Background Morbidity and mortality conferences are a tool for evaluating care management, but they lack a precise format for practice in intensive care units.. Objectives To evaluate the feasibility and usefulness of regular morbidity and mortality conferences specific to intensive care units for improving quality of care and patient safety.. Methods For 1 year, a prospective study was conducted in an 18-bed intensive care unit. Events analyzed included deaths in the unit and 4 adverse events (unexpected cardiac arrest, unplanned extubation, reintubation within 24-48 hours after planned extubation, and readmission to the unit within 48 hours after discharge) considered potentially preventable in optimal intensive care practice. During conferences, events were collectively analyzed with the help of an external auditor to determine their severity, causality, and preventability.. Results During the study period, 260 deaths and 100 adverse events involving 300 patients were analyzed. The adverse ...
For research papers The BMJ has fully open peer review. This means that accepted research papers submitted from September 2014 onwards usually have their prepublication history posted alongside them on thebmj.com.. This prepublication history comprises all previous versions of the manuscript, the study protocol (submitting the protocol is mandatory for all clinical trials and encouraged for all other studies at The BMJ), the report from the manuscript committee meeting, the reviewers comments, and the authors responses to all the comments from reviewers and editors.. In rare instances we determine after careful consideration that we should not make certain portions of the prepublication record publicly available. For example, in cases of stigmatised illnesses we seek to protect the confidentiality of reviewers who have these illnesses. In other instances there may be legal or regulatory considerations that make it inadvisable or impermissible to make available certain parts of the ...
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This educational activity is designed to serve as a platform for reviewing the learning opportunities in selected, adverse events, and as a means to meet a graduate medical education requirement. More than 90% of academic programs have a M&M conference. In the Department of Surgery, residents and fellows predominate as the presenters and the primary audience, however the learning environment experience is strengthened with consistent faculty input ...
Ravi Kiran E, Vijaya K, Sajjan BS, Satish Kumar V, Aneeta R, AnandVimalDev D, Jegan P. Morbidity pattern and Time trends of Filaria cases at a PHC in Dakshina Kannada District. Ind. J. Pub. Health. 2005;49(2):100-101 ...
Values shown are as of October 1971.. Curative medical care was available free of charge to the villagers on weekdays throughout the period of the study at a clinic adjacent to the feeding center. The program relied on auxiliary nurses to provide care under the close supervision of a physician, to whom difficult cases were referred. Pregnant women were immunized against tetanus and children against tuberculosis, diphtheria, whooping cough, tetanus, measles, and poliomyelitis. Additional details are given in Habicht and Martorell (1992).. In addition to data on the intake of supplement by mothers and children, longitudinal information on diet, morbidity, growth, and mental development was collected at specific ages in children from birth to seven years of age, and dietary, morbidity, anthropometric, and clinical information on mothers during pregnancy and lactation. Diets were assessed by means of 24-hour dietary recalls, and morbidity data were collected through interviews of mothers at home ...
BACKGROUND: A significant proportion of cancer patients experience psychiatric morbidity in association with diagnosis and treatment. If this morbidity is to be reduced, a better understanding is needed of the factors which influence adjustment to cancer. METHOD: A review of the literature was carried out to explore those factors associated with poor psychological adjustment to cancer. These are described under four heading: characteristics of the patient; disease and treatment variables; the interaction between patient and illness; and environmental factors. RESULTS: A number of risk factors for psychiatric morbidity can be identified from each of the four areas. Methodological limitations are highlighted, in particular the preponderance of cross-sectional study designs. CONCLUSIONS: Increased awareness of the risk factors for psychiatric morbidity should lead to earlier detection and more appropriate treatment. Future research should focus on those risk factors which are potentially modifiable ...
TY - CHAP. T1 - Bereavement and long-term morbidity. T2 - an Australian project. AU - Bartrop, Roger W.. AU - Forcier, Lina. AU - Jones, Mike. AU - Kubb, Rosie. AU - Luckhurst, Elizabeth. AU - Penny, Ronald. PY - 1990/11/19. Y1 - 1990/11/19. N2 - spouse-bereaved subjects who had participated in earlier bereavement studies volunteered to allow investigation of their health up to eleven years after the death of their spouse. Re-enrolled controls were also studied over a similar period. Morbidity was measured in three ways: self-reports from the subjects, data obtained from medical records, and morbidity data common to both sources (confirmed data). The findings showed that the bereaved had an elevation in morbidity rate over non-bereaved, which was both substantial and statistically significant. Diseases of the circulatory system were significantly more common in the bereaved, as were psychiatric disorders in all data sources. Furthermore, bereaved had more respiratory and musculo-skeletal system ...
Participants mostly agreed that MMCs were beneficial in terms of healthcare quality and safety improvement. MMCs were perceived as beneficial for teamwork and the functioning of the unit. The improvement of practices and organization seemed to be the main objective perceived by the participants. Moreover, an educational role, for initial and continuing education, was perceived by most participants, particularly by the senior physicians. Most of participants were satisfied with MMCs and experienced a friendly and non-blaming environment.. The search for failures and the discussion of errors are well-documented opportunities for improvement of safety and education [2, 14]. The present results suggest that the analysis of these failures was perceived as determinant in improving patient safety. However, without a thorough analysis, this discussion seems to result in a blaming environment that is incompatible with constructive discussion [6, 15-18]. Indeed, personal failures are often spontaneously ...
This commentary describes how one academic hospital identified weaknesses in and subsequently enhanced its morbidity and mortality conferences.
Chronic disease morbidity and income level in an employed population.: Does Adding Laypersons to Primary Care Teams Improve Care for Chronic Diseases? The full
In this review the authors recognise the growing contribution of obesity to problems in obstetrics and gynaecology. They then focus on methods to reduce complications in intrapartum and gynaecological care particularly in relation to operating on the obese woman. Strategies to reduce surgical morbidity are discussed including consideration of the site of incision, asepsis and reduction in postoperative complications ...
