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  1 / 2520 MEDLINE  
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[PMID]:29269548
[Au] Autor:Doit H; Dean R
[Ad] Endereço:Centre for Evidencebased Veterinary Medicine, University of Nottingham.
[Ti] Título:Is christmas eve the busiest day in practice?
[So] Source:Vet Rec;181(25):687-688, 2017 12 23.
[Is] ISSN:2042-7670
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Doenças do Cão/terapia
Serviço Hospitalar de Emergência/utilização
Férias e Feriados
Medicina Veterinária/estatística & dados numéricos
[Mh] Termos MeSH secundário: Animais
Cães
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE
[do] DOI:10.1136/vr.j5760


  2 / 2520 MEDLINE  
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[PMID]:29269538
[Au] Autor:Jarvis S
[Ti] Título:No chocolate for Fido.
[So] Source:Vet Rec;181(25):665, 2017 12 23.
[Is] ISSN:2042-7670
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Chocolate/toxicidade
Doenças do Cão/induzido quimicamente
Doenças do Cão/terapia
[Mh] Termos MeSH secundário: Animais
Cães
Pesquisas sobre Serviços de Saúde
Férias e Feriados
Seres Humanos
Reino Unido
Medicina Veterinária/estatística & dados numéricos
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE
[do] DOI:10.1136/vr.j5890


  3 / 2520 MEDLINE  
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[PMID]:29263290
[Au] Autor:Noble PM; Newman J; Wyatt AM; Radford AD; Jones PH
[Ad] Endereço:Small Animal Teaching Hospital, University of Liverpool, Institute of Veterinary Science, Neston, UK.
[Ti] Título:Heightened risk of canine chocolate exposure at Christmas and Easter.
[So] Source:Vet Rec;181(25):684, 2017 12 23.
[Is] ISSN:2042-7670
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Chocolate/toxicidade
Doenças do Cão/induzido quimicamente
Doenças do Cão/terapia
Férias e Feriados
[Mh] Termos MeSH secundário: Animais
Cães
Seres Humanos
Risco
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE
[do] DOI:10.1136/vr.104762


  4 / 2520 MEDLINE  
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[PMID]:28456074
[Au] Autor:Griffin E; Dillon CB; O'Regan G; Corcoran P; Perry IJ; Arensman E
[Ad] Endereço:National Suicide Research Foundation, Cork, Ireland. Electronic address: evegriffin@ucc.ie.
[Ti] Título:The paradox of public holidays: Hospital-treated self-harm and associated factors.
[So] Source:J Affect Disord;218:30-34, 2017 Aug 15.
[Is] ISSN:1573-2517
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Recent research on the patterns of self-harm around public holidays is lacking. This study used national data to examine the patterns of hospital-treated self-harm during public holidays, and to examine associated factors. METHODS: Data on self-harm presentations to all emergency departments were obtained from the National Self-Harm Registry Ireland. The association between self-harm presentations and public holidays was examined using univariate and multivariate Poisson regression analyses. RESULTS: A total of 104,371 presentations of self-harm were recorded between 2007 and 2015. The mean number of self-harm presentations was 32 on public holidays. St. Patrick's Day had the highest number of presentations compared to all other public holidays, with a daily mean of 44 presentations. Across all years, self-harm presentations during public holidays had a 24% increased risk of involving alcohol consumption compared to all other days and this effect was most pronounced during the Christmas period. The association with alcohol remained significant at a multivariate level. Presentations on public holidays were more likely to attend out of normal working hours. An increase in male presentations involving self-cutting was observed on public holidays and there was an over-representation of males presenting for the first time. LIMITATIONS: It is likely that extent of alcohol involvement in self-harm presentations reported here is an underestimate, as it was dependent on the information being recorded by the attending clinician. CONCLUSIONS: Public holidays are associated with an elevated number of self-harm presentations to hospital, with presentations to hospital involving alcohol significantly increased on these days. Hospital resources should be targeted to address increases during public holidays, including during out-of-hours. Involvement of alcohol may delay delivery of care to these patients in emergency settings.
[Mh] Termos MeSH primário: Férias e Feriados
Comportamento Autodestrutivo/psicologia
[Mh] Termos MeSH secundário: Adulto
Consumo de Bebidas Alcoólicas/psicologia
Serviços Médicos de Emergência/estatística & dados numéricos
Feminino
Seres Humanos
Irlanda
Masculino
Meia-Idade
Sistema de Registros
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE


