首页 > 最新文献

Journal of Acute Disease最新文献

英文 中文
Efficacy of propofol versus ketamine in modified electroconvulsive therapy: A prospective randomized control trial 异丙酚与氯胺酮在改良电休克治疗中的疗效:一项前瞻性随机对照试验
IF 0.5 Q4 CRITICAL CARE MEDICINE Pub Date : 2022-01-01 DOI: 10.4103/2221-6189.347775
K. Sheshadri, Debarshi Guha, Shalendra Singh, S. Bhan
{"title":"Efficacy of propofol versus ketamine in modified electroconvulsive therapy: A prospective randomized control trial","authors":"K. Sheshadri, Debarshi Guha, Shalendra Singh, S. Bhan","doi":"10.4103/2221-6189.347775","DOIUrl":"https://doi.org/10.4103/2221-6189.347775","url":null,"abstract":"","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70254393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of gabapentin for low back pain at a tertiary hospital: A prospective observational study 加巴喷丁治疗三级医院腰痛的疗效:一项前瞻性观察研究
IF 0.5 Q4 CRITICAL CARE MEDICINE Pub Date : 2022-01-01 DOI: 10.4103/2221-6189.347777
Karthikeyan Elumalai, N. Subramanian, V. R. Ramesh Chandra, N. Palei, Tiruveedi Kusuma, VadlamuriVenkata Prasad, YellantiBala Venkata Bhargav Phani, MungaraYeshwanth Sai, Pradeep Battula, A. Balaji
{"title":"Efficacy of gabapentin for low back pain at a tertiary hospital: A prospective observational study","authors":"Karthikeyan Elumalai, N. Subramanian, V. R. Ramesh Chandra, N. Palei, Tiruveedi Kusuma, VadlamuriVenkata Prasad, YellantiBala Venkata Bhargav Phani, MungaraYeshwanth Sai, Pradeep Battula, A. Balaji","doi":"10.4103/2221-6189.347777","DOIUrl":"https://doi.org/10.4103/2221-6189.347777","url":null,"abstract":"","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70254590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knowledge, attitude, and practice of house officers towards COVID-19: A multicentered crosssectional study in Egypt 住房官员对COVID-19的知识、态度和实践:埃及的一项多中心横断面研究
IF 0.5 Q4 CRITICAL CARE MEDICINE Pub Date : 2022-01-01 DOI: 10.4103/2221-6189.347778
Radwa Sehsah, MariamM Alwerdani, Emtenan Said, WesamA Dosoky, A. El-Gilany
Objectives: To assess the knowledge, attitude, and practice (KAP) towards COVID-19 and its associated factors among house officers. Methods: A multicentered crosssectional study on house officers was carried out using an online self-administered questionnaire. Sociodemographic data and data related to KAP towards COVID-19 were collected. Besides, KAP level of the house offices was recorded and factors associated with good KAP were determined. Results: This study included 555 house officers from 10 different hospitals with 128 males and 427 females. Almost half of the house officers had good knowledge and a favorable attitude (46.1% and 51%, respectively) on COVID-19. Still, 82.5% of them were committed to good practice of preventive measures. Besides, percentages of good knowledge and practice among those with chronic diseases or those who knew someone infected with SARS-CoV-2 were higher, but the differences were not statistically significant (P>0.05). In addition, the percentages of females with good practice were higher than those of males, with no statistical difference (P>0.05). Conclusion: House officers showed a good KAP towards COVID-19. Being aware of gaps in KAP can help to effectively contain the current pandemic.
