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Fever among Children with Sickle-Cell Disease: Findings from the general Pediatric ward of the Owendo Pediatric Hospital in Libreville, Gabon

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Open Journal of Pediatrics 2014年第4期4卷 262-268页

作者： Jean Koko Daniel Gahouma Simon Ategbo Cathérine Seilhan Armelle Pambou André Moussavou general Pediatrics Service Owendo Peditric Hospital (OPH) Libreville Gabon Laboratory of Medical Biology Owendo Pediatric Hospital (OPH) Libreville Gabon Pediatrics Department Faculty of Medicine Health Sciences University (USS) Libreville Gabon

Sickle-cell disease (SCD) represents a substantial public health problem in Gabon. Fever is one of the principal reasons for the hospitalization of children afflicted by major sickle-cell disorder, since it can be a clinical reflection of severe infections that have the potential to become life threatening. Objectives: Identification of the main causes of fever in children with SCD in our clinical setting, with the aim of optimizing treatments. Patients and Methods: This is a retrospective study of all the medical files for children with SCD that were admitted to our ward, over a two year period, due to fever (>38.5°C) lasting more than 24 hours. Only those files that contained at least the following five fundamental medical examinations were retained for further evaluation: Complete Blood Count (CBC), blood smear, blood culture, urine culture and chest X-ray. Out of a total of 118 admissions (103 patients), 87 (73.7%) were due to the incidence of fever. The medical files of 11 patients were deemed to be unusable. Seventy-six episodes of fever were observed among 69 children, of which 42 were male and 27 female (sex ratio of 1.5). Among these, seven (10%) were admitted twice. Results: The age groups that were most affected included 12 - 18 year-olds (30 cases: 43.5%) and 6 - 12 year-olds (26 cases: 37.7%). The most common accompanying symptoms were bone and joint pain (43.4%), asthenia (22.4%), cough (19.7%), vomiting (17%) and headache (15.8%). The specific cause of the fever could not be pinpointed in 29 cases (38.1%). Aside from these cases, the main causes of fever were malaria (30.3%) and bronchopulmonary infections (22.4%). The white blood cell count was >20,000/mm3 in 47% of respiratory infections, 43.5% of the cases involving malaria and 55.2% of cases of fever with unknown cause. Hemoglobin levels were <5g/dl for 52.2% of the cases involving malaria and 22.6% for those of unknown origin. For four patients, all less than 10 years of age, the disease was fata

关键词： Sickle-Cell Disease Fever Malaria Acute Lower Respiratory Infections (ALRI) Gabon

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Metabolic disorders and hepatitis: Insights from a Mendelian randomization study

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World Journal of Gastrointestinal Surgery 2024年第6期16卷 1775-1790页

作者： Ling-Bo Liang Xiang-Ping Liu Ting-Rui Mao Qiao-Li Su general Practice ward General Practice Medical CenterWest China HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina Department of Primary Health Care The Fourth People’s Hospital of Dazhu CountyDazhou 635100Sichuan ProvinceChina

BACKGROUND Hepatitis is a systemic disease that often results in various ***-bolic disorders,the most common comorbidities in clinical practice,were selected for this *** To investigate the causal relationship between comorbidities and hepatitis trea-tment *** A total of 23583378 single nucleotide polymorphisms from 1248743 cases and related summaries of genome-wide association studies were obtained from online public databases.A two-sample Mendelian randomization(MR)was performed to investigate causality between exposure[type 2 diabetes mellitus(T2D),hyperlipidemia,and hypertension]and outcome(chronic hepatitis B or C in-fections).RESULTS The data supported the causal relationship between comorbidities and hepatitis infections,which will affect the severity of hepatitis progression and will also provide a reference for clinical *** three exposures showed a link with progression of both hepatitis B(T2D,P=0.851;hyperlipidemia,P=0.596;and hypertension,P=0.346)and hepatitis C(T2D,P=0.298;hyperlipidemia,P=0.141;and hypertension,P=0.035).CONCLUSION The results of MR support a possible causal relationship between different ex-posures(T2D,hyperlipidemia,and hypertension)and chronic hepatitis progression;however,the potential mechanisms still need to be elucidated.

