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Prevalence and outcomes of neonates with severe COVID-19:An observational study at Children’s hospital 1 in Ho Chi Minh city,Vietnam

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Asian Pacific Journal of Tropical Medicine 2024年第9期17卷 392-399,I0001页

作者： Phung Nguyen The Nguyen Tran Thanh Thuc Nguyen Thanh Hung Ngo Ngoc Quang Minh Dang Quoc Duy Tran Minh Nhut Nguyen Hoang Dung Tran Nguyen Ai Nuong Dinh Nguyen Cam Tu Department of Pediatrics University of Medicine and Pharmacy at Ho Chi Minh cityHo Chi Minh CityVietnam Children’s hospital 1 Ho Chi Minh CityVietnam Pediatric Department School of MedicineVietnam National University Ho Chi Minh CityVietnam

Objective:To evaluate the impact of the severe COVID-19 pandemic on neonates and develop strategies to improve their ***:We conducted an observational cross-sectional study at Children's hospital 1(CH1)from July 25,2021,to May 31,*** neonates who had fever or respiratory symptoms or were born from mothers with COVID-19 and had a positive RT-PCR SARS-CoV-2 result would be *** classified neonates with COVID-19 into 2 groups:mild/moderate and severe for *** between groups were analyzed using Fisher's exact test/Chi-square test for categorical variables and Student's t-test/Wilcoxon Rank Sum test for continuous ***:This study included 88 newborns who had positive RT-PCR SARS-CoV-2 *** severity COVID-19 rate among neonatal cases was found to be 13.6%(12/88),with a corresponding mortality rate of 1.1%(1/88).All severe cases showed lung abnormalities as evident on chest X-ray *** addition to respiratory symptoms,a higher incidence of gastrointestinal manifestations,such as vomiting and diarrhea,was observed in the severe group,indicating a compelling *** administration of anticoagulant and anti-inflammatory drugs in the study group resulted in a satisfactory outcome with no significant ***:The COVID-19 pandemic has had a substantial impact on the well-being of *** management of COVID-19 in this population presents significant challenges.

关键词： COVID-19 Neonate Anti-inflammatory Anticoagulant

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Red cell distribution width-to-albumin ratio is a simple promising prognostic marker in acute cholangitis requiring biliary drainage

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Hepatobiliary & Pancreatic Diseases International 2024年第5期23卷 487-494页

作者： Fatih Acehan Hüseyin Camli Cagdas Kalkan Mesut Tez Burak Furkan Demir Emin Altiparmak Ihsan Ates Department of Internal Medicine Ankara City HospitalAnkara 06800Türkiye Department of Gastroenterology Ankara City HospitalAnkara 06800Türkiye Department of General Surgery Ankara City HospitalAnkara 06800Türkiye

Background: It is crucial to assess the severity of acute cholangitis(AC). There are currently several prognostic markers. However, the accuracies of these markers are not satisfied. The present study aimed to investigate the predictive value of the red cell distribution width(RDW)-to-albumin ratio(RAR) for the prognosis of AC. Methods: We retrospectively evaluated consecutive patients diagnosed with AC between May 2019 and March 2022. RAR was calculated, and its predictive ability for in-hospital mortality, intensive care unit(ICU) admission, bacteremia, and the length of hospitalization were analyzed. Results: Out of 438 patients, 34(7.8%) died. Multivariate analysis showed that malignant etiology [odds ratio(OR) = 4.816, 95% confidence interval(CI): 1.936-11.980], creatinine(OR = 1.649, 95% CI: 1.095-2.484), and RAR(OR = 2.064, 95% CI: 1.494-2.851) were independent risk factors for mortality. When adjusted for relevant covariates, including age, sex, malignant etiology, Tokyo severity grading(TSG), Charlson comorbidity index, and creatinine, RAR significantly predicted mortality(adjusted OR = 1.833, 95% CI: 1.280-2.624). When the cut-off of RAR was set to 3.8, its sensitivity and specificity for mortality were 94.1% and 56.7%, respectively. Patients with an RAR of > 3.8 had a 20.9-fold(OR = 20.9, 95% CI: 4.9-88.6) greater risk of mortality than the remaining patients. The area under the curve value of RAR for mortality was 0.835(95% CI: 0.770-0.901), which was significantly higher than that of TSG and the other prognostic markers, such as C-reactive protein-to-albumin ratio, and procalcitonin-to-albumin ratio. Lastly, RAR was not inferior to TSG in predicting ICU admission, bacteremia, and the length of hospitalization. Conclusions: RAR successfully predicted the in-hospital mortality, ICU admission, bacteremia, and the length of hospitalization of patients with AC, especially in-hospital mortality. RAR is a promising marker that is more convenient than TSG and o

