Accuracy of Medical Certification of Cause of Death at Benha University Hospitals , Egypt : A One - Year Retrospective Descriptive Study 2014 = دقة الشهادة الطبية لسبب الوفاة بمستشفيات بنها الجامعية ، مصر : دراسة مرجعية وصفية لمدة عام 2014

2015 ◽  
Vol 15 (1) ◽  
pp. 129-146
Author(s):  
Abdelmonem G. Madboly ◽  
Eslam S. Metwally
Keyword(s):  
Cause Of Death ◽  
Descriptive Study ◽  
University Hospitals ◽  
Medical Certification ◽  
One Year

DIFFERENCES IN GENOTYPE OF E. FAECALIS AND E. FAECIUM CLINICAL ISOLATES REGARDING CYTOLYSIN AND GELATINASE PRODUCTION IN BULGARIAN PATIENTS

2020 ◽  
Vol 18 (Suppl.1) ◽  
pp. 130-137
Author(s):  
R. Yordanova ◽  
S. Stanilova
Keyword(s):  
Virulence Genes ◽  
Clinical Isolates ◽  
University Hospitals ◽  
Gelatinase Activity ◽  
Non Invasive ◽  
Genotypic Analysis ◽  
Enterococcus Spp ◽  
Virulent Gene ◽  
One Year ◽  
Genotype Correlation

Purpose - compare the phenotype and genotype correlation of cytolysin and gelatinase production in clinical isolates Enterococcus spp. Materials and methods - 100 Enterococcus strains collected over a period of one year from inpatients of two Bulgarian university hospitals, were tested for phenotype production of cytolysin and gelatinase. Multiplex PCR was performed to screen the presence of gelE and cylA virulence genes. Results – 17% of the enterococcal isolates demonstrated only cytolysin production phenotypically. Gelatinase activity was found in 21% of the isolates. Only E. faecalis showed combined phenotypic production of cytolysin plus gelatinase (21%). Forty-five percent of the tested enterococci were identified negative for both hemolysin and gelatinase activity. GelE was the most prevalent virulent gene (48% of the isolates). CylA gene was present alone only in four non-invasive E. faecalis isolates. Twenty-six percent of the isolates possessed both cylA and gelE genes and 21% did not harbor any of the virulence factors genotypically. Conclusion - our results prove that it is appropriate to perform both phenotypic and genotypic analysis of the enterococci virulence profile in parallel in order to better characterize the strains, which in turn may serve to develop more effective methods to limit the spread of infections caused by these microorganisms.

scholarly journals Knowledge of man about breastfeeding

2016 ◽  
Vol 38 (2) ◽  
pp. 153 ◽  
Author(s):  
Sâmia Jamylle Santos de Azevedo ◽  
Flávia Andrea Pereira Soares dos Santos ◽  
Caroline Evelin Nascimento Kluczynik Vieira ◽  
Larissa Soares Mariz ◽  
Aylla Nauanna da Silva ◽  
...  
Keyword(s):  
Family Health ◽  
Descriptive Study ◽  
Structured Interview ◽  
Qualitative Approach ◽  
Early Weaning ◽  
Male Participation ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
One Year

The male participation in the process of breastfeeding needs to be encouraged as it can contribute significantly to the prevention of early weaning. In this sense, this research aimed to identify a parent's knowledge about breastfeeding. This is an exploratory and descriptive study with a qualitative approach, performed in the Family Health Strategy in Bom Jesus, Rio Grande do Norte State, Brazil. Data were collected through semi-structured interview with the guiding question: what is your understanding of breastfeeding? The population was 15 men with aged over 18 years old and preserved mental faculties, who lived with his wife and the child under one year of age and performed development and growth consultations in the Family Health Strategy. The interviews were conducted in place previously defined parent. The information was organized as content analysis Bardin, giving rise to two categories and analyzed according to the symbolic interacionism. It was observed that parents of participating antenatal clinics have more knowledge about it and recognize the benefits of breastfeeding in this way can encourage their wives in order to exclusive breastfeeding.

