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CHITRAL: An isolation ward set up by Aga Khan Health Service at Tehsil Headquarters Hospital in Drosh, was handed over to the Health Department on Friday.District Health Officer Dr Shahzada Haiderul Mulk was chief guest at the ceremony in which AKHS representative Anwar Baig, Additional Assistant...

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CHITRAL: An isolation ward set up by Aga Khan Health Service at Tehsil Headquarters Hospital in Drosh, was handed over to the Health Department on Friday.District Health Officer Dr Shahzada Haiderul...

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LAHORE: A sharp increase in confirmed Covid-19 cases across Punjab has further burdened state-run health facilities, taking their bed occupancy ratio to 54 per cent.

The rate increased during the last two weeks or so due to widespread transmission of the virus.

Official figures reported by the health department portray a grim picture as 3,693 people contracted the virus during the last seven days in the province.

Punjab had reported around 3,686 positive cases for the virus during a period of one month starting from March 15, when the first Covid-19 case was spotted.

Most of the confirmed patients were taken care of in Lahore where the 1,000-bed Expo Centre Field Hospital is housing 450 patients, with 45pc bed occupancy.

Ratio may touch 80pc in two weeks

Similarly, the Mayo Hospital houses 420 patients (70pc bed occupancy) while the Pakistan Kidney and Liver Institution 100 patients (100pc bed occupancy).

The health authorities believe that this percentage is likely to reach 80pc in coming two weeks if cases continue to grow at the same rate.

The Pakistan Medical Association (PMA) is very much concerned over the increasing number of coronavirus patients and rising death toll.

“We are extremely disturbed that how our hospitals would mange the load of corona patients in future because of the scale of transmission of the virus,” said PMA Secretary Dr Qaisar Sajjad.

He said the government would have to revisit the current health system in order to remove flaws and create more space for coronavirus patients, keeping in view the future requirements.

While sharing the fresh report, a spokesperson for the Primary and Secondary Healthcare Department said Punjab reported a record 961 confirmed cases of the virus on Friday and it was the highest figure in a single day so far since the pandemic surfaced in the province.

“The government has allocated 7,753 beds for the corona patients at all the teaching, district and other field hospitals across the province,” he said. Of them, 4,239 had been occupied by the patients.

“We have 6,744 beds for corona patients at all the teaching and field hospitals that fall under the specialised healthcare and medical education department in Punjab,” SH&MED Additional Secretary (development) Nadir Chattha said.

He said 3,370 of them were allocated in teaching hospitals and 3,374 at field hospitals. Of the 6,744 beds, he said 2,261 (34pc) had been occupied by the patients.

“We are going to make available 984 more beds in coming days,” he said.

Of the total admitted patients, Mr Chattha said 40 were in a critical condition, with 34 of them on ventilators. He said so far 186 corona patients had died in Punjab.

On the other hand, of the total 961 confirmed cases on Friday, 488 were reported from Lahore which was also another record number (of people testing positive) in the provincial capital in just a day. Of them, 87 were reported from Gujrat, 77 from Rawalpindi, 60 Faisalabad, 45 Multan and 67 from Muzaffargarrh besides some other cities.

The total number of confirmed cases in Lahore and Punjab rose to 3,856 and 10,033, respectively, on Friday.

Surprisingly, the health department said only one patient died (in Muzaffargarh) of coronavirus in Punjab during the last 24 hours.

Published in Dawn, May 9th, 2020

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Ginsberg joined in from the Maryland hospital where she's being treated for an infection caused by a gall stone.

Ginsburg had gone to the hospital for outpatient tests that revealed an infection caused by a gall stone.

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Background

We sought to determine the cumulative incidence of readmissions after a seizure-related hospitalization and identify risk factors and readmission diagnoses.

