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Search Results: 1 - 10 of 2549 matches for " Prognosis "
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El pronóstico
Díaz Novás,José; Gallego Machado,Bárbara Rosa;
Revista Cubana de Medicina General Integral , 2004,
Abstract: the importance of prognosis and its role as a fundamental part of the doctor′s work was defined, underlining its components, factors that affect it and the supporting basis for prognosis. the final considerations emphasize that the family doctors due to his/her experience and knowledge about the patients fulfilled the requirements for making the most accurate prognosis.
Serum Cholesterol Levels at the Onset of Bloodstream Infection Have Prognostic Value  [PDF]
Takatoshi Kitazawa, Shintaro Yanagimoto, Keita Tatsuno, Atsuhito Fukushima, Shu Okugawa, Yasuo Ota
Advances in Infectious Diseases (AID) , 2012, DOI: 10.4236/aid.2012.24017
Abstract: Objective: The aims of this study were to investigate the changes in serum cholesterol levels at the onset of bloodstream infection (BSI) and to determine whether serum cholesterol levels were associated with patients’ clinical backgrounds and the prognosis of BSI; Methods: A retrospective chart review was done to collect demographic information and the subjects’ medical history, invasive procedures, and medications; Patients and Methods: From April 2003 to March 2006, all patients aged ≥20 years with positive blood cultures in the University of Tokyo Hospital (a tertiary teaching hospital with 1200 beds) were enrolled; Results: Average cholesterol levels before the onset of BSI were 166.5 ± 46.5 mg/dL, and, at the onset of BSI, they decreased to 134.4 ± 45.0 mg/dL (p < 0.001). Thirty-day survivors had higher cholesterol levels both before and at the onset of BSI than non-survivors. Cholesterol levels at the onset of BSI were associated with the organisms of BSI. Patients with lower cholesterol levels tended to have higher 30-day mortality rates and longer medical treatment than patients with higher cholesterol levels (13% vs 3%, p = 0.12; 24.3 days vs 18.4 days, p = 0.15); Conclusion: Cholesterol levels at the onset of BSI could be used as a prognostic marker in patients with BSI.
Outcomes of Surgical Treatment of Skin Cancer at Surgical Oncology Unit of Donka, Conakry University Hospital  [PDF]
Bangaly Traore, Leopold Lamah
Journal of Cancer Therapy (JCT) , 2017, DOI: 10.4236/jct.2017.812093
Abstract: Aim: The main aim of this study was to evaluate outcomes after surgical treatment of skin cancer. Methods: This retrospective cohort study concerned 46 patients who presented 43 skin cancers lesions surgically treated at surgical oncology unit, Conakry University Hospital. There were 29 (61.7%) squamous cell carcinoma, 12 (25.5%) melanoma, 4 (8.5%) sarcomas and 1 (2.1%) porocarcinoma. Surgical indications and prognosis factors were analyzed. Results: Surgical treatment included simple excision in 2 cases (3.8%), wide excision in 38 cases (71.7%) and amputation/disarticulation in 13 cases (24.5%). Inguinal lymph node dissection was performed in 16 patients (34.3%). Postoperative complications were wound suppuration (5 cases), lower limb lymphedema (4 cases), seroma (2 cases) and skin flap necrosis (1 case). Surgical margins were free in 28 (60.9%) patients, infiltrated in 3 patients (6.5%) and unspecified in 15 patients (32.6%). The median follow-up after surgery was 29 months. During the follow-up, 13 patients (28.3%) had a relapse. The relapse was influenced by surgical margins (p = 0.012) and iterative resection (p = 0.04). Overall survival was 65.2%. Factors related to survival in univariate analysis were: iterative resection (p = 0.008), fungated tumor (p = 0.037), the status of surgical margins (p = 0.002) and the occurrence of relapse (p = 0.0000). In multivariate analysis, the status of surgical margins was the only independent prognostic factor. Conclusion: The prognosis after surgical treatment of cutaneous cancers depends on the resection margins.