目的:了解房管人员对新冠肺炎的知识、态度和行为(KAP)及其相关因素。方法:采用在线自填问卷对住院部工作人员进行多中心横断面研究。收集社会人口学数据和COVID-19 KAP相关数据。此外,还记录了家庭办公室的KAP水平,并确定了良好KAP的相关因素。结果:本研究包括来自10家不同医院的555名住院部官员,其中男性128人,女性427人。对新冠肺炎的认识和态度分别为46.1%和51%,接近一半。尽管如此,其中82.5%的人承诺采取良好的预防措施。慢性疾病患者和认识SARS-CoV-2感染者的良好知识和行为百分比较高,但差异无统计学意义(P < 0.05)。此外,良好实践的女性比例高于男性,但差异无统计学意义(P < 0.05)。结论:院务人员对COVID-19表现出良好的KAP。认识到KAP方面的差距有助于有效遏制当前的大流行。
{"title":"Knowledge, attitude, and practice of house officers towards COVID-19: A multicentered crosssectional study in Egypt","authors":"Radwa Sehsah, MariamM Alwerdani, Emtenan Said, WesamA Dosoky, A. El-Gilany","doi":"10.4103/2221-6189.347778","DOIUrl":"https://doi.org/10.4103/2221-6189.347778","url":null,"abstract":"Objectives: To assess the knowledge, attitude, and practice (KAP) towards COVID-19 and its associated factors among house officers. Methods: A multicentered crosssectional study on house officers was carried out using an online self-administered questionnaire. Sociodemographic data and data related to KAP towards COVID-19 were collected. Besides, KAP level of the house offices was recorded and factors associated with good KAP were determined. Results: This study included 555 house officers from 10 different hospitals with 128 males and 427 females. Almost half of the house officers had good knowledge and a favorable attitude (46.1% and 51%, respectively) on COVID-19. Still, 82.5% of them were committed to good practice of preventive measures. Besides, percentages of good knowledge and practice among those with chronic diseases or those who knew someone infected with SARS-CoV-2 were higher, but the differences were not statistically significant (P>0.05). In addition, the percentages of females with good practice were higher than those of males, with no statistical difference (P>0.05). Conclusion: House officers showed a good KAP towards COVID-19. Being aware of gaps in KAP can help to effectively contain the current pandemic.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70254207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resuscitative cardiac arrest during a Caesarean section-When every second counts: A case report 剖宫产术中复苏的心脏骤停——当每一秒都很重要:一个病例报告
IF 0.5 Q4 CRITICAL CARE MEDICINE Pub Date : 2022-01-01 DOI: 10.4103/2221-6189.336580
R. Hota, Shalendra Singh, Priyanka Rathore, Neetika Tripathi, Priya Taank
Rationale: Cardiac pulmonary arrest is the most challenging and dreaded complication of neuraxial blockade. Patient’s concern: A 21-year-old patient at 37 weeks of gestation, with previous lower segment Caesarean section pregnancy presented for elective Caesarean section. Diagnosis: Cardiac arrest after performing a subarachnoid block. Intervention: Maternal resuscitation. Outcome: Return of spontaneous circulation was achieved within 4-5 min of cardiopulmonary resuscitation. A single live healthy male baby was delivered. Lesson: A careful preoperative evaluation, adequate preload, constant vigilant monitoring to recognize vasovagal response at the earliest, and immediate initiation of resuscitative measures play the most important role in saving the precious lives in case of pregnant patients undergoing Caesarean section under subarachnoid block.
理由:心肺骤停是神经轴阻滞最具挑战性和最可怕的并发症。患者的担忧:一名21岁的患者,在妊娠37周时,曾进行过下段剖腹产妊娠,可选择剖腹产。诊断:蛛网膜下腔阻滞后心脏骤停。干预:产妇复苏。结果:心肺复苏后4-5分钟内恢复了自主循环。一个健康的活男婴出生了。经验教训:在蛛网膜下腔阻滞下接受剖腹产的孕妇中,仔细的术前评估、足够的预负荷、持续的警惕性监测以尽早识别血管迷走神经反应以及立即启动复苏措施在挽救宝贵生命方面发挥着最重要的作用。
