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https://www.readbyqxmd.com/read/29452918/predictors-of-safe-discharge-for-pediatric-drowning-patients-in-the-emergency-department
#1
Courtney E Brennan, Travis K F Hong, Vincent J Wang
OBJECTIVES: The purpose of this study is to determine if stable, well-appearing, drowning patients who have normal age-adjusted vital signs and pulse oximetry upon arrival to the emergency department may be safely discharged without a prolonged observation period. METHODS: Medical records were retrospectively reviewed for drowning patients presenting to a single pediatric emergency department from 1995 to 2014. Data were collected on vital signs and pulse oximetry at presentation, chest x-ray results, disposition and complications for each encounter...
January 31, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29452731/submersion-injuries-in-the-united-states-patients-characteristics-and-predictors-of-mortality-and-morbidity
#2
Rayan El Sibai, Rana Bachir, Mazen El Sayed
INTRODUCTION: Drowning leads to 372,000 deaths annually worldwide and to severe morbidity secondary to asphyxiation or aspiration. Previous studies described submersion injuries mainly in the pediatric population. This study describes characteristics of patients presenting with submersion injuries to United States emergency departments (EDs) and identifies predictors of poor outcomes (death or long term neurologic deficits) after drowning. METHODS: This retrospective cross-sectional study included ED visits for submersion injuries from the United States 2013 Nationwide Emergency Department Sample (NEDS) dataset using discharge data (CCS diagnosis codes)...
February 13, 2018: Injury
https://www.readbyqxmd.com/read/29452150/cerebral-blood-flow-velocity-and-autoregulation-in-paediatric-patients-following-a-global-hypoxic-ischaemic-insult
#3
Marlina E Lovett, Tensing Maa, Melissa G Chung, Nicole F O'Brien
AIM: To describe the cerebral blood flow velocity pattern and investigate cerebral autoregulation using transcranial Doppler ultrasonography (TCD) following a global hypoxic-ischaemic (HI) event in children. METHODS: This was a prospective, observational study in a quaternary-level paediatric intensive care unit. Intubated children, newborn to 17 years admitted to the PICU following HI injury (asphyxia, drowning, cardiac arrest) were eligible for inclusion. TCD was performed daily until post-injury day 8, discharge, or death, whichever occurred earliest...
February 13, 2018: Resuscitation
https://www.readbyqxmd.com/read/29442197/a-lack-of-aquatic-rescue-competency-a-drowning-risk-factor-for-young-adults-involved-in-aquatic-emergencies
#4
Lauren A Petrass, Jennifer D Blitvich
Drowning is an important public health issue with major impacts on young adults aged 15-24 years, yet little is known about the causal factors for drowning for this group. As young adults recreate with peers in unpatrolled aquatic environments, the capacity to perform effective and efficient rescues seems pivotal. This study examined perceived ability of young adults to perform a rescue; determined the level of aquatic rescue knowledge; and measured the effect of an aquatic rescue intervention. In total, 135 participants completed pre- and post-intervention surveys and rescue practical testing...
February 13, 2018: Journal of Community Health
https://www.readbyqxmd.com/read/29441443/double-chambered-left-ventricle-a-heart-within-a-heart
#5
John D Gilbert, Roger W Byard
A 20-year-old previously well man drowned after performing a back-flip off a bridge into a river. At autopsy no significant injuries or organic illness were identified. An unusual incidental finding was a double chambered left ventricle, or so-called "heart within a heart", with the left ventricle subdivided into two separate chambers by a muscular septum. Awareness of this entity in forensic casework is important as this anomaly, despite its dramatic appearance, is not associated with anomalous conduction tracts or arrhythmogenic conditions, and so is usually a completely incidental finding at autopsy...
