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A rare syndrome, Chilaiditi’s syndrome is interposition of the colon only or with the small intestine in hepatodiaphragmatic area. It may be asymptomatic, but it may also present with symptoms, such as abdominal pain, nausea, vomiting, constipation and respiratory distress. We present a patient who was admitted with urological problems; he was incidentally diagnosed with Chilaiditi’s syndrome. 相似文献
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VG Hamburg 《MedR Medizinrecht》2009,27(8):485-487
Zusammenfassung Die Anerkennung einer Fortbildungsveranstaltung setzt voraus, dass sie dazu dient, die zur ?rztlichen
Berufsausübung erforderlichen Fachkenntnisse in der vertrags?rztlichen Versorgung zu erwerben
oder auszubauen. Veranstaltungen, die ausschlie?lich als Instrument zur Verbesserung der Wettbewerbsf?higkeit
eines niedergelassenen Arztes dienen, sind nicht als Fortbildungsma?nahmen anerkennungsf?hig.
(Leitsatz der Bearbeiterin) 相似文献
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VG Osnabrück 《MedR Medizinrecht》2000,18(10):488-492
Ohne Zusammenfassung 相似文献
27.
WH Belloso LC Orellana B Grinsztejn JS Madero A La Rosa VG Veloso J Sanchez R Ismerio Moreira B Crabtree‐Ramirez O Garcia Messina MB Lasala J Peinado MH Losso 《HIV medicine》2010,11(9):554-564
Objective
Acquired immune deficiency appears to be associated with serious non‐AIDS (SNA)‐defining conditions such as cardiovascular disease, liver and renal insufficiency and non‐AIDS‐related malignancies. We analysed the incidence of, and factors associated with, several SNA events in the LATINA retrospective cohort.Materials and methods
Cases of SNA events were recorded among cohort patients. Three controls were selected for each case from cohort members at risk. Conditional logistic models were fitted to estimate the effect of traditional risk factors as well as HIV‐associated factors on non‐AIDS‐defining conditions.Results
Among 6007 patients in follow‐up, 130 had an SNA event (0.86 events/100 person‐years of follow‐up) and were defined as cases (40 with cardiovascular events, 54 with serious liver failure, 35 with non‐AIDS‐defining malignancies and two with renal insufficiency). Risk factors such as diabetes, hepatitis B and C virus coinfections and alcohol abuse showed an association with events, as expected. The last recorded CD4 T‐cell count prior to index date (P=0.0056, with an average difference of more than 100 cells/μL) and area under the CD4 cell curve in the year previous to index date (P=0.0081) were significantly lower in cases than in controls. CD4 cell count at index date was significantly associated with the outcome after adjusting for risk factors.Conclusions
The incidence and type of SNA events found in this Latin American cohort are similar to those reported in other regions. We found a significant association between immune deficiency and the risk of SNA events, even in patients under antiretroviral treatment. 相似文献28.
Zenger S He W Ek-Rylander B Vassiliou D Wedin R Bauer H Andersson G 《Clinical & experimental metastasis》2011,28(1):65-73
Tartrate-resistant acid phosphatase (TRAP) exists in human serum as two major isoforms, monomeric 5a and proteolytically processed
enzymatically active 5b. The 5b isoform is secreted by osteoclasts and has recently been advocated as a serum marker for bone
metastasis in breast cancer patients. The 5a isoform, on the other hand, is not bone-derived and has been proposed to be a
marker of activated macrophages and chronic inflammation. In this study, expression of TRAP protein and enzymatic activity
in bone metastases from different primary sites was examined. TRAP activity was high in bone metastases from prostate cancer,
intermediate in breast cancer, and low in lung and kidney cancers. The partially purified TRAP from breast cancer bone metastasis
samples exhibited the enzymatic characteristics of purple acid phosphatase. Both 5a and 5b isoforms were expressed in bone
metastases of different histogenetic origins, i.e. prostate, breast, lung and kidney, and also a novel previously unreported
42 kDa variant of the TRAP 5a isoform was identified in bone metastases. This novel TRAP 5a isoform was absent in human bone,
indicating that the 42 kDa variant is specific to metastatic cancer tissue. Immunohistochemistry revealed that metastatic
cancer cells were the predominant source of TRAP 5a, whereas tumor-associated macrophages and occasionally multinucleated
giant cells in the tumor stroma preferentially expressed the proteolytically processed TRAP 5b variant. Our results indicate
the presence of a previously unstudied variant of monomeric TRAP 5a in cancer cells, which may have functional and diagnostic
implications. Moreover, the presence of TRAP-positive macrophages in bone metastases could, together with cancer cells and
osteoclasts, contribute to the elevated levels of serum TRAP activity observed in patients with bone metastases. 相似文献
29.
VG Sigmaringen 《MedR Medizinrecht》2003,21(2):119-121
Ohne Zusammenfassung 相似文献
30.