Thoracotomies: epidemiologic study in a large general hospital of the region Center-Western of Paraná – Brazil

2011 ◽  
Vol 5 (3) ◽  
pp. 611
Author(s):  
Moisés Kogien ◽  
Carlos Alberto Teixeira

ABSTRACTObjectives: to describe the most frequent causes for realization of thoracotomies and the epidemiological profile of individuals submitted of its. Method: this is about a retrospective study from quantitative approach conducted by medical records of a large general hospital of region Center-Western of Paraná (PR) were analysed in from June 2005 to july 2006. The study has been approved by the Research Ethics Committee of the Universidade Estadual do Centro-Oeste in Paraná (BR), in accordance to registration number 019/2006. Results: it were studied 50 cases, 56% were men; the age-group where the most number of cases were concentred was between 40 and 49 years old (22%), the average age was 42,5 years. Most of the case studied (50%) was closed thoracotomy drainage; 42% was thoracotomized for exhibit pleural empyema and 22% for exhibit pleural effusion. Conclusion: males aged up to 49 years old predominated among the thoracotomized patients in the study sample. The lateral thoracotomies were the main thoracic incisions made for treatment of pleural effusions and empyemas.  Descriptors: thoracotomy; thoracic surgery; epidemiology descriptive.RESUMOObjetivo: descrever as causas mais frequentes para a realização de toracotomias e traçar o perfil epidemiológico dos indivíduos submetidos a este procedimento. Método: estudo retrospectivo com abordagem quantitativa através de análise de prontuários médicos em um hospital de grande porte da região Centro-Oeste do Paraná no período entre junho/2005 e junho/2006. O trabalho foi aprovado pelo Comitê de Ética em Pesquisa da Universidade Estadual do Centro-Oeste, sob registro n.019/2006. Resultados: foram estudados 50 casos, destes, 56% constituem-se de homens; a faixa etária onde se concentraram o maior número de casos foi entre 40 e 49 anos (22%), com idade média de 42,5 anos. A maioria dos casos analisados (50%) correspondeu a toracotomias com drenagem fechada; 42% foram toracotomizados por apresentarem empiema pleural e 22% por apresentarem derrame pleural. Conclusão: indivíduos do sexo masculino na faixa etária de até 49 anos de idade predominaram entre os pacientes toracotomizados da amostra do estudo, todos procedentes da região estudada. As toracotomias laterais foram as principais incisões torácicas realizadas em indicação ao tratamento de derrames e empiemas pleurais. Descritores: toracotomia; cirurgia torácica; epidemiologia descritiva.RESUMENObjetivos: describir las causas más frecuentes para la realización de toracotomías y trazar el perfil epidemiológico de los individuos sometidos a esto procedimiento. Método: estudio retrospectivo con abordaje cuantitativa a través de análisis de archivos médicos en un hospital de gran porte de la región Centro-Oeste del Paraná en el período entre junio/2005 y junio/2006. El estudio fue aprobado por el Comité de Etica en Investigación de la Universidad Estadual del Centro-Oeste, sob protocolo n. 019/2006. Resultados: fueron estudiados 50 casos, de estos, 56% se constituyen de hombres; la faja etaria donde se concentraron el mayor número de casos fue entre 40 y 49 años (22%) con edad media de 42,5 años. La mayoría de los casos estudiados (50%) correspondió a toracotomías con drenaje cerrada; 42% fueron toracotomizados por presentaren empiema pleural y 22% por presentaren derrame pleural. Conclusión: hombres en la faja etaria hasta 49 años predominarán entre los toracotomizados en la amostrad del estudio, todos procedentes de la región estudiada. Las toracotomías laterales fueran las principales incisiones torácicas realizadas en indicación al tratamiento de derrames y empiemas pleurales.  Descriptores: toracotomía; cirúgia torácica; epidemiología descriptiva.

