Current Issue : July - September Volume : 2020 Issue Number : 3 Articles : 6 Articles
Introduction: Venous thromboembolic disease (VTE) is a real public health\nproblem worldwide. The practice guide produced periodically by the American\nCollege of Chest Physicians (ACCP) has become the international standard.\nHowever, thromboprophylaxis remains underused. Methodology: We\ncarried out a descriptive cross-sectional study. The goals of that study were to\nevaluate the effectiveness of the practice of thromboprophylaxis in the various\nmedical services of the Dakar Public Hospitals. Our investigation was conducted\nfor two weeks in September 2017. Results: 160 patients were included\n(81 men and 79 women) in our series, with male predominance: sex ratio of\n1.02. The average age was 48. Infectious pathologies were the predominant\nclinical pictures (35% of cases). The thromboembolic risk factors (RF) mainly\nfound were represented by prolonged bed rest, followed by cardiovascular\n(RF): age greater than 60 years (31.2%), hypertension (8.8%), obesity (4.4%)\nand diabetes (3.8%). The thromboembolic RF of patients hospitalized in these\nmedical services has been evaluated empirically. We noted a lack of use of the\nVTE risk assessment scores. 40.9% (n = 56) of patients received overall VTE\nprophylaxis, a rate corresponding to almost half of those at risk (51.4%). This\nresult reflects an under-use of thromboprophylaxis in the Dakar medical environment\nand a low level of adherence by practicians to the guidelines on\nVTE prophylaxis. Conclusion: It is therefore recommended to develop a\nnational strategy to assess patients at risk for VTE, as well as measures to\neducate and inform doctors about the appropriate forms of thromboprophylaxis....
Background: Antibiotics are not indicated for treating acute bronchitis cases, yet up to 70% of adult acute\nbronchitis medical visits in the USA result in an antibiotic prescription. Reducing unnecessary antibiotic prescribing\nfor acute bronchitis is a key antibiotic stewardship goal set forth by the Centers for Disease Control and Prevention.\nUnderstanding what factors influence prescribing for bronchitis cases can inform antimicrobial stewardship\ninitiatives. The goal of this study was to identify factors associated with antibiotic prescribing at a high-volume\nstudent health center at a large US university. The Pennsylvania State University Health Services offers on-campus\nmedical care to a population of over 40,000 students and receives over 50,000 visits every year.\nMethods: We conducted a retrospective chart review of acute bronchitis visits for the 2015â??2016 academic year\nand used a multivariate logistic regression analysis to identify variables associated with antibiotic prescribing....
Objective: The aim of this study was to investigate the effect of Lipoprotein-a\n[Lp(a)] on Coronary Revascularizaton (CR) on one year follow up in patients\nwith Acute Coronary Syndrome (ACS) after the first Percutaneous Coronary\nIntervention (PCI). Method: A retrospective study was designed. A total of\n475 patients that underwent their first PCI treatment due to ACS between\nJanuary 2016 and December 2017 were recruited and followed for one year at\nthe Zhongda Hospital, China. The clinical end point after first PCI was prevalence\nof Major Adverse Cardiovascular Events (MACE) including nonfatal\nMyocardial Infarction (MI), cardiovascular death, ischemic stroke and Coronary\nRevascularization (CR). According to the cut point of Lp(a), participants\nwere divided into low Lp(a) subgroup (Lp(a) < 300 mg/L) and high Lp(a)........................
with concurrent pulmonary manifestations and later disability. Aim of Work:\nTo evaluate the level of exhaled fraction of nitric oxide (FENO) and fraction\nof exhaled carbon monoxide (FECO) as markers of pulmonary tuberculosis\nTB activity in patients under chemotherapy in comparison to healthy negative\npatients and latent TB patients. Patients and Methods: This cross-sectional\nstudy was conducted on 130 patients recruited from the outpatient clinic of\nMansoura Chest hospital during the period from May 2019 to December 2019.\nThey were categorized into the three groups: 1) Pulmonary tuberculous patients\nPTB (group1) which included 48 cases with positive sputum for TB\nbacilli in the initiation phase after 1 month of starting anti-tuberculous chemotherapy;\n2) Latent patients (group 2): included 40 patients with positive tuberculin\nskin test (Mantoux test) > 10 mm. 3) Control patients (group 3)\nwhich included 42 healthy volunteers with negative sputum for TB bacilli.\nThey were subjected to portable spirogram as well as exhaled fractional NO\nand CO measurement. Results: FECO and FENO levels prevailed in pulmonary\nTB patients followed by Latent TB patients and lastly healthy volunteers.....................
We report four observations of myasthenia gravis associated with other autoimmune\ndiseases. Myasthenia gravis can be associated with all autoimmune\ndiseases with a predominance of dysthyroidism. Among the autoimmune\ndiseases associated with myasthenia gravis in our series, there were associations\nwith hyperthyroidism, sjogren syndrome, Biermerâ??s disease. You would\nhave to know how to look for another autoimmune disease in front of all\nmyasthenia gravis by looking for the slightest sign of appeal that could point\nyou towards another pathology....
Inadvertent injury to interposing organs during percutaneous endoscopic gastrostomy (PEG) tube placement is a feared\ncomplication of this common and generally safe procedure. Transhepatic PEG insertion is likely an underrepresented complication\nwhich may be identified incidentally on imaging or present with life-threatening conditions such as sepsis or massive\nbleeding. Use of ultrasound in patients with known hepatomegaly may possibly help avoid this complication. We hereby report a\ncase of transhepatic PEG insertion, one of 16 only other cases published in the literature, and review the characteristics of the\nprevious reported cases....
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