Journal articles on the topic 'Hospital for Consumption and Diseases of the Chest'
To see the other types of publications on this topic, follow the link: Hospital for Consumption and Diseases of the Chest.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Hospital for Consumption and Diseases of the Chest.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Benjelloun, H., A. Rattal, A. Amir, H. Harraz, N. Zaghba, K. Chaanoun, and N. Yassine. "Spontaneous Pneumomediastinum: A Case Report of 27 Patients." Scholars Journal of Medical Case Reports 12, no. 05 (May 21, 2024): 657–61. http://dx.doi.org/10.36347/sjmcr.2024.v12i05.021.
Full textAbstract:
Spontaneous pneumomediastinum is defined as the presence of air in the mediastinum in the absence of traumatic or iatrogenic cause. Diagnosis is based on chest X-ray. Other paraclinical examinations, such as chest tomodensitometry or bronchial or gastrointestinal endoscopy, are sometimes necessary. Outcome is most often favorable. We report 27 cases of spontaneous pneumomediastinum whose data were collected in the Department of Respiratory Diseases at the Ibn Rochd University Hospital in Casablanca between 2008 and 2023. The study involved 19 men and eight women, with an average age of 37 years. Clinical symptomatology was dominated by retrosternal chest pain. The circumstances of onset of pneumomediastinum were coughing spell in 11 cases, hookah consumption in two cases and iterative vomiting in three cases, childbirth and exacerbation of chronic obstructive pulmonary disease (COPD) of bacterial origin in five cases. Outcome was favorable in all cases with spontaneous resorption of the pneumomediastinum with only one death. No recurrence occurred after a minimum follow-up period of 3 years.
2
MZ, Rayhan, and Alam MM. "Clnico-Demographic Profiles and Antibiotic Consumption Practices by Patients of Community Acquired Pneumonia in a Tertiary Care Hospital." M Abdur Rahim Medical College Journal 17, no. 01 (January 25, 2024): 33–40. http://dx.doi.org/10.69861/marmcj.2024.v17.i1.06.
Full textAbstract:
Background: Community Acquired Pneumonia (CAP) is a major health problem leading to significant morbidity and mortality worldwide. Aims: To observe the clinico-demographic profiles and antibiotic consumption practices by community acquired pneumonia patients. Methods: This cross sectional, observational study conducted at the Department of Respiratory Medicine in National Institute of Diseases of the Chest and Hospital from May 2019 to September 2020. 87 patients of community acquired pneumonia patients were enrolled in this study. Results: A total number of 87 patients with community acquired pneumonia were selected and among them, majority patients were male 65(74.7%), male to female ratio was 2.9:1. The mean age was found 50.6±16.7 years with range from 18 to 85 years. Married patients were found 78(89.7%), 41(47.1%) patients completed secondary education level and 21(24.1%) patients were businessman.Smoker was found in 54(62.1%) cases. Regarding chief complaints, it was observed that all patients had fever, 86(98.9%) had cough, 65(74.7%) had chest pain, 57(65.5%) had dyspnoea, 7(8.0%) had haemoptysis and 6(6.9%) had confusion. Anaemia was found in 33(37.9%), cyanosis 6(6.9%), clubbing 2(2.3%). Mean pulse was 88.6±16.3 beats/min, mean systolic blood pressure 124.3±18.9 mmHg, mean diastolic blood pressure 76.0±11.3 mmHg and respiratory rate 21.1±4.7 breaths/min. Regarding knowledge about antibiotic use of the respondents, it was observed that majority 37(42.5%) respondents think that it is good to be able to buy antibiotics, without having to see a doctor. 63(72.4%) patients had history of previous antibiotic use, 47(54.0%) had history of non adherence to antibiotic, 42(46.0%) had history of self-medication, 24(27.6%) sharing of antibiotic with others, 21(24.1%) used of left over antibiotics and 25(28.7%). Conclusion: Fever is the most common symptom of community acquired pneumonia. Still there is misconception regarding use of antibiotics among patients. This study also suggests that self-medication is common in our patients. Non adherence to antibiotic therapy is also frequent in our patients.
3
Tosi, Davide, Alessandra Mazzucco, Valeria Musso, Gianluca Bonitta, Lorenzo Rosso, Paolo Mendogni, Ilaria Righi, Rosaria Carrinola, Francesco Damarco, and Alessandro Palleschi. "Pulmonary Lobectomy for Early-Stage Lung Cancer with Uniportal versus Three-Portal Video-Assisted Thoracic Surgery: Results from a Single-Centre Randomized Clinical Trial." Journal of Clinical Medicine 12, no. 22 (November 18, 2023): 7167. http://dx.doi.org/10.3390/jcm12227167.
Full textAbstract:
Video-assisted thoracic surgery (VATS) is a consolidated approach; however, there is no consensus on the number of ports leading to less postoperative pain. We compared early postoperative pain after uniportal and three-portal VATS lobectomy for early-stage NSCLC. In this randomized clinical trial, patients undergoing VATS lobectomy were randomly assigned to receive uniportal (U-VATS Group) or three-portal (T-VATS Group) VATS. The inclusion criteria were age ≤ 80 years and ASA < 4. The exclusion criteria were clinical T3, previous thoracic surgery, induction therapy, chest radiotherapy, connective tissue or vascular diseases, major organ failure, and analgesics or corticosteroids use. The postoperative analgesia protocol was based on NRS. Pain was measured as analgesic consumption; the secondary endpoints were intra- and postoperative complications, conversion rate, surgical time, dissected lymph nodes, hospital stay, and respiratory function. Out of 302 eligible patients, 120 were included; demographics were distributed homogeneously. The mean cumulative morphine consumption (CMC) in the U-VATS Group after 7 days was lower than in the T-VATS Group (77.4 mg vs. 90.1 mg, p = 0.003). Intraoperative variables and postoperative complications were comparable. The 30-day intercostal neuralgia rate was lower in the U-VATS Group, without reaching statistical significance. Patients undergoing U-VATS showed a lower analgesic consumption compared with the T-VATS Group; analgesic consumption was moderate in both groups.
4
Ishaque, Sadia, Beenish Syed, Saima Akhter, Talha Safeer, Yousra Mansoor, Shahroz Khawaja, Mursala Kashif, and Noureen Durrani. "Post Discharge Outcome of COVID 19 Cases Reported from Pakistan." Pakistan Journal of Medical and Health Sciences 15, no. 10 (October 30, 2021): 2611–13. http://dx.doi.org/10.53350/pjmhs2115102611.
Full textAbstract:
Aim: To characterize the clinical outcome of COVID-19 patients following discharge from the hospital. Study design: Prospective cohort study. Place and Duration of Study: Department of Infectious Diseases, Liaquat National Hospital, Karachi from 1st May to 31st August 2020. Methodology: Ninety six patients were included, age over 23 years and had a confirmed COVID-19 on PCR. At the time of admission and on discharge, in-hospital data were recorded. The demographic information, symptoms, complete blood count, inflammatory markers, and chest X-ray noted. Results: Diabetes (50%) and Ischemic heart disease (50%) were the most frequent comorbidities. The majority of patients (75%) improved their X-ray findings after being discharged from the hospital. At the time of discharge, 75% of the patients expressed fatigue; none of the patients developed a fever. There was a substantial significant difference in tiredness reported at discharge and in the fourth week. Significant variations in shortness of breath and oxygen consumption were also found between tiredness indicated at discharge and the fourth week. The majority of lab values were within normal limits. Conclusion: Most patients gradually improved after receiving appropriate treatment and supportive care in the hospital and later at home. The most prevalent and prolonged symptom reported by most patients was fatigue. By the fourth week, most symptoms had ameliorated significantly. Keywords: SARS-CoV2, Clinical outcome, Fatigue, COVID-19 follow-up
5
M, Parappagoudra, Malang A, Sahu L, and Roy K. B. "An Ayurvedic approach in the management of Koshta-Shakharshita Kamala with special reference to Hepatocellular Jaundice: A Case study." International Journal of Ayurvedic Medicine 12, no. 2 (June 29, 2021): 409–15. http://dx.doi.org/10.47552/ijam.v12i3.1763.
Full textAbstract:
Modern lifestyle and advanced technology have given life easier, but this has led to many diseases. In advanced lifestyle irregular eating habits, eating unhealthy foods and eating spicy fast food has become a fashion and alcohol consumption is increasing day by day. All of these factors lead to different disorders. Kamala is one among the diseases which are caused due to excessive intake of sour food, alcohol, unhealthy food and when a person with Panduroga continues intake of Pittakara Aahara then he may develop Kamala. According to modern science, Kamala can be correlated with Jaundice. Clinically the Jaundice is a sign of an ongoing disease process with common signs and symptoms like yellowish discolourations of the skin, mucous membranes, the eyes, urine etc. It is characterized by increase deposition of bile pigments in body fluids and tissues. It is perceptible only when the bilirubin level and its conjugates exceeds 1.5 mg/ 100ml plasma. Here is the case study of a patient who appeared to Parul Ayurved Hospital with the history of oedema over the bilateral lower limbs, heaviness in abdomen and chest region in the last 1 year, fever since 4-5 months and yellowish discolourations of eyes, nails and urine are present. In the present study, the patient was treated with Ayurvedic treatments i.e. Virechana Karma and Shamana Chikitsa.
6
Abbas MG. "Information and Safety Precautions on Air Pollution for Adult Respiratory Patients in Tertiary Hospital." Journal of Sylhet Women’s Medical College 14, Number 2 (July 1, 2024): 97–105. http://dx.doi.org/10.47648/jswmc2024v14-02-111.
