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2021 ◽  
Author(s):  
Phoebe Williams ◽  
Archana Koirala ◽  
Gemma Saravanos ◽  
Laura Lopez ◽  
Catherine Glover ◽  
...  

Objective(s): To describe the severity and clinical spectrum of SARS-CoV-2 infection in Australian children during the 2021 Delta outbreak. Design, Setting & Participants: A prospective cohort study of children <16 years with a positive SARS-CoV-2 nucleic acid test cared for by the Sydney Children's Hospital Network (SCHN) virtual and inpatient medical teams between 1 June-31 October 2021. Main outcome measures: Demographic and clinical data from all admitted patients and a random sample of outpatients managed under the SCHN virtual care team were analysed to identify risk factors for admission to hospital. Results: There were 17,474 SARS-CoV-2 infections in children <16 years in NSW during the study period, of whom 11,985 (68.6%) received care coordinated by SCHN. Twenty one percent of children infected with SARS-CoV-2 were asymptomatic. For every 100 SARS-CoV-2 infections in children <16 years, 1.26 (95% CI 1.06 to 1.46) required hospital admission for medical care; while 2.46 (95% CI 2.18 to 2.73) required admission for social reasons only. Risk factors for hospitalisation for medical care included age <6 months, a history of prematurity, age 12 to <16 years, and a history of medical comorbidities (aOR 7.23 [95% CI 2.92 to 19.4]). Of 17,474 infections, 15 children (median age 12.8years) required ICU admission; and 294 children required hospital admission due to social or welfare reasons. Conclusion: The majority of children with SARS-CoV-2 infection (Delta variant) had asymptomatic or mild disease. Hospitalisation was uncommon and occurred most frequently in young infants and adolescents with comorbidities. More children were hospitalised for social reasons than for medical care.


2021 ◽  
Author(s):  
Muh. Aqsal Sahib
Keyword(s):  

Laporan Keuangan merupakan pelaporan dari peristiwa-peristiwa keuangan laporan keuangan merupakan alat yang sangat penting untuk memperoleh informasi dengan posisi keuangan dan hasil-hasil yang telah dicapai oleh perusahaan. Mulanya laporan keuangan utama perusahaan adalah Neraca dan Laporan Laba Rugi, tetapi belakangan ini lahirlah Laporan Modal Kerja atau Laporan sumber dan Penggunaan Modal Kerja. Untuk membiayai operasi perusahaan perlu adanya modal kerja yang diharapkan akan dapat kembali membiayai operasi perusahaan selanjutnya. Laporan sumber dan penggunaan modal erat kaitannya dengan tingkat likuiditas dalam memenuhi kewajiban jangka pendek dengan sejumlah aktiva-aktiva lancar yang dimiliki perusahaan. Ada beberapa macam rasio dalam menilai likuiditas yaitu Current Ratio, Acid Test Ratio, dan Cash Ratio.


Transfusion ◽  
2021 ◽  
Author(s):  
Jamel A. Groves ◽  
Roger Y. Dodd ◽  
Xiaomei Zhu ◽  
Jeffrey M. Linnen ◽  
Susan L. Stramer

Medicine ◽  
2021 ◽  
Vol 100 (48) ◽  
pp. e27933
Author(s):  
Yanru Cui ◽  
Jilin Wang ◽  
Gaofeng Wang ◽  
Xiuguo Xie ◽  
Lizhen Tian

Viruses ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 2427
Author(s):  
Weronika Gryczyńska ◽  
Nikita Litvinov ◽  
Bezawit Bitew ◽  
Zuzanna Bartosz ◽  
Weronika Kośmider ◽  
...  