February 13, 2018: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/29428900/the-provision-of-care-to-adults-with-an-intellectual-disability-in-the-uk-a-special-report-from-the-intellectual-disability-uk-chapter-ilae
#6
M P Kerr, L V Watkins, H Angus-Leppan, A Corp, M Goodwin, C Hanson, A Roy, R Shankar
PURPOSE: This article reflects the report by the British Branch of the International League Against Epilepsy (ILAE) Working Group on services for adults with epilepsy and intellectual disability (ID). Its terms of reference was to explore the current status of aspects of the care of people with an ID and epilepsy. METHODS: Survey content was developed from key themes identified by consensus of the working group. An electronic survey was distributed via email. The sample population was the membership of the ILAE UK, Royal College of Psychiatrists (RCPsych) Faculty of ID, Epilepsy Nurses Association (ESNA), and the Association of British Neurologists (ABN)...
February 8, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/29427930/diagnosis-of-drowning-by-summation-of-sodium-potassium-and-chloride-ion-levels-in-sphenoidal-sinus-fluid-differentiating-between-freshwater-and-seawater-drowning-and-its-application-to-brackish-water-and-bathtub-deaths
#7
Daisuke Yajima, Go Inokuchi, Yohsuke Makino, Ayumi Motomura, Fumiko Chiba, Suguru Torimitsu, Rutsuko Yamaguchi, Yumi Hoshioka, Dalė Malakienė, Romas Raudys, Hirotaro Iwase
Analysis of ions in sphenoidal fluid can be a useful index for the diagnosis of drowning. We evaluated the reference ranges of non-drowning cases using statistical methods and three indices: sodium ion (Na+), summation of sodium and potassium ions (SUMNa+K), and summation of sodium, potassium and chloride ions (SUMNa+K+Cl). The reference ranges were 96≤Na+<152, 139≤SUMNa+K<179, 243≤SUMNa+K+Cl<311(mEq/L), respectively. Victim indices outside of the reference ranges indicate that the victim probably inspired water with higher or lower ion concentrations than those of body fluid in sphenoidal sinuses...
January 31, 2018: Forensic Science International
https://www.readbyqxmd.com/read/29424713/do-natural-spring-waters-in-australia-and-new-zealand-affect-health-a-systematic-review
#8
Jessica Stanhope, Philip Weinstein, Angus Cook
Therapeutic use of spring waters has a recorded history dating back to at least 1550 BC and includes both bathing in and drinking such waters for their healing properties. In Australia and New Zealand the use of therapeutic spring waters is a much more recent phenomenon, becoming a source of health tourism from the late 1800s. We conducted a systematic review aimed at determining the potential health outcomes relating to exposure to Australian or New Zealand natural spring water. We found only low-level evidence of adverse health outcomes relating to this spring water exposure, including fatalities from hydrogen sulphide poisoning, drowning and primary amoebic meningoencephalitis...
February 2018: Journal of Water and Health
https://www.readbyqxmd.com/read/29422737/heart-rate-variability-in-children-following-drowning-injury
#9
Madhuradhar Chegondi, Jun Sasaki, Sayed Naqvi, Wei-Chiang Lin, Andre Raszynski, Balagangadhar R Totapally
Heart rate variability (HRV) has been used as prognostic tool in various disorders in pediatric and adult patients. In our study we aimed to evaluate heart rate variability indices and their association with neurological outcome in three children with anoxic brain injury following drowning. Three children included in the study were admitted following drowning and required mechanical ventilation and targeted temperature management. All physiologic data, including electrocardiography (ECG) and EEG were collected for a period of 3-5 days after enrollment...
January 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29419791/unintentional-childhood-injuries-in-urban-and-rural-ujjain-india-a-community-based-survey
#10
Aditya Mathur, Love Mehra, Vishal Diwan, Ashish Pathak
Injuries are a major global public health problem. There are very few community-based studies on childhood injury from India. The objective of this cross-sectional, community-based survey was to identify the incidence, type, and risk factors of unintentional childhood injuries. The study was done in seven villages and ten contiguous urban slums in Ujjain, India. World Health Organization (WHO) tested tools and definitions were used for the survey, which included 2518 households having 6308 children up to 18 years of age, with 2907 children from urban households and 3401 from rural households...
