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Выявление связанных с теплом диагнозов в ходе посещений чрезвычайных служб взрослыми в Чикаго: исследование по всей ассоциации.

Крайняя теплота - это растущая проблема здравоохранения. Несмотря на то, что в ходе предыдущих исследований были изучены ассоциации по вопросам теплоздоровья, их зависимость от ограниченных диагностических и диагностических категорий может упустить из виду или дезклассифицировать связанные с теплом заболевания. Здесь мы провели в Чикаго, штат Иллинойс, исследование теплообщности для оценки диагнозов острого лечения, связанных с экстремальным теплом. Использование 916,904 посещения в целях оказания неотложной медицинской помощи, включая экстренное отделение и встречи по оказанию неотложной меди

Risk Factors, Methods, and Timing of Suicide Attempts Among US Army Soldiers.

IMPORTANCE: Suicide attempts in the US Army have risen in the past decade. Understanding the association between suicide attempts and deployment, as well as method and timing of suicide attempts, can assist in developing interventions. OBJECTIVE: To examine suicide attempt risk factors, methods, and timing among soldiers currently deployed, previously deployed, and never deployed at the time this study was conducted. DESIGN, SETTING, AND PARTICIPANTS: This longitudinal, retrospective cohort study of Regular Army-enlisted soldiers on active duty from 2004 through 2009 used individual-level pe

Incidence and risk factors for suicide and attempted suicide following a diagnosis of hematological malignancy.

Solid tumors are associated with an increased risk of suicide, however, there is limited detailed information on the risk of suicide in patients with hematological malignancies. Therefore, we conducted a population-based study including 47,220 patients with hematological malignancies (diagnosed 1992-2006) and their 235,868 matched controls to define the incidence and risk factors for suicide and suicide attempt. Information on suicides, suicide attempts, and preexisting psychiatric disorders was obtained from Swedish registers and individual medical records. There was a twofold increased (haza

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… Suicides including firearms were only seen in men. … treatment | 12 | 23 Including corticosteroids | 10 | 25 In remission with no ongoing treatment | 16 | 19 Palliation | 7 | 28 Substantial pain | 14 | 21 Unknown n = 1 | | Method of suicide | Men | Women Hanging | 6 | 4 Intoxication with sedatives/analgesics | 5 | 3 Fall/jump | 4 | 2 Drowning | 1 | 4 Firearm …

What Factors Are Associated With Acute Compartment Syndrome After Gunshot Injuries to the Upper Extremity?

BACKGROUND: Firearm-related injuries are a growing cause of morbidity and mortality in the United States, with varying odds of acute compartment syndrome (ACS) and other complications reported in the research. ACS is associated with higher complications after injury, including infection, need for repeat surgery, and functional loss, with the forearm being one of the most common sites for ACS. Although ACS in gunshot-related injuries has been studied, existing research documents wildly variable odds of developing ACS, with much of these data derived from military sources with high-energy weapon

Disability Weights Measurement for 228 Causes of Disease in the Korean Burden of Disease Study 2012.

Disability weight for each disease plays a key role in combining years lived with disability and years of life lost in disability adjusted life year. For the Korean Burden of Disease 2012 study, we have conducted a re-estimation of disability weights for causes of disease by adapting the methodology of a recent Global Burden of Disease study. Our study was conducted through a self-administered web-based survey using a paired comparison (PC) as the main valuation method. A total of 496 physicians and medical college students who were attending in third or fourth grade of a regular course conduc

Disability Weights Measurement for 289 Causes of Disease Considering Disease Severity in Korea.

BackgroundFor the Korean Burden of Disease (KBD) 2015 study, we have amended disability weights for causes of disease adapting the methodology of the KBD disability weight 2012 study.MethodsWe conducted a self-administered web-based survey in Korea using ranking five causes of disease. A total of 605 physicians and medical college students who were attending in third or fourth grade of a regular course performed the survey. We converted the ranked data into paired comparison data and ran a probit regression. The predicted probabilities for each cause of disease were calculated from the coeffic

The use of virtual nominal groups in healthcare research: An extended scoping review.

IntroductionThe Nominal Group Technique (NGT) is a consensus group method used to synthesize expert opinions. Given the global shift to virtual meetings, the extent to which researchers leveraged virtual platforms is unclear. This scoping review explores the use of the vNGT in healthcare research during the COVID-19 pandemic.MethodsFollowing the Arksey and O'Malley's framework, eight cross-disciplinary databases were searched (January 2020-July 2022). Research articles that reported all four vNGT stages (idea generation, round robin sharing, clarification, voting) were included. Media Synchron

US Life Expectancy and Increasing Mortality Rates: An Analysis of the Crisis.

UNLABELLED: Policy Points US life expectancy is shorter than in other high-income countries and the gap has widened dramatically over time, … planations for the US health disadvantage include proximal causes (e.g., opioid epidemic, access to firearms, the obesogenic food environment, affective disorders), as well as systemic factors such as deficiencies in the health care system, socioneconomic precarity, a lax regulatory environment, and structural racism. State-level life expectancy and mortal …

Abstracts

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Hijacking of the aircraft OK ADN L410 TURBOLET on June 8, 1972 - Forensic Medical Notes.

On 8 June 1972, the Czechoslovak OK DNN aircraft carrier L410 Turbolet was delivered to the regular line Marianske Lazne - Prague to the Federal Republic of Germany. About 8 minutes after the launch from Marianske Lazne Airport, the likely head of the group of kidnappers threw the captain of the plane. During the fight with one of the passenger, the head of the group of kidnappers killed the captain of the aircraft by a shot from 7.65 mm pistol. Other members of the hijackers group attacked other passengers. After the aircraft captains death, the second pilot took command and landed at the spo

Viewing the US presidential electoral map through the lens of public health.

