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A rare case of cardiac and ophthalmic manifestations of meningococcal septicemia

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World Journal of Emergency Medicine 2024年第4期15卷 328-330页

作者： Svetlana Rachina Anastasia Shchendrygina Heshan Radeesha de Silva Svetlana Tarasenko Nadezhda Mukhina Irina Komarova Ludmila Fedina Elena Burmistrova elvira Martens Sergey Sidorenko Vladimir Gostev Dmitry Polev Alina Saitova Lyudmila Kraeva Nikita Goncharov Irina Zvetkova Department of Hospital Therapy I M Sechenov First Moscow State Medical UniversityMoscow 119048Russia Outpatient Clinic#64 Moscow 119048Russia Department of Cardiology City Clinical Hospital n.a.S.S.YudinMoscow 119048Russia Department of Medical Microbiology and Molecular Epidemiology Pediatric Research and Clinical Center for InfectiousDiseasesSaint Petersburg 197022Russia Department of Medical Microbiology North-Western State Medical University Named After I.I.MechnikovSaintPetersburg 191015Russia Department of Epidemiology Saint-Petersburg Pasteur InstituteSaint Petersburg 197101Russia

Acute pericarditis is usually a self-limiting disorder that commonly occurs due to viral etiology or unexplained *** pericarditis(MP)is a remarkably uncommon clinical entity that manifests as a complication during the acute or convalescent phase of meningococcal ***,its occurrence within the context of meningococcal septicemia has also been *** report a rare case of a previously healthy male patient who developed both acute pericarditis and uveitis as a presentation of meningococcal septicemia,with no characteristic skin rashes or meningeal signs.

关键词： acute Acute rare

Effects of a Cardiac Rehabilitation Program in Patients with Congenital Heart Disease

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Open Journal of Internal Medicine 2014年第1期4卷 22-27页

作者： Nathalie Dedieu Luis Fernández elvira Garrido-Lestache Inmaculada Sánchez Maria Jesus Lamas Congenital Heart Diseases Unit Hospital Ramón y Cajal Madrid Spain

The beneficial effects of the programs of cardiac rehabilitation in adults are widely known. Nevertheless, the accomplishment of these programs in patients with congenital heart is scarcely developed. In this study, we want to evaluate the preliminary results of a program of cardiac rehabilitation. Patients and methods: Thirty-three patients aged 8 to 40 completed the rehabilitation program. Thirty-one of them had an operated congenital heart disease, one had an implantable cardioverter defibrillator, and another was a patient with arterial hypertension and obesity. Data before and after the program were compared. Results: Improvements were found in all of the measured parameters. We found a statistically significant difference in maximum heart rate, exercise duration, foreseen heart rate’s percentage and increase of metabolic equivalents. Twenty-seven of 33 patients noticed a significant improvement in their quality of life at the end of the program. Conclusion: Initial results seem to be encouraging and we consider the experience very positive since the program achieved an improvement in the functional capacity of our patients. In our opinion, these observations and the results of our study provide strong arguments for the incorporation of cardiac rehabilitation into the care of many patients with congenital heart disease.

关键词： Congenital Heart Disease Exercise Test Quality of Life

Principal Features of Building Social Accounts Matrix and Improving Statistical Database for Eco-countries

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Chinese Business Review 2014年第10期13卷 611-623页

作者： Vilayat Valiyev, Malik Mehdiyev Arzu Suleymanov Elnur Alakbarov Rauf Musayev elvira Nagoibaeva Natalya Zakharova Institute for Scientific Research on Economic Reforms (ISRER) Baku Azerbaijan Elvira Nagoibaeva Kyrgyz Economic University Bishkek Kyrgyzstan National Statistical Committee Bishkek Kyrgyzstan

With common borders of the population, total area, and GDP （PPP-based） of Economic Cooperation Organization （ECO） member states are estimated as 416 million persons, 7.9 million m2, and US$2.7 trillion respectively （2010 data）. Although heterogeneous in the extent, there is economic development, overall, with serious energy and transport-transit relations among countries that is reflected in growing trade turnover year-by-year. However, there are still rather unused resources and capacity in such areas of cooperation among countries as exchange of energy, transport services, agricultural and industrial goods, use of opportunities for tourism, promoting investment and innovation processes and other areas. Certainly, maximum and optimal use of these resources calls for availability of analytical means capable of accounting for relations both within member states and among them. The implementation of computable general equilibrium （CGE） modeling in each member state would thus be of great significance in resolution of these problems both in terms of accounting for input-output linkages within the countries as well as enabling impact of main trading partners and goods and services among countries. The analysis carried out indicates that there are a number of problems in application of CGE model in most of the member states. As such, input-output tables are not compiled in some countries, while in others despite the fact that these tables are compiled, there are no attempts to build the model, yet in other countries, even if the CGE model is implemented, there are difficulties in taking into account the real results in the face of serious problems related to improving national accounts system database. Summarizing these problems, it is possible to conclude that to ensure the application of a CGE model,there is a great need to work out procedures of compilation of a social accounts matrix （SAM） that lies on the basis of this model, for which the relevant statistics of a m