关键词： Acute cholangitis Albumin Biliary drainage Mortality Red blood cell distribution width-to-albumin ratio

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Intelligent Forest hospital as a New Management System for hospital-Acquired Infection Control

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China CDC weekly 2024年第37期6卷 972-974页

作者： Yingxin Liu Zhousheng Lin Guanwen Lin Wanmin Lian Junzhang Tian Guowei Li Hongying Qu Center for Clinical Epidemiology and Methodology(CCEM) The Affiliated Guangdong Second Provincial General Hospital of Jinan UniversityGuangzhou CityGuangdong ProvinceChina Medical Department The Affiliated Guangdong Second Provincial General Hospital of Jinan UniversityGuangzhou CityGuangdong ProvinceChina hospital-Acquired Infection Control Department The Affiliated Guangdong Second Provincial General Hospital of Jinan UniversityGuangzhou CityGuangdong ProvinceChina Information Department The Affiliated Guangdong Second Provincial General Hospital of Jinan UniversityGuangzhou CityGuangdong ProvinceChina Institute for Healthcare Artificial Intelligence Application The Affiliated Guangdong Second Provincial General Hospital of Jinan UniversityGuangzhou CityGuangdong ProvinceChina Father Sean O’Sullivan Research Centre St.Joseph’s Healthcare HamiltonHamiltonONCanada Department of Health Research Methods Evidenceand Impact(HEI)McMaster UniversityHamiltonONCanada

hospital-acquired infection(HAI)is a significant global health concern,elevating the risks of morbidity and imposing a substantial socioeconomic *** enhance the management of HAI,particularly in the aftermath of the coronavirus disease 2019(COVID-19)pandemic,the Guangdong Second Provincial General hospital(GD2H)has launched a new system called Intelligent Forest hospital(IFH).Leveraging advancements in artificial intelligence,5G technology,and cloud networking,the IFH implements customized indoor air quality(IAQ)control strategies tailored to different medical *** utilizes various intelligent disinfection devices and air purification *** IFH features a dynamic 3D hospital model with real-time monitoring of crucial IAQ parameters and a risk assessment ranking for clinical departments,providing timely risk alerts,communication prompts,and automatic disinfection *** IFH aims to effectively mitigate HAI post-COVID-19 and other future pandemics,ensuring a safe and pleasant environment for patients,hospital staff,and visitors.

关键词： Forest utilize prompt

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An Occupational Dimethylacetamide Poisoning Incident Responded Efficiently in Health Emergency Response Network—Zhuhai city,Guangdong Province,China,August 2023

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China CDC weekly 2024年第34期6卷 872-875页

作者： Jiaxin Jiang Jian Huang Jintong He Chudong Zhang Weihui Liang Qifeng Wu Weifeng Rong Xiaoyong Liu Guangdong Province hospital for Occupational Disease Prevention and Treatment(GDHOD) Guangzhou CityGuangdong ProvinceChina The Third People’s hospital of Zhuhai(Zhuhai hospital for Occupational Disease Prevention and Treatment ZHHOD)Zhuhai CityGuangdong ProvinceChina

Summary What is already known about this topic?Dimethylacetamide(DMA),a colorless liquid with low toxicity,is commonly used as a solvent in the production of synthetic materials,petroleum processing,and pharmaceutical *** comparison to substances of higher toxicity,occupational exposure to DMA presents a deceptive risk due to its insidious and subacute progression,increasing the likelihood of escalating into major incidents.

