Journal articles on the topic 'Mortallity'
To see the other types of publications on this topic, follow the link: Mortallity.
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 'Mortallity.'
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
ALEGRIA, J. "250 Elevated troponin T is not associated with mortallity in the medical intesive care unit." European Heart Journal 24, no. 5 (March 2003): 24. http://dx.doi.org/10.1016/s0195-668x(03)93733-x.
Full text
2
Marlisa, Marlisa. "PENGARUH PEMBERIAN TERAPI OKSIGEN DENGAN MENGGUNAKAN NON-REBREATHING MASK (NRM) TERHADAP NILAI TEKANAN PARSIAL CO2 (PaCO2) PADA PASIEN CEDERA KEPALA SEDANG (MODERATE HEAD INJURY) DI RUANG INTENSIVE CARE UNIT (ICU) RSUP H ADAM MALIK MEDAN TAHUN 2016." Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 11, no. 1 (November 5, 2018): 33–38. http://dx.doi.org/10.36911/pannmed.v11i1.68.
Full textAbstract:
Head injury is any cases that caused high disability and mortallity rate. In neurology, head injury occupies the first squence and become the main of health problem to most youth, health and productive peoples. The treatment of head injury treatment is to prevent damage of brain cells by adequate oxygenation. The objective of the research was to find out the influence of giving oxygent therapy by using non-rebreathing mask (NRM) towards changing of partial pressure CO2 (PaCO2) value to head injury patients in ICU room of H. Adam Malik Hospital Medan. The research used the quasi experiment method with time series design. The samples were 10 respondents, taken by purpossive sampling technique. The instrument of the research was observation sheet. The result of the research showed that before given the oxygent therapy by using nonrebreathing mask (NRM), 5 respondents (50%) had normal blood pH value, 6 respondents (60%) had low blood HCO3- value, and 6 respondents (60%) had normal blood PaCO2 value. After given oxygent therapy found that 5 respondents (50%) had low blood pH value, 6 respondents (60%) had low blood HCO3- value, and 7 respondents (70%) had low blood PaCO2 value. The result of statistic analyze with T-Test was found significant influence of changing PaCO2 value with p value = 0,000 (p<0,05). The reduction of PaCO2 value is followed by increasing of blood pH value and reduction of blood HCO3- value. Using of non-rebreathing mask (NRM) is only effective for head injury patients with high blood PaCO2.
3
Hsu, Jack, Bartley P. Griffith, Robert D. Dowling, Robert L. Kormos, J. Stephen Dummer, John M. Armitage, Marco Zenati, and Robert L. Hardesty. "Infections in mortally ill cardiac transplant recipients." Journal of Thoracic and Cardiovascular Surgery 98, no. 4 (October 1989): 506–9. http://dx.doi.org/10.1016/s0022-5223(19)34350-8.
Full text
4
Hardesty, Robert L., Bartley P. Griffith, Alfredo Trento, Mark E. Thompson, Peter F. Ferson, and Henry T. Bahnson. "Mortally Ill Patients and Excellent Survival Following Cardiac Transplantation." Annals of Thoracic Surgery 41, no. 2 (February 1986): 126–29. http://dx.doi.org/10.1016/s0003-4975(10)62651-3.
Full text
5
Regnard, C. "Mortally Wounded: Stories of Soul Pain, Death and Healing." BMJ 313, no. 7063 (October 19, 1996): 1023. http://dx.doi.org/10.1136/bmj.313.7063.1023.
Full text
6
Kormos, Robert L., Harvey S. Borovetz, Thomas Gasior, James F. Antaki, John M. Armitage, John M. Pristas, Robert L. Hardesty, and Bartley P. Griffith. "Experience with univentricular support in mortally ill cardiac transplant candidates." Annals of Thoracic Surgery 49, no. 2 (February 1990): 261–72. http://dx.doi.org/10.1016/0003-4975(90)90148-y.
Full text
7
Sweet, William. "JESSI Wounded but not Mortally in Retreat of Philips from SRAMs." Physics Today 43, no. 11 (November 1990): 79. http://dx.doi.org/10.1063/1.2810758.
Full text
8
Coyle, Nessa. "Book Review: Mortally Wounded: Stories of Soul Pain, Death, and Healing." Journal of Palliative Care 14, no. 4 (December 1998): 69–70. http://dx.doi.org/10.1177/082585979801400418.
Full text
9
DiGiacomo, J. Christopher, and L. D. George Angus. "Thoracotomy in the emergency department for resuscitation of the mortally injured." Chinese Journal of Traumatology 20, no. 3 (June 2017): 141–46. http://dx.doi.org/10.1016/j.cjtee.2017.03.001.
Full text
10
Elstad, Jon Ivar. "Educational inequalities in hospital care for mortally ill patients in Norway." Scandinavian Journal of Public Health 46, no. 1 (June 27, 2017): 74–82. http://dx.doi.org/10.1177/1403494817705998.
Full textAbstract:
Aims: Health care should be allocated fairly, irrespective of patients’ social standing. Previous research suggests that highly educated patients are prioritized in Norwegian hospitals. This study examines this contentious issue by a design which addresses two methodological challenges. Control for differences in medical needs is approximated by analysing patients who died from same causes of death. Area fixed effects are used for avoiding that observed educational inequalities are contaminated by geographical differences. Methods: Men and women who died 2009–2011 at age 55–94 were examined ( N=103,000) with register data from Statistics Norway and the Norwegian Patient Registry. Educational differences in quantity of hospital-based medical care during the 12–24 months before death were analysed, separate for main causes of death. Multivariate negative binomial regression models were estimated, with fixed effects for residential areas. Results: High-educated patients who died from cancers had significantly more outpatient consultations at somatic hospitals than low-educated patients during an average observation period of 18 months prior to death. Similar, but weaker, educational inequalities appeared for outpatient visits for patients whose deaths were due to other causes. Also, educational inequalities in number of hospital admissions were marked for those who died from cancers, but insignificant for patients who died from other causes. Conclusions: Even when medical needs are similar for mortally ill patients, those with high education tend to receive more medical services in Norwegian somatic hospitals than patients with low education. The roles played by physicians and patients in generating these patterns should be explored further.
11
Klevno, V. A., G. S. Tarkhnishvili, L. I. Spitsyna, V. A. Mirzonov, and E. A. Balanyuk. "VIRTOPSY AFTER FATAL INJURY BY LANDING GEAR OF AN AIRCRAFT BOEING 737." Russian Journal of Forensic Medicine 5, no. 2 (July 27, 2019): 32–36. http://dx.doi.org/10.19048/2411-8729-2019-5-2-32-36.
Full textAbstract:
The article presents a rare case of virtopsy of a mortally injured person on the runway by the landing gear of the overclocking Boeing 737 aircraft. A case from the expert practice of the Khimki forensic medical department with preliminary pre-sectional MDCT examination of the corpse (virtual autopsy) and subsequent MDCT anatomical comparison of the results.
12
Tankersley, Kenneth B., Samuel S. Frushour, Frank Nagy, Stephen L. Tankersley, and Kevin O. Tankersley. "The Archaeology of Mummy Valley, Salts Cave, Mammoth Cave National Park, Kentucky." North American Archaeologist 15, no. 2 (October 1994): 129–45. http://dx.doi.org/10.2190/u3l3-vlhb-rxf5-lkxh.
Full textAbstract:
In 1875, the desiccated remains of an Early Woodland boy were removed from Mummy Valley in Upper Salts Cave, Kentucky. Recent archaeological surveys in Salts Cave and forensic investigations of the mummy suggest that the boy was mortally wounded while mining cave minerals. Death resulted from an internal hemorrhage and apparently occurred in the cave. After death the boy was placed on the surface of a ledge in an area known as “Mumy” Hall.
13
Soetomenggolo, Taslim S., Jimmy Passat, Hardiono D. Pusponegoro, and Sofyan Ismael. "Diagnosis and Management of Brain Abscesses in Children." Paediatrica Indonesiana 32, no. 5-6 (January 29, 2019): 118–24. http://dx.doi.org/10.14238/pi32.5-6.1992.118-24.