Full textAbstract:
Background: Bangladesh faces escalating air pollution due to urbanization, industrialization, deforestation, and rising energy consumption. This jeopardizes public health, leading to respiratory problems and heightened risks of infections, causing a surge in hospital admissions, deaths, and associated economic burdens. Method: This was a cross-sectional study to assess the level of knowledge and protective practices regarding air pollution among adult respiratory disease patients who attended the medicine OPD of the National Institute of Diseases of the Chest & Hospital (NIDCH) from January 1, 2023, to December 31, 2023. Result: The mean age of the 361 respondents was 37.90±13.77 years and more than half (53.5%) of them were in the age group 21-40 years. About one-third (32.1%) received higher secondary and above education. Almost one-fourth (23.5%) of respondents’ income was between 15000, and personal monthly income was not applicable for more than (56.5%) of respondents. About three-fourths (73.7%) of patients were married, two-thirds (67.3%) belonged to a nuclear family and about half (54.6%) of participants belonged to a member of 1-4 persons. The majority (95.3%) of respondents were Muslim and about two-thirds (67.3%) belonged to the nuclear family. About two-thirds (67%) of patients had poor knowledge and one-third (33%) had average knowledge regarding air pollution. All the respondents had poor protective practices against air pollution. Conclusion: The study's insights will guide future efforts to raise awareness among adult respiratory patients about air pollution risks, respiratory health effects, and protective measures. Empowering these patients not only safeguards their health but also promotes environmental responsibility for cleaner air in the community.
7
Afroz, Sayda, and Meerjady Sabrina Flora. "Relationship between Substance Abuse and Multidrug-Resistant Tuberculosis." Ibrahim Medical College Journal 6, no. 2 (April 23, 2013): 50–54. http://dx.doi.org/10.3329/imcj.v6i2.14729.
Full textAbstract:
This case control study was conducted between January to June 2010 to determine the relationship between substance abuse and multidrug- resistant tuberculosis. A total of 73 cases were selected purposively, from culture- positive multidrug- resistant tuberculosis patients admitted in the National Institute of Diseases of the Chest and Hospital, Dhaka and compared with 81 un-matched controls, recruited from the cured patients of pulmonary tuberculosis who attended several DOTS centers of Nagar Shastho Kendra under Urban Primary Health Care Project in Dhaka city. Data were collected by face to face interview and documents review, using a pre- tested structured questionnaire and a checklist. Multidrug- resistance was found to be associated with smoking status (÷2 = 11.76; p = 0.01) and panmasala use (÷2 = 8.28; p = 0.004). The study also revealed that alcohol consumption and other substance abuse such as jarda, sadapata, gul, snuff, heroine, cannabis, injectable drugs was not associated with the development of multidrug- resistant tuberculosis. Relationship between substance abuse and multidrug- resistant tuberculosis are more or less similar in the developing countries. Bangladesh is not out of this trend. The present study revealed the same fact, which warrants actions targeting specific factors. Further study is recommended to assess the magnitude and these factors related to the development of multidrug- resistant tuberculosis in different settings in our country. DOI: http://dx.doi.org/10.3329/imcj.v6i2.14729 Ibrahim Med. Coll. J. 2012; 6(2): 50-54
8
Aal, Amina Mostafa Abdel, Noha El-Mashad, and Dalia Magdi. "Tuberculosis Problem In Dakahlia Governorate, Egypt." SAARC Journal of Tuberculosis, Lung Diseases and HIV/AIDS 10, no. 1 (September 18, 2013): 43–49. http://dx.doi.org/10.3126/saarctb.v10i1.8677.
Full textAbstract:
Tuberculosis (TB) is a potentially fatal contagious disease that can affect almost any part of the body but is mainly an infection of the lungs. It has been present in humans since antiquity. In the past, tuberculosis has been called consumption, because it seemed to consume people from within, with a bloody cough, fever, pallor, and long relentless wasting. In Egypt, TB constitutes the second most important public health problem after schistosomiasis. Although Egypt has relatively low levels of TB according to data from the World Health of Organization, 2005:66% of TB cases occur among the socially and economically productive age groups of 15 to 54 years. According to Ministry of Health and Population (MOHP), Egypt; tuberculosis control is carried out through 111 chest centers and 39 chest disease hospitals. Treatment failure accounts for 3%–5%of the treatment outcome of new smear positive cases and 13%–17% of retreated cases and this is due to non-compliance to treatment, defi cient health education to the patient, poor patient knowledge regarding the disease and diabetes mellitus as co-morbid. The incidence and prevalence of tuberculosis in Egypt has been declining due to increased efforts of the MOHP. Prevalence dropped from 88/100,000 population in 1990 to 24 in 2008, according to data from WHO. SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS; 2013; X(1); 43-49 DOI: http://dx.doi.org/10.3126/saarctb.v10i1.8677
9
Zhang, Yan, Hui Cao, Xiang Gong, Yang Wu, Peng Gu, Linling Kong, Limeng Wu, and Jiali Xing. "Clinical Characteristics and Risk Factors for Pulmonary Infection in Emergency ICU Patients." Disease Markers 2022 (April 29, 2022): 1–5. http://dx.doi.org/10.1155/2022/7711724.
Full textAbstract:
Background. Pulmonary infection in the emergency ICUs increases patient morbidity, hospital stay, treatment costs, and the risk of related adverse events. Methods. This study included 695 patients admitted to our emergency ICU between December 2019 and March 2021. Medical records of emergency ICU patients were reviewed to collect their clinical data, including antibiotic use, history of tracheostomy, history of mechanical ventilation, presence or absence of underlying disease, history of smoking, alcohol consumption, age, gender, and history of shock. Bacterial cultures were performed. The incidence, main clinical features, main pathogens, and risk factors of pulmonary infection in emergency ICU were analyzed. Results. In this study, 69 of the 695 emergency ICU patients (9.93%) developed pulmonary infection. The main clinical features of patients with pulmonary infection included cough and expectoration (97.10%), shortness of breath and chest tightness (95.65%), leukocyte elevation (69.57%), confusion (31.88%), drowsiness (28.99%), persistent fever (27.54%), and nausea and vomiting (10.14%). The main pathogenic bacteria in those with pulmonary infection included Klebsiella pneumoniae (62.32%), Pseudomonas aeruginosa (49.28%), Streptococcus pneumoniae (21.74%), Staphylococcus aureus (39.13%), Candida albicans (7.25%), Pneumococcus pneumoniae (15.95%), Pseudomonas aeruginosa (24.64%), and lung diplococcus inflammatory (13.04%). Univariate analysis showed that there were no significant differences in the occurrence of pulmonary infection with regard to sex, smoking, and alcohol consumption, but there were significant differences with regard to age, basic disease, invasive surgery, and shock. Logistic regression analysis confirmed that age ≥ 80 years , invasive surgery, shock, and basic diseases ≥ 2 were important risk factors for pulmonary infection in emergency ICU patients. Conclusion. Considering the clinical features and risk factors for pulmonary infection in the emergency ICU, preventive and control measures are required to minimize its occurrence and ensure good outcomes.
10
Essam, Hatem, Nashwa Hassan Abdel Wahab, Gihan Younis, Enas El-sayed, and Hanaa Shafiek. "Effects of different exercise training programs on the functional performance in fibrosing interstitial lung diseases: A randomized trial." PLOS ONE 17, no. 5 (May 26, 2022): e0268589. http://dx.doi.org/10.1371/journal.pone.0268589.
Full textAbstract:
Objectives We aimed to compare the effects of different aerobic exercise training (ET) programs on respiratory performance, exercise capacity, and quality of life in fibrosing interstitial lung diseases (f-ILD). Methods A case-control study where 31 patients with f-ILD diagnosis based on chest high-resolution computed tomography were recruited from Main Alexandria University hospital-Egypt. Ten patients were randomly assigned for only lower limbs (LL) endurance training program, and 10 patients for upper limbs, lower limbs, and breathing exercises (ULB) program for consecutive 18 sessions (3 sessions/week for 6 consecutive weeks). Eleven patients who refused to participate in the ET program were considered as control. All patients were subjected for St George’s respiratory questionnaire (SGRQ), 6-minute walk test (6-MWT), forced spirometry and cardiopulmonary exercise testing (CPET) before and after ET programs. Results Fibrosing non-specific interstitial pneumonia (NSIP) and collagenic associated-ILD were the commonest pathologies among the ET groups (30% each) with mean age of 44.4±12.25 and 41.90±7.58 years for LL and ULB groups respectively and moderate-to-severe lung restriction. 6-MWT and SGRQ significantly improved after both ET programs (p<0.001). Peak oxygen consumption (VO2) improved significantly after both LL training (median of 22 (interquartile range (IQR) = 17.0–24.0) vs. 17.5 (IQR = 13.0–23.0) ml/kg/min, p = 0.032) and ULB training (median of 13.5 (IQR = 11.0–21.0) vs. 10.5 (IQR = 5.0–16.0) ml/kg/min, p = 0.018). Further, maximal work load and minute ventilation (VE) significantly improved after both types of ET training (p<0.05); however, neither ventilation equivalent (VE/VCO2) nor FVC% improved after ET (p = 0.052 and 0.259 respectively). There were no statistically significant important differences between LL and ULB training programs regarding 6-MWT, SGRQ or CPET parameters (p>0.05). Conclusions ET was associated with improvements in exercise capacity and quality of life in f-ILD patients irrespective of the type of ET program provided.
11
Yesmin, S., M. S. Huda, P. K. Biswas, M. I. I. Wahed, and T. Naz. "Risk Factors of Myocardial Infarction in the Northern Region of Bangladesh." Journal of Scientific Research 8, no. 1 (January 1, 2016): 81–92. http://dx.doi.org/10.3329/jsr.v8i1.24375.
