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Vega Jovani Estíbaliz Loza M. Jesús García de Yébenes Miguel Ángel Descalzo Juan Manuel Barrio Loreto Carmona César Hernández-García 《Reumatología clinica》2012,8(3):114-119
ObjectiveOur objective was to describe the variability in the management of spondyloarthritis (SA) in Spain in terms of healthcare resources and their use.MethodsA review of 1168 medical files of patients seen in randomly selected Spanish hospital rheumatology departments. We analyzed demographic variables and variables related to the consumption of health resources.ResultsThe total number of visits to rheumatology were 5,908 with a rate of 254 visits/100 patient-years. The total number of visits to rheumatology specialty nurses was 775, with a rate of 39 visits/100 patient-years, and there were 446 hospitalizations, representing a rate of 22 per 100 patient-years. The number of admissions due to SA was 89, with a rate of 18 admissions/100 patient-years. Total visits to other specialists was 4,307 with a rate of 200/100 patient-years. The total number of orthopedic surgeries was 41, which leads to a rate of 1.8 surgeries/100 patient-years.ConclusionsThe data regarding visits to the rheumatologist and prosthetic surgery of patients with in Spain is similar to most studies published in our environment, however, other aspects concerning the use of health resources are different compared to other countries. This data may help to understand and improve organizational aspects of management of SA in Spanish hospitals. 相似文献
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Baos R Jovani R Forero MG Tella JL Gómez G Jiménez B González MJ Hiraldo F 《Environmental toxicology and chemistry / SETAC》2006,25(4):1153-1159
In the Aznalcóllar mining accident (April 1998), nearly six million cubic meters of toxic wastes were spilled in the surroundings of the Do?ana National Park (southwestern Spain). The present study focused on the likely effects of metal pollution on the immune system of nestling white storks (Ciconia ciconia) and black kites (Milvus migrans) sampled in the nearby area. Using the phytohaemagglutinin skin test, we examined cell-mediated immune response (CMI) in relation to Pb, Zn, Cu, Cd, and As concentrations in blood of 281 nestling white storks and of 89 black kites. The former species was monitored along a four-year period (1999, 2001-2003), while black kites were sampled in 1999. Overall, average levels of heavy metals and As were relatively low when compared to those reported for birds in metal-polluted areas. Copper showed a negative effect on CMI in both species, although the relationship was significant only for white storks in 2002. We found no evidence that environmental exposure to Pb, Zn, As, and Cd had any effect on nestlings' CMI. Interannual consistency is revealed as an important factor, supporting the need of long-term studies when assessing the immunotoxic effects of metal exposure in the wild. 相似文献
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Soso AB Barcellos LJ Ranzani-Paiva MJ Kreutz LC Quevedo RM Anziliero D Lima M Silva LB Ritter F Bedin AC Finco JA 《Environmental toxicology and pharmacology》2007,23(3):308-313
This work was carried out to verify the effect of a glyphosate-based herbicide on Jundiá hormones (cortisol, 17β-estradiol and testosterone), oocyte and swim-up fry production. Earthen ponds containing Jundiá females were contaminated with glyphosate (3.6 mg/L); blood samples were collected from eight females from each treatment immediately before, or at 1, 10, 20, 30 and 40 days following contamination. A typical post-stress rise in cortisol levels was observed at the 20th and 40th days following exposure to glyphosate. At the 40th day, 17β-estradiol was decreased in the exposed females. A similar number of oocytes were stripped out from females from both groups; however, a lower number of viable swim-up fry were obtained from the herbicide exposed females, which also had a higher liver-somatic index (LSI). The results indicate that the presence of glyphosate in water was deleterious to Rhamdia quelen reproduction, altering steroid profiles and egg viability. 相似文献
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Ludmil Marinov Veltchev Manol Anastasov Kalniev 《Hepatobiliary & Pancreatic Diseases International》2009,(5)
BACKGROUND:Retroperitoneal abscess is a dangerous complication of the inflammatory process in organs. The pancreas reacts by enzymatic autodigestion and inflammation to external and internal factors:alcohol abuse,trauma,biliary stones,and viral infections. Chronic pancreatitis and formation of pseudocysts are late complications.The diffuse spread of pancreatic inflammation may form a retroperitoneal phlegmon.A better outcome is the limitation of the process by capsule formation-retroperitoneal abscess. METH... 相似文献
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G Pavlovi? P Jovani? 《Vojnosanitetski pregled. Military-medical and pharmaceutical review》1992,49(3):211-216
The quantitative EDAX analysis of zinc contents was performed in the dentin samples of markedly different morphology after the use of ZOE paste in various time intervals. EDAX analysis has shown that samples of the ground dentin have high zinc content. The mean value of zinc content was 5.42% ten days after the use of ZOE paste and 19.16% after 30 days. Zinc content in samples of the polished dentin determined by EDAX analysis was significantly lower compared to that of the ground dentin. The presence of paste was not found on samples of the polished dentin ten days after the use of ZOE paste while after a 30-day treatment zinc content was only 1.29%. 相似文献
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Cesare Hassan Marco Spadaccini Andrea Iannone Roberta Maselli Manol Jovani Viveksandeep Thoguluva Chandrasekar Giulio Antonelli Honggang Yu Miguel Areia Mario Dinis-Ribeiro Pradeep Bhandari Prateek Sharma Douglas K. Rex Thomas Rösch Michael Wallace Alessandro Repici 《Gastrointestinal endoscopy》2021,93(1):77-85.e6
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Fatal pulmonary scedosporiosis 总被引:1,自引:0,他引:1
Horré R Jovanić B Marklein G Schumacher G Friedrichs N Neuhaus T de Hoog GS Becker WH Choi SM Schaal KP 《Mycoses》2003,46(9-10):418-421
We report on a case of scedosporiosis in a 72-year-old German woman. Her disease started with a purulent ulceration of unknown course at her left foot. Soon after onset of oral antibacterial therapy she needed in-hospital treatment because of an acute pneumonia. The infection progressed despite the application of different antibiotics. Microscopic examination of tracheal fluid revealed fungal hyphae and therefore treatment with itraconazole was initiated. However, the patient developed renal failure, required mechanical ventilation and finally died in treatment-resistant septic shock. Post-mortem Scedosporium apiospermum was cultured from lung tissue taken during autopsy. This is the fourth case of human infection caused by Scedosporium species diagnosed in our laboratory during the last 4 years. 相似文献
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Jovani R Amo L Arriero E Krone O Marzal A Shurulinkov P Tomás G Sol D Hagen J López P Martín J Navarro C Torres J 《Parasitology research》2004,94(2):155-157
The simultaneous occurrence of male and female gametocytes inside a single host blood cell has been suggested to enhance apicomplexan transmission [double gametocyte infection (DGI) hypothesis]. We did a bibliographic search and a direct screen of blood smears from wild birds and reptiles to answer, for the first time, how common are these infections in the wild. Taking these two approaches together, we report here cases of DGIs in Plasmodium, Haemoproteus, Leucocytozoon and Hepatozoon, and cases of male–female DGIs in Haemoproteus of birds and reptiles and in Leucocytozoon of birds. Thus, we suggest that DGIs and male–female DGIs are more widespread than previously thought, opening a new research avenue on apicomplexan transmission. 相似文献