Full textAbstract:
During 4 years, 20 patients with brain abscesses were hospitalized in the Departement of Child Health, Dr. Cipto Mangunkusumo General Hospital, jakarta. Of those 20 patients 11 were males and 9 were females. The youngest patient was 2 months old and the oldest was 12 years old. The important signs and symptoms in making diagnosis were the sign of injection, increased intracranial pressure, and focal neurological disorders. Laboratory examinations were of little value in establishing the diagnosls of brain abscess. By performing head CT Scan the diagnosis of brain abscess will be confirmed accurately. Of the 20 patients, 15 (75 %) suffered from single abscess and 5 (25 %) suffered from multiple abscesses. The results of treatment by surgical intervention were better than nonsurgical treatment. The high mortallty of the nonsurgical patients was caused by the severity of the disease due to the ignorancy of their parent.
14
Vanzetti, A., M. Vidale, M. Gallinaro, D. W. Frayer, and L. Bondioli. "The iceman as a burial." Antiquity 84, no. 325 (September 1, 2010): 681–92. http://dx.doi.org/10.1017/s0003598x0010016x.
Full textAbstract:
Since his discovery in 1991 the iceman has been widely seen as meeting a dramatic end – mortally wounded by an arrow shot while attempting to flee through an Alpine pass. A careful study of all the located grave goods, here planned comprehensively for the first time, points strongly towards the scene as one of a ceremonial burial, subsequently dispersed by thawing and gravity. The whole assemblage thus takes on another aspect – not a casual tragedy but a mortuary statement of its day.
15
Burnell, Peter. "The Death of Turnus and Roman Morality." Greece and Rome 34, no. 2 (October 1987): 186–200. http://dx.doi.org/10.1017/s0017383500028138.
Full textAbstract:
Is Aeneas right or wrong to kill Turnus at the end of the Aeneid? Virgil himself has raised the issue by creating Aeneas' dilemma. In the equivalent scene of the Iliad the first wound which Hector receives in combat with Achilles is fatal, and so the possibility of sparing his life does not arise; but Turnus is not mortally wounded, he asks for mercy, begins to be successful, and then is killed after all. About this moral question all the logically possible opinions have been recently asserted by scholars: that the killing is right, that it is wrong, and that it is morally neutral. One of these must, of course, be right.
16
Limond, David. "‘[An] Educational Crisis in Scotland’: The Democratic Intellect Revisited." Scottish Educational Review 36, no. 1 (March 18, 2004): 58–65. http://dx.doi.org/10.1163/27730840-03601007.
Full textAbstract:
In George Elder Davie’s 1961 work “The Democratic Intellect”, it was noted that there was a distinctive Scottish intellectual and academic tradition, one of philosophical quizzicality, which was disrupted and mortally wounded in the 1850s by a calculated programme of anglicisation of the Scottish universities. This article takes as its starting point Davie’s central, though as yet untested, empirical claim that the relatively poor performance of Scottish candidiates in the 1853-8 examinations for entry into the prestigious Indian Civil Service (ICS) gave a significant fillip to those seeking grounds to reform Scottish higher education. It suggests how this proposition (which is vital to Davie’s argument) might be scrutinised using extant archival records of the erstwhile ICS. Understandably, the conclusion suggests the need for future work.
17
Moss, David M. "Providence in Triptych." Journal of Pastoral Care 50, no. 4 (December 1996): 411–15. http://dx.doi.org/10.1177/002234099605000411.
Full textAbstract:
The following three poems represent thirty years of reflection on a critical theological perspective, the Doctrine of Providence ( bonum ex nocentibus). The first, “A Wilderness of Mirrors,” was written immediately after Paul Tillich's last lecture in 1965. Hours later, he was mortally wounded by the first of three heart attacks. The second, “The Easter Rain,” was conceived the next year, shortly after my father's untimely death. He died on the Father's Day before I entered seminary. In 1985 I completed it after the death of my mentor Carroll Wise. The third poem, “Illumination,” was composed during the Eastertide of 1994, after I first met Rhena Schweitzer Miller, the daughter of Albert Schweitzer—one who lived by Providence and the Reverence for Life.
18
Horne, Philip. "Writing and Rewriting in Henry James." Journal of American Studies 23, no. 3 (December 1989): 357–74. http://dx.doi.org/10.1017/s0021875800004023.
Full textAbstract:
In one of James's best-known stories, “The Middle Years” (1893), the mortally ill author Dencombe, staying at Bournemouth for the sake of what remains of his health, gets an advance copy of his latest – and almost certainly his last – novel, which is called The Middle Years. Looking over what might have been thought to be his finished and dismissed work on his clifftop bench, Dencombe revises it:Dencombe was a passionate corrector, a fingerer of style; the last thing he ever arrived at was a form final for himself. His ideal would have been to publish secretly, and then, on the published text, treat himself to the terrified revise, sacrificing always a first edition and beginning for posterity and even for the collectors, poor dears, with a second.
19
Anand, Jatin, Steve K. Singh, David G. Antoun, William E. Cohn, O. H. (Bud) Frazier, and Hari R. Mallidi. "Durable Mechanical Circulatory Support versus Organ Transplantation: Past, Present, and Future." BioMed Research International 2015 (2015): 1–11. http://dx.doi.org/10.1155/2015/849571.
Full textAbstract:
For more than 30 years, heart transplantation has been a successful therapy for patients with terminal heart failure. Mechanical circulatory support (MCS) was developed as a therapy for end-stage heart failure at a time when cardiac transplantation was not yet a useful treatment modality. With the more successful outcomes of cardiac transplantation in the 1980s, MCS was applied as a bridge to transplantation. Because of donor scarcity and limited long-term survival, heart transplantation has had a trivial impact on the epidemiology of heart failure. Surgical implementation of MCS, both for short- and long-term treatment, affords physicians an opportunity for dramatic expansion of a meaningful therapy for these otherwise mortally ill patients. This review explores the evolution of mechanical circulatory support and its potential for providing long-term therapy, which may address the limitations of cardiac transplantation.
20
Griffin, Larry J. "Commentary." Social Science History 24, no. 2 (2000): 423–27. http://dx.doi.org/10.1017/s0145553200010221.
Full textAbstract:
Colorblind Injustice is an angry, ambitious, and very valuable book. In it,Kousser argues that the Second Reconstruction—that is, the post-1965 edifice of law and institutions securing essential African American and Latino civil rights and effective political voice—has been disastrously undermined, possibly mortally so, by the distorted, ignorant, or malicious (and, ultimately, to Kousser, dangerous) misinterpretations of the history of American race relations and of the meaning of the nation’s voting rights laws and Reconstruction-era constitutional amendments.The culprits in this tale include, among other members of the Rehnquist Supreme Court, Justices Sandra Day O’Connor and ClarenceThomas; political scientist AbigailThernstrom,who believes that past discrimination against racial minorities never justifies raceconscious remedies; overzealous Republican (and Democratic, though more of the former than the latter) party partisans; and a lot of additional white politicians, officials, and judges ranging in localities from Los Angeles to North Carolina.
21
Godovova, E. V. "«THE SOUL IS SO HARD TO HEAL. IT IS MORTALLY WOUNDED SOMETIMES…»: A FRONT-LINE DIARY AS AN HISTORICAL SOURCE." Izvestiya of Samara Scientific Center of the Russian Academy of Sciences. History Sciences 2, no. 2 (2020): 80–84. http://dx.doi.org/10.37313/2658-4816-2020-2-2-80-84.
Full text
22
Burucúa, José Emilio, and Hilary Macartney. "Reflections on the Painting of Alejandro Puente, the Notion of Pathosformel, and the Return to Life of Mortally Wounded Civilizations." Art in Translation 1, no. 1 (March 2009): 153–79. http://dx.doi.org/10.2752/175613109787307681.
Full text
23
Bair, Sarah D. "Making Good on a Promise: The Education of Civil War Orphans in Pennsylvania, 1863–1893." History of Education Quarterly 51, no. 4 (November 2011): 460–85. http://dx.doi.org/10.1111/j.1748-5959.2011.00354.x.