Results Nine QOF conditions were identified as robust co-predictors (Hazard Ratio ≥1.2) of mortality independent of age and sex, and were assigned integer score weights based on the strength of their association with mortality. Cancer (HR=3.4) and Dementia (HR=2.8) were the strongest predictors. In a Cox model with age and sex included, the addition of the QOF score improved model discrimination in predicting mortality (c-statistic=0.82 vs. 0.78), performing similarly to the Charlson index, an established morbidity index. In a multilevel logistic model, an individuals QOF score explained more of the variation in mortality between practices than the Charlson index (46% compared to 32%). At practice level, the mean QOF score per patient was strongly correlated with practice standardised mortality ratios (r=0.64) and explained more variation in practice death rates than the Charlson index. ...
My overall area of interest is pediatric dermatology. In the course of providing patient care, my aim is to advance scientific knowledge in this field. This goal is achieved through clinical observation, clinical trials, and collaboration with laboratories exploring the molecular basis of disease. I am also interested in providing care for skin disease in developing countries. In the course of a number of projects in Latin America and Africa, I have developed protocols and teaching manuals for this purpose. Finally, I am actively involved in developing new models for teaching doctor-patient communication to medical students, residents, and practicing physicians in all fields of medicine. My work on this includes some new methods for teaching empathic communication in the course of traditional morbidity and mortality conferences.
Within this chapter, we begin with the invaluable context of the experience of living after cancer as a young person. Then we move to describe the growing body of data indicating the consequences of cancer in patients diagnosed aged as teenagers and young adults (YAs). We identify that, while the variation in definitions used in the literature hamper firm conclusions, specific patterns of substantial morbidity are observed which are distinct from those seen in younger children. When combined with the epidemiology, the overall burden of late effects of adolescents and YA cancer and its treatment are a substantial public health problem. The progress in parts of Europe and the US in bringing together outcomes into medium-sized data sets, combined with the gaps in the data and remaining uncertainties, mean that the time is right for international epidemiological ascertainment of these adverse effects. There are potential benefits for commencing prospective clinical as well retrospective ...
Objective: Review challenging clinical scenarios presented by surgical trainees. Attendees are encouraged to interact with the presenters and panelists in an "M&M" format.. Description: This is meant to be a dynamic, interactive session where residents present their most spectacular patient experiences in a format similar to morbidity and mortality conference. This is modeled after the session at the American College of Surgeons Clinical Congress where panelists are encouraged to challenge the presenter and fellow panelists as the case is chronologically unveiled. Cases that present particularly challenging scenarios in regards to clinical decision-making are encouraged.. Format: Submissions will be accepted in the standard Abstract format using the same criteria as allowed for other AHS abstract submissions. Presentations, however, are in a PowerPoint format and we encourage liberal use of de-identified imaging, pictures, and video to compliment the clinical information when possible. To allow ...
Stroke is a vascular disease for which mortality and morbidity are relatively well-documented because most stroke victims are admitted to hospitals. Trends in stroke mortality, incidence, and prevalence are somewhat similar to those for other cardiovascular conditions. Stroke mortality has been decreasing since the 1960s, but without a consistent decrease in stroke incidence. Stroke incidence has even been reported to have been higher in the 1980s than during the 1970s, and there was no sustained decline in incidence during the 1990s.... ...
Evaluation of the safety of the Perceval S prosthesis in terms of percentage incidence of mortality and morbidity at 3-6 months after ...
The Morbidity and Mortality Weekly Report (MMWR) Series is prepared by the Centers for Disease Control and Prevention (CDC). [It] is the agencys prim....
MedWorm checks thousands of medical RSS feeds each day and categorizes them for easy access. Here you can read summaries of all the latest updates from CDC Morbidity and Mortality Weekly Report
Joining continuous wireless glucose monitoring systems with the central monitoring system in the CCU could have powerful impact on morbidity and mortality rates.
in ICU, we have fewer cases to handle, but we offer maximal care that one could offer to those who are in need. still there are cases which we are not able to salvage, for example those who are in really bad with impending mortality, and those which curative management was not available at the…
A fanlisting is a place where people who enjoy similar things come together! All you have to do is join. You, of course, can show your pride by a small graphic on your LJ somewhere. But its really easy to join! Its really easy to join! My point is to make a place where people who love to think…
Tran, D., Jorm, L., Lujic, S., Bambrick, H. & Johnson, M. (2012). Country of birth recording in Australian hospital morbidity data : Accuracy and predictors. Australian and New Zealand Journal of Public Health,36(4), 310-316. Retrieved from https://doi.org/10.1111/j.1753-6405.2012.00893.x ...
Written by experts in the anesthesiology field, this book explores the various issues and complications that arise during the administration of anesthesiology in various clinical settings. Additionally, 26 real-life cases are explored and examined throughout the book
A primary objective of schistosomiasis control programmes is to achieve, and hence also demonstrate, a quantifiable reduction in schistosome-associated morbidity as a consequence of chemotherapeutic intervention. Inherent within such an objective, it is necessary to define and validate direct and indirect indicators of schistosome-related morbidity. However, to define and thereby document such morbidity, and its reduction following treatment, may not be straightforward, particularly for intestinal schistosomiasis-induced morbidity, which is often not apparent in all but the most severe or chronic cases. Within all Schistosomiasis Control Initiative activities, across selected sub-Saharan African countries since 2002, a range of standard and novel potential morbidity markers have been monitored and evaluated. Parasitological intensity measures, combined with haemoglobin/anaemia counts and ultrasonography, proved valuable schistosomiasis-related morbidity indicators, being both logistically ...
National Statistics Institute (Spain). Spain Hospital Morbidity Survey 2010. Madrid, Spain: National Statistics Institute (Spain ...