  5 / 2520 MEDLINE  
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[PMID]:29069038
[Au] Autor:Zhong Q; Jiang R; Zheng X; Xu G; Fan X; Xu Y; Liu F; Peng C; Ren W; Wang L
[Ad] Endereço:aDepartment of Gastroenterology, The Affiliated Drum Tower Hospital of Nanjing University Medical School bThe Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China cSalem Health Medical Group, Salem, OR dDepartment of Geriatric Medicine, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
[Ti] Título:Esophageal foreign body ingestion in adults on weekdays and holidays: A retrospective study of 1058 patients.
[So] Source:Medicine (Baltimore);96(43):e8409, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study is to compare the clinicopathological characteristics and outcomes of esophageal foreign body (FB) ingestion in adults between weekdays and holidays. This is a retrospective study including 1058 patients with esophageal FB ingestion from 2012 to 2016. Patient characteristics, the types and locations of FB, and clinical outcomes were compared between patients on weekdays and holidays. Furthermore, independent risk factors of complication on weekdays and holidays respectively were evaluated. The locations of FB, underlying diseases, and complications significantly differed between weekdays and holidays groups, while no difference was found in the types of FB. Patients got higher percentage of erosion complication on holidays than that on weekdays (60.8% vs 47.6%, P < .0001). Multivariate logistic regression analysis revealed that jujube shell was a significant predictor of complication on weekdays (P < .001). However, complication was significantly associated with nonfood bolus FB ingestion on holidays (P < .001). Our data suggest that there were different clinicopathological characteristics of FB ingestion between weekdays and holidays, and more patients got complications on holidays. On holidays, a latex protector hood or an overtube should be applied to patients who swallowed nonfood bolus in order to reduce esophageal mucosal damage.
[Mh] Termos MeSH primário: Esôfago
Corpos Estranhos/epidemiologia
Férias e Feriados/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Ingestão de Alimentos
Feminino
Corpos Estranhos/complicações
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Fatores de Risco
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171123
[Lr] Data última revisão:
171123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008409


  6 / 2520 MEDLINE  
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[PMID]:28733094
[Au] Autor:Haaland A; Warman E; Pushkar I; Likourezos A; Friedman MS
[Ad] Endereço:Department of Emergency Medicine, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, New York 11219, USA. Electronic address: ahaaland@maimonidesmed.org.
[Ti] Título:Isolated non-cardiogenic pulmonary edema - A rare complication of MDMA toxicity.
[So] Source:Am J Emerg Med;35(9):1385.e3-1385.e6, 2017 Sep.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This is a case of a 19-year-old male who presented to the medical tent at an outdoor electronic dance music festival (EDMF) due to an altered mental state in the setting of acute 3,4-methylenedioxymethamphetamine (MDMA) intoxication. He was noted to be in severe respiratory distress, required endotracheal intubation in the field and subsequently developed Acute Respiratory Distress Syndrome (ARDS) without other acute organ dysfunction. He was hospitalized for 5days requiring endotracheal intubation and mechanical ventilation. By presenting this case, we will explore and discuss the cardiopulmonary effects of MDMA intoxication that can lead to a rare, deleterious complication of MDMA intoxication other than previously reported adverse outcomes.
[Mh] Termos MeSH primário: N-Metil-3,4-Metilenodioxianfetamina/envenenamento
Edema Pulmonar/induzido quimicamente
Síndrome do Desconforto Respiratório do Adulto/induzido quimicamente
Síndrome do Desconforto Respiratório do Adulto/terapia
[Mh] Termos MeSH secundário: Febre/induzido quimicamente
Férias e Feriados
Seres Humanos
Intubação Intratraqueal
Masculino
Respiração Artificial
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170723
[St] Status:MEDLINE