{"title":"Resuscitative cardiac arrest during a Caesarean section-When every second counts: A case report","authors":"R. Hota, Shalendra Singh, Priyanka Rathore, Neetika Tripathi, Priya Taank","doi":"10.4103/2221-6189.336580","DOIUrl":"https://doi.org/10.4103/2221-6189.336580","url":null,"abstract":"Rationale: Cardiac pulmonary arrest is the most challenging and dreaded complication of neuraxial blockade. Patient’s concern: A 21-year-old patient at 37 weeks of gestation, with previous lower segment Caesarean section pregnancy presented for elective Caesarean section. Diagnosis: Cardiac arrest after performing a subarachnoid block. Intervention: Maternal resuscitation. Outcome: Return of spontaneous circulation was achieved within 4-5 min of cardiopulmonary resuscitation. A single live healthy male baby was delivered. Lesson: A careful preoperative evaluation, adequate preload, constant vigilant monitoring to recognize vasovagal response at the earliest, and immediate initiation of resuscitative measures play the most important role in saving the precious lives in case of pregnant patients undergoing Caesarean section under subarachnoid block.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"11 1","pages":"42 - 44"},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41785646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health literacy, behavioral and psychosocial characteristics in coronary artery patients: A hospital-based study in Turkey 冠状动脉患者的健康素养、行为和心理社会特征:土耳其一项基于医院的研究
IF 0.5 Q4 CRITICAL CARE MEDICINE Pub Date : 2022-01-01 DOI: 10.4103/2221-6189.336577
Asuman Ahcioglu, G. Yılmazel
Objective: To investigate health literacy, behavioral and psychosocial characteristics in coronary artery patients. Methods: Between March 2019 and 2020 years, 275 coronary artery patients aged ≥50 years were included in the study. Turkish Health Literacy Scale-32 and Beck Depression Inventory were used to collect the data. Results: General health literacy index score was 31.7 and the prevalence of limited health literacy was 59.3%. Adequate health literacy was 2.8 fold higher in the 50-64 age group, 3.1 fold higher among men, 3.4 fold higher among married and 5.3 fold higher among those who believed in the necessity of individual protective practices (P<0.05). Significant differences were also found in different working status, living places, perceived economic situation, perceived general health status, comorbidities, family history of coronary artery disease, angiography history, material skills on reading and understanding, level of depressive syptom, commitment to individual protective practices health check-ups, utilizing health services, cigarette and alcohol use, and exercise and nutrition between limited and adequate health literacy (P<0.05). Logistic regression analysis showed that adequate health literacy was significantly higher among younger patients (OR: 2.81; 95% CI: 1.46-5.62), male gender (OR: 3.10; 95% CI: 1.46-6.58), married (OR: 3.42; 95% CI: 1.39-8.44) and those with belief in individual protective practices (OR: 5.3; 95% CI: 1.93-14.96). Conclusions: Health literacy is poor among coronary artery patients and behavioral and psychosocial variables differ with health literacy levels. To keep cardiovascular health among these patients, health literacy-based interventions should be adopted in coronary artery clinics, especially for risky population.
目的:了解冠心病患者的健康素养、行为和心理社会特征。方法:2019年3月至2020年,275例年龄≥50岁的冠状动脉患者纳入研究。采用土耳其健康素养量表-32和贝克抑郁量表收集数据。结果:一般健康素养指数得分为31.7分,有限健康素养普及率为59.3%。在50-64岁年龄组中,足够的健康知识水平高出2.8倍,在男性中高出3.1倍,在已婚人群中高出3.4倍,在那些认为有必要采取个人保护措施的人群中高出5.3倍(P<0.05)。在不同的工作状态、居住地点、感知的经济状况、感知的一般健康状况、合共病、冠状动脉疾病家族史、血管造影史、阅读和理解材料的技能、抑郁症状水平、个人保护措施健康检查的承诺、利用卫生服务、吸烟和酒精使用、运动和营养方面,有限健康素养与充分健康素养之间也存在显著差异(P<0.05)。Logistic回归分析显示,年轻患者的健康素养明显更高(OR: 2.81;95% CI: 1.46-5.62),男性(OR: 3.10;95% CI: 1.46-6.58),已婚(OR: 3.42;95% CI: 1.39-8.44)和相信个人保护措施的患者(OR: 5.3;95% ci: 1.93-14.96)。结论:冠心病患者的健康素养较差,行为和社会心理变量随健康素养水平的不同而不同。为了保持这些患者的心血管健康,应在冠状动脉诊所采用基于健康素养的干预措施,特别是对高危人群。
