the severity factors are delineated by characteristicsthe severity factors are delineated by characteristics

the severity factors are delineated by characteristics the severity factors are delineated by characteristics

Funnel plot of (A) sex, (B) smoking history, (C)age, (D) BMI, (E) Chronic kidney disease, (F) Chronic obstructive pulmonary disease, (G) Coronary heart disease, (H) Malignancy, (I) Cerebrovascular disease, (J) Hypertension, (K)Diabetes, (L) Chronic liver disease, (M) Acute respiratory distress syndrome (ARDS), (N) Shock, (O) Acute kidney injury (AKI) and severe COVID-19 disease for the assessment of publication bias. We sincerely thank Associate Professor Yongzhen Yi for her professional opinion on statistical methods. Advanced age (SMD = 1.73, 95% CI: 1.342.12; I2 = 98.6%) [1117, 2224, 26, 29, 3135, 38, 39, 4151] was also considered to be a risk factor for severe COVID-19. Epub 2020 May 27. Timing is when the patient experiences the signs and symptoms. %%EOF (A-H) Forest plots of the association between (A) Chronic kidney disease, (B) Chronic obstructive pulmonary disease, (C) Coronary heart disease, (D) Malignancy, (E) Cerebrovascular disease, (F) Hypertension, (G) Diabetes, (H) Chronic liver disease and severe COVID-19 disease. The severity factors are delineated by characteristics. The emergence of complications like shock, ARDS, AKI generally increased the risk of the disease developing into the severe condition. Specifically, in this study we have compared the reported clinical characteristics of patients with non-severe and severe COVID-19 in eligible published literature. Nam lacinia pulvinar tortor nec facilisis. X. et al. 2 0 obj NOTE: Your email address is requested solely to identify you as the sender of this article. Employee Injury C. Materials damage D. Mechanical Copyright: 2021 Li et al. %PDF-1.5 % Nam risus ante, dapibus a molestie consequat, ultrices ac magna. broad scope, and wide readership a perfect fit for your research every time. Fusce dui lectus, ipiscing elit. Nam lacinia pulvinar tortor nec f, entesque dapibus efficitur laoreet. No, Is the Subject Area "Coronary heart disease" applicable to this article? Disclosures: Authors declare no relationship with industry or other relevant entities that might pose a conflict of interest in connection with the submitted article. Disclaimer. MeSH Question Asked 3/11/2022 10:18:14 PM 0 Answers/Comments This answer has been confirmed as correct and helpful. A. Methods We analyzed data from COVID-19 patients diagnosed at the University of Cincinnati health system from March 13, 2020 to May 31, 2020. stream Two are the new factors considered for evaluating the severity supported by the insulation windings both in factory and in service. where VnoStd(i) is the maximum voltage drop along the ith dielectric path due to the no-standard transient events and Venvol(i) is the maximum voltage drop along the same ith dielectric path for all standards dielectric tests. 2020 Nov 20;99(47):e23315. official website and that any information you provide is encrypted Donec aliquet. https://doi.org/10.1371/journal.pone.0250602.g002. The impact of COVID-19 is due to both its rapid spread and its severity, but the determinants of severity have not been fully delineated. failure, 7. is defined as a lesion presenting a well delineated shape. The results shown in Fig 4 indicate that ARDS (OR = 39.59, 95% CI: 19.9978.41; I2 = 48.7%) [11, 1315, 17, 20, 22, 24, 26, 44], shock (OR = 21.50, 95% CI: 10.4944.06; I2 = 27.4%) [11, 13, 15, 17, 20, 22, 24, 43, 44, 51] and AKI (OR = 8.84, 95% CI: 4.3418.00; I2 = 40.7%) [11, 1315, 18, 20, 24, 26, 44, 51] which are potential life-threatening conditions, were clearly responsible for the ICU admissions. 7. The dysfunctional pro-inflammatory cytokine responses due to diabetes could also increase the severity of COVID-19 [7]. Endocrinology (including Diabetes Mellitus and Metabolic Disease), Intensive Care and Critical Care Medicine, Rehabilitation Medicine and Physical Therapy. FOIA In all selected studies, the mean age of patients with severe conditions was older than those with non-severe conditions except for the studies from Wang 2020c [35] and Kim 2020 [46]. The TDSF gives further detailed information on the severity supported by the transformer windings due to the transient event coming from the power system, regarding to the internal transient response due to dielectric tests in the time domain. Results Among the 689 COVID-19 patients included in our study, 29.2% were non-Hispanic White, 25.5% were non-Hispanic Black, 32.5% were Hispanic, and 12.8% were of Other race/ethnicity. Compared with patients having non-severe disease, there was a higher potential for patients having severe conditions to have one or more comorbidities. Acute respiratory distress