22,880 results match your criteria admission young

Locus-of-care disparities in end-of-life care intensity among adolescents and young adults with cancer: A population-based study using the IMPACT cohort.

Cancer 2021 Sep 15. Epub 2021 Sep 15.

Division of Haematology/Oncology, Hospital for Sick Children, Toronto, Ontario, Canada.

Background: Adolescents and young adults (AYAs) with cancer may experience elevated rates of high-intensity end-of-life (HI-EOL) care. Locus-of-care (LOC) disparities (pediatric vs adult) in AYA end-of-life (EOL) care are unstudied.

Methods: A decedent population-based cohort of Ontario AYAs diagnosed between 1992 and 2012 at the ages of 15 to 21 years was linked to administrative data. Read More

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September 2021

Non-alcoholic fatty liver disease frequency and associated factors at admission of acute stroke.

Hepatol Int 2021 Sep 15. Epub 2021 Sep 15.

Department of Stroke Treatment, Shonan Kamakura General Hospital, Okamoto 1370-1, Kamakura City, Kanagawa, 247-8533, Japan.

Background/purpose Of The Study: If non-alcoholic fatty liver disease (NAFLD) frequency is very high in stroke patients, NAFLD may be a risk factor for stroke and identifying factors of NAFLD presence may lead to stroke prevention. This retrospective study aimed to investigate whether NAFLD frequency was very high and identify factors associated with NAFLD presence at acute stroke admission.

Methods: We included stroke patients aged 40 - 79 years who (1) were admitted from 2016 to 2019, within 24 h of onset; (2) underwent abdominal ultrasonography; and (3) underwent blood examination of biomarkers. Read More

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September 2021

Outpatient and oral management is suitable for infants 60-90 days old with urinary tract infections at low risk of bacteremia.

Eur J Pediatr 2021 Sep 14. Epub 2021 Sep 14.

Pediatric Emergency Department, Hospital Sant Joan de Déu, Barcelona, Spain.

One previous study recommended oral and outpatient management for those infants aged 60-90 days with urinary tract infection (UTI) meeting the low-risk criteria identified: to be well-appearing and to have a procalcitonin value of < 0.7 ng/mL. A retrospective study was conducted, including infants aged 29 to 90 days with UTI from 2014 to 2019, to validate these low-risk criteria identified and determine the adherence to the new algorithm for managing these patients at the Emergency Department. Read More

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September 2021

Infants Younger Than 90 Days Admitted for Late-Onset Sepsis Display a Reduced Abundance of Regulatory T Cells.

Front Immunol 2021 27;12:666447. Epub 2021 Aug 27.

Department of Pediatrics, University Hospital of Würzburg, Würzburg, Germany.

Objective: To provide epidemiological data of infants < 90 days of age with suspected late-onset sepsis (LOS) and evaluate distinct immunological specificities. We hypothesized that previously healthy infants < 3 months of age with sepsis have a yet undefined immunological predisposition; e.g. Read More

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Association of prenatal substance use disorders with pregnancy and birth outcomes following bariatric surgery.

Int J Obes (Lond) 2021 Sep 10. Epub 2021 Sep 10.

Division of Epidemiology, University of Utah, 295 Chipeta Way, Salt Lake City, UT, USA.

Background/objectives: While an increased risk for substance use disorders (SUD) and also for several adverse pregnancy and birth outcomes in patients who have undergone bariatric surgery have been well documented when considered separately, an association between these important risk factors has not been investigated. This study explored the potential dependence of these two bariatric surgery-related risks.

Subjects/methods: This study was a retrospective cohort study with adult women (18-45) who underwent bariatric surgery between 1996 and 2016 and who gave birth after surgery between 1996 and 2018. Read More

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September 2021

Takotsubo syndrome as an overlooked and elusive cause of a single episode of dyspnea in young women: a case report.

BMC Cardiovasc Disord 2021 Sep 10;21(1):430. Epub 2021 Sep 10.

Department of Emergency Medicine, Ajou University School of Medicine, 164, World cup-ro, Yeongtong-gu, Suwon, 16499, Republic of Korea.

Background: Dyspnea is a common symptom in patients presenting to the emergency department. It has a variety of causes that range from non-urgent to life-threatening. One episode of dyspnea in a healthy young person is easy to overlook. Read More

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September 2021

Risky youth to risky adults: Sustained increased risk of crash in the DRIVE study 13 years on.

Prev Med 2021 Sep 8;153:106786. Epub 2021 Sep 8.

Queensland University of Technology (QUT), Centre for Accident Research and Road Safety - Queensland (CARRS-Q), Kelvin Grove, Queensland, Australia.

