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Hear failure admission

Kimberly A Fox, Todd M Phillips, Joseph H Yanta, Michael G Abesamis
CONTEXT: Post-arthroplasty metallosis, which refers to metallic corrosion and deposition of metallic debris in the periprosthetic soft tissues of the body, is an uncommon complication. Systemic cobalt toxicity post-arthroplasty is extremely rare. The few known fatal cases of cobalt toxicity appear to be a result of replacing shattered ceramic heads with metal-on-metal or metal-on-polyethylene implants. Friction between residual shards of ceramic and cobalt-chromium implants allows release of cobalt into the synovial fluid and bloodstream, resulting in elevated whole blood cobalt levels and potential toxicity...
November 2016: Clinical Toxicology
Jun Yokoyama, Hiroo Yamaguchi, Hiroshi Shigeto, Takeshi Uchiumi, Hiroyuki Murai, Jun-ichi Kira
A 24-year-old man was referred to our hospital emergency department due to a sudden onset of convulsions after drinking. On arrival he presented status epilepticus and was managed by artificial ventilation. He had no brainstem signs or meningeal irritation. Head MRI showed an old infarction-like lesion in the left occipital lobe, but no abnormal signals on diffusion-weighted images. The patient showed acute rhabdomyolysis (CK 18,000 IU/l) and renal failure, and hemodialysis was started. On 18 day after admission, he was transferred to our department with mild proximal limb muscle weakness and bilateral sensorineural hearing impairment...
2016: Rinshō Shinkeigaku, Clinical Neurology
Timothy F Murphy
Infections due to nontypeable Haemophilus influenzae result in enormous global morbidity in two clinical settings: otitis media in children and respiratory tract infections in adults with chronic obstructive pulmonary disease (COPD). Recurrent otitis media affects up to 20% of children and results in hearing loss, delays in speech and language development and, in developing countries, chronic suppurative otitis media. Infections in people with COPD result in clinic and emergency room visits, hospital admissions, and respiratory failure...
May 2015: Clinical and Vaccine Immunology: CVI
Anna Skalska, Barbara Wizner, Andrzej Więcek, Tomasz Zdrojewski, Jerzy Chudek, Alicja Klich-Rączka, Karolina Piotrowicz, Piotr Błędowski, Małgorzata Mossakowska, Jean-Pierre Michel, Tomasz Grodzicki
AIM: To assess daily functioning and geriatric conditions of older subjects suffering from heart failure (HF) as compared to the general population. METHODS AND RESULTS: The data were collected as part of the nationwide PolSenior project (2007-2011). Of 4979 individuals (age range 65-104 years), data on self-reported HF hospitalization were available for 4795 subjects (96%). Geriatric assessment (GA) included functional status (ADL, Activities of Daily Living and IADL, Instrumental ADL scales), cognitive function, mood disorders, sensory organ impairment, falls and comorbidity...
September 20, 2014: International Journal of Cardiology
Milos Kuzmanović, Shinji Kunishima, Jovana Putnik, Natasa Stajić, Aleksandra Paripović, Radovan Bogdanović
INTRODUCTION: The group of autosomal dominant disorders - Epstein syndrome, Sebastian syndrome, Fechthner syndrome and May-Hegglin anomaly - are characterised by thrombocytopenia with giant platelets, inclusion bodies in granulocytes and variable levels of deafness, disturbances of vision and renal function impairment. A common genetic background of these disorders are mutations in MYH9 gene, coding for the nonmuscle myosin heavy chain IIA. Differential diagnosis is important for the adequate treatment strategy...
April 2014: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Euthymia Vargiami, Athina Ververi, Maria Kyriazi, Evangelia Papathanasiou, Georgia Gioula, Spyridon Gerou, Hamda Al-Mutawa, Marios Kambouris, Dimitrios I Zafeiriou
Submicroscopic deletion of 10p15.3 is a rare genetic disorder, currently reported in 21 unrelated patients. It is mainly associated with cognitive deficits, speech disorders, motor delay and hypotonia. The size of the deleted region ranges between 0.15 and 4 Mb and does not generally correlate with phenotype. A monozygotic female twin pair with a de novo 2.7 Mb deletion of 10p15.3 is herein reported. The girls presented at the age of 8 months with severe developmental delay and failure to thrive since the first month of life...