Indications and Prognosis of the Hysterectomy Operation in the Obstetrics and Gynecology Department at the University Teaching Hospital of Ouagadougou (UTH-YO), Burkina Faso  [PDF]
Ouattara Adama, Kaboré Francois Xavier Gueswendé, Sib Sansan Rodrigue, Millogo/Traoré Fran?oise Danielle, Ouedraogo Issa, Touré Boubakar, Ouédraogo Ali, Ouédraogo Marie Charlemagne, Thieba/Bonane Blandine
Open Journal of Obstetrics and Gynecology (OJOG) , 2017, DOI: 10.4236/ojog.2017.713126
Abstract: Objective: To describe the indications and the prognosis of the hysterectomy operation in the obstetrics and gynecology department at the UTH-YO, Ouagadougou, Burkina Faso. Methodology: It has been a descriptive cross-sectional study over a period of 18 months from 1 January 2014 to 30 June 2015 in the obstetrics and gynecology department of the UTH-YO. The variables studied were demographics, clinical and prognostic aspects. Results: During the study period, we recorded 128 cases of hysterectomies including 20 obstetric causes (15.62%) and 108 gynecological cases (84.38%). The incidence of hysterectomy was 3 per 1000 births. Gynecological indications were dominated by uterine fibroids (47.3%), genital prolapse (20.4%), cervical dysplasia (9.3%) and functional bleeding (7.4%). Obstetric indications were dominated by uterine ruptures (60%), the postpartum haemorrhage (15%). The prognosis of obstetric indications was marked by 5 cases of bladder lesions or a morbidity rate of 3.9% and 4 deaths that to say a fatality rate of 3.1%. Conclusion: The prognosis of hysterectomies should be improved with further training of health workers in surgical techniques, the adoption of strategies to reduce maternal mortality and community awareness in attendance at health facilities.
Short Term (3 Months) Prognosis of Stroke in Parakou  [PDF]
Thierry Adoukonou, Oyéné Kossi, Mendinatou Agbétou, Blaise Tchaou, Gottfried Agballa, Dismand Houinato
Neuroscience & Medicine (NM) , 2018, DOI: 10.4236/nm.2018.92009
Abstract: Background: The burden of stroke is very high in sub-Saharan Africa. The identification of the factors influencing poor outcome can help to reduce this burden. Objective: To study factors influencing the prognosis of stroke at Parakou. Methods: It was a prospective study conducted over two periods: inclusion period between 1st January and 30 June 2013; monitoring period of survivors between 1st July and 30 September. All consecutive patients admitted in the hospitals for stroke in the study period were included. The functional outcomes were assessed by the RANKIN scale (RANKIN > 2). Epi-info version 7 and SPSS version 16 were used for the statistical analyses. Results: We recruited 85 patients; mean age was 52 ± 15 years. The housewives and the unschooled represented respectively 33% and 65%. The mortality rates at 1 and 3 month were respectively 27% and 32%. Factors associated with mortality were female gender, stroke severity, disorders of consciousness, hyperthermia and hyperglycemia at admission, overweight, pneumonia, anemia, hyperleucocytosis, higher total and LDL serum cholesterol levels at 1 month; housewife status and pneumonia were associated at 3 month. 47% of survivors were independent at 1 month. Stroke severity and length of hospital stay were associated with disability at 1 month whereas previous stroke and disability history, stroke severity, weight and length of hospital stay were related with 3 month poor functional outcome. Conclusion: This study showed the poor outcome of stroke patients in Parakou which were influenced by many factors. Taking account of these factors in the strategies of care in the acute phase may improve the prognosis of stroke patients.
