfield ◽  
Daniel Coca
Keyword(s):  
Data Fusion ◽  
Spatial Variability ◽  
Urban Areas ◽  
Road Traffic ◽  
Dispersion Model ◽  
Low Cost ◽  
Spatial Modelling ◽  
City Centre ◽  
Small Scale ◽  
The City

Small-scale spatial variability in NO2 concentrations is analysed with the help of pollution maps. Maps of NO2 estimated by the Airviro dispersion model and land use regression (LUR) model are fused with measured NO2 concentrations from low-cost sensors (LCS), reference sensors and diffusion tubes. In this study, geostatistical universal kriging was employed for fusing (integrating) model estimations with measured NO2 concentrations. The results showed that the data fusion approach was capable of estimating realistic NO2 concentration maps that inherited spatial patterns of the pollutant from the model estimations and adjusted the modelled values using the measured concentrations. Maps produced by the fusion of NO2-LCS with NO2-LUR produced better results, with r-value 0.96 and RMSE 9.09. Data fusion adds value to both measured and estimated concentrations: the measured data are improved by predicting spatiotemporal gaps, whereas the modelled data are improved by constraining them with observed data. Hotspots of NO2 were shown in the city centre, eastern parts of the city towards the motorway (M1) and on some major roads. Air quality standards were exceeded at several locations in Sheffield, where annual mean NO2 levels were higher than 40 µg/m3. Road traffic was considered to be the dominant emission source of NO2 in Sheffield.

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