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Academic literature on the topic 'Armory Square Hospital'
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Journal articles on the topic "Armory Square Hospital"
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Sarracino, Carmine. "Armory Square Hospital, Washington, D.C. January, 1863." Prairie Schooner 77, no. 4 (2003): 119–21. http://dx.doi.org/10.1353/psg.2003.0143.
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Mouraz, Mariana, Cátia Sofia Ferreira, Sónia Gonçalves, Nuno Nogueira Martins, and Francisco Nogueira Martins. "Laparoscopic Approach in Surgical Staging of Endometrial Cancer." Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics 41, no. 05 (May 2019): 306–11. http://dx.doi.org/10.1055/s-0039-1688461.
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Objective To compare laparoscopy with laparotomy for surgical staging of endometrial cancer. Methods A cohort of women with preoperative diagnosis of endometrial cancer who underwent surgical staging was retrospectively evaluated. The main study end points were: morbidity and mortality, hospital length of stay, perioperative adverse events and recurrence rate. Data analysis was performed with the software SPSS v25 (IBM Corp., Armonk, NY, USA), categorical variables using a Chi-square and Fisher test, and continuous variables using the Student t-test. Results A total of 162 patients were analyzed. One-hundred and thirty eight patients met the inclusion criteria, 41 of whom underwent staging by laparoscopy and 97 by laparotomy. Conversions from laparoscopy to laparotomy happened in 2 patients (4.9%) and were secondary to technical difficulties and poor exposure. Laparoscopy had fewer postoperative adverse events when compared with laparotomy (7.3% vs 23.7%, respectively; p = 0.005), but similar rates of intraoperative complications, despite having a significantly longer operative time (median, 175 vs 130 minutes, respectively; p < 0.001). Hospital stay was significantly lower in laparoscopy versus laparotomy patients (median, 3 vs 7 days, respectively; p < 0.001). No difference in recurrence or mortality rates were observed. Conclusion Laparoscopic surgical staging for endometrial cancer is feasible and safe. Patients have lower postoperative complication rates and shorter hospital stays when compared with the approach by laparotomy.
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Kurnia, Bella, and I. Wayan Bikin Suryawan. "The Association between Obesity and Severity of Dengue Hemorrhagic Fever in Children at Wangaya General Hospital." Open Access Macedonian Journal of Medical Sciences 7, no. 15 (July 25, 2019): 2444–46. http://dx.doi.org/10.3889/oamjms.2019.660.
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BACKGROUND: Dengue is a mosquito-borne disease caused by any one of four closely related Dengue virus (DENV 1-4). The clinical sign Dengue virus infection can vary from mild (mild febrile illness), Dengue Fever (DF), Dengue Hemorrhagic Fever (DHF) to Dengue Hemorrhagic Fever with shock (Dengue Shock Syndrome, DSS).
AIM: This study was designed to determine the relationship of obesity with the severity of Dengue Hemorrhagic Fever in children.
METHODS: It is a case-control study. The data of patients were retrospectively collected from the Department of Child Health at the Wangaya General Hospital between March 2019 to May 2019. It uses consecutive sampling. The total sample of 22 children with DHF with shock and 22 children with DHF without shock were investigated. Statistical analysis has been performed by SPSS Statistics 20.0 for Mac (IBM Corp., Armonk, New York, USA). DHF positive results were compared by the Chi-square test and binary logistic regression.
RESULTS: Prevalence of DHF with shock is fifty per cent's and DHF without shock is 50%. Prevalence of obesity is 40.9%. The result of binary logistic regression analysis of obesity in children and the severity of DHF was significantly correlated with P-value 0.004 and OR = 7.734.
CONCLUSION: Obesity is associated with the severity of Dengue Hemorrhagic fever in children.
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Khan, Maria, Mohummad Hassan Raza Raja, Fatima Gauhar, and Tania Nadeem. "Landscape of childhood and adolescent depression in Pakistan: experience from a tertiary care hospital in Karachi, Pakistan." BJPsych Open 7, S1 (June 2021): S264. http://dx.doi.org/10.1192/bjo.2021.703.