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Ananias Malak

Abstract: Non-infectious skin disease is a skin disease that is not caused by pathogenic bacteria or by transmission. Many non-infectious skin diseases showed different manifestations in infants and children. This study aimed to obtain the patterns of non-infectious skin diseases in children at Dermatovenorology Department Prof. Dr. R. D. Kandou General Hospital period 2009-2011. This was a retrospective study. Data of the annual cases, gender, and ages were obtained from the medical records. From a total of 595 patients in 2009-2011 there were 323 (54.29%) children with non-infectious skin diseases, females (167 patients, 51.70%) were more frequent than males, and most commonly in the age group of 5 to 14 years (59.13%). Conclusion: Non-infectious skin diseases were still common in Dermatovenorology Department Prof. Dr. R. D. Kandou General Hospital period 2009-2011.Keywords: non-infectious skin diseases, childrenAbstrak: Penyakit kulit non-infeksi adalah penyakit kulit yang tidak disebabkan oleh kuman patogen ataupun ditularkan. Banyak penyakit kulit non-infeksi memperlihatkan manifestasi yang berbeda pada bayi dan anak-anak. Penelitian ini bertujuan untuk mengetahui pola penyakit kulit non-infeksi pada anak di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode 2009-2011.Metode Penelitian dilakukan secara retrospektif pada pasien anak dengan penyakit kulit non-infeksi yang datang ke Poliklinik Kulit dan Kelamin pada tahun 2009-2011. Data diperoleh dari rekam medik mengenai jumlah kasus pertahun, jenis kelamin, dan umur. Hasil penelitian memperlihatkan dari sejumlah 595 kunjungan pada tahun 2009-2011 terdapat 323 (54,29%) pasien anak dengan penyakit kulit non-infeksi, distribusi jenis kelamin memperlihatkan perempuan yang terbanyak 167 (51,70%), dan ter banyak pada kelompok umur 5-14 tahun (59,13%). Simpulan: Penyakit kulit non-infeksi masih sering dijumpai pada pasien anak di RSUP Prof. Dr. R. D. Kandou Manado.Kata kunci: penyakit kulit non-infeksi, anak


2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Luong Xuan Hien ◽  
Nguyen Quoc Tien ◽  
Tran Thi Phuong

This was an epidemiological study through a retrospective review of 215 medical records of patients with brain injury due to land traffic accidents treated at Ninh Binh Provincial General Hospital. Theresults showed that the majority of research subjects were male, accounting for 80.5%; The age group with higher prevalence of accidents was under 30 years old, accounting for 31.2%; The agegroup of 50-59 years old was at lower prevalence of accidents accounting for 15.8%. The time of the higher chance of occurring accident was between 4p.m and 11p.m daily. The majorityof traffic accidents occurred when riding motorbikes and electric bicycles (82.3%). About 75.0% of the victims received first aid with a gauze bandage; 5.4% of them had broken bones fixed. Amongthe brain injuries, 34.4% of the victims suffered from frontal trauma; 29.3% had unilateral cerebral hemisphere injury, 24.2% had temporal region injury, 15.8% had occipital region injury, and 8.4% ofvictims had parietal injury. More than half of the study subjects (53.5%) were hospitalized for 7-10 days. The rate of patients who have been discharged from the hospital with improved symptoms was81.4%; and 14.9% of patients were transferred to higher level hospitals.


2019 ◽  
Vol 186 (3) ◽  
pp. 92-92
Author(s):  
Fernando Malalana ◽  
Jo L Ireland ◽  
Gina Pinchbeck ◽  
Cathy M McGowan

BackgroundUveitis appears to be less prevalent in the UK compared with other parts of the world and studies characterising the disease in the UK are lacking. The objectives of this retrospective study were to describe acute and recurrent cases presenting for management of uveitis in a referral hospital on the North West of England and compare the signalment of horses presenting with uveitis with the equine hospital population during the same period.MethodsMedical records of horses presented to the referral Equine Hospital, University of Liverpool with signs of uveitis between 2008 and 2018 were reviewed and clinical details extracted.ResultsSeventy horses presented with uveitis; 33 were classified as acute and 37 as recurrent cases. Sixteen of the horses were affected bilaterally. More bilateral cases were classified as recurrent than acute (P=0.04). No differences in age or sex were noted between acute and recurrent cases, or between cases and the general hospital population. Warmbloods and Appaloosas were over-represented when compared with the general hospital population (P<0.001). Twenty-one horses (30 per cent, 95 per cent CI 20.5 to 41.4) underwent surgery for the control of the uveitis. Fourteen of the 70 horses (20.0 per cent, 95 per cent CI 12.3 to 30.8) underwent enucleation.ConclusionWhile relatively uncommon in the UK, uveitis can affect horses from a relatively young age. The disease appears to have a relatively higher frequency than expected in Warmbloods and Appaloosas. It is more likely that a recurrent case will have both eyes affected.


