Id |
Subject |
Object |
Predicate |
Lexical cue |
T1 |
726-780 |
Epistemic_statement |
denotes |
It included 20 (62.50%) males and 12 (37.50%) females. |
T2 |
819-1010 |
Epistemic_statement |
denotes |
Diagnosis was done by real-time reverse transcription polymerase chain reaction (rRT-PCR) test for corona virus on throat swab, sputum, tracheal aspirate, or bronchoalveolar lavage specimens. |
T3 |
1508-1604 |
Epistemic_statement |
denotes |
Out of the included 32 patients, 18 patients (56.25%) survived and 14 patients (43.75%) expired. |
T4 |
1605-1812 |
Epistemic_statement |
denotes |
There was a statistically significant difference in the duration of symptoms before hospitalization, mechanical ventilation and ICU and total hospital stay between the expired group and survivors (P < 0.01). |
T5 |
1945-2072 |
Epistemic_statement |
denotes |
Also, there was a statistically (P < 0.05) significant positive correlation between mortality and smoking severity (r = 0.640). |
T6 |
2073-2337 |
Epistemic_statement |
denotes |
Most of the expired patients presented with bilateral pulmonary infiltrates or unilateral infiltrates, but most of the survivors presented with normal This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
T7 |
2338-2470 |
Epistemic_statement |
denotes |
radiology or increased bronchovascular markings, and this difference in the results was statistically highly significant (P < 0.01). |
T8 |
2471-2739 |
Epistemic_statement |
denotes |
There were statistically highly significant (P < 0.01) differences in the mean values of APACHE II score (21.11 ± 3.70 vs 24.21 ± 3.82), SOFA score (5.83 ± 2.64 vs 8.85 ± 2.17) and CPIS (7.55 ± 1.14 vs 8.64 ± 1.39) between the expired group and survivors respectively. |
T9 |
2961-3294 |
Epistemic_statement |
denotes |
There was a statistically significant positive correlation between mortality and old age (r = 0.633), obesity (r = 0.712), diabetes mellitus (r = 0.685), renal failure (r = 0.705), chronic heart diseases (0.591), COPD (r = 0.523), malignancy (r = 0.692), kidney transplantation (r = 0.644) and liver cirrhosis (r = 0.525) (P < 0.05). |
T10 |
3295-3427 |
Epistemic_statement |
denotes |
There was a statistically (P < 0.05) positive correlation between the number of associated co-morbidities and mortality (r = 0.735). |
T11 |
3428-3538 |
Epistemic_statement |
denotes |
Conclusions: Most MERS corona patients present with fever, cough, dyspnea, sore throat, runny nose and sputum. |
T12 |
4683-4818 |
Epistemic_statement |
denotes |
This work is done to determine the clinical characteristics and the outcome of ICU admitted patients with confirmed MERS-CoV infection. |
T13 |
4974-5010 |
Epistemic_statement |
denotes |
All studied cases were subjected to: |
T14 |
5011-5036 |
Epistemic_statement |
denotes |
(1) Full medical history. |
T15 |
5392-5467 |
Epistemic_statement |
denotes |
(6) Arterial blood gases, including; PH, PaO 2 , SaO 2 , PaCO 2 and HCO 3 . |
T16 |
5645-6042 |
Epistemic_statement |
denotes |
(8) Throat swab (Eurotubo, Deltalab, 08191 Rubı´, Barcelona, Spain), sputum, tracheal aspirate or bronchoalveolar lavage specimens were taken and stored at 28°C, and transported within 72 h to the reference laboratories, where they were subjected to real-time reverse-tran scriptase-polymerase-chain-reaction (rRT-PCR) assays to test for MERS-CoV (Altona Diagnostics GmbH, 22767 Hamburg, Germany). |
T17 |
6417-6478 |
Epistemic_statement |
denotes |
Values of P < 0.05 were considered statistically significant. |
T18 |
6548-6585 |
Epistemic_statement |
denotes |
The mean age was 43.99 ± 13.03 years. |
T19 |
6920-7012 |
Epistemic_statement |
denotes |
The mean duration of symptoms before seeking medical advice was 5.30 ± 3.25 days (Table 1) . |
T20 |
7251-7387 |