Increased Risk of Bartonella Infections in Humans  [PDF]
Bogdanka Andric, Aleksandar Velkovski, Milan Jovanovic, Mosa Markovic, Mileta Golubovic
Open Journal of Clinical Diagnostics (OJCD) , 2018, DOI: 10.4236/ojcd.2018.83004
Abstract: Bartonellosis has emerging zoonoses of the Vector Borne Diseases (VBD) complex. Progress in evolution and changes of causer, enabled the expansion, and increased number of clinically manifest forms of disease appearance of severe disseminated forms of infections and co-infections in humans, difficult for diagnosis, therapy and prognosis. The Bartonellosis may have a benign and self-limiting evolution in a host, or potentially fatal infections. Etiological agents can provoke a granulomatous or an angioproliferative histology damages. In severely immunodeficient cases (pulmonary tuberculosis, carcinomatosis, HIV infection, patients who underwent organ transplantation etc.), Bartonella infections can be difficult and often with unpredictable course of the fatal prognosis. Present the large specter of clinical manifestations: prolonged fever, erythema nodosum like syndrome, and the other skin manifestations, sub-acute bacterial endocarditis, difficult pulmonary disturbances, bacillary angiomatosis (BA) and hepatic peliosis (HP), bacteriemia or a combination of these. In period 2007-2015 on Clinic for Infectious Diseases in Podgorica, 25 cases with Bartonella infection were diagnosed. In total sample, the most frequent were diagnosed CSD in 19 cases. During 2015 in two cases with HIV/AIDS infection, BA was diagnosed, and in four cases PH was diagnosed.
Uterine Rupture: Epidemiological Aspects, Etiologies and Maternal-Fetal Prognosis in the Obstetric Gynecology Department of the Donka CHU Conakry National Hospital, Guinea  [PDF]
Boubacar Siddi Diallo, Ibrahima Sory Balde, Ibrahima Conte, Mamadou Hady Diallo, Ousmane Balde, Ibrahima Sylla, Abdourahmane Diallo, Oumou Hawa Bah, Loua Avit, Telly Sy, Namory Keita
Open Journal of Obstetrics and Gynecology (OJOG) , 2019, DOI: 10.4236/ojog.2019.94051
Abstract: Objectives: The objectives of this work were to calculate the frequency of the uterine rupture, to describe the epidemiological profile, to identify the etiologies and to establish the maternal prognosis and foetal. Methodology: It was about a descriptive survey with compilation of the data in two phases: a retrospective spreading on one period of 6 years and the other forecasting of 1 one year achieved to the service of Obstetric Gynecology of the hospital National Donka, Fallen from Conakry, Guinea. Results: We recorded 24.030 childbirths of which 188 cases of uterine rupture either a frequency of 0.78, which represents an uterine rupture for 128 childbirths. The epidemiological profile was the one of a woman of 24 to 28 years (31.91%), housewives (69.14%), without prenatal follow-up (47.87%), big multipare
Diagnostic and Prognostic Interests of Plasmatic Neuroglobin during Stroke in Adult at the Acute Phase  [PDF]
J. F. Nnang Essone, C. Allognon, R. Nkiema, S. R. Aubin Igombé, P. Nzoghe Nguema, F. Ovono Abessolo, E. Anyunzok, E. Ngou Milama
World Journal of Neuroscience (WJNS) , 2019, DOI: 10.4236/wjns.2019.92004
Abstract: Introduction: Neuroglobin (Ngb) owes its name to its preferred location in the nervous system. Its plasma concentration increases during cerebral ischemia. However, the interest of its dosage in the diagnosis and the prognosis of the strokes in the adult is not defined. Objectives: To determine if plasmatic Ngb can be used as a diagnostic biomarker and prognostic for stroke in adults at the acute phase. Population and Methods: This was a prospective study in 69 people, including 39 suspected stroke (Cerebral ischemia or CI, Intracerebral hemorrhage or ICH) and 30 healthy volunteers (controls). The plasma concentration of Ngb (CmNgb in ng/ml) of the patients was determined at admission day (d1), at the third day (d3) and seventh day (d7). CmNgbtaken at d1 was compared between patients and controls. Its evolution over time, as well as its relation with the clinical parameters, including the Glasgow coma scale and the short-term mortality in stroke