Full textAbstract:
During and after the American Civil War, individual state governments, faced with numerous economic demands, struggled to meet the needs of soldiers and their families. Among other pressing questions, they had to decide what to do with the massive number of dependent children orphaned by the war. Pennsylvania, a state that contributed the second most soldiers to the Union cause (only New York contributed more) suffered heavy losses. More than 15,000 Pennsylvania soldiers died in battle or of mortally inflicted battlefield wounds during the conflict. When one factored in death from disease and other causes, the number of Pennsylvania casualties exceeded 33,000. In addition to those who died, many others had their lives shortened by wartime injuries and diseases. Thousands more Pennsylvania soldiers survived the battle and its aftermath, but suffered severe injuries and were left too disabled to work. As a result, an unprecedented number of children became either full orphans or half orphans (those with mothers still living) or lived in families without adequate income to support them.
24
M.M., Okon, and P. Noah. "Cultural Dominance and Language Endangerment: The case of Efut in Cross River State, Nigeria." Macrolinguistics 9, no. 14 (June 30, 2021): 134–50. http://dx.doi.org/10.26478/ja2021.9.14.8.
Full textAbstract:
The Efut culture, and by extension language, seems to have been mortally threatened after their speakers’ migration to Nigeria from Cameroun in the 16th Century. The linguistic situation resulting in language shift was especially exacerbated in the last seven decades, largely due to the dominant cultural influence of Efik, Ibibio and English. The most ostensive vestige of the language manifests in the Ekpe ‘Leopard’ secret society songs, rituals and proverbs (performed by, and intelligible mostly to octogenarians). The Efut language sociolinguistic status is between post moribund and dead stage(s). This paper attempts, therefore, to x-ray ways to revitalize and revive it. Two such revival strategies are the use of digital communication technology and Efut in Nollywood movies. Data for this work came mainly from songs, proverbs, interviews, wordlist and available historical literature. The prognosis for reviving Efut appears realistically poor, at present. However, with appropriate input and pragmatic will from all stakeholders, it would be hasty, uncharitable, to consign the language to irreversible extinction. This optimism is sustainable only if language engineers, policymakers and the Efut nation do not continue to sit on the fence.
25
Rhoton, Sara L., Robert A. Perkins, Zachary D. Richter, Christina Behr-Andres, Jon E. Lindstrom, and Joan F. Braddock. "Toxicity of Dispersants and Dispersed Oil To An Alaskan Marine Organism." International Oil Spill Conference Proceedings 1999, no. 1 (March 1, 1999): 1035–38. http://dx.doi.org/10.7901/2169-3358-1999-1-1035.
Full textAbstract:
ABSTRACT The University of Alaska Fairbanks (UAF) conducted toxicity assays on Alaskan tanner crab larvae (Chionoecetes bairdi) using the oil dispersant Corexit 9500, Alaska North Slope (ANS) crude oil, and dispersed ANS crude oil. These tests were conducted in Seward, Alaska using filtered saltwater at ambient temperature (6°C) and salinity (35%c). Similar toxicity assays were conducted at UAF on the reference species Mysidopsis bahia and Menidia beryllina under standard testing conditions (25°C and 20%c salinity). The methods used for these tests were developed by the Chemical Response to Oil Spills: Ecological Research Forum (CROSERF) and involve both continuous and spiked (declining concentration) exposure testing regimes. Toxicity data, expressed as EC50, were calculated using the defined response of “Affected,” as the typical response was decreased phototatic response; death as an endpoint was not often observed. The larvae were evaluated and placed into the following categories: Alive, Affected, Mortally Affected, and Dead. Results suggest that the tanner crab larvae are generally more resistant (EC50 = 355 mg/L) than M. beryllina (LC50 = 205 mg/L) and less resistant than M. bahia (LC50 = 622 mg/L) to dispersant solutions under spiked exposure.
26
Gwara, Scott. "The Foreign Beowulf and the “Fight at Finnsburg”." Traditio 63 (2008): 185–233. http://dx.doi.org/10.1017/s0362152900002142.
Full textAbstract:
More or less covering lines 1071a-1159a (not counting the introductory verses), the Finnsburg digression comprises the longest and most intensively studied episode inBeowulf. Its context in the poem may be summarized briefly. Beowulf has mortally wounded Grendel. War-leaders from surrounding territories follow Grendel's tracks to the mere, now boiling with gore. On the way back a warrior sings of Sigemund and Heremod. Horse races are held, and the Danes and their guests gawk at Grendel's arm, which has been hung from a beam in Heorot. Hroðgar acknowledges Beowulf as an adoptive “son,” and a lavish celebration honors the hero, who secures five dynastic treasures not only in recognition of his valor and but also as confirmation of retainership and possibly of Hroðgar's adoption. Immediately following the bestowal of these gifts, a poet recites Finnsburg “fore Healfdenes I hildewisan” (“before Healfdene's warriors,” 1064). The tale commemorates a Danish victory over Frisians, a triumph which all agree should compliment Danish resolve. In fact, just before the episode opens, the Scylding Hntef is called a “hæleð Healf-Dena” (“hero of the Half-Danes,” 1069a), an epithet explicitly linking audience and characters.
27
Khomenko, I. P., I. A. Lurin, S. O. Korol, V. Yu Shapovalov, and B. V. Matviichuk. "Conceptual principles of the wounded combatants’ evacuation, suffering military surgical trauma on the medical support levels." Klinicheskaia khirurgiia 87, no. 5-6 (July 24, 2020): 60–64. http://dx.doi.org/10.26779/2522-1396.2020.5-6.60.
Full textAbstract:
Objective. To improve the results of treatment of the wounded persons, suffering a combat surgical trauma, elaborating and introducing of objective scales of the trauma severity estimation into the medical evacuation system while conduction of Antiterroristic operation / Operation of Joint Forces.
Materials and metods. Complex medical-statistical investigation was performed, in which 684 wounded persons, suffering a combat surgical trauma were included. Dynamical medical control and determination of the trauma severity degree in accordance to AdTS (Admission trauma Scale) were applied on all levels of medical support.
Results. In the beginning of conduction of Antiterroristic operation / Operation of Joint Forces a mortallty have had occurred during transportation of wounded persons in unstable state (more than 9 points) to military-medical clinical centers. The wounded persons in a traumatic shock state were transported on forth level of medical support, what have been considered an organization defect in the help deliver process, which leaded to death of military persons. At the same time an unjustified delay of transportation of servicemen, suffering wounds of the wrist and foot (up to 5 points), on the first and second levels of medical support, leading to development of severe complications, have occurred. Taking into account the above mentioned, the authors have provided a differentiated approach for medical evacuation of wounded persons, suffering a combat surgical trauma, depending on its severity degree.
Conclusion. Evacuation of wounded persons, suffering a combat surgical trauma, constitutes an integral part of the medical support system of Antiterroristic operation/Operation of Joint Forces, closely connected with a medical support process during transportation. Medical evacuation of wounded persons with injuries of the vision organ, the wrist and foot must be accomplished urgently to specialized clinic of the fourth level of medical support.
28
Lamontagne, Maurice, Denis Demers, and Florin Savopol. "Description et analyse du glissement de terrain meurtrier du 25 octobre 1870 dans le rang des Lahaie, Sainte-Geneviève-de-Batiscan, Québec." Canadian Journal of Earth Sciences 44, no. 7 (July 1, 2007): 947–60. http://dx.doi.org/10.1139/e07-001.
Full textAbstract:
This study presents and analyses a deadly landslide that occurred in October 1870 on a clay slope of the Champlain River at Sainte-Geneviève-de-Batiscan, Quebec. Based on contemporary newspapers and a coroner's report, we can now determine the time of origin, the number and the names of the casualties, and the circumstances of their death. The landslide occurred on 25 October 1870, killing three people instantly while mortally wounding a fourth one. Correlating information with land ownership, we determined that the landslide was located in the rang des Lahaie, in Sainte-Geneviève-de-Batiscan. A number of factors could have lead to the triggering of the landslide : vibrations from the magnitude 6 ½ Charlevoix earthquake of 20 October 1870 or its aftershocks, rainfall, riverbank erosion, or local natural gas sources. Results from recent geotechnical borings indicate that the landslide has occurred in homogeneous clay sequences that should not liquefy under seismic vibrations. We infer that the enhanced fall season water infiltration, possibly coupled with river bank erosion, may have favoured the triggering of this event. The geotechnical properties of the clay, the morphology of the landslide scar, together with the description of a witness all suggest that the event was a quick clay landslide, typical of many others identified along the Champlain River.
