Articles Related to morbidity

The aim of this study is to describe clinical variables and comorbidities in patients with shock, at arrival to the emergency department, and evaluate the diagnostic validity for different shock etiologies. This was a retrospective cohort study with tertiary analysis of data previously published in two other studies. The study population was all patients with shock, arriving to the emergency department at Odense University Hospital between 2000 and 2011. Shock was defined as systolic blood pressure ≤100mmHg and one or more organ failures. Patients were grouped according to discharge diagnoses and this method was manually validated through patient records. The diagnostic value of 26 clinical variables and 10 comorbidities were described and tested.

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Calf morbidity and mortality are important causes of economic losses on dairy farms worldwide. A cross-sectional study and clinical observation was conducted from November 2016 to April 2017 with the objective of determining calf morbidity and mortality and to investigate the potential risk factors for mortality and morbidity in Sululta and its environs. A total of 312 respondents engaged in market oriented small holder dairying were interviewed using a structured questionnaire survey about their farm and calf management practices and major calf health problems encountered and diseases that causes mortality. The overall magnitude of morbidity and mortality of calves were 31.0% and 58.37%, respectively. The major calf diseases found were diarrhea (69.34%), pneumonia (16.54%), liver fluke (2.4%), bloat (2.0%), joint ill (2.4%) and other cases (8.04%). Risk factors such as weaning age, breed and awareness of colostrums, feeding of calf and overall farm management were included. In this study 80.3% of calf mortality occurs under age 3 month and 19.42% is above 3 month. Based on laboratory examination, Salmonella and E.coli were detected from diarrheic calves. Salmonella found at rate of 2/29 (3.6%) and E.coli found at only genus level. In conclusion, the magnitude of calf morbidity and mortality found in this study were much higher than economically tolerable level and could greatly affect the productivity of the dairy farms through mainly decreasing the availability of replacement stock and production of milk. It is therefore, suggested that implementation of improved calf and farm management practices and proper environmental protection in the study areas would significantly reduce calf mortality and morbidity.

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9060IntroductionObjective: Interventions promoting optimal breastfeeding could prevent 13%, while those promoting optimal complementary feeding could prevent another 6%, of deaths in countries with high mortality rates. This study determined the influence of father’s participation in promoting infant feeding on nutritional status and morbidity patterns in Kisumu East Sub County, Kisumu County.

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To determine the causes of wildlife morbidity and mortality in East Tennessee, we performed a retrospective analysis using 14,303 records from cases presented to the wildlife clinic of the University of Tennessee between 2000 and 2011. The cases were first categorized into herptile (includes reptiles and amphibians), mammal, or avian and then classified into 1 of 20 groups based on the primary admitting/presenting sign. The top reasons for presentation were trauma, found abandoned/orphaned, hit by automobile, cat-related injury, and dog-related injury. Overall mortality was 45.3% for the herptile cases, 57.6% for mammal cases, and 65.1% for avian cases. There are a variety of reasons animals were presented to the clinic, and some appear to be attributed to anthropogenic factors such as automobiles (n = 1253) and habitat destruction (n = 218), while the origin of others, such as trauma and disease remain unknown. This study confirms the importance of monitoring wildlife morbidity and mortality as an indicator of ecosystem health and of focusing efforts to reduce the anthropogenic threat on native habitats and resident wildlife populations.

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Corrosive injuries of the Upper gastrointestinal tract (UGIT) are common in developing countries mostly mortality and morbidity is high in India due to suicidal attempts. In this case series, a 17 years old female and 51 year old male subject intentionally self-harmed by ingesting toilet cleaner containing higher amounts of hydrochloric acid and presented to the emergency department of tertiary care hospital and the different aspects of the case are discussed in detail in this paper.

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The study presents the remote results of surgical treatment of 329 patients with cancer of gastroesophageal localization. Three 3-year survival rate is 37.1%, the 5-year survival rate is 26.2%. Prognosis after the surgery depends primarily on the extent of the tumour spread.

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To evaluate the impact of age adjusted Charlson’s comorbidity index (ACCI) in predicting 90-day mortality in patients undergoing radical cystectomy for Muscle Invasive Bladder Cancer (MIBC) in a low volume center.

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The study was aimed at assessing the prevalence of undernutrition and establishing the relationship between prevailing sociodemographic and environmental factor and undernourishment of children aged 6-12 years in four selected slums in Dhaka City, Bangladesh.

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Uterine atony is the first cause of haemorrhage at delivery. To prevent post partum major bleeding uterotonic prophylactic drugs are commonly used after caesarean section. Few studies showed an haemostatic activation after oxytocin infusion while no data are available on carbetocin.

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Violent offenders are individuals who are incarcerated due to any criminal charge for a violent offence against another individual-armed robbery, murder, attempted murder, kidnapping, assault which results in bodily harm and forcible confinement.

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Appendicitis is a rare pregnancy associated surgical emergency, with appendectomy as the most frequent non obstetrical surgical procedure performed in pregnancy. Diagnostic delay increases maternal and fetal morbidity and mortality thereby highlighting the need for a prompt diagnosis and surgery. Two cases of appendicitis with pregnancy are being reported with abdominal pain as common presenting feature.

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Seventeen alpha hydroxyprogesterone caproate (17-OHPC) is the only FDA-approved drug labeled for prevention of preterm delivery. This drug is also available as a compounded product from licensed compounding pharmacies. This article reviews the FDA approval history and pharmacy compounding quality control data of 17-OHPC, as well as briefly discusses possible future pharmaceutical development strategies for 17-OHPC.

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Rocky Mountain spotted fever, Rickettsia Rickettsii (RMSF) is a reoccurring disease in Arizona and Sonora and a public health problem due to the high risk medical complications it provokes. In the region it is transmitted by the bite of the Rhipicephalus sanguineus tick, found in dogs. This tick transmits Rickettsia rickettsii bacteria.

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There are approximately 300,000 out-of-hospital cardiac arrests per year with less than 10% of those surviving. More than half of survivors suffer permanent neurologic deficits. Therapeutic hypothermia has proven effective at thwarting neurologic damage occurring in the 16-hour window following return of spontaneous circulation (ROSC). Despite recommendations by the American Heart Association (AHA), many cardiologists have been slow to implement therapeutic hypothermia. While many trials have discussed the relevance of initial rhythm and delay of cooling, there has been limited discussion of the efficacy of therapeutic hypothermia in the presence of extended pulselessness.

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