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What Happens.to Modifiable Cardiovas.ular Ris. Factors.over Time in Type 2 Diabetes. Experience from a Developing Country under s.andard of Care Conditions

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Journal of Diabetes.Mellitus 2016年第4期6卷 307-317页

作者： raya s. zreik Haytham I. s.lti Ibrahim s. s.lti Roula Boukhalil Tamer Haddad Mona P. Nas.allah Department of Internal Medicine Faculty of Medicine American University of Beirut Medical Center Beirut Lebanon Department of Ophthalmology Faculty of Medicine American University of Beirut Medical Center Beirut Lebanon

Introduction: The complications.of diabetes.mellitus.are the main reas.n for the morbidity as.ociated with this.condition, its.cos., and its.effect on quality of life. We have previous.y reported on the high prevalence of complications.on a cohort of diabetic s.bjects. In the current s.udy, we inquire what happens.to the ris. factors.as.ociated with thes. complications.over time. Methods. The s.udy is.a pros.ective obs.rvational report over a two-year period where patients.pres.nted to the outpatient clinic for their us.al care and had laboratory tes.s. retinal exams. and clinical as.es.ment. They were treated as.per American Diabetes.As.ociation guidelines.in the outpatient department of the American Univers.ty of Beirut. Res.lts. Out of 220 s.bjects. 200 completed the two-year evaluation. There was.no change in metabolic indices.s.ch as.HbA1C, BMI, or s.oking rates. However, there was.mild, but s.gnificant improvement in LDL-C levels.and blood pres.ure control. In parallel, there was.an increas. in the us. of s.atins.and ARB/ACEI category. However, their us. remained much lower than in the reported literature. The population fared wors. than the National Health As.es.ment and Nutrition Examination s.rvey (NHANEs. population in mos. diabetes.quality of care meas.res. The predicted 10-year vas.ular ris. was.19%, s.milar to the calculated ris. in a German population s.udy. Conclus.on: The lack of s.gnificant metabolic improvement points.to a lack of effective lifes.yle implementation meas.res. as.well as.to an under utilization of medical therapy. The approach to complications.prevention needs.to be more intens. and multidis.iplinary in nature in order to improve the patients. outcome.

关键词： Cardiovas.ular Ris. Factors Diabetes.Outpatient Clinic Lebanon T2DM

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s.ARCB1/INI1-deficient pancreatic undifferentiated rhabdoid carcinoma mimicking s.lid ps.udopapillary neoplas.: A cas. report and review of the literature

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World Journal of Gas.roenterology 2020年第36期26卷 5520-5526页

作者： Yinan Hua Piyus. s.ni Douglas.Lars.n Riyam zreik Bing Leng Debby Rampis.la Department of Pathology Baylor Scott&White HealthTexas A&M University College of MedicineTempleTX 76508United States

BACKGROUND s.ARCB1/INI1-deficient pancreatic undifferentiated rhabdoid carcinoma is.a very aggres.ive tumor that is.rarely reported in the *** tumor has.a predominant rhabdoid cell component and different patterns.of growth have been *** s.MMARY A 59-year-old woman pres.nted with diffus. abdominal pain,increas.ng in s.verity and accompanied by weight los.,naus.a,and *** s.owed a pancreatic head *** needle as.iration demons.rated atypical epithelioid cells.with a ps.udopapillary growth pattern s.gges.ive of s.lid ps.udopapillary *** excis.d neoplas. s.owed monotonous.epithelioid and focally s.indle cells.with ps.udopapillary s.ructures.rhabdoid features.and los. of s.ARCB1 protein expres.ion with wild-type KRAs.cons.s.ent with a s.ARCB1/INI1-deficient undifferentiated rhabdoid *** patient’s.condition deteriorated rapidly following s.rgery and s.e expired 3 mo pos. *** In this.article,we report the firs. cas. of s.ARCB1/INI1-deficient undifferentiated pancreatic rhabdoid carcinoma mimicking s.lid ps.udopapillary neoplas..

关键词： Pancreatic undifferentiated rhabdoid carcinoma s.lid ps.udopapillary neoplas. s.ARCB1/INI1 KRAs Cas. report

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丝虫感染是体外受精周期种植失败的可能原因

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世界核心医学期刊文摘（妇产科学分册） 2006年第10期2卷 31-31页

作者： Bazi T. Finan R. Zourob D. T.G. zreik 李跃萍 Department of Obs.etrics.and Gynecology American University Beirut Medical Center Beirut Lebanon Dr.

Objective: To des.ribe a paras.tic infection that probably affected the implantation of good-quality embryos.in an in vitro fertilization(IVF) cycle. Des.gn: Cas. report. s.tting: Tertiary care center in a univers.ty hos.ital. Patient(s.: A 36-year-old Caucas.an female with primary unexplained infertility. The patient underwent two cycles.of IVF with good-quality embryos.trans.erred; however, no pregnancy ens.ed des.ite adequate luteal s.pport. Intervention(s.: In vitro fertilization cycles. CBC, blood s.ear, evaluation for eos.nophilia including s.rological evaluation for paras.tic infections. Main Outcome Meas.re(s.: Pregnancy. Res.lt(s.: Following treatment for filarias.s. a repeat IVF cycle us.ng the s.me s.imulation protocol yielded a full-term pregnancy. Conclus.on(s.: This.cas. is.of particular importance becaus., to our knowledge, it is.the firs. to des.ribe a paras.tic infection that probably affected the implantation of good-quality embryos.in IVF cycles.

关键词：体外受精丝虫胚胎种植寄生虫感染嗜伊红细胞增多血涂片教学医院相关检查保健中心黄体激素

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