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Inhibition of cap (m7GpppXm)-dependent endonuclease of influenza virus by 4-substituted 2,4-dioxobutanoic acid compounds. 总被引:4,自引:1,他引:3 下载免费PDF全文
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Amir Kimia MD John S. Brownstein PhD Karen L. Olson PhD Victor Zak PhD Florence T. Bourgeois MD MPH Kenneth D. Mandl MD MPH 《Academic emergency medicine》2006,13(7):767-773
Background: The Centers for Disease Control and Prevention is incorporating laboratory data into real-time surveillance systems. When normal patterns of laboratory test orders and results are modeled, aberrations can be detected. Because many test orders are available electronically well before results, atypical patterns of test ordering may signal outbreaks.
Objectives: The authors sought to characterize baseline patterns in the ordering and early results of lumbar punctures, motivated by the possibility of using these data for real-time surveillance for early detection of meningitis or encephalitis outbreaks.
Methods: Retrospective cohorts of pediatric emergency department patients at a single hospital (1993–2003) and from the National Hospital and Ambulatory Medical Care Survey (1992–2000) were used for analysis.
Results: Test ordering exhibits seasonal patterns, with monthly peaks in January and August (p < 0.0001). For the hospital cohort, the rate of cerebrospinal fluid pleocytosis exhibits seasonal patterns (p < 0.0001), with a peak from August to October. This is strongly associated with the rate and pattern of clinical neurologic disease (p < 0.0001). A long-term secular decline in daily test ordering is evident, dropping from 5.3 to 2.9 in the hospital sample, and from 371.8 to 185.3 in the national sample (p < 0.001). The long-term rate of pleocytosis has declined (p < 0.0001), though the yield of testing for pleocytosis has improved (p = 0.0104).
Conclusions: Laboratory test patterns correspond with those of clinical disease and are a promising source of surveillance data. Using such data for real-time monitoring requires specific adjustments for patient age, periodicities, and secular trends. 相似文献
Objectives: The authors sought to characterize baseline patterns in the ordering and early results of lumbar punctures, motivated by the possibility of using these data for real-time surveillance for early detection of meningitis or encephalitis outbreaks.
Methods: Retrospective cohorts of pediatric emergency department patients at a single hospital (1993–2003) and from the National Hospital and Ambulatory Medical Care Survey (1992–2000) were used for analysis.
Results: Test ordering exhibits seasonal patterns, with monthly peaks in January and August (p < 0.0001). For the hospital cohort, the rate of cerebrospinal fluid pleocytosis exhibits seasonal patterns (p < 0.0001), with a peak from August to October. This is strongly associated with the rate and pattern of clinical neurologic disease (p < 0.0001). A long-term secular decline in daily test ordering is evident, dropping from 5.3 to 2.9 in the hospital sample, and from 371.8 to 185.3 in the national sample (p < 0.001). The long-term rate of pleocytosis has declined (p < 0.0001), though the yield of testing for pleocytosis has improved (p = 0.0104).
Conclusions: Laboratory test patterns correspond with those of clinical disease and are a promising source of surveillance data. Using such data for real-time monitoring requires specific adjustments for patient age, periodicities, and secular trends. 相似文献
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Meredith M Hancock Colette C Prosser Kanat Ransibrahmanakul Laura Lester Elana Craemer James A Bourgeois Lorenzo Rossaro 《Substance abuse treatment, prevention, and policy》2007,2(1):5
Methadone maintenance therapy for the treatment of opioid dependence continues to carry a social stigma. Until recently, patients
on methadone were not considered for liver transplantation. We describe the first case of a patient on methadone who received
a liver transplant for end stage liver disease and was successfully treated for recurrent hepatitis C. More than five years
post transplant and three years post viral clearance, the patient continues to do well and is stable on low-dose methadone.
This case emphasizes the need to reconsider the non-evidence based policy adopted by transplant centers that require methadone
maintenance therapy patients to stop methadone prior to consideration for transplant evaluation. 相似文献
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H Verdoux R Dantzer M Bourgeois 《Annales médico-psychologiques》1992,150(2-3):202-4; discussion 204-5
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