关键词： Dimethyl Guangdong manufacture

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A case of post traumatic mitral chordae rupture mimicking acute respiratory distress syndrome

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World Journal of Emergency Medicine 2024年第4期15卷 322-324页

作者： Hülya Deniz Misir Nalan Demir Ferit Kasimzade Cansu Yahşi Intensive Care Department Ankara Bilkent City HospitalAnkara 06800Turkiye Intensive Care Department University of Health Sciences Ankara Bilkent City HospitalAnkara 06800Turkiye Cardiovascular Surgery Department Ankara Bilkent City HospitalAnkara 06800Turkiye Pulmonary Medicine Department University of Health Sciences Ankara Bilkent City HospitalAnkara 06800Turkiye

Traumatic mitral chordae rupture is a rare and known cause of acute mitral valve regurgitation and de novo heart *** pathologies in a trauma patient may mask the findings of de novo heart failure due to mitral chordae *** patients may also have other potential pre-diagnoses that could explain symptoms related to heart failure,such as tachycardia,circulatory shock,and acute *** possibility of traumatic chordae tendinea rupture being a preventable cause of mortality should be carefully evaluated.

关键词： rupture mitral acute

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Prognostic value of N-terminal pro B-type natriuretic peptide and troponin Ⅰ in children with dengue shock syndrome

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Asian Pacific Journal of Tropical Medicine 2024年第4期17卷 166-172页

作者： Truyen Phuoc Le Phung Nguyen The Nguyen University of Medicine and Pharmacy at Ho Chi Minh city Ho Chi Minh CityVietnam Children's hospital 1 Ho Chi Minh CityVietnam

Objective:To investigate the contribution of N-terminal pro B-type natriuretic peptide(NT-pro BNP)and troponin Ⅰ to mortality in children with dengue shock ***:A longitudinal study was conducted on children with dengue shock syndrome in a hospital in southern *** clinical histories,physical examinations,and laboratory parameters,including NT-pro BNP and troponin Ⅰ,were recorded.A comparison between survival and non-survival was carried out to identify factors influencing ***:A total of 107 patients with a median age of 9 years were included in the *** them,63.6%(68/107)presented with compensated shock,36.4%(39/107)had hypotensive shock,23.4%(25/107)required mechanical ventilation,and 12.1%(13/107)*** NT-pro BNP levels were 3.9 pmol/L(IQR:1.9,10.3)and 15.2 pmol/L(5.8,46.3),while the median high sensitivity troponin Ⅰ levels were 20 pg/L(6,95)and 62 pg/L(12,325)at the first and second measurements,*** mortality group exhibited higher rates of hypotensive shock,prolonged shock,lactate levels,liver damage,NT-pro BNP,and troponin Ⅰ *** shock(OR 12.96,95%CI 2.70-62.30,P=0.004),prolonged shock(OR 39.40,95%CI 6.68-232.70,P1000 IU/L(OR 9.50,95%CI 2.63-34.34,P=0.041),and NT-pro BNP>7 pmol/L(OR 44.40,95%CI 5.44-362.20,P=0.001)were identified as predictive factors for mortality in dengue shock ***:The NT-pro BNP level could serve as a potential biomarker for predicting mortality in children with dengue shock syndrome.

