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PeerJ Comput Sci 2021 11;7:e389. Epub 2021 Mar 11.

Faculty of Information and Communication Technology, Universiti Tunku Abdul Rahman, Kampar, Perak, Malaysia.

Keyword extraction is essential in determining influenced keywords from huge documents as the research repositories are becoming massive in volume day by day. The research community is drowning in data and starving for information. The keywords are the words that describe the theme of the whole document in a precise way by consisting of just a few words. Read More

Antonie Van Leeuwenhoek 2021 Mar 6. Epub 2021 Mar 6.

Department of Clinical Laboratory, Hunan Province People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, 410005, Hunan, People's Republic of China.

A Gram-negative, aerobic, non-motile, pleomorphic, red-pigmented bacterium, designated HNSRY-1, was isolated from the blood sample of a near drowning patient in Republic of China. Strain HNSRY-1 grew at 15-37 °C (optimum, 35 °C), with pH 6.0-8. Read More

Handb Clin Neurol 2021 ;177:189-192

Department of Neurology, Ochsner/Louisiana State University Health Sciences Center, Shreveport, LA, United States. Electronic address:

Syncope is very common and usually comes with enough warning for the person to assume a safer position rather than fall in a potentially dangerous way. Syncope may be associated with pregnancy, for example, but we rarely encounter significant injury related to the potential for an associated fall. In the elderly, however, there are often comorbid factors such as delayed reaction time and other aspects of cognitive impairment, along with gait instability, that can affect the defensive reflexes to the point that brain injury, including subdural or epidural hematoma, is not uncommonly encountered. Read More

Am Surg 2021 Jan 31:3134821989055. Epub 2021 Jan 31.

Department of Surgery, 4157Conemaugh Memorial Medical Center, Johnstown, PA, USA.

Prehosp Disaster Med 2021 Apr 27;36(2):163-169. Epub 2021 Jan 27.

Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain.

Introduction: On-boat resuscitation can be applied by lifeguards in an inflatable rescue boat (IRB). Due to Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-COV-2) and recommendations for the use of personal protective equipment (PPE), prehospital care procedures need to be re-evaluated. The objective of this study was to determine how the use of PPE influences the amount of preparation time needed before beginning actual resuscitation and the quality of cardiopulmonary resuscitation (CPR; QCPR) on an IRB. Read More

Arch Pediatr 2021 Apr 22;28(3):252-254. Epub 2021 Jan 22.

Department of pediatric intensive care, centre hospitalier universitaire de Nantes, Children's hospital, 44000 Nantes, France.

An 11-year-old girl experienced an episode of near-drowning. She was immediately rescued and was defibrillated. Transthoracic echocardiography and coronary computed tomographic angiography confirmed the diagnosis of anomalous left coronary artery from the pulmonary artery (ALCAPA). Read More

Matern Child Health J 2021 Mar 7;25(3):414-427. Epub 2021 Jan 7.

Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Objectives: Globally, unintentional injuries are one of the leading causes of infant death. Established risk factors for injuries during infancy include single parent households, socioeconomic disadvantage and maternal postpartum depression. We sought to examine whether maternal working status is associated with unintentional injury among infants in Japan. Read More

Am J Emerg Med 2021 03 26;41:90-95. Epub 2020 Dec 26.

Division of Pediatric Emergency Care, Department of Pediatrics, Dokuz Eylul University, Faculty of Medicine, Izmir, Turkey. Electronic address:

Background: In the present study, we aimed to investigate the demographic and clinical features, laboratory and radiologic characteristics, management, and outcomes of pediatric drowning patients in order to identify predictors of hospital admission, and to evaluate the need for respiratory support, and prognosis.

Methods: In this retrospective chart review, children aged 0 to 18 years who presented to the pediatric emergency department due to drowning between July 2009 and September 2019 were included. Demographics, initial vital signs, clinical findings, laboratory and radiologic results, and the need for respiratory support or cardiopulmonary resuscitation in the emergency department were recorded. Read More

Am Surg 2021 Jan 2:3134820983189. Epub 2021 Jan 2.