Full textAbstract:
The worldwide rising incidence of cardiovascular diseases and the associated risk factors could be country or area specific. A case control study identifying important risk factors of myocardial infarction (MI) prevailing in the northern region of Bangladesh, was conducted in two major northern region hospitals, Rajshahi and Rangpur Medical College for a period of 6 months. Majority of the cases (66%) and controls (56%) were in the age range of 41 60 years. The proportion of male, married and urban residents were predominant in both the case and control group. The highest percentage of patients with MI were involved in business comparatively patients without MI. Clinical symptoms like chest pain, epigastric pain, breathlessness, dizziness and fatigue were observed to be somewhat higher in cases compared to controls. The logistic regression analysis showed that smoking habit, smokeless tobacco consumption, sedentary lifestyle and dyslipidemia were found independent predictors of MI in northern district patients with odds ratio (OR) (95% confidence interval) being 3.1 (1.2 to 3.7), 2.5 (1.0 to 3.5), 2.0 (1.1 to 3.6) and 2.3 (1.3 to 4.1), respectively.
12
Popov, Andrii, and Mykyta Moloduk. "ANALYSIS OF THE RESULTS OF PERCUTANEOUS VERTEBROPLASTY OF COMPRESSION FRACTURES OF BODIES OF CHEST AND LUMBAR VERTEBRAE ON THE BACKGROUND OF OSTEOPOROSIS." ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, no. 1 (April 14, 2024): 13–18. http://dx.doi.org/10.15674/0030-59872024113-18.
Full textAbstract:
It is well known that the most frequent complication of osteoporosis is compression fractures of vertebral bodies. In addition to brittleness of the bones and mechanical stress, more and more evidence approving that compression fractures of vertebral bodies are related to many risk factors, such as aging, sex, concomitant morbidities of cardiovascular and cerebrovascular diseases and lifestyle (chronic smoking and alcohol consumption) are collected. Objective. Analyzing the condition of spines of the patients suffering from compression fractures of vertebral bodies on the background of osteoporosis after the performed Percutaneous vertebroplasty (PV). Methods. 553 patients who underwent hospital treatment at the spine pathology clinic of the Sytenko Institute of Spine and Joint Pathology (2005–2022) and underwent PV were examined. Results. The patients were divided into three groups depending on the number of damaged vertebrae. The 1st group included the patients with compression fractures of one vertebra (185 — 33.4 %); the 2nd group included the patients having 2 or 3 deformed vertebrae (216 — 39 %); and the 3rd group included the patients with 4–5 damaged vertebrae (152 — 27.4 %). Stages of compression of vertebral bodies during the X-ray morphometry was as follows before the surgery: I — 349 (24 %) vertebrae; II — 494 (34 %); III — 552 (38 %); and IV — 58 (4 %). We achieved the reduction of the level of compression of vertebral bodies as a result of PV in 20 % of cases (patients who noticed the manifestation of the pain syndrome within 2 weeks mostly suffered from these deformations). Conclusions. The results of analysis of PV of 553 patients with composite material and bone cement in the near and far future provide us an opportunity to state that this surgical treatment is an efficient and safe treatment method (despite the materials used). 40 (24 %) patients out of 165 patients of the group I, 52 (33 %) patients out of 157 patients of the group II and 54 (44 %) patients our of 133 patients of the group III were diagnosed with repeated compression fractures. Summarizing all the above, we should note that the more compression fractures the patient has, the higher the risk of further augmentation of other deformations of vertebral bodies is.
13
Al-Fadhli, Wasmi, Sulaiman Al-Munaifi, and Ibrahim A. Abdelazim. "Congenital Diaphragmatic Hernia: Antenatal Diagnosis and Successful Repair In Preterm Neonate Case Report." Gynecology Obstetrics & Reproductive Medicine 24, no. 2 (August 10, 2018): 104. http://dx.doi.org/10.21613/gorm.2017.746.
Full textAbstract:
<p>Most of the congenital diaphragmatic hernias (CDH) observed in the left hemi diaphragm. The pathogenesis of CDH is not completely understood; but abnormal development of the diaphragm at 6-10 weeks' supposed to be the cause in most of the cases. Although CDH usually occurs sporadically, environmental exposures have been implicated. Improvement of the antenatal imaging techniques has allowed early diagnosis and evaluation of the associated anomalies. In antenatally diagnosed CDH cases, multidisciplinary team management and delivery at tertiary centers with proper facilities may be provided to optimize the outcome. <br />A 39-year-old woman, with the history of one previous cesarean section, was admitted to the hospital at 25 weeks’ gestation, because of placenta previa and her antenatal ultrasound showed fetal CDH with polyhydramnios. During hospitalization, she was monitored for hemoglobin levels, consumptive coagulopathy, and fetal well-being. Betamethasone was given to accelerate the fetal lung maturity, and magnesium sulphate for fetal neuro-protection. Due to an attack of heavy antepartum hemorrhage, delivery occurred at the gestational age of 28 weeks + 6 days. The delivered female newborn was admitted to the neonatal intensive care unit (NICU) because of respiratory distress and prematurity, and received surfactant, dobutamine and intravenous antibiotics. Chest examination of the studied neonate showed diminished air entry on the left side, and chest X-ray showed stomach shadow in the left hemi thorax. After exclusion of congenital heart diseases and intracranial hemorrhage, the baby was successfully operated on the postpartum 7th day, and discharged from the NICU 60 days after the operation. <br />Two months after discharge from the NICU, examination of the studied neonate was successfully operated on the postpartum 7th day showed normal growth parameters and appropriate motor and sensory development for her age. <br />Antenatal diagnosis of CDH allows multidisciplinary team management and delivery at tertiary center with the proper facilities to optimize the outcome.<br /><br /></p>
14
Chorafa, Elisavet, Elias Iosifidis, Andrea Oletto, Adilia Warris, Elio Castagnola, Roger Bruggemann, Andreas Groll, et al. "1162. Antifungal Use in Immunocompromised Children in Europe: a 12-week Multicenter Modified Point prevalence Study (CALYPSO)." Open Forum Infectious Diseases 8, Supplement_1 (November 1, 2021): S672—S673. http://dx.doi.org/10.1093/ofid/ofab466.1355.
Full textAbstract:
Abstract Background While antifungal consumption in immunocompromised patients appears high, data on children are limited. We analyzed antifungal use in hospitalized immunocompromised children across Europe in order to better organize a European pediatric antifungal stewardship programs (pAFS). Methods A multicenter 12-wk modified point-prevalence study was conducted. All patients hospitalized in hematology-oncology (HO) or bone marrow/solid organ transplant (BMT/SOT) units across Europe and receiving systemic antifungals were included. Data on ward demographics and policies were collected once at the beginning; weekly ward and patient data were prospectively collected during the 12-wk study period and entered in REDCap. Systemic antifungals administered were recorded (doses, duration, reason for administration or discontinuation). Results Twenty-one HO and 10 BMT/SOT units from 18 hospitals in 11 European countries participated in the study and 572 antifungal prescriptions were recorded. The most common underlying conditions were: 69% malignancy (81% hematologic, 19% solid tumors), 20% BMT, 6% hematologic diseases except malignancy and 4% primary immunodeficiency. Indication of antifungals was prophylaxis for 439 (77%) and treatment for 133 (23%) prescriptions (62 empirical, 43 pre-emptive, 28 targeted). Most common reasons for empirical, pre-emptive and targeted treatment were antibiotic-resistant febrile neutropenia (52%), abnormalities on chest-CT with/without positive galactomannan (72%) and candidiasis (82%), respectively. For targeted treatment, the most frequent pathogens were C. albicans (50%), C. parapsilosis (11%) and A. fumigatus (11%). Overall, fluconazole and liposomal amphotericin B were the most frequently prescribed agents both for prophylaxis (31% and 21%) and treatment (32% and 23%). However, in BMT patients the most frequently prescribed antifungal agents were fluconazole or micafungin for prophylaxis and caspofungin and voriconazole for treatment (Table). Antifungal agents used per underlying condition Antifungal agents used per underlying condition Conclusion Most systemic antifungal prescribing across European HO and BMT/SOT units is for prophylaxis, and fluconazole is the main antifungal prescribed. Results from this multicenter study can be a first step to guide a Europe-wide pAFS. Disclosures Emmanuel Roilides, MD, PhD, ECMM (Research Grant or Support, Other Financial or Material Support, ECMM grant for this study)
15
Almerri, Khaled, Mohmmad Almutairi, and Darar Al Khdair. "Chest Diseases Hospital: The Kuwait cardiac center." European Heart Journal Supplements 17, suppl E (September 2015): E5. http://dx.doi.org/10.1093/eurheartj/suv046.
Full text
16
Bilgin, Gülden, Zuhal Yavuzdağlı, and Merve Kayıkçı Kışoğlu. "Evaluation of non-preoperative chest diseases consultations." Ankyra Medical Journal 3, no. 3 (May 28, 2024): 58–62. http://dx.doi.org/10.51271/ankmj-0013.
Full textAbstract:
Aims: This study was conducted to evaluate non-preoperative patients in the chest diseases department of the training and research hospital. Methods: 990 patients were evaluated retrospectively between 01.10.2023 and 01.03.2024 in Ankara Training and Research Hospital, Department of Chest Diseases. The services that requested consultation and the reasons for the request, the patients’ comorbidities, chest radiography and, when deemed necessary, the requested lung computed tomography were examined. The data obtained was analyzed with IBM SPSS (Statistical Package for Social Sciences). As descriptive statistics, mean±standard deviation and median (minimum-maximum) were given for quantitative variables, and number (percentage) was given for qualitative variables. Results: Within the hospital, 990 non-preoperative chest diseases consultations were requested within a 6-month period. Those younger than 18 years of age, those who were to be evaluated preoperatively, and those who were asked for consultation from the pulmonology department but did not attend the evaluation were excluded from the study. The average age of the patients for whom consultation was requested was 69.12±16.07 years. 52.1% of the patients were female and 47.9% were male. 470 (47.5%) of the patients were smokers. Among the services where consultation was requested, the first services were 163 (16.5%) emergency services, 129 (13.0%) emergency intensive care units and 112 (11.3%) infectious diseases. 398(40.2%) patients had shortness of breath. It was observed that 411 (41.5%) patients had DM, 285 (28.8%) patients had hypertension, and 108 (10.9%) patients had heart failure. While chest radiography was requested for all patients for whom consultation was requested, 570 (57.6%) thorax computed tomography scans were performed when deemed necessary. Conclusion: Chest diseases consultations is performed mostly for diagnostic support and treatment recommendation. In our study, patients were included retrospectively. In retrospective studies, it is of great importance to keep proper records in consultations and to take a complete examination and anamnesis. However, unnecessary requested chest diseases consultations brings a serious workload.