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AimsDepression is highly prevalent in children and adolescents in Pakistan, yet, factors affecting depression have not been widely studied. This study aims to assess the demographic and clinical characteristics of depression in children and adolescents and identify associations between parental marital status and confounding factors for depression.MethodA descriptive retrospective study was undertaken at the Aga Khan University Hospital in Karachi, Pakistan. Patient records of children and adolescents (aged under 18 years), presenting to the psychiatry clinic with depression from 2015-2019 were reviewed. The diagnosis of clinical depression was made based on clinical assessment according to international guidelines. Patients whose medical records had missing information were excluded. Data were analysed using IBM SPSS Statistics for Windows, version 23.0 (IBM Corp., Armonk, N.Y., USA). Continuous data are presented as mean +/- standard deviation, whereas categorical data are presented as percentages (%). Pearson Chi-square test of association has been used to assess the association between parental factors and confounding factors. In instances where Pearson's Chi-square test could not be applied, Fisher's exact test is used instead. Associations at p <0.05 (95% confidence limit) are considered statistically significant.ResultA total of 133 participants were included, of which 78 (58.6%) were female, and 55 (41.4%) were male, with a mean age of 15.5 +/- 2.4 (Range: Ages 4–18). The population had a 50.4% prevalence of suicidal ideation, 21.1% of self-harm, 15% of substance abuse and 14.3% of suicide attempts. Academic stress (54.9%), inter-parental conflict (30.1%) and child abuse (29.3%) were the most common confounding factors reported. Other confounding factors include a family history of depression (20.3%), experience of bullying (16.5%) witnessing domestic violence (16.5%), substance abuse (15.0%) and experiencing sexual abuse (6.0%). There is a statistically significant association between children having parents with non-intact marriages and experiencing sexual abuse (p < 0.001, Odds Ratio (OR) = 21.48), having a family history of depression (p < 0.001, OR = 7.04), child abuse (OR = 3.78). Children of non-traditional (not living with both parents) families were more likely to witness domestic violence (p < 0.001, OR = 4.28), have a family history of depression (p < 0.001, OR = 3.44), abuse substances (OR = 3.20) and experience child abuse (OR = 2.48).ConclusionThis study identifies factors that may put children at an increased risk of developing depression and performing high-risk behaviours. The findings can help develop better screening programs and counselling for children and adolescents, allowing prevention and ensuring early diagnosis and care.
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John, Lydia, Akanksha William, Dimple Dawar, Himani Khatter, Pratibha Singh, Anjana Andrias, Christina Mochahari, Peter Langhorne, and Jeyaraj Pandian. "Implementation of a Physician-Based Stroke Unit in a Remote Hospital of North-East India-Tezpur Model." Journal of Neurosciences in Rural Practice 12, no. 02 (February 22, 2021): 356–61. http://dx.doi.org/10.1055/s-0041-1723099.
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Abstract Objective The study aims to determine the effects of implementing stroke unit (SU) care in a remote hospital in North-East India. Materials and Methods This before-and-after implementation study was performed at the Baptist Christian Mission Hospital, Tezpur, Assam between January 2015 and December 2017. Before the implementation of stroke unit care (pre-SU), we collected information on usual stroke care and 1-month outcome of 125 consecutive stroke admissions. Staff was then trained in the delivery of SU care for 1 month, and the same information was collected in a second (post-SU) cohort of 125 patients. Statistical Analysis Chi-square and Mann–Whitney U test were used to compare group differences. The loss to follow-up was imputed by using multiple imputations using the Markov Chain Monto Carlo method. The sensitivity analysis was also performed by using propensity score matching of the groups for baseline stroke severity (National Institute of Health Stroke Scale) using the nearest neighbor approach to control for confounding, and missing values were imputed by using multiple imputations. The adjusted odds ratio was calculated in univariate and multivariate regression analysis after adjusting for baseline variables. All the analysis was done by using SPSS, version 21.0., IBM Corp and R version 4.0.0., Armonk, New York, United States. Results The pre-SU and post-SU groups were age and gender matched. The post-SU group showed higher rates of swallow assessment (36.8 vs. 0%, p < 0.001), mobility assessment, and re-education (100 vs. 91.5%, p = 0.037). The post-SU group also showed reduced complications (28 vs. 45%, p = 0.006) and a shorter length of hospital stay (4 ± 2.16 vs. 5 ± 2.68 days, p = 0.026). The functional outcome (modified ranking scale) at 1-month showed no difference between the groups, good outcome in post-SU (39.6%) versus pre-SU (35.7%), p = 0.552. Conclusion The implementation of this physician-based SU care model in a remote hospital in India shows improvements in quality measures, complications, and possibly patient outcomes.
