Risultati per: Le cause della polmonite nei bambini

Infanzia periodo decisivo per la salute delle ossa

I pediatri: “Pronto Soccorso pieni, più colpiti gli under 5”

Aims
To describe all-cause and cause-specific mortality and to investigate factors associated with mortality among individuals imprisoned for driving under the influence (DUI) of alcohol and psychoactive drugs in the Norwegian prison population.

Design
Retrospective cohort study. The Norwegian prison registry was linked to the Norwegian Cause of Death Registry (2000–2016).

Setting
Norway.

Participants/cases
The cohort consisted of 96 856 individuals imprisoned in Norway over a 17-year period obtained from the Norwegian prison registry.

Primary and secondary outcome measures
Adjusted ORs (aOR) with 95% CI were calculated for death due to any, natural and unnatural causes of death. Analyses were stratified according to DUI convictions: no DUI convictions, only DUI convictions (DUI only), DUI and at least one other drug and alcohol conviction (DUI drug), and DUI and at least one conviction other than drug and alcohol conviction (DUI other).

Results
In total, 29.3% individuals had one or more imprisonments for DUI. The risk of all-cause mortality was elevated for those convicted for DUI, but only in combination with other types of crimes (DUI drug: aOR=1.5, 95% CI 1.4 to 1.6, DUI other: aOR=1.2, 95% CI 1.1 to 1.4). The risk of death from natural causes was significantly elevated for DUI drug (aOR: 1.8, 95% CI 1.6 to 2.0) and for DUI other (aOR=1.3, 95% CI 1.1 to 1.6). The risk of death from unnatural causes was lower for DUI only (aOR=0.8, 95% CI 0.7 to 0.9) and elevated for DUI drug (aOR=1.5, 95% CI 1.3 to 1.6).

Conclusions
The risk of all-cause mortality was significantly elevated for those convicted of DUI, but only in combination with other types of crimes.

Circulation, Volume 148, Issue 25, Page 2069-2071, December 19, 2023.

Abio-Fiarped, oltre 100mila ogni anno in reparti non pediatrici

Annals of Internal Medicine, Ahead of Print.

Annals of Internal Medicine, Ahead of Print.

Ministero Salute per il 2021, 62% dei cicli effettuati nell’Ssn

Impegno per Holostem. La petizione su Change.org ha raccolto oltre 45.300 firme

Background and objectives
Circulatory system disease (CSD) patterns vary over time and between countries, related to lifestyle risk factors, associated in turn with socioeconomic circumstances. Current global CSD epidemics in developing economies are similar in scale to those observed previously in the USA and Australasia. Australia exhibits an important macroeconomic phenomenon as a rapidly transitioning economy with high immigration throughout the nineteenth and twentieth centuries. We wished to examine how that historical immigration related to CSD patterns subsequently.

Methods and setting
We provide a novel empirical analysis employing census-derived place of birth by age bracket and sex from 1891 to 1986, in order to map patterns of immigration against CSD mortality rates from 1907 onwards. Age-specific generalised additive models for both CSD mortality in the general population, and all-cause mortality for the foreign-born (FB) only, from 1910 to 1980 were also devised for both males and females.

Results
The percentage of FB fell from 32% in 1891 to 9.8% in 1947. Rates of CSD rose consistently, particularly from the 1940s onwards, peaked in the 1960s, then declined sharply in the 1980s and showed a strong period effect across age groups and genders. The main effects of age and census year and their interaction were highly statistically significant for CSD mortality for males (p

Case presentation A 55-year-old man presented with abdominal distension, vomiting, fever for 3 days and weight loss. He smoked 40 cigarettes and drank 100 g of alcohol per day. He had no documented medical or drug history and no history of receptive anal intercourse. Abdominal examination revealed diffuse tenderness. Laboratory values disclosed neutrophilia (13 720/µL), normocytic anaemia (7.4 g/dL), hypoalbuminaemia (25.2 g/L) and elevated inflammatory markers (C reactive protein of 70.27 mg/L, procalcitonin of 5.200 ng/mL), without eosinophilia (140/µL). HIV serology was negative. Stool was positive for occult blood, but parasite examination was negative. CT of the chest indicated diffuse lung inflammation. Contrast-enhanced CT of the abdominal showed air-filled dilated bowel loops with fluid levels and extensive wall thickening suggestive of small bowel obstruction and active enteritis (figure 1). Gastrointestinal endoscopy showed a 0.5×0.6 cm pyloric ulcer (figure 2A), multiple shallow ulcers in the ileocecal junction (figure…

Objectives
This study aimed to examine the association between anxiety disorders and/or major depression disorder (ADs/MDD) and all-cause mortality in a 50-year perspective and to examine specific risk and health factors that may influence such an association.

Design
Observational population study, 1968–2019.

Setting
The Population Study of Women in Gothenburg, Sweden (PSWG).

Participants
In 1968–1969, 899 (out of 1462) women from PSWG were selected according to date of birth for a psychiatric investigation, including diagnostic evaluation. Eight hundred (89%) were accepted. Twenty-two women were excluded. Of the 778 included, 135 participants (17.4 %) had solely ADs, 32 (4.1%) had solely MDD and 25 (3.2%) had comorbid AD/MDD.

Primary and secondary outcome measures
Associations between ADs, MDD, comorbid AD/MDD and all-cause mortality with adjustments for potential confounding factors. Differences between the groups concerning health and risk factors and their association with mortality.

Results
In a fully adjusted model, ADs were non-significantly associated with all-cause mortality (HR 1.17, 95% CI 0.98 to 1.41). When examining age during risk time as separate intervals, a significant association between mortality and AD was seen in the group of participants who died at the age of 65–80 years (HR 1.70, 95% CI 1.26 to 2.29). In the younger or older age interval, the association did not reach significance at the 95% level of confidence. Among confounding factors, smoking and physical activity were the strongest contributors. The association between smoking and mortality tended to be further increased in the group with ADs versus the group without such disorders (HR 2.10, 95% CI 1.60 to 2.75 and HR 1.82, 95% CI 1.56 to 2.12, respectively).

Conclusions
This study suggests potential links between ADs, age and mortality among women with 50 years of follow-up, but does not provide definitive conclusions due to the borderline significance of the results.