关键词： Dengue shock syndrome Cardiac enzyme NT-pro BNP TroponinⅠ

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Prevalence of Reproductive Tract Infections and Association with Human Papillomavirus Infection Among Reproductive-Age Women—Six Tertiary hospitals,China,June 2021-December 2022

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China CDC weekly 2024年第10期6卷 189-194,I0002页

作者： Di Gao Jiayue Li Gengli Zhao Zhaohui Liu Hui Bi Dai Zhang Fengxia Xue Chen Liu Hongtao Ma Bei Lin Xu Wang Xiaosong Zhang Linhong Wang Department of Obstetrics and Gynecology Peking University First HospitalBeijingChina School of Medicine University College DublinIreland Beijing Obstetrics and Gynecology hospital BeijingChina Tianjin Medical University General hospital TianjinChina Northwest Women’s and Children’s hospital Xi’an CityShaanxi ProvinceChina Third Affiliated hospital of Zhengzhou University Zhengzhou CityHenan ProvinceChina Shengjing hospital of China Medical University Shenyang CityLiaoning ProvinceChina National Center for Chronic and Non-Communicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijingChina

Summary What is already known about this topic?Previous studies have indicated a possible association between reproductive tract infections(RTIs)and highrisk human papillomavirus(HPV)infection,but the evidence is still *** is added by this report?This multicenter study found significantly higher positive rates of HPV,including general HPV,highrisk HPV.

关键词： Tertiary infection Reproductive

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Philippine retinoblastoma initiative multi-eye center study 2010-2020

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International Journal of Ophthalmology(English edition) 2024年第1期17卷 144-156页

作者： Roland Joseph D.Tan Gary John V.Mercado Patricia E.Cabrera Paulita Pamela P.Astudillo Rolando Enrique D.Domingo Josept Mari S.Poblete Charmaine Grace M.Cabebe Adriel Vincent R.Te Melissa Anne S.Gonzales Jocelyn G.Sy Beltran Alexis A.Aclan Jayson T.So Fatima G.Regala Kimberley Amanda K.Comia Josemaria M.Castro Mara Augustine S.Galang Aldous Dominic C.Cabanlas Benedicto Juan E.Aguilar Gabrielle S.Evangelista Jo Michael Maniwan Andrei P.Martin Calvin Y.Martinez John Alfred H.Lim Rena Ivy Bascuna Rachel M.Ng Kevin B.Agsaoay Kris Zanna A.Acluba-Arao Ellaine Rose V.Apostol Beatriz M.Prieto Department of Ophthalmology and Visual Sciences Philippine General HospitalManila 1000Philippines Department of Ophthalmology Baguio General Hospital and Medical CenterBaguio City 2600Philippines Department of Ophthalmology Manila Doctors HospitalManila 1000Philippines Department of Ophthalmology Rizal Medical CenterPasig City 1600Philippines Department of Ophthalmology Jose B.Lingad Memorial Regional HospitalPampanga 2000Philippines Department of Ophthalmology Southern Philippines Medical CenterDavao City 8000Philippines Department of Ophthalmology East Avenue Medical CenterQuezon City 1100Philippines Department of Ophthalmology Northern Mindanao Medical CenterCagayan de Oro City 9000Philippines Department of Ophthalmology Cebu Velez General HospitalCebu City 6000Philippines Legazpi Eye Center Legazpi City 4500Philippines Department of Ophthalmology Cagayan Valley Medical CenterTuguegarao City 3500Philippines

AIM:To provide a comprehensive and more representative national data on the disease,especially on treatment options and outcomes,and to determine access of retinoblastoma patients from Luzon,Visayas and Mindanao to eye care,and determine if access is associated with delay in consultation,staging and ***:Cohort study of retinoblastoma patients seen in eleven institutions located in the three major areas of the Philippines namely Luzon,Vizayas and Mindanao from ***:Totally 636 patients,involving 821 eyes,were ***(57%)were from Luzon and were seen in institutions in Luzon(72%).Annually,58±10 new cases were seen with 71%having unilateral *** delay of consultation remained long at 9(3,17)mo,longest in patients with unilateral disease(Pcity to diagnose and manage retinoblastoma in the country,the delay of consultation remains long primarily due to accessibility issues to eye care institutions especially in the Visayas and financial *** delay was still significant that overall survival rate remain low.