Pooja Chauhan1, V. Chandrashekar2. 1Assistant Professor, Department of Community Medicine, MRIMS, Hyderabad, 2Professor and Head of department of Community medicine, Narayana Medical College, Nellore.. Abstract :. Background: Health problems of the old people are a very important component of any healthcare delivery system. Age related changes in immune system and degenerative phenomenon render people susceptible to a variety of infections, neoplasia and other disabilities.. Objectives: To study the morbidity pattern among elderly people of Venkatachalem village, Nellore.. Methods: A cross-sectional study was conducted in Venkatachalem village. 290 people of age 60 yrs and above were included in the study. Morbidity was assessed by history taking, clinical examination, reviewing past medical records and medicines taken by the study subject.. Result: The average number of morbidity per person was 3.5. The common morbidities were joint complaints (65.9%), anemia (56.6%), cataract (48.3%), and ...
  Abstract   Background & Aim: Neonatal morbidity is known as an important problem in neonatal medicine. Since there has been a noticeable increase in rates of cesarean sections compared to normal vaginal delivery, determining the best time of delivery is of paramount importance. The aim of this study was to ...
Because of the diversity of the cardiac phenotypes, classification of the overall spectrum of congenital cardiac defects has always been challenging, with the challenge exacerbated by the oft-complex association of intracardiac and extracardiac defects. The more complex the pathology, nonetheless, the more important is the need for specialists to speak a common language, and to unify the diagnostic process.. Two systems of classifications for coding and establishing medical and administrative databases for congenital heart defects (CHD) are currently used globally: the 10th revised version of the International Classification of Diseases (ICD-10) [1], and the International Paediatric and Congenital Cardiac Code (IPCCC), the latter designed in particular for evaluating the results of congenital cardiac surgery [2].. ICD-10 was created by the World Health Organization to "permit the systematic analysis, the interpretation and the comparison of the mortality and morbidity data harvested in different ...
article{48bf2943-4c38-43f3-b6c6-e29be91dacfd, abstract = {Objective. Patients with RA have an increased risk of cardiovascular disease. Management of RA has changed substantially over time. Our aim was to evaluate changes in cardiovascular morbidity and mortality over the period of 1978-2002. Methods. Two cohorts of consecutive patients with RA seen at outpatient clinics in Malmö, Sweden, were started in 1978 (n = 148) and 1995 (n = 161) and compared with the corresponding background population. Patients were followed for 8 years, and fatal and non-fatal cardiovascular first events were identified using two national registers, hospital discharge and cause of death. Standardized morbidity ratio (SMoR) and standardized mortality ratio (SMR), adjusted for age and sex were calculated. Results. Sex distribution, age at disease onset and disease duration were similar in both groups. The 1995 cohort was more extensively treated with DMARDs and had less disease activity and disability. Total ...
Among the 155 interviews audited for quality control, only 25 of them (16.1%) had to change something in the records. Most the corrections were about identification data; in only six records (3.8%) the supervisor had to update morbidity data.. Discussion. This study presents an example of a simple and viable method of teleresearch in reproductive health to trace a specific subject selected from a database carried out in Brazil. Although telephone surveys have been used to explore information on health in developed settings for several years 1,15, there is still some discussion on the validity of telephone surveys for the administration of questionnaires and the mode of contact can interfere in response rates and account for selection bias in public health research. The validity of this method of collecting data needs a high rate of response to truly represent the studied population, therefore it is important to use recruitment methods that are easily reproducible 8,9,16,17.. In our study the ...
Definition of morbidity rate in the Legal Dictionary - by Free online English dictionary and encyclopedia. What is morbidity rate? Meaning of morbidity rate as a legal term. What does morbidity rate mean in law?
Background The Physiological and Operative Severity Score for enUmeration of Morbidity and Mortality (POSSUM) and its Portsmouth modification (P-POSSUM) were developed for comparative audit in surgical patients. This study evaluated applicability of these systems in estimating mortality and morbidity risks in a cohort of patients undergoing laparotomy at the national referral hospital in Nairobi, Kenya. Methods Data of 166 patients undergoing laparotomy was subjected to POSSUM and P-POSSUM scoring systems and analyzed using linear and exponential methods. The discrimination power of POSSUM and P-POSSUM as predictors of surgical outcome was measured using the receiver-operating characteristic (ROC) curve. Results The overall observed to expected (O:E) ratio using linear analysis was 0.29:1 (POSSUM) and 0.67:1 (P-POSSUM) while exponential analysis gave an O:E of 0.2:1 (POSSUM) and 0.4:1 (P-POSSUM). The predicted morbidity using POSSUM was 1.09:1 (linear analysis) and 1:1 (exponential analysis). ...
Health, ...Amsterdam December 18 2012 - Sexual and reproductive morbidities are...Editor of RHM Marge Berer characterises this lack of priority ...The issue captures a range of perspectives focusing not just on clinic...Papers included are from Albania Australia Bangladesh Brazil Centr...,Reproductive,Health,Matters,announces,publication,of,its,themed,issue,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news
The effects of elevated blood lipid concentrations on cardiovascular mortality and morbidity are reviewed, with particular emphasis on how high fat diets and antihypertensive drugs can influence the...
Purpose:. The treatment of chronic myeloid leukemia (CML) has made major progress in the last decade. The survival of CML patients has improved with advent of tyrosine kinase inhibitors. The cost of medication, compliance of patients and access to care are important issues that can also affect outcome. The purpose of the present study is to investigate effects of insurance status on outcomes of CML by analyzing data from National cancer database.. Methods:. Data was analyzed from 18, 415 men and women (≥ 18 years of age) registered in the NCDB who were diagnosed with CML between 2004 and 2012 and had follow-ups to end of 2013. The primary predictor variable was insurance status and the outcome variable was overall survival. Additional variables addressed and adjusted for included sex, age, race, Charleston Co morbidity index, level of education, income, and distance traveled, facility type, diagnosing/treating facility and treatment delay.. Results:. The mean age of patients was 59 years with ...
