The effect of road vehicle traffic pollution on asthma is still not clearly understood. However, any likely to be most marked among those who live within 150 m a main road, because this the distance which concentrations primary pollutants are raised above ambient background levels. We have investigated relation between proximity family home nearest estimated objectively using geographical information system software, and risk wheeze in past year case-control sample 6,147 schoolchildren (age...

OBJECTIVES To investigate the relation between local road traffic activity and occurrence, severity, persistence of wheeze in children. METHODS Data on asthma were collected a cross sectional questionnaire survey 22 968 primary school children (age 4–11) 27 826 secondary 11–16) Nottingham area. Direct measures flow made locality each combined with Local Authority data for major roads to estimate vehicle metres/day/km 2 . Assessment effects potential confounders was performed nested...

Background. Children in low-income developing countries are likely to suffer from undergrowth. Dental caries is another common problem these countries. Aim. To examine the association between untreated dental primary and permanent teeth with age-adjusted height weight among 6-12-year-old children Bangladesh. Design. Social, behavioural, clinical data were collected 1699 nine different randomly selected schools socially deprived areas of The associations being underweight examined adjusting...

Misappropriation of noncontaminated waste into regulated medical (RMW) containers is a source added expense to health care facilities. The operating room significant contributor RMW production. This study sought determine whether disposing anesthesia-related in standard receptacles before patient entry the would produce reduction RMW. A median 0.35 kg was collected from 51 cases sampled, with potential annual 13,800 host institution, and cost savings $2200.

Objective: To estimate the effect of joining a first year secondary school tutor group with high prevalence ever smoking on risk incident in schoolchildren. Design: Cross-sectional questionnaire survey. Setting: 10 randomly selected schools Nottinghamshire, UK. Participants: Pupils years (grades) 7–11 (aged 11–16 years). Main outcome measure: Incident education, defined as pupils who reported their cigarette during 7. Results: Of 6522 (75% those eligible) completed questionnaire, 17% were...

Respiratory distress syndrome remains a leading cause of neonatal mortality worldwide. This retrospective study describes practice patterns for respiratory in resource-limited setting and seeks to identify both risk factors beneficial treatment modalities. Health, demographic, data were collected. Potential associations analyzed using univariable multivariable logistic regression. Of 104 children included analysis, 38 died. Although most initially treated with noninvasive support, 59...

In Brief OBJECTIVE: To understand the antepartum attitudes toward blood product transfusion among members of Jehovah's Witness faith. METHODS: We performed a retrospective study using antenatal consultation notes patients from bloodless medicine program at regional tertiary care maternity hospital over 4-year period to determine their preferences. RESULTS: Eighty-seven consultations were performed. The median age women undergoing was 27 years (range 14–39 years), and most either African...

Abstract Background The patent ductus arteriosus is a cardiac lesion commonly found in premature neonates. Though surgical closure via thoracotomy the most definitive treatment option, it associated with significant morbidity. New catheter‐based options offer potentially safer alternative treatment, even However, no literature reports anesthetic techniques, challenges, and risks this procedure population. Aim This study documents challenges potential complications management of neonates...

<h3>Background</h3> A number of historical studies have suggested that early life deprivation increases the risk developing chronic obstructive pulmonary disease (COPD) in adult life, but whether this is still true now living conditions improved not known. The aim study to quantify current association between height (a marker socioeconomic status life) and COPD determine how varies by age. <h3>Methods</h3> We obtained data on 1 204 110 people (aged over 35 years old) from Health Improvement...

The 3-factor prothrombin complex concentrate (3FPCC) may be used off-label to treat refractory bleeding during cardiac surgery in children. This retrospective study examined the rate of clinical complications following use 3FPCC. Patients treated with 3FPCC were matched controls for age, gender, prematurity, weight, cardiopulmonary bypass times, and cross-clamp times. Fifty-nine cases individually 59 based on propensity scores. was not associated an increased risk thromboembolic events,...

Effective public provision of contraceptive services depends upon regular interventions at the primary care level. Recognizing need to improve frequency and quality counseling a rural family medicine residency, this study sought determine if introduction simple teaching tool would lead an increase in rates such counseling.Resident physicians clinic provided all eligible women, utilizing educational table as aid. Rates were compared before, during, after intervention.A total 3,606 patient...

Regional anesthetic blocks, especially in-dwelling catheters, are infrequently used in neonates and infants. The following report describes a neonate with gangrenous right upper extremity requiring multiple painful debridements over several weeks. A brachial plexus catheter was placed using ultrasound guidance, continuous infusion of local to provide postoperative pain control. After the initial procedures, bolus doses agent provided surgical anesthesia for dressing changes, thus obviating...

Mutations of the transport and Golgi organization 2 (TANGO2) genes are linked with both long-term neurological decline acute metabolic crises during stress, leading to significant anesthetic risk. Crises marked by rhabdomyolysis, lactic acidosis, seizures, cardiac dysfunction, dysrhythmias. Much is unknown about optimal management this condition, especially in critical care settings. The following report describes challenges a patient simultaneous TANGO2 gene deletion, DiGeorge Syndrome,...

Abstract Background American pediatric anesthesiologists have a long history of international volunteerism. However, the US healthcare system also benefits from contributions large number physicians who come other nations to work within its borders. Despite this fact, little is known about contribution medical graduates (IMG) anesthesiology subspecialty. Aims To characterize IMG field in United States, and elucidate geographic demographic distribution their national origins so as understand...

Hemorrhage is a leading cause of maternal morbidity and mortality worldwide. It especially difficult to treat in patients the Jehovah's Witness faith because they refuse certain blood products. This case report describes resuscitation parturient whose postcesarean delivery course was complicated by massive hemorrhage from unrecognized arterial bleeding intensive care unit with significant hemodynamic instability that necessitated an emergency bedside laparotomy. Her hemoglobin nadir 1.5...

Anesthesiologists are frequently responsible for placement of transesophageal echocardiography probes prior to cardiac surgery in children. A number potential complications possible, including failure. This report documents one such failed attempt at probe a 3-month-old patient with history ventricular septal defect, and the utilization video laryngoscopy by anesthesiologist diagnose previously unknown extrinsic esophageal compression likely caused an aberrant right subclavian artery. case...

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Back pain associated with herniated disks has become an important and increasingly general health problem, both in Bangladesh across the world. After all methods of conservative treatment have been exhausted, nucleolysis may be a minimally invasive alternative to surgery. In nucleolysis, chondrolytic substances, or other substances which reduce pressure within disk by means, are injected into nucleus pulposus under CT scan fluroscopic guidance. Among various employed for ozone-oxygen mixture...

Introduction: Ozone disk nucleolysis is a nonsurgical percutaneous procedure for the treatment of discogenic sciatica, and published success rates ozone vary significantly. This study assesses outcome difference between two modalities among patients with sciatica secondary to herniated in Bangladesh: Intradiscal injection combination therapy intradiscal transforaminal triamcinolone bupivacaine injection. Materials methods: Prospectively recruited 50 (group I) received injections an...