17
Davies, B. I., L. Spanjaard, and J. Dankert. "Meningococcal chest infections in a general hospital." European Journal of Clinical Microbiology & Infectious Diseases 10, no. 5 (May 1991): 399–404. http://dx.doi.org/10.1007/bf01968018.
Full text
18
Enwemnwa, Nneamaka N., Abhinav B. Chandra, Porselvi Chockalingam, and Jack Burton. "Waldenstrom's Microglobulinemia Presenting with Recurrent Angioedema Secondary to C1q Esterase Inhibitor (C1 INH) Deficiency." Blood 116, no. 21 (November 19, 2010): 5009. http://dx.doi.org/10.1182/blood.v116.21.5009.5009.
Full textAbstract:
Abstract Abstract 5009 Description: A 57 year-old Bangladeshi man presented to the emergency room with a 4-day history of shortness of breath, productive cough and sensation of choking. He had a history of recurrent dyspnea, chest pain and chronic bilateral pedal edema. He had recent admissions for similar complaints at different hospitals where he was diagnosed with low grade non-Hodgkin lymphoma not requiring treatment and was discharged with bronchodilators and anti-tussives. He was symptom-free between episodes. There was no fever, night sweats or weight loss and there was no history of asthma. Physical exam revealed moderate dyspnea with some stridor, cervical lymphadenopathy with many firm and mobile small lymph nodes. There was no hepato-splenomegaly, urticaria or rashes. Results of routine blood tests including CBC and C-reactive protein were normal. Chest X-ray showed mild pulmonary congestion and CT images of the chest and abdomen showed multiple lymph nodes of about 1–1.5 cm in size. X-rays of the hands showed multiple small lytic lesions. Laryngoscopy showed laryngeal edema. Bone marrow biopsy showed a few paratrabecular areas with increased numbers of small lymphocytes and a lymph node biopsy revealed low grade B-cell lymphoma with plasmacytic differentiation, which was positive for CD19, 20, 22, 38, and CD44. Serum viscosity was 1.6. Immunological studies showed a low C4 at 4 mg/dl (normal range 10–40 mg/dl), low C1q at <3.6 (normal range 5–8.6), C1 esterase inhibitor low-normal at 16 (normal range 11–26). Serum immunoglobulins showed IgM gammopathy with low IgA and normal IgG levels. Beta-2 microglubulin was also elevated at 4.93 mg/dl (normal range < 2.51). Serum protein electrophoresis showed a monoclonal IgM spike measuring 1.5 g/dl with immunofixation positive for a IgM kappa band. Total protein, alpha2- and beta-globulins were elevated and urine electrophoresis was positive for kappa light chains. A diagnosis of Waldenström's macroglobulinemia with angioneurotic edema was made. He was treated with 4 cycles of bortezomib (Velcade®), dexamethasone and rituximab. The patient's angioedema and respiratory symptoms improved dramatically. Follow-up serum electrophoresis showed a very good response to treatment, with a major decrease in total protein and the M-spike. Complement levels returned to normal. Discussion: C1 is the first protein of the classical and kinin pathways which is an arm of the innate immune system. Triggering factors activate the complement cascade and lead to activation of C1 which in turn cleaves C2, the product of which is an inflammatory mediator responsible for angioedema by causing increased capillary permeability and extravasations. In C1INH deficiency, this process occurs uninhibited, triggered by minimal stimulation. C1q esterase inhibitor deficiency is a rare manifestation of Waldenström's macroglobulinemia with very few reported cases in literature. Symptoms are non-allergic, non-pruritic and clinical presentation depends on parts of the anatomy affected and may be as mild as inconvenient skin blotching up to life-threatening laryngeal edema or shock. They vary widely, often self limiting and recurrent. Angioedema, acquired or inherited, is complement mediated, characterized by low levels of complement proteins during attacks. C1INH deficiency can be acquired due to increased consumption or/and inactivation by circulating autoantibodies or secondary to lymphoproliferative diseases that lead to increased catabolism. These are often associated with B-cell disorders but may be associated with other disease patterns. Symptomatology is variable and periods of remission and recurrence lead to easy misdiagnosis and incomplete treatment. Proper diagnosis is dependent on awareness and knowledge of the various clinical presentations, adequate and focused use of laboratory analyses and immunopathology studies. The key to treatment is first therapy of the acute stage (in our patient with the use of intravenous steroids) and then more specific treatment of the underlying disease entity (in our patient with bortezomib, dexamethasone and rituximab). Conclusion: Waldenstrom's macroglobulinemia presenting with angioedema is rare, often misdiagnosed and acquired C1 esterase inhibitor deficiency should be at least ruled out, as presentation is varied and could be potentially life-threatening. Disclosures: No relevant conflicts of interest to declare.
19
Schmiemann, Guido, and Stefan Frantz. "Akute Brustschmerzen in der Hausarztpraxis – Unsicherheit zwischen abwartendem Offenhalten und Notarzteinsatz." DMW - Deutsche Medizinische Wochenschrift 144, no. 10 (May 2019): 659–64. http://dx.doi.org/10.1055/a-0862-4970.
Full textAbstract:
AbstractAcute chest pain is a frequent reason for encounter in primary care. In contrast to hospital/emergency departments serious diseases like acute coronary syndrome or a pulmonary embolism are relative rare in primary care. This overview presents the diagnostic work up and decisions for transfer to the hospital setting in patients with acute chest pain.
20
Özgür, Yücel, and Merih Dilan Albayrak. "Results of the Blue Code Application in Chest Diseases and Chest Surgery Training and Research Hospital." Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi 34, no. 1 (2020): 35–42. http://dx.doi.org/10.5505/deutfd.2020.97059.
Full text
21
Islam, Mohammad Imnul, Kalayan Benjamin Gomes, Mujammel Haque, Mohammed Mahbubul Islam, Manik Kumar Talukder, and Shahana Rahman. "Pulmonary Manifestations in Paediatric Rheumatic Diseases (PRDs): Experience in Tertiary Care Hospital." Bangladesh Journal of Child Health 41, no. 2 (March 25, 2018): 96–100. http://dx.doi.org/10.3329/bjch.v41i2.36105.
Full textAbstract:
Background: There are several forms of pulmonary manifestations in Paediatric Rheumatic Diseases (PRDs), not only by the disease itself, but also by infections and toxicity of medications used for treatment.Objectives: To evaluate the pulmonary manifestations and to identify their pattern in PRDs including Systemic Lupus Erythematosus (SLE), Juvenile Idiopathic Arthritis (JIA), Systemic Sclerosis (SSc), Juvenile Dermatomyositis (JDM) and Polyarteritis Nodosa (PAN) patients.Methods: It was a cross-sectional analytical study. PRDs with pulmonary problems who attended the Paediatric Rheumatololgy follow up clinic of BSMMU from January 2010 to December 2014 were enrolled in this study. All patients having PRDS with pulmonary symptoms were investigated by chest x-ray. High regulation CT scan of Chest (HRCT) and pulmonary function tests (PFTs) were done in some of the feasible cases.Results: Total 20 cases were identified as paediatric rheumatic diseases with pulmonary manifestations. Out of them 8 patients were diagnosed as SLE, 6 patients as SSc, 4 patients as JIA, and 2 patients as JDM and PAN respectively. Mean age of the patients were 8.5 years. Fever (86.8%), prolonged cough (65%), dyspnoea (29%) and chest pain (3%) were the common pulmonary features. Pneumonitis (35%), pleural effusion (29.3%), consolidation (23.5%) were important radiological findings. Chest CT were done in 5 patients and features of brochiectasis (75%), thickening (25%), pleural effusion (50%) and pneumonitis (50%) were found. The higher rate of pulmonary involvement was found in Ssc (100%). Spirometric analysis were done in only 7 patients and found restrictive pattern of defect and most of them were SSc.Conclusion: Pulmonary manifestations in PRDs were not uncommon. SLE, JIA and SSc were the predominant PRDs who had pulmonary manifestations obsevered in this study. So timely intervention of this issue could minimize morbidity and mortality of these diseases in the long run.Bangladesh J Child Health 2017; VOL 41 (2) :96-100
22
Indinnimeo, L., G. Tancredi, M. Barreto, G. De Castro, A. M. Zicari, F. Monaco, and M. Duse. "Effects of a Program of Hospital-Supervised Chest Physical therapy on Lung Function Tests in Children with Chronic Respiratory Disease: 1-Year Follow-up." International Journal of Immunopathology and Pharmacology 20, no. 4 (October 2007): 841–45. http://dx.doi.org/10.1177/039463200702000422.
Full textAbstract:
To investigate whether a hospital-supervised program of chest physical therapy improves lung function in children with chronic pulmonary diseases, twenty-four children (4 with Kartageners syndrome, 12 with common variable immunodeficiency, and 8 with primary ciliary dyskinesia) average age 11.2±3.2 years, were randomly assigned to a one-month hospital-supervised program of chest physical therapy (13 patients) or to a control group (11 patients) that continued unsupervised chest physical therapy at home. Lung function was assessed before the program, and one and twelve months after. At the one-month assessment, thoracic gas volume was significantly lower in the supervised group than in the controls. At the one-year assessment, forced expiratory volume in one second was significantly higher in the supervised group than in controls. A supervised program of chest physical therapy significantly improved lung function in children with chronic pulmonary diseases.