Cardiovascular disease (CVD) remains the leading cause of death in the UK, accounting for almost 1 in 3 deaths. It accounts for 180,000 deaths per year, 45% of which are due to coronary heart disease. Despite its position of leading cause of death in the UK, mortality is falling, having reduced by over half since its peak in the 1970s and 1980s. Morbidity on the other hand is increasing and CVD has a significant cost burden on the NHS, totalling 7.88bn in 2010.1. Earlier this month the UK National Institute for Health and Care Excellence (NICE) updated their guidance on lipid therapy in primary prevention of CVD. NICE recommends individuals with known CVD risk factors as well as those over the age of 40 be formally risk assessed for CVD. The updated guidance recommends using the QRISK2 risk assessment tool in people up to and including age 84 years. Individuals with a greater than 10% 10 year risk of developing CVD should be first offered lifestyle modification advise and optimisation of all ...
Raynham, O W, Lubbe, D E and Fagan, J J Tracheal stenosis: preventable morbidity on the increase in our intensive care units. SAMJ, S. Afr. med. j., Sept 2009, vol.99, no.9, p.645-646. ISSN 0256- ...
Today, NHS Digital published the findings of a new Adult Psychiatric Morbidity Survey. But what does that mean and is it important? Our director, Carol Povey, explains in the video and blog below.
Epidemiological analyses are always carried out with reference to a population, which is the group of individuals that are at risk for the disease or condition. The population can be defined geographically, but if only a portion of the individuals in that area are susceptible, additional criteria may be required. Susceptible individuals may be defined by particular behaviors, such as intravenous drug use, owning particular pets, or membership in an institution, such as a college. Being able to define the population is important because most measures of interest in epidemiology are made with reference to the size of the population.. The state of being diseased is called morbidity. Morbidity in a population can be expressed in a few different ways. Morbidity or total morbidity is expressed in numbers of individuals without reference to the size of the population. The morbidity rate can be expressed as the number of diseased individuals out of a standard number of individuals in the population, ...
In 2018, nearly 75 million people were displaced from their place of origin of which 20.4 million are considered as refugees. Children constitute
Several years ago I started following the CDCs Morbidity and Mortality Weekly Report (MMWR). It used to come weekly in the mail (perhaps it
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On Saturday I woke up around 10 in the morning. The sun was sneaking through the curtains. I handt slept for 8 hours for long time. It was a non-stop week. The previous day started with a hospital meeting on morbidity and mortality, then in the operating theatre for surgery on two patients with brain…
Thank you to all who contributed last week. We hope you liked the short case format and would welcome feedback. This week we are back to our traditional format. What effect does old age have on morbidity and mortality in anaesthesia? You are called to recovery as the anaesthetist on call to review a 84…
Im an ENFP, and especially with my INF friends I have noticed an interest in creepy things... I personally love them, and I was wondering if you guys
Today, Indo-European languages are spoken by almost 3 billion native speakers across all inhabited continents,[61] the largest number by far for any recognised language family. Of the 20 languages with the largest numbers of native speakers according to Ethnologue, 10 are Indo-European: Spanish, English, Hindustani, Portuguese, Bengali, Russian, Punjabi, German, French and Marathi, accounting for over 1.7 billion native speakers.[62] Additionally, hundreds of millions of persons worldwide study Indo-European languages as secondary or tertiary languages, including in cultures which have completely different language families and historical backgrounds-there are between 600 million[63] and one billion[64] L2 learners of English alone. The success of the language family, including the large number of speakers and the vast portions of the Earth that they inhabit, is due to several factors. The ancient Indo-European migrations and widespread dissemination of Indo-European culture throughout Eurasia, ...
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As maternal death has become increasingly rare in Canada and other industrialized countries,4,24,26-29 it is increasingly important to study severe maternal morbidity. We have shown that planned cesarean deliveries are associated with significantly increased risks of specific severe postpartum complications (e.g., hemorrhage requiring hysterectomy, cardiac arrest, venous thromboembolism, major infection) relative to planned vaginal deliveries. Such severe morbidity requires particular clinical attention.4,9-12. The strengths of our study included its population-based provenance, large sample size and detailed information on medical and obstetric conditions. Exclusion criteria based on details of medical and obstetric diagnoses and interventions allowed us to select a group of healthy pregnant women similar to those who might be recruited into a randomized controlled trial.13,30 Data from all selected healthy women were analyzed according to the "intention to treat" principle (planned cesarean ...
Infectious morbidity for the mother, consisting primarily of endomyometritis and wound infection remains a leading cause of post operative complications. Infectious morbidity following CD remains among the top five causes of mortality in mothers worldwide, causing a huge burden to the society [9].. In the study by Sullivan et al. [7], on 357 women, decreased total infectious morbidity in the study group was found (RR = 0.4, 95% CI = 0.18 to 0.87). There was a decreased endometritis risk as well in the pre incision group (RR = 0.2, 95% CI = 0.15 to 0.94).There was no increase in neonatal sepsis (P = 0.99), sepsis work up (P = 0.96) or increased hospital stay (P = 0.17). In the present study, the results were almost similar in that, the incidence of SSI was decreased and duration of hospital stay was decreased with antibiotics given Pre-incision than after cord clamping. Unlike the study by Sullivan et al. [7], in the present study, the incidence of endometritis was similar in both groups. ...
Considering the importance of quality of life in medical students we have conducted a cross sectional & descriptive study on screening of mental illness of 60 medical students of prefinal year and comparing it with 60 students of third year of Science and Art College. Students were selected via random sampling. GHQ-12 was used as a screening tool and after obtaining scores students were graded in 3 categories - individuals screened positive for psychological morbidity were of Grades 2 and 3 and individuals screened negative for psychological morbidity were of Grade 1 and they were compared according to college, gender & residence. Students screened positive for psychological morbidity as per GHQ-12 were found higher in medical college (87%) as compared to Science and Art College (45%) and a statistically significant association was found between psychological morbidity and medical students. Psychological morbidity was not significantly associated with residence and gender. ...
Semantic Scholar extracted view of [The morbidity risk in vaginal and abdominal hysterectomy (authors transl)]. by E Hochuli et al.
