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Introduction and objective
Gestational weight gain (GWG) has been reported to be associated with pregnancy outcomes. The aim of this study was to evaluate the effects of GWG on maternal and birth complications.Materials and methods
A prospective and longitudinal cohort study was conducted among pregnant women who had attended antenatal centers in Constantine, Algeria, between 2013 and 2015. Two hundred pregnant women aged 19 to 41 years old were followed for 9 months of pregnancy. They underwent body weight measurement during routine examination at first, second and third trimester. GWG was categorized as below, within or above the Institute of Medicine (IOM) (2009) recommendations. Data included age and parity. Pregnancy outcomes were analyzed in relation to GWG.Results
Mean GWG was 8.9 ± 5.4 kg. Among all subjects, only 27.5% of women had gained the recommended amount of weight, with 48.5% gaining less than recommended, and 24.0% gaining more than recommended by the IOM. High birth weight was significantly more frequent in women with excessive weight gain, compared to those with normal gain (27.1% vs 14.5%, P = 0.04). The percentage of low birth infants was statistically very high in pregnant women with excessive weight gain, compared to women with normal gain (14.6% vs 3.6%, P = 0.04). The risk of gestational hypertension increased with excessive GWG (P < 0.01).Conclusion
The pregnancy and birth outcomes depend on the women's gestational weight gain. 相似文献4.
Jennifer K. Logan Soroush Rais‐Bahrami Baris Turkbey Andrew Gomella Hayet Amalou Peter L. Choyke Bradford J. Wood Peter A. Pinto 《BJU international》2014,114(5):641-652
Prostate MRI is currently the best diagnostic imaging method for detecting PCa. Magnetic resonance imaging (MRI)/ultrasonography (US) fusion allows the sensitivity and specificity of MRI to be combined with the real‐time capabilities of transrectal ultrasonography (TRUS). Multiple approaches and techniques exist for MRI/US fusion and include direct ‘in bore’ MRI biopsies, cognitive fusion, and MRI/US fusion via software‐based image coregistration platforms. 相似文献
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Alain Créange Nortina Shahrizaila Hayet Salhi Jean‐Pascal Lefaucheur Nobuhiro Yuki 《Journal of the peripheral nervous system : JPNS》2014,19(2):115-120
A close relationship between acute motor conduction block neuropathy and antibodies against the complex of GM1 and GalNAc‐GD1a has been reported. This study investigates the hypothesis that conduction block at the early phase of axonal Guillain‐Barré syndrome (GBS) is also associated with such ganglioside complexes. Sera were obtained from seven French patients with initial evidence of isolated conduction blocks that resolved or progressed to acute motor axonal neuropathy. Serum IgG to asialo‐GM1 and gangliosides of LM1, GM1, GM1b, GD1a, GalNAc‐GD1a, GD1b, GT1a, GT1b, and GQ1b as well as their complexes were measured. Five of seven patients progressed within the first month of disease to AMAN. One patient had IgG antibodies against the complex of asialo‐GM1 and each of the other ganglioside antigens. Another patient carried IgG antibodies against GM1 complex with GM1b, GD1a, and GT1a as well as asialo‐GM1 complex with GD1a and GT1a. None had IgG antibodies against GM1/GalNAc‐GD1a complex. Six patients had IgG against single antigens GM1, GD1a, GalNAc‐GD1a, GD1b, and asialo‐GM1. In three patients, a reduced reaction against GM1/GalNAc‐GD1a complex was observed. The presence of conduction block in axonal GBS is not always associated with anti‐GM1/GalNAc‐GD1a complex antibodies. 相似文献
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Ines Drira Ines Hadrich Sourour Neji Nedia Mahfouth Houaida Trabelsi Hayet Sellami Fattouma Makni Ali Ayadi 《Journal of clinical microbiology》2014,52(9):3290-3296
Trichophyton
interdigitale is the second most frequent cause of superficial fungal infections of various parts of the human body. Studying the population structure and genotype differentiation of T. interdigitale strains may lead to significant improvements in clinical practice. The present study aimed to develop and select suitable variable-number tandem-repeat (VNTR) markers for 92 clinical strains of T. interdigitale. On the basis of an analysis of four VNTR markers, four to eight distinct alleles were detected for each marker. The marker with the highest discriminatory power had eight alleles and a D value of 0.802. The combination of all four markers yielded a D value of 0.969 with 29 distinct multilocus genotypes. VNTR typing revealed the genetic diversity of the strains, identifying three populations according to their colonization sites. A correlation between phenotypic characteristics and multilocus genotypes was observed. Seven patients harbored T. interdigitale strains with different genotypes. Typing of clinical T. interdigitale samples by VNTR markers displayed excellent discriminatory power and 100% reproducibility. 相似文献
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J.C. Leclere R. Marianowski P.J. Monteyrol M. Akkari F. Chalumeau P. Fayoux N. Leboulanger P. Franco V. Couloigner M. Mondain 《European annals of otorhinolaryngology, head and neck diseases》2019,136(4):301-305
ObjectivesTo present the 2017 Clinical Practice Guidelines of the French Society of Otorhinolaryngology concerning the role of the ENT specialist in the diagnosis of pediatric obstructive sleep apnea-hypopnea syndrome. This article focuses specifically on medical history and physical examination.MethodsA multidisciplinary work-group drew up a first version of the guidelines, graded according to level of evidence following the GRADE grading system. The final version was obtained by including the suggestions and comments from the editorial group.ResultsAt the end of the process, guidelines were established and graded regarding the following points: interview and analysis of the various interview scores recommended in the literature; clinical examination with awake upper-airway endoscopy; and indications for referral to non-ENT specialists. 相似文献
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We reported the result of a prospective study concerning the use of Tramadol for postoperative analgesia in children. Seventy-two children 1 to 6 year's old were enrolled. Tramadol was given at a dose of 1 mg/kg for 30 minutes and Oral regimen started 4 hours after at a dose of 0.5 mg/kg/6 hours for 24 hours in 40 child. Only one dose of Tramad?l, 2 Mg/kg, was used in other 32 children. We assessed every 3 hours: pain scale (CHEOPS), respiratory rate, and cardiac rate, blood pressure and sedation scale. We obtained satisfactory analgesia in 70% of children since the first hour postoperatively with 2 mg/kg Tramadol and in 60% of them who received 1 mg/kg. In the first group, analgesia had lasted for 24 hours in 62.5% of children and in 80% of children with oral Tramadol. The main side effect was vomiting as reported in 25% of children especially after intravenous Tramadol and mild sedation in 34% of them. Tramadol is a safe and efficient analgesic molecule in children. 相似文献
10.
Bullous pemphigoid in children. Report of three cases 总被引:1,自引:0,他引:1
Ben Jazia H Fenniche S Marrak H Ben Jennet S Zghal M Ben Ammar F Mokhtar I 《La Tunisie médicale》2002,80(11):722-724
Bullous pemphigo?d (BP) is an acquired immunobullous disease that usually affects adults and rarely children. About 60 cases of infant PB have been reported. Diagnosis is based on immunofluorescence investigations. Clinical, histological and immunopathological findings in childhood PB appear to be not different from the adult. Nevertheless, oral mucosal and palm and sole lesions seem to occur more frequently. We report 3 cases of children BP in one girl and 2 boys, aged respectively of 7.2 and 3 years. Palm and sole were affected in 1 case, and no oral mucosal lesion was noted. Recovery was reached in all cases under dapsone. Characteristics of BP in children are discussed with comparison to literature data. 相似文献