syndrome (ARDS) (OR = 39.59, 95% CI: 19.9978.41), shock (OR = 21.50, 95% CI: 10.4944.06) and acute kidney injury (AKI) (OR = 8.84, 95% CI: 4.3418.00) were most likely to prevent recovery. Bookshelf Question Asked 3/11/2022 10:18:14 PM 0 Answers/Comments acute respiratory distress syndrome; CI, Good housekeeping is an essential part of every job. hbbd```b``a7A$SdNHV0#V&}0)&yAdsj b=p10120b`? ? Sliping is considered as the most common ac. Two independent authors (LXY and ZXR) performed the data extraction by using standardized forms, which included date of publication, authors, region, number of included patients, sex, body mass index (BMI), smoking habits, comorbidities, complications, and severe or non-severe COVID-19. Therefore, the incidence of COVID-19 was lower but the severity was higher in patients with hypertension. Please enable it to take advantage of the complete set of features! Therefore, more attention should be given to some other factors like obesity (7.1%) and diabetes (6.5%) since they can to some extent be prevented through practical guidelines [85] and public health campaigns. The purpose of this research is (1) to investigate the relationship between crash severity and the age and gender of the at-fault driver, the socio-economic characteristics of the surrounding . All included studies were retrospective cohort studies so, the Newcastle-Ottawa Scale (NOS) was used to evaluate quality [9]. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/interactive-timeline#! Am. Therefore, we performed this systematic review and meta-analysis to explore the potential risk posed by critical medical states in COVID-19 patients. Correlation coefficient and p value between clinical characteristics and disease severity. 3 0 obj 12 month libor rate 2021 . A multivariate analysis using logistic regression was then conducted to point out the predominance of the severity factors identified. Zeng Z, Yu H, Chen H, Qi W, Chen L, Chen G, Yan W, Chen T, Ning Q, Han M, Wu D. Crit Care. An access gateB. Handrails or stair railsC. 12 inch wide treadsD.Toe boards. Conclusion This study confirms race and ethnicity as predictors of severe COVID-19. Detection of 2019 novel coronavirus (2019-nCoV) by real-time RT-PCR. placing grates on the floor would reduce the potential for [2] A step forward was given by Rocha et al., whom introduced a new coefficient called Frequency Domain Severity Factor (FDSF). Though we lacked sufficient evidence to support the results for these other complications except for shock, ARDS and AKI, the data we already had were of high consistency. There are two types of failures that cause human errors, active and latent. Background The coronavirus disease (COVID-19) first identified in Wuhan in December 2019 became a pandemic within a few months of its discovery. A study with similar results to ours has also reported a potential link between chronic liver disease and severe COVID-19 [79]. In areas where mechanical equipment is used, narrow aisles 11. Lorem ipsum dolor sit amet, consectetur adi, risus ante, dapibus a molestie consequat, ultrices ac magna. Which of the following best explains why Mae does not want to sell How was Chinese communism different from European communism? Autor de l'entrada Per ; . Patients with a history of smoking were also found to be positively associated with severe disease (OR = 1.40, 95% CI:1.061.85; I2 = 30.6%) [12, 13, 17, 19, 20, 22, 23, 2527, 29, 30, 33, 35, 38, 40, 41, 43, 48, 50]. Modifying doi: 10.1097/MD.0000000000023315. 5. In areas where wet working conditions exist, Donec aliquet. Functional group A subset of a community that includes species that function in similar ways, but do not necessarily use the same resources. A severity factor is established as a coefficient to assess the dielectric severity supported by a transformer winding considering the incoming transient overvoltage (voltage spike).It determines the safety margin regarding to the standard acceptance tests either in the frequency or time domain.. The exclusion criteria: (1) review articles, letters, comments or opinions; (2) samples of less than 50; (3) incomplete information or full texts unavailable. (Fig 5), https://doi.org/10.1371/journal.pone.0250602.g005, https://doi.org/10.1371/journal.pone.0250602.t005. BadC. Good D. None of the above, Explore over 16 million step-by-step answers from our library, congue vel laoreet ac, dictum vitae odio. She places the base of the ladder 12 feet Nam risus ante, dapibus a molestie consequat, ultrices ac magna. The cost of an accident is paid from company __________. and poor housekeeping can lead to all. School of Stomatology, Wuhan University, Wuhan, Hubei, China, Affiliation This site needs JavaScript to work properly. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Z O 8C Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. A. Lorem ipsum dolor sit amet, consectetur adipiscing elit. A. Objective: Identify factors associated with hospitalization and disease severity in a racially and ethnically diverse cohort of COVID-19 patients. Covers and guardrails are required in all of the following areas EXCEPT: A. We should acknowledge that there are some limitations which may affect the accuracy of the outcomes and should be considered. Slips, trips, and falls account for many general industry Lorem ipsum dolor sit amet, consectetur adipiscing elit. slipping. Though the degree varied, a large number of COVID-19 patients had hypoxaemia which may cause injury or apoptosis of cardiomyocytes [70]. Included studies were published between December 2019 and February 2021. Fusce dui lectus, congue vel laoreet ac, dict, risus ante, dapibus a molestie consequat, ultrices ac magna. When conducting a five whys accident analysis the investigator will dig deeper to uncover an accident ____________. Risk factors for adverse outcomes include pre-disaster vulnerabilities, perception of threat, and loss and life disruptions post-disaster. 1 99]0Z2 w@ _T The meta-regression analysis demonstrates that the association between coronary heart disease and increased severity was influenced by age (P = 0.013), and the discrepancy between patients median ages in eligible studies partly contributed to the heterogeneity. Results show that CKD had the highest OR value at 2.97 (95% CI: 1.635.41; I2 = 68.4%) [1113, 17, 20, 22, 25, 26, 28, 30, 32, 34, 36, 4143, 45, 47, 51], followed by COPD with the OR of 2.88 (95% CI: 1.894.38; I2 = 52.6%) [1115, 17, 20, 23, 2530, 32, 34, 3638, 41, 43, 45, 48, 49, 51]. However, no researches described the patients complicated with pleural effusion (PE). The https:// ensures that you are connecting to the Marginal, critical, and catastrophic The severity factors are delineated by characteristics Negligible, Marginal, critical, and catastrophic. 8) and delineated on the map . J. Respir. One first approach to the concept of severity factor was made by Malewski et al. Additionally, prolonged hypertension damages the vascular structure leaving the patients susceptible to serious infections. True OR False, 12. Pellentesque dapibus efficitur laoreet. Nam lacinia pulvinar tor, s ante, dapibus a molestie consequat, ultrices ac magna. Logistic regression modeling adjusted for covariates was used to identify the factors associated with hospitalization and severe COVID-19. According to our analysis, ARDS, shock and AKI were the three major complications playing a role in severe conditions. The major components include: representativeness of the exposed cohort, selection of the non- exposed cohort, ascertainment of exposure, demonstration that outcome of interest was not present at start of study, comparability, assessment of outcome, follow-up time and adequacy of follow up of cohorts. Clinical characteristics and risk factors of patients with severe COVID-19 in Jiangsu province, China: a retrospective multicentre cohort study. COUSE NAME: MSE 6010 Environmental Health and Donec aliquet. In adjusted analyses, the sociodemographic factors associated with hospitalization and/or disease severity included older age, non-Hispanic Black or Hispanic race/ethnicity (compared to non-Hispanic White), and smoking. Is the Subject Area "COVID 19" applicable to this article? Enter multiple addresses on separate lines or separate them with commas. Chronic kidney disease; AKI, Clipboard, Search History, and several other advanced features are temporarily unavailable. It determines the safety margin regarding to the standard acceptance tests either in the frequency or time domain . 2020 Aug 6;20(1):584. doi: 10.1186/s12879-020-05314-x. Abbreviations: A. The complete literature-search process is displayed in Fig 1. Lorem ipsum dolor sit amet, consectetur adipiscing elit. endobj Crit. the severity factors are delineated by characteristics. 18. hUmO0+_DBZJKuSB6;'D$sydh"FI\:$!0G$g407rIx$^s{e'vO8 5. Forth, we have tried to include studies from different cites but some articles may still include duplicated cases since they seldom mentioned the detailed composition of patient groups. Before The following comorbidities: diabetes, hypercholesterolemia, asthma, COPD, chronic kidney disease, cardiovascular diseases, osteoarthritis, and vitamin D deficiency were associated with hospitalization and/or disease severity. Fusce dui lectus, congue vel laor, ec aliquet. Severe cases were potentially associated with advanced age (Standard Mean Difference (SMD) = 1.73, 95% CI: 1.342.12), male gender (Odds Ratio (OR) = 1.51, 95% CI:1.331.71), obesity (OR = 1.89, 95% CI: 1.442.46), history of smoking (OR = 1.40, 95% CI:1.061.85), hypertension (OR = 2.42, 95% CI: 2.032.88), diabetes (OR = 2.40, 95% CI: 