STUDY OBJECTIVES-The aims were (1) to compare discharge diagnoses and concurrent medication in a pharmacy based cohort of users of H2 receptor antagonists to those in a population of users of other drugs in the same period, who did not use H2 recetor antagonists; (2) to compare these results to those of a similar study performed with the Tayside record linkage scheme. DESIGN AND SETTING-The study was a retrospective cohort study. The morbidity data from the only hospital in one medium sized city(62,000 inhabitants) were linked to the dispensing data of all five community pharmacies on an individual basis (April 1, 1986-December 31, 1989). In the absence of a unique patient identification number, data from pharmacies and hospital were linked bythe combination of date of birth, gender, and general practitioner code. For every user of H2 receptor antagonists two controls were obtained from all patients who had not used these drugs, and matched for age (within 5 years), gender, and general ...
Advances in operative techniques and postoperative care have led to a further decline in the postoperative complication rates following a lobectomy with a mortality rate of 1-9% reported in recent studies7-9 and morbidity occurring at an alarming rate of 11-47%.8-10 These mortality and morbidity data are generally obtained from eligible patients who are selected on the basis of their pulmonary function and other organ functions. We also selected surgical candidates on the basis of either a predicted postoperative FVC of ,800 ml/m2 or an FEV1 of ,600 ml/m2. The resulting 0% mortality suggests that our criteria appear to be generally acceptable. However, some morbidity still remains even in these selected patients. We therefore evaluated whether it is possible to predict pulmonary complications after a lobectomy because even patients eligible for surgery develop pulmonary complications.. Many investigators have tried to identify the factors that predict the occurrence of postoperative ...
Cancer morbidity at all sites has been studied in a series of 676 patients with ulcerative colitis under long-term review, of whom more than two-thirds had extensive disease, and the level and pattern of risk over time examined. Age-, sex-, and site-specific incidence rates were used to compute the number of cancers that might have been expected to occur. A highly significant excess of cancers was observed overall but the excess was due entirely to cancers of the digestive system. In women there was no excess or deficit of cancers outside the digestive system. In men there was a small deficit of cancers of the respiratory system. An overall 11-fold excess colorectal cancer risk was found in the series compared with that in a relevant general population after patient-years at risk had been corrected for surgical resection and patients with colorectal cancer at their first referral had been corrected for surgical resection and patients with colorectal cancer at their first referral had been ...
Heavy drinking causes significant morbidity, premature mortality, and other social and economic burdens on society, prompting numerous prevention and treatment efforts to avoid or ameliorate the prevalence of heavy drinking and its consequences. However, the impact on public health of current selective (i.e., clinical) prevention and treatment strategies is unclear. Screening and brief counseling for at-risk drinkers in ambulatory primary care has the strongest evidence for efficacy, and some evidence indicates this approach is cost-effective and reduces excess morbidity and dysfunction. Widespread implementation of screening and brief counseling of nondependent heavy drinkers outside of the medical context has the potential to have a large public health impact. For people with functional dependence, no appropriate treatment and prevention approaches currently exist, although such strategies might be able to prevent or reduce the morbidity and other harmful consequences associated with the ...
In article ,3A93F8B6.73F02604 at stanford.edu,, satish gore ,sgore at stanford.edu, writes: ,I am working on a hypothesis that by the treatment [mainly surgical ]in cases ,of ,intervertebral disc related neurogenic pain we are able to relieve only the A ,b ,component in the early phase. ,The c fiber related and the sympathetic component lingers on, and is the ,cause of ,chronic morbidity. , ,Well this is still a hypothesis and any thoughts on this issue in clinical ,setting will be appreciated, ,satish gore My recollection of de-afferentation, even spinal cord lesions, is that the pain may still return. This I assumed was why the surgical solution was not complete. There is some spinothalamic tract research currently being investigated by Dr. Willis here at UTMB Galveston, but I am unaware of any conclusions as yet. You might try getting in touch with Dr. Willis if youre interested ...
There is limited evidence for mutagenicity and carcinogenicity of trichloroethylene (TRI) in experimental test systems. Whether TRI is a human carcinogen is unclear, however. This paper presents an update and extension of a previously reported cohort of workers exposed to TRI, in total 1670 persons. Among men (n = 1421), the overall standardized mortality ratio (SMR) and cancer morbidity ratio (SIR) were close to the expected, with SMR, 0.97; 95% confidence interval (CI), 0.86 to 1.10; and SIR, 0.96; 95% CI, 0.80 to 1.16, respectively. The cancer mortality was significantly lower than expected (SMR, 0.65; 95% CI, 0.47 to 0.89), whereas an increased mortality from circulatory disorders (cardiovascular, cerebrovascular) was of borderline significance (SMR, 1.17; 95% CI, 1.00 to 1.37). No significant increase of cancer of any specific site was observed, except for a doubled incidence of nonmelanocytic skin cancer without correlation with the exposure categories. In the small female subcohort (n = 249), a
TY - JOUR. T1 - Diagnosis and management of pneumonia in the intensive care unit. AU - Cardenas, Victor J.. PY - 2002/7/17. Y1 - 2002/7/17. N2 - Ventilator-associated pneumonia is a significant contributor to excess morbidity and mortality in the ICU. Alteration of physical defenses, bacterial flora, and immune response contribute to the susceptibility of the critically ill ventilated patient. Controversies regarding its definition continue to complicate the understanding of the extent of the disease and evaluation of the outcome of therapies. Traditional parameters, such as clinical suspicion with standard tracheal aspirates, are associated with overuse of antibiotics, a prime risk factor for development of resistant organisms and increased mortality. Global emergence of resistance is also a major concern. Whether invasive methods have any substantial clinical benefit either through improved patient outcomes or lower rates of resistance remains to be proved. In patients who fail to respond to ...