关键词： Hepatitis Comorbidity Type 2 diabetes mellitus Hyperlipidemia Hypertension

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Precision medicine in inflammatory bowel disease

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Precision Clinical Medicine 2024年第1期7卷 54-80页

作者： Zhen Zeng Mingshan Jiang Xi Li Jing Yuan Hu Zhang Department of Gastroenterology West China HospitalSichuan UniversityChengdu 610041China Centrefor Inflammatory Bowel Disease West China HospitalSichuan UniversityChengdu 610041China Lab of Inflammatory Bowel Disease Frontiers Science Center for Disease-Related Molecular NetworkWest China HospitalSichuan UniversityChengdu 610041China general Practice ward/International Medical Center ward General Practice Medical CenterWest China HospitalSichuan UniversityChengdu 610041China

Inflammatory bowel disease(IBD)is an incurable disease characterized by remission-relapse cycles throughout its *** Crohn's disease(CD)and ulcerative colitis(UC),the two main forms of IBD,exhibit tendency to develop complications and substantial heterogeneity in terms of frequency and severity of relapse,thus posing great challenges to the clinical management for *** treatment strategies are effective in different ways in induction and maintenance therapies for *** advances in studies of genetics,pharmacogenetics,proteomics and microbiome provide a strong driving force for identifying molecular markers of prognosis and treatment response,which should help clinicians manage IBD patients more effectively,and then,improve clinical outcomes and reduce treatment costs of *** this review,we summarize and discuss precision medicine in IBD,focusing on predictive markers of disease course and treatment response,and monitoring indices during therapeutic drug monitoring.

关键词： disease course inflammatory bowel disease precision treatment precision monitoring treatment response

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Factors inﬂuencing the employed caregiver burden for patients with dementia residing in nursing homes:A cross-sectional study from China

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International Journal of Nursing Sciences 2024年第4期11卷 457-464页

作者： Caixia Liu Huiling Zheng Baiyu Li Shijia He Rongrong Hu Feifei Li Yao Zheng Weimin Lou Biyan Jiang Department of Nursing Zhejiang HospitalHangzhouZhejiangChina general ward Hangzhou Seventh People’HospitalHangzhouZhejiangChina Department of Emergency Zhejiang HospitalHangzhouZhejiangChina School of Nursing Zhejiang Chinese Medical UniversityHangzhouZhejiangChina Department of Cadre Health Care Zhejiang HospitalHangzhouZhejiangChina

Objective:The institutionalization of care for patients with dementia is becoming a *** the burden on employed caregivers and exploring associated factors are of great importance in ***,this study aimed to examine the relationship between basic attributes,caring ability,and caregiver burden in employed caregivers practicing in nursing ***:This cross-sectional study included 541 employed caregivers in 11 four-star nursing homes in Zhejiang Province from April to December *** burden was assessed using the Zarit Burden Interview(ZBI).Demographic characteristics of participants,characteristics of the older patients with dementia,caring characteristics,training in dementia care,and caring abilities were collected for analysis of inﬂuencing factors.A hierarchical multiple regression analysis was conducted to explore the factors inﬂuencing the burden on employed caregivers in nursing ***:The ZBI score of employed caregivers in nursing homes was 40.42±10.18,representing a moderate caregiver *** such as age(U=27.82,P<0.001),residence(U=7.89,P<0.001),educational level(H=55.81,P<0.001),self-care of older patients with dementia(H=85.21,P<0.001),daily care hours(H=73.25,P<0.001),number of older people with dementia cared for(H=14.56,P<0.012)and training in dementia care(U=-9.43,P<0.001)were signiﬁcantly associated with caregiver *** ability was negatively associated with caregiver burden(r=-0.22,P<0.01).Furthermore,after controlling for demographic characteristics,the characteristics of older people with dementia,caring characteristics,training in dementia care,and caring ability explained 8.5%,5.8%,and 4.8%of the caregiver burden,***:The burden of employed caregivers on patients with dementia in nursing homes can be attributed to various *** recommend tailored interventions,such as dementia care training and reviewing the number and duration of hours worked to reduce th

关键词： Caregiver burden Caring ability Dementia Employed caregivers Nursing homes

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Morbidity and Mortality Related to Infectious Diseases in the Roi Boudouin Paediatric ward in Senegal