{"title":"Health literacy, behavioral and psychosocial characteristics in coronary artery patients: A hospital-based study in Turkey","authors":"Asuman Ahcioglu, G. Yılmazel","doi":"10.4103/2221-6189.336577","DOIUrl":"https://doi.org/10.4103/2221-6189.336577","url":null,"abstract":"Objective: To investigate health literacy, behavioral and psychosocial characteristics in coronary artery patients. Methods: Between March 2019 and 2020 years, 275 coronary artery patients aged ≥50 years were included in the study. Turkish Health Literacy Scale-32 and Beck Depression Inventory were used to collect the data. Results: General health literacy index score was 31.7 and the prevalence of limited health literacy was 59.3%. Adequate health literacy was 2.8 fold higher in the 50-64 age group, 3.1 fold higher among men, 3.4 fold higher among married and 5.3 fold higher among those who believed in the necessity of individual protective practices (P<0.05). Significant differences were also found in different working status, living places, perceived economic situation, perceived general health status, comorbidities, family history of coronary artery disease, angiography history, material skills on reading and understanding, level of depressive syptom, commitment to individual protective practices health check-ups, utilizing health services, cigarette and alcohol use, and exercise and nutrition between limited and adequate health literacy (P<0.05). Logistic regression analysis showed that adequate health literacy was significantly higher among younger patients (OR: 2.81; 95% CI: 1.46-5.62), male gender (OR: 3.10; 95% CI: 1.46-6.58), married (OR: 3.42; 95% CI: 1.39-8.44) and those with belief in individual protective practices (OR: 5.3; 95% CI: 1.93-14.96). Conclusions: Health literacy is poor among coronary artery patients and behavioral and psychosocial variables differ with health literacy levels. To keep cardiovascular health among these patients, health literacy-based interventions should be adopted in coronary artery clinics, especially for risky population.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"11 1","pages":"18 - 25"},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48738966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sudden cardiac death in a case of Crohn’s disease with COVID-19: A case report 克罗恩病合并COVID-19心源性猝死1例报告
IF 0.5 Q4 CRITICAL CARE MEDICINE Pub Date : 2022-01-01 DOI: 10.4103/2221-6189.347781
Neeraj Kumar, Subhajit Ghosh, Abhyuday Kumar, Sanjeev Kumar, Prem Kumar
Rationale: The mechanism of sudden cardiac death in COVID-19 can be multifactorial. Cardiac hypersensitivity to 5-ASA therapy leading to myocarditis has been reported in some cases. Cytokine storm syndrome and idiosyncratic reaction with mesalazine use may lead to sudden cardiac death in COVID-19. Use of immunosuppressants in hospitalized COVID-19 patients should be continued with caution, especially in patients with inflammatory bowel disease. Patient's concern: A 75-year-old man who was tested positive for SARS-CoV-2 was admitted with a history of shortness of breath for the last two days. He was a known case of Crohn's disease treated with mesalazine. Diagnosis: COVID-19 pneumonia with underlying Crohn's disease leading to sudden cardiac death. Intervention: Remdesivir, antibiotics, steroids, low molecular weight heparin, tablet zinc, tab vitamin C, and other supportive treatment were started. Because of increased inflammatory markers, itolizumab was given to the patient on the 2nd day. Outcome: On the 5th day of the intensive care unit, the patient complained of sudden chest pain with respiratory distress leading to bradycardia and asystole and could not be resuscitated. Lessons: Causes for sudden cardiac death in COVID-19 pneumonia patients with Crohn's disease is multifactorial. Although mesalazine may be a safe and effective drug in the management of inflammatory bowel disease, it can induce sytokine strom syndrome and idiosyncratic reactions that could be one of the reasons of sudden cardic death. Therefore, we should be aware of its serious and potentially life-threatening complications, especially in COVID-19 infected patients.
