Thyssenherbert9082

Patients discharged fromthe ED with fluid and electrolyte disorders (FED) andaltered mental status (AMS) were most likely to have downstream sepsis hospitalizations (OE ratios of 2.66 and2.82, respectively). Temporal analyses revealed that these symptoms were overrepresented and temporally clustered close to the hospitalization date. find more Approximately 2% of sepsis hospitalizations were associated with prior FED or AMS ED visits.

Treat-and-release ED encounters for FED and AMS may represent harbingers for downstream sepsis hospitalizations. The SPADE approach can be used to develop performance measures that identify pre-sepsis.

Treat-and-release ED encounters for FED and AMS may represent harbingers for downstream sepsis hospitalizations. The SPADE approach can be used to develop performance measures that identify pre-sepsis.

To evaluate if induction of labor (IOL) in obese women at 39weeks of gestation decreases the risk of cesarean delivery (CD).

We conducted a retrospective propensity score matched study using the Center for Disease Control's (CDC's) Period Linked Birth-Infant Death data. The study population consisted of cephalic singleton births to women with BMI greater or equal to 30.0kg/m

who delivered at or beyond 39weeks between 2013 and 2017. Women with prior CD were excluded. Women who underwent IOL at 39weeks were propensity score matched 15 on the basis of CD risk factors to women who did not undergo IOL at 39weeks but may have had an IOL at a later gestational age. Conditional logistic regression compared CD rates and maternal outcomes between obese women induced at 39weeks with those not induced at 39weeks.

Our cohort consisted of 197,343 obese women induced at 39weeks and 986,715 obese women not induced at 39weeks. Overall, the risk of CD among women who had an IOL at 39weeks was lower than those without an IOL at 39weeks, 0.59 (0.58-0.60). The decrease in CD risk was more pronounced in multiparas, 0.47(0.46-0.49) than nulliparas, 0.81(0.79-0.83). When stratified by BMI, the effect of IOL on lowering CD risk was similar across allobesity classes. Aside from an increased risk of instrumental deliveries, morbidities were comparable in both groups.

IOL at 39weeks among obese women appears to lower the risk of CD, without compromising maternal outcomes.

IOL at 39 weeks among obese women appears to lower the risk of CD, without compromising maternal outcomes.

To characterize the age of ovarian failure in Turner Syndrome (TS) patients by karyotype.

Retrospective cohort study of individuals with TS at an academic university hospital. Subjects were seen in TS Clinic at UNC Hospital between 2014 and 2018. Individuals were analyzed by karyotype category (45X, 45X/46XX mosaicism, miscellaneous) and percentage of 45X cells. Age at follicle-stimulating hormone> 30 was defined as the age at loss of ovarian function.

A total of 79 patients were identified after excluding individuals with unknown ovarian function and those with Y chromosome material. Thirty-eight percent were 45X monosomic, 62% were 45X/46XX mosaic or miscellaneous karyotypes. Fifty-five of 79 (70%) patients had evidence of ovarian failure, median age of failure 11 years (IQR 4,12). Ovarian failure was more prevalent among individuals with 45X karyotype (100%). The median age of ovarian failure for 45X patients (n=30) was 10 years old, which is significantly younger than other karyotypes (n=49), witlure is novel and warrants further investigation in a larger prospective cohort.To explore the historical evolution and current status of the EwE (Ecopath with Ecosim) modelling research, the core dataset and extended dataset were collected by topic retrieval and citation indexing methods from the "Web of Science" from 1984 to 2020. The bibliometric analysis and mapping knowledge were performed by CiteSpace software, focusing on literature distribution, research forces, research theme, and hotspot evolution. The results showed that the annual publications in the EwE model researches were increasing, covering multi-disciplinary fields. Christensen, Walters, and Pauly were representative scholars with an important role in model development and relevant international cooperation. In the early stage, EwE model was usually applied to solve ecosystem problems, including spatial-temporal dynamic of structure and function, and the ecosystem effects of fisheries. Currently, marine resource management, ecosystem modelling, marine protected areas and ecosystem indicators had become the key themes. The research hotspots shifted from model development and food web structure to ecosystem forecasting and resource management, which would provide scientific evidence for ecosystem-based aquatic resource management and the construction of protected area in marine.Although the Antarctic is considered as a pristine region away from human pollution, traditional and emerging persistent organic pollutants (POPs), such as organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs) and per-/polyfluoroalkyl substances (PFASs), have been constantly detected in the Antarctic, which received global concerns. POPs are persistent and toxic, prone to accumulate in organisms and further pose environmental risks. In order to understand their biogeochemical processes as well as impacts on organisms in the Antarctic, we summarized the research status of POPs in different trophic levels in the Antarctic marine, combining their living habits. We also proposed the future research directions of POPs in the vulnerable Antarctic ecosystem. Researches showed that the Antar-ctic was the region under the lowest pollution level all over the world. However, the types of POPs in Antarctic marine organisms were increasing in the past decades, meaning the area was affected increasingly by the activities inside and/or outside of this area. Scattered research data and different techniques hamper red the elucidation about the mechanism of POPs transport along the food chain. It is urgent to establish long-term monitoring and assessment program on POPs dynamics of Antarctic marine ecosystem.