February 8, 2018: Children
https://www.readbyqxmd.com/read/29417672/unintentional-fatal-child-drowning-in-the-bath-a-12-year-australian-review-2002-2014
#11
Amy E Peden, Richard C Franklin, John H Pearn
AIM: To establish the prevalence of unintentional fatal drowning in baths involving children <18 years in Australia and to identify causal factors to underpin prevention. METHODS: We report a total population study of all childhood (0-17 years) unintentional drowning fatalities in baths (bathtubs, spa baths and showers) in Australia between 1 July 2002 and 30 June 2014. Demographic, forensic and aetiological data (including co-bathing, use of bath aids, supervision and enactment of cardiopulmonary resuscitation) were documented for each victim...
February 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29415615/perceptions-of-the-risk-of-drowning-at-surf-beaches-among-new-zealand-youth
#12
Stacey Willcox-Pidgeon, Bridget Kool, Kevin Moran
In many countries, beaches are a high-risk location for drowning. In New Zealand, youth and young adults are particularly at risk of drowning at beaches, accounting for 17.4% of drowning deaths and 18.4% of rescues at surf beaches between 2008 and 2013, over 90% of fatalities were male. This study explored New Zealand youth risk perceptions of drowning and their coping appraisal processes at a surf beach. A cross-sectional survey of high school students (n = 599) was conducted between February and April 2014...
February 8, 2018: International Journal of Injury Control and Safety Promotion
https://www.readbyqxmd.com/read/29406474/childhood-drowning-review-of-patients-presenting-to-the-emergency-departments-of-2-large-tertiary-care-pediatric-hospitals-near-and-distant-from-the-sea-coast
#13
Neta Cohen, Dennis Scolnik, Ayelet Rimon, Uri Balla, Miguel Glatstein
OBJECTIVE: Drowning is a leading cause of death among infants and toddlers. Unique physiological and behavioral factors contribute to high mortality rates. Drowning incidents predominantly occur during warmer months and holidays. The aim of this study was to describe the characteristics of pediatric drowning victims who attended 2 different emergency departments (EDs), 1 near and 1 distant from the sea coast, to recognize risk factors, complications, causes of death, and the educational needs of families and caregivers...
February 5, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29400077/severe-unintentional-injuries-to-ohio-children-what-we-should-be-addressing-at-well-child-visits
#14
Victoria M Wurster Ovalle, Wendy J Pomerantz, Michael A Gittelman
This was a retrospective study examining severe injuries to Ohio children in order to provide pediatricians with targeted injury talking points at well visits. We included children ≤14 years old from the Ohio Trauma Acute Care Registry with severe unintentional injuries from January 1, 2003, to December 31, 2012. There were 45 347 patients; 611 died, and the mean age was 6.8 years. Fractures/dislocations were common (46.6%), and many injuries occurred at home (49.1%). In children ≤2 years old, the leading causes of injury were falls and burns/fire; falls and motor vehicle collisions (MVCs) predominated above this age...
February 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29393734/retrospective-analysis-of-necropsy-reports-suggestive-of-abuse-in-dogs-and-cats
#15
Daniel C Almeida, Sheila M F Torres, Arno Wuenschmann
OBJECTIVE To identify historical and necropsy findings suggestive of neglect or abuse of dogs and cats by retrospective analysis of necropsy reports from a veterinary diagnostic laboratory. DESIGN Retrospective cohort study. SAMPLE 119 necropsy reports of dogs and cats. PROCEDURES Necropsy reports from February 2001 to May 2012 were electronically searched to identify potential animal abuse or neglect cases. Cases were selected and categorized according to a previously proposed method for classification of animal abuse...