Health, disease, and mortality vary greatly at the county level, and there are strong geographical trends of disease in the United States. Healthcare is and has been a top priority for voters in the U.S., and an important political issue. Consequently, it is important to determine what relationship voting patterns have with health, disease, and mortality, as doing so may help guide appropriate policy. We performed a comprehensive analysis of the relationship between voting patterns and over 150 different public health and wellbeing variables at the county level, comparing all states, including

Updating Korean Disability Weights for Causes of Disease: Adopting an Add-on Study Method.

ObjectivesDisability weights require regular updates, as they are influenced by both diseases and societal perceptions. Consequently, it is necessary to develop an up-to-date list of the causes of diseases and establish a survey panel for estimating disability weights. Accordingly, this study was conducted to calculate, assess, modify, and validate disability weights suitable for Korea, accounting for its cultural and social characteristics.MethodsThe 380 causes of disease used in the survey were derived from the 2019 Global Burden of Disease Collaborative Network and from 2019 and 2020 Korean

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… Seven DWs remained unchanged: “latent tuberculosis infection” (0.268), “breast cancer (stage 2)” (0.393), “other drug use disorders” (0.291), “glaucoma” (0.315), “age-related and other hearing loss” (0.277), “physical violence by firearms” (0.365), and “physical violence by other means” (0.274). …

Hijacking of the aircraft OK ADN L410 TURBOLET on June 8, 1972 - Forensic Medical Notes.

On 8 June 1972, the Czechoslovak OK DNN aircraft carrier L410 Turbolet was delivered to the regular line Marianske Lazne - Prague to the Federal Republic of Germany. About 8 minutes after the launch from Marianske Lazne Airport, the likely head of the group of kidnappers threw the captain of the plane. During the fight with one of the passenger, the head of the group of kidnappers killed the captain of the aircraft by a shot from 7.65 mm pistol. Other members of the hijackers group attacked other passengers. After the aircraft captains death, the second pilot took command and landed at the spo

[Single-plane external fixation of fresh fractures of the femur: critical analysis of 53 cases].

PURPOSE OF THE STUDY: External fixation has not been widely used for femoral fractures and few series are reported in the literature. External fixation is generally reserved for severe open fractures, for vessel injury or multiple trauma with life threatening. We present a retrospective analysis of a serie treated in a single center in order to detail the indications of this fixation technique. MATERIAL AND METHODS: From 1984 to Jun 2002, 49 patients with femoral fractures were treated by external fixation. The series included 36 men and 13 women, mean age 31 years. All were victims of high-e

Rapid health transition in China, 1990-2010: findings from the Global Burden of Disease Study 2010.

BACKGROUND: China has undergone rapid demographic and epidemiological changes in the past few decades, including striking declines in fertility and child mortality and increases in life expectancy at birth. Popular discontent with the health system has led to major reforms. To help inform these reforms, we did a comprehensive assessment of disease burden in China, how it changed between 1990 and 2010, and how China's health burden compares with other nations. METHODS: We used results of the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) for 1990 and 2010 for China

Integration of a Geriatric Assessment With Intervention in the Care of Older Adults With Hematologic Malignancies.

The incidence of hematologic malignancies (HMs) is highest in the seventh decade of life and coincides with increasing occult, age-related vulnerabilities. Identification of frailty is useful in prognostication and treatment decision-making for older adults with HMs. This real-world analysis describes 311 older adults with HMs evaluated in a multidisciplinary oncogeriatric clinic. The accumulation of geriatric conditions [1-unit increase, hazards ratio (HR) = 1.13, 95% CI 1.00-1.27, p = 0.04] and frailty assessed by the Rockwood Clinical Frailty Scale (CFS, mild/moderate/severe frailty vs. ver

The burden of disease in Spain: results from the global burden of disease study 2010.

BackgroundWe herein evaluate the Spanish population's trends in health burden by comparing results of two Global Burden of Diseases, Injuries, and Risk Factors Studies (the GBD studies) performed 20 years apart.MethodsData is part of the GBD study for 1990 and 2010. We present results for mortality, years of life lost (YLLs), years lived with disability, and disability-adjusted life years (DALYs) for the Spanish population. Uncertainty intervals for all measures have been estimated.ResultsNon-communicable diseases accounted for 3,703,400 (95% CI 3,648,270-3,766,720) (91.3%) of 4,057,400 total

Резюме докладов 2017 Ежегодное совещание Общества общей внутренней медицины.

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Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017.

BACKGROUND: The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 comparative risk assessment (CRA) is a comprehensive approach to risk factor quantification that offers a useful tool for synthesising evidence on risks and risk-outcome associations. With each annual GBD study, we update the GBD CRA to incorporate improved methods, new risks and risk-outcome pairs, and new data on risk exposure levels and risk-outcome associations. METHODS: We used the CRA framework developed for previous iterations of GBD to estimate levels and trends in exposure, attributable deaths, and

Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016.

BACKGROUND: The Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) provides a comprehensive assessment of risk factor exposure and attributable burden of disease. By providing estimates over a long time series, this study can monitor risk exposure trends critical to health surveillance and inform policy debates on the importance of addressing risks in context. METHODS: We used the comparative risk assessment framework developed for previous iterations of GBD to estimate levels and trends in exposure, attributable deaths, and attributable disability-adjusted life-years