scholarly journals A Cross Sectional Descriptive Study of Etiology and Clinical Pattern of Liver Abscess : 50 Cases

2013 ◽  
Vol 12 (3) ◽  
pp. 44-48
Author(s):  
Joyabrata Das ◽  
Subash Majumdar ◽  
Subrata Das ◽  
Saiem Nurul Anwar ◽  
Hossain Ahmed ◽  
...  
Keyword(s):  
Clinical Features ◽  
Liver Abscess ◽  
Rural Areas ◽  
Descriptive Study ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Abdominal Abscesses ◽  
One Year ◽  
The Right

Background: The liver is the organ most subjected to the development of abscesses and made up 48 % of all visceral abscesses' and 7% of all intra abdominal abscesses. Liver abscess should be suspected when there is a combination of fever, leucocytosis, constitutional symptoms, and pain in the right upper quadrant, and tenderness over the liver or right lower rib cage. The liver is affected by a number of local and disseminated infections; their frequency and types vary considerably around the world. Parasitic disorders are more prevalent in developing countries. Methods: It was a cross-sectional descriptive study. The cases were taken from the admitted patients of Medicine unit of SMCH, Chittagong. The study was conducted over a period of one year with a sample size of 50 patients and sample was taken by purposive sampling. Results: Among 50 patients 40 (80%) were diagnosed as ALA and 10 (20%) were diagnosed as PLA. ALA cases are common in 21-30 years age group & PLA cases are more common in >50 years of age group. Majority of the cases were from rural area. Common clinical features were fever, abdominal pain, nausea and tender hepatomegaly. Diarrhea was present on admission in 7 (15.9%) patients of ALA. Anaemia was common in both but polymorphonuclear leucocytosis was moderate to severe in PLA. Microscopic examination of stool samples for E. Histolytica trophozoites was positive in 3 (7.5%) cases and cysts in 4(10%) cases. Nine patients had right sided pleural effusion. Conclusions: Clinical features are common in both ALA and PLA. Liver abscesses are more common in men and more prevalent in rural areas. ALA more commonly occurs in 21-30 years age group but can occur at any age. Pyogenic abscess is more common in older age group (>50 years) and E. Coli is the commonest organism. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 44-48

scholarly journals Human, snake, and environmental factors in human - snake conflict in North Bihar - A one-year descriptive study

2016 ◽  
Vol 3 (1) ◽  
pp. 36 ◽  
Author(s):  
Takanungsang Longkumer ◽  
Lois Joy Armstrong ◽  
Vishal Santra ◽  
Philip Finny
Keyword(s):  
Environmental Factors ◽  
Descriptive Study ◽  
One Year

Procedures used in withdrawal of mechanical ventilation

1996 ◽  
Vol 5 (5) ◽  
pp. 331-338 ◽  
Author(s):  
BJ Daly ◽  
D Thomas ◽  
MA Dyer
Keyword(s):  
Mechanical Ventilation ◽  
Medical Records ◽  
Descriptive Study ◽  
Survival Duration ◽  
University Hospitals ◽  
Convenience Sample ◽  
Nurse Caring ◽  
Terminal Weaning ◽  
Patient Responses ◽  
Nurses Perceptions