BACKGROUND AND OBJECTIVES:

High-quality cardiopulmonary resuscitation (CPR) increases the likelihood of survival of pediatric out-of-hospital cardiac arrest (OHCA). Maintenance of high-quality CPR during transition of care between prehospital and pediatric emergency department (PED) providers is challenging. Our objective for this initiative was to minimize pauses in compressions, in alignment with American Heart Association recommendations, for patients with OHCA during the handoffs from prehospital to PED providers. We aimed to decrease interruptions in compressions during the first 2 minutes of PED care from 17 seconds (baseline data) to 10 seconds over 12 months. Our secondary aims were to decrease the length of the longest pause in compressions to <10 seconds and eliminate encounters in which time to defibrillator pad placement was >120 seconds.

BACKGROUND:Most children are exposed to human metapneumovirus (HMPV) by the age of 5 y. This study aimed to describe the morbidity associated with HMPV infections in a cohort of children in the Midwest of the United States.METHODS:This was a retrospective 2-center cohort study including children (0–17 y old) hospitalized with HMPV infections at 2 tertiary care pediatric hospitals from 2009 to 2013. Demographics, chronic medical conditions, viral coinfections, and hospitalization characteristics, including the need for respiratory support, high-flow nasal cannula, CPAP, bi-level positive airway pressure, invasive mechanical ventilation, pediatric ICU admission, acute kidney injury (AKI), use of extracorporeal membrane oxygenation, and length of stay, were collected.RESULTS:In total, 131 subjects were included. Those with one or more comorbidities were older than their otherwise healthy counterparts, with a median age of 2.8 y (interquartile range [IQR] 1.1–7.0) compared to 1.3 y (IQR 0.6–2.0, P < .001), respectively. Ninety-nine (75.6%) subjects required respiratory support; 72 (55.0%) subjects required nasal cannula, simple face mask, or tracheostomy mask as their maximum support. Additionally, 1 (0.8%) subject required high-flow nasal cannula, 1 (0.8%) subject required CPAP, 2 (1.5%) subjects required bi-level positive airway pressure, 15 (11.5%) subjects required invasive mechanical ventilation, 4 (3.1%) subjects required high-frequency oscillatory or jet ventilation, and 4 (3.1%) subjects required extracorporeal membrane oxygenation. Fifty-one (38.9%) subjects required pediatric ICU admission, and 16 (12.2%) subjects developed AKI. Subjects with AKI were significantly older than those without AKI at 5.4 y old (IQR 1.6–11.7) versus 1.9 y old (IQR 0.7–3.5, P = .003). After controlling for the presence of at least one comorbidity and cystic fibrosis, each year increase in age led to a 16% increase in the odds of AKI (P = .01). The median length of stay for the entire cohort was 4.0 d (IQR 2.7–7.0).CONCLUSIONS:Children hospitalized with HMPV may be at risk for AKI. Risk of HMPV-associated AKI appears to increase with age regardless of severity of respiratory illness or presence of comorbidities.

Background

Diabetes is associated with poor oral health, as well as reduced access to dental care. A large percentage of patients hospitalized in the United States carry a diagnosis of diabetes; however, the oral health status of patients with diabetes who are hospitalized is unknown.

Background and objectives

This study aimed to investigate the association between in-hospital trajectories of serum sodium and risk of in-hospital and 1-year mortality in patients in hospital.

Plazomicin was active against 97.0% of 8,783 Enterobacterales isolates collected in the United States (2016 and 2017), and only 6 isolates carried 16S rRNA methyltransferases conferring resistance to virtually all aminoglycosides. Plazomicin (89.2% to 95.9% susceptible) displayed greater activity than amikacin (72.5% to 78.6%), gentamicin (30.4% to 45.9%), and tobramycin (7.8% to 22.4%) against carbapenem-resistant and extensively drug-resistant isolates. The discrepancies among the susceptibility rates for these agents was greater when applying breakpoints generated using the same stringent contemporary methods applied to determine plazomicin breakpoints.

Background:

We assessed the ability to supplement existing epidemiologic/etiologic studies with data on treatment and clinical outcomes by linking to publicly available cancer registry and administrative databases.

As anticipated due to the COVID-19 pandemic, Windsor’s unemployment rate closed in on historic levels in April as it reached 12.9 per cent of the labour force, according to the latest numbers released Friday by Statistics Canada. There were 21,800 people in the Windsor area recorded as being unemployed in the latest StatsCan survey. But […]