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121.
Treatment of chronic mucocutaneous candidosis with ketoconazole: a study of 12 cases 总被引:1,自引:0,他引:1
Twelve patients with chronic mucocutaneous candidosis were treated orally with ketoconazole (doses, 200-400 mg daily) for a mean period of six months. Seven of the patients had one of the following abnormalities: congenital endocrinopathy syndrome, an autosomal recessive or autosomal dominant defect in which candidosis is not associated with endocrinopathy, or the malabsorption syndrome. All patients had fungal infections of the mouth, and 11 had onychomycosis. Two patients were also infected with dermatophytes. At the end of treatment, 10 patients were cured of oral infection, and 11 with nail infections showed significant improvement. Marked improvement of hand and foot infections was also recorded. Patients infected with dermatophyte fungi had the poorest responses to therapy. The mean (+/- SD) MIC for isolates of Candida albicans from eight patients was 0.95 (+/- 0.78) microgram/ml. Clinical and biochemical monitoring showed no toxicity, and no resistant fungi emerged during treatment. Results of this initial study of ketoconazole for treatment of severe and recalcitrant superficial infections indicate the need for further assessment of this drug, which appears to offer a simple, nontoxic, and effective treatment of fungal infections. 相似文献
122.
123.
Tiffany Thomas Francesca Cendali Xiaoyun Fu Fabia Gamboni Evan J. Morrison Jonathan Beirne Travis Nemkov Marianna H. Antonelou Anastasios Kriebardis Ian Welsby Ariel Hay Karolina H. Dziewulska Michael P. Busch Steven Kleinman Paul W. Buehler Steven L. Spitalnik James C. Zimring Angelo D'Alessandro 《Transfusion》2021,61(6):1867-1883
124.
125.
126.
Pelvic‐Floor‐Muscle Training Adherence: Tools,Measurements and Strategies—2011 ICS State‐of‐the‐Science Seminar Research Paper II of IV
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127.
Jean-Paul Delalande M.D. Dr. Jean-Marie Hay M.D. Abe Fingerhut M.D. Gérard Kohlmann M.D. Jean-Christophe Paquet M.D. 《Diseases of the colon and rectum》1994,37(9):890-896
PURPOSE: This study was designed to compare the results of two methods on the rate of postoperative perineum healing. PATIENTS AND METHODS: In this prospective, randomized, multicenter trial of 234 consecutive patients undergoing abdominoperineal rectal excision for carcinoma, 48 had unsatisfactory hemostasis or intraoperative gross septic contamination. Three patients were withdrawn because of protocol violation. Of the 45 remaining patients, 21 were randomized to undergo primary closure of the perineum with drainage while 24 underwent packing. Preoperative factors (sex, age, degree of obesity, weight loss, anemia, or presence of ascites), intraoperative findings (Dukes stage, degree of hemostasis, gross septic contamination), and postoperative oncologic courses (recurrence, mortality rate) were similar in both groups. All patients were followed for at least 12 months or until their demise. RESULTS: There was no significant difference in the number of early (one
vs.
zero) or late (five
vs.
four) deaths between primary closure and packing groups, respectively. Median duration of hospital stay was 25 and 27 days, respectively. Primary closure was associated with a significantly higher rate of healed perineums at one month (30 percent
vs.
0 percent) (P
= 0.01) and a shorter delay to complete cicatrization (median, 47
vs.
69 days) (P
< 0.01). From three months onward, there was no difference in healing between the two groups, but two patients in the packing group had not healed at one year. Conversely, hematoma, perineal abscess, and reoperations were significantly more frequent (P
< 0.01) in the primary closure group. CONCLUSION: Primary closure associated with drainage after abdominoperineal resection for carcinoma expedites perineal healing but morbidity is higher. 相似文献
128.
Krysia S. Dziedzic Elaine Thomas Helen Myers Susan Hill Elaine M. Hay 《Arthritis care & research》2007,57(3):423-428
Objective
To assess the acceptability and measurement properties of the Australian/Canadian Osteoarthritis Hand Index (AUSCAN) applied to a community‐dwelling population of older adults with hand problems.Methods
Data were obtained from 2 related sources: 2,113 responders to a 2‐stage cross‐sectional postal survey who reported hand problems in the previous 12‐months, and 55 participants with hand problems completing a clinical assessment. The AUSCAN subscales were assessed for data quality and scaling properties. Test–retest reliability was assessed in clinical participants reporting no change in their hand condition at 1 month. Construct and criterion validity were evaluated using other data from the survey and clinical assessment. Internal consistency of the subscales was tested using Cronbach's alpha and item‐total correlations.Results
AUSCAN subscales had high completion rates in the survey (missing data: 2.3–2.7%). Subscale scores covered the possible range but were skewed towards lower pain, stiffness, and functional problems. Test–retest reliability estimates supported the use of the pain and stiffness subscales (ρ > 0.7), with the estimate for stiffness being slightly lower (ρ = 0.64). The subscales demonstrated both construct validity (significantly higher subscale scores in participants reporting a recent general practitioner consultation for their hand problems and high correlations with hand function performance measures) and criterion validity (high correlations with generic health measures and disease‐specific measures).Conclusion
The AUSCAN is a valid and reliable measure of hand problems in a community‐dwelling population of older adults. The AUSCAN performs well both in terms of its internal reliability and its relationship with external constructs. 相似文献129.
130.
S E Straus J Owens W T Ruyechan H E Takiff T A Casey G F Vande Woude J Hay 《Proceedings of the National Academy of Sciences of the United States of America》1982,79(4):993-997
Varicella-zoster virus (VZV) DNA was cleaved with restriction endonuclease EcoRI, and most of the resulting fragments were successfully cloned in the phage vector lambda gtWES . lambda B. Double digestions of cloned fragments with EcoRI and BamHI and hybridizations to blot-transferred BamHI digests of VZV DNA were used to construct a physical map of the genome. The molecular termini of the DNA were identified by restriction enzyme analysis after exonuclease III digestion. The data indicate that VZV DNA exists in two isomeric forms that differ by inversion of one short terminal genome segment. Electron microscopic studies revealed that the short genome segment consists of a terminal revealed that the short genome segment consists of a terminal sequence of about 3.4 X 10(6) daltons that is separated from an internal inverted repeat of itself by a 5.8 X 10(60)-dalton unique DNA segment. 相似文献