理由:2019冠状病毒病心源性猝死的机制可能是多因素的。据报道,在一些病例中,对5-ASA治疗的心脏超敏反应导致心肌炎。细胞因子风暴综合征和使用美沙拉嗪的特异反应可能导致COVID-19患者心源性猝死。住院的COVID-19患者应继续谨慎使用免疫抑制剂,特别是炎症性肠病患者。患者关注:一名75岁的男性,SARS-CoV-2检测呈阳性,过去两天有呼吸急促的病史。他是用美沙拉嗪治疗的克罗恩病患者。诊断:COVID-19肺炎合并克罗恩病导致心源性猝死。干预:给予瑞德西韦、抗生素、类固醇、低分子肝素、锌片、维生素C片等支持治疗。由于炎症标志物增加,患者在第2天给予伊托单抗。结果:在重症监护室的第5天,患者主诉突然胸痛并呼吸窘迫导致心动过缓和心脏骤停,无法复苏。结论:导致COVID-19肺炎合并克罗恩病患者心源性猝死的原因是多因素的。虽然美沙拉嗪在治疗炎症性肠病方面可能是一种安全有效的药物,但它可能引起系统因子风暴综合征和特异性反应,这可能是心源性猝死的原因之一。因此,我们应该意识到其严重和可能危及生命的并发症,特别是在COVID-19感染患者中。
{"title":"Sudden cardiac death in a case of Crohn’s disease with COVID-19: A case report","authors":"Neeraj Kumar, Subhajit Ghosh, Abhyuday Kumar, Sanjeev Kumar, Prem Kumar","doi":"10.4103/2221-6189.347781","DOIUrl":"https://doi.org/10.4103/2221-6189.347781","url":null,"abstract":"Rationale: The mechanism of sudden cardiac death in COVID-19 can be multifactorial. Cardiac hypersensitivity to 5-ASA therapy leading to myocarditis has been reported in some cases. Cytokine storm syndrome and idiosyncratic reaction with mesalazine use may lead to sudden cardiac death in COVID-19. Use of immunosuppressants in hospitalized COVID-19 patients should be continued with caution, especially in patients with inflammatory bowel disease. Patient's concern: A 75-year-old man who was tested positive for SARS-CoV-2 was admitted with a history of shortness of breath for the last two days. He was a known case of Crohn's disease treated with mesalazine. Diagnosis: COVID-19 pneumonia with underlying Crohn's disease leading to sudden cardiac death. Intervention: Remdesivir, antibiotics, steroids, low molecular weight heparin, tablet zinc, tab vitamin C, and other supportive treatment were started. Because of increased inflammatory markers, itolizumab was given to the patient on the 2nd day. Outcome: On the 5th day of the intensive care unit, the patient complained of sudden chest pain with respiratory distress leading to bradycardia and asystole and could not be resuscitated. Lessons: Causes for sudden cardiac death in COVID-19 pneumonia patients with Crohn's disease is multifactorial. Although mesalazine may be a safe and effective drug in the management of inflammatory bowel disease, it can induce sytokine strom syndrome and idiosyncratic reactions that could be one of the reasons of sudden cardic death. Therefore, we should be aware of its serious and potentially life-threatening complications, especially in COVID-19 infected patients.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70255510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Ophthalmovigilance in COVID-19: Retinal vascular occlusion COVID-19的眼球警戒:视网膜血管闭塞
IF 0.5 Q4 CRITICAL CARE MEDICINE Pub Date : 2022-01-01 DOI: 10.4103/2221-6189.347782
M. Shahsuvaryan
{"title":"Ophthalmovigilance in COVID-19: Retinal vascular occlusion","authors":"M. Shahsuvaryan","doi":"10.4103/2221-6189.347782","DOIUrl":"https://doi.org/10.4103/2221-6189.347782","url":null,"abstract":"","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70255264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of impact of adjuvant treatment of midazolam, fentanyl, and magnesium sulfate with intrathecal bupivacaine on block characteristics and postoperative analgesia in knee arthroplasty: A randomized clinical trial 咪达唑仑、芬太尼和硫酸镁与鞘内布比卡因辅助治疗对膝关节置换术阻滞特性和术后镇痛影响的比较:一项随机临床试验
IF 0.5 Q4 CRITICAL CARE MEDICINE Pub Date : 2022-01-01 DOI: 10.4103/2221-6189.347776
Esmail Moshiri, H. Modir, Mehran Azami, TayebeSadat Sayafi-Sharifi
{"title":"Comparison of impact of adjuvant treatment of midazolam, fentanyl, and magnesium sulfate with intrathecal bupivacaine on block characteristics and postoperative analgesia in knee arthroplasty: A randomized clinical trial","authors":"Esmail Moshiri, H. Modir, Mehran Azami, TayebeSadat Sayafi-Sharifi","doi":"10.4103/2221-6189.347776","DOIUrl":"https://doi.org/10.4103/2221-6189.347776","url":null,"abstract":"","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70254572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Lymphocyte count and A-DROP score in COVID-19 patients: A retrospective observational study COVID-19患者淋巴细胞计数和A- drop评分:一项回顾性观察研究
