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1.
Ann. afr. méd. (En ligne) ; 16(4): 5333-5343, 2023. figures, tables
Article in French | AIM | ID: biblio-1512508

ABSTRACT

La mort fœtale tardive fait référence à la mort in utéro (MIU) de survenue spontanée à partir de 22 semaines d'aménorrhée (SA), mais avant tout début du travail d'accouchement, ce qui constitue une tragédie pour la mère, les membres de la famille et du personnel soignant. La présente étude a déterminé l'ampleur, les facteurs associés et les méthodes de déclenchement artificiel du travail d'accouchement sur MIU. Méthodes : Il s'est agi d'une étude transversale descriptive, multicentrique menée dans 3 hôpitaux de Kisangani, pendant une période de 3 ans. La collecte des données était rétrospective, des cas de MIU à partir de 28 SA. Résultats : La fréquence de MIU tardive était de 6,48%. Les principaux facteurs associés étaient l'infection urinaire (35,4%), le paludisme sur grossesse (27,5%) et l'hypertension artérielle gravidique (27,5%). Le taux de participation aux consultations prénatales (CPN) n'était que de 63,5 %. Les méthodes de déclenchement artificiel du travail d'accouchement utilisées étaient le Misoprostol (42,7%), l'ocytocine (17,7%) soit les deux combinées (25%). La césarienne était indiquée à un taux de 26,4%. Conclusion : la fréquence de MIU tardive est élevée à Kisangani. L'infection urinaire, le paludisme et l'hypertension artérielle en constituaient les principaux facteurs associés. Le Misoprostol était la méthode de déclenchement du travail les plus utilisées. Un suivi régulier des CPN pourrait réduire le taux de MIU.


Subject(s)
Cesarean Section , Fetal Mortality , Cross-Sectional Studies , Risk Factors , Hypertension , Malaria , Mothers
2.
Ann. afr. méd. (En ligne) ; 16(4): 5382-5391, 2023. tables, figures
Article in French | AIM | ID: biblio-1512529

ABSTRACT

Le fardeau du sepsis utilisant le Pediatric Sequential Organ Failure Assessment (pSOFA) en Afrique subsaharienne n'est pas connu. L'objectif de la présente étude était de déterminer la fréquence du sepsis appliquant le score pSOFA chez les enfants. Méthodes. C'était une série des cas incluant les enfants âgés entre 1 et 15 ans, préalablement suspectés de sepsis au moyen des critères SIRS, en utilisant le score pSOFA (≥ 2), au service des urgences pédiatriques de l'hôpital Saint Joseph / Kinshasa. Résultats. Nonante deux enfants ont été examinés. Le sexe masculin était prépondérant (53,3 %). Leur âge médian était de 4,5 ans. Les signes cliniques à l'admission étaient marqués par la fièvre (97,8 %) et l'asthénie physique (60,8 %). La mise en évidence du sepsis pSOFA a montré que 39,1% des patients avaient sepsis alors que 60,9 % étaient diagnostiqués à tort (pSOFA < 2). La fréquence de sepsis selon pSOFA était de 7,2 % sur l'ensemble d'admission. Conclusion. Le score pSOFA a permis de diagnostiquer le sepsis seulement chez un enfant sur quatre par rapport au score de SIRS qui a tendance à le surestimer.


Subject(s)
Humans , Behavior Therapy , Child , Child Health , Sepsis
3.
Rev. Ciênc. Méd. Biol. (Impr.) ; 17(1): 9-15, jul.17,2018. tab
Article in Portuguese | LILACS | ID: biblio-909608