2017 ◽  
Vol 20 (5) ◽  
pp. 618-623
Author(s):  
Mateus Giacomin ◽  
Ferdinando De Conto ◽  
Simone Pinheiro Siqueira ◽  
Pedro Henrique Signori ◽  
João Matheus Scherbaum Eidt ◽  
...  

Abstract Objective: to analyze the epidemiological profile of geriatric patients with facial trauma treated at a Maxillofacial Surgery Department in southern Brazil over a period of 10 years. Methods: a retrospective analysis of the medical records of patients aged over 60 years treated for facial trauma in the period from January 2001 to December 2010 was performed. Result: of a total of 1,385 analyzed medical records of patients with facial trauma, 86 (6.2%) belonged to the group aged 60-89 years. The male gender was the most affected and the age group 60-69 years was the most frequently involved. The middle third was the most affected, and the zygomatic bone was the most commonly fractured. Conclusion: special attention should be given to the 60-69 age group, as while such patients present physiological changes inherent to aging, they remain active in society and exposed to risk factors for facial trauma.


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Cindy E. Gama ◽  
Ferra O. Mawu ◽  
Renate T. Kandou

Abstract: Pyoderma is one of the most common skin infection caused mainly by Gram-positive bacteria, Staphylococcus, Streptococcus, or both. It is closely associated with low-sosioeconomic, malnutrition, high density of population, and bad hygiene. This study was aimed to figure out the profile of pyoderma infection in adults at Department of Dermato-venereology, Prof. Dr. R. D. Kandou General Hospital Manado in the period of 2013-2015. This was a descriptive retrospective study using data of register books and medical records. The results showed that there were 164 new cases (4.59%) of pyoderma in adults, predominantly males (51,8%), age group of 45-64 years (44.5%), and folliculitis as the most clinical diagnosis. Most infections were treated with combination therapy of systemic antibiotic and topical antibiotic, clindamicyn (48.2%) and fusidic acid (59.8%) respectively.Keywords: pyoderma, adult Abstrak: Pioderma merupakan salah satu penyakit infeksi kulit yang paling sering ditemui. Penyakit ini paling banyak disebabkan oleh kuman Gram-positif, yakni Staphylococcus dan Streptococcus, atau keduanya. Pioderma erat hubungannya dengan keadaan sosial ekonomi yang rendah, malnutrisi, kepadatan penduduk, dan sanitasi yang buruk. Penelitian ini bertujuan untuk mengetahui profil pioderma pada orang dewasa di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode tahun 2013-2015. Jenis penelitian ialah deskriptif retrospektif menggunakan data dari buku register dan catatan rekam medik. Hasil penelitian menunjukkan insidensi pioderma pada orang dewasa periode tahun 2013-2015 sebanyak 164 kasus baru (4,59%). Distribusi terbanyak pada laki-laki (51,8%), usia 45-64 tahun (44,5%), dengan bentuk klinis folikulitis (38,4%). Sebanyak 95 pasien (57,9%) menggunakan terapi kombinasi antibiotik sistemik dan antibiotik topikal. Terapi antibiotik sistemik yang terbanyak digunakan ialah klindamisin (48,2%) dan antibiotik topikal yang paling banyak digunakan ialah asam fusidat (59,8%). Kata kunci: pioderma, dewasa


10.3823/2591 ◽  
2018 ◽  
Vol 11 ◽  
Author(s):  
Esther Castello Branco Mello Miranda ◽  
Fernanda Araújo Santos ◽  
Ana Rachel Koury Marinho ◽  
Mayara Castello Branco de Mello Dias ◽  
Suzana Maria Klautau Ferreira ◽  
...  

Background: The aim of this study was to analyze the demographic, ethyological and clinical aspects of patients with liver cirrhosis treated in the Chronic Liver Disease Center. Methods: a descriptive, cross-sectional and retrospective study based on the analysis of 580 pacients’ medical records with the diagnosis of hepatic cirrhosis treated from 2004 to 2014 in Belém, Brazil. Conclusions: the profile was predominantly of male patients, aged between 51 and 60 years, coming from the capital ​​Belem, whose main etiologies of cirrhosis were C hepatitis and alcohol. Ascites was the most frequent clinical manifestation and Child-Pugh score A was the most prevalent.


