scholarly journals PERFORMANCE OF THE NURSE IN FRONT OF THE USER VICTIM OF TRAUMA CAUSED BY FIREARMS PROJECTILES: AN EXPERIENCE REPORT

2021 ◽  
Keyword(s):  
Mortality Rate ◽  
High Mortality ◽  
Experience Report ◽  
Morbidity And Mortality ◽  
Nursing Process ◽  
Qualitative And Quantitative ◽  
Type Study ◽  
New Research ◽  
The Impact ◽  
Nursing Course

Firearm trauma is considered one of the main reasons for morbidity and mortality in Brazil. In view of its destructive capacity of organs and tissues that come into contact with the fragments of the bullet. This work aims to report the experience of three students of the nursing course, facing the care of a patient with a firearm. This is a descriptive, qualitative, experience report type study. In the present study, it was possible to envision the application of the nursing process in its entirety, which allowed us to think of a plan based on the process of rehabilitation and healing of the patient. Going up a discussion about the violence in the country, since it is taking a high mortality rate between 15 to 24 years. Based on the construction of this work, it is suggested to create new research that addresses in a qualitative and quantitative way the impact of cases of violence in today's society.

scholarly journals Measles outbreak amidst COVID-19 pandemic in Africa: grappling with looming crises

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Abdullahi Tunde Aborode ◽  
Abdulhammed Opeyemi Babatunde ◽  
Bright-Agbonze Samuel Osayomwanbor ◽  
Emmanuel Adebowale Fajemisin ◽  
Oko Christian Inya ◽  
...  
Keyword(s):  
Mortality Rate ◽  
High Mortality ◽  
Health Sector ◽  
Community Leaders ◽  
Double Burden ◽  
Vaccination Programs ◽  
Health And Wellbeing ◽  
Measles Outbreak ◽  
African Health ◽  
The Impact

AbstractCoronavirus disease 2019 (COVID-19) and measles are major threats to the health and wellbeing of Africans. Measles is an endemic disease in Africa with a high mortality rate especially in children despite available vaccines. This letter aims to discuss the impact of the COVID-19 pandemic on prevention and management of measles in Africa. The emergence of COVID-19 has exacerbated the morbidities of measles due to multi-factors like the disruption of mass measles routine vaccination, a monopolistic focus on COVID-19 eradication, malnutrition, and poor surveillance. Currently, the COVID-19 pandemic and looming measles epidemic pose a double burden on the African health sector. We recommend urgent interventions from government and other stakeholders including community leaders to strengthen measles research and vaccination programs in Africa amidst the pandemic.

199 Impact of Frailty on Complications in Patients with Thoracic and Thoracolumbar Spinal Trauma

Neurosurgery ◽  
2017 ◽  
Vol 64 (CN_suppl_1) ◽  
pp. 253-254
Author(s):  
Remi Aria Kessler ◽  
Taylor Elise Purvis ◽  
Rafael De la Garza Ramos ◽  
Ali Karim Ahmed ◽  
C Rory Goodwin ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Surgical Intervention ◽  
Adult Spinal Deformity ◽  
Frailty Index ◽  
Neck Surgery ◽  
Thoracolumbar Fracture ◽  
Morbidity And Mortality ◽  
Frailty Status ◽  
Frail Patients ◽  
The Impact