February 15, 2018: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/29391358/wave-of-renal-impairment
#16
Helena Pinto, Ana Catarina Teixeira, Nuno Oliveira, Rui Alves
We present a case of a 51-year-old man who went to the emergency department after an almost-drowning episode, presenting with muscular weakness, myalgia and dark urine. Laboratory data showed a severe rhabdomyolysis (creatine kinase 497 510 U/L). Despite aggressive fluid therapy, an oliguric acute kidney injury was established with temporary need of haemodialysis. The patient had a longtime history of exercise intolerance and family history of a metabolic myopathy, namely a sister with McArdle's disease...
February 1, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29386275/risk-for-injuries-and-accidents-in-epilepsy-a-prospective-population-based-cohort-study
#17
Benno Mahler, Sofia Carlsson, Tomas Andersson, Torbjörn Tomson
OBJECTIVE: To study the risk for injuries/accidents in people with newly diagnosed epileptic seizures in relation to comorbidities. METHODS: Between September 1, 2001, and August 31, 2008, individuals in northern Stockholm with incident unprovoked seizures (epilepsy; n = 2,130) were included in a registry. For every epilepsy patient, 8 individuals matched for sex and inclusion year (n = 16,992) were randomly selected as references from the population of the catchment area...
January 31, 2018: Neurology
https://www.readbyqxmd.com/read/29384478/discrimination-between-bycatch-and-other-causes-of-cetacean-and-pinniped-stranding
#18
Yara Bernaldo de Quirós, Meghan Hartwick, David S Rotstein, Michael M Garner, Andrea Bogomolni, William Greer, Misty E Niemeyer, Greg Early, Frederick Wenzel, Michael Moore
The challenge of identifying cause of death in discarded bycaught marine mammals stems from a combination of the non-specific nature of the lesions of drowning, the complex physiologic adaptations unique to breath-holding marine mammals, lack of case histories, and the diverse nature of fishing gear. While no pathognomonic lesions are recognized, signs of acute external entanglement, bulging or reddened eyes, recently ingested gastric contents, pulmonary changes, and decompression-associated gas bubbles have been identified in the condition of peracute underwater entrapment (PUE) syndrome in previous studies of marine mammals...
January 31, 2018: Diseases of Aquatic Organisms
https://www.readbyqxmd.com/read/29380468/trends-in-pediatric-liver-transplant-donors-and-deceased-donor-circumstance-of-death-in-the-united-states-2002-2015
#19
Dor Yoeli, Matthew Goss, Nhu Thao N Galván, Moreshwar S Desai, Tamir A Miloh, Abbas Rana
While much of the discussion regarding expanding the donor pool for pediatric liver transplantation has surrounded the use of technical variant grafts, little attention has been directed toward changes in the deceased donor population. The aim of this study was to investigate trends in the circumstance of the death of deceased donors used for pediatric liver transplantation. All pediatric liver transplant recipients transplanted between 2002 and 2015 were identified in the UNOS database and were categorized based on the donor circumstance of death...
January 30, 2018: Pediatric Transplantation
https://www.readbyqxmd.com/read/29372669/evolutionary-conservation-of-dna-methylation-in-cpg-sites-within-ultraconserved-noncoding-elements
#20
Mathia Colwell, Melissa Drown, Kelly Showel, Chelsea Drown, Amanda Palowski, Christopher Faulk
Ultraconserved noncoding elements (UCNEs) constitute less than 1 Mb of vertebrate genomes and are impervious to accumulating mutations. About 4000 UCNEs exist in vertebrate genomes, each at least 200 nucleotides in length, sharing greater than 95% sequence identity between human and chicken. Despite extreme sequence conservation over 400 million years of vertebrate evolution, we show both ordered interspecies and within-species interindividual variation in DNA methylation in these regions. Here, we surveyed UCNEs with high CpG density in 56 species finding half to be intermediately methylated and the remaining near 0% or 100%...
January 26, 2018: Epigenetics: Official Journal of the DNA Methylation Society
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