  7 / 2520 MEDLINE  
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[PMID]:28730678
[Au] Autor:Lagergren J; Mattsson F; Lagergren P
[Ad] Endereço:Department of Molecular medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
[Ti] Título:Prognosis following cancer surgery during holiday periods.
[So] Source:Int J Cancer;141(10):1971-1980, 2017 Nov 15.
[Is] ISSN:1097-0215
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Surgery is the mainstay curative treatment in most cancer. We aimed to test the new hypothesis that cancer surgery performed during holiday periods is associated with worse long-term prognosis than for non-holiday periods. This nationwide Swedish population-based cohort study included 228,927 patients during 1997-2014 who underwent elective resectional surgery for a cancer where the annual number of resections was over 100. The 16 eligible cancer sites were grouped into 10 cancer groups. The exposure, holiday periods, was classified as wide (14-weeks) or narrow (7-weeks). Surgery conducted inside versus outside holiday periods was compared regarding overall disease-specific (main outcome) and overall all-cause (secondary outcome) mortality. Cox regression provided hazard ratios (HR) with 95% confidence intervals (CI) adjusted for age, sex, comorbidity, hospital volume, calendar period and tumor stage. Surgery conducted during wide and narrow holiday periods were associated with increased HRs of disease-specific mortality for cancer of the breast (HR 1.08, 95% CI 1.03-1.13 and HR 1.06, 95% CI 1.01-1.12) and possibly of cancer of the liver-pancreas-bile ducts (HR 1.09, 95% CI 0.99-1.20 and HR 1.12, 95% CI 0.99-1.26). Sub-groups with cancer of the colon-rectum, head-and-neck, prostate, kidney-urine bladder and thyroid also experienced statistically significantly worse prognosis following surgery conducted during holiday periods. No influence of surgery during holiday was detected for cancer of the esophagus-stomach, lung or ovary-uterus. All-cause HRs were similar to the disease-specific HRs. The prognosis following cancer surgery might not be fully maintained during holiday periods for all cancer sites.
[Mh] Termos MeSH primário: Férias e Feriados/estatística & dados numéricos
Neoplasias/mortalidade
Neoplasias/cirurgia
Sistema de Registros/estatística & dados numéricos
[Mh] Termos MeSH secundário: Idoso
Estudos de Coortes
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Neoplasias/epidemiologia
Prognóstico
Fatores de Risco
Taxa de Sobrevida
Suécia/epidemiologia
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171027
[Lr] Data última revisão:
171027
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170722
[St] Status:MEDLINE
[do] DOI:10.1002/ijc.30899


  8 / 2520 MEDLINE  
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[PMID]:28672699
[Au] Autor:Causanilles A; Kinyua J; Ruttkies C; van Nuijs ALN; Emke E; Covaci A; de Voogt P
[Ad] Endereço:KWR Watercycle Research Institute, Chemical Water Quality and Health, P.O. Box 1072, 3430 BB, Nieuwegein, The Netherlands; Institute for Biodiversity and Ecosystem Dynamics, University of Amsterdam, P.O. Box 94248, 1090 GE, Amsterdam, The Netherlands.
[Ti] Título:Qualitative screening for new psychoactive substances in wastewater collected during a city festival using liquid chromatography coupled to high-resolution mass spectrometry.
[So] Source:Chemosphere;184:1186-1193, 2017 Oct.
[Is] ISSN:1879-1298
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The inclusion of new psychoactive substances (NPS) in the wastewater-based epidemiology approach presents challenges, such as the reduced number of users that translates into low concentrations of residues and the limited pharmacokinetics information available, which renders the choice of target biomarker difficult. The sampling during special social settings, the analysis with improved analytical techniques, and data processing with specific workflow to narrow the search, are required approaches for a successful monitoring. This work presents the application of a qualitative screening technique to wastewater samples collected during a city festival, where likely users of recreational substances gather and consequently higher residual concentrations of used NPS are expected. The analysis was performed using liquid chromatography coupled to high-resolution mass spectrometry. Data were processed using an algorithm that involves the extraction of accurate masses (calculated based on molecular formula) of expected m/z from an in-house database containing about 2,000 entries, including NPS and transformation products. We positively identified eight NPS belonging to the classes of synthetic cathinones, phenethylamines and opioids. In addition, the presence of benzodiazepine analogues, classical drugs and other licit substances with potential for abuse was confirmed. The screening workflow based on a database search was useful in the identification of NPS biomarkers in wastewater. The findings highlight the specific classical drugs and low NPS use in the Netherlands. Additionally, meta-chlorophenylpiperazine (mCPP), 2,5-dimethoxy-4-bromophenethylamine (2C-B), and 4-fluoroamphetamine (FA) were identified in wastewater for the first time.
[Mh] Termos MeSH primário: Psicotrópicos/análise
Poluentes Químicos da Água/análise
[Mh] Termos MeSH secundário: Anfetaminas/análise
Cromatografia Líquida/métodos
Cidades
Monitoramento Ambiental/métodos
Férias e Feriados
Países Baixos
Piperazinas/análise
Detecção do Abuso de Substâncias/métodos
Espectrometria de Massas em Tandem/métodos
Águas Residuais/química
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Amphetamines); 0 (Piperazines); 0 (Psychotropic Drugs); 0 (Waste Water); 0 (Water Pollutants, Chemical); REY0CNO998 (1-(3-chlorophenyl)piperazine); S5744XYR1Z (4-fluoroamphetamine)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170705
[St] Status:MEDLINE