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Open Journal of Pediatrics 2024年第4期14卷 727-737页

作者： Guillaye Diagne Aliou Abdoulaye Ndongo Djeneba Fafa Cissé Sidy Lamine Mbaye Jean Baptiste Niokhor Diouf Fatou Ly Pediatrics ward of Pikine Hospital Pikine Sngal Pediatrics ward of Roi Boudouin Hospital Dakar Sngal

Introduction: Infant and child morbidity and mortality linked to infections remain a major concern in both developed and developing countries. The general objective was to determine the characteristics of hospital morbidity and mortality linked to infectious pathologies in the pediatric department of the King Baudouin hospital center in Dakar. Methods: This was a retrospective, descriptive and analytical study focusing on children hospitalized from January 1, 2018 to December 31, 2021 in the pediatric department of the King Baudouin hospital center in Dakar. Results: During the study period, 1474 children were hospitalized for an infectious pathology in the pediatric department. The sex ratio was 1.48. Children aged between one and twelve months represented 34.12%. Morbidity due to respiratory and digestive infections was 42.33% and 33.45%, respectively. Pediatric hospital mortality was 0.75% with a predominance noted in infants between 1 and 12 months (55.86%). Respiratory, digestive infections, sepsis and neurological infections were the main causes of death. Factors associated with mortality were age (1 to 12 months) with p Conclusion: Reducing infant and child mortality linked to infectious diseases remains a crucial challenge to address for improving children’s health. Early detection of related signs, prevention of infections, and adequate care and monitoring of infants and children can contribute to this reduction.

关键词： Morbidity Mortality Infections Children

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Expression level of myocardial enzymes in patients with schizophrenia: Predictive value in the occurrence of violence

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World Journal of Psychiatry 2024年第9期14卷 1346-1353页

作者： Wei-Min He Xin-Yuan Zhang Wei-Gen Xie Dan-Ping Lv Qun-Di Shen Department of Rehabilitation ward Shaoxing Seventh People's HospitalShaoxing 312000Zhejiang ProvinceChina Department of Laboratory Shaoxing Seventh People's HospitalShaoxing 312000Zhejiang ProvinceChina Department of Medical Shaoxing Seventh People's HospitalShaoxing 312000Zhejiang ProvinceChina Department of general Affairs Shaoxing Seventh People's HospitalShaoxing 312000Zhejiang ProvinceChina

BACKGROUND Schizophrenic patients are prone to violence,frequent recurrence,and difficult to *** and behavioral abnormalities during the onset of the disease,resulting in active myocardial enzyme *** To explored the expression level of myocardial enzymes in patients with schizo-phrenia and its predictive value in the occurrence of *** A total of 288 patients with schizophrenia in our hospital from February 2023 to January 2024 were selected as the research object,and 100 healthy people were selected as the control ***’information,clinical data,and labo-ratory examination data were *** to Modified Overt Aggression Scale score,patients were further divided into the violent(123 cases)and non-violent group(165 cases).RESULTS The comparative analysis revealed significant differences in serum myocardial enzyme levels between patients with schizophrenia and healthy *** the schizophrenia group,the violent and non-violent groups also exhibited different levels of serum myocardial *** levels of myocardial enzymes in the non-violent group were lower than those in the violent group,and the patients in the latter also displayed aggressive behavior in the *** Previous aggressive behavior and the level of myocardial enzymes are of great significance for the diagnosis and prognosis analysis of violent behavior in patients with *** detecting changes in these indicators,we can gain a more comprehensive understanding of a patient’s condition and treatment.

关键词： Schizophrenia Myocardial enzyme index Act of violence Predict Violence prediction Aggressive behavior Clinical data analysis Biochemical markers

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Effect of infarct location and volume on cognitive dysfunction in elderly patients with acute insular cerebral infarction

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World Journal of Psychiatry 2024年第8期14卷 1190-1198页

作者： Fei-Fei Liang Xiao-Xia Liu Jiang-Hong Liu Yang Gao Jian-Guo Dai Zi-Hui Sun Department of Geriatrics Zhangjiakou First Hospital in Hebei ProvinceZhangjiakou 075000Hebei ProvinceChina The Fourth ward Zhangjiakou Infectious Disease HospitalZhangjiakou 075000Hebei ProvinceChina Department of Hepatobiliary and Pancreatic Surgery Zhangjiakou First Hospital in Hebei ProvinceZhangjiakou 075000Hebei ProvinceChina Department of general Medicine Zhangjiakou First Hospital in Hebei ProvinceZhangjiakou 075000Hebei ProvinceChina

