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991.
992.
Neelima Mishra Jai Prakash Narayan Singh Bina Srivastava Usha Arora Naman K Shah SK Ghosh RM Bhatt SK Sharma MK Das Ashwani Kumar Anupkumar R Anvikar Kamlesh Kaitholia Ruchi Gupta GS Sonal AC Dhariwal Neena Valecha 《Bulletin of the World Health Organization》2012,90(12):895-904
Objective
To describe India’s National Antimalarial Drug Resistance Monitoring System, measure the efficacy of first-line malaria treatments, and determine risk factors for treatment failure.Methods
In 2009–2010, prospective studies with 28 days of follow-up were conducted at 25 sentinel sites. Patients infected with Plasmodium falciparum were given artesunate plus sulfadoxine-pyrimethamine (AS+SP); those infected with P. vivax were given chloroquine. Polymerase chain reaction was used to distinguish post-treatment reinfection from treatment failure. Isolates of P. falciparum were checked for dhfr and dhps mutations.Findings
Overall, 1664 patients were enrolled. Kaplan–Meier survival analysis showed an efficacy of 98.8% for AS+SP. Most patients with P. falciparum parasitaemia cleared their parasitaemias within 24 hours of treatment initiation, but six, including four with treatment failure, remained parasitaemic after 72 hours. Double mutants in dhfr were found in 68.4% of the genotyped isolates. Triple or quadruple mutants in dhfr and mutations in dhps were rare. A daily dose of artesunate of < 3 mg per kg of body weight, age of less than 5 years, and fever at enrolment were associated with an increased risk of treatment failure. Chloroquine remained 100% efficacious and generally cleared P. vivax parasitaemias within 48 hours. Vomiting (seen in 47 patients) was the most common adverse event.Conclusion
India’s National Antimalarial Drug Resistance Monitoring System provides wide coverage. The first-line antimalarials used in the country remain safe and efficacious. The treatment of malaria in young children and the relative benefits of age- and weight-based dosing need further exploration. 相似文献993.
Ayman Tailakh PhD RN Lorraine S. Evangelista PhD RN FAHA FAAN Janet C. Mentes PhD APRN BC FGSA Nancy A. Pike PhD RN CPNP‐AC FAHA Linda R. Phillips PhD RN FAAN Donald E. Morisky ScD MSPH ScM 《Nursing & health sciences》2014,16(1):126-130
One billion of the world's population has hypertension, resulting in four million deaths per year. Data on the prevalence of hypertension in the Arab world are very limited. This review summarizes existing knowledge regarding prevalence, awareness, and control of hypertension in Arab countries. The PubMed, Cochrane Library, Scopus, and CINAHL databases were searched for publications on HTN among Arab people from 1980 to January 2011. Only 13 studies were identified in the literature from 10 Arab countries. The overall estimated prevalence of hypertension was 29.5% (n = 45 379), which indicates a higher prevalence of hypertension among Arabs compared to people from the USA (28%) and sub‐Saharan African (27.6%). Awareness of hypertension was reported for 46% of the studies and varied from 18% (Jordan) to 79.8% (Syria). The control rate varied from 56% (Tunisia) to 92% (Egypt and Syria). The prevalence of hypertension was found to increase with age, occurring more frequently in Arab women. 相似文献
994.
995.
Mert İlker Hayıroğlu Tufan Çınar Burhan Bıçakçı İbrahim Dağaşan Koray Demir Muhammed Keskin Ahmet Öz Zafer Işılak Nurgül Keser Mehmet Uzun 《The international journal of cardiovascular imaging》2018,34(8):1177-1184
Vascular complications in the femoral artery puncture site are the most common complications of the coronary angiography. Femoral hematoma is the leading participant of the vascular complications. We investigated the femoral hematoma predictive value of angle of sheath to trochanter major in patients undergoing elective coronary procedures. In this prospective analysis, we evaluated the femoral hematoma predictive value of angle of sheath to trochanter major on 246 patients undergoing elective coronary procedures. In this prospective analysis, we evaluated the femoral hematoma predictive value of angle of sheath to trochanter major on 246 patients undergoing elective coronary procedures. Patients were divided into two as femoral hematoma (n?=?23) and control (n?=?223) groups according to post-procedure femoral hematoma status. Other independent predictors of femoral hematoma were also evaluated. In-hospital multivariable analysis revealed higher rates of femoral hematoma for patients with chronic renal failure (OR 24.97, 95% CI 3.04–78.88, p?=?0.003), with higher diastolic blood pressure after the procedure (OR 1.08 95% CI 1.00–1.16, p?=?0.037), with femoral vein puncture during procedure (OR 17.74, 95% CI 2.67–54.74, p?=?0.003) and with higher angle of sheath to trochanter major (OR 1.52, 95% CI 1.13–2.05, p?=?0.005). The best cut-off value of the angle of sheath to trochanter major to predict femoral hematoma was 15.6° with 74% sensitivity and 70% specificity (AUC: 0.75; 95% CI 0.63–0.86; p?<?0.001). The angle of sheath to trochanter major provides an independent predictor of femoral hematoma in patients undergoing elective coronary procedures. Our data suggests the importance of fluoroscopic guidance during femoral artery access with the predictive role of the angle of sheath to trochanter major. 相似文献
996.