23
Ekiyor, Aykut. "Evaluating Performance of Chest Diseases Departments Using Hospital Efficiency Indicators in Turkey." British Journal of Economics, Management & Trade 6, no. 2 (January 10, 2015): 145–50. http://dx.doi.org/10.9734/bjemt/2015/13864.
Full text
24
SARI, Tuğba. "Evaluation of Latent Tuberculosis in Health Care Workers of Chest Diseases Hospital." Flora the Journal of Infectious Diseases and Clinical Microbiology 22, no. 4 (December 1, 2017): 153–59. http://dx.doi.org/10.5578/flora.66280.
Full text
25
Kartaloglu, Zafer, Erkan Bozkanat, Hakan Ozturkeri, Oguzhan Okutan, and Ahmet Ilvan. "Primary Antituberculosis Drug Resistance at Turkish Military Chest Diseases Hospital in Istanbul." Medical Principles and Practice 11, no. 4 (2002): 202–5. http://dx.doi.org/10.1159/000065815.
Full text
26
Mokaddas, Eiman, Suhail Ahmad, and Adnan T. Abal. "Molecular Fingerprinting of Isoniazid-ResistantMycobacterium tuberculosisIsolates from Chest Diseases Hospital in Kuwait." Microbiology and Immunology 46, no. 11 (November 2002): 767–71. http://dx.doi.org/10.1111/j.1348-0421.2002.tb02762.x.
Full text
27
Majdawati, Ana, and Annisa. "Correlation of chest radiography of confirmed COVID-19 patients with comorbid hypertension and diabetes mellitus." Bali Medical Journal 11, no. 3 (November 15, 2022): 1644–48. http://dx.doi.org/10.15562/bmj.v11i3.3691.
Full textAbstract:
Introduction: Several studies showed 324 severe cases of COVID-19 and 1234 mild cases with the highest comorbidities of Hypertension, Diabetes Mellitus, Chronic Obstruvtives Pulmonary Disease (COPD), and Cardiovascular disease. These comorbid factors lead to a poor prognosis in COVID-19. Chest radiography is an important modality as one of the parameters that can indicate the severity of COVID-19. This study aims to determine the relationship between Covid-19, comorbid Hypertension, and Diabetes Mellitus with chest radiography. Method: This research is analitic observational with cross-sectional, relationship between Covid-19 patients with comorbid Hypertension and Diabetes Mellitus with chest radiography (type, location, and extent of lesions) that Modified Chest X-Ray Scoring System in Evaluating Severity of COVID-19 Patient in Dr. Soetomo General Hospital Surabaya, Indonesia in 2021, COVID-19 radiology category. The data from PKU Muhammadiyah Gamping Hospital, Yogyakarta retrospectively from the medical records of Covid-19 patients who met the inclusion and exclusion criteria. Chi-Square analyzed the results variables with unpaired categorization. Result: Most of the respondents who had comorbid diseases had moderate chest radiological features (65.4%) and those who did not have comorbid diseases had mild chest radiological features (71.9%), the results of chi-square data analysis between variables were p: 0.000. Conclusion: The results of data analysis showed that comorbid diseases had a significant relationship with chest radiography in patients with confirmed COVID-19. The novelty of this study is the importance of radiological modalities as one of the parameters that can indicate the severity of Covid-19 patients with comorbidities.
28
Korsoff, L., T. Kallio, M. Kormano, and J. Heinilä. "Experiences with a Teleradiology System in Pulmonary Diseases." Acta Radiologica 36, no. 1 (January 1995): 37–40. http://dx.doi.org/10.1177/028418519503600106.
Full textAbstract:
Chest radiographs of 43 patients were digitized and sent from Paimio Hospital to Turku University Central Hospital. Fifteen of the patients had a pneumothorax, 12 had interstitial lung disease and 16 were controls. The images were interpreted by 5 radiologists during their duty shift. The first reading session consisted of images with 1 024 × 1 024 pixel resolution and the second of images with 2 048 × 2 048 matrix followed by the original chest radiographs. ROC studies were performed from the answers based on a 5-point confidence scale. In the pneumothorax group the average area under the individual ROC curve was 0.928 with the 1 024 × 1 024 matrix and 0.983 with the 2 048 × 2 048 matrix. In the fibrosis group the average area under the individual ROC curve was 0.877 with the 1 024 × 1 024 matrix and 0.831 with the 2 048 × 2 048 matrix. The results suggest that the 1 024 × 1 024 matrix is adequate in the detection of pneumothoraces and fibrosis.
29
Aygun, Emre, Sibel Tugce Aygun, Taciser Uysal, Fatih Aygun, Hasan Dursun, and Ahmet Irdem. "Aetiological evaluation of chest pain in childhood and adolescence." Cardiology in the Young 30, no. 5 (May 2020): 617–23. http://dx.doi.org/10.1017/s1047951120000621.
Full textAbstract:
AbstractBackground:Chest pain, as a common cause of hospital admissions in childhood, necessitates detailed investigations due to a wide range of differential diagnoses. In this study, we aimed to determine the distribution of diseases causing chest pain in children and investigate the clinical characteristics of children with chest pain.Methods:This study included 782 patients aged between 3 and 18 years who presented to a paediatric cardiology outpatient clinic with chest pain between April 2017 and March 2018. Aetiological causes and demographic features of the patients were analysed.Results:Most prevalent causes of chest pain were musculoskeletal system (33%) and psychogenic (28.4%) causes. Chest pain due to cardiac reasons was seen in eight patients (1%). Diseases of musculoskeletal and gastrointestinal systems and psychogenic disorders were significantly more common in male and female patients, respectively (p < 0.001 for all). In winter, patients’ age and the number of patients with ≥12 years were higher than those in other seasons (p < 0.001). Most of the parents (70.8%) and patients (90.2%) thought that chest pain in their children was caused by cardiac causes.Conclusion:Most of the diagnoses for chest pain in childhood period are benign and include the musculoskeletal system and psychogenic diseases. Although chest pain due to cardiac diseases is rare, a comprehensive analysis of medical history, detailed physical examination and cardiac imaging with echocardiography is needed to reach more accurate diagnoses.
30
Bushra, Nadia, Rehan Afsar, Nosheen Arshad, and Dr Abid Ali. "Prevalence of Chest Diseases on X-Ray Pa View in Mirpur (AJK)." Saudi Journal of Medical and Pharmaceutical Sciences 8, no. 9 (September 30, 2022): 470–78. http://dx.doi.org/10.36348/sjmps.2022.v08i09.006.
Full textAbstract:
Background: Basis of recurring chest radiography and admission to sanatorium started at some stage in World War 2, for the prognosis of pulmonary tuberculosis in asymptomatic sufferers/soldiers of battle. Meanwhile the declining incidence of Tuberculosis and discovery of recent screening exams result in decrease in chest radiographs screening method. Chest radiographs account for majority of clinical expenditures international. Objective: The objective of this study is to determine the prevalence of chest radiographs PA view in general population of Mirpur Azad Kashmir. Methodology: This cross-sectional study was performed in District Mirpur. The data has been collected from patients at radiology department of DHQ Hospital Mirpur. The study duration was three months after the approval of supervisors. Total 180 patients participated in this study. This included males and females. Convenient sampling technique was used for the collection of data during October 2021-December 2021. Conclusion: In our study mostly patients came with symptoms if cough and according to radiographic findings must patient have cardiomegaly. It is concluded that all patients with the symptoms of SOB ,cough and fever must not have chest infection there could be another cause of these symptoms .Most patients were with cardiomegaly so prevalence if cardiomegaly is higher than chest infections like TB and other infections.
31
Herrera-Kiengelher, Loredmy, Georgina Chi-Lem, Renata Báez-Saldaña, Luis Torre-Bouscoulet, Justino Regalado-Pineda, Malaquías López-Cervantes, and Rogelio Pérez-Padilla. "Frequency and Correlates of Adverse Events in a Respiratory Diseases Hospital in Mexico City." Chest 128, no. 6 (December 2005): 3900–3905. http://dx.doi.org/10.1378/chest.128.6.3900.
Full text
32
Boshra, MinaS, MohamedS ElBouhy, and HeshamA AbdelHalim. "Prevalence and diagnosis of extrapulmonary tuberculosis in Assuit Chest Hospital." Egyptian Journal of Chest Diseases and Tuberculosis 69, no. 1 (2020): 12. http://dx.doi.org/10.4103/ejcdt.ejcdt_22_19.
Full text
33
ÇİVİ, Figen, and Enver BOZDEMİR. "Variance Analysis and Accounting Recording According to Standard Cost Method of Medical Supplies in terms of Cost Control: An Application in Düzce University Hospital." İzmir İktisat Dergisi 37, no. 3 (July 26, 2022): 565–85. http://dx.doi.org/10.24988/ije.1005850.
Full textAbstract:
Purpose of the study, Medical and non-medical materials used in the Düzce University Hospital Cardiology, Chest Diseases and Pediatric Health and Diseases units to deviation analysis according to the standard cost method and to provide useful information to the hospital management in terms of cost control. The data of this study which is a qualitative research, covers the year 2018 and has been obtained by document analysis using the hospital information system, face-to-face interviews, expert opinion, trusteeship, Revolving Fund Operations Directorate and hospital records. The universe of the study is all clinical units of Düzce University Health Practice and Research Center (Hospital-DUHPRC). The sample of the research is units the Cardiology, Chest Diseases and Pediatric Health and Diseases units of the hospital. In the study, it was determined that there is a negative deviation of -2,560.00 TL belonging to the Cardiology unit, this is caused by the negative price difference of -12,775.00 TL, and the positive amount of 10,215.00 TL. It has been determined that there is a negative deviation of -972.33 TL belonging to the Child Health and Diseases unit, of which -2,810.33 TL is due to the negative price difference, and 1,838.00 TL is due to the positive amount deviation. It has been observed that there is a positive deviation of 19.220.46 TL for the Chest Diseases unit, 27,209.46 TL of which is due to the positive price difference, and -7,989.00 TL of it is due to the negative quantity difference. It has been analyzed that the total deviation in the relevant units is 15,688.13 TL positive. According to the findings, it has been determined that positive price deviations are caused by tender processes in a competitive environment, and negative price deviations are caused by the hospital's forward purchases. It has been observed that negative quantity deviations are caused by purchasing poor quality materials and carelessness during use, while positive quantity deviations are caused by insufficient inventory counting and control. In the study, it has been determined that the standard cost method can also be used in hospital enterprises in terms of controlling costs in primary materials and materials.