关键词： social accounts matrix (SAM) system of national accounts (SNA) input-output table CGE model ECO countries

Comparative study measuring the dilatory effect of a mydriatic device(Mydriasert~) versus topical drops

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International Journal of Ophthalmology(English edition) 2013年第6期6卷 801-804页

作者： Manuel Saenz-de-Viteri Patricia Fernandez-Robredo Elisa de Nova elvira Bonet-Farriol Alfonso L.Sabater Javier Zarranz-Ventura Josemaria Caire Luis M.Sadaba Angel Salinas-Alaman Alfredo Garcia-Layana Department of Ophthalmology University of Navarra

AIM:To compare the mydriatic efficacy of an ophthalmic insert(Mydriasert,MY)versus phenylephrine and tropicamide(PT)eye ***:Two controlled,prospective,randomized,single-blind studies were *** the first study,a total of 80 eyes from 40 outpatient-clinic patients were *** drops were applied to the right eye,and a MY device was inserted in the left eye for *** until maximal pupil dilation for each eye was then *** the second study,80 eyes from 80 patients undergoing cataract surgery were *** dilation was achieved using either PT drops three-times for one hour prior to surgery(40 patients),or a MY device was inserted one hour prior to surgery(40 patients).RESULTS:In the first study,MY achieved superior mydriasis compared to PT eye drops at 90min(9.04±1.33mm vs 8.78±1.37mm,P=0.012).However MY took longer than PT drops to achieve maximal dilation,and mydriasis was inferior in eyes with MY compared to PT drops at 30min(7.21±1.73mm vs 8.22±1.43mm,P<0.001),the two groups only becoming similar by 60min(8.85±1.44mm vs 8.71±1.27mm,P=0.236).In the second study,both MY and PT achieved similar levels of mydriasis at the beginning of surgery(8.75±0.76mm with MY vs 8.77±0.63mm with PT),and also at the end of surgery(7.96±1.06mm with MY vs 8.32±0.72mm with PT),with no significant difference between groups(P=0.08).MY was well tolerated and cardiovascular effects were not influenced by dilation ***:MY could be a safe and efficacious alternative for *** mydriatic effect of MY is as good as conventional PT eye drops after 60min,and is superior after *** also maintains good pupil dilation during cataract surgery.

关键词： Mydriasert~ mydriasis pupil dilation cataract surgery device

Glucose-6-phosphate dehydrogenase(G6PD) deficiency is associated with asymptomatic malaria in a rural community in Burkina Faso

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Asian Pacific Journal of Tropical Biomedicine 2014年第8期4卷 655-658页

作者： Abdoul Karim Ouattara Cyrille Bisseye Bapio Valery Jean Télesphore elvira Bazie Birama Diarra Tegwindé Rebeca Compaore Florencia Djigma Virginio Pietra Remy Moret Jacques Simpore Centre for Biomolecular Research Pietro Annigoni(CERBA) LABIOGENE UFR/SVT University of Ouagadougou BP 364 OuagadougouBurkina Faso Laboratory of Molecular and Cellular Biology(LABMC) University of Science and Technology of Masuku(USTM)BP 943 FrancerilleGabon

Objective:To investigate 4 combinations of mutations responsible for glucose-6—phosphate dehydrogenase(G6PD) deficiency in a rural community of Burkina Faso,a malaria endemic ***:Two hundred individuals in a rural community were genotyped for the mutations A376 G.G202A,A542 T,G680T and T968 C using TaqMan single nucleotide polymorphism assays and polymerase chain reaction followed by restriction fragment length ***:The prevalence of the G6 PD deficiency was 9.5%,in the study *** was significantly higher in men compared to women(14.23%vs 6.0%,P=0.049).The 202A/376 G G6PD Awas the only deficient variant *** falciparum asymptomatic parasitemia was significantly higher among the C6PD-non—deficient persons compared to the G6PD-deficient(P<0.001).The asymptomatic parasitemia was also significantly higher among G(SPI) nondeficient compared to C6PD—heterozygous females(P<0.001).Conclusions:This study showed that the G6 PD A- variant associated with protection against asymptomatic malaria in Burkina Faso is probably the most common deficient variant.