OBJECTIVE: The purpose of this study was to describe ways in which withdrawal of mechanical ventilation is carried out in one institution, patient responses to the various methods of withdrawal, and nurses' perceptions of the methods and morality of ventilator withdrawal. METHOD: A retrospective descriptive study was used with a convenience sample of adult patients who underwent terminal weaning at University Hospitals of Cleveland. Demographic and clinical data, and descriptions of the exact method of ventilator withdrawal were collected from the medical records of these patients. The nurse caring for the patient was interviewed about his or her perceptions, within 7 days of the withdrawal. RESULTS: Data were obtained on 42 subjects. There were no differences in mental status, ventilatory status, age, or duration of survival between the patients who had support removed gradually and those from whom it was abruptly removed. Morphine was administered to 88% of the sample during withdrawal. Survival duration was unrelated to morphine dosage, but did correlate with ventilatory status at the time of withdrawal. Every nurse interviewed reported that he or she believed the act of withdrawal for that patient was morally correct, although only 85% were completely comfortable with carrying out the procedure. CONCLUSIONS: These results provide a foundation for preliminary recommendations about the most humane form of ventilator withdrawal and the appropriate use of narcotics and sedatives during withdrawal.

Theatre-Based Hospital Placements for Firefighters

2005 ◽  
Vol 15 (9) ◽  
pp. 396-399
Author(s):  
Emma Durmaz
Keyword(s):  
Laryngeal Mask Airway ◽  
Airway Management ◽  
Airway Obstruction ◽  
Cause Of Death ◽  
Pilot Project ◽  
Laryngeal Mask ◽  
Common Cause ◽  
Consultant Anaesthetist ◽  
Management Techniques ◽  
One Year

Airway obstruction is the most common cause of death in the prehospital environment. It is estimated that 85% of these patients had otherwise survivable injuries. The aim of the project was to increase firefighters' skills in airway management techniques, to include the laryngeal mask airway (LMA), by providing theatre-based hospital placements under the supervision of a consultant anaesthetist. The training in the use of the LMA by firefighters is currently a pilot project to assess the potential for its use operationally, based on ease of training to a competent level and retention of skills after one year.

The Significance of Suicide Notes

1977 ◽  
Vol 11 (3) ◽  
pp. 197-200 ◽  
Author(s):  
Ray Chynoweth
Keyword(s):  
Marital Status ◽  
Cause Of Death ◽  
Capital City ◽  
Australian Capital ◽  
Suicide Notes ◽  
One Year ◽  
Neutral Affect

Studying the contents of suicide notes might help to improve the understanding of individual cases whilst offering an opportunity to search for possible preventive guidelines. In a study in an Australian capital city, suicides for one year (1972-73) were investigated including the medical and psychiatric data where possible, and psychosocial circumstances in each case. The total number of suicides in the year was 135. Twenty-seven individuals left suicide notes of which 25 were available for examination. The mood as reflected in the notes was categorised in terms of depression and hopelessness, neutral affect and hostility. The affect was related to age, sex, marital status and method of suicide. The results are presented with examples of each category and are discussed with respect to their contribution to (i) understanding the cause of death, (ii) understanding the intention of the suicide, (iii) assisting the relatives in coping with the suicide, (iv) drawing attention to those factors where earlier intervention may have averted suicide.

Trauma

2018 ◽  
Author(s):  
David A. Young
Keyword(s):  
Cause Of Death ◽  
Life Support ◽  
Motor Vehicle ◽  
The United States ◽  
Motor Vehicle Accidents ◽  
Advanced Trauma Life Support ◽  
Traumatic Injuries ◽  
Vehicle Accidents ◽  
One Year ◽  
Uncontrolled Bleeding

Traumatic injuries are the most common cause of death within the United States for children above one year of age Most traumatic injuries in children are a result of motor vehicle accidents, child abuse (or nonaccidental trauma), drowning, thermal injury, or falls. Motor vehicle accidents are the leading cause of death for children above the age of one year. Strategies of Advanced Trauma Life Support (ATLS) utilize a standardized approach to promptly identify and manage life-threatening traumatic injuries. These strategies include recognition of cardiopulmonary disorders, volume resuscitation, and prevention of additional injuries including to the cervical spine. A management plan for severe and uncontrolled bleeding is critically important to have established when caring for children with traumatic injuries. Many strategies have been developed to manage severe and uncontrolled bleeding including the use of massive transfusion protocols, damage control surgery, and hemostatic agents.

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