Abstract INTRODUCTION It is well-documented that geriatric patients are at risk for serious injuries after trauma due to pre-existing medical conditions, physical changes of aging, and medication effects. Frailty has been demonstrated to be a predictor of morbidity and mortality in inpatient head and neck surgery, and for surgical intervention for adult spinal deformity and degenerative spine disease. However, the impact of frailty on complications following traumatic thoracolumbar/thoracic fracture is unknown and has not been previously assessed in the literature, particularly in a nationwide setting. METHODS This was a retrospective study of the prospectively-collected American College of Surgeons National Surgical Quality Improvement database for the years 2007 through 2012. Patients who underwent spinal decompression (+/− fusion) or an alternative intervention, defined as vertebroplasty or kyphoplasty (VP/KP) for thoracic or thoracolumbar fracture were identified. Frailty status was determined using a modified frailty index from the Canadian Study of Health and Aging Frailty Index, with frailty defined as a score = 0.27. 30-day morbidity and mortality were compared between frail and non-frail patients in each treatment group. RESULTS >A total of 303 patients were included in this study. Of these, 38% of patients had VP/KP and 62% underwent surgery. Within the VP/KP cohort, 26% were frail. The proportion of these patients who developed at least one complication was 3.3% versus 3.6% for non-frail patients (P = 1.0). The 30-day mortality for frail versus not frail patients in this cohort was 0% versus 2.4% (P = 1.0) Among the surgical group, 13% were frail. In contrast, the likelihood of complications was 33.3% among frail patients and 4.2% for non-frail patients (P = <0.001). Frail patients also had a 16.7% 30-day mortality rate as compared to 0.6% in the non-frail group (P = 0.001). CONCLUSION Frailty and traditional surgical intervention are correlated with a higher 30-day complication and mortality rate in patients with traumatic thoracic and thoracolumbar fracture.

Low dose whole lung radiotherapy for older patients with corona virus 19 disease (COVID-19) pneumonitis: practical protocol by the International Geriatric Radiotherapy Group (Preprint)

2020 ◽  
Author(s):  
Nam Nguyen ◽  
Meritxell Arenas ◽  
Te Vuong ◽  
Alice Zamagni ◽  
Vincent Vinh-Hung ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Inflammatory Response ◽  
High Mortality ◽  
Older Patients ◽  
Low Dose ◽  
Artificial Ventilation ◽  
Ordinal Scale ◽  
Co Morbidity ◽  
Lung Radiotherapy ◽  
The Impact

BACKGROUND Coronavirus disease 19 (COVID-19) carry a high mortality rate among older patients and minorities such as ethnic Africans and Latinos. The chronic baseline systemic inflammation of older patients and minorities may make them more vulnerable to the cytokines storm generated by the viral infection in addition to preexisting co-morbidity. Even though multiple organs failure result from the cytokine storm, pneumonia and respiratory failure often lead to death. OBJECTIVE Low dose whole lung radiotherapy (LDWLRT) may modulate the inflammatory response and may decrease the need for artificial ventilation, thus improving mortality rate. METHODS A phase I-II prospective trials enrolling 500 patients, 65 years old or older from 25 countries will be conducted to investigate the impact of LDWLRT on mortality rate of COVID-19 patients. The patients who will be selected would have developed pneumonias but did not require artificial ventilation. These patients will be followed for a year after receiving this treatment. Their physical activities will be monitored through the ordinal scale and will be correlated with their cytokines status and oxygen saturation rate to assess the impact of the residual inflammation on their daily life. Mortality rates between different ethnic group will be compared and correlated with their cytokines response to the virus and number of co-morbidities. RESULTS We postulate that LDWLRT may improve survival rates of all patients by preventing the need for artificial ventilation which is associated with a high mortality. The inflammatory response between different ethnic groups before and following radiotherapy will be valuable to serve as baseline for future prospective pandemic studies as it has not been reported before. CONCLUSIONS Once the study is complete, we may be able to demonstrate that LDWLRT may improve survival through its anti-inflammatory property CLINICALTRIAL NCT 04493294

scholarly journals FACTORS RELATED TO ADOLESCENT DELAY IN PANEMBONG GIRANG CIANJUR

2021 ◽  
Vol 1 (3) ◽  
pp. 151-158
Author(s):  
Helvy Yunida
Keyword(s):  
Mortality Rate ◽  
Juvenile Delinquency ◽  
High Mortality ◽  
Death Rate ◽  
Causes Of Death ◽  
Drunk Driving ◽  
Drinking Alcohol ◽  
Juvenile Mortality ◽  
The Impact ◽  
Very High