Department of Surgery, University of Oklahoma Medical Center, Oklahoma City, OK, USA.

Am J Emerg Med 2020 Nov 16;38(11):2395-2399. Epub 2020 Sep 16.

CLINURSID Research Group. Nursing Departament, University of Santiago de Compostela, Santiago de Compostela, Spain; Pediatric Intensive Care Unit Area, Galician Health Service (SERGAS), Santiago de Compostela, Spain.

Objective: Introducing a new, simple and inexpensive portable equipment for lifeguards, consisting of a pre-assembled full-size plastic blanket with a mask and HEPA filter, which could offer significant time-saving advantages to reduce COVID-19 risk transmission in the first few minutes of CPR after water rescue, avoiding the negative impact of delayed ventilation.

Method: A pilot study was carried out to determine the feasibility of the pre-assembled kit of face-mask and HEPA filter adapted on a pre-set plastic-blanket. The first step consisted of washing hands, putting on safety glasses and gloves as the first personal protection equipment (PPE) and then covering the victim with an assembled plastic blanket. Read More

Front Pediatr 2020 10;8:564. Epub 2020 Sep 10.

Vinmec Research Institute of Stem Cell and Gene Technology (VRISG), Vinmec Health Care System, Hanoi, Vietnam.

Anoxic brain injury (ABI) due to non-fatal drowning may cause persistent vegetative state (VS) that is currently incurable. The aim of this paper is to present the safety and feasibility of autologous bone marrow-derived mononuclear cell (BMMNC) transplantation in five drowning children surviving in persistent VS. We used BMMNC as a novel candidate therapeutic tool in a pilot phase-I study for five patients affected by neurological sequelae after near-death drowning. Read More

Int J Surg Case Rep 2020 25;76:11-13. Epub 2020 Sep 25.

Department of Surgery, University of Texas Medical Branch, Galveston, TX, USA. Electronic address:

Introduction: Gastroesophageal (GE) junction injuries are rare in the pediatric population. A complete GE junction separation in a child secondary to trauma has not reported in the literature yet.

Presentation Of Case: A 14-year-old boy presented with a complete GE junction avulsion after a near-drowning experience. Read More

Zhonghua Jie He He Hu Xi Za Zhi 2020 Sep;43(9):772-777

Department of Respiratory Disease and Critical Care Medicine, the Second Affiliated Hospital, Air Force Medical University, Xi'an 710038, China.

To explore the therapeutic effect of carnosine and dexamethasone in lung injury caused by seawater drowning. The experiments with A549 cells were divided into 5 groups: blank control group (C), seawater injury group (S), seawater injury+dexamethasone treatment group (S+D), seawater injury+carnosine treatment group (S+C), seawater injury dexamethasone and carnosine combined therapy(S+D+C) group. The optimal therapeutic dose of drugs for the treatment of seawater drowning lung injury was tested . Read More

Neurol India 2020 Jul-Aug;68(4):906-909

Department of Microbiology, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India.

Scedosporium apiospermum is a filamentous fungus causing a broad spectrum of clinical diseases especially in those who are immunocompromised. The common sites involved are lungs, skin, sinuses, eyes, bones, joints, and central nervous system (CNS). CNS is involved in invasive Scedosporiosis in the form of a cerebral abscess. Read More

Emerg Infect Dis 2020 09;26(9):2186-2189

We report a severe case of Chromobacterium haemolyticum pneumonia associated with near-drowning and detail the investigation of the pathogen and river water. Our genomic and environmental investigation demonstrated that river water in a temperate region can be a source of C. haemolyticum causing human infections. Read More

Mov Disord Clin Pract 2020 Jul 2;7(5):573-574. Epub 2020 Jun 2.

Department of Rehabilitation, Center of Expertise for Parkinson & Movement Disorders Radboud University Medical Centre; Donders Institute for Brain, Cognition and Behaviour Nijmegen The Netherlands.