The objective of this study was to investigate if drivers who exhibit risky driving behaviours during youth (aged 17-24 years) have an increased risk of car crash up to 13 years later. We used data from the DRIVE study, a 2003/04 survey of 20,806 young novice drivers in New South Wales, Australia. The data were linked with police crash, hospital and deaths data up to 2016. Read More

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September 2021

Outcome of COVID-19 in Solid Organ Malignancies: Experience From a Tertiary Cancer Center in Eastern India.

JCO Glob Oncol 2021 08;7:1374-1379

Department of Medical Oncology, Tata Medical Center, Kolkata, India.

Purpose: The COVID-19 pandemic has imposed a unique challenge to oncology patients. Outcome data on COVID-19 in patients with cancer from the Indian subcontinent are scarce in the literature. We aimed to evaluate the outcome of patients with COVID-19 on active systemic anticancer therapy. Read More

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Chest Pain and Hemodynamic Instability in a Young Woman.

JACC Case Rep 2021 Sep 1;3(11):1367-1369. Epub 2021 Sep 1.

Cardiology Department, Clinique Cecil, Lausanne, Switzerland.

We report the case of an 18-year-old female admitted to the hospital for severe hemodynamic instability and fatal outcome within 6 hours following admission. Significant electrocardiographic modifications were noted and are presented with diagnostic options. (). Read More

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September 2021

Vitamin D Replacement Effect on Platelet Counts.

J Coll Physicians Surg Pak 2021 Sep;31(9):1064-1068

Department of Internal Medicine, Faculty of Medicine, Lokman Hekim University, Ankara, Turkey.

Objective: To determine the effect of vitamin D treatment on platelet counts according to age groups in patients with vitamin D deficiency.

Study Design: An observational study.

Place And Duration Of Study: Outpatient Clinics, Department of Internal Medicine, Faculty of Medicine, Lokman Hekim University Hospital, Ankara, Turkey from January 1st to December 31st, 2020. Read More

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September 2021

Use of TaqMan Array Cards to investigate the etiological agents of diarrhea among young infants with severe acute malnutrition.

Trop Med Int Health 2021 Sep 9. Epub 2021 Sep 9.

Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh Dhaka, Bangladesh.

Objectives: Studies involving less sensitive conventional microscopy and culture-based approaches have identified distinct differences in diarrheal etiology in childhood malnutrition. Our study involved the use of an advanced molecular biology technique, the TaqMan Array Cards (TAC), to elucidate the diarrheal etiology among young infants with severe acute malnutrition (SAM).

Method: A total of 113 fecal samples were collected from SAM infants, aged 2-6 months, upon admission to the Dhaka Hospital of the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) with complications of diarrhea and related comorbidities. Read More

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September 2021

Temperament-based treatment for young adults with eating disorders: acceptability and initial efficacy of an intensive, multi-family, parent-involved treatment.

J Eat Disord 2021 Sep 8;9(1):110. Epub 2021 Sep 8.

Eating Disorder Treatment & Research Center, Department of Psychiatry, University of California, San Diego, 4510 Executive Drive Suite 315, San Diego, CA, 92121, USA.

Background: Adult eating disorder treatments are hampered by lack of access and limited efficacy. This open-trial study evaluated the acceptability and preliminary efficacy of a novel intervention for adults with eating disorders delivered to young adults and parent-supports in an intensive, multi-family format (Young Adult Temperament-Based Treatment with Supports; YA-TBT-S).

Methods: 38 YA-TBT-S participants (m age = 19. Read More

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September 2021

Factors associated with refeeding hypophosphatemia in adolescents and young adults hospitalized with anorexia nervosa.

Nutr Clin Pract 2021 Sep 8. Epub 2021 Sep 8.

William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts, USA.

Background: Refeeding hypophosphatemia (RH) in individuals with anorexia nervosa (AN) is a potentially fatal complication of nutrition restoration; yet, little is known about risk. This retrospective cohort study examined factors found in hospitalized youth with AN that may contribute to RH.

Methods: We reviewed medical records of 300 individuals diagnosed with AN admitted between the years of 2010 and 2016. Read More

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September 2021

Pattern and outcome of traumatic spinal cord injury managed at University of Maiduguri Teaching Hospital, Nigeria: A retrospective study.

Niger Postgrad Med J 2021 Apr-Jun;28(2):139-144

Department of Medical Rehabilitation (Physiotherapy), Faculty of Allied Health Sciences, College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State, Nigeria.

Background: Understanding pattern and outcome of traumatic spinal cord injury (TSCI) will inform better management which expectedly would improve prognosis and minimise complications.