Currently, the world is facing two serious pandemics: obesity and COVID-19. It is well-established that the prevalence of obesity has risen dramatically, causing a deterioration in the health quality of the population and increasing susceptibility for the unfavourable course of acute infections. It has been observed that excess body mass significantly influences the COVID-19 outcome. The aim of this review is to present the latest scientific reports on the impact of excess body mass on the course and complications of COVID-19. The Web of Science, PubMed, and Google Scholar databases were searched. Only studies reporting patients stated to be COVID-19 positive based on the results of a nasopharyngeal swab and the ribonucleic acid test were included. It is shown that thromboembolic and ischemic complications, namely stroke, disseminated intravascular coagulation, severe hyperglycaemia, and leukoencephalopathy are more likely to appear in COVID-19 positive patients with obesity compared to non-obese subjects. COVID-19 complications such as cardiomyopathy, dysrhythmias, endothelial dysfunction, acute kidney injury, dyslipidaemia, lung lesions and acute respiratory distress syndrome have a worse outcome among obese patients.


2021 ◽  
Author(s):  
Zhenni Mao ◽  
Changlian Tan ◽  
Sainan Cai ◽  
Qin Shen ◽  
Qinru Liu ◽  
...  

Abstract Backgroud: Both Chlamydia psittaci and COVID-19 virus can cause lung inflammation, which manifests extremely similarly in clinical symptoms and imaging. Especially during the epidemic of COVID-19, psittacosis pneumonia is easily misdiagnosed as COVID-19 pneumonia. The identification of the chest imaging between the two diseases is of special significance when the epidemiological contact history is unclear, and the etiology and nucleic acid test results are not available. This study conducts to compare the imaging characteristics on chest high-resolution CTs (HRCT) between patients with psittaci pneumonia and COVID-19 pneumonia.Methods: A retrospective analysis of the imaging characteristics on chest HRCTs of 10 psittaci pneumonia patients and 13 COVID-19 pneumonia patients. The similarities and differences in HRCT images of patients with psittaci pneumonia and COVID-19 pneumonia were analyzed. Results: HRCT showed that among the 10 psittaci pneumonia patients, 8 cases (80.00%) had single lobe involvement, and 2 cases (20.00%) had multiple lobe involvement. Among the 13 COVID-19 pneumonia patients, 2 cases had single lobe involvement (15.38%), and 11 cases had multiple lobe involvement (84.62%). The types of lesions in 10 psittaci pneumonia patients included simple consolidation in 5 cases (50.00%), and ground-glass opacity (GGO) with consolidation in 5 cases (50.00%). The types of lesions in 13 COVID-19 pneumonia patients included simple GGO in 6 cases (46.15%), GGO with consolidation in 4 cases (30.77%), GGO with paving stone sign in 2 cases (15.38%), and simple consolidation in 1 case (7.69%). Lymphadenopathy was observed in 1 psittaci pneumonia patient (10.00%) and 1 COVID-19 pneumonia patient (7.69%). Among the 10 psittaci pneumonia patients, 8 cases (80.00%) had bronchial inflation, and 6 patients (60.00%) had pleural effusion. Among the 13 COVID-19 pneumonia patients, 5 patients (38.46%) showed signs of bronchial inflation, while no pleural effusion was observed in 13 patients.Conclusion: Chest HRCTs can distinguish COVID-19 pneumonia from psittaci pneumonia, and can provide early diagnoses of these two diseases.


2021 ◽  
Author(s):  
Said Saleh Salihi ◽  
Said Saleh Salihi

This study aims to determine the level of rentability of PDAM Kota Baubau, and to know the effectiveness and condition of PDAM Kota Baubau in working on its source of fund. Analysis of data used is descriptive quantitative analysis is based on the calculation to determine the level of liquidity, profitability, activity. Liquidity PDAM Baubau City seen from the current ratio then PDAM Baubau City in a state of liquidity. From 2015-2016 shows an increasing trend, Liquidity PDAM Baubau City seen from the acid test ratio then PDAM Baubau City in a state of liquidity. From 2015-2016 the trend is increasing. The difference in the high current ratio with the acid test ratio is not too much different, it shows the current assets invested in low inventory, Rentability PDAM Baubau City seen from the rentability of own capital from 2015-2016 the increase or decrease. Especially in 2016 rentability own capital has decreased very dratis when compared with the year 2015


2021 ◽  
Vol 8 ◽  
Author(s):  
Yu Ling ◽  
Ye Mingxia ◽  
Zhang Xiaoyan ◽  
Fan Yifan ◽  
Liu Peipei ◽  
...  