IF 0.5 Q4 CRITICAL CARE MEDICINE Pub Date : 2022-01-01 DOI: 10.4103/2221-6189.347779
Sevras Hingwe, Chandrakant Waikar, Vinay Gour, Lal Pranay
Objectives: To determine the correlation between lymphocyte count and A-DROP score in COVID-19 patients and their role in predicting poor outcomes. Methods: This retrospective observational single-center study was conducted in a tertiary care hospital in Vidisha district, India. COVID-19 patients were included in this study, who were admitted to ICU and the COVID Care Centre from August 2020 to October 2020. Demographic profile, clinical characteristics, medical history, A-DROP score, complete blood counts including lymphocyte counts (on admission), the severity of the disease course, and duration of hospitalization were collected. The correlation between lymphopenia and A-DROP score was determined, and their role in predicting poor outcomes was investigated. Results: This study included 220 patients, among which 134 were male, and 86 were female [mean age (48.98±16.98) years, 95% CI: 46.72-51.23]. Lymphocyte count in COVID-19 patients negatively correlated with the A-DROP score (r=-0.67, P<0.001). The area under the ROC curve was 0.892 (95% CI: 0.80-0.98, P<0.001) for the lymphocyte count, and the area under the ROC curve was 0.93 (95% CI: 0.84-1.00, P<0.001) for lymphocyte count-A-DROP. Conclusion: Lymphocyte count along with the A-DROP score on admission could be used to predict the severity of COVID-19 pneumonia and unfavorable outcome.
目的:探讨COVID-19患者淋巴细胞计数与A-DROP评分的相关性及其对不良预后的预测作用。方法:本回顾性观察性单中心研究在印度Vidisha区的一家三级医院进行。本研究纳入2020年8月至2020年10月入住ICU和COVID-19护理中心的COVID-19患者。收集患者的人口统计资料、临床特征、病史、A-DROP评分、全血细胞计数包括淋巴细胞计数(入院时)、病程严重程度和住院时间。确定淋巴细胞减少与A-DROP评分之间的相关性,并研究其在预测不良预后中的作用。结果:本研究纳入220例患者,其中男性134例,女性86例[平均年龄(48.98±16.98)岁,95% CI: 46.72 ~ 51.23]。COVID-19患者淋巴细胞计数与A-DROP评分呈负相关(r=-0.67, P<0.001)。淋巴细胞计数的ROC曲线下面积为0.892 (95% CI: 0.80 ~ 0.98, P<0.001),淋巴细胞计数- a - drop的ROC曲线下面积为0.93 (95% CI: 0.84 ~ 1.00, P<0.001)。结论:入院时淋巴细胞计数和A-DROP评分可用于预测COVID-19肺炎的严重程度和不良结局。
{"title":"Lymphocyte count and A-DROP score in COVID-19 patients: A retrospective observational study","authors":"Sevras Hingwe, Chandrakant Waikar, Vinay Gour, Lal Pranay","doi":"10.4103/2221-6189.347779","DOIUrl":"https://doi.org/10.4103/2221-6189.347779","url":null,"abstract":"Objectives: To determine the correlation between lymphocyte count and A-DROP score in COVID-19 patients and their role in predicting poor outcomes. Methods: This retrospective observational single-center study was conducted in a tertiary care hospital in Vidisha district, India. COVID-19 patients were included in this study, who were admitted to ICU and the COVID Care Centre from August 2020 to October 2020. Demographic profile, clinical characteristics, medical history, A-DROP score, complete blood counts including lymphocyte counts (on admission), the severity of the disease course, and duration of hospitalization were collected. The correlation between lymphopenia and A-DROP score was determined, and their role in predicting poor outcomes was investigated. Results: This study included 220 patients, among which 134 were male, and 86 were female [mean age (48.98±16.98) years, 95% CI: 46.72-51.23]. Lymphocyte count in COVID-19 patients negatively correlated with the A-DROP score (r=-0.67, P<0.001). The area under the ROC curve was 0.892 (95% CI: 0.80-0.98, P<0.001) for the lymphocyte count, and the area under the ROC curve was 0.93 (95% CI: 0.84-1.00, P<0.001) for lymphocyte count-A-DROP. Conclusion: Lymphocyte count along with the A-DROP score on admission could be used to predict the severity of COVID-19 pneumonia and unfavorable outcome.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70254222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tendo-Achilles injury: An observational study in a tertiary care hospital 腱-跟腱损伤:三级医院的观察性研究