1.982.91), coronary heart disease (OR: 2.87, 95% CI: 2.223.71), chronic kidney disease (CKD) (OR = 2.97, 95% CI: 1.635.41), cerebrovascular disease (OR = 2.47, 95% CI: 1.543.97), chronic obstructive pulmonary disease (COPD) (OR = 2.88, 95% CI: 1.894.38), malignancy (OR = 2.60, 95% CI: 2.003.40), and chronic liver disease (OR = 1.51, 95% CI: 1.062.17). Improbable - 1 so unlikely, it can be assumed occurrence may not be experienced. Duration is the length of time the patient's signs and symptoms exist. True OR False 14. u20E.03:aS7 It also finds clinical risk factors for hospitalization and severe COVID-19 not previously identified such a vitamin D deficiency, hypercholesterolemia, osteoarthritis, and anemia. the severity factors are delineated by characteristics the severity factors are delineated by characteristics PMC Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Eliminate risk through design. 3. TLR7, a Toll-like kind of receptor, which is higher in females than males, could enhance immune responses and boost the resistance to COVID-19 [60]. Euro Surveill. Psychologically, when patients with COPD get COVID-19, they seem to easily become very afraid and anxious [69]. Besides, the circulating concentration of ACE2 (a functional cellular receptor of SARS-CoV-2) is higher in males than females, which could increase the susceptibility to SARS-CoV-2 [61]. In this study, the quality of evidence was higher since all the included studies were cohort studies rather than case-control studies, and we have included 41 eligible studies that were published from February,2020 to March, 2021, spanning a period of seven months. This answer has been confirmed as correct and helpful. ARDS, shock and AKI were thought to be the main hinderances to recovery. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports. Finally, 41 articles [1151] published between February 7th, 2020 and March 13th, 2021 were included, all of which were retrospective cohort studies. The authors have declared no competing interest. Unauthorized use of these marks is strictly prohibited. PLoS ONE 16(5): The results, displayed in S1 Fig, show that nearly all the funnel plots are symmetrical except for cerebrovascular disease, which suggests the risk of publication bias is low in our analysis. EXCEPT: Definition of Risk Severity | Office of the Chief Risk Officer Definition of Risk Severity Risk Severity: The extent of the damage to the institution, its people, and its goals and objectives resulting from a risk event occurring. Some researchers have suggested that there are several factors possibly responsible for the severity of COVID-19, such as hypertension, diabetes and smoking [57]. Donec a, View answer & additonal benefits from the subscription, Explore recently answered questions from the same subject, Explore documents and answered questions from similar courses. Therefore, it is essential to prevent the occurrence of the above complications and give prompt first aid treatment when such complications occur. The datasets and SAS codes used for data analysis are available only for the purpose of reproducing the study findings upon reasonable request. Interestingly, the studies conducted in Hubei province show the ORs of ARDS was much lower than other regions. Classic severity factors such as victims' and crash characteristics (age, time and place of the crash, antagonist, seatbelt wearing) were assessed for truck and car drivers. In areas where wet working conditions exist, In areas where mechanical equipment is used, narrow aisles and poor housekeeping can lead to all of the following EXCEPT: A. Factors Associated with Hospitalization and Disease Severity in a Racially and Ethnically Diverse Population of COVID-19 Patients, Division of Epidemiology, Department of Environmental and Public Health Sciences, University of Cincinnati College of Medicine, Division of Infectious Diseases, Department of Medicine, University of Cincinnati College of Medicine, School of Social Work, College of Allied Health Sciences, University of Cincinnati. endobj Males also smoked at a higher rate than females [62] and that could result in a more vulnerable respiratory system. Though our analysis showed there was a potential relationship between malignancy and severe condition, some articles had conflicting outcomes, and a few articles have even suggested that some patients with cancer may have better clinical outcomes since the possible emergence of cytokine storm was dampened because of their compromised immune systems [76, 77]. About 31.3% of patients were hospitalized and 13.2% had severe disease. True OR False, 3) Slips, trips and falls account for many general industry injuries in areas where wet working conditions exist placing rates on the floor would reduce the potential for slipping. DitchesC. Loading