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Nair, Bindu T., Rabindra Bhunia, and Kuldeep Kumar Sharma. "Role of zinc supplementation in acute respiratory tract infections in children aged 2 to 60 months." International Journal of Contemporary Pediatrics 4, no. 5 (August 23, 2017): 1758. http://dx.doi.org/10.18203/2349-3291.ijcp20173780.
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Background: Zinc has a major role in improving immune function and decreasing morbidity in various infectious diseases like acute respiratory tract infections, diarrhoeal diseases etc. The objective of the study was to study the effect of zinc supplementation on clinical manifestations, progress of illness and duration of acute respiratory infections.Methods: A randomized double blind controlled study was conducted in the Paediatric ward of a tertiary care hospital in New Delhi in 50 children aged 2 to 60 months. Children with previous episodes of wheezing, severe malnutrition, congenital heart diseases, pneumonia, history of taking multiple micronutrient formulations or zinc for any intercurrent illnesses like diarrhoea in the previous month prior to admission and history of any known immuno-deficiency disease or on any immunosuppressive medications(steroids) or anti malignancy treatment were excluded. Both placebo (syrup base) and zinc syrup (20 mg/5 mL elemental zinc as zinc sulfate) were given orally for a period of 14 days to the respective groups. Statistical analysis used: Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp.). Chi-square test was done for qualitative variables and t-test was used for quantitative variables. P<0.05 was considered as statistically significant.Results: The mean age of zinc group was 22.77 months (SD - 5.74) and that of placebo group was 22.86 months (SD - 5.88) with a p value of 0.98 which was not statistically significant. There were no significant differences in the clinical features in the two groups before starting therapy or after treatment at 24, 48 and 72 hours (P>0.05).Conclusions: Zinc supplementation during episode of ARI did not show any substantial benefit in reducing duration or morbidity in children aged 2-60 months.
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Reddy, Uma Maheswara, Aditya Khandekar, Sourya Acharya, Samarth Shukla, and Neema Acharya. "Study of Platelet Indices in Patients with Metabolic Syndrome." International Journal of Recent Surgical and Medical Sciences 05, no. 01 (January 2019): 010–14. http://dx.doi.org/10.1055/s-0039-1688542.
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Abstract Introduction Metabolic syndrome (MetS) is a combination of abdominal obesity, atherogenic dyslipidemia, elevated blood pressure, and elevated plasma glucose. MetS patients have higher chances of developing insulin resistance, visceral adiposity, atherogenic dyslipidemia, and thus coronary artery disease and stroke. Alteration of platelet indices in diabetes mellitus, atherosclerosis, and other proinflammatory states has been described in multiple studies. Thus, this study was carried out to assess platelet indices in MetS. Objectives This study was carried out to assess platelet indices in MetS. Methods A cross-sectional study was carried out at Acharya Vinoba Bhave Rural Hospital, a tertiary care center over a period of 2 months from June 1, 2018 to July 31, 2018. Fifty patients diagnosed as having MetS, and 50 healthy controls were chosen. Estimation of anthropometric parameters including waist circumference; measurement of blood pressure; biochemical parameters including lipid profile; and platelet indices including plateletcrit, mean platelet volume (MPV), and platelet distribution width (PDW) were carried out. Statistical Analysis Statistical analyses were carried out using inferential statistics, including chi-square test and Student's unpaired t-test, and software SPSS version 22.0 (IBM Corporation, Armonk, New York, United States) with GraphPad Prism version 6.0 (Informer Technologies, Inc. Los Angeles, California, United States) was used, with p < 0.05 being considered as significant. Results A statistically significant, positive correlation was found between the waist circumference, systolic blood pressure, serum triglyceride levels, and plateletcrit, with the MetS status of patients (p < 0.05). Conclusion This study revealed that MetS is a proinflammatory and prothrombotic state, characterized by alteration of platelet indices. Plateletcrit was shown to be a statistically significant biomarker along with other parameters such as waist circumference, systolic blood pressure, and serum triglyceride levels. Early detection and follow-up of patients using these markers can lead to an overall decline in morbidity and mortality owing to MetS.