  9 / 2520 MEDLINE  
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[PMID]:28672305
[Ti] Título:Celebration of the Fourth of July: A Successful Campaign for Improvement.
[So] Source:JAMA;318(1):97, 2017 07 04.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Traumatismos por Explosões/história
Promoção da Saúde/história
Férias e Feriados/história
[Mh] Termos MeSH secundário: Traumatismos por Explosões/complicações
Traumatismos por Explosões/epidemiologia
Traumatismos por Explosões/prevenção & controle
História do Século XX
Seres Humanos
Tétano/epidemiologia
Tétano/etiologia
Tétano/história
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170704
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.5058


  10 / 2520 MEDLINE  
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[PMID]:28667718
[Au] Autor:Masavkar SS; Mauskar A; Patwardhan G; Bhat V; Manglani MV
[Ad] Endereço:Department of Pediatrics, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India. Correspondence to: Dr Sanjeevani Satish Masavkar, Associate Professor, 242/9458, Kannamwar Nagar 2, Vikhroli E, Mumbai 400 083, India. nagotkar.leena@gmail.com.
[Ti] Título:Acquired Methemoglobinemia - A Sporadic Holi Disaster.
[So] Source:Indian Pediatr;54(6):473-475, 2017 Jun 15.
[Is] ISSN:0974-7559
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To study clinical profile and outcome in patients with methemoglobinemia following exposure to toxic colors during Holi festival. METHODS: This retrospective study included 112 children (5 to 12 years) admitted with methemoglobinemia after playing Holi. Clinical and treatment details were reviewed. RESULTS: The common symptoms were giddiness, vomiting and headache. Treatment included thorough skin wash, intravenous fluid and methylene blue in 111 children. Age 7-9 and > 11 years, vomiting, giddiness, cyanosis, PaO2 < 80 mm Hg and oxygen saturation < 95% were associated with higher need for methylene blue. All children had a good outcome. CONCLUSION: Timely diagnosis and management of acquired methemoglobinemia can save lives.
[Mh] Termos MeSH primário: Corantes/toxicidade
Férias e Feriados
Metemoglobinemia
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Cianose
Inibidores Enzimáticos/administração & dosagem
Inibidores Enzimáticos/uso terapêutico
Feminino
Hinduísmo
Seres Humanos
Índia
Masculino
Metemoglobinemia/induzido quimicamente
Metemoglobinemia/diagnóstico
Metemoglobinemia/tratamento farmacológico
Metemoglobinemia/fisiopatologia
Azul de Metileno/administração & dosagem
Azul de Metileno/uso terapêutico
Estudos Retrospectivos
Vômito
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Coloring Agents); 0 (Enzyme Inhibitors); T42P99266K (Methylene Blue)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170702
[St] Status:MEDLINE



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