PPH is most common cause of maternal death, contributing to approximately 35% death all over the world. WHO (2017) recommended that tranexamic acid should be considered as a standard comprehensive treatment package and must used in cases regardless PPH. To evaluate effectiveness safety intravenous Tranexamic (TA) for reduction postpartum blood loss after vaginal delivery LSCS record any adverse...

Background:Severe acute respiratory syndrome Coronavirus 2 (SARS-COV 2) infection elicits an inflammatory response which is responsible for severe clinical manifestations, disease progression and, poor outcomes.Objectives: This study aims to assess the pattern of elevation markers in COVID-19 and determine their association with clinical, radiological severity outcome COVID 19.Methodology: a re...

BACKGROUND Percutaneous renal biopsy (PRB) is an important technique providing relevant information to guide diagnosis and treatment in renal disease. As an invasive procedure it has complications. Most studies up to date have analysed complications related to bleeding. We report the largest single-center experience on routine Doppler ultrasound (US) assessment post PRB, showing incidence and n...

BACKGROUND Electronic health records (EHR) are becoming increasingly integrated into the clinical environment. With the rapid proliferation of EHRs, a number of studies document an increase in adverse patient safety issues due to the EHR-user interface. Because of these issues, greater attention has been placed on novel educational activities which incorporate use of the EHR. The ICU environmen...

BACKGROUND Early warning scores aid in the detection of pediatric clinical deteriorations but include limited data inputs, rarely include data trends over time, and have limited validation. OBJECTIVE Machine learning methods that make use of large numbers of predictor variables are now commonplace. This work examines how different types of predictor variables derived from the electronic healt...

Corresponding author: Jae Jun Lee, M.D., Department of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, 153, Kyo-dong, Chuncheon 200-704, Korea. Tel: 82-33-240-5353, Fax: 82-33-251-0941, E-mail: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/...

INTRODUCTION Modification of alarm limits is one approach to mitigating alarm fatigue. We aimed to create and validate heart rate (HR) and respiratory rate (RR) percentiles for hospitalized children, and analyze the safety of replacing current vital sign reference ranges with proposed data-driven, age-stratified 5th and 95th percentile values. METHODS In this retrospective cross-sectional stu...

Mr. BC, 25 year old farmer from Sarlahi district, Hindu by religion, was admitted in medical ward of Kathmandu Medical College & Teaching Hospital on 2060/05/31 with the chief complaints of generalised weakness of whole body, easy fatigability, difficulty in speaking, drooping of both the eyelids for the past 9 months. All his symptoms used to be worse on exertion especially in the evening hour...

BACKGROUND The serendipitous discovery of propranolol as a medical therapy for infantile hemangioma in 2008 resulted in a significant change in the treatment paradigm for patients with hemangioma. The use of systemic propranolol is now widely used, either alone or in conjunction with other medications or surgical treatments. Although generally well tolerated, propranolol is typically initiated ...

PURPOSE Space agencies are looking for effective and efficient countermeasures for the degrading effects of weightlessness on the human body. The aim of this study was to assess the effects of a novel jump exercise countermeasure during bed rest on vitals, body mass, body composition, and jump performance. METHODS 23 male participants (29±6 years, 181±6 cm, 77±7 kg) were confined to a bed res...