关键词： Polymerase chain reaction Mutations Glucose-6-phosphate dehydrogenase deficiency Asymptomatic malaria Burkina Faso

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摄影教育如何突围

影像视觉 2007年第2期8卷 78-80页

作者： elvira 周抗

本期的中国摄影教育,我们请来了复旦视觉学院的周抗老师。从他对摄影教育的观点,我们也许可以从中得到些思路,找到突围旧式中国摄影教育的曙光。就像周抗老师说的,只有“本土人才武装准备好了,才有可能在机遇中前行”。

关键词：摄影教育广告摄影本土人才摄影技术学生摄影师教学体制摄影教学艺术摄影学校教育

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追求影像臻于完美

影像视觉 2007年第5期8卷 48-49页

作者： elvira Nick Lee

　　Nick Lee澳籍华人,有十余年的广告创意经验,曾担任过跨国传媒广告机构的创意总监等工作,同时为多家中国企业客户和众多跨国企业提供过成功的服务及案例.现创立一支精锐的团队REDFLAG STUDIO(商艺广告传播)于上海,有志借助这个平台,... 详细信息

　　Nick Lee澳籍华人,有十余年的广告创意经验,曾担任过跨国传媒广告机构的创意总监等工作,同时为多家中国企业客户和众多跨国企业提供过成功的服务及案例.现创立一支精锐的团队REDFLAG STUDIO(商艺广告传播)于上海,有志借助这个平台,不仅为客户提供高品质的实视化作品,而且希望能够为中国的"创意视觉经济"的发展助力.……

关键词：摄影师 CCP 器材设备

爱摄影，也爱教摄影——访时尚与广告摄影师Jon Gray

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影像视觉 2007年第5期8卷 76-77页

作者： elvira Jon Gray

　　他是一个专业而有名望的摄影师,在竞争激烈的广告和时尚摄影中工作了三十多年,依然充满热情并有卓越的表现.……

关键词：摄影师 Jon Gray 广告摄影时尚摄影

BCD020 rituximab bioanalog compared to standard treatment in juvenile systemic lupus erythematosus: The data of 12 months casecontrol study

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World Journal of Clinical Pediatrics 2024年第1期13卷 52-61页

作者： elvira Kalashnikova Eugenia Isupova Ekaterina Gaidar Lyubov Sorokina Maria Kaneva Vera Masalova Margarita Dubko Tatiana Kornishina Natalia Lubimova Ekaterina Kuchinskaya Irina Chikova Rinat Raupov Olga Kalashnikova Mikhail Kostik Hospital Pediatry Department Saint-Petersburg State Pediatric Medical UniversitySaint-Petersburg 194100Russia Research Laboratory of Autoimmune and Autoinflammatory Diseases Almazov National Medical Research CentreSaint Petersburg 197341Russia Department of Rheumatology Turner National Medical Research Center forСhildren’s Orthopedics and Trauma SurgerySaint-Petetrsburg 197136Russia

BACKGROUND Systemic lupus erythematosus(SLE)is the most frequent and serious systemic connective tissue *** there is no clear guidance on its treatment in *** are a lot of negative effects of standard-of-care treatment(SOCT),including steroid ***(RTX)is the biological B-lymphocyte-depleting agent suggested as a basic therapy in pediatric *** To compare the benefits of RTX above *** The data from case histories of 79 children from the Saint-Petersburg State Pediatric Medical University from 2012 to 2022 years,were *** diagnosis of SLE was established with SLICC *** compared the outcomes of treatment of SLE in children treated with and without *** data,doses of glucocorticosteroids,disease activity measured with SELENA-SLEDAI,RESULTS Patients,treated with RTX initially had a higher degree of disease activity with prevalence of central nervous system and kidney involvement,compared to patients with *** year later the disease characteristics became similar between groups with a more marked reduction of disease activity(SELENA-SLEDAI activity index)in the children who received RTX[-19 points(17;23)since baseline]compared to children with SOCT[-10(5;15.5)points since baseline,P=0.001],the number of patients with active lupus nephritis,and daily *** RTX therapy,infectious diseases had three patients;one patient developed a *** RTX can be considered as the option in the treatment of severe forms of SLE,due to its ability to arrest disease activity compared to SOCT.

关键词： Systemic lupus erythematosus Children Rituximab Anti-B-cell therapy Glucocorticosteroids