关键词： retinoblastoma Philippines clinical profile

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Associations between Geriatric Nutrition Risk Index,bone mineral density and body composition in type 2 diabetes patients

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World Journal of Diabetes 2024年第3期15卷 403-417页

作者： Xiao-Xiao Zhu Kai-Feng Yao Hai-Yan Huang Li-Hua Wang Department of Pediatrics The Second Affiliated Hospital of Nantong UniversityFirst People’s Hospital of Nantong CityNantong 226001Jiangsu ProvinceChina Department of Nursing The Second Affiliated Hospital of Nantong UniversityFirst People’s Hospital of Nantong CityNantong 226001Jiangsu ProvinceChina Department of Endocrinology The Second Affiliated Hospital of Nantong UniversityFirst People’s Hospital of Nantong CityNantong 226001Jiangsu ProvinceChina

BACKGROUND Type 2 diabetes mellitus(T2DM),a fast-growing issue in public health,is one of the most common chronic metabolic disorders in older *** and sarcopenia are highly prevalent in T2DM patients and may result in fractures and *** people with T2DM,the association between nutrition,sarcopenia,and osteoporosis has rarely been *** To evaluate the connections among nutrition,bone mineral density(BMD)and body composition in patients with *** We enrolled 689 patients with T2DM for this cross-sectional *** patients underwent dual energy X-ray absorptiometry(DXA)examination and were categorized according to baseline Geriatric Nutritional Risk Index(GNRI)values calculated from serum albumin levels and body *** GNRI was used to evaluate nutritional status,and DXA was used to investigate BMD and body *** forward linear regression analysis was used to identify the factors associated with BMD and skeletal muscle mass *** Of the total patients,394 were men and 295 were *** with patients in tertile 1,those in tertile 3 who had a high GNRI tended to be younger and had lower HbA1c,higher BMD at all bone sites,and higher appendicular skeletal muscle index(ASMI).These important trends persisted even when the patients were divided into younger and older *** GNRI was positively related to ASMI(men:r=0.644,P<0.001;women:r=0.649,P<0.001),total body fat(men:r=0.453,P<0.001;women:r=0.557,P<0.001),BMD at all bone sites,lumbar spine(L1-L4)BMD(men:r=0.110,P=0.029;women:r=0.256,P<0.001),FN-BMD(men:r=0.293,P<0.001;women:r=0.273,P<0.001),and hip BMD(men:r=0.358,P<0.001;women:r=0.377,P<0.001).After adjustment for other clinical parameters,the GNRI was still significantly associated with BMD at the lumbar spine and femoral ***,a low lean mass index and higherβ-collagen special sequence were associated with low BMD at all bone *** was negatively correlated with

关键词： Geriatric Nutrition Risk Index Bone mineral density Skeletal muscle mass Type 2 diabetes

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Assessment of the Respiratory Disease Mortality Risk from Single and Composite Exposures to PM_(2.5)and Ozone—Guangzhou city,Guangdong Province,China,2018-2021

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China CDC weekly 2024年第34期6卷 857-861,I0001-I0006页

作者： Hongwei Tu Yijun Hu Keqi Hu Peipei Dong Yue Wen Jing Jiang Xuedan Xu Jinxu Huang Jiemin Zhu Changyun He Qiuxia Chen Yongying Liu Guangdong Provincial Center for Disease Control and Prevention Guangzhou CityGuangdong ProvinceChina Jinan University Guangzhou CityGuangdong ProvinceChina Department of Science and Education Guangdong Second Provincial General HospitalGuangzhou CityGuangdong ProvinceChina Sun Yat-sen University Guangzhou CityGuangdong ProvinceChina

Summary What is already known about this topic?Fine particulate matter(PM_(2.5))and ozone(O_(3))are prevalent pollutants in the atmosphere,which threaten human health,especially the respiratory ***,people are exposed to a mixture of various pollutants in the ***,the single and combined effects of both pollutants need to be investigated.

关键词： environment. ozone Guangdong

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