2021 ◽  
Vol 1 (3) ◽  
pp. 152-158
Author(s):  
Yessi Sundari

DBD is a disease caused by the dengue virus which is transmitted through mosquito bites and reduces the platelet count in the sufferer. This study aims to determine the medical records of dengue hemorrhagic fever at Lubuk Pakam General Hospital. This type of research is descriptive. Data collection methods were medical records for all DHF patients from 2005 to 2009 at Lubuk Pakam General Hospital. Then the medical record data are grouped by age, sex and occupation. Based on the results of the study, it was found that the number of DHF sufferers from 2005 to 2009 increased in the 21-56 year age group with all male sex and work as entrepreneurs. This is due to a narrower environment, increasing population, and inadequate living quarters with no good air ventilation, so that the spread of dengue is increasing.


e-CliniC ◽  
2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Aljufri Syamsudin ◽  
Marlyn G. Kapantow ◽  
Renate T. Kandou

Abstract: Candidiasis vulvovaginalis (candida vulvovaginitis) is an infection of the vagina or vulva by Candida genus, with a variety of clinical manifestations that can occur acutely, chronically, or episodically. This study aimed to determine the profile of candidiasis vuvovaginalis in the Dermatology clinic Prof. Dr. R. D. Kandou Manado during the period of January to December 2012. This was a retrospective study using the medical records of new patients with a diagnosis of candidiasis vulvovaginalis. The results showed that there were 30 patients (2.73%) with candidiasis vulvovaginalis among 1096 new patients. It was more commonly found in women with the largest age group 25-44 years, residence in Manado, and as housewives, The most frequent therapy was systemic antifungals and antihistamine. The occurence of this disease was associated with other diseases such as bacterial vaginosis.Keywords: vulvovaginaliscandidosis, candida albicansAbstrak: Kandidiasis vulvovaginalis (kandidosis vulvovaginalis, kandida vulvovaginitis) adalah infeksi vagina dan atau vulva oleh Genus Candida, dengan berbagai manifestasi klinisnya yang bisa berlangsung akut, kronis atau episodik. Penelitian ini bertujuan untuk mengetahui profil kandidiasis vuvovaginalis di poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari – Desember 2012. Penelitian ini dilakukan secara retrospektif dari rekam medik pasien baru dengan diagnosis kandidiasis vulvovaginalis. Hasil penelitian menunjukkan bahwa terdapat 30 pasien (2,73%) kandidiasis vulvovaginalis dari 1.096 pasien baru, lebih banyak ditemukan pada perempuan dengan kelompok umur 25-44 tahun, didapatkan bahwa wilayah tempat tinggal terbanyak adalah Kota Manado, menurut pekerjaan paling banyak terjadi pada IRT (Ibu rumah tangga), terapi yang banyak digunakan adalah Antijamur sistemik+antihistamin, dan kombinasi kandidiasis vulvovaginalis dengan penyakit lain terbanyak yaitu kandidiasis vulvovaginalis + bakterial vaginosis.Kata kunci: kandidiasis vulvovaginalis, candida albican, penelitian retrospektif


2021 ◽  
Author(s):  
Maria Clara Leite Aragão ◽  
Giovanna Souza Filardi ◽  
Katharina Andrade de Brito ◽  
Felipe Fróes Batista Ribeiro ◽  
Giovana Aquino de Moraes ◽  
...  

