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Macroscopic hematuria after wasp sting has been reported in Asia to occur before acute kidney injury (AKI), and is often used by clinicians as a sign indicating the need for intensive care and blood purification therapy. However, there is no study on the clinical characteristics and prognosis of this symptom. The clinical data of 363 patients with wasp sting admitted to Suining Central Hospital from January 2016 to December 2018 were retrospectively analyzed. At admission, the poisoning severity score (PSS) was used as the criterion for severity classification. According to the presence of macroscopic hematuria, the patients were divided into macroscopic hematuria and non-macroscopic hematuria group. Of the 363 wasp sting patients, 219 were male and 144 were female, with a mean age of 55.9 ± 16.3 years. Fifty-one (14%) had macroscopic hematuria, 39 (10.7%) had AKI, 105 (28.9%) had rhabdomyolysis, 61 (16.8%) had hemolysis, 45 (12.4%) went on to received hemodialysis, and 14 (3.9%) died. The incidence of AKI in macroscopic hematuria group was 70.6%, and oliguric renal failure accounted for 72.2%. Patients with macroscopic hematuria had significantly higher PSS (2.2 ± 0.5 vs. 1.1 ± 0.3, p <.001). Macroscopic hematuria can be regarded as a surrogate marker of deteriorating clinical outcome following wasp stings. In wasp sting patients with symptoms of macroscopic hematuria or serum LDH higher than 463.5 u/L upon admission, the risk of AKI increases significantly, therefore hemodialysis should be considered. The PSS is helpful in early assessment of the severity of wasp sting patients. [ABSTRACT FROM AUTHOR]

Asia as the largest continent which has the highest consumption of energy, so analyzing the impact of spillover and energy crisis is crucial for this region. In this article the volatility spillovers connections among crude oil, leading Asian oil-exporting and oil-importing countries' stock exchanges are scrutinized. This study applies the VAR-DCC-GARCH model to examine the spillover network structure with the nine years of daily data from September 01, 2009 to August 31, 2018. The results of these analyses have been displayed the network connections using complex networking technique. Overall strong spillover relations were found among oil-exporting as well as with oil prices. The strong interconnection is alarming for these economies, it is recommended to diversify their dependence on other sectors of the economy too. On the other side, oil-importing countries documented low as well as fewer interconnections and also with oil prices. It means these economies are more self-dependent, they also need to make long term planning to deal with future crisis shocks. Further, the findings of this study will provide an insight to researchers and policymakers regarding the spillover networking among oil and leading Asian trading countries' stock markets. The networking of the oil price spillover can be extended for the Asian oil trade and subsequent to the whole world. • Highlights volatility spillovers connections among crude oil, leading Asian oil trading countries' stock exchanges. • Applies the VAR-DCC-GARCH model to examine the spillover network structure. • Displayed the network connections using complex networking technique. • Showed strong spillover relations among oil-exporting as well as with oil prices. [ABSTRACT FROM AUTHOR]