Journal of Acute Disease最新文献_第5页

Acute diseases: An epidemiologic perspective 急性疾病:流行病学观点

IF 0.5

Journal of Acute Disease Pub Date : 2023-01-01 DOI: 10.4103/2221-6189.369072

A. El-Gilany, H. Abou-ElWafa

引用次数: 0

Comparative effect of intrathecal meperidine, tramadol, magnesium sulfate, and dexmedetomidine on preventing post-spinal anesthesia shivering and adverse events in hip fracture repair patients: A randomized clinical trial 鞘内哌替啶、曲马多、硫酸镁和右美托咪定预防髋部骨折修复患者脊髓麻醉后寒战和不良事件的比较效果:一项随机临床试验

IF 0.5

Journal of Acute Disease Pub Date : 2022-11-01 DOI: 10.4103/2221-6189.362813

Mansoreh Kokhaei, H. Modir, Esmail Moshiri, Mehran Azami

{"title":"Comparative effect of intrathecal meperidine, tramadol, magnesium sulfate, and dexmedetomidine on preventing post-spinal anesthesia shivering and adverse events in hip fracture repair patients: A randomized clinical trial","authors":"Mansoreh Kokhaei, H. Modir, Esmail Moshiri, Mehran Azami","doi":"10.4103/2221-6189.362813","DOIUrl":"https://doi.org/10.4103/2221-6189.362813","url":null,"abstract":"Objective: To compare effect of intrathecal meperidine, tramadol, magnesium sulfate, and dexmedetomidine on the prevention of postspinal anesthesia shivering and adverse events in hip fracture repair patients. Methods: In a randomized, double-blind trial, 132 patients with American Society of Anesthesiology (ASA) I and II spinal anesthesia who needed hip fracture surgery were enrolled. Patients were stratified into 4 intervention groups based on a randomized block pattern: meperidine, tramadol, magnesium sulfate, and dexmedetomidine. Hemodynamic parameters including blood pressure, heart rate, and oxygen saturation, as well as the severity of shivering, core body temperature, Ramsay sedation score, adverse events, meperidine consumption were recorded and compared. Results: There was no statistically significant difference in the normal hemodynamic parameters, temperature, duration of surgery, meperidine consumption, and adverse events such as dizziness, hypotension, nausea, and bradycardia among groups (P>0.05). Compared to other groups, severity of shivering was the lower in the dexmedetomidine group 6 and 8 h after surgery. The Ramsay sedation scores were higher in the dexmedetomidine and meperidine groups 4 h after surgery (P=0.020). Conclusion: Dexmedetomidine acts better than the other three adjuvants in reducing complications such as shivering. Overall, these four adjuvants are helpful to prevent postoperative shivering and could be put forward as promising local anesthetics in spinal anesthesia, based on anesthesiologists’ discretion and patients’ general conditions. Clinical registration: The study was approved by the Research and Ethics Committee at the Valiasr Hospital (Arak, Iran) with the clinical trial code of IRCT20141209020258N153.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"11 1","pages":"222 - 227"},"PeriodicalIF":0.5,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45004181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical and laboratory features of COVID-19 patients infected with SARS-CoV-2 variant B.1.1.7 versus those infected with other SARS-CoV-2 strains: A retrospective observational study 感染SARS-CoV-2变异株B.1.1.7的新冠肺炎患者与感染其他SARS-CoV-2毒株的患者的临床和实验室特征：一项回顾性观察性研究

IF 0.5

Journal of Acute Disease Pub Date : 2022-11-01 DOI: 10.4103/2221-6189.362815

Z. Ergenç, H. Ergenç, A. Öztürk, G. Kaya, Özlem KARACA OCAK, Özgür İnce

{"title":"Clinical and laboratory features of COVID-19 patients infected with SARS-CoV-2 variant B.1.1.7 versus those infected with other SARS-CoV-2 strains: A retrospective observational study","authors":"Z. Ergenç, H. Ergenç, A. Öztürk, G. Kaya, Özlem KARACA OCAK, Özgür İnce","doi":"10.4103/2221-6189.362815","DOIUrl":"https://doi.org/10.4103/2221-6189.362815","url":null,"abstract":"Objective: To investigate the clinical symptoms of coronavirus disease 2019 (COVID-19) patients with and without B.1.1.7 mutation. Methods: This retrospective observational study included COVID-19 patients who were divided into two groups, the mutation and the non-mutation group. Demographics characteristics, clinical characteristics, laboratory parameters, and mortality rates were recorded and compared between the two groups. Results: A total of 196 patients were included in the study. The relationship between the mutant virus status and sex, age, comorbidity, survival status, and disease severity was not significant (P>0.05). No significant differences were found in duration of hospitalization between the mutation and the non-mutation group (P>0.05). However, there was a statistically significant difference between patients with and without mutant viruses in hemoglobin, mean platelet volume, procalcitonin, low density lipoprotein, ironbinding capacity, potassium, calcium, C-reactive protein, folate, creatine kinase myocardial band, D-dimer, and international normalized ratio (P<0.05). Conclusions: No significant difference is found in mortality rate, disease severity or duration of hospitalization between the patients with and without variant B.1.1.7. Careful monitoring of COVID-19 patients is required for all variants.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"11 1","pages":"236 - 242"},"PeriodicalIF":0.5,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48846855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Non-vitamin K antagonist oral anticoagulants for COVID-19 thrombosis 用于COVID-19血栓形成的非维生素K拮抗剂口服抗凝剂