The juvenile delinquency rate in Panembong girang has long been very high. The environment is not good. For parents who have teenagers, they will be very worried if their teenagers are released to hang out with teenagers in such an environment. Many behaviors that lead to juvenile delinquency. The teenager's acquaintance with the Panembong Girang teenager has led to a legal case, which has ended at the court. These include being involved in drug abuse, beating other people until they are seriously injured and sentenced to prison, drinking alcohol, promiscuity, stealing, and others. The impact of juvenile delinquency The juvenile mortality rate in Panembong Girang is very high, compared to the death rate of adults and parents. The cause of the high mortality rate of adolescents in Panembong girang indirectly is the lack of control of adolescents in managing themselves. Often gather, in groups with peers, who incidentally have bad behavior. So that teenagers do what they should not do. Having an uncontrollable personality, causing the teenager to fall into drinking liquor or alcohol. One of the causes of death in adolescents worldwide due to accidents. in Panembong Girang the number of causes of death for adolescents is directly due to alcohol and accidents. The purpose of the study was to determine the cause of death of adolescents and to determine the lifestyle of panembong happy adolescents. The research method is a qualitative descriptive research design. The informants were taken by 3 neighbors next door to the meatball seller's house, teenagers and members of the Youth Organization. Results and Discussion: the cause of the death rate of adolescents due to alcohol died immediately and when drunk driving a motor vehicle an accident. Conclusion: the factors of the high mortality rate of adolescents in Panembong Girang are due to alcohol and accidents after drinking alcohol

Business Incubation Initiatives Impact on Entrepreneurs and SMEs

2022 ◽  
Vol 12 (1) ◽  
pp. 0-0
Keyword(s):  
Mortality Rate ◽  
Incubation Period ◽  
High Mortality ◽  
Exploratory Study ◽  
Qualitative Data ◽  
Policy Implications ◽  
Business Incubation ◽  
Methodological Triangulation ◽  
The Impact

Business incubation (BI) is a strategic tool that helps a country to grow its entrepreneurial base and reduce the high mortality rate of SMEs. Kingdom of Eswatini adopted the business incubation initiatives to promote entrepreneurship and SME development. To date, no data exist on the impact made by business incubation initiatives. Adopting methodological triangulation of both quantitative and qualitative data collected through questionnaires and interviews where the participants consisted of SME owners, BI managers, and BI trainers, this exploratory study aims to investigate business incubation initiatives' impact on entrepreneurs and SMEs. Findings reflect that BIs measure their impact by seeing an increase in revenue, increase in the number of people employed, and SME survival post the incubation period. Though SMEs agreed that the BI effects positively, the study also revealed that some SMEs remained in the incubation for more than 10 years. Policy implications emerging are the need to introduce graduation policy and proper determination of requirements for incubation.

scholarly journals The Impact of Patient’s Fear of COVID-19 Infection on Neurology Service in University Hospital Center Sestre Milosrdnice During COVID-19 Epidemic Outbreak

2021 ◽  
Vol 57 (2) ◽  
pp. 169-178
Author(s):  
Arijana Lovrenčić-Huzjan ◽  
Marina Roje-Bedeković ◽  
Neurology Collaboration Group
Keyword(s):  
Emergency Department ◽  
Mortality Rate ◽  
Disease Severity ◽  
Morbidity And Mortality ◽  
University Hospital ◽  
Neurologic Disease ◽  
Stroke Treatment ◽  
Ventilation Time ◽  
Time Period ◽  
The Impact

Increasing evidence suggests that patients with medical emergencies are avoiding the emergency department because of fear of coronavirus disease 2019 (COVID-19) infection, leading to increased morbidity and mortality due to other diseases. In order to analyse the impact of patient’s fear of COVID-19 on the admittance rate of stroke patients and severity of neurological diseases, we compared the stroke admittance rate, numbers of thrombectomies and thrombolysis and hospitalization refusal rate during the time period from March 1st until June 30th 2020 in temporal relationship with the rising numbers of COVID-19 cases in Croatia. We assessed the patients’ neurologic disease severity measured by ventilation time and mortality rate in the same time period. We compared the data with the data obtained from the same time period in 2019. We observed dramatically decreased presentation in Neurologic Emergency Department due to stroke and neurologic disease in 2020 compared to 2019, increased refused hospitalization rate and similar stroke treatment rate despite bigger catchment area. Greater neurologic disease severity with almost 40% increased ventilation time and double mortality rate during the same time was observed. During the outbreak of COVID-19 epidemic, fear of infection had significant impact on neurologic service leading to decreased presentation to NED, resulting in increased stroke or neurologic disease-related morbidity and mortality.