34
Shah, Aditya S., Lara A. Walkoff, Ronald S. Kuzo, Matthew R. Callstrom, Michael J. Brown, Michael L. Kendrick, Bradly J. Narr, and Elie Berbari. "The utility of chest computed tomography (CT) and RT-PCR screening of asymptomatic patients for SARS-CoV-2 prior to semiurgent or urgent hospital procedures." Infection Control & Hospital Epidemiology 41, no. 12 (July 16, 2020): 1375–77. http://dx.doi.org/10.1017/ice.2020.331.
Full textAbstract:
AbstractObjective:Presently, evidence guiding clinicians on the optimal approach to safely screen patients for coronavirus disease 2019 (COVID-19) to a nonemergent hospital procedure is scarce. In this report, we describe our experience in screening for SARS-CoV-2 prior to semiurgent and urgent hospital procedures.Design:Retrospective case series.Setting:A single tertiary-care medical center.Participants:Our study cohort included patients ≥18 years of age who had semiurgent or urgent hospital procedures or surgeries.Methods:Overall, 625 patients were screened for SARS-CoV-2 using a combination of phone questionnaire (7 days prior to the anticipated procedure), RT-PCR and chest computed tomography (CT) between March 1, 2020, and April 30, 2020.Results:Of the 625 patients, 520 scans (83.2%) were interpreted as normal; 1 (0.16%) had typical features of COVID-19; 18 scans (2.88%) had indeterminate features of COVID-19; and 86 (13.76%) had atypical features of COVID-19. In total, 640 RT-PCRs were performed, with 1 positive result (0.15%) in a patient with a CT scan that yielded an atypical finding. Of the 18 patients with chest CTs categorized as indeterminate, 5 underwent repeat negative RT-PCR nasopharyngeal swab 1 week after their initial swab. Also, 1 patient with a chest CT categorized as typical had a follow-up repeat negative RT-PCR, indicating that the chest CT was likely a false positive. After surgery, none of the patients developed signs or symptoms suspicious of COVID-19 that would indicate the need for a repeated RT-PCR or CT scan.Conclusion:In our experience, chest CT scanning did not prove provide valuable information in detecting asymptomatic cases of SARS-CoV-2 (COVID-19) in our low-prevalence population.
35
Ramosaço, Ergys, Entela Kolovani, Najada Çomo, Nevila Gjermeni, Vjollca Shpata, and Dhimiter Kraja. "Risk factors for poor outcome of patients with Coronavirus disease 2019 (COVID-19) in Albania." Journal of Infection in Developing Countries 15, no. 09 (September 30, 2021): 1236–43. http://dx.doi.org/10.3855/jidc.14592.
Full textAbstract:
Introduction: The study aims to identify potential risk factors for the poor outcome of hospitalized patients with SARS-CoV-2 infection in Albania.
Methodology: A retrospective observational study on 133 consecutive hospitalized patients at “COVID 1” Hospital, University Hospital Center of Tirana. The study analyzed the correlation between potential risk factors and in-hospital mortality.
Results: The study included 133 patients, 65.4% of the patients were male, age 60.46 ± 13.53 years. The mortality rate resulted in 22.6%. Univariate analysis revealed that early risk factors for mortality included: laboratory alterations on admission, such as lymphocytes count < 1.000/mm3 (OR = 3.30, 95% CI = 1.17-9.33), lactate dehydrogenase > 250 U/L (OR = 12.48, 95% CI = 1.62-95.78) and D dimer > 2 mg/L (OR = 4.72, 95% CI = 1.96-11.36); lung parenchymal involvement > 75% on chest computed tomography on admission (OR = 54.00, 95% CI = 11.89 – 245.11). Cox proportional hazard regression showed that independent risk factors for mortality were lung parenchymal involvement > 75% on chest computed tomography (HR = 8.31, 95%CI: 1.62-42.45) and occurrence of complications during hospital stay (OR = 10.28, 95% CI = 2.02-52.33).
Conclusions: The risk of poor outcome can be predicted from the early stage of COVID 19 disease, using laboratory data and chest computed tomography. Among patients with COVID 19, lung parenchymal involvement and alterations > 75% on chest computed tomography on admission and laboratory findings, such as lymphocytopenia, and elevated lactate dehydrogenase and D dimer levels, turned out to be early risk factors for in-hospital mortality.
36
Yilmaz, Gulden, Elif Mukime Oztürk, Muge Ayhan, Belgin Coskun, and Alpay Azap. "Evaluation of Antibiotic Consumption in a University Hospital." Klimik Dergisi/Klimik Journal 27, no. 3 (October 2, 2015): 109–13. http://dx.doi.org/10.5152/kd.2014.31.
Full text
37
Hernández Solís, Alejandro, Javier Araiza Santibáñez, Jazmín Guadalupe Tejeda Olán, Andrea Quintana Martínez, Alejandro Hernández de la Torriente, and Rocio de la Torriente Mata. "Pulmonary Histoplasmosis in a Referral Hospital in Mexico City." Canadian Journal of Infectious Diseases and Medical Microbiology 2022 (June 24, 2022): 1–6. http://dx.doi.org/10.1155/2022/2121714.
Full textAbstract:
Pulmonary histoplasmosis is caused by inhaling Histoplasma capsulatum. Less than 1% develops the disease. Risk factors in immunocompetent individuals are environmental exposures in endemic areas. The objective of this study is to determine the frequency, clinical, and microbiological characteristics in immunocompetent patients. A retrospective case series study of patients diagnosed with pulmonary histoplasmosis was performed in a respiratory care unit in Mexico City from 2000 to 2020. Each patient had bronchial lavage, and three patients underwent thoracoscopy for the lung tissue sample taken for the culture in Sabouraud Dextrose Agar. Twelve patients were identified, 8 males and 4 females; the predominant symptoms were fever (83%), dyspnea (75%), chest pain (66%), hemoptysis (41%), and weight loss (33%). The computed tomography of the chest showed the following findings: patchy consolidation 12 (100%), hilar adenopathy 6 (50%), pleural effusion 6 (50%), caverns 3 (25%), and solitary pulmonary nodule in one patient (8%). Histoplasma capsulatum was found in the culture of all twelve patients. The signs and symptoms of the disease are mediated by the immune status of the host. The clinical picture is often confused with systemic diseases. It is important to have a high degree of clinical suspicion to make a timely diagnosis.
38
Tünay, Havva, Petek Şarlak Konya, Derya Korkmaz, Neşe Demirtürk, and Gamze Çolak. "Evaluation of patients admitted to our hospital with a possible diagnosis of COVID-19." Health Sciences Quarterly 2, no. 3 (July 28, 2022): 167–74. http://dx.doi.org/10.26900/hsq.2.3.06.
Full textAbstract:
We aimed to evaluate the clinical characteristics, laboratory and imaging findings, and outcomes associated with the severity of illness of patients admitted to our hospital with possible COVID-19 diagnosis. The patients admitted to our hospital with a possible diagnosis of COVID-19 between March 25 and December 3, 2020, were evaluated retrospectively. In terms of their clinical, laboratory, imaging findings, and mortality were compared between patients discharged and hospitalized with died and survivors. 12470 patients admitted to our hospital with a possible diagnosis of COVID-19 tested by SARS-CoV-2 RT-PCR. Of those tested, 3116 (24.9%) were positive. Of the patients, 2529 (81.2%) were discharged, 587 (18.8%) hospitalized, and 92 (3%) were died. In the comparison of discharged, and hospitalized groups, a significant difference was found in age, symptoms, comorbid diseases, chest CT, laboratory findings, and mortality (p< 0.05). In the comparison of survivor, and dead, the risk of mortality analysis showed similar characteristics. Older age, male gender, comorbidities, lymphopenia, thrombocytopenia, increased levels of CRP, NLR, D-dimer, ferritin, and chest CT findings were significant risk factors. Of the patients who died, 23 (25%) were female and 69 (75%) were male. The outbreak of COVID-19 is a significantly health problem. We were experienced with high numbers of COVID-19 cases and found that age, symptoms, comorbid diseases, chest CT, laboratory findings of inflammation are significant predictors for admission to hospital. Therefore, these risk factors should consider routinely for patients with a high risk of developing severe and critical diseases by clinicians.
39
Doi, S. A. R., C. T. Tan, C. K. Liam, and K. Naganathan. "Cryptococcosis at the University Hospital, Kuala Lumpur." Tropical Doctor 28, no. 1 (January 1998): 34–39. http://dx.doi.org/10.1177/004947559802800110.