A survey of foundry workers was undertaken to assess the effect of respiratory disease on both absence in the year prior to the survey and labour turnover since a cross-sectional study of respiratory morbidity five years previously. The presence of a wheeze, but not an objective disturbance of airway function, was predictive of absence. Those with respiratory illness, detected in the survey five years previously, were no more likely to have left the foundry than those without such illness. Limited job opportunities may discourage moulders with respiratory disease from leaving the foundry. Absence was not related to cigarette smoking, the presence of bronchial hyperreactivity, or a positive skin test to common allergens. In view of the small number of subjects in this study, studies of larger work populations should be undertaken to further assess the effect of subjective and objective indices of respiratory morbidity on absence and labour turnover ...
Presents information on the mental health of women prisoners from a survey of psychiatric morbidity among prisoners aged 16-64 in England and Wales.. Source agency: Office for National Statistics. Designation: Official Statistics not designated as National Statistics. Language: English. Alternative title: Psychiatric Morbidity Among Women Prisoners. ...
HAIs are a major cause of mortality and morbidity on a worldwide scale. Each year HAIs lead to thousands of deaths. A majority of HAIs include conditions such as urinary tract infections, surgical site infections, bloodstream infections, gastroenteritis, and pneumonia. The overall HAI treatment market can be classified on the basis of devices and pharmaceuticals used for HAI treatment. The major pharmaceuticals used in HAI treatment are viral pharmaceuticals, bacterial pharmaceuticals, and fungal pharmaceuticals. The major drug classes used in the pharmaceuticals segment are B-Lactam Antibiotics, cephalosporins, quinolones, glycopeptides, lincosamides, polypeptides, carbapenems, lipopeptides, penicillins, macrolides, tuberculosis, etracyclines, sulfonamides, and other such formulations. The medical devices segment can be further categorized into catheters and ventilation devices and in-line sterile IV filtration ...
Does it take antibiotics to preventively reduce the existence of E. coli in the porcine gastro-intestinal tract? Not at all - there are several natural ways to fight the pathogen's existence. Two recent field studies, using live yeast, resulted in a promising reduction of both mortality and morbidity due to pathogenic E. coli in newborn and weaned pigs.
Combined effects of job strain and social isolation on cardiovascular disease morbidity and mortality in a random sample of the Swedish male working population. ...
View Notes - PP10Preschool from FMSC498A 498A at Maryland. Poverty,Mortality,and Morbidity 20% of U.S. children under 6 live in poverty, the highest rate in the developed world 0 Poverty is
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A global report articulates the results of the five studies in order to identify the likeness of the morbidity profile between hospitals. This report provided recommendations for the hospitable network ...
Constantinou, P., Tuppin, P., Fagot-Campagna, A., Gastaldi-Ménager, C., Schellevis, F.G., Pelletier-Fleury, N. Two morbidity indices developed in a nationwide population permitted performant outcome-specific severity adjustment. Journal of Clinical Epidemiology: 2018, 103(10), 60- ...
Epidemiology - study of patterns of disease.. Epidemiologists collect data on morbidity and mortality for a population.. Compare different places using per 100,000 to make fair comparisons.. Incidence - no. ppl diagnosed. Prevalence - no. ppl with a disease. Mortality - no. ppl who die. Use of statistics. ...
Ovarian cancer is a horrible disease. It is often asymptomatic until late in its course and then causes a lot of suffering. This is a disease with an extraordinarily high morbidity and currently has a 5-year survival of only 40%. So wouldnt it be excellent if we could find this disease early in its course,
Parasitic diseases caused by unicellular protozoaaccount for a huge burden of morbidity, mortality and economic deprivation across the globe
ObjectiveEnteral glutamine supplements have been shown to reduce infectious morbidity in trauma patients, but their effect on burn patients is not known. The objective of this study was to measure the impact of enteral glutamine supplementation on infectious morbidity, length of care, and the immune
To determine the impact of preexisting ischemic heart disease (IHD) and stroke on overall survival in prostate cancer patients. We conducted a cohort study of patients with incident prostate cancer registered in the Danish Cancer Registry from 1997 through 2008. We identified patients diagnosed with IHD or stroke prior to the date of prostate cancer diagnosis in the Danish National Patient Registry. We constructed Kaplan-Meier curves to analyze time to death and Cox regression was used to estimate hazard ratios (HRs) to compare mortality rates by preexisting IHD or stroke status, adjusting for age, stage, comorbidity, and calendar period. Of 30,721 prostate cancer patients, 4,276 (14%) had preexisting IHD and 1,331 (4%) preexisting stroke. Crude 1- and 5-year survival rates were 85% and 44% in men without preexisting IHD or stroke, 81% and 36% in men with preexisting IHD, and 78% and 27% in men with preexisting stroke. Adjusted HRs were 1.05 (95% CI 1.00-1.10) for patients with IHD and 1.20 (95% CI 1.12
We will collect infant health data to monitor and compare health outcomes among 3 groups of infants who had exclusive breast feeding (EBF) for the first months and then either: 1) fed Flash-heated breast milk and complementary foods (n=30), or 2) weaned to replacement foods and NO breast milk (n=15; per standard WHO recommendation for rapid cessation), or 3) continued feeding at the breast and providing other foods and/or fluids, i.e. mixed feeds (n=15; per WHO consensus that breastfeeding continue if replacement feeding is not AFASS94). We will collect infant growth and morbidity data. Infant health outcomes will be compared for the 3 groups noted above. These data will be collected primarily to pilot an efficacy trial ...