March 2014: American Journal of Medical Genetics. Part A
Takeshi Yamamoto, Jun Matsuda, Hiroyuki Kadoya, Daisuke Mori, Daisuke Ito, Tomoko Namba, Masanobu Takeji, Megumu Fukunaga, Atsushi Yamauchi
In December 2008, a 69-year-old Japanese woman was admitted to the Department of Otorhinolaryngology because of hearing impairment due to bilateral exudative otitis media, and was discharged without complete recovery despite conventional treatment. Two weeks later, she was readmitted for worsened deafness, numbness, gait disturbance, and general fatigue. She was referred to our department for general investigation. On admission, laboratory examination revealed severe inflammatory signs and active nephritic urinary sediments...
October 2011: Clinical and Experimental Nephrology
An Boudewyns, Frank Declau, Jenneke Van den Ende, Erwin Van Kerschaver, Sara Dirckx, Anouk Hofkens-Van den Brandt, Paul Van de Heyning
OBJECTIVE: Otitis media with effusion (OME) is the major reason for failure of neonatal hearing screening. However, little is known about the impact on hearing status of OME in infants during the first months of life. PATIENTS: Infants who failed universal newborn hearing screening. METHODS: Prospective evaluation for the presence of OME, the degree of hearing loss and the disease evolution. RESULTS: Between 2007 and 2008, approximately 152 infants were referred because of unilateral or bilateral failure on universal newborn hearing screening with an automated auditory brainstem response device...
July 2011: Otology & Neurotology
Jane W A Vella-Brincat, Evan J Begg, Barbara J Robertshawe, Adrienne M Lynn, Tracey L Borrie, Brian A Darlow
BACKGROUND: Aminoglycoside-induced ototoxicity has been reported in neonates but its incidence is poorly defined, whereas vancomycin-induced ototoxicity has not been reported in neonates. OBJECTIVE: To compare hearing test results in infants in a neonatal intensive care unit (NICU) who were or were not treated with extended interval gentamicin dosing and/or standard vancomycin dosing. METHOD: A database of otoacoustic emissions (OAE), over a 5-year period of NICU admissions, was combined with databases of gentamicin and vancomycin dosing to compare patients treated or not treated with these antibiotics...
2011: Neonatology
Guillermo Torre-Amione, Olga Milo-Cotter, Edo Kaluski, Loic Perchenet, Isaac Kobrin, Aline Frey, Michele M Rund, Beth Davison Weatherley, Gad Cotter
BACKGROUND: The most common outcome currently assessed in acute heart failure trials (AHF) is dyspnea improvement. Worsening hear failure (WHF) is a new outcome measure that incorporates failure to improve or recurrent symptoms of AHF requiring rescue intravenous therapy, mechanical circulatory or ventilatory support, or readmission because of AHF, occurring within 30 days of AHF admission. METHODS AND RESULTS: Retrospective data analysis of 120 patients with AHF requiring hemodynamic monitoring who enrolled in the placebo arm of 2 prospective randomized studies...
October 2009: Journal of Cardiac Failure
Bolajoko O Olusanya, Olumuyiwa A Solanke
OBJECTIVE: To identify delivery methods and associated adverse neonatal outcomes after previous cesarean delivery. METHODS: A retrospective cross-sectional study in an inner-city maternity hospital in Lagos, Nigeria, in which outcomes associated with delivery methods were determined by multinomial logistic regression. RESULTS: Of 435 eligible singleton deliveries, 171 (39.3%) occurred via elective cesarean, 249 (57.2%) via emergency cesarean, and 15 (3...
November 2009: International Journal of Gynaecology and Obstetrics
V des Portes
Bacterial meningitis remains a major cause of death and neurological and hearing sequels. In adults, the death rate ranges from 16 to 37% in meningitis due to Pneumococcus pneumoniae and neurological sequels occur in 30 to 52% of survivors. In childhood, the prognosis is better, with a death rate ranging from 2 to 15%, higher for Pneumococcus pneumoniae. Seventy-five percent of children survive without any sequel, 15% with hearing disorders (up to 30% with Pneumococcus), and rarely (3-4%) present with mental retardation, motor deficit, or epilepsy...
July 2009: Médecine et Maladies Infectieuses
Corinne M P Buysse, Hein Raat, Jan A Hazelzet, Jessie M Hulst, Karlien Cransberg, Wim C J Hop, Lindy C A C Vermunt, Elisabeth M W J Utens, Marianne Maliepaard, Koen F M Joosten
OBJECTIVE: To assess long-term health status in patients who survived meningococcal septic shock in childhood. DESIGN: Medical and psychological follow-up of a cross-sectional cohort. SETTING: Pediatric intensive care unit (PICU) of a tertiary care university hospital. PARTICIPANTS: All consecutive patients with septic shock and purpura who required intensive care between 1988 and 2001. Intervention Patients and their parents were invited to our follow-up clinic 4 to 16 years after PICU discharge...