Full textAbstract:
We review our experience with 27 cases of pulmonary and meningeal cryptococcosis at the University Hospital, (Kuala Lumpar, Malaysia) where this is the most common cause of adult meningitis in patients without debilitating illnesses. Of the 27 cases analysed, six presented primarily with pulmonary symptomatology which usually were mainly cough, chest pain and low grade fever. The rest presented with primarily central nervous system (CNS) symptomatology of which headaches and fever were the most consistent symptoms although a third of these patients also had pulmonary lesions noted on chest radiographs. Treatment in all cases was with amphotericin B and 5-fluorocytosine and usually till a total cumulative dose of 1.5 g of amphotericin had been reached (an average of 10 weeks). Primary pulmonary presentations, if symptomatic, were treated as per CNS cryptococcosis due to the high likelihood of CNS dissemination. Incidental pulmonary cryptococcoma found on routine chest radiographs were confirmed by biopsy under ultrasound or fluoroscopy guidance and booked for surgical resection. Death usually occurred early in patients who presented late. Once patients responded to therapy, mortality was usually avoided. The only cause of morbidity in survivors was visual impairment or blindness, and this was attributed mainly to intracranial hypertension with residual deficits determined by the measures taken to lower intracranial pressures. Our experience suggests that: (i) symptomatic patients should have combination therapy with 5-fluorocytosine and amphotericin B till at least a cumulative dose of 1.5 g amphotericin B is reached irrespective of whether they have primary CNS or pulmonary symptomatology; (ii) non-symptomatic pulmonary cryptococcoma could be treated primarily by surgical resection; (iii) visual failure or papilloedema should be treated aggressively; and (iv) prognosis is good with adequate therapy and early presentation.
40
Sathi, Satyanand, Richa Tiwari, Savita Verma, Anil Kumar Garg, Virendra Singh Saini, Manoj Kumar Singh, Amit Mittal, and Devinder Vohra. "Role of Chest X-Ray in Coronavirus Disease and Correlation of Radiological Features with Clinical Outcomes in Indian Patients." Canadian Journal of Infectious Diseases and Medical Microbiology 2021 (October 6, 2021): 1–8. http://dx.doi.org/10.1155/2021/6326947.
Full textAbstract:
Recent literature has reported that radiological features of coronavirus disease (COVID-19) patients are influenced by computed tomography. This study aimed to assess the characteristic chest X-ray features of COVID-19 and correlate them with clinical outcomes of patients. This retrospective study included 120 COVID-19 patients. Baseline chest X-rays and serial chest X-rays were reviewed. A severity index in the form of maximum radiological assessment of lung edema (RALE) score was calculated for each lung, and scores of both the lungs were summed to obtain a final score. The mean ± standard deviation (SD) and frequency (%) were determined, and an unpaired t test, Spearman’s rank correlation coefficient, and logistic regression analyses were performed for statistical analyses. Among 120 COVID-19 patients, 74 (61.67%) and 46 (38.33%) were males and females, respectively; 64 patients (53.33%) had ground-glass opacities (GGO), 55 (45.83%) had consolidation, and 38 (31.67%) had reticular-nodular opacities, with lower zone distribution (50%) and peripheral distribution (41.67%). Baseline chest X-ray showed a sensitivity of 63.3% in diagnosing typical findings of SARS-CoV-2 pneumonia. The maximum RALE score was 2.13 ± 1.9 in hospitalized patients and 0.57 ± 0.77 in discharged patients ( p value <0.0001). Spearman’s rank correlation coefficient between maximum RALE score and clinical outcome parameters was as follows: age, 0.721 ( p value <0.00001); >10 days of hospital stay, 0.5478 ( p value <0.05); ≤10 days of hospital stay, 0.5384 ( p value <0.0001); discharged patients, 0.5433 ( p value <0.0001); and death, 0.6182 ( p value = 0.0568). The logistic regression analysis revealed that maximum RALE scores (0.0932 [0.024–0.367]), (10.730 [2.727–42.206]), (1.258 [0.990–1.598]), and (0.794 [0.625–1.009]) predicted discharge, death, >10 days of hospital stay, and ≤10 days of hospital stay, respectively. The study findings suggested that the RALE score can quantify the extent of COVID-19 and can predict the prognosis of patients.
41
Yang, Xin, Ling-Yun Gao, Shu Qin, Kang-Hua Ma, Su-Xin Luo, and Chun-Chang Qin. "Alcohol consumption may not affect the diameter of the coronary arteries in men with chest pain." Journal of International Medical Research 48, no. 4 (April 2020): 030006052091378. http://dx.doi.org/10.1177/0300060520913781.
Full textAbstract:
Objective The effect of alcohol consumption on the risk of coronary heart disease is controversial. Several studies have assessed the effects of alcohol on the formation of atherosclerotic plaques, but few studies have evaluated the chronic effects of alcohol consumption on the coronary artery diameter. We investigated whether alcohol consumption affects the coronary artery diameter. Methods This prospective study enrolled men who were undergoing coronary angiography at the First Affiliated Hospital of Chongqing Medical University from November 2016 to December 2017. The participants were categorized into three groups based on their drinking behavior: heavy drinking (>175 g/week in the last 2 years, n = 70), moderate drinking (>42 to ≤175 g/week in the last 2 years, n = 53), and nondrinking (lifetime alcohol consumption of <98 g, n = 79). The diameters of the left and right coronary arteries were compared among the three groups. Results No significant differences in the diameters of the left and right coronary arteries were observed among the three groups. Conclusions Alcohol consumption may not affect the diameter of the coronary arteries.
42
Yang, Limin, Rongfeng Qu, Fang Liu, and Chunmei Hu. "Pulmonary mucosa-associated lymphoid tissue lymphoma with Sjögren’s syndrome and literature review: A case report." Medicine 102, no. 37 (September 15, 2023): e35232. http://dx.doi.org/10.1097/md.0000000000035232.
Full textAbstract:
Introduction: A 54-year-old woman was admitted to hospital with chest tightness, shortness of breath, and chest pain on exertion. Her chest computed tomography showed a space-occupying lesion in the right lower lobe of the lung. Case presentation: The ultrasound-guided right lung mass biopsy showed mucosa-associated lymphoid tissue (MALT), and the patient was diagnosed with Sjögren’s syndrome (SS). The patient’s symptoms were partially relieved with chemotherapy. Conclusions: Autoimmune diseases like SS and systemic lupus erythematosus are recognized risk factors for pulmonary MALT. It is necessary to identify predictors of malignant transformation of SS to pulmonary MALT lymphoma.
43
Banik, Rajib, AKM Akramul Haque, Md Mobarak Hossain, Apurbo Kumar Choudhary, Mohammad Mahshukur Rahman Chisty, Mohammad Zannatul Rayhan, and Avishek Sarker Dhruba. "Short-Term Outcome of Video Assisted Thoracoscopic Decortication in Empyema Thoracis." Journal of Current and Advance Medical Research 8, no. 2 (July 1, 2021): 100–105. http://dx.doi.org/10.3329/jcamr.v8i2.57432.
Full textAbstract:
Background: Video-assisted thoracoscopic surgical decortication (VATS Decortication) is one of the technique for treating empyema thoracis.
Objective: The purpose of the present study was to assess radiologic and functional short-term outcomes of VATS decortication in comparison with open decortication among empyema thoracis patients.
Methodology: This comparative type of observational study was done at Department of Thoracic Surgery at National Institute of Diseases of Chest and Hospital (NIDCH), Dhaka, Bangladesh from July 2018 to June 2019 for a period of one year. Patients with empyema thoracis in stage II or III were included. Short-term outcomes were measured according to collection of chest drain tube in post-operative observational days (PODs), post-operative lung expansion, time taken for chest drain tube removal, postoperative hospital stay and post-operative pain (numeric rating scale) observations up to discharge from hospital.
Result: A total number of 70 patients were recruited. The mean age was 36.20 ± 12.50 years. In post-operative phase apical chest drain tube collection followed by VATS procedure was found significantly lower than that of open decortication (2nd POD: p= 0.04; 3rd POD: p =0.039). Both the apical (p=0.001) and basal (p=0.039) chest drain tubes were removed earlier in patients with VATS decortication. Again, patients with VATS decortication had to stay less days in post-operative time (p=0.01). The mean post-operative pain scores was significantly higher among the patients underwent open decortication (p<0.001).
Conclusion: VATS decortication has shown better outcome in terms of collection of chest drain tube in post- operative days, time taken for chest drain tube removal, post-operative hospital stay and post-operative pain in managing patients with empyema thoracis.
Journal of Current and Advance Medical Research, July 2021;8(2):100-105
44
Kisely, Stephen R. "The Relationship between Admission to Hospital with Chest Pain and Psychiatric Disorder." Australian & New Zealand Journal of Psychiatry 32, no. 2 (April 1998): 172–79. http://dx.doi.org/10.3109/00048679809062726.
Full textAbstract:
Objective: Psychosocial variables have been identified as important predictors of outcome in patients with chest pain. Most attention has focused on patients with ischaemic heart diseases or those in outpatient settings. This paper compares focuses on inpatients, and compares patients with ischaemic heart disease to those with non-specific chest pain. Method: A search of the literature on chest pain and psychiatric disorder from 1972 onwards using Medline, Index Medicus and the bibliographies of retrieved articles. Results: One-third of patients admitted with acute chest pain have psychiatric disorder as measured by standardised interviews. Patients who have had psychiatric symptoms prior to admission and those with non-specific pain appear to be most at risk of continuing psychiatric morbidity. In patients with ischaemic heart disease, psychiatric symptoms on admission are more strongly related to subsequent social outcome than variables such as severity of infarct or the presence of angina. Psychiatric symptoms may also effect physical morbidity and possibly mortality, although further research is required to clarify the latter finding. In patients with nonspecific pain, further research is indicated to identify aetiological and maintaining factors for continued non-specific pain. There is, however, a strong association with alcohol and cigarette use. Conclusions: The prediction of outcome requires careful assessment of previous or current psychiatric symptoms in patients admitted with chest pain, irrespective of underlying diagnosis. Early intervention with psychological treatment for patients with non-specific chest pain is indicated; this may also involve help to reduce smoking. There is also further evidence that mortality following myocardial infarction is closely linked to psychiatric disorder, although prior psychiatric disorder may be more important than “post-infarction” depression. Larger and more methodologically rigorous studies are required to further clarify these findings.
