Validity of PIRO Score as an Assessment Tool for Mortality Risk of COVID-19 Pneumonia among Patients Admitted to World Citi Medical Center from March to August 2020. A Retrospective Observational Cohort Study
Abstract:
Introduction
In December 2019, cases of serious illness causing pneumonia and death were first reported in Wuhan, China.2 The clinical features of Corona Virus Disease-19 (COVID-19) are ranging from asymptomatic to multi organ dysfunction. The disease can progress to pneumonia, respiratory failure and death.4 Thus, a tool is needed that can predict the severity and in-hospital mortality risk of a patient with COVID-19 Pneumonia.
The PIRO (predisposition, insult, response, and organ dysfunction) scoring was developed for use in the emergency department to risk stratify sepsis cases.15 Eventually it was adapted in pneumonia cases to predict its severity.
Objective</tit...</p>
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<h4 class="article-title title-border pb-3"> Characterization of the Vaccine Abdala</h4>
<h4 class="article-title fw-700">Abstract:</h4>
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<p>Vaccines symbolize the main pandemic control tool in the world, which is why they are the object of study in many investigations. In this work, the Abdala vaccine was characterized in terms of adverse reactions by conducting a survey and statistical processing of the data taken through distribution graphs of the same, developed in the Minitab software 16. Of the people involved, 47.67% presented Symptoms that were mild to moderate with the presence of pain in the area of the injection, drowsiness and decay, mainly. Based on the distribution of the data in histograms, the duration of these symptoms was approximately 1 day. Likewise, it was observed that the symptoms occur mainly in females, for 33.72% of the cases in the first dose and 23.26% after the second dose was applied.</p>
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<h4 class="article-title title-border pb-3"> Indian Agriculture needs a Strategic Shift for Improving Fertilizer Response and Overcome Sluggish Foodgrain Production </h4>
<h4 class="article-title fw-700">Abstract:</h4>
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<p>In India, loss of fertility through soil erosion is primarily a summer monsoons mediated phenomenon. Reversing the land degradation processes contribute to water availability, soil fertility maintenance, adapting to climate change and overall food security. Whereas kharif (monsoon/rainy season crop) foodgrain production largely depends on summer monsoons, the rabi season (post-rainy season/winter crop) rainfall is too little to exert a direct influence. In spite of larger acreage under kharif foodgrain crops, total fertiliser consumption during kharif and rabi seasons is comparable. Negative rainfall anomalies (deficit) adversely affected total fertiliser consumption and their use efficiency. Despite significant differences in fertiliser application rates, the response to applied fertiliser nutrients is almost similar in the two seasons. This implies that nu...</p>
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<h4 class="article-title title-border pb-3"> Pericardiocentesis Procedure: Anatomical Structures and Approaches</h4>
<h4 class="article-title fw-700">Abstract:</h4>
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<p>Knowledge of accurate surface anatomy is essential for safe clinical practice. Different views and opinions for clinically important surface markings exist between clinicians. Pericardiocentesis is performed as an emergency procedure in conditions aggravating cardiac tamponade. The approach of pericardiocentesis should be held by the hands of an experienced operator because of the surrounding relations. Nowadays, the introduction of imaging-guided procedures, especially echo-guided procedures, has significantly improved the safety and feasibility of pericardiocentesis and has provided the possibility of choosing the best anatomical approach among the apical, subcostal and parasternal approaches. This case report also emphasizes the importance of instillation of agitated saline as a supplementary technique while performing echo-guided pericardiocentesis in order to reduce the likelihood of cardiac chamber perforations.</p>
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<h4 class="article-title title-border pb-3"> The Metabolic and Neurochemical Etiopathology of Passive Exposition to Alcohol Consumers</h4>
<h4 class="article-title fw-700">Abstract:</h4>
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<p>A narrative review considers metabolic and neurochemical pathways implicated in passive exposure to alcohol consumers, discussing health effects and research needs.</p>
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<h4 class="article-title title-border pb-3"> A One-Pot Synthesis of Sulfonyl Amidinesvia Three-Component Reaction Under Mild and Solvent-Free Conditions</h4>
<h4 class="article-title fw-700">Abstract:</h4>
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<p>A convenient one-pot synthetic protocol for the preparation of sulfonyl amidines has been developed. The procedure combines three-component reaction of sulfonyl azide, methyl propiolate and secondary cyclic amine coupling in one sequence without any solvent or catalyst and at room temperature. The reaction proceeds smoothly and a variety of desired sulfonyl amidines were obtained in moderate to good yields. This protocol has synthetic advantages in terms of low environmental impact and very short reaction time.</p>
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<h4 class="article-title title-border pb-3"> Fear of Falls and Frailty: Cause or Consequence or Both?</h4>
<h4 class="article-title fw-700">Abstract:</h4>
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<title>Background
Many older adults are vulnerable to becoming frail. They are also often at risk for falling and serious injuries and poor health outcomes.
Aim
This exploratory review examines the correlates of frailty, and fear of falling and their association insofar as older adults wellbeing may be jeopardized.
Methods and Procedures
Articles extracted from major electronic data bases that addressed the current topic of interest were used. Key findings regarding the syndromes of frailty and fear of falling were duly downloaded, analyzed and summarized in narrative form.
Results
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