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Escherichia coli O157:H7 sepsis following fecal microbiota transplant in an IgA-deficient inflammatory bowel disease patient

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Gastroenterology Report 2022年第1期10卷 609-611页

作者： Landen S.Burstiner Jared Silver Logan J.Burstiner Arian Teymoorian kumar pallav Demarre Jones Anna Owings Sarah Glover Nova Southeastern University Dr.Kiran C.Patel College of Osteopathic Medicine DavieFLUSA Department of Gastroenterology University of Mississippi Medical CenterJacksonMSUSA Department of Medicine Division of RheumatologyImmunologyand AllergyBrigham and Women’s HospitalHarvard Medical SchoolBostonMAUSA Department of Medicine Memorial Healthcare SystemHollywoodFLUSA Department of Gastroenterology GI Associates&Endoscopy CenterFlowoodMSUSA

Introduction Clostridioides difficile infection(CDI)is a common gastrointestinal illness worldwide,with increased prevalence and worse outcomes in patients with inflammatory bowel disease(IBD)[1].Fecal microbiota transplant(FMT)is an effective treatment for recurrent CDIs(RCDIs)with minimal serious adverse events(SAEs)reported[2].While immunosuppressive medications increase susceptibility to infections,studies have shown that FMT does not increase SAE risk in immunocompromised patients(including IBD patients on immunosuppressive therapy)[3].

关键词： O157:H7 inflammatory patients

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Predictors of vitamin D deficiency in inflammatory bowel disease and health: A Mississippi perspective

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World Journal of Gastroenterology 2017年第4期23卷 638-645页

作者： kumar pallav Daniel Riche Warren L May Patrick Sanchez Nitin K Gupta Division of Digestive Diseases University of Mississippi Medical Center Department of Pharmacy Practice University of Mississippi Medical Center

AIM To identify the predictors of vitamin D deficiency in patients with and without inflammatory bowel disease(IBD).METHODS Patients with ulcerative colitis(UC) or Crohn's disease(CD) related diagnostic codes who received medical care at University of Mississippi Medical Center between July 2012 and 2015 were identified. After thorough chart review, we identified patients with biopsy proven IBD who had also been tested for serum 25-hydroxyvitamin D [25(OH)D] concentration. We compared these patients to a previously studied cohort of healthy controls who also had vitamin D concentration checked. Logistic regression analysis was performed to determine the association between vitamin d deficiency and UC, CD, race, age, gender and body mass index(BMI).RESULTS We identified 237 patients with confirmed IBD. Of these, only 211 had a serum 25(OH)D concentrations available in the medical record. The group of healthy controls consisted of 98 individuals with available serum 25(OH)D concentration. 43% of IBD patients were African American(AA). Patients with CD were more likely to have vitamin D concentration checked. Bivariate analysis showed that AA(51% vs 21%, P= 0.00001), subjects with BMI > 30 kg/m^2(39% vs 23% P = 0.01) and CD(40% vs 26%, P = 0.04) were more likely to be vitamin D deficient than vitamin D sufficient. Those with Age > 65 were more likely to be vitamin D sufficient(46% vs 15%, P = 0.04). Multiple regression showed that only BMI > 30 kg/m^2 and AA race are associated with vitamin D deficiency. CONCLUSION BMI > 30 kg/m^2 and AA race are predictive of vitamin D deficiency. Gender, age and diagnosis of IBD are not predictive of vitamin D deficiency.

关键词：维生素 D 缺乏煽动性的肠疾病身体集体索引 Ulcerative 大肠炎 Crohn’ s 疾病非洲的美国人

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Advances in treatment and prevention of hepatitis B

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World Journal of Gastrointestinal Pharmacology and Therapeutics 2021年第4期12卷 56-78页

作者： Niraj James Shah Mark M Aloysius Neil Rohit Sharma kumar pallav Department of Internal Medicine Digestive DiseaseUniversity of Mississippi Medical CenterJacksonMS 39216United States Department of Internal Medicine The Wright Center for Graduate Medical EducationScrantonPA 18505United States Department of Internal Medicine Interventional Oncology and Surgical EndoscopyParkview Regional Medical CenterParkview Cancer InstituteFort WayneIN 46845United States

Chronic hepatitis B(CHB)continues to contribute to worldwide morbidity and mortality ***,clinicians,pharmaceutical companies,and health organizations have dedicated substantial Intellectual and monetary resources to finding a cure,increasing immunization rates,and reducing the global burden of *** and international health-related organizations including the center for disease control,the national institute of health,the American Association for the study of liver disease(AASLD),The European association for the study of the Liver(EASL),The Asia Pacific association for the study of the Liver(APASL)and the world health organization release periodic recommendations for disease prevention and *** review of the most recent guidelines by EASL,AASLD,APASL,and Taiwan Association for the Study of the Liver revealed that an overwhelming majority of cited studies were published before *** reviewed Hepatitis B-related literature published 2018 onwards to identify recent developments and current barriers that will likely direct future efforts towards eradicating hepatitis *** breakthrough in our understanding of the hepatitis B virus life cycle and resulting drug development is encouraging with significant room for further *** from high-risk populations,most vulnerable to the devastating effects of hepatitis B infection and reactivation remain *** of systems approach,optimization of experimental models,identification and validation of next-generation biomarkers,and precise modulation of the human immune response will be critical for future *** the foreseeable future,new treatments will likely complement conventional therapies rather than replace *** Importantly,pragmatic management of CHB related population health challenges must be prioritized to produce real-world results.

关键词： Chronic hepatitis B Hepatitis B virus Hepatitis B prevention Hepatitis B treatment Hepatitis B vaccination Hepatitis B reactivation

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