81 research outputs found
The Secular State and Religious Conflict: Liberal Neutrality and the Indian Case of Pluralism
A nationwide study of adults admitted to hospital with diabetic ketoacidosis or hyperosmolar hyperglycaemic state and COVID‐19
AimsTo investigate characteristics of people hospitalized with coronavirus-disease-2019 (COVID-19) and diabetic ketoacidosis (DKA) or hyperosmolar hyperglycaemic state (HHS), and to identify risk factors for mortality and intensive care admission.Materials and methodsRetrospective cohort study with anonymized data from the Association of British Clinical Diabetologists nationwide audit of hospital admissions with COVID-19 and diabetes, from start of pandemic to November 2021. The primary outcome was inpatient mortality. DKA and HHS were adjudicated against national criteria. Age-adjusted odds ratios were calculated using logistic regression.ResultsIn total, 85 confirmed DKA cases, and 20 HHS, occurred among 4073 people (211 type 1 diabetes, 3748 type 2 diabetes, 114 unknown type) hospitalized with COVID-19. Mean (SD) age was 60 (18.2) years in DKA and 74 (11.8) years in HHS (p < .001). A higher proportion of patients with HHS than with DKA were of non-White ethnicity (71.4% vs 39.0% p = .038). Mortality in DKA was 36.8% (n = 57) and 3.8% (n = 26) in type 2 and type 1 diabetes respectively. Among people with type 2 diabetes and DKA, mortality was lower in insulin users compared with non-users [21.4% vs. 52.2%; age-adjusted odds ratio 0.13 (95% CI 0.03-0.60)]. Crude mortality was lower in DKA than HHS (25.9% vs. 65.0%, p = .001) and in statin users versus non-users (36.4% vs. 100%; p = .035) but these were not statistically significant after age adjustment.ConclusionsHospitalization with COVID-19 and adjudicated DKA is four times more common than HHS but both associate with substantial mortality. There is a strong association of previous insulin therapy with survival in type 2 diabetes-associated DKA
Documents. El mal només es manté per la violència
En el número 57 de la revista L'Espill trobaràs un dossier monogràfic sobre "La política cultural al País Valencià: una perspectiva crítica", amb contribucions de Joaquim Rius Ulldemolins, Sandra Obiol, Pau Alabajos, Adolf Beltran i Àfrica Ramirez. A més, articles d'Ernest Garcia, Enric Marin, Joan Manuel Tresserras, Ignacio Sánchez-Cuenca, Josep Pérez i Paola Lo Cascio, així com documents de Mohandas Gandhi i un full de dietari de Mireia Sallarès
Bombay Home Rules Series No. 4: Indentured Indian labour report of the mass meeting held on Sunday the 11th February, 1917 under the Presidentship of Mahatma Gandhi
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