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Bizari, Davood, Hadi Khoshmohabat, Soheila Salahshour Kordestani, and Rouhollah Zarepur. "Comparison of HemoFoam® and Conventional Gauze Dressing on Hemostasis of Vascular Access Site in Hemodialysis Patients." Galen Medical Journal 8 (July 23, 2019): 1395. http://dx.doi.org/10.31661/gmj.v8i0.1395.
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Background: Dialysis access puncture wound bleeding after needle extraction at the end of each hemodialysis session is a very important problem. This study evaluated the effect of HemoFoam® compared to conventional gauze dressing on hemostasis of dialysis access puncture wound bleeding in hemodialysis patients. Materials and Methods: This one-group, before-after, clinical-trial was conducted on 60 hemodialysis patients selected by convenience sampling who underwent hemodialysis through arteriovenous fistula in Shahid Rahnemoon Hospital, Yazd, Iran in 2017. After reviewing the eligibility criteria, the study was performed in two separate sessions. In the first session, only HemoFoam® was used while in the second session; the only conventional dressing was used. Time of hemostasis in each puncture wound was evaluated. Data were analyzed by SPSS 22 (IBM SPSS Statistics for Windows, Armonk, NY: IBM Corp, United States) using paired T-test and Chi-square tests. Results: The mean age of the patients was 55.20±14.25 years. Hemostasis was achieved in 76.6% of cases at the arterial access site in the first two minutes in the HemoFoam® group. The mean homeostasis time in the HemoFoam® group was 2.86±1.87 min at the venous access site and 3.15±1.97 min at the arterial access site (P<0.001). The mean homeostasis time in the conventional dressing group was 10.54±6.65 min at venous access site and 12.74±9.28 min at the arterial access site, which was significantly different between the two groups (P<0.001). Conclusion: HemoFoam® is effective in reducing the time of homeostasis in the vascular access site of hemodialysis patients. Therefore, its use in hemodialysis wards is recommended for hemostasis in the dialysis access puncture wound bleeding. [GMJ.2019;8:e1395]
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Aljauid, Abdulaziz Sater, Abdullah Owaid Al-Otaibi, Mohammed Mamdoud Aldawood, Roshan Noor Mohamed, Sakeenabi Basha, and Yousef Al Thomali. "Oral Health Behavior of Medical, Dental, and Pharmacology Students in Taif University: A Cross-sectional Study." Journal of Advanced Oral Research 11, no. 1 (May 2020): 83–92. http://dx.doi.org/10.1177/2320206820918746.
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Aim: Poor oral health and high caries prevalence in young adults in Saudi Arabia is the result of inadequate oral health knowledge and inappropriate oral health behavior. The present study was conducted to evaluate the knowledge, attitude, and oral hygiene behavior of young adult students pursuing professional courses in Taif University, Kingdom of Saudi Arabia. Materials and Methods: A cross-sectional questionnaire survey was conducted amongst the medical, dental, and pharmacy students of Taif University. A pretested self-administered questionnaire containing 20 questions was administered to the students, and the data were analyzed using Statistical Package for Social Sciences (IBM, version 20 for Windows, SPSS Inc., Armonk, New York, USA). Descriptive analysis and difference in the association were measured by using the chi-square test and Kruskal-Wallis analysis of variance, followed by the Mann-Whitney U test. The level of significance was set at .05. Results: A total of 500 (287 males and 213 females) students were involved in the survey with the mean age of 23 ± 1.4 years. Fourteen percent of participants brushed at least twice daily with statistical significant gender difference ( P = .001). For the query regarding the reason for skipping tooth brushing often, 113 of total participants (22.6%) responded as no time for tooth brushing. A total of 93 participants (18.6%) responded that they have not visited any dentist in their life, with the statistical significant difference for gender being P = .001. The student who received dental treatment from private hospitals was 60.4 percent. Fifty-one percent of students responded that dental treatment is expensive. Sixty-one percent of participants responded for consuming sweet at least once in a day ( P = .04). Conclusion: The present study highlights the inconsistency in oral health behavior among the study participants, emphasizing on the need for oral health education of the population to improve oral health status.