Methods: : A retrospective study was carried out on all managed TSCI cases from January 2009 to December 2018. Sociodemographic characteristics, injury type, cause and complications were extracted from patients' registers and case folders. Read More

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September 2021

Improving recognition and management of children with complicated severe acute malnutrition at a tertiary referral hospital in Malawi: a quality improvement initiative.

Paediatr Int Child Health 2021 Sep 8:1-11. Epub 2021 Sep 8.

Department Of Pediatrics, University Of North Carolina At Chapel Hill, Chapel Hill USA.

Background: Severe acute malnutrition (SAM) is common in low-income countries and is associated with high mortality in young children.

Objective: To improve recognition and management of SAM in a tertiary hospital in Malawi.

Methods: The impact of multifaceted quality improvement interventions in process measures pertaining to the identification and management of SAM was assessed. Read More

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September 2021

Managing children's forearm fractures in the emergency department.

Emerg Nurse 2021 Sep 7. Epub 2021 Sep 7.

Children's Emergency Department, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, England.

Forearm fractures are the most common fractures among children and young people aged up to 19 years and these patients frequently present to the emergency department (ED). Many of these fractures can be treated in the ED without the need for inpatient admission. This article examines the assessment, diagnosis and management of forearm fractures. Read More

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September 2021

A Single-Institution Experience in the Use of Chest Radiographs for Hospitalized Children Labeled as Asthma Exacerbation.

Front Pediatr 2021 19;9:722480. Epub 2021 Aug 19.

Department of Pediatrics, College of Medicine and Health Sciences, UAE University, Al Ain, United Arab Emirates.

Risks of diagnostic radiation have become more notable lately, particularly in young children with chronic medical conditions. This study reports on the cumulative radiation from chest radiographs in children with asthma. Its main purpose was to review our current practice and suggest minimizing the use of chest radiographs. Read More

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Chest X-ray lung imaging features in pediatric COVID-19 and comparison with viral lower respiratory infections in young children.

Pediatr Pulmonol 2021 Sep 6. Epub 2021 Sep 6.

Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, District Columbia, USA.

Rationale: Chest radiography (CXR) is a noninvasive imaging approach commonly used to evaluate lower respiratory tract infections (LRTIs) in children. However, the specific imaging patterns of pediatric coronavirus disease 2019 (COVID-19) on CXR, their relationship to clinical outcomes, and the possible differences from LRTIs caused by other viruses in children remain to be defined.

Methods: This is a cross-sectional study of patients seen at a pediatric hospital with polymerase chain reaction (PCR)-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (n = 95). Read More

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September 2021

The societal cost of unintentional childhood injuries in Aotearoa.

N Z Med J 2021 Aug 13;134(1540):25-37. Epub 2021 Aug 13.

Director of Child Health and Paediatric Emergency Specialist, Starship Hospital; Honorary Senior Lecturer, University of Auckland, Auckland.

Aims: To estimate the burden and inequity of unintentional childhood injury for children in Aotearoa.

Methods: We used administrative data from the Accident Compensation Corporation (ACC) and the Ministry of Health to estimate the direct, indirect and intangible costs of unintentional injuries in children aged under 15 and the inequity of the impact of childhood injury on discretionary household income. We used an incidence approach and attributed all costs arising from injuries to the year in which those injuries were sustained. Read More

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Clinical characteristics of children with airway malacia complicated by pneumonia.

BMC Infect Dis 2021 Sep 3;21(1):902. Epub 2021 Sep 3.

Department of Respiratory Medicine, Children's Hospital of Soochow University, Suzhou, China.

Background: Airway malacia is an important cause of noisy breathing, recurrent wheezing and respiratory infections, chronic coughing, and episodes of respiratory distress in young children. As the clinical manifestations of airway malacia are not common, many clinicians have insufficient understanding of this disease. So the purpose of this study is to summarize the pathogenic bacteria and clinical manifestations of airway softening complicated with pneumonia in children. Read More

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September 2021

Long-term outcome of intensive home treatment for children and adolescents with mental health problems - 4 years after a randomized controlled clinical trial.

Child Adolesc Ment Health 2021 Sep 3. Epub 2021 Sep 3.

CAP, Universitaet Ulm, Ulm, Germany.

Background: Admission rates to child and adolescent mental health inpatient units in Germany are substantial (58.831 admissions in 2019). Historically, different treatment pathways have not been available. Read More

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September 2021

Coronavirus disease 2019 pandemic, restriction, and orthopedic trauma: Retrospective observational study.

Medicine (Baltimore) 2021 Sep;100(35):e27166

Department of Orthopedics and Traumatology, Ağri Training and Research Hospital, Ağri, Turkey.