ABSTRACT

Introdução: a esclerose múltipla é uma doença que afeta preferencialmente o sistema nervoso central de mulheres jovens, causandolhes graus variáveis de incapacidades física e cognitiva. Etiologicamente associa fatores ambientais, biológicos, sócio-econômicos e genéticos, como por exemplo genes do MHC classe II, especialmente os alelos HLA-DRB1*. Objetivo: determinar a frequência dos alelos HLA DRB1* em portadores de esclerose múltipla atendidos no centro de referência do C.H.U.P.E.S, UFBA, no período de outubro de 2014 a abril de 2015 e associá-las a variáveis clínico-demográficas. Metodologia: estudo do tipo caso-controle, aprovado pelo comitê de ética da Faculdade de medicina da Universidade Federal da Bahia (CAAE: 3517134.0.0000.5577), que envolveu uma amostra de conveniência composta por 97 indivíduos, cujos dados clínico-demográficos foram coletados através de questionário desenvolvido para a pesquisa. A genotipagem dos alelos HLA-DRB1* foi realizada através da técnica HLA-DR SSO GenotypingTest. Resultados: a análise quantitativa revelou perfil genotípico do tipo HLA-DRB1*15 (20,5%), em mulheres (83,0%), das raças/etnias negra ou parda (75,0%), com faixa etária entre 30 e 39 anos (28,0%). Houve predomínio da forma clínica surtoremissiva da doença (76,0%), dentre os doentes com idade mais avançada (55,0%), sem permanência de sequela clínica (70,0%) e que usavam algum tipo de Interferon (58,0%). A análise qualitativa indicou maiores frequências, na forma progressiva de esclerose múltipla dos grupos alélicos HLA-DRB1*12 (22,0%), e dos alelos HLA-DRB1*13 (12,6%)e HLA-DRB1*15 (22,0%) naqueles indivíduos com a forma surtoremissiva. Negros e pardos demonstraram maior prevalência do alelo HLA-DRB1*15 (24,0%), enquanto que nos brancos houve maior prevalência do alelo HLA-DRB1*07 (20,0%). Conclusão: forte associação entre as frequências alélicas, esclerose múltipla e as variáveis raça/etnia e forma clínica da doença.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Genetic Predisposition to Disease/genetics , Alleles , HLA-DRB1 Chains/genetics , Multiple Sclerosis/genetics , Case-Control Studies
4.
Belo Horizonte; s.n; 2017. 77 p.
Thesis in Portuguese | LILACS, BBO | ID: biblio-906835

ABSTRACT

As pesquisas clínicas na área da implantodontia apresentam uma grande dificuldade em relação à avaliação da osseointegração e estabilidade dos implantes. Dessa forma, a análise de frequência de ressonância (AFR) têm se tornado uma das principais ferramentas utilizadas, já que oferece, de forma simples e não invasiva, a possibilidade de se monitorar a estabilidade durante todo o período desejado. Outra medida também bastante usada na prática clínica é o torque de inserção dos implantes. No entanto, essa medida é limitada ao trans-cirúrgico e nos fornece unicamente a estabilidade primária dos implantes, o que a torna mais indicada para avaliação da possibilidade de se submeter à carga imediata. Este estudo apresenta como objetivos avaliar, por meio de um estudo transversal, se os valores do coeficiente de estabilidade do implante (ISQ) são similares em diferentes alturas do componente protético e diretamente na plataforma, quando mensurados por meio da AFR e avaliar por meio de uma revisão sistemática e meta-análise a relação entre o torque de inserção e a AFR, investigando se estes dois instrumentos fornecem avaliações similares da estabilidade primária de em um mesmo implante. Para tal, foi realizado um estudo transversal em 31 implantes osseointegrados com plataforma de hexágono externo, com 4.1 mm de diâmetro e comprimento maior ou igual a 10mm e uma revisão sistemática com ensaios clínicos que reportassem valores de ISQ e torque de inserção. Assim, nossos estudos recomendam que explorar e desenvolver a AFR como método de avaliação da estabilidade implantar deve ser uma busca ainda necessária das pesquisas científicas para melhor compreensão do comportamento dos implantes dentários, nos seus diversos momentos e situações na cavidade oral, bem como determinar um bom nível de estabilidade que consequentemente determinaria uma maior longevidade e funcionalidade dos implantes dentários


Clinical research in the implantology presents a great difficulty regarding the evaluation of the osseointegration and stability of the implants. Thus, resonance frequency analysis (RFA) has become one of the main tools used, since it offers, in a simple and non-invasive way, the possibility of monitoring the stabiblity during the desired period. Another measure also widely used in clinical practice is the insertion torque of the implants. However, this measureis limited to the transsurgical and provides only the primary stability of the implants, which makes it more suitable for evaluation the possibility of undergoing immediate loading. This study aims to evaluate, through a cross-sectional study, whether implant stability coefficient (ISQ) values are similar at different heights...