IF 0.5

Journal of Acute Disease Pub Date : 2022-11-01 DOI: 10.4103/2221-6189.362812

A. Hamad

引用次数: 0

Near-fatal ferrous sulfate poisoning: A case report of successful conservative management 近乎致命的硫酸亚铁中毒：一例保守治疗成功的病例报告

IF 0.5

Journal of Acute Disease Pub Date : 2022-11-01 DOI: 10.4103/2221-6189.362817

Wasim Shaikh, Ayesha Shaikh, Sachin P Sasane, Zeyad Al Rais, Mohammed Baqer

引用次数: 0

Blue-green crystals: A telltale sign of poorer outcome? 蓝绿色晶体:结果较差的标志?

IF 0.5

Journal of Acute Disease Pub Date : 2022-11-01 DOI: 10.4103/2221-6189.362819

Tushar Sehgal, R. Ranjan, SoumyaJagannath Mahapatra

引用次数: 0

Centralization and perceived control of COVID-19 during the pandemic: A cross-sectional study 大流行期间COVID-19的集中控制和感知控制:一项横断面研究

IF 0.5

Journal of Acute Disease Pub Date : 2022-11-01 DOI: 10.4103/2221-6189.362814

Çiğdem Samanci Tekin, Selma İnfal Kesim

{"title":"Centralization and perceived control of COVID-19 during the pandemic: A cross-sectional study","authors":"Çiğdem Samanci Tekin, Selma İnfal Kesim","doi":"10.4103/2221-6189.362814","DOIUrl":"https://doi.org/10.4103/2221-6189.362814","url":null,"abstract":"Objective: To uncover the impact of centralization of COVID-19 and perceived control of COVID-19 on society during the pandemic. Methods: We recruited a total of 1 041 people in this cross-sectional study. The data were collected using a questionnaire booklet covering demographics, a COVID-19-related information form, the Centrality of Event Scale, and the Perception of Control of COVID-19 Scale. We utilized independent samples t-test, chi-square test, and one-way analysis of variance to analyze the data. Results: 1041 questionnaires were collected and no questionnaire were excluded from our study. Slightly more than half of the participants (51.2%) stated that social isolation impaired public mental health, while 30.1% reported adverse impacts of the pandemic on their sleep quality. Participants with changes to their sleep patterns were found to centralize COVID-19 more. Moreover, measures against COVID-19 and constant announcements of the daily number of cases in the media brought both positive and negative effects on people and further contributed to the participants’ centralization of COVID-19. Individuals with low centralization scores were concluded to perceive COVID-19 as a minor disease. Healthcare professionals without a relative diagnosed with COVID-19 and those satisfied with treatment opportunities had a higher perceived control of COVID-19, while those who were not interested in statistical data on COVID-19 and who had difficulty complying with the rules had a lower perceived control of COVID-19. Besides, poorer perceived control of COVID-19 was found to adversely affect sleep quality. Furthermore, healthcare professionals scored higher on the inevitability subscale of the Perception of Control of COVID-19 Scale. Finally, among the participants, most COVID-19 survivors thought COVID-19 to be an avoidable disease. Conclusion: In addition to its physical impacts, COVID-19 adversely impacts on mental health, and these effects are closely linked to a society’s centralization of COVID-19 and perceived control of COVID-19.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"11 1","pages":"228 - 235"},"PeriodicalIF":0.5,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47314288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gastric ultrasound-assisted diagnosis of undifferentiated shock: A case report 胃超声辅助诊断未分化性休克1例

