Publications by authors named "R Pratima Shenoi"
Objective: To identify risk factors for clinically-important drowning-associated lung injury (ciDALI) in children.
Study Design: This was a cross-sectional study of children (0 through 18 years) who presented to 32 pediatric emergency departments (EDs) from 2010 through 2017. We reviewed demographics, comorbidities, prehospital data, chest radiographs reports, and ED course from emergency medical services, medical, and fatality records.
Angiopoietin-like 4 (ANGPTL4), a key protein involved in lipoprotein metabolism, has diverse effects. There is an association between Angptl4 and diabetic kidney disease; however, this association has not been well investigated. We show that both podocyte- and tubule-specific ANGPTL4 are crucial fibrogenic molecules in diabetes.
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- * Resuscitation efforts for drowning victims must prioritize restoring breathing as well as circulation, with in-water rescue breathing followed by chest compressions once the victim is in a safe environment.
- * Recent updates to resuscitation guidelines for drowning, based on systematic reviews from 2021 to 2023, have been established by a committee of experts from the American Academy of Pediatrics and the American Heart Association.
Drowning is the third leading cause of death from unintentional injury worldwide, accounting for 7% of all injury-related deaths. The World Health Organization estimates that there are ≈236 000 deaths due to drowning worldwide each year. Significant efforts have focused on creating systems to prevent drowning, but an average of 4000 fatal and 8000 nonfatal drownings still occur annually in the United States-likely an underestimate.
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- A drowning definition has been tested using National Syndromic Surveillance Program (NSSP) data to assess its effectiveness in identifying unintentional and undetermined intent drowning (UUID) visits in the Houston region from 2016 to 2022.
- The review revealed that 98% of visits classified as drowning were true positives, with a significant majority (79%) of patients being children under 18.
- The study concludes that syndromic surveillance is a reliable tool for real-time monitoring of drowning incidents in metropolitan areas.