INTRODUCTION Use of corticosteroids for adrenal supplementation and attenuation of the inflammatory and immune response is widespread in acute critical illness. The study hypothesis was that exposure to corticosteroids influences the mortality and morbidity in acute critical illness. METHODS This case-control retrospective study was performed in a single multidisciplinary intensive care unit ...

BACKGROUND & AIMS Early fluid resuscitation is recommended to reduce morbidity and mortality among patients with acute pancreatitis, although the impact of this intervention has not been quantified. We investigated the association between early fluid resuscitation and outcome of patients admitted to the hospital with acute pancreatitis. METHODS Nontransfer patients admitted to our center with...

OBJECTIVE To determine the maternal morbidity in pregnant women with acute hepatitis E viral infection. STUDY DESIGN Observational, cross-sectional study. PLACE AND DURATION OF STUDY Departments of Obstetrics and Gynaecology and Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Red Crescent General Hospital and Saint Elizabeth Hospital, Hyderabad, from January 2011 to D...

BACKGROUND Hepatitis-E is an enterically transmitted virus causing acute hepatitis. Mostly it is a self-limiting clinical course, but can be life threatening in certain high risk groups. Pakistan is endemic for Hepatitis-E with limited published literature. The aim of this study is to evaluate the predictors of mortality in patients with acute Hepatitis-E. METHODS We analyzed the medical reco...

BACKGROUND Patients presenting with acute mesenteric ischemia (AMI) sufficiently advanced to require bowel resection have a high morbidity and mortality. The objective of this study was to analyze these patients to determine if certain pre- or intraoperative variables are predictive of death or complications which could then be used to develop a predictive model to aid in surgical decision-maki...

Acute kidney injury is common in the hospital setting and morbidity and mortality outcomes depend on early recognition and early intervention. Identifying patients at risk of acute kidney injury is critical in prevention, early identification, and appropriate treatment.

Background: Swallowing dysfunction can complicate acute stroke and directly affect patient's prognosis and recovery through development of chest infection (respiratory morbidity), nutritional problems and dehydration. Objective: To study the relationship of post stroke dysphagia (assessed clinically and by pulse oximetry) with the stroke 'site and size, and with subsequent in hospital respirato...

background: rotavirus is one of the most common etiologic agent of severe acute diarrhea in infants and children which results in high mortality and morbidity globally. prophylactic strategies are required to prevent acute rotavirus diarrhea. recently, the beneficial effect of probiotic therapy in control of rotavirus diarrhea was noted in many investigations. this systematic review investigate...

Background: In Burkina Faso, malnutrition is a public health problem. Despite the significant drop in the prevalence of malnutrition since 2009 according to the Directorate of Nutrition, malnutrition is still a major concern with regard to its consequences. The objective of this study was to determine the factors associated with acute malnutrition in children aged 6 to 59 months in the Sabou He...