subjects was analyzed by the Mann and Whitney tests and the Wilcoxon test (p < 0.05). Results: At d1, the CmNgb of all types of stroke was 3.140 ± 2.700 ng/ml, and did not differ significantly from controls (0.303 ± 0.114 ng/ml, p = 0.070). On the other hand, it was higher in CI victims (5.800 ± 0.720 ng/ml) than in ICH (1.750 ± 0,090 ng/ml) (p = 0.030). It then decreased on d3 in CI victims (2.600 ± 0.112 ng/ml) and ICH (0.420 ± 0.211 ng/ml), returning to normal on d7 (0.420 ± 0.200 ng/ml for CI’s, p = 0.001, and 0.360 ± 0.300 ng/ml for ICH, p = 0.002). There was a relationship between CmNgb, delay of occurrence of the first symptoms of the stroke (3.140 ± 2.700 ng/ml before the 6th hour, and 0.643 ± 0.244 ng/ml after the
Factors Determining the Outcome of Pontine Hemorrhage in the Absence of Surgical Intervention  [PDF]
Takafumi Nishizaki, Norio Ikeda, Shigeki Nakano, Takanori Sakakura, Masaru Abiko, Tomomi Okamura
Open Journal of Modern Neurosurgery (OJMN) , 2012, DOI: 10.4236/ojmn.2012.22004
Abstract: Objectives and Importance: Although pontine hemorrhage is very often fatal, the clinical manifestations vary accord-ing to the location and extent of the hematoma. We investigated the prognostic factors of pontine hemorrhage by assessing clinical manifestation and CT findings in relation to outcome. Materials and Methods: The outcome and clinical features of 19 patients with pontine hemorrhage without surgical intervention were analyzed. The CT features of the hematoma were classified into four types: massive, tegmento-basilar, transverse oval, and small unilateral. The Glasgow Outcome Scale (GOS) was used to assess patient outcome (G, good recovery; MD, moderate disability; SD, severe disability, V, vegetative state, D, death) at discharge. Results: The outcome was MD in 7 cases, SD in 3, and D in 9. Eight of 9 patients with acute hydrocephalus died, whereas only one of 10 patients without hydrocephalus died (p < 0.01). Patients who survived until discharge tended to younger than those who died (61 and 77 years, p < 0.05). Death was more frequent among patients with a GCS score of >12, tetraparesis, or respiratory failure (p < 0.01, 0.05, 0.01, respectively). Four of 5 patients with CT evidence of massive hemorrhage died, and another patient became vegetative. The outcome in 6 patients with tegmento-basilar-type hematoma included D in 3, V in 2, and MD in 1, and that in 7 patients with transverse oval hematoma included D in 2, V in 1, SD in 1, and MD in 3. Five (65%) of the 8 patients with transverse oval or small unilateral hematomas were able to walk (MD) with or without assistance, whereas only 2 (18%) of 11 patients with tegmento-basilar-type and massive hematoma were ambulatory at discharge (p < 0.05). Conclu-sion: On the basis of CT classification, the functional prognosis of transverse oval pontine hemorrhage is as favorable as that of the small unilateral type.
Marked elevation of troponin I without wall motion abnormality in a patient with myocarditis: Cardiac enzymes may not predict the outcome in myocarditis  [PDF]
Abdullah Ozkok, Ayhan Atakan, Goksel Acar, Riza Atas, Omer Kaya, Bahtiyar Toz, Murat Kose, Timur Selcuk Akpinar, Fatih Tufan, Huseyin Oflaz
Open Journal of Internal Medicine (OJIM) , 2013, DOI: 10.4236/ojim.2013.32011
Abstract:

A seventeen-year-old male presented with severe substernal chest pain after an episode of upper respiratory tract infection. On clinical grounds, a diagnosis of myocarditis was established. He had a peak troponin I level as high as 40.4 ng/dl but interestingly with no abnormal wall motion and normal ejection fraction in echocardiography. Coronary artery disease was excluded with normal coronary angiography. Diagnosis of myocarditis was confirmed with cardiac MRI. After one month, patient had no complaint and ejection fraction were still normal. Our case emphasizes that the troponin levels predict neither the early nor the late outcome of the left ventricular functions in myocarditis, therefore serum troponin I may not be helpful in determining the prognosis of patients with myocarditis.

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