Background: The coronavirus disease 2019 (COVID-19) had become a health care event endangering humans globally. It takes up a large number of healthcare resources. We studied the impact of COVID-19 on patients with ovarian cancer by comprehensively analyzing their admissions before and after the epidemic, and made reasonable suggestions to improve their current situation.Methods: We randomly divided the enrolled patients into three groups, PreCOVID-19 Group (PCG) (2019.8.20–2020.1.20), COVID-19 Group (CG) (2020.1.21–2020.6.14), and Secondary Outbreak COVID-19 Group (SOCG) (2020.6.15–2020.10.10). One-way ANOVA and chi-square test were used for analysis.Results: The number of patients from other provinces decreased significantly (p &lt; 0.05). The total hospital stay during the epidemic was substantially more extended (p &lt; 0.05). Before the epidemic, our department performed more open surgery while during the epidemic outbreak, we tended to choose laparoscopy (p &lt; 0.01). We took a longer surgery time (P &lt; 0.05). Patients had significantly less post-operative fever during the epidemic (p &lt; 0.001).Conclusion: During the COVID-19 epidemic, no patient was infected with COVID-19, and no patient experienced severe post-operative complications. We recommend maintaining the admissions of patients with ovarian cancer during the epidemic following the rules: 1. The outpatients must complete a nucleic acid test and chest CT in the outpatient clinic; 2. Maintain full daily disinfection of the ward and insist that health care workers disinfect their hands after contact with patients; 3. Increase the use of minimally invasive procedures, including laparoscopy and robotics; 4. Disinfect the ward twice a day with UV light and sodium hypochlorite disinfectant; 5. Patients need to undergo at least three nucleic acid tests before entering the operating room.


2021 ◽  
Author(s):  
Said Saleh Salihi ◽  
Said Saleh Salihi

This study aims to determine the level of rentability of PDAM Kota Baubau, and to know the effectiveness and condition of PDAM Kota Baubau in working on its source of fund. Analysis of data used is descriptive quantitative analysis is based on the calculation to determine the level of liquidity, profitability, activity. Liquidity PDAM Baubau City seen from the current ratio then PDAM Baubau City in a state of liquidity. From 2015-2016 shows an increasing trend, Liquidity PDAM Baubau City seen from the acid test ratio then PDAM Baubau City in a state of liquidity. From 2015-2016 the trend is increasing. The difference in the high current ratio with the acid test ratio is not too much different, it shows the current assets invested in low inventory, Rentability PDAM Baubau City seen from the rentability of own capital from 2015-2016 the increase or decrease. Especially in 2016 rentability own capital has decreased very dratis when compared with the year 2015


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saugata Choudhury ◽  
Raymond Tellier ◽  
Kevin Fonseca ◽  
Byron M. Berenger

Abstract Background Dengue, chikungunya and zika infections occur in tropical and subtropical regions of the world. We describe the utilization of an in-house nucleic acid test (NAT) targeting all three viruses for febrile returning travelers in Alberta, Canada. Methods NAT was performed until 40 days from symptom onset or exposure due to the prolonged duration of zika virus RNA detection. From Sept 1, 2017 to August 31, 2019, 2552 specimens from 1932 patients were tested. Results Approximately 2% of patients tested were NAT positive for dengue virus (n = 42), chikungunya virus (n = 4), and zika virus (n = 1). The majority presented with fever, myalgia and rash. Regions with the most frequent travel included SouthEast Asia (68.5%), South America (25%) and the Caribbean (6.5%). Ct values were stronger (~ 1.5 logs) for patients within 1–3 days following onset of clinical symptoms than those presenting later. Nineteen patients had urine and plasma submitted; 5 were positive for both specimens and 2 were positive only for dengue virus in the urine. Also, Ct values were lower for plasma when compared to the corresponding urine. RNA was detected until 10 days and 5 days post-exposure in plasma and urine respectively for dengue virus. Conclusions Owing to dengue viremia detected beyond the conventional 7 days and low levels of circulating zika virus globally, a cutoff of 14 days from symptom onset to NAT is sufficient to diagnose acute cases. Inclusion of a zoonotic history form that collects appropriate clinical history results in improved test utilization.


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