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Yamoah, Peter, Varsha Bangalee, and Frasia Oosthuizen. "Knowledge and Perceptions of Adverse Events Following Immunization among Healthcare Professionals in Africa: A Case Study from Ghana." Vaccines 7, no. 1 (March 8, 2019): 28. http://dx.doi.org/10.3390/vaccines7010028.
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The spontaneous reporting of suspected adverse events following immunization (AEFI) by healthcare professionals (HCPs) is vital in monitoring post-licensure vaccine safety. The main objective of this study was to assess the knowledge and perceptions of AEFIs among healthcare professionals (HCPs) in Africa, using the situation in Ghana as a case study. The study was of a cross-sectional quantitative design, and was carried out from 1 July 2017 to 31 December 2017 with doctors, pharmacists, and nurses as the study participants. A 28-item paper-based questionnaire, delivered by hand to study participants, was the data collection tool in the study. The study was conducted in 4 hospitals after ethical approval was granted. The desired sample size was 686; however, 453 consented to partake in the study. Data were analyzed using SPSS (software version 22, IBM, Armonk, NY, USA), and chi-square and binary logistic regression tests were used for tests of association between HCPs’ characteristics and their knowledge and perceptions. Detailed knowledge of AEFIs was ascertained with a set of 9 questions, with 8 or 9 correctly answered questions signifying high knowledge, 5 to 7 correctly answered questions signifying moderate knowledge, and below 5 correctly answered questions signifying low knowledge. A set of 10 questions also ascertained HCPs’ positive and negative perceptions of AEFI. Results revealed that knowledge of AEFIs was high in 49 (10.8%) participants, moderate in 213 (47.0%) participants, and low in 191 (42.2%) participants. There was no statistically significant correlation between AEFI knowledge and professions. The highest negative perception was the lack of desire to learn more about how to diagnose, report, investigate, and manage AEFI, whereas the lowest was the lack of belief that surveillance improves public trust in immunization programs. There was a general awareness of AEFIs among HCPs in this study. However, negative perceptions and the lack of highly knowledgeable HCPs regarding AEFIs were possible setbacks to AEFI diagnosis, management, prevention, and reporting. More training and sensitization of HCPs on AEFIs and vaccine safety will be beneficial in improving the situation. Future research should focus on assessing the training materials and methodology used in informing HCPs about AEFIs and vaccine safety.
Book chapters on the topic "Armory Square Hospital"
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Price, Kenneth M. "Whitman, Washington, and the Convulsiveness of Civil War." In Whitman in Washington, 1–22. Oxford University Press, 2020. http://dx.doi.org/10.1093/oso/9780198840930.003.0001.
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In the Civil War, more wounded soldiers were treated in Washington, DC, than in any other city, and Whitman, a visitor to dozens of hospitals, gravitated toward the epicenter of suffering. He returned repeatedly to Armory Square Hospital, which hosted the worst cases and had the highest death rate. At a time of unprecedented maiming and killing, Whitman engaged in the work of healing. Leaves of Grass, his poetic masterpiece, intertwined the physical bodies of men and women and the symbolic body of the nation and saw in both a capacity to embrace contradictions and diversity while still remaining united and whole. Both the nation and Whitman’s poetic project were at risk as he confronted innumerable broken and battered bodies. In this new context, he reassessed the possibilities for poetry, the future of democracy, and even the efficacy of affection, a quality that he had always believed sustained civil society. Faced with massive destruction, in what ways did Whitman succeed and fail in making meaning of it, in finding reasons for hope?