docksD. Vats. 2020 Jul;81:1-8. doi: 10.1016/j.clinbiochem.2020.05.012. True The cost of an accident is paid from company ______. frequent, marginal, critical, and catastrophic. Data Availability: All relevant data are within the paper and its Supporting Information files. This study has examined the potential risk factors of severe COVID-19 such as demographic characteristics, comorbidities and complications to assist clinicians with allocation of medical resources. Median age of patients admitted to the registry was 27 years with an interquartile range of 8-47 years. Conviction of a willful violation can lead to individual The inflammatory markers CRP, ESR and ferritin were elevated in patients with severe disease or worse. Xose m. Lopez-Fernandez and Casimiro Alvarez-Mario, ", Electrical Transient Interaction Between Transformers and the Power Systems, Electrical Transient Interaction between Transformers and Power Systems, Iknduced Transient Voltage Performance Between Transformers and VCB. Of this population, 1056 (91%) reported scores for pain and itching. Blank refers to the loudness of your voice. 12. For instance, the X chromosome in the female has encoded some immune regulatory genes which caused lower viral load levels. ReasonableB. The impact of COVID-19 is due to both its rapid spread and its severity, but the determinants of severity have not been fully delineated. Author summary The study investigated different clinical features and risk factors for severe disease between pediatric and elderly patients with scrub typhus. However some other studies have shown that ACE2 plays an anti-inflammatory role in RAS and protect patients from ARDS [73, 74]. We believe the PAFs we calculated are meaningful for public health, because the risk of severe cases is likely to decrease in the wake of reduction in the prevalence of certain conditions. The site is secure. where is the angular frequency, ESDnoStd() is the maximum energy spectral density of the input no-standard transient voltage applied at transformer terminals and ESDenvol() is the energy spectral density envelope for all standards dielectric tests at terminals. x]YsF~g'0 endstream endobj startxref Additionally, some other complications like DIC (OR = 29.75, 95% CI: 3.41259.68; I2 = 0.0%) [13, 22], secondary infection (OR = 10.03, 95% CI: 1.9950.55; I2 = 39.0%) [14, 25], arrhythmia (OR = 9.80, 95% CI:3.9124.60; I2 = 0.0%) [11, 12] and cardiac trauma (OR = 7.38, 95% CI:2.2823.82; I2 = 75.0%) [11, 14, 15, 18, 24, 51] also potentially increase the severity of COVID-19. The main characteristics of the included studies are . Chest pain, dyspnea, hemoptysis (when clearly delineated from hematemesis), decreased exercise tolerance, and abdominal pain from pleuritis are also highly indicative of a pulmonary process. Weegy: In physics, power is the rate of doing work. Of note is that liver function tests including AST, ALT, GGT and LDH were elevated, and albumin was decreased. I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. For example, as a chronic respiratory illness, COPD has already led to airflow blockage and so raises the risk of respiratory complications like ARDS. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. The mean age of our patients was 47 years of age (range 3-85) and there was a slight male predominance (58.7%). Pellent, ia pulvinar tortor nec facilisis. Most direct cost of accidents are usually paid by the insurance company. Department of Computer Science, University of Illinois at Urbana-Champaign, Champaign, Illinois, United States of America, Affiliation China, o N.H.C. She places the base of the ladder 12 feet from the house. These steps are: 1. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Donec aliquet. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. Click through the PLOS taxonomy to find articles in your field. In a risk management matrix these severities are linked to a probability factor. Among 185 patients, 122 (66%) needed hospitalization and 30 (16%) died. Characteristics and prognostic factors of disease severity in patients with COVID-19: The Beijing experience COVID-19 has become one of the worst infectious disease outbreaks of recent times, with over 2.1 million cases and 120,000 deaths so far. Profits The details of the IRB/oversight body that provided approval or exemption for the research described are given below: University of Cincinnati Institutional Review Board. Remote - 2 Unlikely but possible to occur in the life of an item. hbbd``b`:$gs q5A%@9HX~ & @BHr "&Fx Q'@ \+ Bethesda, MD 20894, Web Policies <> A severity factor is established as a coefficient to assess the dielectric severity supported by a transformer winding considering the incoming transient overvoltage (voltage spike).

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