29
Karabulut, H., F. Toraman, C. Alhan, G. Çamur, S. Evrenkaya, S. Daǧdelen, and S. Tarcan. "EuroSCORE Overestimates the Cardiac Operative Risk." Cardiovascular Surgery 11, no. 4 (August 2003): 295–98. http://dx.doi.org/10.1177/096721090301100408.
Full textAbstract:
Introduction: It was the purpose of our study to assess the validity of EuroSCORE (European system for cardiac operative risk evaluation) in our patient population. Materials and Methods: Between March 1999 and August 2001, information on risk factors and mortality was collected for 1123 consecutive adult patients undergoing heart surgery with cardiopulmonary bypass. EuroSCORE was used for risk stratification. Mean age ± standard deviation was 58.6 ± 10.9 and 29.1% of the patients were female. The area under the receiver operating characteristic (ROC) curve was calculated as an index for the predictive value of the scoring system. Results: The area under the ROC curve was 0.824 for all patients and 0.828 for the isolated CABG subgroup which shows an excellent predictive ability. When the scoring system was applied in low, medium, and high risk groups, there was no overlap between 95% confidence intervals of observed and expected mortality in all three groups both for the isolated CABG cases and for all patients. Decreased left ventricular ejection fraction, emergent operation, and preoperative unstable angina requiring i.v. nitrate treatment were significant predictive variables for early mortality. Conclusion: EuroSCORE is a simple and objective system for predicting the risk of heart surgery. The predictive power of the EuroSCORE is excellent, however it seems that mortally is considerably overestimated by this score.
30
Whyte, Susan Reynolds. "Going Home? Belonging and Burial in the Era of AIDS." Africa 75, no. 2 (May 2005): 154–72. http://dx.doi.org/10.3366/afr.2005.75.2.154.
Full textAbstract:
AbstractIn Eastern Uganda, a married woman should be buried at her husband's home, raising questions such as: which husband? were they really married? These questions become urgent when a woman dies at the home of her parents or brothers, a situation that has become increasingly common as women ill with AIDS seek care from their families of orientation. In Bunyole, the ways in which a woman ‘belongs’ to two different homes are brought out as discussions proceed about where she should be buried. This article uses accounts of cases where there was uncertainty about the burial site to show how people justify the choice of a ‘final home’. ‘Arguments of cultural rules’ are used to underwrite demands about bridewealth, while ‘arguments of affection’ are put forward in sympathy for women who needed care or were loved by children. The location of the grave provides a vantage point for looking at how home and marriage take on significance for women in distress. The explanations provide a window on the ways families reason about rights, obligation, virtue and compassion. They show the enduring importance of a woman's natal family; in the era of AIDS, mortally ill women are usually cared for by parents and siblings even though their corpses may be carried to a husband's home for burial.
31
Scholz, Leander. "Der Tod als ästhetisches Experiment." Zeitschrift für Ästhetik und Allgemeine Kunstwissenschaft 57, no. 2 (2012): 150–61. http://dx.doi.org/10.28937/1000107600.
Full textAbstract:
Als der Künstler Gregor Schneider im Frühjahr 2008 ein Kunstprojekt ankündigte, bei dem ein Mensch, der im Sterben liegt, im Rahmen einer künstlerischen Performance ausgestellt werden sollte, waren die Reaktionen überwiegend äußerst kritisch. Während Gregor Schneider sein Projekt explizit als einen humanistischen Beitrag verstand, der sich gegen die Tabuisierung des Sterbens richten sollte, sahen die meisten Kommentatoren darin eine pietätslose Preisgabe des Sterbenden an die voyeuristischen Blicke des Publikums. Vor dem Hintergrund dieser Diskussion geht der Aufsatz der Frage nach, was es bedeutet, den Tod eines Menschen wie ein künstlerisches Werk zu inszenieren, und ordnet den Anspruch einer nicht nur ethischen, sondern auch ästhetischen Selbstbestimmung angesichts des Todes in die humanistische Tradition des modernen Werkgedankens ein.<br><br>In the spring of 2008, the artist Georg Schneider announced an art performance with a mortally ill person. Most of the responses to this art project were very critical. While the artist argued that the exhibition of a dying person should be understood as a humanistic intervention against the social taboo of death, commentators often criticized the exhibition as voyeuristic. Based on this discussion, the article explores what it means to stage a dying person as a piece of art and investigates the historical conditions of this project by locating the longing for ethic and aesthetic self-determination within the humanistic tradition of the modern concept of the work of art.
32
Begum, Shamim Ara, Ibrahim Khalil, Chanchal Kumar Mandal, Md Moynul Hasan, and Mohammad Ali Kawsar. "Folic acid deficiency related to hyperhomocystinemia has less correlation with Gestational Diabetes Mellitus (GDM)." Update Dental College Journal 6, no. 1 (August 13, 2016): 1–7. http://dx.doi.org/10.3329/updcj.v6i1.29213.
Full textAbstract:
Gestational diabetes mellitus (GDM) is a different degree of the glucose intolerance that begins during pregnancy. GDM affects maternal and child health and is associated with a potential for preeclampsia, caesarean delivery due to macrosomic baby and type 2 diabetes in the mother, and with higher rates of perinatal mortally and many abnormalities in the infant. Homocysteine is a naturally occurring amino acid. Hyperhomocysteinemia(Hcy) is increased homocysteine levels which are associated folic acid deficiency. Hcy is regulated by several factors including genetically determined metabolic enzyme alteration, nutritional status, underlying disease, certain medication, age and pregnancy. A total of (40 case+40control) 80 patients are included in this study, it was observed that majority 21(52.5%) patients were age belonged to 31-35 years in case group and 17(42.5%) patients were age belonged to 31-35 years in control group. The mean age was found 30.5±4.2 years in case group and 29.05±4.2 years in control group. Majority 19(47.5%) patients had 3rd gravida in case group and 20(50.0%) patients had 3rd gravida in control group. Majority patients BMI belonged to 25-29.9 kg/m2 (over weight) in both groups which was 21(52.5%) in case and 32(80.0%) in control group. The mean BMI was found 28.9±3.4 kg/m2 in case and 28.53±2.9 kg/m2 in control group. The difference was not statistically significant (p>0.05) between two groups. Studies have shown that folate deficiency is associated with increased homocysteine levels in blood.Update Dent. Coll. j: 2016; 6 (1): 01-07
33
Matteson, John. "Mailer, Doctorow, Roth. A Cross-Generational Reading of the American Berserk." Review of International American Studies 13, no. 1 (August 16, 2020): 53–74. http://dx.doi.org/10.31261/rias.7566.
Full textAbstract:
Of all American paradoxes, none is greater than this: that the typical American cherishes free speech but is almost mortally offended by public protest, which he regards as at best lacking in taste and at worst an outright crime. A nation founded on dissent, America is exquisitely uncomfortable with ill-mannered disagreement. More than freedom itself, an American is likely to value moral insularity and absolution: he wants to live his life free from ethical challenge. He seeks suburban anesthesia, a life of commercial abundance untroubled by the pain inflicted elsewhere to maintain it, whether through military aggression or the global exploitation of labor. The American hopes to be reminded that he is good and blameless — and quickly condemns his critics as envious or mad or driven by dark agendas. As by an unwritten law, he denounces protest as an offense against his amour propre. This condemnation, ipso facto, makes a figurative criminal of the protester, who, when her efforts are scorned, finds herself not trying to persuade, but acting in a spirit of resentment and self-vindication. She sees any act by her countryman that does not challenge the social system as intolerable evidence of complicity and collaboration. The spirit of compromise vanishes, and the protester risks falling into the attitude described by Philip Roth as “the American berserk.” My address examines this process of polarization through three indispensable American novels of protest: Norman Mailer’s Armies of the Night; E.L. Doctorow’s The Book of Daniel; and Philip Roth’s American Pastoral.
34
Lawrence, Jon. "Popular Radicalism and the Socialist Revival in Britain." Journal of British Studies 31, no. 2 (April 1992): 163–86. http://dx.doi.org/10.1086/386002.
