• Title/Summary/Keyword: Morbidity and Mortality

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Incidental traumatic right diaphragmatic rupture: a missed case after trauma

  • Fatima Alharmoodi;Shadin Ghabra;Salem Alharthi
    • Journal of Trauma and Injury
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    • v.36 no.1
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    • pp.56-59
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    • 2023
  • Traumatic diaphragmatic hernia is among the most uncommon conditions after severe trauma, and it is associated with high morbidity and mortality. The diagnosis is difficult and might be missed, but a multimodal investigation might help in terms of diagnostic yield. In this case report, we present a missed right diaphragmatic rupture 14 years after the trauma.

Management of Malignant Biliary Obstruction Combined with Duodenal Obstruction (십이지장 폐색이 동반된 악성 담도 폐색의 치료)

  • Ki-Hyun Kim
    • Journal of Digestive Cancer Research
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    • v.11 no.2
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    • pp.99-103
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    • 2023
  • Malignant tumors located near the papilla of the duodenum can cause concomitant biliary and duodenal obstruction, which reduces the quality of life and increases the morbidity and mortality. Apart from traditional surgical treatment methods, various treatment methods such as endoscopic treatment and radiological interventions are used for the treatment. This study aimed to explore treatment methods according to the situation of patients with malignant biliary obstruction combined with duodenal obstruction.

Surgical Experience on St. Jude Medical Valve Replacement (St. Jude Medical 기계판의 임상적 연구)

  • 김형묵
    • Journal of Chest Surgery
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    • v.21 no.2
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    • pp.283-290
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    • 1988
  • St. Jude Medical cardiac valve replacement was performed in 90 consecutive patients from Jan. 1984 to Dec. 1987. 54 had mitral, 12 had aortic and 24 had multiple valve replacement. Follow up extended for 1 to 47 months[mean 17.1 month] with a cumulative period of 1351 months. The overall actuarial survival rate at 4 years was 87.1% and overall hospital mortality was 6.7%. The linearlized incidence of thrombotic obstruction, thromboembolism, valve failure was 0.8% / pt. yr. each. The lower incidence of valve related mortality or morbidity was statistically significant. The performance of the St. Jude Medical mechanical valve was excellent compared to other substitute valves and has low incidence of thromboembolism or valve failure.

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Cancer Patients Are at High Risk of Mortality if Presenting with Sepsis at an Emergency Department

  • Prachanukool, Thidathit;Tangkulpanich, Panvilai;Paosaree, Possawee;Sawanyawisuth, Kittisak;Sitthichanbuncha, Yuwares
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3423-3426
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    • 2016
  • Background: Sepsis is an emergency condition with high mortality and morbidity rate. There are limited data on the association of cancer as a risk factor for mortality in sepsis patients in the emergency department (ED). Materials and Methods: This retrospective study was conducted at the ED, Faculty of Medicine, Ramathibodi Hospital, Bangkok, Thailand. The study period was between January 1st and December $31^{st}$, 2014. The inclusion criteria were as follows: adult patients over 15 years of age who presented at the ED with suspicion of sepsis, received treatment at the ED, and whose blood culture was found to be positive. Clinical data were recorded from medical records including the Mortality in Emergency Department Sepsis score (MEDS score). The primary outcome of this study was mortality at one month. Multivariate logistic regression analysis was used to identify independent factors associated with death. Results: During the study period, there were 775 eligible patients. The two most common pathogens identified from blood cultures were Staphylococcus aureus (193 patients; 24.9%) and Escherichia coli (158 patients; 20.4%). At one month after presenting at the ED, 110 patients (14.2%) had died. There were four significant factors for death, having cancer, being on an endotracheal tube, initial diagnosis of bacteremia, and high MED scores. Having cancer had an adjusted OR of 2.12 (95% CI of 1.29, 3.47). Conclusions: Cancer patients have double the risk of mortality if presenting with sepsis at the ED.

Duodenal Injury after Blunt Abdominal Trauma - Report of Two Cases (둔상에 의한 십이지장 손상 - 2예 증례 보고)

  • Kim, Ki Hoon
    • Journal of Trauma and Injury
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    • v.25 no.3
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    • pp.94-96
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    • 2012
  • Duodenal injuries following a blunt or penetrating trauma are uncommon and account for just 3% to 5% of all abdominal injuries. About 22% of all duodenal injuries are caused by blunt trauma. An overlooked injury or delayed diagnosis of duodenal injury may lead to increased mortality and morbidity. We report two cases of a duodenal injury following blunt abdominal trauma.

Fatal Subdural Empyema Following Pyogenic Meningitis

  • Lee, Seok-Ki;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • v.49 no.3
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    • pp.175-177
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    • 2011
  • Subdural empyema is a rare form of intracranial sepsis associated with high morbidity and mortality. The most frequent cause is extension of paranasal sinusitis through emissary veins or of mastoiditis through the mucosa, bone, and dura mater. Development of subdural empyema after pyogenic meningitis is known to be very unusual in adults. We report a rare case of fatal subdural empyema, an unusual complication of pyogenic meningitis. Our bitter experience suggests that subdural empyema should be borne in mind in patient with pyogenic meningitis who exhibit neurological deterioration.

Control of Influenza: Live Vaccine Development

  • Seong, Baik-Lin
    • Proceedings of the PSK Conference
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    • 2002.10a
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    • pp.149-150
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    • 2002
  • Despite various efforts on improving vaccines and antivirals, influenza epidemics continue to afflict many people, causing widespread morbidity and mortality in the young and the elderly. Since the discovery of the unusual 'cap-stealing'mechanism of transcription, significant advances were made on molecular aspects of influenza gene regulation. This provides new insights for developing new antiviral compounds. Reverse genetic technologies have also been advanced for generating recombinant chimeric viruses suitable for designing live vaccine. (omitted)

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A Case Report of a Patient with Diabetic Foot Lesions (당뇨병성 족부병변 환자 치험 1례)

  • Kim, Byoung-Woo
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.684-689
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    • 2004
  • One of the serious long-tenn complications of diabetes mellitus is the diabetic foot lesion. Diabetic foot lesions are a major cause of morbidity, mortality, disability in patients with diabetes and frequent cause of lower-extremity amputations. The treatment of diabetic foot lesions is based on the strict control of diabetes mellitus. A patient with diabetic foot lesions was treated with Cheunhwasangamibang and improvement was seen. Results in this case support a role for Cheunhwasangamibang in controlling diabetes mellitus, and are here reported to encourage further study.

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Antiretroviral Therapy 2000

  • Samuel, Rafik;Suh, Byungse
    • Archives of Pharmacal Research
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    • v.23 no.5
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    • pp.425-437
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    • 2000
  • As we enter the new millennium, there have been dramatic improvements in the care of patients with HIV infection. These have prolonged life and decreased morbidity and mortality. There are fourteen currently available antiretrovirals approved in the United States for the treatment of this infection. The medications, including their pharmacokinetic properties, side effects, and dosing are reviewed. In addition, the current approach to the use of these medicines is discussed.

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Interventional Radiology Treatment for Postoperative Chylothorax

  • Jun, Hoyong;Hur, Saebeom
    • Journal of Chest Surgery
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    • v.53 no.4
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    • pp.200-204
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    • 2020
  • Postoperative chylothorax is a rare occurrence after various thoracic surgical procedures, but it poses a substantial risk of morbidity and mortality. Thoracic duct embolization (TDE) is currently deemed the optimal treatment due to its safety and efficacy. This review offers an introduction to interventional options in this setting, detailing the steps of TDE for the edification of those engaged in postoperative care.