Abstract: In 2019, the Coronavirus disease 2019 (Covid-19) was reported in Wuhan, China. Governments in various countries had taken many safeguards. This study investigated the incidence of orthopedic trauma in a rural region epidemiologically and guided source distribution and medical professionals to sustain healthcare systems. Read More

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September 2021

Delay to surgery in acute perforated and ischaemic gastrointestinal pathology: a systematic review.

BJS Open 2021 Jul;5(4)

Department of Pancreatic Surgery, St James's University Hospital, Leeds, UK.

Background: Patients with acute abdominal pathology requiring emergency laparotomy who experience a delay to theatre have an increased risk of morbidity, mortality and complications. The timeline between symptom onset and operation is ill defined with international variance in assessment and management. This systematic review aims to define where delays to surgery occur and assess the evidence for interventions trialled across Europe. Read More

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COVID-19 Associated Stroke-A Single Centre Experience.

J Assoc Physicians India 2021 Jun;69(6):11-12

Associate Professor,Radiology, LTMMC & GH, Mumbai, Maharashtra.

Background And Purpose: Various neurological complications have been reported in association with COVID-19. We report our experience of COVID-19 with stroke at a single center over a period of eight months spanning 1 March to 31 October 2020.

Methods: We recruited all patients admitted to Internal Medicine with an acute stroke, who also tested positive for COVID-19 on RTPCR. Read More

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Risk of hospital admission with covid-19 among teachers compared with healthcare workers and other adults of working age in Scotland, March 2020 to July 2021: population based case-control study.

BMJ 2021 09 1;374:n2060. Epub 2021 Sep 1.

Public Health Scotland, Glasgow, G2 6QE, UK

Objective: To determine the risk of hospital admission with covid-19 and severe covid-19 among teachers and their household members, overall and compared with healthcare workers and adults of working age in the general population.

Design: Population based nested case-control study.

Setting: Scotland, March 2020 to July 2021, during defined periods of school closures and full openings in response to covid-19. Read More

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September 2021

COVID-19 disease in hospitalized young adults in India and China: Evaluation of risk factors predicting progression across two major ethnic groups.

J Med Virol 2021 Sep 1. Epub 2021 Sep 1.

Department of Neurology, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China.

Data pertaining to risk factor analysis in coronavirus disease 2019 (COVID-19) is confounded by the lack of data from an ethnically diverse population. In addition, there is a lack of data for young adults. This study was conducted to assess risk factors predicting COVID-19 severity and mortality in hospitalized young adults. Read More

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September 2021

Outcomes of Young Patients With Alcoholic Cirrhosis After First Hospitalization for Cirrhosis: A Carilion Clinic Experience.

Cureus 2021 Jul 28;13(7):e16695. Epub 2021 Jul 28.

Gastroenterology and Hepatology, Virginia Tech Carilion School of Medicine, Roanoke, USA.

Background  Alcoholic cirrhosis though uncommon in young patients is being reported more frequently and related mortality is also increasing.  Study aim  To evaluate risk factors associated with mortality among young patients (<40 years) with alcoholic cirrhosis and older patients (> 40 years old) after their first hospitalization in a tertiary referral academic center.  Methods Carilion clinic's electronic medical record (EPIC) was queried to identify all alcoholic patients hospitalized for the first time with either a new diagnosis of alcoholic cirrhosis or a prior diagnosis of this from 2008 to 2016 with follow-up through June 2018. Read More

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Risk-factors for re-admission and outcome of patients hospitalized with confirmed COVID-19.

Sci Rep 2021 08 31;11(1):17416. Epub 2021 Aug 31.

Department of Medicine B, Rabin Medical Center, Beilinson Campus, Jabutisky St 39, 4941492, Petah Tiqva, Israel.

Burden of COVID-19 on Hospitals across the globe is enormous and has clinical and economic implications. In this retrospective study including consecutive adult patients with confirmed SARS-CoV-2 who were admitted between 3/2020 and 30/9/20, we aimed to identify post-discharge outcomes and risk factors for re-admission among COVID-19 hospitalized patients. Mortality and re-admissions were documented for a median post discharge follow up of 59 days (interquartile range 28,161). Read More

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COVID-19 in young and middle-aged adults: predictors of poor outcome and clinical differences.

Infection 2021 Aug 31. Epub 2021 Aug 31.

Pneumology Service, Hospital Universitario Cruces, 48903, Barakaldo, Bizkaia, Spain.

Introduction: Young and middle-aged adults are the largest group of patients infected with SARS-CoV-2 and some of them develop severe disease.

Objective: To investigate clinical manifestations in adults aged 18-65 years hospitalized for COVID-19 and identify predictors of poor outcome. Secondary objectives: to explore differences compared to the disease in elderly patients and the suitability of the commonly used community-acquired pneumonia prognostic scales in younger populations. Read More

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