检索结果-南通市图书馆

Epidemiological and clinical characteristics of COVID-19 in a Brazilian public hospital

World journal of Clinical Cases 2023年第8期11卷 1761-1770页

作者： Fillipe Dantas Pinheiro Luana Weber Lopes Rafael Santos Dantas miranda Dórea Glauber Rocha Lima araújo Filipe Antônio França da Silva Breno Bittencourt de Brito m.ria Luísa Cordeiro Santos Geovani moreno Santos Júnior m.ria teresa araújo de lorenzo barcia Renata de Amorim marques AndréBezerra Botelho Anna Carolina Saúde Dantas Davi Tanajura Costa Adriano Fernandes Teixeira Cláudio Lima Souza Lucas miranda marques Guilherme Barretos Campos márcio Vasconcelos Oliveira Dulciene m.ria de magalhães Queiroz Fabrício Freire de melo Instituto multidisciplinar em Saúde Universidade Federal da BahiaVitória da Conquista 45029-094BahiaBrazil Hospital Geral de Vitória da Conquista Vitória da Conquista 45030-160BahiaBrazil departamento de Ciências da Saúde Universidade Estadual do Sudoeste da Bahia(UESB)Vitória da Conquista 45083-900BahiaBrazil Faculdade de medicina Universidade Federal de Minas GeraisBelo Horizonte 31270-901Minas GeraisBrazil

BACKGROUND The coronavirus disease 2019(COVID-19)pandemic has become a major health concern *** that context,the understanding of epidemiological and clinical features associated with the disease and its severity is crucial for the establishment of strategies aimed at disease control and *** To describe epidemiological features,signs,symptoms,and laboratory findings among severely ill COVID-19 patients from an inten-sive care unit in northeastern Brazil as well as to evaluate predictor factors for disease *** This is a prospective single-center study that evaluated 115 patients admitted to the intensive care unit in a northeastern Brazilian *** The patients had a median age of 65.60±15.78 *** was the most frequent symptom,affecting 73.9%of the patients,followed by cough(54.7%).Fever was reported in approximately one-third of patients and myalgia in 20.8%of the *** least two comorbidities were found in 41.7%of the patients,and hypertension was the most prevalent(57.3%).In addition,having two or more comorbidities was a predictor of mortality,and lower platelet count was positively associated with *** and vomiting were two symptoms that were predictors of death,and the presence of a cough was a protective *** This is the first report of a negative correlation between cough and death in severely ill severe acute respiratory syndrome coronavirus 2-infected *** associations between comorbidities,advanced age,and low platelet count and the outcomes of the infection were similar to the results of previous studies,highlighting the relevance of these features.

关键词： COVID-19 Epidemiology Symptoms Comorbidities Laboratory parameters

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Opportunistic Infections in Late Kidney Transplantation with death Outcome: Case Report

引用

Open journal of Nephrology 2021年第2期11卷 171-182页

作者： m.riam Viviane Baron Carina marangoni michele Paula dos Santos Célia Regina martins Korzenieski Vitória Pereira Itaquy Tais michele Werle Gabriela Di lorenzo Garcia Scherer joice Nedel Ott marcus Vinicius de mello Pinto Janine Koepp Carolina Gonçalves Pinheiro Nathália Ken Pereira Iketani Cristine Brandenburg Aline Ronis Sampaio Alexandre Sancho Danielle de mello Florentino Bartira Ercília Pinheiro da Costa Postgraduate Program in medicine and Health Sciences of the Pontifical Catholic University of Rio Grande do Sul (PUC/RS) Porto Alegre Brazil Coordination for the Improvement of Higher Education Personnel Brazilia Brazil School of medicine of the Pontifical Catholic University of Rio Grande do Sul (PUC/RS) Porto Alegre Brazil Schoolof Health and Life Sciences of the Pontifical Catholic University of Rio Grande do Sul (PUC/RS) Porto Alegre Brazil CelulareInstitute Rio de Janeiro Brazil University of Santa Cruz do Sul (UNISC) Santa Cruz do Sul Brazil Postgraduate Program in Health Sciences of the Faculty of medicine of ABC (FmABC) S&atilde o Paulo Brazil Hospital Beneficiente Portuguesa of Belém Pará Brazil Dom josé Institute of Education and Culture/University of Vale do Acaraú (IDJ/UVA) Ceará Brazil Unigranrio University Rio de Janeiro Brazil Uniredentor University Rio de Janeiro Brazil