scholarly journals Impact of Treatment and Anticoagulation on Thrombosis in COVID-19 Patients

Blood ◽  
2020 ◽  
Vol 136 (Supplement 1) ◽  
pp. 6-7
Author(s):  
Surbhi Warrior ◽  
Elizabeth Behrens ◽  
Joshua Thomas ◽  
Priya Rajakumar ◽  
Sefer Gezer ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Conflicts Of Interest ◽  
Severe Disease ◽  
Hospitalized Patients ◽  
Morbidity And Mortality ◽  
Therapeutic Anticoagulation ◽  
Hispanic Patients ◽  
Mortality Difference ◽  
Inflammatory State ◽  
The Impact

Background The Coronavirus disease-2019 (COVID-19) is a global pandemic. Acute respiratory compromise and systemic coagulopathy cause significant morbidity and mortality. Venous thromboembolism (VTE), which encompasses both deep vein thrombosis (DVT) and pulmonary embolism (PE), as well as arterial thromboembolism (ATE), which includes stroke, are common sequelae described in this patient population. COVID-19 coagulopathy is attributed to severe inflammation and endothelial dysfunction resulting in a prothrombotic state. COVID-19 related treatment has focused on targeting the unregulated inflammatory state in an attempt to decrease incidence of COVID-19 related complications, such as thrombosis. Prophylactic anticoagulation is recommended, and many suggest intermediate to therapeutic anticoagulation in severe COVID-19. However, there is no clear data showing impact of anticoagulation on morbidity and mortality in patients with COVID-19. Methods A retrospective analysis was performed on all COVID-19 patients hospitalized between March 2020 and June 2020 at our institution. Patient charts were individually reviewed to ensure accuracy of data. Thromboembolic events (VTE or ATE) verified by imaging were included in the analysis. The impact of COVID-19 specific treatments such as Remdesivir, Tocilizumab, Hydroxychloroquine, and steroids on incidence of thrombosis was analyzed by using X2 testing. Using logistics regression, we analyzed the effect of prophylactic versus therapeutic anticoagulation received before development of thrombosis on mortality. Results Out of 1265 COVID-19 positive hospitalized patients during our time frame, 138 (10.9%) had thromboembolism. Incidence of 6.3% VTE, 5.6% DVT, 4.8% PE in COVID-19 patients was significantly higher than 0.24% VTE, 0.15% DVT, 0.12% PE in non COVID-19 hospitalized patients as reported by CDC (p&lt;.0001 for all). Amongst patients with COVID-19, mortality for patients with thrombosis is significantly higher than patients without thrombosis (31.9% vs. 10%, p&lt;0.001). Hispanic patients had a significantly higher mortality rate of 51% compared to African American 18%, other 29%, or Caucasian 20% (p=0.0020). Patients with PE had a significantly higher mortality rate than patients with non-pulmonary thrombotic events (18.0% vs. 13.7%, p=0.0412).The incidence of thrombosis was significantly less in those who received steroids at 14% as compared to other COVID-19 treatment: Tocilizumab 25% (p=0.0031), Hydroxychloroquine 42% (p&lt;.0001), and Remdesivir 72% (p&lt;.0001). Adjusting for gender, age, race, BMI, the mortality rate in COVID-19 patients with thrombosis was higher in patients who had COVID-19 related treatment compared to without treatment: Remdesivir OR (4.67, 95% CI 1.43- 15.2), steroids OR (4.52, 95% CI 1.82- 11.18), Tocilizumab OR (2.51, 95% CI 1.06-5.96), and Hydroxychloroquine OR (1.54, 95% CI .661- 3.59). There was no difference in mortality in patients who had prophylactic enoxaparin 40.5% compared to therapeutic enoxaparin 51.7% (p= 0.3491) (Figure 1). Adjusting for all demographics, a logistics model showed βprophylaxis anticoagulation= βTherapeutic anticoagulation showing no mortality difference in patients who had either dosing of anticoagulation (difference=0.2658, Z=.55, p=0.5810). Conclusion In Our study the incidence of thrombosis in hospitalized COVID-19 patients was significantly higher than non-COVID-19 hospitalized patients. COVID-19 patients with thrombosis had higher mortality compared to COVID-19 patient without thrombosis, particularly patients with PE. Hispanic patients with COVID-19 and thrombosis experienced a higher mortality rate compared to non-Hispanic patients. The lowest incidence of thrombosis occurred in COVID-19 patients who received steroids, followed by Tocilizumab suggesting that steroids and Tocilizumab may reduce the pro-inflammatory state leading to thrombosis. However, mortality rate was higher in patients who received COVID-19 related treatment, suggesting that these patients likely had severe disease. There was no mortality difference in patients who received prophylactic versus therapeutic anticoagulation prior to thrombosis. Randomized control trials will address the impact of anticoagulation dosing on morbidity and mortality in COVID-19 patients and study the post discharge prophylaxis and long-term outcomes in these patients. Disclosures No relevant conflicts of interest to declare.