Full textAbstract:
The twentieth century has not been kind to the “Whig interpretation of history” with its emphasis on the inexorable triumph of reason and progress. Mortally wounded on the battlefields of Flanders, the liberal certainties that underpinned it were finally laid to rest in the shadow of the Holocaust. With the Whig interpretation died the tradition of seeing nineteenth-century politics in terms of the gradual, but uninterrupted, evolution of democratic principles and institutions. In its place emerged a new orthodoxy that stressed the discontinuities of popular politics during the nineteenth century and argued for three distinct phases of political development. The first, a phase of militant, semirevolutionary politics, coincided with the “industrial revolution” and led up to the defeat of Chartism in the late 1840s. This, it was argued, was followed by a period of stabilization during the mid-Victorian decades characterized by relative prosperity and political docility among the working classes. The final phase began with the economic downturn of the late 1870s and was said to have witnessed the reemergence of working-class militancy and socialist politics and to have culminated in the formation of the class-based Labour party.This three-phase model emerged in embryonic form between the wars in the agitprop histories of Marxist writers such as Theodore Rothstein and T. A. Jackson and in the more influential works of G. D. H. Cole and the Hammonds. At the same time, many of the reductionist assumptions that underpinned it were simultaneously finding favor within Britain's emergent school of economic historians.
35
Powles, T., T. Oliver, M. Ostrowski, J. Levay, J. Shamash, and M. Williams. "The long term side effects of adjuvant carboplatin for stage 1 seminoma." Journal of Clinical Oncology 25, no. 18_suppl (June 20, 2007): 5089. http://dx.doi.org/10.1200/jco.2007.25.18_suppl.5089.
Full textAbstract:
5089 Background: Radiotherapy is associated with an increase of second cancer and cardiovascular disease. Because of difficulties in detecting recurrence on surveillance which can occur out to 10 years, this unit has developed Carboplatin as the treatment for these patients and this abstract summarises late events in these 3 cohorts. Methods: Radiation therapy consisted of para-aortic and pelvis treatment (3,000 cGy). This occurred between 1960 and 1978. Surveillance began in 1980 and Carboplatin studies in 1984 with 2 courses of 450 mg/m2 being standard until 1987 when 1 course AUC × 7 was introduced and with increased confidence became standard. Results: Seventy-eight patients were treated with radiotherapy (median follow up 17 years). Overall mortally was 24% at 20 years compared with expected 10%. Death from germ cell cancer was 4.0%, deaths from 2nd non-germ cell cancer were 13%, and deaths from other causes was 7.0%. For surveillance (n=110, median follow up 9.8 years) there were 1.7% deaths, with no germ cell or non-germ cell cancer related deaths., and 1.7% deaths due to non cancer. Carboplatin (n=186, median follow up 9.5 years 97>10 yrs, and 38 >15 yrs) was associated with 98% survival at 10 years with 0 deaths due to GCC (3% relapse all before 3 years) 1% due to second non-GCC cancer and 1% to other causes. Conclusion: The numbers of cases are too small to be absolutely confident of these figures. However, this data suggests there are no late relapses and no excess of cancer or cardiovascular deaths in the single agent carboplatin cohort. No significant financial relationships to disclose.
36
Grin’, A. A., R. A. Kovalenko, N. А. Konovalov, D. V. Efimov, A. V. Antonov, and I. M. Godkov. "Damage to vessels and retroperitoneal organs during lumbar spine surgery through the posterior approach." Russian journal of neurosurgery 20, no. 2 (July 20, 2018): 35–42. http://dx.doi.org/10.17650/1683-3295-2018-20-2-35-42.
Full textAbstract:
The study objective is to summarize the existing literature and own experience related to damage to vessels, retroperitoneal organs, and abdominal organs during lumbar spine surgery through the posterior approach, as well as to identify risk factors associated with this damage and to describe measures for their elimination and prevention.Materials and methods. In addition to analyzing the research literature, we also described 9 cases (3 males and 6 females; mean age 52 ± 9 years) of intraoperative damage to vessels and adjacent organs during lumbar spine surgery for some degenerative disease, including herniated disc (n = 7), anterolisthesis (n = 1), and vertebral-motor segment instability (n = 1). The surgery was performed at the L4–L5 level (n = 7) and L5–S1 level (n = 2). Results. The damages observed in the cohort analyzed were caused by a conchotome (n = 6), transpedicular screw (n = 1), Volkmann spoon (n = 1), and a tip of the SpineJet Hydrodiscectomy System (n = 1). The following structures were damaged; left common iliac vein (n = 2), left common iliac artery (n = 2), left common iliac vein and root of the small-bowel mesentery (n = 1), sigmoid colon (n = 1), aorta (n = 1), inferior vena cava (n = 1), and aortocaval anastomosis (n = 1). Five patients had intraoperative hemorrhagic complications. Four patients were found to have damage to vessels or abdominal organs later (1 h, 2 h, 3 days, and 4 months postoperatively). Four patients were discharged without consequences; 2 patients became disabled; 3 patients died.Conclusion. Damage to vessels, retroperitoneal organs, and abdominal organs during lumbar spine surgery through the posterior approach is a rare, but mortally dangerous complication. Spine surgery should be performed in multi-unit hospitals that have a surgery unit, a vascular surgery unit, an intensive care unit, and a sufficient supply of blood for transfusion.
37
Pająkowska-Bouallegui, Anna. "The History of the Remains of the Roman Emperor, Julian the Apostate." Studia Ceranea 9 (December 30, 2019): 333–49. http://dx.doi.org/10.18778/2084-140x.09.18.
Full textAbstract:
Julian (Flavius Claudius Iulianus), called the Apostate, Roman emperor in the years 361–363, was one of the most intriguing rulers. From antiquity to the present day he invariably aroused great interest, both during his life and after his death. He was a just emperor, a wise commander, and a very talented writer. On 26 June 363 Julian the Apostate was mortally wounded during a battle with the Persians. He spent the last moments of his life discussing with philosophers Priskus and Maksimus the nobility of the soul, as we learn from the historian Ammianus Marcellinus. The ruler then showed, perhaps too ostentatiously, his greatest passion: love of virtue and fame. Julian the Apostate died at the age of thirty-two after only twenty months of his rule. Julian’s body, as Gregory of Nazianzus recalls, was transported from Nisibis to Tarsus in Cilicia, which took fifteen days. The subjects greeted the arrival of the body with a mournful lament or contemptuous insults, as the Father of the Church adds. Julian wanted to rest after death in Tarsus, in a mausoleum next to a small temple on the banks of the Cydnus River. Then, at an unspecified time, as the chronicler Zonaras recalls, the body of Emperor Julian the Apostate was transferred to Constantinople and buried in the Church of the Holy Apostles. Constantine Porphyrogenitus in his collection On the ceremonies of the imperial court (book II, chapter 42) mentions the grave of Julian. Today one of the porphyry sarcophagi, kept in the Archaeological Museum in Istanbul, is sometimes considered the Julian sarcophagus. The theme of this article is an attempt to determine the posthumous fate of Emperor Julian the Apostate’s body, i.e. when and in what circumstances it was transferred to Constantinople.
38
Khatun, Wajiha, Ashraful Alam, Sabrina Rasheed, Tanvir M. Huda, and Michael J. Dibley. "Exploring the intergenerational effects of undernutrition: association of maternal height with neonatal, infant and under-five mortality in Bangladesh." BMJ Global Health 3, no. 6 (November 2018): e000881. http://dx.doi.org/10.1136/bmjgh-2018-000881.