View Supplementary Video S1 View Supplementary Video S2 View Supplementary Video S3. Read More

Rev Esp Salud Publica 2020 Jun 30;94. Epub 2020 Jun 30.

Sociedad Brasileña de Salvamento Acuático (SOBRASA). Rio de Janeiro. Brasil.

Severe acute respiratory syndrome (SARS-CoV-2), which causes coronavirus disease 2019 (Covid-19), is highly contagious. Lifeguards are the first line of response in aquatic emergencies and they will suffer a strong exposure to risk this first summer of the Covid-19 era, so their occupational health must be rethought in their professional practice during the new normal. The main public health measure to prevent drowning is prevention, but when this fails and assistance or rescue is required, in most interventions, distancing will not be possible. Read More

Scand J Trauma Resusc Emerg Med 2020 May 24;28(1):41. Epub 2020 May 24.

Department of Thoracic and Cardiovascular Surgery, Hallym University Sacred Heart Hospital, Hallym University Medical Center, Gwanpyeong-ro 170 beon-gil 22, Dongan-gu, Anyang-si, Gyeonggi-do, 14068, South Korea.

Background: Therapeutic extracorporeal membrane oxygenation (ECMO) is a challenging procedure in patients who have experienced severe trauma. Particularly, patients with traumatic lung injury and posttraumatic acute respiratory distress syndrome (ARDS) have a high risk of bleeding during this procedure. This study aimed to determine the safety and feasibility of ECMO in patients with traumatic ARDS. Read More

Emerg Med J 2020 May 22;37(5):306-313. Epub 2020 Mar 22.

Emergency Nursing Department, Second Military Medical University Department of Nursing Science, Shanghai, China

Background: High-quality cardiopulmonary resuscitation (CPR) could improve survival of drowning victims. The purpose of the study is to assess the impact of fatigue caused by water rescue on subsequent CPR quality and the influence of a bystander's participation on CPR quality in a lifeguard rescue.

Methods: This was a simulated quasi-experimental study with a sample of 14 lifeguards and 13 laypersons. Read More

J Pediatric Infect Dis Soc 2021 Mar;10(2):179-182

Baylor College of Medicine, Department of Pediatrics, Houston, Texas, USA.

Background: Management of pediatric drowning often includes evaluation and treatment of infectious disease. There are few data describing the infections associated with pediatric drowning.

Methods: A descriptive retrospective study was designed, and patients aged < 19 years admitted for > 24 hours to our institution after a drowning were included from January 2011 through June 30, 2017. Read More

Hosp Pediatr 2020 04 6;10(4):369-375. Epub 2020 Mar 6.

Pediatric Hospital Medicine, Department of Pediatrics, Penn State Children's Hospital, Hershey, Pennsylvania;

In this article, we will review various aspects of long QT syndrome (LQTS) necessary for hospitalists who care for children, adolescents, and young adults who have known LQTS and also review presenting features that should make one consider LQTS as a cause of hospitalization. Pediatric hospitalists care for patients who have suffered near-drowning, unexplained motor vehicular accidents, brief resolved unexpected events, sudden infant death syndrome, recurrent miscarriages, syncope, or seizures. These common conditions can be clinical clues in patients harboring 1 of 16 LQTS genetic mutations. Read More

Chest 2020 08 14;158(2):596-602. Epub 2020 Feb 14.

Emergency Department, Timone University Hospital, Aix-Marseille University, Marseille, France.

Background: Drowning is still a major cause of accidental death worldwide. In 1997, Szpilman proposed a classification of drowning that has become the reference. As considerable efforts have been made to improve prevention and care, it seemed appropriate to reassess the prognosis and clinical presentation of drowning patients more than 20 years after this first publication. Read More

Emerg Radiol 2020 Aug 15;27(4):423-431. Epub 2020 Feb 15.

Department of Radiology, Westchester Medical Center, 100 Woods Road, Valhalla, NY, 10595, USA.