Subject(s)
Humans , Male , Female , Dental Implantation, Endosseous/statistics & numerical data , Dental Implants/trends , Resonance Frequency Analysis/statistics & numerical data , Cross-Sectional Studies/statistics & numerical data , Dental Prosthesis Retention/statistics & numerical data , Torque
5.
Chinese Journal of Applied Clinical Pediatrics ; (24): 295-298, 2014.
Article in Chinese | WPRIM | ID: wpr-733304

ABSTRACT

Objective To study the non-fermenter isolation rate and its drug resistance to more than 10 kinds of antibiotics at the First Affiliated Hospital to Xinxiang Medical University from the year of 2010 to 2012 in order to offer evidences for reasonable use of drugs by doctors and to prevent nonfermenters from becoming common pathogenic bacteria.Methods The infection and drug resistance of different Nonfermenters (Pseudomonas aeruginosa,Acinetobacter baumannii,Pseudomon as mahophilia,Los non Acinetobacter,Pseudomonas stutzeri,Achromobacter,Bacillus steady short,onions Bock cepacia,meningitis septicemia Elizabeth Kim bacteria)during present 3 years were analyzed by using WHONET 5.5 software.Results The infection rate from non-fermenters as pathogenic bacteria was gradually increased,with the rate from 18.2% to 27.2%,until 31.2% ; Acinetobacter Baumannii were isolated as higher infection rate and multiple drug resistance (7.1% to 18.5% until 28.7%) in pathogenic bacteria; the infection rate of other non-fermenter with infection rate of high and multiple drug resistance in pathogenic bacteria were gradually increased,such as infection rate or the precedence of Achromobacter xylosoxidans and Pseudomonas maltophilia,especially the precedence of Pseudomonas maltophilia ranged the third in non-fermenters,and Pseudomonas maltophiliai had a higher and multiple drug resistance to many antibiotics; infection rate of non-fermenters with low drug resistance gradually decreased,such as Pseudomonas fluorescens; the drug resistance rate of Acinetobacter Baumannii was higher than that of Pseudomonas aeruginosa and its drug resistance rate was over 50% to common antibiotics used clinically,as well as Pseudomonas maltophiliai and Empedobacter brevis,especially the resistance rate of Pseudomonas maltophiliai to many commonly used antibiotics was more than 90.0%.Conclusions Non-fermenter isolation rate is becoming higher clinically and its drug resistance becomes more severe,so the sanitation administration department should pay more attention to the use of antibiotics in order to prevent and control drug resistance and higher infection rate caused by non-fermenters as a serious consequence.

6.
The Journal of Clinical Anesthesiology ; (12): 663-665, 2014.
Article in Chinese | WPRIM | ID: wpr-453239

ABSTRACT

Objective To observe the clinical curative effect of thoracic dorsal root ganglion pulse radio frequency stimulation combined with pregabalin in treatment of postherpetic neuralgia (PHN).Methods Sixty-two PHN patients were randomly divided into the single drug group and combination group (n=31).The pre-and post-treatment VAS values and pittsburgh sleep quality in-dex (PSQI),decreased dosage of tramadol after treatment,adverse reaction during treatment,and long-term therapeutic effects were observed.Results VAS values,PSQI and tramadol dosage de-creased significantly post-treatment in both groups,especially in the combination group (P < 0.05). In addition,the incidence of dizziness,somnolence and ataxia was less,but puncture pain was more in combination group (P < 0.05 ).Long-term therapeutic effects of patients in the combination group were significantly improved.Conclusion Thoracic dorsal root ganglion pulsed radio frequence com-bined with pregabalin is effective in the treatment of PHN.

7.
Dados rev. ciênc. sociais ; 53(1): 159-194, 2010. ilus, graf, tab
Article in Portuguese | LILACS | ID: lil-562879

ABSTRACT

The aim of this article is to analyze how the São Paulo criminal justice system handles homicide cases reported through the State's police precincts (from 1991 to 1998) and the respective law enforcement and legal ramifications. The data were obtained from the Seade Foundation database. Using this information, the study showed that non-legal variables like color and age play a key role in understanding the system's rulings and sentences in murder cases.