Full textAbstract:
BackgroundGlobal or regional evidence showed maternal height as a strong predictor of child survival. However, there is limited information that confirms the intergenerational effect of short maternal height on the risk of offspring mortality in Bangladesh. Therefore, this study aimed to examine the association of maternal height with neonatal, infant and under-five mortality in Bangladesh.MethodsIt was a pooled analysis of data from four rounds of Bangladesh Demographic and Health Surveys 2004, 2007, 2011 and 2014. We included singleton children aged 0–59 months born to mothers aged 15–49 years (n = 29 698). Mothers were interviewed to collect data on maternal and child characteristics, and socio-demographic information. Maternal height was measured using an adjustable measuring board calibrated in millimetres. We used STATA V.14.2 and adjusted for the cluster sampling design. Multivariate ‘Modified Poisson Regression’ was performed using stepwise backward elimination procedures to examine the association between maternal height and child death.ResultsIn the adjusted model, every 1 cm increase maternal height was associated with a reduced risk of neonatal mortality (relative risk (RR) = 0.973, 95% CI 0.960 to 0.986), infant mortality (RR = 0.980, 95% CI 0.969 to 0.991) and under-five mortality (RR = 0.982, 95% CI 0.972 to 0.992). Children of the shortest mothers (height<145 cm) had 1.73 times greater risk of neonatal mortality, about 1.60 times greater risk of infant mortality and 1.48 times greater risk of under-five mortality compared with those of tall mothers (height≥155 cm). Among the children of the shortest mothers (height<145 cm), the absolute probabilities for neonatal, infant and under-five mortality were 4.4%, 6.0% and 6.5%, respectively, while for the children of the tall mothers (height≥ 155 cm), the absolute probabilities for neonatal, infant and under-five mortality were 2.6%, 3.7 %, and 4.4%, respectively.ConclusionThese findings suggest a robust intergenerational linkage between short maternal height and the risk of neonatal, infant and under-five mortally in Bangladesh.
39
Satin, Allan D. "Where They Lie: The story of the Jewish Soldiers of the North and South Whose Deaths—Killed, Mortally Wounded or Died of Disease or Other Causes—Occurred During the Civil War, 1861-1865 (review)." Civil War History 44, no. 1 (1998): 70–71. http://dx.doi.org/10.1353/cwh.1998.0026.
Full text
40
Bajracharya, A., A. Agrawal, B. R. Yam, C. S. Agrawal, and Owen Lewis. "Spectrum of surgical trauma and associated head injuries at a university hospital in eastern Nepal." Journal of Neurosciences in Rural Practice 01, no. 01 (January 2010): 02–08. http://dx.doi.org/10.4103/0976-3147.63092.
Full textAbstract:
ABSTRACT Background: Trauma is one of the common surgical emergencies presenting at B. P. Koirala Institute of Health Sciences (BPKIHS), Nepal, a tertiary referral center catering to the needs of the population of Eastern Nepal and nearby districts of India. Objective: The objective of this study is to analyze the magnitude, epidemiological, clinical profile and outcome of trauma at B P Koirala Institute of Health Sciences. Materials and Methods: This descriptive case series study includes all patients with history of trauma coming to BPKIHS emergency and referred to the surgery department. We noted the detailed clinical history and examination, demographics, mechanism of injury, nature of injury, time of reporting in emergency, treatment offered (operative or non operative management) and analyzed details of operative procedure (i.e. laparotomy, thoracotomy, craniotomy etc.), average length of hospital stay, morbidity and outcome (according to Glasgow outcome scale). Collected data were analyzed using EpiInfo 2000 statistical software. Results: There were 1848 patients eligible to be included in the study. The mean age of the patients was 28.9 ± 19.3 years. Majority of the patients (38%) belonged to the age group of 21 - 40 years and the male to female ratio was 2.7:1. Most of the trauma victims were students (30%) followed by laborers (27%) and farmers (22%) respectively. The commonest causes of injury were fall from height (39%), road traffic accident (38%) and physical assault (18%); 78% of the patients were managed conservatively and 22% underwent operative management. Postoperative complications were seen in 18%. Wound infection 7.5%, neurological deficit including cerebrospinal fluid (CSF) otrorrhea was seen in 2.2% patients. Good recovery was seen in 84%, moderate disability in 5.2% patients and severe disability in 1.4% patients. The mortally was 6.3% and most of the deaths were related to traumatic brain injuries. Conclusions: In Nepal, trauma-related injury contributes significantly to morbidity and mortality and is the third leading cause of death. There are very few studies on trauma from this country and hence this study will help in understanding the etiology and outcome particularly in the Eastern region of Nepal.
41
Porsdam, Helle. "In the Age of Lawspeak: Tom Wolfe's The Bonfire of the Vanities and American Litigiousness." Journal of American Studies 25, no. 1 (April 1991): 39–57. http://dx.doi.org/10.1017/s0021875800028103.
Full textAbstract:
When, on his way back to Manhattan from Kennedy Airport where he has picked up his girlfriend Maria, Sherman McCoy, the protagonist of Tom Wolfe's The Bonfire of the Vanities, takes a wrong exit, he gets lost and ends up in the Bronx. This is Sherman's first meeting with the Bronx, and it turns out to be nothing less than a catastrophe. A wealthy Wall Street stockbroker with a very WASP background, Sherman McCoy has lived his life under conditions as remote from those of any child growing up in the Bronx as can possibly be. The distance between McCoy's Manhattan – that of his business address, Wall Street, as well as his private one, Fifth Avenue – and the Bronx may not be great in geographical terms; in economic and psychological terms, however, it is enormous. In the Bronx, McCoy encounters “the other” America, the poor, non-white, and violent America from which his sheltered background has successfully shielded him until he is well into his thirties. He, or rather his girlfriend Maria, runs down and mortally wounds a young black man – an accident for which later Sherman gets all the blame and is put to trial. Puzzled and frightened, Sherman does not quite know how to relate to the Bronx and to the accident, and it is Maria who finally has to enlighten and explain to him what it is all about:Sherman, let me tell you something. There's two kinds a jungles. Wall Street is a jungle. You've heard that, haven't you? You know how to handle yourself in that jungle…. And then there's the other jungle. That's the one we got lost in the other night, in the Bronx…. You don't live in that jungle, Sherman, and you never have. You know what's in that jungle? People who are all the time crossing back and forth, back and forth, from this side of the law to the other side…. You don't know what that's like. You had a good upbringing. Laws weren't any kind of a threat to you. They were your laws, Sherman, people like you and your family's…. And let me tell you something else. Right there on the line everyody's an animal – the police, the judges, the criminals, everybody (p. 275).
42
Halloran, Christopher, John P. Neoptolemos, Kellie Platt, Richard Jackson, Srikanth Reddy, Derek Oreilly, Andreas Prachalias, et al. "PANasta Trial: Cattell Warren versus Blumgart techniques of pancreatico-jejunostomy following pancreato-duodenectomy—A double-blinded multi-centered trial, trial results." Journal of Clinical Oncology 38, no. 15_suppl (May 20, 2020): 4619. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.4619.
Full textAbstract:
4619 Background: Pancreatic anastomosis failure following pancreatic head excision, for suspected pancreatic cancer, leads to longer recovery and failure to start or complete adjuvant chemotherapy. The aim of this study is to evaluate whether a Blumgart anastomosis (BA) reduces the post operative pancreatic fistula (POPF) rate compared to a more traditional Cattell-Warren anastomosis (CWA). Methods: Patients with suspected pancreatic cancer, undergoing elective pancreato-duodenectomy were randomized intra-operatively to either a BA or a CWA. Anastomoses were constructed according to prior agreed techniques and an operative manual describing key surgical steps. Quality control of these key steps and adherence to the arm of randomization was ensured by operative photographs. Surgical drain amylase was measured post-operatively to establish the primary end point of POPF. These were graded A (biochemical) or B and C (clinically relevant, CR-POPF). Secondary endpoints included: Entry in adjuvant therapy, hospital stay, mortality and survival. Overall survival was estimated using the method of Kaplan Meier and defined as the time from randomisation until death by any cause with alive patients censored at the end of study date. Results: Between May 5 2015 and August 7 2017, 238 patients were randomized, 2 patients withdrew, leaving 236 patients for analysis (112 BA, 124 CWA). Median age was 70 years, 63% were men. Median time from diagnosis to randomization (surgery) was 33 days for both arms. In the BA arm there were 28 POPF’s (15-A, 10-B and 3-C) and 32 in the CWA arm (18-A, 12-B and 2-C), p = 0.887. In total 27 patients (11.4%) developed a CR-POPF, BA 13 (5.5%), CWA 14 (5.9%), p = 0.857. 75% of eligible patients entered chemotherapy, with a median (IQR) time to the start treatment of 2.55 (2.27, 3.15) months for the BA group and 2.87 (2.56, 3.75) for the CWA group. Median hospital stay (IQR) in days was 13 (10-24) for BA and 14.5 (10-22) for CWA, p = 0.232. The overall surgical related mortally at 90 days was 1.7%. 44 study deaths were observed, 35 were due to disease progression (BA 19, CWA 16). A hazard ratio (95% CI) of 0.72 (0.4, 1.311) shows better, but not statistically significant survival for the CWA group. Conclusions: This is the largest surgical trial ever conducted comparing these techniques and there was no significant difference in the POPF rate between the BA and CWA anastomoses. In a UK population the clinically relevant POPF rate is 11% and 75% of eligible patients enter chemotherapy. Clinical trial information: ISRCTN52263879 .
