105 research outputs found

    StopCOVID cohort : An observational study of 3,480 patients admitted to the Sechenov University hospital network in Moscow city for suspected COVID-19 infection

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    © 2020 Oxford University Press. This is a pre-copyedited, author-produced PDF of an article accepted for publication in Clinical Infectious Diseases following peer review. The version of record is available online at: https://doi.org/10.1093/cid/ciaa1535.BACKGROUND: The epidemiology, clinical course, and outcomes of COVID-19 patients in the Russian population are unknown. Information on the differences between laboratory-confirmed and clinically-diagnosed COVID-19 in real-life settings is lacking. METHODS: We extracted data from the medical records of adult patients who were consecutively admitted for suspected COVID-19 infection in Moscow, between April 8 and May 28, 2020. RESULTS: Of the 4261 patients hospitalised for suspected COVID-19, outcomes were available for 3480 patients (median age 56 years (interquartile range 45-66). The commonest comorbidities were hypertension, obesity, chronic cardiac disease and diabetes. Half of the patients (n=1728) had a positive RT-PCR while 1748 were negative on RT-PCR but had clinical symptoms and characteristic CT signs suggestive of COVID-19 infection.No significant differences in frequency of symptoms, laboratory test results and risk factors for in-hospital mortality were found between those exclusively clinically diagnosed or with positive SARS-CoV-2 RT-PCR.In a multivariable logistic regression model the following were associated with in-hospital mortality; older age (per 1 year increase) odds ratio [OR] 1.05 (95% confidence interval (CI) 1.03 - 1.06); male sex (OR 1.71, 1.24 - 2.37); chronic kidney disease (OR 2.99, 1.89 - 4.64); diabetes (OR 2.1, 1.46 - 2.99); chronic cardiac disease (OR 1.78, 1.24 - 2.57) and dementia (OR 2.73, 1.34 - 5.47). CONCLUSIONS: Age, male sex, and chronic comorbidities were risk factors for in-hospital mortality. The combination of clinical features were sufficient to diagnoseCOVID-19 infection indicating that laboratory testing is not critical in real-life clinical practice.Peer reviewe

    Determinants of brain swelling in pediatric and adult cerebral malaria.

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    Cerebral malaria (CM) affects children and adults, but brain swelling is more severe in children. To investigate features associated with brain swelling in malaria, we performed blood profiling and brain MRI in a cohort of pediatric and adult patients with CM in Rourkela, India, and compared them with an African pediatric CM cohort in Malawi. We determined that higher plasma Plasmodium falciparum histidine rich protein 2 (PfHRP2) levels and elevated var transcripts that encode for binding to endothelial protein C receptor (EPCR) were linked to CM at both sites. Machine learning models trained on the African pediatric cohort could classify brain swelling in Indian children CM cases but had weaker performance for adult classification, due to overall lower parasite var transcript levels in this age group and more severe thrombocytopenia in Rourkela adults. Subgrouping of patients with CM revealed higher parasite biomass linked to severe thrombocytopenia and higher Group A-EPCR var transcripts in mild thrombocytopenia. Overall, these findings provide evidence that higher parasite biomass and a subset of Group A-EPCR binding variants are common features in children and adult CM cases, despite age differences in brain swelling

    Learning from Poverty: Why Business Schools Should Address Poverty, and How They Can Go About It.

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    In the past few years, business schools have begun to address poverty issues in their teaching, learning and curricula. While this is a positive development, the arguments for reconfiguring educational programs to address such matters remain undeveloped, with much of the impetus for such endeavors rooted in calls for social responsibility in the United Nations Millennium Development Goals, the Social Compact, the Principles for Responsible Management Education and benchmarks such as ISO 26000. This article seeks to clarify the pedagogical grounds for integrating poverty issues in management education by examining the intellectual and personal development benefits of doing so. By critically examining four modes of business involvement in poverty reduction, the article shows how such initiatives can be used as intellectual lenses through which to view the complex and often paradoxical interconnections between socioeconomic and environmental systems. It is thus concluded that a consideration of poverty issues is not a marginal matter, but is key to grasping the 21st century complexities of global business and management

    Preliminary studies on the complete replacement of fishmeal by house-fly-larvae-meal in weaner pig diets: Effects on growth rate, carcass characteristics, and some blood constituents

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    Ten Large White weaners with an average liveweight of 10.6 kg were assigned to two diets containing either fishmeal or house-fly-larvae-meal as the main protein source. The average daily gains of the pigs were 0.25 and 0.29 kg for the fishmeal and house-fly-larvae-meal diets, respectively. Feed conversion ratios were 3.64 and 3.29, and feed cost per kg gain were ¢2735.18 and ¢2470.89 for the fishmeal and house-fly-larvae-meal diets, respectively. Dressing percentage, fat measurements, and eye muscle area were not significantly affected (

    Efficacy of three trap types for trapping Glossina palpalis, G. tachinoides, and G. mortisans in the Mole Game Reserve in Ghana

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    A study was undertaken to determine the most effective of three trap types [biconical, monoconical, and NGU Siamese (NG2B)] for catching three Glossina species (G. palpalis, G. tachinoides, and G. mortisans). The three species were trapped in the Mole Game Reserve where they occur. Results showed that in the absence of odour attractants, the biconical trap was the most efficient trap. Out of a total of 4619 tsetse flies caught during the trapping period. 2073 (44.9 %) were caught in the biconical trap. The monoconical trap caught 1362 tsetse flies (29.5 %) whilst the NG2B trap caught 1184 tsetse flies (25.6 %). There was no significant difference (P>0.05) in the number of tsetse flies caught by the various traps. There were, however, locational differences, with the number of flies caught in the riverine area being significantly higher (
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