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排序方式: 共有3630条查询结果,搜索用时 15 毫秒
1.
Niki Oikonomopoulou Concepción Míguez-Navarro Arístides Rivas-García Mercedes García Gamiz Rosario López-López Paloma Oliver-Sáez Bibiana Riaño-Méndez Tamara Farfan-Orte Zulema Lobato-Salinas Júlia Rúbies-Olives Priscila Llena-Isla Encarnación María Lancho-Monreal 《The American journal of emergency medicine》2019,37(7):1289-1294
BackgroundAcute appendicitis (AA) is one of the most frequent surgical pathologies in pediatrics.ObjectivesTo investigate the utility of proadrenomedullin (pro-ADM) for the diagnosis of AA.MethodsProspective, analytical, observational, and multicenter study conducted in 6 pediatric emergency departments. Children up to 18 years of age with suspected AA were included. Clinical, epidemiological, and analytical data were collected.ResultsWe studied 285 children with an average age of 9.5 years (95% confidence interval [CI], 9.1–9.9). AA was diagnosed in 103 children (36.1%), with complications in 10 of them (9.7%). The mean concentration of pro-ADM (nmol/L) was higher in children with AA (0.51 nmol/L, SD 0.16) than in children with acute abdominal pain (AAP) of another etiology (0.44 nmol/L, SD 0.14; p < 0.001). This difference was greater in complicated cases compared with uncomplicated AA (0.64 nmol/L, SD 0.17 and 0.50 nmol/L, SD 0.15, respectively; p = 0.005). The areas under the receiver-operating characteristic curves were 0.66 (95% CI, 0.59–0.72) for pro-ADM, 0.70 (95% CI, 0.63–0.76) for C-reactive protein (CRP), 0.84 (95% CI, 0.79–0.89) for neutrophils, and 0.84 (95% CI, 0.79–0.89) for total leukocytes. The most reliable combination to rule out AA was CRP ≤1.25 mg/dL and pro-ADM ≤0.35 nmol/L with a sensitivity of 96% and a negative predictive value of 93%.ConclusionChildren with AA presented higher pro-ADM values than children with AAP of other etiologies, especially in cases of complicated AA. The combination of low values of pro-ADM and CRP can help to select children with low risk of AA. 相似文献
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3.
Sergio Foresti Stefano Di Bella Attilio Rovelli Alessandra Sala Marta Verna Luca Bisi Carla Nisii Andrea Gori 《Antimicrobial agents and chemotherapy》2015,59(12):7919-7920
Catheter-related bacteremias carry high mortality rates in hematological patients. When a multidrug-resistant microorganism is involved, the catheter should ideally be removed; however, this approach is not always possible. Tigecycline lock therapy was used in two pediatric oncohematological patients with intravascular catheter-related infection due to KPC-producing Klebsiella pneumoniae. The catheter was salvaged in both cases, and the patients were later discharged. Our experience suggests the usefulness of this approach in treating this type of infection. 相似文献
4.
Rodrguez-Quiroga A. Flamarique I. Castro-Fornieles J. Lievesley K. Buitelaar J. K. Coghill D. Daz-Caneja C. M. Dittmann R. W. Gupta A. Hoekstra P. J. Kehrmann L. Llorente C. Purper-Ouakil D. Schulze U. M. E. Zuddas A. Sala R. Singh J. Fiori F. Arango C. Santosh Paramala 《European child & adolescent psychiatry》2020,29(2):153-165
European Child & Adolescent Psychiatry - Suicidality in the child and adolescent population is a major public health concern. There is, however, a lack of developmentally sensitive valid and... 相似文献
5.
Mario Amore Cecchini Maria Paula Foss Vitor Tumas Flávia A.P. Patrocinio Rodolfo D. Chiari-Correia Nathalia Novaretti Tamara R. Brozinga Valéria Santoro Bahia Leonardo Cruz de Souza Henrique Cerqueira Guimarães Paulo Caramelli Thais Bento Lima-Silva Luciana Cassimiro Sonia Maria Dozzi Brucki Ricardo Nitrini Sergio Della Sala Mario A. Parra Mônica Sanches Yassuda 《International journal of geriatric psychiatry》2020,35(11):1331-1340
6.