Recreational water use (RWU) injuries span from superficial lacerations to even death. Given the global popularity of RWU, radiologists should be aware of the common mechanisms and key imaging findings related to injuries in this setting. The goal of this article is to depict common RWU injuries and their emergent radiographic findings, which may have both important surgical and management implications. Read More

Neurology 2020 03 28;94(12):e1314-e1319. Epub 2020 Jan 28.

From the Departments of Neurology (R.V.D.C., S.S., C.J.K.), Physical Medicine and Rehabilitation (A.J.B.), Biomedical Statistics and Informatics (J.M.), Pulmonary and Critical Care Medicine (R.V.), and Laboratory Medicine and Pathology (C.J.K.), Mayo Clinic, Rochester, MN.

Objective: To investigate the following among patients with phrenic neuropathy: (1) occurrences of water immersion activity-induced dyspnea; (2) clinical, electrophysiologic, sonographic, and pulmonary function test abnormalities; and (3) frequency of documented counseling regarding the risks of water immersion activities.

Methods: We identified all patients with test-confirmed phrenic neuropathy seen from January 1, 2000, to December 31, 2018, at Mayo Clinic.

Results: Of 535 patients with phrenic neuropathy, documentation of dyspnea with water activities was identified in 4% (22/535). Read More

Am J Emerg Med 2020 03 18;38(3):618-623. Epub 2019 Nov 18.

CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Departament, Universidade de Santiago de Compostela, Santiago de Compostela, Galicia, Spain.

Objective: Response time is a predictive factor for survival of drowning victims and lifesaving. Rescue Water Craft (RWC) are lifeboats very common in lifeguards operations. The aim of this study was to analyze the feasibility of providing effective mouth-to-mouth ventilations and/or cardiopulmonary resuscitation (CPR) on the RWC while sailing at different speeds. Read More

Resuscitation 2020 03 13;148:273-274. Epub 2020 Jan 13.

Research Group Emergency and Disaster Medicine (REGEDIM), Vrije Universiteit Brussels, Belgium.

Pediatr Radiol 2020 04 2;50(4):492-500. Epub 2020 Jan 2.

Department of Pediatrics, Baylor College of Medicine, 6621 Fannin St., Suite A 2210, Houston, TX, 77030, USA.

Background: Submersion injuries are a leading cause of injury death in children in the United States. The clinical course of a submersion patient varies depending on the presence of anoxic brain injury and acute respiratory failure.

Objective: We studied changes in clinical findings and chest radiograph findings and determined the sensitivity/specificity of the presenting chest radiograph in predicting clinical improvement within the first 24 h in pediatric submersion cases. Read More

Int J Infect Dis 2020 Mar 19;92:114-122. Epub 2019 Dec 19.

Pediatric Hematology and Oncology, Hospital for Children and Adolescents, University Hospital, Goethe University, Frankfurt, Germany.

Objectives: Current knowledge on infections caused by Scedosporium spp. and Lomentospora prolificans in children is scarce. We therefore aim to provide an overview of risk groups, clinical manifestation and treatment strategies of these infections. Read More

J Artif Organs 2020 Sep 13;23(3):283-287. Epub 2019 Dec 13.

Mie University Hospital, Tsu, Japan.

We report two cases of acquired factor XIII deficiency with bleeding events during veno-venous extracorporeal membrane oxygenation (ECMO). Case 1: A 76-year-old man diagnosed with aspiration pneumonia after near-drowning was started on ECMO. Later, the patient presented with hemoptysis and anemia. Read More

No Shinkei Geka 2019 Nov;47(11):1173-1178

Department of Neurosurgery, Tokyo Metropolitan Police Hospital.

Intracranial epidermoid cysts are benign cystic lesions that typically exhibit slow growth. Their malignant transformation into squamous cell carcinoma is rare. We report a 77-year-old woman who was admitted to our hospital because of a near-drowning incident due to a seizure sustained in her bathtub. Read More