43
Genc Yavuz, Burcu, Sahin Colak, Ramazan Guven, İbrahim Altundag, Avni Uygar Seyhan, and Rumeysa Gunay Inanc. "Clinical Features of the 60 Years and Older Patients Infected with 2019 Novel Coronavirus: Can We Predict Mortality Earlier?" Gerontology 67, no. 4 (2021): 433–40. http://dx.doi.org/10.1159/000514481.
Full textAbstract:
<b><i>Introduction:</i></b> The novel coronavirus (COVID-19), which has affected over 100 countries in a short while, progresses more mortally in elderly patients with comorbidities. In this study, we examined the epidemiological, clinical, and laboratory characteristics of the patients aged 60 and over who had been infected with COVID-19. <b><i>Methods:</i></b> The data of the patients admitted to the hospital within 1 month from May 8, 2020 onwards and hospitalized for COVID-19 pneumonia were obtained from the hospital medical records, and the epidemiological, clinical, and laboratory parameters of the patients during the admission to the emergency department were examined. Patients were divided into 2 groups regarding the criteria of having in-hospital mortality (mortality group) and being discharged with full recovery (survivor group). The factors, which could have an impact on the mortality, were investigated using a univariate and multivariate logistic regression analysis. <b><i>Results:</i></b> This retrospective study included 113 patients aged 60 years and older, with a confirmed diagnosis of COVID-19 pneumonia. The mean age of the patients was 70.7 ± 7.9, and 64.6% (<i>n</i> = 73) of them were male. The mortality rate was 19.4% (<i>n</i> = 22). Among the comorbid illnesses, only renal failure was significant in the mortality group (<i>p</i> = 0.04). A CURB-6<b>5</b>score ≥3 or pneumonia severity index (PSI) class ≥4 manifested a remarkable discrimination ability to predict 30-day mortality (<i>p</i> < 0.001). When the laboratory parameters were considered, the value of neutrophil to lymphocyte ratio (NLR) was significant in predicting mortality in univariate and multivariate analysis (odds ratio [OR] = 1.11; 95% confidence interval [95% CI], 1.03–1.21; <i>p</i> = 0.006, and OR = 1.51; 95% CI, 1.11–2.39; <i>p</i> = 0.044, respectively). <b><i>Conclusion:</i></b> In our study, NLR was determined to be an independent marker to predict in-hospital mortality among patients with COVID-19. PSI and CURB-65 revealed a considerably precise prognostic accuracy for the patients with COVID-19 in our study as well. Moreover, thanks to that NLR results in a very short time, it can enable the clinician to predict mortality before the scoring systems are calculated and hasten the management of the patients in the chaotic environment of the emergency room.
44
Sanaie, Sarvin, and Ata Mahmoodpoor. "Dysglycemia in Critically Ill Patients: Common Problems and Future Direction." Advances in Bioscience and Clinical Medicine 5, no. 3 (July 1, 2017): 1. http://dx.doi.org/10.7575/aiac.abcmed.17.05.03.01.
Full textAbstract:
The management of blood glucose (BG) in the critically ill became a topic of great interest following the publication of the landmark single-center surgical ICU study targeting euglycemia (80 to 110 mg/dL) in Leuven, Belgium, in 2001 (1). This study resulted in thousands of protocols and guidelines promoting 'tight' BG control . The failure to show the same results and high incidence of hypoglycemia in following trials have resulted in controversy in blood glucose management in critically ill patients. Analysis of dysglycemia in critically ill patients should include markers of three domains: hyperglycemia, hypoglycemia, and glycemic variability (2,3). Thus, hyperglycemia, hypoglycemia, and blood glucose variability should all be regarded as independent predictors of adverse outcomes in critically ill patients. Agus et al., in their multicenter study (4), showed that critically ill children with hyperglycemia did not benefit from strict glycemic control to a target glucose of 80-110 mg/dL compared to 150-180 mg/dL and patients in lower treatment target showed an insignificant 90-day mortally rate compared to other group. There are so many reasons to describe these controversies: In LEUVEN III study (5), despite a 25% hypoglycemia incidence, tight glycemic control had a significant treatment effect; nevertheless, in Agus et al. study, despite a lower incidence of hypoglycemia, treatment effect was not significant. The reasons can be explained with the fact that first trials were single centered open label studies which were terminated at early stages of the study because of observed benefits which may have exaggerated the treatment effect. Also, the observed difference was found in subgroup analysis which could have been due to chance factor. Findings from RCTs conducted on critically ill adults and children strongly suggest that the largest benefit for blood glucose control can be expected if the difference in blood glucose concentrations between the study groups is large and if the study is done in a single-centre setting where the blood glucose management is tailored to the local treatment habits. Consequently, we could not compare those single centered trials which are not externally validated with high level of adherence to protocols, lower time to target range, higher time in target range with multi centered trials with a low level of adherence to protocol higher time to target range, lower time in target range and a totally different method of energy supplementation. Finally, the era of 'one size fits all' in regard to glycemic targets in the critically ill seems to be over. We should also consider the correct and earlier diagnosis of patients, their glycemic status and preadmission glycemic control individually (6). Future trials should consider the discrepancies accounting for controversial points like nutritional status of patients, glucose monitoring methods (7) and insulin titration method.
45
Kamoda, Harunai, Shelly Lelyana, and Vinna Kurniawati Sugiaman. "Kadar hambat minimum dan kadar bunuh minimum ekstrak etanol lengkuas merah (Alpinia galanga L.) terhadap pertumbuhan Candida albicansThe minimum inhibitory concentration and a minimum lethal dose of red galangal (Alpinia galanga L.) ethanolic extract on the growth of Candida albicans." Jurnal Kedokteran Gigi Universitas Padjadjaran 32, no. 1 (April 30, 2020): 1. http://dx.doi.org/10.24198/jkg.v32i1.25422.
Full textAbstract:
Pendahuluan: Kandidiasis rongga mulut merupakan infeksi yang disebabkan oleh jamur patogen Candida albicans, dengan prevalensi cukup tinggi yaitu 20% - 75%. Obat antijamur yang umum digunakan untuk pengobatan kandidiasis rongga mulut adalah nistatin, akan tetapi nistatin memiliki efek samping dan harganya relatif mahal. Sebagai alternatif lain digunakan tanaman obat seperti lengkuas merah (Alpinia galanga L) yang diduga memiliki aktivitas antijamur. Tujuan penelitian ini adalah untuk mengetahui kadar hambat minimum (KHM) dan kadar bunuh minimum (KBM) ekstrak etanol lengkuas merah terhadap pertumbuhan Candida albicans. Metode: Jenis penelitian eksperimental murni dengan membandingkan kelompok uji yang mengandung ekstrak etanol lengkuas merah (alpinia galanga L) dengan konsentrasi 200mg/ml; 100mg/ml; 50mg/ml; 25mg/ml; 12,5mg/ml; 6,25mg/ml; kontrol positif berupa nistatin, dan kontrol negatif berupa DMSO 10% terhadap pertumbuhan Candida albicans dengan mengamati kekeruhan larutan pada 96 well plate menggunakan spectrophotometer dan KBM ditentukan menggunakan colony counter dengan pengulangan sebanyak 4 kali. Analisis data menggunakan uji parametrik ANOVA dan uji Post Hoc Tuckey. Hasil: Hasil uji ANOVA nilai p 0,00 yang artinya bahwa kedua data memiliki nilai yang signifikan antar perlakuan, dan uji Post Hoc Tuckey memperlihatkan terdapat perbedaan yang signifikan pada setiap kelompok uji terhadap jumlah Candida. Simpulan: Kadar Hambat Minimum (KHM) ekstrak etanol lengkuas merah (Alpinia galanga L) terhadap pertumbuhan Candida albicancs adalah 200mg/ml namun hanya menghambat 60%, sedangkan ekstrak etanol lengkuas merah (Alpinia galanga L) tidak dapat membunuh Candida albicans.Kata kunci: Candida albicans, lengkuas merah, Alpinia galanga L. ABSTRACTIntroduction: Candida albicans is a pathogenic fungus that can cause oral candidiasis, reaches 20% - 70% prevalence in human. Antifungal drugs often used for oral candidiasis treatment is nystatin, but nystatin has many harmful side effects, and its price is relatively high. Therefore, herbal remedies such as red galangal (Alpinia galanga L.), which presumed to have antifungal activity, can be used as an alternative treatment. The purpose of this research was to determine the minimum inhibitory concentration and a minimum lethal dose of red galangal ethanolic extract on the growth of Candida albicans. Methods: This research was an experimental laboratory, conducted by comparing the test group containing ethanolic extracts of red galangal (Alpinia galanga L.) with the concentrations of 200mg/ml; 100mg/ml; 50mg/ml; 25mg/ml; 12.5mg/ml; and 6.25mg/ml; positive control group was treated with nystatin; and negative control with 10% DMSO. The solutions on 96 well plates were observed with a spectrophotometer, and the minimum killing concentration (MKC) was determined using a colony counter, and the experiment was replicated four times. The result was then analysed with ANOVA parametric test and the Post-Hoc Tuckey test afterwards. Results: The result of the ANOVA test showed that the p-value was < 0.05, which means that all treatments have a significant value, while the Post-Hoc Tuckey test indicated that there were significant differences in each group regarding the number of Candida albicans. Conclusion: Minimum Inhibitory Level (MIC) of red galangal (Alpinia galanga L) ethanolic extract against Candida albicans growth is 200mg/ml but only inhibits 60% of the growth. In contrast, the extract is unable to mortally affects the Candida albicans.Keywords: Candida albicans, red galangal, Alpinia galanga L.
