Search results for " ExPEC"

The risks of using continuous deep palliative sedation within the context of euthanasia

2016

Although palliative care is one of the main arguments among the opponents of euthanasia, the individual medical activities implemented within it are not always evaluated unequivocally. Considering that patient in such care centres arrives mainly at the last stages of the disease when intensive treatments are no longer able to help, to reduce discomfort and relieve pain caused by the disease, analgesic means can be used that can shorten the patient's life expectancy and cause death. Such undesirable consequences can be seen in the deep and continuous palliative sedation, which not only is the last resort for pain prevention process, but also is still quite debatable medical and legal doctrin…

Thrombosis

2014

Background— Thrombosis is the common pathology underlying ischemic heart disease, ischemic stroke, and venous thromboembolism (VTE). The Global Burden of Disease Study 2010 (GBD 2010) documented that ischemic heart disease and stroke collectively caused 1 in 4 deaths worldwide. GBD 2010 did not report data for VTE as a cause of death and disability. Objective— To review the literature on the global burden of disease caused by VTE. Approach and Results— We performed a systematic review of the literature on the global disease burden because of VTE in low-, middle-, and high-income countries. Studies from Western Europe, North America, Australia, and Southern Latin America (Argentina) yielded…

Mortality studies for multiple sclerosis: still a useful tool to analyse long-term outcome

2017

Mortality studies represent a useful way to look at the prognosis of a chronic complex disease and to evaluate the impact of therapeutic and caring strategies on long-term outcomes. Results should be interpreted keeping always in mind the following important aspects: first, to what extent the disease affects patient’s life in terms of life expectancy. Second, what is at this moment the real impact that the strategies and measures we adopt to cure and to take care of patients really have on clear and strong endpoints like mortality? In their JNNP manuscript, Lunde et al .1 show a significant reduction in life expectancy in people affected by multiple sclerosis (MS) over a study period of abo…

Air Pollution Exposure During Pregnancy and Reproductive Outcomes

2011

Air pollution is largely recognized as a risk factor for several outcomes including increased mortality, increased hospital admissions and emergency visits for both respiratory and cardiovascular diseases, and impairment of respiratory function, including reduced lung function, exacerbation of asthma and chronic obstructive pulmonary disease (Brunekreef & Holgate, 2002). Some populations have shown to be more susceptible to these effects, and among them including those people in the tails of the age distribution, i.e. the elderly and infants (Laumbach, 2010). The study of fetal growth and birth outcomes has become an important emerging field of environmental epidemiology (Sram et al., 2005)…

Where will the next generation of medical treatments for overactive bladder syndrome come from?

2020

This review article discusses the medical need for improved medical treatments of overactive bladder syndrome, and the hurdles and research required to address that need. Currently, few overactive bladder syndrome patients stay on long-term treatment, largely because efficacy expectations are not met, and tolerability is considered insufficient for the chronic treatment of a non-life-threatening condition. Therefore, a medical need exists for improved tolerability and, even more importantly, improved efficacy. It is unlikely that major improvements of efficacy and tolerability can be achieved within the currently approved drug classes. Work in experimental animals suggests that many causes …

2018

Background Global development goals increasingly rely on country-specific estimates for benchmarking a nation's progress. To meet this need, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016 estimated global, regional, national, and, for selected locations, subnational cause-specific mortality beginning in the year 1980. Here we report an update to that study, making use of newly available data and improved methods. GBD 2017 provides a comprehensive assessment of cause-specific mortality for 282 causes in 195 countries and territories from 1980 to 2017. Methods The causes of death database is composed of vital registration (VR), verbal autopsy (VA), registry, survey…

STUDY OF LIFE QUALITY AND TREATMENT SATISFACTION OF ROMANIAN DIABETIC PATIENTS

2019

In Romania, antidiabetic medication is free, based on a program of the Ministry of Public Health: “Treatment of patients with diabetes mellitus”. Since October 1, 2006, antidiabetic drugs have been delivered through open circuit pharmacies in contractual relationship with the National Health Insurance House, after four years of centralized delivery through hospital pharmacies.
 Objectives: This study aims to describe the influences of the diabetes treatment regarding patients’ quality of life and their satisfaction.
 Methods: A cross-sectional descriptive study was performed in pharmacies. The study includes 477 patients with diabetes mellitus from Cluj County, Romania. The interv…

2019

Abstract Objectives To use the estimates from the Global Burden of Disease Study 2016 to describe patterns of suicide mortality globally, regionally, and for 195 countries and territories by age, sex, and Socio-demographic index, and to describe temporal trends between 1990 and 2016. Design Systematic analysis. Main outcome measures Crude and age standardised rates from suicide mortality and years of life lost were compared across regions and countries, and by age, sex, and Socio-demographic index (a composite measure of fertility, income, and education). Results The total number of deaths from suicide increased by 6.7% (95% uncertainty interval 0.4% to 15.6%) globally over the 27 year stud…

Exploring grade 9 students' assumption making when mathematizing

2015

International audience; Making assumptions is a key activity in modelling. The present study aims to explore the variety of assumptions that lower secondary students make in this process. As theoretical basis for the data analysis, we used the modelling cycle by Blum and Leiss (2007) and framed a definition of assumptions. The study was carried out with grade 9 students. The results show three categories of assumptions: (1) parameter assumptions, (2) assumptions for the choice of the mathematical model, and (3) assumptions about task expectations. Assumptions from the first two categories assist students to use extra-mathematical knowledge to construct a mathematical model, while the third …

Development of sport and school burnout among student-athletes across the first year of upper secondary school : different methodological perspectives

2018

The present research investigated the co-development of sport and school burnout symptoms (sport- or school-related exhaustion, cynicism, and feelings of inadequacy) among student-athletes during the first year of upper secondary school. Furthermore, the environment- and individual-related predictors of sport and school burnout were examined. The participants were student- athletes (Ntime 1=391; Ntime 2=373) from six Finnish upper secondary sport schools and their 260 mothers and 188 fathers. Athletes and their parents filled out questionnaires at the beginning of upper secondary school. Athletes answered the questionnaires again at the end of the school year, and a subsample of high-level …