Publications by authors named "M Odo"
Urinary tract infections (UTIs) caused by urease-producing bacteria are known to cause hyperammonemia; however, non-urease-producing bacteria can also cause it. This report describes a case of an 87-year-old woman who developed hyperammonemia and impaired consciousness resulting from a UTI caused by the non-urease-producing bacterium, (). On admission, the patient presented with urinary retention, hyperammonemia (281 μg/dL), and alkaline urine (pH 8.
View Article and Find Full Text PDFObjectives: The coronavirus disease 2019 (COVID-19) pandemic has significantly disrupted emergency medical service (EMS) prehospital care for patients with out-of-hospital cardiac arrest (OHCA), necessitating a thorough assessment of its effects on prehospital time and emergency interventions. Therefore, we aimed to analyze the changes in EMS operations before and after the onset of the pandemic and their potential effects on patient care.
Methods: We retrospectively reviewed OHCA cases between January 2017 and December 2022, categorizing them into pre-pandemic and pandemic phases.
Article Synopsis
- Pancoast tumor resection surgery can lead to intense postoperative pain, particularly due to potential damage to the brachial plexus, causing shoulder and upper extremity pain.
- A continuous brachial plexus block and continuous epidural analgesia were used to manage this pain in a 58-year-old patient undergoing left upper lobectomy and chest wall resection.
- Post-surgery, the patient's pain was effectively controlled, maintaining low levels of pain (2-3 for shoulder and 0-1 for wound pain) using a combination of ropivacaine and fentanyl for the analgesia methods.
Main Objective: A cohort of adult Malawian people living with HIV (PLHIV) testing positive for cryptococcal antigenemia was observed and followed to determine the outcomes and risk factors for attrition.
Methods Concept: Eligible PLHIV were enrolled at 5 health facilities in Malawi, representing different levels of health care. ART naïve patients, ART defaulters returning to care, and patients with suspected or confirmed ART treatment failure with CD4 <200 cells/μL or clinical stage 3 or 4 were enrolled and received CrAg tests on whole blood specimens from August 2018 to August 2019.
Article Synopsis
- Antiretroviral therapy (ART) is crucial for HIV patients, significantly lowering health risks and transmission rates; however, retaining patients on ART remains difficult in low and middle-income countries despite increased accessibility.
- In a nationwide study in Liberia tracking patients aged 15 and older from HIV care facilities, 41.8% were lost to follow-up and 6.6% died within 24 months, indicating substantial challenges in patient retention and adherence.
- Factors influencing retention included WHO clinical stages, with higher risk of loss-to-follow-up for patients in advanced stages, while older age groups showed a decreased risk of dropping out of care.