Epistemic_statement |
denotes |
Pneumothorax occurred in 5 (15.63%) ventilated patients, for 3 of them it was unilateral and for other 2 patients bilateral ( Table 1) . |
T21 |
7388-7599 |
Epistemic_statement |
denotes |
Regarding the ABGs findings in our study: mean PH: 7.26 ± 0.33, mean PaO 2 : 64.04 ± 20.50 mmHg, mean O 2 saturation: 83.92 ± 17.45, mean PaCO 2 : 38.75 ± 4.17 mmHg, and mean HCO 3 19.44 ± 8.5 meq/L ( Table 1 ). |
T22 |
7600-7720 |
Epistemic_statement |
denotes |
The mean APACHE II score was 22.46 ± 4.01, the mean SOFA score was 7.15 ± 2.85 and mean CPIS was 8.03 ± 1.35 (Table 1) . |
T23 |
7926-8014 |
Epistemic_statement |
denotes |
All patients were admitted in ICU and a mean duration of ICU stay was 11.32 ± 4.50 days. |
T24 |
8015-8152 |
Epistemic_statement |
denotes |
Regarding mechanical ventilation need, there were 23 (71.87%) ventilated patients and 9 (28.13%) patients without mechanical ventilation. |
T25 |
13753-13967 |
Epistemic_statement |
denotes |
The duration of symptoms before hospitalization, ICU stay, mechanical ventilation and hospital stay in our studied patients were statistically significantly prolonged in the expired group compared to the survivors. |
T26 |
15335-15425 |
Epistemic_statement |
denotes |
Our findings agree with other investigators who detected similar results [7] [8] [9] 15] . |
T27 |
15895-15950 |
Epistemic_statement |
denotes |
Our results are in accordance with that of Reyes et al. |
T28 |
16244-16379 |
Epistemic_statement |
denotes |
Non smoking and ex smoking were statistically significantly (P < 0.01) higher among the survivors in comparison with the expired group. |
T29 |
17126-17132 |
Epistemic_statement |
denotes |
[17] . |
T30 |
17133-17253 |
Epistemic_statement |
denotes |
Smoking increases CD8+ lymphocytes in the cell mediated system and suppresses the host defense against infections [18] . |
T31 |
17576-17675 |
Epistemic_statement |
denotes |
Obesity can impede pulmonary function (reduced functional residual capacity and expiratory volume). |
T32 |
18010-18105 |
Epistemic_statement |
denotes |
Obese persons are at an increased risk of developing pulmonary emboli and aspiration pneumonia. |
T33 |
18894-18994 |
Epistemic_statement |
denotes |
Our results are in accordance with other workers' results [6] [7] [8] [9] [10] [11] [12] [13] [14] . |
T34 |
19014-19199 |
Epistemic_statement |
denotes |
[25] concluded that people with DM, renal failure, and chronic lung disease and immuno-compromised persons are considered to be at a high risk of severe disease from MERS CoV infection. |
T35 |
19513-19737 |
Epistemic_statement |
denotes |
Immuno-compromised patients have an increased attention because of the documentation of prolonged viral shedding in critically ill patients, with the subsequent emergence of resistance to neuraminidase inhibitor drugs [28] . |
T36 |
20106-20603 |
Epistemic_statement |
denotes |
[30] concluded that the infectious diseases are more frequent and/or serious in patients with DM, which potentially increases their morbidity and mortality due to many factors as a deficiency of the C4 component in DM, this reduction of C4 is probably associated with polymorphonuclear dysfunction and reduced cytokine response decrease secretion of inflammatory cytokines as interleukin-1 (IL-1) and IL-6 decreased mobilization of polymorphonuclear leukocytes, chemotaxis and phagocytic activity. |
T37 |
21103-21406 |
Epistemic_statement |
denotes |
Also, old age, current smoking, smoking severity, presence of associated co-morbidities like obesity, diabetes mellitus, chronic heart diseases, COPD, malignancy, renal failure, renal transplantation and liver cirrhosis associated with a poor outcome of ICU admitted MERS corona virus infected patients. |