c-reactive protein (cRP) is associated with unfavorable outcome in patients with acute ischemic syndromes and in patients with chronic stable *** cRP levels suggestive of heightened inflammatory state in vascular cond...
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c-reactive protein (cRP) is associated with unfavorable outcome in patients with acute ischemic syndromes and in patients with chronic stable *** cRP levels suggestive of heightened inflammatory state in vascular conditions are often associated with elevated interleukin-6 (IL-6) *** aim of our study was to show the predictive importance of cRP and IL-6 levels in patients with ischemic stroke that has not been fully *** We studied 647 consecutive elderly patients (>65 years) with stroke who were documented with ischemic stroke,presence of significant carotid atherosderosis and absence of atrial *** study population included 150 patients (74 men,76 women,mean age 74±2).Patients underwent evaluation of high sensitive cRP and IL-6 levels at baseline,during hospitalization and at *** In-hospital mortality was 6%,1 year mertality was 15% and a second cerebrovascular event occurred in 12% of *** with in- hospital events had significantly higher baseline cRP and IL-6 levels than patients without events (3.8+1.1 vs 1.9±0.9 mg/L,Pctively).Also cRP and IL-6 levels were significantly higher in those patients with an event within 3 months of discharge compared to patients without an event (3.6±1.3 vs 1.1±0.7 mg/L,Pctively).Both base line cRP levels and IL-6 were predictive of events both in-hospital and after 3 months while cRP and IL-6 levels at baseline were not associated with a poor 1 year *** cRP levels were associated with an unfavorable outcome only when IL-6 levels were also *** a stepwise multivariate analysis IL-6 level was a stronger predictor of outcome than *** In conclusion,elevated cRP and IL-6 levels may identify elderly patients at increased medium term risk,but do not predict one year events in this subset of *** levels predict events only when they are
Endometritis in dairy cow herds is a serious economic problem all over the world due to the large economic *** endometritis is an important postpartum disease in dairy cows,but conventional cytobrush diagnosis often g...
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Endometritis in dairy cow herds is a serious economic problem all over the world due to the large economic *** endometritis is an important postpartum disease in dairy cows,but conventional cytobrush diagnosis often gives imprecise *** inflammatory cytokine levels in serum from dairy cows with clinical or subclinical endometritis during the voluntary waiting period may provide valuable information that can serve as a diagnostic tool for the uterine *** objective of this study was to analysis diseaseassociated changes of inflammatory cytokines in serum as potential diagnostic *** study was performed on 28 cows on day 30 after *** on the results of cytological tests,the cows were divided into three groups:clinical endometritis(10 cows);subclinical endometritis(6 cows);healthy control(12 cows).clinical endometritis was diagnosed by observation of vaginal discharges(> 50%pus) and subclinical endometritis was diagnosed by evaluation of uterine flush cytology(neutrophils > 5.5%) at 4 weeks *** samples were obtained from 28 cows at 4 and 25 weeks postpartum for evaluation of tumor necrosis factor-α(TNF-α) and creactive protein(cRP) *** of cRP were greater(Pcows with clinical endometritis than in cows with subclinical endometritis and healthy controls,whereas concentrations of TNF-α in both cows with clinical and subclinical endometritis were greater(Pconclusion,cows with endometritis have greater inflammatory cytokine concentrations in serum than healthy cows,concentrations of TNF-α and cRP differences were *** endometritis of dairy cows is reflected by concentrations of TNF-α in *** data emphasize the role of TNF-α and cRP for bovine subclinical endometritis,and point the way for analysis of TNF-α as potential candidate parameter associated with subclinical endometritis.
Osteomyelitis is a bone infection that requires prolonged antibiotic treatment and potential surgical *** left untreated,acute osteomyelitis can lead to chronic osteomyelitis and overwhelming *** treatment is necessar...
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Osteomyelitis is a bone infection that requires prolonged antibiotic treatment and potential surgical *** left untreated,acute osteomyelitis can lead to chronic osteomyelitis and overwhelming *** treatment is necessary to prevent complications,and the standard of care is progressing to a shorter duration of intravenous(Ⅳ) antibiotics and transitioning to oral therapy for the rest of the treatment *** systematically reviewed the current literature on pediatric patients with acute osteomyelitis to determine when and how to transition to oral antibiotics from a short Ⅳ *** have shown that switching to oral after a short course(i.e.,3-7 d) of Ⅳ therapy has similar cure rates to continuing long-term Ⅳ *** Ⅳ use is also associated with increased risk of *** that help guide clinicians on making the switch include a downward trend in fever,improvement in local tenderness,and a normalization in c-reactive protein *** on the available literature,we recommend transitioning antibiotics to oral after 3-7 d of Ⅳ therapy for pediatric patients(except neonates) with acute uncomplicated osteomyelitis if there are signs of clinical improvement,and such regimen should be continued for a total antibiotic duration of four to six weeks.
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