Cytomegalovirus (CmV) and Pneumocystis jirovecii fungus are the main opportunistic microorganisms that affect transplanted individuals. Immunosuppressive drugs administered to prevent organ rejection leave the immune system vulnerable to these infections. The present report is about a kidney transplanted patient using immunosuppressants who was diagnosed with cytomegalovirus and pneumocystosis requiring admission to the intensive care unit (ICU). Female patient, 57 years old, a kidney transplanted three years ago, with comorbidities, such as systemic arterial hypertension, hypertriglyceridemia and type 2 diabetes mellitus. She was admitted to the hospital in January 2020 with a history of diarrhea, cough, malaise and weight loss of seven kg in a month. She made continuous use of the immunosuppressants tacrolimus® and mycophenolate sodium (mFS). After five days of hospitalization, she was transferred to the ICU due to refractory diarrhea, worsening renal function and respiratory pattern, requiring mechanical ventilation. Chest tomography showed changes that led to the diagnostic hypothesis of CmV pneumonia or Pneumocystis jirovecii. Treatment with Ganciclovir® and Bactrim® was started. The bronchial lavage polymerase chain reaction test confirmed the infectious condition for CmV and Pneumocystis jirovecii. despite the drug therapy instituted, there was no improvement in the infectious condition. The patient started to present a general and progressive worsening of the clinical picture with loss of renal graft function, respiratory failure, metabolic acidosis, hemodynamic instability and severe distributive shock, evolving to death. In the present report, it was observed that after late kidney transplantation the fragility of the immune system caused by the use of immunosuppressants contributed to the development of a severe infection with CmV and Pneumocystis jirovecii. Adjusting the doses of immunos

关键词： Renal Transplantation Infections Opportunistic Immunosuppressive Agent Cytomegalovirus Pneumocystis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

阿基坦创意经济与文化中心

引用

城市环境设计 2019年第2期118卷 74-83页

作者： Alexander Codda Alicia marie Sarah Borhardt Annette Birthe Jensen ?smund Skeie Aya Fibert Bartosz Kobylakiewicz Bernhard Touzet Brigitta Gulyás David Tao Edouard Champelle Espen Vik Greta Krenciute Greta Tafel Hyojin Lee Ivan Genov Jan magasanik Jeffrey mark mikolajewski Karol Bogdan Borkowski Katarzyna Swiderska Kekoa Charlot lorenzo Boddi m.ria teresa Fernandez Rojo melissa Andres michael Sch?nemann Jensen Nicolas millot Ola Hariri Ole Dau mortensen Pascale Julien Paul-Antoine Lucas Raphael Ciriani Santiago Palacio Villa Se Hyeon Kim Sebastian Liszka Seunghan Yeum Snorre Emanuel Nash J?rgensen teresa Fernández Thiago de Almeida Thomas Jakobsen Randb?ll Yang Du Zoltan David Kalaszi Ivan mata Laurent de Carniere 朱翰林

这栋建筑将三个文化机构融入其中:FRAC(阿基坦区当代艺术基金会)、ECLA(写作、音乐、电影和广播文化机构)和Oara(阿基坦区行为艺术家工作室)。现在它们被共同整合为阿基坦创意经济与文化中心,即méCA文化中心。我们希望设计一栋可以将... 详细信息

这栋建筑将三个文化机构融入其中:FRAC(阿基坦区当代艺术基金会)、ECLA(写作、音乐、电影和广播文化机构)和Oara(阿基坦区行为艺术家工作室)。现在它们被共同整合为阿基坦创意经济与文化中心,即méCA文化中心。我们希望设计一栋可以将波尔多滨水步道整合其中的建筑,允许公众生活路线从中穿过。

关键词：阿基坦波尔多城市客厅经济与文化

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：