November 2008: Archives of Pediatrics & Adolescent Medicine
Dwayne A Pierce, Shea R Holt, Amber Reeves-Daniel
BACKGROUND: As described in the literature, gabapentin toxicity in patients with impaired renal function can manifest as coma, myoclonus, tremulousness, or altered mental status. Gabapentin is an antiepileptic agent indicated for use as an adjunct therapy in partial seizures and postherpetic neuralgia but is also prescribed for the treatment of diabetic peripheral neuropathy. CASE SUMMARY: A 46-year-old white woman (height, 167 cm; weight, 177 kg; body mass index, 62...
September 2008: Clinical Therapeutics
A M Jiménez Martín, C Servera Ginard, A Roca Jaume, G Frontera Juan, J Pérez Rodríguez
INTRODUCTION: Obstetrics and Perinatal Care has improved in the last few years. As a result there has been a significant increase in preterm babies and longer survival. The risk of abnormalities in their development is high; they need follow up, prompt action and prevention from the neonatal period. MATERIAL AND METHODS: We evaluated 116 preterm babies, birth weight less than or equal to 1,000 grams, admitted to our Unit over 5 years. Seventy five neonates survived after the neonatal period (64...
April 2008: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
M F Jiménez-Navarro, A J Muñoz García, J M García-Pinilla, G Gómez Hernández, J J Gómez-Doblas, E de Teresa Galván
BACKGROUND AND OBJECTIVES: The cost of hospitalization represents the greatest proportion of total expenditure due to heart failure. Our objective was to analyze the trends of morbidity of chronic heart failure in Andalusia between 1990-2000. MATERIAL AND METHODS: The data on hospitalizations in Andalusia (title 428 of the ninth revision of the International Disease Classification) were obtained from the National Survey of Hospital Morbidity of the National Institute of Statistics...
November 2006: Revista Clínica Española
Yu-he Liu, Yong Qin, Quan-gui Wang, Zhen Zhong, Jun Wang, Shi-fang Xiao
OBJECTIVE: To appreciate clinically of masked mastoiditis to explored how to reduce the incidence and associated morbidity of otogenic complications. METHODS: Between January 1998 and February 2005, 11 cases of masked mastoiditis were collected retrospectively. Their clinical presentation, results of investigations, and response to treatment were reviewed. RESULTS: Of 11 cases, there were 8 cases with hearing impairment, 5 cases with otalgia, 4 cases with facial nerve palsy, one patient with postauricular subperiosteal abscess, one case with meningitis, and one with thrombosis of the lateral sinus...
March 2006: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Robert S Lockridge
In the 1960s, care of the end-stage renal disease (ESRD) patient changed. Either through transplantation or intermittent hemodialysis ESRD patients were able to live longer. The Gottschalk Committee issued the "Report of the Committee on Chronic Kidney Disease" to the Bureau of Budget. This report established that hemodialysis and kidney transplantation were the standard of care for the treatment of ESRD patients. Section 2991 of the Social Security Amendment of 1972 provided that patients with ESRD who qualified for Medicare were entitled to receive dialysis and/or transplantation nationwide...
March 2004: Seminars in Dialysis
Robin J Hamill-Ruth, Roger A Ruth
OBJECTIVE: To assess hearing impairment in adults admitted to a university surgical intensive care unit in order to identify patients at risk for impaired receptive communication. DESIGN: Prospective, clinical, observational study within the continuing quality improvement program. SETTING: Ten-bed adult surgical intensive care unit at a university hospital. PATIENTS: Patients were 442 adult patients admitted to the surgical intensive care unit for trauma, a critical illness, or postoperative monitoring...
September 2003: Critical Care Medicine
Sabina De Geest, Lieve Scheurweghs, Isabelle Reynders, Walter Pelemans, Walter Droogné, Johan Van Cleemput, Marcia Leventhal, Johan Vanhaecke
BACKGROUND: Heart failure represents a growing epidemic, primarily in the elderly. Development and implementation of management programs designed for use in daily clinical practice remains a major challenge. AIMS: This study aimed at profiling a hospitalized heart failure population in view of medical, behavioral, educational, psychosocial and health resources utilization parameters stratified by admission to cardiology and geriatric wards. METHODS AND RESULTS: Using a descriptive comparative design, 109 European heart failure patients admitted to cardiology (42%) and geriatric wards (58%) were included...
August 2003: European Journal of Heart Failure
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