46
БОРИСОВА, А. А. "Motif to destruction of the monster-abaasy in Yakut olonkho in comparative analysis with the Buryat epic." Эпосоведение, no. 3(19) (September 30, 2020): 118–24. http://dx.doi.org/10.25587/c2037-7658-4383-w.
Full textAbstract:
Рассматривается мотив уничтожения чудовища абаасы якутского олонхо в сравнительном анализе с бурятским улигером. Якутским материалом послужили тексты олонхо, опубликованные в «Образцах народной литературы якутов» Э. К. Пекарского (1907-1918). Бурятским источником были выбраны разные версии улигера «Гэсэр», изданные в 1960-1968 гг. Сюжет поединка героя со своим противником является кульминационным моментом в содержании обоих эпосов. Разумеется, главный герой всегда побеждает антагониста, ведь в этом и смысл героического эпоса. Мотивный фонд с описанием уничтожения врага является таким же кардинальным, как и мотив поединка. Смертельно опасный враг погибает от рук главного героя олонхо, но полностью не уничтоженное мертвое тело вновь оживает, продолжая творить зло и хаос. Известными исследователями тюрко-монгольского фольклора отмечены общие черты олонхо и улигера (В. М. Жирмунский, Е. М. Мелетинский, С. Ю. Неклюдов, И. В. Пухов, Г. У. Эргис, В. В. Илларионов и др.). Сравнительные работы в сфере тюрко-монгольской фольклористики продолжают вызывать интерес и требуют исследования с разных сторон. Сопоставительное изучение мотива уничтожения чудовищ якутского и бурятского эпосов еще не проводилось. Целью исследования является определение мотива уничтожения врагов героя якутского олонхо с описанием сходств и различий с бурятским эпосом. В работе использована методология текстологического анализа с применением описательного и сравнительного методов. Автором выявляется несколько общих моментов в исследуемом мотиве: способы сожжения трупа; воскрешение чудовища от останков тел; способ захоронения коня вместе с чудовищем. Победа главного героя и уничтожение чудовища показывает идею справедливости, превосходства добра над злом, светлой силы над темной. А в способности чудовища абаасы быть бессмертным заложена философская идея вечной борьбы добра и зла, которая остается неизменной и по сей день. Схожесть мотивов якутского и бурятского эпосов способствовала решению расширить исследовательский материал, привлечь эпические тексты других тюрко-монгольских народов. The motif of destruction of the monster-abaasy of Yakut olonkho in comparative analysis with Buryat uliger is considered. The Yakut material was the texts of olonkho, published in Samples of folk literature of Yakuts by E. K. Pekarsky (1907-1918). The Buryat source chose different versions of the street Geser, published in 1960-1968. The plot of the fight between the hero and his opponent is the culmination of the content of both olonkho. Of course, the main character always wins the antagonist, because this is the meaning of the heroic epic. The motif fund with the description of the enemy's destruction is as cardinal as the motif of the fight. The mortally dangerous enemy dies at the hands of the main character olonkho, and a completely undestroyed dead body comes to life, continuing to create evil and chaos. Famous researchers of Turkic-Mongolian folklore noted common features of olonkho and uliger (V. M. Zhirmunsky, E. M. Meletinsky, S. Yu. Neklyudov, I. V. Pukhov, G. U. Ergis, V. V. Illarionov, etc.). But comparative works in the field of Turkic-Mongolian folklore continue to arouse interest and require research from different sides. Study of the motif of destruction of monsters of the Yakut and Buryat epic has not yet been conducted. The aim of the research is to determine the motif of destruction of enemies of the Yakut olonkho hero, as well as to describe similarities and differences with the Buryat epic. The work uses the methodology of textological analysis using descriptive and comparative methods. The author reveals several general points in the studied motif: methods of burning the corpse; resurrection of the monster from the remains of bodies; method of burying the horse together with the monster. The victory of the main character and the destruction of the monster shows the idea of triumph of justice, the supremacy of good over evil, light power over dark. And in the beast's ability to be immortal is the philosophical idea of the eternal struggle of good and evil, which remains unchanged to this day. The similarity of motifs of Yakut and Buryat epics contributed to the decision to expand the research material and attract epic texts of other Turkic-Mongolian peoples.
47
Bahransyah, Daud. "LEMBAGA PENANGANAN KORBAN TINDAK KEKERASAN." Sosio Informa 8, no. 2 (January 1, 2007). http://dx.doi.org/10.33007/inf.v8i2.995.
Full textAbstract:
(Domestic Violence Prevention Organization).There are many case of violence action to the children and woman have been gape. There aremany variation victims, such as light injury, mortally wounded and undergo of physical defect until died. In the below will be explained about how far this case will be handle.Key words ; domestic violence, prevention
48
"�Without Frontino, the Mission of Urab� is mortally wounded�. Missionaries in the Apostolic Prefect." BOLET�N AMERICANISTA, no. 74 (2017). http://dx.doi.org/10.1344/ba2017.74.1011.
Full text
49
Beltrán Tapia, Francisco J., and Francisco J. Marco-Gracia. "Death, sex, and fertility: female infanticide in rural Spain, 1750–1950." European Review of Economic History, November 8, 2021. http://dx.doi.org/10.1093/ereh/heab023.
Full textAbstract:
Abstract Relying on longitudinal micro data from rural Spain between 1750 and 1950, this article evidences that families mortally neglected a significant fraction of their female babies. Firstly, baptism records exhibited exceptionally high sex ratios at birth until the late nineteenth century. Secondly, having no previous male siblings increased the probability of male baptisms. Likewise, this same feature, together with the number of siblings alive, also increased female mortality during the first day of life. These findings are concentrated at higher parities and among landless and semi-landless families. Lastly, under-registration cannot explain these patterns affecting female mortality shortly after birth.
50
Dessen, Alan C. "Much Virtue in O-Oh: A Case Study." Early Theatre 20, no. 2 (December 15, 2017). http://dx.doi.org/10.12745/et.20.2.3201.
Full textAbstract:
The ‘O, o, o, o’ that follows Hamlet’s ‘The rest is silence’ in Shakespeare's first folio has often been derided, but this signal is found in five other Shakespeare plays and in the words of dramatists as varied as Jonson, Middleton, Fletcher, Massinger, and Brome to indicate that a figure is dying, mortally wounded, or sick, or to generate a comic effect. Shakespeare was adept at using the tools at hand, but to understand his distinctive implementation of those tools requires a working knowledge of the theatrical vocabulary shared at that time by playwrights, players, and playgoers.