45
Biserov, Denislav, Mariana Konteva, Ivaneta Yoncheva, and Svetoslav Gogov. "Coronary pathology in patients after chest radiotherapy." Bulgarian Cardiology 27, no. 2 (July 21, 2021): 78–83. http://dx.doi.org/10.3897/bgcardio.27.e60233.
Full textAbstract:
Radiation therapy is the main treatment for a large number of neoplastic diseases. Improved survival in this group of patients led to the emergence of a new nosological unit – radiation-induced damage to neighbouring organs and systems. Data accumulated in recent decades has proven conclusively that chest radiotherapy could result in heart damage. Cardiovascular diseases are the leading cause of death in oncological patients in remission. The onset of radiation-induced heart disease (RIHD) can be early with clinical picture of acute myocarditis and late with manifestations of constrictive pericarditis, restrictive cardiomyopathy, coronary artery disease, valvular involvement, heart failure and conduction pathology. Clinical symptoms may manifest years after exposure to radiation. Our team performed a mini-review on the topic, after which we shared our own experience in 10 patients who underwent radiation therapy in the past and were admitted to the Clinic of Cardiology of University Multyprofile Hospital for Active Treatment „Deva Mariya“ with a clinical picture of ACS.
46
Anjalatchi, D., and S. Chouhan. "A study to assess the effectiveness of nebulization followed by chest physiotherapy among patients with respiratory problem, admitted in era hospital at Lucknow." IP Journal of Nutrition, Metabolism and Health Science 4, no. 3 (October 15, 2021): 121–32. http://dx.doi.org/10.18231/j.ijnmhs.2021.022.
Full textAbstract:
Acute respiratory infections are a major cause of morbidity and mortality in young adults worldwide. T hey account for nearly 3.9 million deaths every year globally. Chest physiotherapy plays an import ant role by promoting drainage and ensuring normal lung expansion in parenchymal lung diseases and pleural diseases. Hence I was keen to evaluate the effectiveness of nebulisation with chest physiotherapy on respiratory status among adults patients with selected respiratory disorders like bronchitis, bronchiolitis, asthma, COPD and pneumonia. It was a quantit ative approach , Quasi experimental study design used (30) with respiratory disorders within the age group of 20-35 above years receiving nebulisation with chest physiotherapy using purposive sampling technique. Respiratory status assessment of clinical parameters (Rating Scale) and Bio physiological measurements(BPM) was done. For experimental group nebulisation with chest physiotherapy for 6 minutes in 10 positions. For control group nebulisation alone given both morning and evening for 2days. Mean, standard deviation, t -test , pearson chisquare test is used for statistical analysis. In experiment al group the respiratory disorder patients are reduced their clinical parameter distress score from 11.33 t o 4.17 . They are able to reduce 7.16 score from base line score. In control group 11.33 t o 7.90 t hey are able to reduce 3.27 score from base line score. Regarding bio physiological parameter, the reduction is statistically significant (P=0.001***) in both groups. Thus the author concludes that Improvement in respiratory status seen in children who receive nebulisation along with chest physiotherapy . Thus patients with respiratory diseases will benefit from the intervention in improving their respiratory status by clearing the secretions.
47
Shetty, Shashank, Ananthanarayana V. S., and Ajit Mahale. "MS-CheXNet: An Explainable and Lightweight Multi-Scale Dilated Network with Depthwise Separable Convolution for Prediction of Pulmonary Abnormalities in Chest Radiographs." Mathematics 10, no. 19 (October 5, 2022): 3646. http://dx.doi.org/10.3390/math10193646.
Full textAbstract:
Pulmonary diseases are life-threatening diseases commonly observed worldwide, and timely diagnosis of these diseases is essential. Meanwhile, increased use of Convolution Neural Networks has promoted the advancement of computer-assisted clinical recommendation systems for diagnosing diseases using chest radiographs. The texture and shape of the tissues in the diagnostic images are essential aspects of prognosis. Therefore, in the latest studies, the vast set of images with a larger resolution is paired with deep learning techniques to enhance the performance of the disease diagnosis in chest radiographs. Moreover, pulmonary diseases have irregular and different sizes; therefore, several studies sought to add new components to existing deep learning techniques for acquiring multi-scale imaging features from diagnostic chest X-rays. However, most of the attempts do not consider the computation overhead and lose the spatial details in an effort to capture the larger receptive field for obtaining the discriminative features from high-resolution chest X-rays. In this paper, we propose an explainable and lightweight Multi-Scale Chest X-ray Network (MS-CheXNet) to predict abnormal diseases from the diagnostic chest X-rays. The MS-CheXNet consists of four following main subnetworks: (1) Multi-Scale Dilation Layer (MSDL), which includes multiple and stacked dilation convolution channels that consider the larger receptive field and captures the variable sizes of pulmonary diseases by obtaining more discriminative spatial features from the input chest X-rays; (2) Depthwise Separable Convolution Neural Network (DS-CNN) is used to learn imaging features by adjusting lesser parameters compared to the conventional CNN, making the overall network lightweight and computationally inexpensive, making it suitable for mobile vision tasks; (3) a fully connected Deep Neural Network module is used for predicting abnormalities from the chest X-rays; and (4) Gradient-weighted Class Activation Mapping (Grad-CAM) technique is employed to check the decision models’ transparency and understand their ability to arrive at a decision by visualizing the discriminative image regions and localizing the chest diseases. The proposed work is compared with existing disease prediction models on chest X-rays and state-of-the-art deep learning strategies to assess the effectiveness of the proposed model. The proposed model is tested with a publicly available Open-I Dataset and data collected from a private hospital. After the comprehensive assessment, it is observed that the performance of the designed approach showcased a 7% to 18% increase in accuracy compared to the existing method.
48
Medvedchikov-Ardiya, Mikhail A., Evgenii A. Korymasov, and Armen S. Benyan. "Radiographic methods in diagnostics of infectious diseases of the sternum and ribs." Science and Innovations in Medicine 7, no. 3 (September 4, 2022): 212–16. http://dx.doi.org/10.35693/2500-1388-2022-7-3-212-216.
Full textAbstract:
Aim to analyze the current possibilities of polypositional radiography and computed tomography (CT) in the diagnosis of infectious and inflammatory processes of the chest wall.
Material and methods. 221 patient with an infectious process in the sternum and ribs was treated in the surgical thoracic department of the "Samara Regional Clinical Hospital n.a. V.D. Seredavin" in the period from 2012 to 2020. All patients underwent CT of the chest as the primary diagnostic radiological method.
Results. Plain radiography allows for visualizing and evaluating the number of metal ligatures on the sternum, their position and relationship with it. The preference for CT is due to its capabilities both as a screening method and as a method for clarifying diagnostics (diagnosis verification). It helps to visualize the comparison of the sternal parts, the state of metal ligatures, determine the indications for bone resection and removal of incompetent fixing elements.
Conclusion. Each radiographic method for examining the chest has its own indications and its place in the arsenal of a thoracic surgeon.
49
Sancheti, Poonam Vijay, and Suresh Konappa Mangulikar. "Study of clinical profile of ischemic heart disease patients admitted in tertiary care hospital." International Journal Of Community Medicine And Public Health 4, no. 9 (August 23, 2017): 3191. http://dx.doi.org/10.18203/2394-6040.ijcmph20173630.
Full textAbstract:
Background: Cardiovascular diseases have assumed epidemic proportions in India. The study was undertaken to know the clinical presentation of ischemic heart disease. It also included time lapsed between symptoms and admission which is important outcome indicator. The aim and objective was to study the clinical profile of ischemic heart disease patients admitted in tertiary care hospital.Methods: The study was done in IHD patients admitted in ICU of tertiary care hospital. The study period was June 2014 to June 2015. Detailed clinical data like symptoms, signs, associated illnesses, general and systemic examination was included. Results: 33.59% patients were brought to tertiary care centre within 3-6 hours of onset of symptoms. Out of total, 63.61% presented with chest pain not relieved in ten minutes followed by 21.89% patients who had chest pain which relieved in ten minutes. 68.95% patients had associated sweating, 35.62% had associated breathless-ness and 16.03% had associated swelling over feet. Associated symptoms with chest pain were not exclusive of each other. 62.85% patients were of STEMI, 21.37% patients were classified as NSTMI and 15.78% were patients of unstable angina. Cardiac failure was seen in 69.52% patients. Conclusions: Most of the patients were of STEMI with most common complain of chest pain and most common clinical complication was cardiac failure in the patients.
50
Huang, Chen-Wei, Ming-An Lee, Ruey-Hwa Lu, Hui-Chin Peng, and Heng-Shen Chao. "A case of pulmonary aspergilloma and actinomycosis." Journal of Medical Microbiology 60, no. 4 (April 1, 2011): 543–46. http://dx.doi.org/10.1099/jmm.0.026427-0.
Full textAbstract:
Pulmonary aspergilloma and pulmonary actinomycosis are rare pulmonary infectious diseases. Clinical manifestations of pulmonary aspergilloma and pulmonary actinomycosis include chronic cough, fever, chest pain, haemoptysis and other pathologies, but some patients may be asymptomatic. We report a case of a healthy 33-year-old woman without any underlying diseases, who was admitted to Zhongxing Branch of Taipei City Hospital, Taiwan, for intermittent haemoptysis and right upper chest pain, which had persisted for several months. A chest radiograph revealed a focal consolidation in the right upper lobe (RUL) of the lung, which grew in size over time. A sputum study and bronchoscopy revealed no positive findings, although malignancy could not be ruled out. Thus, the patient received a wedge resection of the RUL lesion. Subsequent, pathological examination demonstrated the presence of pulmonary aspergilloma and pulmonary actinomycosis. The patient's symptoms resolved after resection of the RUL lesion.