BACKGROUND The aging of the population has become increasingly obvious in recent years,and the incidence of cerebral infarction has shown an increasing trend annually,with high death and disability *** To analyze the effects of infarct location and volume on cognitive dysfunction in elderly patients with acute insular cerebral *** Between January 2020 and December 2023,we treated 98 cases of elderly acute insula,patients with cerebral infarction in the cerebral infarction acute phase(3-4 weeks)and for the course of 6 months in Montreal Cognitive Assessment Scale(MoCA)for screening of ***,58 and 40 patients were placed in the cognitive impairment group and without-cognitive impairment group,*** patients with cerebral infarction,magnetic resonance imaging was used to screen and clearly analyze the MoCA scores of two groups of patients with different infarctions,the relationship between the parts of the infarction volume,and analysis of acute insula cognitive disorder in elderly patients with cerebral RESULTS The number of patients with cognitive impairment in the basal ganglia and thalamus was significantly higher than that without cognitive impairment(P<0.05).The total infarct volume in the cognitive impairment group was higher than that in the non-cognitive impairment group,and the difference was statistically significant(P<0.05).The infarct volumes at different sites in the cognitive impairment group was higher than in the non-cognitive impairment group(P<0.05).In the cognitive impairment group,the infarct volumes in the basal ganglia,thalamus,and mixed lesions were negatively correlated with the total MoCA score,with correlation coefficients of-0.67,-0.73,and-0.77,*** In elderly patients with acute insular infarction,infarction in the basal ganglia,thalamus,and mixed lesions were more likely to lead to cognitive dysfunction than in other areas,and patients with large infarct volumes were more like

关键词： Elderly Acute insular infarction Infarction site Cognitive impairment Infarction volume

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Relationship between plasma risperidone concentrations and clinical features in chronic schizophrenic patients in China

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World Journal of Psychiatry 2024年第4期14卷 523-532页

作者： Jing-Wen Xu Xiao-Bo Guan Xue-Ying Wang Yang Feng Qi Zhang Jun-Juan Zhu Jian-Hua Chen Department of Medicine Shanghai No.3 Mental Health Center of Civil AdministrationShanghai 200435China The Fourth Sick ward Shanghai No.3 Mental Health Center of Civil AdministrationShanghai 200435China Shanghai Mental Health Center Shanghai Jiao Tong University School of MedicineShanghai Key Laboratory of Psychotic DisordersShanghai 200030China The First Sick ward Shanghai No.3 Mental Health Center of Civil AdministrationShanghai 200435China

BACKGROUND Prior studies have noted great variability in the plasma levels of risperidone(RIS).Plasma concentrations of RIS and its active moiety are highly variable and depend on absorption,metabolism,and other predictors of metabolic dysregulation;however,these factors are poorly understood and the association between metabolic change and change in psychopathology is *** To ascertain the characteristics of chronic schizophrenic patients treated with RIS,and to assess their relationship with plasma RIS *** This was a descriptive cross-sectional study of 50 patients with a diagnosis of schizophrenic psychosis treated with RIS in a psychiatric *** plasma concentrations of RIS and its metabolite 9-hydroxyrisperidone were determined by high performance liquid *** patients’demographic and clinical characteristics,and psychopathologies were assessed,and the associations between clinical variables and plasma levels of RIS were *** Male patients received higher doses of RIS than female ones,but plasma concentrations of RIS and risperidone+9-hydroxyrisperidone(active moiety)were higher in female *** and the mean scores of the general psychopathology subscale of the Positive and Negative Syndrome Scale(PANSS)were significantly positively correlated with plasma concentrations of risperidone+9-hydroxyrisperidone adjusted for weight and dose in all 50 *** male subjects,we found a statistically significant positive correlation between the concentrations of risperidone+9-hydroxyrisperidone in plasma/(dose×kg)and age,mean PANSS negative subscale scores,mean PANSS general psychopathology subscale scores,and mean PANSS total *** Long-term use of RIS should be closely monitored in older patients and females to minimize the risk of high concentrations which could induce side effects.