Priscila Rios Bomfim Chaves Alexandre Melo Karam Andre Wilson Machado 《The Angle orthodontist》2021,91(1):54
ObjectiveTo evaluate the influence of a midline diastema on dentofacial esthetic perceptions of orthodontists, restorative dental specialists or prosthodontists, and laypersons in a frontal facial evaluation performed by means of video.Materials and MethodsTwo individuals aged between 20 and 25 years, one of each gender, with presence of a midline diastema were selected. An acrylic resin mockup was made of the maxillary anterior region, simulating ideal conditions of smile esthetics. Four standardized frontal view videos of the complete face were filmed of each individual in the following situations: with the ideal smile (unchanged mockup) and with the presence of midline diastemas of 0.5, 1.0, and 1.5 mm created by the mockup. In all videos, the patient said a certain sentence and, at the end, simulated a posed smile. Dentofacial esthetic perceptions of all four videos of each individual were evaluated by 51 orthodontists, 51 restorative dental specialists or prosthodontists, and 51 laypersons by means of visual analog scales. Data were evaluated using analysis of variance and Tukey post hoc test, with the level of significance set at 5%.ResultsThe most attractive videos for all groups of examiners were those without diastema and with a diastema of 0.5 mm, for both the woman and the man. For a diastema of 1 mm or 1.5 mm, the dentofacial characteristics were considered unesthetic.ConclusionsDiastemas equal to or greater than 1 mm negatively influence dentofacial esthetics in a frontal facial evaluation performed by means of video. 相似文献
7.
Clare Barrington Anisha Gandhi Adrienne Gill Laura Villa Torres Maria Priscila Brietzke Lisa Hightow-Weidman 《Global public health》2018,13(10):1507-1519
Latinos in the U.S. are disproportionately affected by HIV and are more likely than non-Latinos to present with a late diagnosis, which delays engagement in HIV care and treatment. Social networks may provide normative influence and social support for HIV testing, but a contextualised understanding of networks is needed in order to maximise these social resources. We conducted qualitative interviews with foreign-born Latino men and transgender women (n?=?17) in a new immigrant destination to explore their social networks. Most participants described having smaller social networks after migrating. Networks included both local and transnational ties, but most participants had few close ties. Contextual factors including stigma and geographic dispersion limited the re-construction of networks with close ties after migration. HIV testing was not a common topic of discussion with social network ties. Efforts to improve early uptake of HIV testing among Latino immigrants may benefit from engaging with social networks, but such efforts need to address how the context in which networks operate enables access to testing. 相似文献
8.
During the past decades, lipid nanocarriers are gaining momentum with their multiple advantages for the management of skin diseases. Lipid nanocarriers enable to target the therapeutic payload to deep skin layers or even to reach the blood circulation making them a promising cutting-edge technology.Lipid nanocarriers refer to a large panel of drug delivery systems. Lipid vesicles are the most conventional, known to be able to carry lipophilic and hydrophilic active agents. A variety of lipid vesicles with high flexibility and deformability could be obtained by adjusting their composition; namely ethosomes, transfersomes and penetration enhancer lipid vesicles which achieve the best results in term of skin permeation. Others are designed with the objective to perform higher encapsulation rate and higher stability, such as solid lipid nanoparticles and nanostructured lipid nanocarriers.In this review, we attempted to give an overview of lipid based nanocarriers developed with the aim to enhance dermal and transdermal drug delivery. A special focus is put on the nanocarrier composition, behavior and interaction mechanisms with the skin. Recent applications of lipid-based nanocarriers for the management of skin diseases and other illnesses are highlighted as well. 相似文献
9.
Cristiana Cortes de Oliveira Carolina Ferreira Nicoletti Marcela Augusta de Souza Pinhel Bruno Affonso Parenti de Oliveira Driele Cristina Gomes Quinhoneiro Natália Yumi Noronha Priscila Giacomo Fassini Júlio Sérgio Marchini Wilson Araújo da Silva Júnior Wilson Salgado Júnior Carla Barbosa Nonino 《Clinical nutrition (Edinburgh, Scotland)》2018,37(4):1383-1388
10.
Mariana T. Garcia Priscila M. Sato Angela C. B. Trude Thomas Eckmann Elizabeth T. Anderson Steeves Kristen M. Hurley 《Ecology of food and nutrition》2018,57(1):13-31
This study aimed to assess the factors associated with home meal preparation (HMP) and fast-food sources use (FFS) frequencies of low-income African-American adults and their healthy food beliefs and attitudes, food-related psychosocial factors, food acquisition patterns, food sources use, and BMI. We used cross-sectional data from 295 adults living in Baltimore, USA. HMP was inversely associated with FFS, which had lower odds of HMP ≥1 time/day and higher BMI scores. HMP was positively associated with positive beliefs and self-efficacy toward healthy foods, getting food from healthier food sources, and lower FFS. Higher odds of HMP ≥1 time/day were associated with getting food from farmers’ market and supermarkets or grocery stores. FFS had an inverse association with positive beliefs and self-efficacy toward healthy foods, and a positive association with less healthy food acquisition scores. Higher odds of FFS ≥1 time/week were associated with getting food from corner stores, sit-down restaurants, and convenience stores. 相似文献