Alemtuzumab, an anti-CD52 monoclonal antibody, was administered to patients with RA between 1991 and 1994. We have followed a cohort of recipients since that time and previously reported significant delays in immune reconstitution. Here we report |20 years of follow-up data from this unique cohort. Surviving alemtuzumab recipients were age, sex and disease duration matched with RA controls. Updated mortality and morbidity data were collected for alemtuzumab recipients. For both groups antigenic responses were assessed following influenza, Pneumovax II and combined diphtheria/tetanus/poliovirus vaccines. Circulating cytokines and lymphocyte subsets were also quantified. Of 16 surviving alemtuzumab recipients, 13 were recruited: 9 recipients underwent a full clinical assessment and 4 had case notes review only. Since our last review 10 patients had died from causes of death consistent with long-standing RA, and no suggestion of compromised immune function. Compared with controls the alemtuzumab cohort had
Background: The co-occurrence of two or more chronic diseases in one individual, commonly known as multimorbidity, has become a major public health problem among the elderly. Physical activity has proven to be an essential means to mitigate chronic morbidity and disability. Therefore, we hypothesized that physical activity was inversely associated with multimorbidity. Currently, epidemiological studies addressing this research question are lacking.. Methods: Using data from 1,007 men and women aged 65-94 years who participated in the population-based KORA-Age project conducted in Augsburg/Germany and two adjacent counties in 2009, thirteen chronic conditions were identified through a standardized telephone interview and a self-administered questionnaire. Physical activity scores were calculated based on the self-reported physical activity scale for the elderly (PASE), comprised of occupational, household and leisure activity items. Sex-specific logistic regression adjusted for age, BMI, ...
The conducted research in the field of public health and, in particular, medical services for servicemen, indicate the existence of a range of problems related to the health of draftees and contract servicemen [1, 2, 3]. The range of cause-effect relationships is revealed during the examination of the health status of retired servicemen [4, 5, 6, 7]. The state of morbidity indicators of servicemen, as well as the forecasts being built, indicate an increase in the incidence rate; the incidence of disability increases, the level of dismissal rate increases, and the death rate among military personnel decreases [8,9]. The legislative and regulatory level of the problem of medical care provides a coherent system of actions and consequences [10, 11]. However, currently, there is a lack of study of the problem level of health care such as personalized medicine [12,13,14]. Obviously, the assessment of the state of the immune system takes the central position in matters of personalized and preventive ...
Chronic Obstructive Pulmonary Disease (COPD) is a term that refers to a large group of lung diseases characterized by obstruction of air flow that interferes with normal breathing. COPD occurs most often in older people, but can also affect people in their middle ages. It is a major cause of chronic morbidity and mortality globally. Many people suffer from this disease for years, and die from it or its complications, and it constitutes a substantial economic and social burden ...
A regularly scheduled series (RSS) is a CME activity that is planned as a series with multiple, ongoing sessions, e.g., offered weekly, monthly, or quarterly; and is primarily planned by and presented to the accredited organizations professional staff. Common examples of RSS include grand rounds, tumor boards, and morbidity and mortality conferences. RSS are a way for Providers to organize, or package, a large number of educational sessions into a single activity just as medical specialty societies do for their annual meetings. Like any activity within the ACCME system, RSS are required to adhere to applicable ACCME requirements.. This page of information and resources has been compiled to provide you with convenient access to tools and education regarding the planning and implementation of RSS, as well as maintaining and presenting evidence of compliance with ACCMEs Accreditation Criteria within RSS activities.. Planning Regularly Scheduled Series. Accredited providers have the flexibility to ...
Course Description:. The aim of this postgraduate diploma course is to enable clinicians to prescribe exercise as a disease preventative and treatment modality in a safe, effective and scientific manner. Students will achieve this through a tiered process starting with a thorough understanding of the physiology of the cardiovascular and respiratory system and the bodys reactions to different types of physical activity and exercise (module 1). The second module will concentrate on physical activity and exercise at the populations level as well as detailing the importance of and various methods used to assess physical activity, body composition, strength and aerobic fitness. The third and fourth modules will be clinically focused and will use case scenarios and current literature to demonstrate how the application of exercise and physical activity can be an effective and safe treatment modality for patients with common chronic morbidities. As this course will be evidence-based, students will ...
Over 2% of the adult population in the United Kingdom is morbidly obese and this proportion is increasing. Obesity-related mortality and morbidity are rising. The association between obesity and heart failure is well recognised [6]. Obesity increases many of the established risks for heart failure including hypertension, type 2 diabetes mellitus, and dyslipidaemia. Several mechanisms are recognised for a direct effect of obesity per se on heart failure. Indeed, cardiac disease remains the commonest cause of premature death in severe obesity with most deaths occurring below the age of 50 [7]. Both these ladies had severe fluid retention with no other cause apparent apart from relatively mild cardiac abnormalities.. Severe obesity changes the clinical problem of fluid retention. In our cases the only abnormalities identified were cardiac. Heart failure in severe obesity can differ from traditional heart failure in several aspects.. Firstly, the extent of fluid retention is relatively hidden by ...
General measures of health for use in Health Interview Surveys and Censuses: the UK experience Howard Meltzer Social Survey Division, Office for National Statistics, London Washington City Group meeting, Ottawa 9-10 January 2003 1 Typology of surveys in the UK which include questions on health problems or disability • Surveys which include a global measure of chronic ill health or disability (2/3 questions on limiting longstanding illness) • Surveys which include a module of questions on disability - look at relationship between disability and particular topic of survey (employment, housing, finances) • Surveys which have disability as their primary concern 2 Surveys in the UK which have included general measures of disability • • • • • • • • Health Survey for England (HSE) General Household Survey (GHS) Health and Lifestyle Survey Health Education Monitoring Survey (HEMS) Psychiatric Morbidity Surveys (PMS) National Child Development Survey ...
This analysis demonstrates that specific morbidity PEPs from the EBA are categorically excluded by the G-BA across major disease areas, irrespective of indication and disease stage. Typically, these are PEPs used in pivotal studies for marketing authorisation. The respective clinical studies were specifically designed to show clinical benefit based on these endpoints. The aim of the EBA is to assess the additional benefit of a new medicine compared to the prespecified comparative treatment. This generally differs from the aim of regulatory authorities, which is to evaluate the benefit vs risk profile of a new medicine. Nevertheless, the methods and standards of evidence-based medicine apply to both evaluation procedures. Furthermore, primary endpoints of pivotal studies which led to EMA approval of the investigated drug should be accepted as patient-relevant, irrespective of whether benefit or additional benefit is under consideration. To suggest that these primary study endpoints are not ...