Dans cet article, on examine le fonctionnement du système de justice pénale dans l'État de São Paulo avec pour base les homicides répertoriés dans les commissariats de police pendant la période 1991-1998, ainsi que leurs conséquences policières et judiciaires. On s'est servi des données fournies par le système d'information établi par la Fondation Seade. À partir de ces renseignements, on a pu voir que des variables extra-légales, comme la couleur de peau et l' âge, jouent un rôle primordial dans la compréhension de la production décisoire du système de justice pénale concernant le délit d'homicide.

8.
Odontol. clín.-cient ; 8(4): 315-318, out.-dez.2009. tab, graf
Article in Portuguese | LILACS, BBO | ID: lil-536675

ABSTRACT

Objetivo: Realizar um levantamento dos pinos intracanais utilizados nos procedimentos de reconstrução dentária, na Faculdade de Odontologia da Universidade Federal de Pelotas, e verificar sua relação com a técnica restauradora e localização no arco dentário. Metodologia: Os prontuários arquivados no Serviço de Triagem, no período entre 2005 e 2008, foram analisados quanto ao tipo de pino intracanal, técnica restauradora e localização no arco dentário. Os dados foram analisados estatisticamente (teste Qui-quadrado), considerando p < 0,05. Resultados: De um total de 5.566 registros, 192 (4,7%) procedimentos restauradores utilizaram os seguintes tipos de retontores: 107 (55.7%) metálicos fundidos, 38 (19,7%) fibra de vidro, 27 (14,1%) metálicos, 14 (7,2%) fibra de carbono e 6 (3,1%) fio de aço. Restaurações indiretas e diretas foram realizadas em 51% e 49% dos casos, respectivamente. Pinos metálicos fundidos foram mais associados a restaurações indiretas (p < 0,001). Considerando a sua localização na arcada, não houve diferença significativa entre os pinos utilizados na região anterior e posterior (p = 0,457).Conclusões: Durante o período de estudo, a maioria dos procedimentos de reconstrução dentária em dentes tratados endodonticamente foram realizados sem utilização de retentores intracanais. Porém, pinos metálicos fundidos foram mais frequentemente associados a coroas unitárias protéticas.


Purpose: To accomplish a rising of posts used in dental reconstruction procedures, at the School of Dentistry of Federal University of Pelotas, and verify it relationship with the restoring technique and location in the dental arch.Methods: The handbooks filed in the Service of Patient Selection, in the period understood between 2005 and 2008, it were appreised as for the post type, recovering technique and location in the dental arch. The data were submitted to the statistical analysis (test Qui-square), considering p<0,05. Results: From the total of 5.566 handbooks filed, 192 (4,7%) recovering procedures were accomplished using the following types of posts: 107 (55,7%) melted metallic, 38 (19,7%) glass fiber, 27 (14,1%) metallic, 14 (7,2%) carbon fiber and 6 (3,1%) posts of steel. Prosthetic crowns (indirects) and direct recovering were accomplished in 51% and 36,9% of the cases, respectively. Melted metallic posts were more associated to indirect restorations (p<0,001) . Considering the position of the tooth in the arcade, there was not statistic significant differences among the types of posts used in the anterior and posterior area (p=0,457). Conclusions: During the period of this study, the majority of recovering procedures of endodontically treated teeth was accomplished without the use of posts. However, melted metallic posts were more associated to indirect restorations.


Subject(s)
Dental Pins , Dental Restoration, Permanent , Dental Restoration, Temporary
9.
Chinese Journal of Nosocomiology ; (24)2004.
Article in Chinese | WPRIM | ID: wpr-594749

ABSTRACT

OBJECTIVE To analyze the pattern of antibiotic usage and antibiotic resistance tendency in our hospital.METHODS The use of antibiotics was evaluated by calculating DDDs;the bacteria were isolated and identified,and the susceptibility was tested by using microdilution method.Ten species of the most common bacteria,such as Staphylocccus aureus,and their antibiotic resistance tendency in two years were evaluated.RESULTS The average antibiotics days were 11.6 in two years.Ten species with 8967 strains were isolated in which 57.70% bacteria were Gram-negative.The rate of extended spectrum ?-lactamases(ESBLs) of Enterobacteriacae was 31.18%.42.3% Bacteria were Gram-positive,the isolation rate of MRSA was up to 76% and 56.8%,respectively.CONCLUSIONS The total cost of antibiotics remains at a high level.The ESBLs is still the major problem in gram negative germ.Vancomycin-resistant Enterococcus has been discovered.It is urgent to conduct epidemiological investigation and to take appropriate measures to control bacterial resistance and antibiotics usage.