IF 0.5 Q4 CRITICAL CARE MEDICINE Pub Date : 2021-11-01 DOI: 10.4103/2221-6189.330742
Parvesh Malik, Shalendra Singh, O. Singh, Mannu Tiwari, Nipun Gupta, M. Sood
Objective: To report demographic and injury characteristics of tendo-Achilles (TA) injury, and determine its association with the use of Indian style commode seat (ISCS), the clinical and functional outcomes. Methods: This observational study was conducted between 1 January 2016 and 31 December 2019, and a total of 44 patients with TA injury were included in the study. Their demographic profile, etiology, operative details, and functional outcomes were studied. All patients underwent primary repair followed by standard postoperative management and follow-up for 6 months. Results: Out of 44 patients, 7 (15.9%) sustained closed injuries while 37 (84.1%) sustained open injuries. In open injury cases, 30 (81%) patients suffered an injury due to slipping in ISCS, 4 (11%) from road traffic accidents, and 3 (8%) due to falling of a heavy object. Besides, 20.45% of cases of ISCS injury had associated neurovascular injury. Twenty (45%) patients took more than 90 days to start independent ambulation. At 6 months follow-up, no one could reach pre-injury fitness status. Conclusions: Open TA injury by ISCS is an important, under-reported, and preventable cause of loss of physically active manpower in institutional setups.
目的:报道跟腱(TA)损伤的人口学特征和损伤特征,并确定其与使用印度式马桶坐垫(ISCS)、临床和功能结果的关系。方法:本观察性研究于2016年1月1日至2019年12月31日进行,共纳入44例TA损伤患者。研究了他们的人口统计资料、病因、手术细节和功能结局。所有患者均行初步修复,术后标准处理,随访6个月。结果:44例患者中,闭合性损伤7例(15.9%),开放性损伤37例(84.1%)。在开放性损伤病例中,30例(81%)患者因ISCS滑动而受伤,4例(11%)因道路交通事故而受伤,3例(8%)因重物坠落而受伤。此外,20.45%的ISCS损伤伴有神经血管损伤。20例(45%)患者开始独立行走的时间超过90天。随访6个月,均未达到伤前健康状态。结论:ISCS引起的开放性TA损伤是机构体力活动人员损失的一个重要原因,但报告不足,并且是可以预防的。
{"title":"Tendo-Achilles injury: An observational study in a tertiary care hospital","authors":"Parvesh Malik, Shalendra Singh, O. Singh, Mannu Tiwari, Nipun Gupta, M. Sood","doi":"10.4103/2221-6189.330742","DOIUrl":"https://doi.org/10.4103/2221-6189.330742","url":null,"abstract":"Objective: To report demographic and injury characteristics of tendo-Achilles (TA) injury, and determine its association with the use of Indian style commode seat (ISCS), the clinical and functional outcomes. Methods: This observational study was conducted between 1 January 2016 and 31 December 2019, and a total of 44 patients with TA injury were included in the study. Their demographic profile, etiology, operative details, and functional outcomes were studied. All patients underwent primary repair followed by standard postoperative management and follow-up for 6 months. Results: Out of 44 patients, 7 (15.9%) sustained closed injuries while 37 (84.1%) sustained open injuries. In open injury cases, 30 (81%) patients suffered an injury due to slipping in ISCS, 4 (11%) from road traffic accidents, and 3 (8%) due to falling of a heavy object. Besides, 20.45% of cases of ISCS injury had associated neurovascular injury. Twenty (45%) patients took more than 90 days to start independent ambulation. At 6 months follow-up, no one could reach pre-injury fitness status. Conclusions: Open TA injury by ISCS is an important, under-reported, and preventable cause of loss of physically active manpower in institutional setups.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"10 1","pages":"242 - 246"},"PeriodicalIF":0.5,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44407354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Acute Disease
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1