Background: Community acquired pneumonia is the most frequent infection-related cause of death. Illness severity might usefully guide a number of management decisions and predict mortality. Confusion, blood urea ,respiratory rate ,blood pressure and age 65 years or older (CURB-65) based largely on clinical assessment.
Objective: To evaluate the efficacy of CURB-65 score in assessment severity of community-acquired pneumonia and to predict mortality.
Patients and Methods: Fifty patients were enrolled in this prospective study between 1st. of March 2007 and 31st. of January 2008, recruited at Baghdad Teaching Hospital diagnosed as community acquired pneumonia depending on having lower respiratory tract infection symptoms , signs and new infiltrate on the chest radiograph.CURB-65 scoring system was applied and the patients were divided into three groups low risk[CURB-65= (0-1)], intermediate risk [CURB-65= (2)], and high risk [CURB-65= (3-5)] groups . The low risk group was managed at home with oral antibiotics, the intermediate and high risk groups were managed at hospital with intravenous antibiotics. The 30-day mortalities were established.
Results: There were 27(54%) females and 23 (46%) males at a median age of 68 year range from(15-90) year Thirty three patients (66%) had their age 65or older, 26 patients (52%) had B.U>7mmol/l, 11patients (22%) had R.R> 30/minute, 3 patients (6%) had systolic B.P<90 mm Hg, 11patients(22%) had diastolic B.P<60 mm Hg and 14 patients (28%) had confusion. Twenty patients (40%) were in the low risk group (CURB-65=0-1), 12 patients (24%) were in the intermediate risk group (CURB-65=2) and 18 patients (36%) were in the high risk group (CURB-65=3-5). The 30 day mortalities were (0%) in the low risk group, (16.5%) in the intermediate risk group and (30%) in the high risk.
The overall mortality was 8 (16%) patients.
Conclusion: CURB-65 effectively stratified patients regarding the site of medical care, type . route of administration of treatment and predicted mortality.
Beata thalassemia
Beta thalassemia syndrome by reduction or absence of B-globin chain synthesis. Without iron chelation therapy (ICT) the regular blood transfusion would increase the iron stores to several times. Endocrine glands are vulnerable to iron overload causing endocrine dysfunction. Iron deposition within the parathyroid gland causes hypoparathyroidism particularly after ten years of age. Pancreatic islets are very susceptible to oxidative damage due to iron overload; their high divalent metal expression makes them highly susceptible to iron-catalyzing oxidative stress. The pathogenicity of osteopathy in is multifactorial comprising environmental (diet and lifestyle), iatrogenic (medicines), genetic and acqui
... Show MoreThe concept of the order sum graph associated with a finite group based on the order of the group and order of group elements is introduced. Some of the properties and characteristics such as size, chromatic number, domination number, diameter, circumference, independence number, clique number, vertex connectivity, spectra, and Laplacian spectra of the order sum graph are determined. Characterizations of the order sum graph to be complete, perfect, etc. are also obtained.
Unsaturated polyester toughened Epoxy was developed. Epoxy resin had toughened by weight fraction of 10, 20, 30, and 40 wt. % unsaturated polyester. FTIR spectroscopy has been used to investigating the intermolecular hydrogen bonding. Unsaturated polyester–epoxy matrices were characterized for their thermal properties. The FTIR test detected a peak shift of the functional groups which can explain cross-linking occurs between the two resins. The crosslinking between epoxy and unsaturated polyester confirmed via the existence of the stretching asymmetrical C-C band and contraction of the C-O band. The DSC test demonstrated that glass transition temperature value decreases with epoxy strengthening. The specific heat capacity and the
... Show MoreIn this article, we introduce a new type of soft spaces namely, soft spaces as a generalization of soft paces. Also, we study the weak forms of soft spaces, namely, soft spaces, soft spaces, soft space, and soft spaces. The characterizations and fundamental properties related to these types of soft spaces and the relationships among them are also discussed.
In this work, we introduce a new convergence formula. We also define cluster point , δ-Cauchy sequence, δ-convergent, δ-completeness , and define sequentially contraction in approach space. In addition, we prove the contraction condition is necessary and sufficient to get the function is sequentially contraction as well as we put a new structure for the norm in the approach space which is called approach –Banach space, we discuss the normed approach space with uniform condition is a Hausdorff space. Also, we prove a normed approach space is complete if and only if the metric generated from approach space is complete as well as prove every finite –dimensional approach normed space is δ-complete. We prove several r
... Show MoreIn this paper a mathematical model that describes the flow of infectious disease in a population is proposed and studied. It is assumed that the disease divided the population into four classes: susceptible individuals (S), vaccinated individuals (V), infected individuals (I) and recover individuals (R). The impact of immigrants, vaccine and external sources of disease, on the dynamics of SVIRS epidemic model is studied. The existence, uniqueness and boundedness of the solution of the model are discussed. The local and global stability of the model is studied. The occurrence of local bifurcation as well as Hopf bifurcation in the model is investigated. Finally the global dynamics of the proposed model is studied numerically.
In this paper, we introduce and study the notion of the maximal ideal graph of a commutative ring with identity. Let R be a commutative ring with identity. The maximal ideal graph of R, denoted by MG(R), is the undirected graph with vertex set, the set of non-trivial ideals of R, where two vertices I1 and I2 are adjacent if I1 I2 and I1+I2 is a maximal ideal of R. We explore some of the properties and characterizations of the graph.
Background: To elucidate distinctive CT imaging features that allows a diagnosis of hepatic hydatidosis.
Patients and methods : The computed tomographic (CT) findings of 58 patients with sonographically detected cystic liver lesions were prospectively analyzed. These patients were
followed up until a final diagnosis was reached.
Results : By CT scanning we correctly localized and diagnosed 81 hepatic hydatid cysts in 50 patients. These were all proved by surgery or endoscopic retrograde cholangio-pancreatography (ERCP). Stage III and II hydatid cysts were the commonest types (29 % and 25 % respectively ). 52 % of the cysts were 5-10 cm at presentation. At CT, we identified some ancillary imaging fea
Fabrication of solar cell prepared by thermal spray and vacuum thermal evaporation method on silicon wafer(n-type) and studying its efficiency. The film have been deposited on three layers(ZnO then CdS and CdTe) on Si and glass respectively.Direct energy gap was calculated and equal to (4.3,3.4,3)eV and indirect energy gap equal to (3.5,2.5,1.5)eV respectively . Efficiency was calculated for the cell of area 2cm2 it was equal to 0.14%.