10.
Chinese Journal of Rehabilitation Theory and Practice ; (12): 316-317, 2003.
Article in Chinese | WPRIM | ID: wpr-980635

ABSTRACT

@#ObjectiveTo explore the convenient and effective therapeutic methods for acute lumbar strain on the basis of classification and mechanism of acute lumbar strain.MethodsAcute lumbar strain was classified into post-lumbar joint disturbance type, post-lumbar joint embedded type, muscular strangulated type, muscular strain, sacroiliac joint malposition and mixed type.The repulsion reposition, orthodromic allocation, repulsion ilium and moving leg combioned with high electric frequence were chosen according to the patients' age and somatic condition.ResultsAfter 1-3 times curing, the symptom and appearance of the patients were obviously improved, even more recovery. In these 100 cases,52 patients were cured,39 patients were obviously improved, 9 patients were better than before, the rate of obvious effect was 91%.ConclusionsManipulation combined with high electrical frequence is a convenient, safe and effective method for acute lumbar strain.

11.
Chinese Journal of Blood Transfusion ; (12)2002.
Article in Chinese | WPRIM | ID: wpr-584214

ABSTRACT

Objective To study the Secretor gene (FUT2) molecular structure of Uighur population in Xinjiang area,China. Methods DNA was extracted from 40 Uygur unrelated donors' blood and sequence analysis of FUT2 genes was performed. Results Four mutations in the FUT2 genes of Uighur donors have been identified. The frequencies of mutations were 71.25% for 357T, 28.75% for 357C,77.50% for 385A,22.50% for 385T,70% for 428G,30% for 428A,72.50% for 739G and 27.50% for 739A. Conclusion Based on the characteristics of FUT2 gene structure of Xinjiang Uighur,it cauld be thought that there are some relationships between Xinjiang Uighur, Taiwanese of China and Caucasiany.

12.
Academic Journal of Second Military Medical University ; (12)1999.
Article in Chinese | WPRIM | ID: wpr-677602

ABSTRACT

1 kHz at least; For the cerebral infarction cases with carotid atheromatous plaque, the frequence plots for f max , f mode and f mean were separated throughout the cardiac cycle, f max in systole

13.
Journal of Interventional Radiology ; (12)1994.
Article in Chinese | WPRIM | ID: wpr-571251

ABSTRACT

Objective To evaluate radio frequency hyperthemia combined with intrahepatic arterial chemotherapy in the treatment of advanced liver cancer. Methods 50 cases of primary or secondary advanced liver concers were selected and treated with chemotherapeutic perfusion or chemoembolization via hepatic artery by the method of Seldinger, combining synergetically radio frequency heat therapy for achieving better efficacy. Results Clinical conditions in 18 of 509 cases were improved with ? fetoprotein returned to negative in 6 cases and decreased in 13 Ultrasound or CT demonstrated tumor shrinkage in 18 cases. Conclusions Radio frequency hyperthermia combined with interventional chemotherapy via hepatic artery is effective in the treatment of advanced liver cancer together with no obvious side effects.

14.
Journal of Kunming Medical University ; (12)1986.
Article in Chinese | WPRIM | ID: wpr-516275

ABSTRACT

We describe a modification of retrograde guided intubation. With the help of transcricothyroid high-frequence jet ventilation, we used the epidural catheter to pull and guide the tracheal tube down the larynx and trachea, The tests of blood gas of six patients were done at the time of preanaesthesia, intubation and ten minutes after intubation. PaO_2of preanaesthesia, intubation and ten minutes after intubation were 77.72?21.17mmHg; 207.4 ?96.24mmHg ( P

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