The impact of transtelephonic documentation of arrhythmia on morbidity and mortality rate in sudden death survivors

1986 ◽  
Vol 112 (6) ◽  
pp. 1159-1165 ◽  
Author(s):  
Kul D. Chadda ◽  
Denise Harrington ◽  
Howard Kushnik ◽  
Monty M. Bodenheimer
Keyword(s):  
Mortality Rate ◽  
Sudden Death ◽  
Morbidity And Mortality ◽  
The Impact

Emamectin benzoate is a safe and effective anthelmintic against coelomic nematode Philometra rubra in striped bass Morone saxatilis

2020 ◽  
Vol 142 ◽  
pp. 47-53
Author(s):  
K Béland ◽  
G Séguin ◽  
S Lair
Keyword(s):  
Mortality Rate ◽  
Striped Bass ◽  
High Mortality ◽  
Morone Saxatilis ◽  
Treatment Results ◽  
Emamectin Benzoate ◽  
Once Daily ◽  
Fish Hatchery ◽  
Parasitic Burden

An unusually high mortality rate due to verminous (Philometra rubra) coelomitis was documented in wild-hatched striped bass Morone saxatilis raised in a fish hatchery as part of a stock restoration program. To decrease the parasitic burden and therefore potentially minimize mortality, the effectiveness of 2 different anthelmintics was evaluated. Two trials were conducted on wild-collected fingerlings naturally infected by P. rubra. In 2006, 144 yearling fish were randomly assigned to 4 experimental groups: (1) levamisole (Levasol®) at 2 mg l-1 via immersion for 8 h once weekly for 3 wk; (2) levamisole at a dose of 2.5 mg kg-1 biomass via feed once daily for 7 d; (3) emamectin benzoate (Slice®) at a dose of 0.05 mg kg-1 biomass via feed once daily for 7 d; and (4) control. Emamectin successfully eliminated live nematodes in 84.9% of the fish, whereas the administration of levamisole, either via immersion or feed, was not successful in significantly reducing the number of live P. rubra. In 2007, the administration of the same dosage of emamectin to approximately 1000 naturally infected yearling striped bass was associated with a 100% mortality rate of P. rubra in the 30 fish randomly examined 5 wk after the beginning of the treatment. Results of these trials indicate that, at the dosage used, the administration of emamectin at the end of the summer is safe for striped bass yearlings and considerably reduces the prevalence and intensity of the infection by this parasite.

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