IF 0.5

Journal of Acute Disease Pub Date : 2022-11-01 DOI: 10.4103/2221-6189.362818

Alireza Bahmani, A. Abdolrazaghnejad

{"title":"Gastric ultrasound-assisted diagnosis of undifferentiated shock: A case report","authors":"Alireza Bahmani, A. Abdolrazaghnejad","doi":"10.4103/2221-6189.362818","DOIUrl":"https://doi.org/10.4103/2221-6189.362818","url":null,"abstract":"Rationale: Peptic ulcer disease and variceal bleeding are two of the most common causes of gastrointestinal (GI) bleeding. GI bleeding can present with symptoms of hemodynamic instability such as tachycardia and shock. Patient’s Concern: A 33-year-old man with confusion and hypotension (blood pressure: 70/40 mmHg and pulse rate: 140/min) was brought by emergency medical services from home to the emergency department without any companion. The patient was in undifferentiated shock. His hypotension was assessed with inferior vena cava (IVC) size and collapsibility, and rapid ultrasound in shock and hypotension (RUSH) protocol was used to investigate the cause of his shock. Following the RUSH protocol when scanning the IVC, parts of the stomach were seen in its vicinity and suspended heterogeneous particles were observed in the fluid. After seeing these particles, we suspected GI bleeding. Diagnosis: Endoscopy confirmed GI bleeding. Interventions: After placing an orogastric tube and suction, about 2 L of coffee-ground fluid with clots was removed. We started intravenous proton-pump inhibitors 80 mg bolus, followed by a continuous infusion of 8 mg/h. The patient received about 2 L of normal saline and 2 units of packed red blood cells to correct his hypotension. Outcomes: After being admitted to the GI ward and treated for three days, the patient was discharged from the hospital with a hemoglobin level of 11 g/dL and continued to have an outpatient follow-up at the clinic. Lessons: The use of gastric ultrasound in conjunction with the RUSH protocol can help to diagnose undifferentiated hypotensive shock. The components of the RUSH exam are the heart (H), IVC (I), Morrison’s/FAST abdominal views with the aorta (MA), and pulmonary and pipes scanning (P), and can be memorized with the mnemonic: HI-MAP. We would like to introduce a new mnemonic: Hi-MAPS, adding stomach (S) to the RUSH protocol in undifferentiated hypotension and shock to evaluate upper GI bleeding.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"11 1","pages":"251 - 253"},"PeriodicalIF":0.5,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41410221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Maternal death due to severe and critical COVID-19 in Qom, Iran: A case series 伊朗库姆市因COVID-19重症和危重型孕产妇死亡:一个病例系列

IF 0.5

Journal of Acute Disease Pub Date : 2022-11-01 DOI: 10.4103/2221-6189.362816

Mojtaba Yousefzadeh, A. Asgarian, Roghayyeh Ahangari, Z. Yazdi, M. Savari, Monireh Mirzaie, F. Bagheri, A. Mohammadbeigi

引用次数: 0

Comparative efficacy of ketamine, lidocaine, acetaminophen, and dexmedetomidine combined with morphine patient-controlled analgesia in treating opium-addicted patients undergoing tibia fracture surgery: A randomized clinical trial 氯胺酮、利多卡因、对乙酰氨基酚和右美托咪定联合吗啡患者自控镇痛治疗胫骨骨折术后鸦片成瘾患者的疗效比较：一项随机临床试验

IF 0.5

Journal of Acute Disease Pub Date : 2022-09-01 DOI: 10.4103/2221-6189.357456

H. Modir, Esmail Moshiri, Mehran Azami, M. Zad, A. Hashiani

{"title":"Comparative efficacy of ketamine, lidocaine, acetaminophen, and dexmedetomidine combined with morphine patient-controlled analgesia in treating opium-addicted patients undergoing tibia fracture surgery: A randomized clinical trial","authors":"H. Modir, Esmail Moshiri, Mehran Azami, M. Zad, A. Hashiani","doi":"10.4103/2221-6189.357456","DOIUrl":"https://doi.org/10.4103/2221-6189.357456","url":null,"abstract":"Objective: To compare the effect of ketamine, lidocaine, acetaminophen, and dexmedetomidine combined with morphine patient-controlled analgesia for opium addicts after tibial fracture surgery. Methods: This double-blind clinical trial included opium-addicted patients undergoing tibia fracture surgery. Patients were recruited and randomized to four different groups including the ketamine group, the lidocaine group, the acetaminophen group, and the dexmedetomidine group. The hemodynamic parameters such as heart rate (HR), mean arterial pressure, and arterial SaO2, alongside visual analog scale pain scores, sedation assessed by Ramsay score, nausea and vomiting, and opioid use were recorded and compared among the four groups. Results: This study included 140 patients, aged 37 (32, 41) years, with 92 males and 48 females, and each group had 35 patients. Dexmedetomidine-sedated subjects had the lowest blood pressure from 1 to 24 h after surgery, decreased HR at 12 and 24 h after surgery, and more satisfactory sedation (P<0.05). Notwithstanding no significant difference was noted in the pain scores, or nausea and vomiting among the groups (P>0.05). Conclusions: Dexmedetomidine has a better sedation effect compared to ketamine, lidocaine, and acetaminophen for pain control, but the final choice hinges on the patients’ physical condition and the anesthesiologist′s preference. Clinical registarion: It is registered in Iranian Registry Clinical Trial by code IRCT20141209020258N146.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"11 1","pages":"181 - 187"},"PeriodicalIF":0.5,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45065879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0