关键词： Antipsychotics Risperidone 9-hydroxyrisperidone Plasma drug concentration monitoring Chronic schizophrenia

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Application of artificial intelligence in diagnosis of pulmonary tuberculosis

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Chinese Medical Journal 2024年第5期137卷 559-561页

作者： Jingli Du Yue Su Juan Qiao Shang Gao Enjun Dong Ruilan Wang Yanhui Nie Jing Ji Zhendong Wang Jianqin Liang Wenping Gong Tuberculosis Control Team Senior Department of TuberculosisThe Eighth Medical Center of PLA General HospitalBeijing 100091China Department of Computer Science and Technology College of Management Science and EngineeringCapital University of Economics and BusinessBeijing 100071China The Second ward of Tuberculosis Department Senior Department of TuberculosisThe Eighth Medical Center of PLA General HospitalBeijing 100091China Beijing Key Laboratory of New Techniques of Tuberculosis Diagnosis and Treatment Senior Department of TuberculosisThe Eighth Medical Center of PLA General HospitalBeijing 100091China

Tuberculosis(TB)is an infectious disease caused by Mycobacterium *** the diagnostic technology of pulmonary tuberculosis(PTB)has advanced,accurate and differential diagnoses of PTB are still *** recent years,the rapid development of artificial intelligence(AI)and its wide application in the medical field have provided new opportunities for diagnosing and treating TB and *** machine learning model of AI has not only helped physicians improve diagnostic accuracy,but also enabled them to make early preventive diagnoses for individuals at increased risk of ***,AI can guide physicians to formulate targeted treatment strategies for PTB patients with different conditions.

关键词： tuberculosis diagnosis artificial

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心血管疾病患者运动恐惧评估工具测量属性的系统评价

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International Journal of Nursing Sciences 2024年第1期11卷 57-65页

作者：贾盈盈崔念奇贾婷婷 Hammza Jabbar Abdl Sattar Hamoudi 宋剑平 Nursing Department The Second Affiliated Hospital of Zhejiang University School of MedicineHangzhouChina Nursing Department Zhejiang University School of MedicineHangzhouChina School of Nursing Kunming Medical UniversityKunmingChina general Surgery Cadre ward Gansu Provincial People’s HospitalLanzhouChina Faculty of Clinical Medicine Zhejiang University School of MedicineHangzhouChina

目的系统评价心血管疾病患者运动恐惧评估工具的测量学特性及方法学质量,为医护人员选择高质量的评估工具提供参考。方法系统检索Embase、the Cochrane *** of Science、中国知网、万方数据库、中国生物医学文献数据库、CINAHL和维普数... 详细信息

目的系统评价心血管疾病患者运动恐惧评估工具的测量学特性及方法学质量,为医护人员选择高质量的评估工具提供参考。方法系统检索Embase、the Cochrane *** of Science、中国知网、万方数据库、中国生物医学文献数据库、CINAHL和维普数据库中有关心血管疾病患者运动恐惧量表测量属性的研究,检索时限为建库至2023年4月1日,并追溯纳人文献的参考文献以补充相关文献。两名研究员按照纳人排除标准,独立筛选文献、提取数据,并使用COSMIN偏倚风险检查表独立评估量表的方法学质量,使用COSMIN标准评估量表评价测量学特性,使用改良版定量系统评价证据分级评估证据等级。结果共纳人17项研究,对6个心血管疾病患者运动恐惧评估工具(包含不同语言版本)的心理测量学特性进行了评价,仅有2项研究报告的量表内容效度方法学质量为很好,其余研究报告的量表内容效度方法学质量为模糊。关于跨文化有效性/测量不变性、测量误差和反应性的信息较少。瑞典语版及中文版坦帕运动恐惧症量表(the Tampa Scale for Kinesiophobia Heart,TSK Heart)为A类推荐,其他工具为B类推荐。结论现有研究中报告的瑞典语版和中文版TSKHeart的方法学及测量学属性质量相对较高,可被推荐使用,其余量表的测量学特性有待进--步验证。

关键词：评估工具心血管疾病运动恐惧症病人系统评价

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