The data reported in this table are derived from the HIPE (Hospital In-Patient Enquiry) data set, which records data on discharges from all publicly funded acute hospitals. Age-standardised discharge rates by county, sex and all procedures are presented. These allow comparison of discharge rates between populations of different age composition, and also of discharge rates over time. The age-standardised discharge rate (SDR) for an area is the number of discharges (per 100,000) that would occur if that area had the same age structure as the WHO European Standard Population and the local age-specific rates for that area applied. Confidence intervals for these rates are also presented. Standardised Morbidity Ratios (SMRs) are also included. SMRs express the difference between the observed discharges in each county compared to the expected discharges if the age-specific rates of the national population applied. It is presented as a ratio. A ratio that is greater than 100 indicates that county ...
The risk of severe maternal morbidity amongst women in Australia is increased by lower socioeconomic position, reveals a new study published in BJOG: An International Journal of Obstetrics and Gynaecology.
Patterns of malaria morbidity and mortality in children in northern Ghana.: A malaria prevalence survey was carried out in young children in northern Ghana betw
This study evaluated the effect of bosentan on the time to first confirmed morbidity/mortality event in patients with symptomatic pulmonary arterial
Arguably, the most "trve" and "cvlt" black metal bands are solo projects like Hex Morbidity. Probably the most famous and infamous at the same time among them is Varg Vikerness Burzum. How does it feel being on a same level playing field as someone like Varg Vikernes?. I dont really feel like I am on the same playing field, theres more to Burzum than the music and there are reasons we all know why Varg Vikernes is a household name in some places. As for being "trve" or "cvlt", I dont really think about it, a lot of people have said that Hex Morbidity has that sound because the first couple of releases had dreadful production quality, which is something Ive know changed now, so I obviously dont take an active interest in fitting into those labels or categories. Personally I dont listen much to one man black metal, I like some bands such as Burzum, but I wouldnt call any of them an influence or an inspiration. As for the man who spends his time dodging prison to raise his many Aryan ...
Buy In Her Lifetime: Female Morbidity and Mortality in Sub-Saharan Africa by Institute of Medicine at TextbookX.com. ISBN/UPC: 9780309054300. Save an average of 50% on the marketplace.
Read chapter 7. Mortality and Morbidity: Is City Life Good For Your Health?: Virtually all of the growth in the worlds population for the foreseeable...
How does one control a rapacious pathogen? If it were an infectious agent of humans, we would have much in our armoury. We could isolate the stricken, and slow the pathogens spread. We could search for the vector and extinguish it. We could take antibodies from the immune and treat the susceptible with their serum.…
Oh, that was you. I thought you said you left it verbatim - my mistake then. I think some mention of that meaning should appear here - perhaps with some notation that it is a newer usage and/or that its medical & insurance jargon. By the way, where did you get those meanings from? --Connel MacKenzie 00:25, 2 Dec 2004 (UTC ...
The thumbnails for this comic were a submission to an anthology that didnt get in. My rule was "these have to be short so I ...
Abstract The impact of repeated chemotherapy on morbidity due to schistosomiasis mansoni was evaluated in Gihungwe (initial prevalence 58%) and Buhandagaza/Kizina (33%), two village clusters in Burundi. Surveys were carried out with reference to the first treatment (month 0) at months -6, -3, 0, 3, 6, 9, 12, 24, and 36. Praziquantel (40 mg/kg) was given at months 0, 12, 24, and 36 to those showing eggs in the feces with a single 28-mg Kato slide. At each survey, duplicate Kato smears were examined, and all participants responded to a standardized medical history interview and underwent a clinical examination. In the three preintervention surveys, spleen and liver rates remained stable at the community and the individual level. The frequencies of diarrhea and abdominal pain varied to some extent, but they were consistently higher in the most heavily infected villages and age groups and remained relatively stable at the individual level. At the final survey, the prevalence of infection had decreased to 25
This report aims to increase awareness of pandemic (H1N1) 2009 and seasonal influenza in Australia by providing an analysis of the various surveillance data sources throughout Australia. While every care has been taken in preparing this report, the Commonwealth does not accept liability for any injury or loss or damage arising from the use of, or reliance upon, the content of the report. Please note that the pandemic (H1N1) 2009 information provided in this report is based on data available as at 25 September 2009, with the exception of morbidity data (hospitalisations and ICU cases) which is as per 18 September. Seasonal influenza information is based on data available as at 25 September 2009. Data validation may cause the reported figures to change retrospectively. For further details about information contained in this report please contact the Influenza Team through [email protected] ...
National Drought Management Authority early warning surveillance system The NDMA collects monthly information from sentinel sites in the arid and semi-arid areas (ASAL) of the country. Indicators include food security indicators such as rainfall, vegetation coverage index (VCI), market prices (food and livestock), livestock body condition, water availability and cost, milk production and availability, mid-upper arm circumference (MUAC) in children aged 12-59 months, and health and morbidity data. The evaluation found that MUAC data were reported as the prevalence of children with MUAC , 135 mm, which was referred to as children at risk of acute malnutrition, and not further disaggregated in the categories (1) ,135 mm to ≥125mm (at risk), (2) ,125 to , 115 mm (MAM) and (3) ,115mm (severe acute malnutrition (SAM)) as internationally accepted. It was agreed that applying the standard thresholds for acute malnutrition and improving data quality would help realise the potential of the NDMA early ...
The emergency department utilisation rate among foreign-born residents, once adjusted by age and sex, was 38% lower than that among Spanish-born residents. Moreover, across all age groups, the crude utilisation rates were lower in foreign-born than in Spanish-born residents. This result is consistent with previous reports of healthcare utilisation by the immigrant population and was probably due to the healthy immigrant effect [16, 25], according to which recently arrived immigrants have better health status than native-born residents because of a previous "natural selection procedure" in each country of origin. This fact has also been proven in our country: the percentages of good and excellent self-perceived health were higher, and chronic morbidity was 40% less frequent among economic immigrants than among the rest of the population living in the city of Madrid, after adjusting for age, sex and educational level [26]. To our knowledge, the only study that has analysed utilisation rates by ...