Karadeniz Hazan Güler Aslıhan Avanoğlu Koca Gülce Salman Reyhan Bilici Satış Hasan Ataş Nuh Babaoğlu Hakan Paşaoğlu Hatice Küçük Hamit Tufan Abdurrahman Öztürk Mehmet Akif Göker Berna Haznedaroğlu Şeminur 《Clinical rheumatology》2022,41(4):1169-1176
Clinical Rheumatology - The aim of the present study was to investigate serum fetuin-A (Fet-A) levels in patients with Takayasu arteritis (TA) and granulomatous polyangiitis (GPA) and to analyze... 相似文献
997.
Suticen Erdem Atas Nuh Guler Aslihan Avanoglu Akdogan Orhun Babaoğlu Hakan Satis Hasan Karadeniz Hazan Haznedaroglu Seminur Ozturk Mehmet Akif Tufan Abdurrahman 《Clinical rheumatology》2021,40(7):2865-2871
Clinical Rheumatology - Familial Mediterranean fever (FMF) is characterized by recurrent attacks of fever, serositis, and arthritis. Some patients suffer from associated inflammatory conditions and... 相似文献
998.
Atas Nuh Armagan Berkan Bodakci Erdal Satis Hasan Sari Alper Bilge Nazife Sule Yasar Salman Reyhan Bilici Yardımcı Gozde Kubra Babaoglu Hakan Kilic Levent Ozturk Mehmet Akif Goker Berna Haznedaroglu Seminur Kasifoglu Timucin Kalyoncu Umut Tufan Abdurrahman 《Clinical rheumatology》2020,39(1):255-261
Clinical Rheumatology - Familial Mediterranean fever (FMF) is characterized by recurrent attacks of fever, serositis, and arthritis, but some patients may experience long-term complications of... 相似文献
999.
The weaning practices of 344 children in Madrid, aged 3-19 months, were investigated by controlled interview of their mothers or caretakers. The results were compared with national and international guidelines for the introduction of complementary foods; there are no Spanish guidelines. We found only minor differences between the practices in three different socioeconomic groups. Generally, mothers in Madrid followed national and international guidelines well. However, more attention should be paid to aspects such as the timing of the introduction of the first complementary food, the nature of gluten, the addition of salt and sugar to baby meals and the introduction of potentially allergenic foods. Also, manufacturers of baby foods that are sold in Spain could play a useful role by reducing the number of ingredients used in products advised for the initial phase of weaning and by avoiding the use of salt and sugar in their products. Complementary food, infant nutrition, socioeconomic group, weaning
SAM van den Boom, Dona Juana I de Castillo 56, 4-A, 28027 Madrid, Spain 相似文献
SAM van den Boom, Dona Juana I de Castillo 56, 4-A, 28027 Madrid, Spain 相似文献
1000.
BACKGROUND: Although the primary use of growth hormone (GH) is to promote linear growth, it is also known to affect many metabolic processes and to influence renal function. In laboratory animals, growth hormone deficiency (GHD) causes a mild metabolic acidosis that is corrected by GH treatment. We observed a patient with GHD who initially presented with acidosis of unclear etiology and corrected the acidosis with GH treatment. OBJECTIVES: To determine: 1) whether children with GHD have lower mean serum bicarbonate concentrations than do children with short stature because of other causes; and 2) whether the presence of a low serum bicarbonate concentration increases the probability of GHD among children with short stature. METHODS: We collected data from the medical records of 143 children with short stature who had serum electrolyte concentrations measured as part of their initial evaluations, 66 with GHD and 77 with short stature as a result of other causes. We compared mean serum bicarbonate concentrations and bicarbonate standard deviation scores (SDS) between these two groups and determined the probability of GHD for patients according to bicarbonate SDS. RESULTS: The mean serum bicarbonate concentration was significantly lower in patients with GHD (mean standard deviation [SD]; 23.9 [0.4] mEq/L vs 25.2 [0.3] mEq/L) as was the bicarbonate SDS (-0.12 [0.14] SD vs 0.38 [0.10] SD). Twelve (75%) of 16 patients with bicarbonate SDS =-1 SD had GHD compared with 7 (28%) of 25 patients with bicarbonate SDS >1 SD. Patients with bicarbonate SDS between -1 SD and 1 SD had an intermediate probability of GHD, 46/102 (45%), similar to the overall prevalence of GHD in the study population (46%). Mean bicarbonate concentrations and bicarbonate SDS increased significantly in 9 patients who had repeat electrolyte measurements during treatment with GH (mean bicarbonate; 21.7 [1.1] mEq/L vs 26.9 [0.59] mEq/L, mean bicarbonate SDS; -1.24 [0.43] SD vs 0.55 [0.27] SD). CONCLUSIONS: Serum bicarbonate concentrations are lower in patients with GHD than in patients with short stature as a result of other causes. In addition, serum bicarbonate concentrations rise with GH treatment in patients with GHD. The probability of GHD is increased for patients with bicarbonate SDS =-1 SD and decreased for patients with bicarbonate SDS >1 SD. These findings indicate a role for GH in maintaining normal acid-base homeostasis and suggest that GHD should be considered in children whose growth failure is attributed to other causes of acidosis. 相似文献