Introduction: Multiple Sclerosis (MS) is a chronic, autoimmune and progressive pathology, is it the primary demyelinating disease of the nervous system and the most frequent in the world. Therefore, becomes relevant set the epidemiological profile of MS in Brazil aiming to understand hospitalization dynamics and evolution of disease. Objective and Methods: To analyze epidemiological profile hospitalization for MS in Brazil, from 2015 to 2019. An epidemiological, retrospective, descriptive study was realized through the Hospital Information System (SIH/SUS/ DATASUS), from 2015 to 2019. Categories used: sex, color/race and age group. It is not required appreciation by the Research Ethics Committee for using publics information, without identifying the participants. Results: In Brazil, from 2015 to 2019, 18.536 hospitalizations happened for MS, having growth from 2015 (n=2.083) to 2018 (n=4.755), with a decrease in 2019 (n=4.021). Southeast had higher percentual (66,98%, n=12.416), South (13,95%, n=2.585), Midwest (10,65%, n=1.965), Northeast (6,42%, n=1.190) and North (2%, n=370). The most of hospitalization it is in the age of 20 to 49 years (75%, n=13.892), with prevalence in females (69,8%, n=12.941), over males (30,2%, n=5.595) and proportion 2,31W:1M. White color is majority (53,7%, n=9.951), grayish-brown (24,8%, n=4.597) and indigenous people (0.005%, n=1). Conclusion: It was realized prevalence of hospitalization in women, of color white, age between 20-49 years, from Southeast. It urgent the importance of investigation, forward diagnostic and treatment of that pathology in country, to try decrease to the maximum injury affected population.


2015 ◽  
Vol 7 (3) ◽  
Author(s):  
Juan P. E. Febriansyah ◽  
Grace M. Kapantow ◽  
Agus Hariyanto

Abstract: Atopic dermatitis (AD) is a chronic and recurrent inflammatory disease most commonly found during infancy and childhood. This disease is very complex and has a variety of clinical manifestations. Its management depends not only on the medication, but also on skin care and avoidance of trigger factors. This study aimed to obtain the profile of atopic dermatitis at the Dermatovenerology Clinic of Prof. Dr. R. D. Kandou Hospital Manado period January 2010 to December 2012. This was a retrospective study using medical records of new registered patients at the Dermatovenerology clinic. New cases were grouped according to sex, age, occupation, treatment, and coinfection diseases. The results showed that there were 461 (16.26%) new cases of AD out of 2,835 cases, consisted of 289 (62.69%) females and 172 (37.31%) males with a ratio of 1.7:1. The most frequent age group was >12 years old (58.35%); they were commonly students (43.38%). The most frequent treatment was a combination of oral antihistamin and topical corticosteroid (49.67%). No coinfection was recorded among 332 cases (72.02%). Conclusion: Most of the atopic dermatitis cases at the Dermatovenerology Clinic of Prof. Dr. R. D. Kandou Hospital Manado for the last 3 years were females, age group >12 years old, and as students. Combination of oral antihistamin and topical corticosteroid was the most common treatment. Almost all cases had no coinfection.Keywords: atopic dermatitis, profileAbstrak: Dermatitis atopik (DA) merupakan penyakit peradangan kulit kronis dan residif yang sering terjadi pada masa bayi dan kanak-kanak. Penyakit ini sangat kompleks dengan gambaran klinis bervariasi. Penatalaksanaannya tidak hanya bergantung pada pengobatan, namun juga perawatan kulit dan menghindari faktor pencetus. Penelitian ini bertujuan untuk mendapatkan profil DA di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2010 - Desember 2012. Metode penelitian ini retrospektif dengan menggunakan catatan medik pasien baru di Poliklinik Kulit dan Kelamin tersebut. Kasus baru dikelompokkan menurut jenis kelamin, usia, pekerjaan, pengobatan, dan penyakit penyerta. Hasil penelitian memperlihatkan 461 (16,26%) kasus baru DA dari 2.835 kasus baru, terdiri dari 289 (62,69%) perempuan dan 172 (37,31%) laki-laki dengan rasio 1,7:1. Kelompok usia terbanyak ialah >12 tahun sebesar 269 (58,35%), terbanyak pada pelajar/mahasiswa yaitu 200 kasus (43,38%). Terapi tersering ialah kombinasi antihistamin oral dan kortikosteroid topikal sejumlah 229 kasus (49,67%). Sejumlah 332 (72,02%) kasus tidak disertai penyakit lain. Simpulan: Kasus dermatitis atopik di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado selama 3 tahun terakhir tersering pada perempuan, kelompok usia >12 tahun, dan pada pelajar/mahasiswa. Kombinasi anti histamin oral dan kortikosteroid topikal menjadi terapi yang tersering diberikan. Sebagian besar kasus tidak disertai penyakit lain.Kata kunci: dermatitis atopik, profil


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