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Ferric carboxymaltose for anemia in Crohn’s disease patients at a tertiary center:A retrospective observational cohort study

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World journal of Clinical Cases 2023年第12期11卷 2740-2752页

作者： Natália Souza Nunes Siqueira Livia Bitencourt Pascoal Bruno Lima Rodrigues Marina Moreira de Castro Alan Sidnei Corrêa Martins dante orsetti silva araújo Luis Eduardo Miani Gomes Michel Gardere Camargo Maria de Lourdes Setsuko Ayrizono Raquel Franco Leal Inflammatory Bowel Disease Research Laboratory GastrocenterColorectal Surgery UnitSchool of Medical SciencesUniversity of Campinas(Unicamp)Campinas 13083-878São PauloBrazil

BACKGROUND Although the gastrointestinal tract is the most affected by Crohn’s disease(CD),the condition triggers other consequent manifestations,and iron deficiency anemia(IDA)is one of the most ***(IV)iron replacement is currently available through several drugs,such as ferric hydroxide sucrose and ferric carboxymaltose(FCM).However,the clinical management of these conditions can be *** To elucidate the drug’s effectiveness,the present study analyzed,through medical records,the clinical and epidemiological data of a cohort of patients with active CD who received IV FCM for the IDA *** This retrospective observational study included 25 patients with active CD,severe anemia,and refractory to previous conventional *** were evaluated two times:During the last treatment with ferric hydroxide sucrose and treatment with *** After treatment with FCM,parameters of IDA assessment significantly improved,serum hemoglobin(Hb)levels increased in 93%of patients(P<0.0001),and in 44%,there was an increase of≥2 g/dL in a single *** addition,86%of the patients showed an increase in serum iron(P<0.0001)and ferritin(P=0.0008)and 50%in transferrin saturation(P=0.01).The serum iron levels at baseline showed a negative association with the ileal and colonic CD and use of biologics and a positive association with patients who developed CD later in life after the age of 40(A3)and with a stenosing(B2)and fistulizing(B3)*** values of Hb and hematocrit after ferric hydroxide sucrose treatment remained similar to those found before *** This study demonstrated that FCM is an important therapeutic strategy for treating IDA in CD patients,achieving satisfactory results in refractory cases.

关键词： Ferric carboxymaltose Iron deficiency anemia Crohn’s disease Inflammatory bowel disease Anemia Clinical management

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Exposure to Fine Particles by Mine Tailing and Lung Function Effects in a Panel of Schoolchildren,Chanaral,Chile

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journal of Environmental Protection 2015年第2期6卷 118-128页

作者： Karla Yohannessen Vasquez Sergio Alvarado Orellana Stephanie Mesias Monsalve jose Klarian Vergara Claudio silva Zamora Daniella Vidal Munoz dante D.Caceres Lillo Programa de Salud Ambiental Escuela de Salud PublicaFacultad de MedicinaUniversidad de ChileSantiago de ChileChile Grups de Recerca d’America i AfricaLlatines Unitat de BioestadisticaFacultat de MedicinaUniversitat Autonoma de BarcelonaBarcelonaEspana Facultad de Ciencias de la Salud Universidad de TarapacaAricaChile Departamento de Prevencion de Riesgos y Medio Ambiente Universidad Tecnologica MetropolitanaSantiagoChile

There is much literature on the effects of fine particulate matter (PM2.5) on respiratory and cardiovascular health. However, few studies have evaluated the impact of PM2.5 on a population living in the vicinity of a massive deposit of mine tailings. A longitudinal panel study was performed to evaluate the association between exposure to PM2.5 and acute effects on lung function in schoolchildren from November 2012 to May 2013. Ambient levels of PM2.5 and its metal composition were measured. Lung function was evaluated using spirometric testing. Associations were quantified using GEE multilevel analysis controlling for confounders by using different lag time periods. The chemical characterization of PM2.5 had high levels of S > Na > Cl > Ca > Si > Fe > Al > Mg > K > Cu > Ti > and Zn, which would be associated with metals present in tailings. We found a negative association between the temporal variation of PM2.5 and changes in lung function specifically on forced vital capacity. Our results suggest that schoolchildren exposed to fine particulate matter from tailings deposited in the bay of Chanaral have their forced vital capacity decreased, which would affect their present and future lung development, increasing the risk of developing chronic respiratory diseases.

关键词： Mine Tailings Fine Particulate Matter Heavy Metals Lung Function Schoolchildren

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Approach by Health Professionals to the Side Effects of Antihypertensive Therapy： Strategies for Improvement of Adherence

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journal of Pharmacy and Pharmacology 2018年第4期6卷 340-349页

作者： Grazia Maria Guerra Heno Ferreira Lopes ELizangela Oliveira Freitast Fernanda Marciano Consolim-Colombo Patricia silva Lessa4, dante Marcelo Artigas Giorgi Luiz Aparecido Bortolloto Eduardo Moacyr Krieger Hypertension Unit Heart Institute of Hospital Clinical (InCor-HC FMUSP) School of Medicine University of Sao Paulo Sao Paulo 05403-000 SP Brazil Sao Camilo University Centers Sao Paulo 05022-000 SP Brazil Institute of Cancer of Sao Paulo State Sao Paulo 01246-000 SP Brazil Department of Electronics and Systems (DES-UFPE) Federal University of Pernambuco Recife 50670-901 PE Brazil

The aim was to determine whether complaints about side effects made by stage Ill hypertensive patients undergoing antihypertensive therapy lead to adequate blood pressure control. Forty-eight patients were monitored by a nurse every 15 days over the course of 180 days. At baseline, both groups presented similar SBP （systolic blood pressure）（GA, 196 （5）） mm Hg and GB, 189 （6） mm Hg） and DBP （diastolic blood pressure）（GA, 122 （3） mm Hg and GB, 121 （4） mm Hg）. On day 165, after a progressive decline in blood pressure levels, the two groups differed significantly from each other regarding SBP （GA, -16.9 （24） mm Hg and GB, -40.8 （31） mm Hg）. At the final follow-up, the patients were allocated to two groups： without complaints （GA） and with （GB） complaints about side effects. Complaining about side effects was a decisive factor for immediate nursing intervention and improved control over BP.

关键词： Nursing hypertension patient adherence side effect ambulatory blood pressure monitoring.

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