Search results for "Pediatrics"

Epidemiological profile of patients infected by Human Immunodeficiency Virus (HIV)

2009

Introduction. The aim of the present work is to identify the principal characteristics of a sample of individuals at the moment of diagnosis of HIV infection. Material and methods. Descriptive, retrospective study, based on the hospital clinical records of 70 HIV+ patients, without AIDS, selected by means of simple aleatory sampling. Results. Transmission categories: Users of Injectable Drugs (UID) 81.4%, heterosexuals 10%, homo/bisexuals 4.3% and transfusions/plasma donors 2.9%, sex: ratio man/woman = 3.8/1, average age on diagnosis: 27.3 ± 7.0 years (UID 26.3 ± 5.1 years, heterosexuals 29.6 ± 2.1 years, homo/bisexuals 27.3 ± 3.9 and transfusions/plasma donors 51.4 ± 23.1 years (p = 0.02).…

The dilemma for patients with chronic hepatitis C: treat now or warehouse?

2013

Dual therapy with peginterferon and ribavirin, the only treatent for chronic hepatitis C available In Italy and in many other ountries worldwide up to 2013, obtains satisfactory response ates in infections with hepatitis C virus (HCV) genotype 2, but far rom optimal for other genotypes [1,2]. Eradication requires 6–12 onths of therapy, with significant inconvenience for patients: dverse reactions force premature termination in about 20% of atients and reduced the quality of life for almost all who persist n treatment. In view of the important and prolonged side effects, nterferon-based treatment is perceived as a nightmare by many symptomatic,well-being, socially activepatients (the largema…

Endemic Treponemal Infections in International Adoptees and Immigrant Children: How Common are they?

2011

Cost-effectiveness of bedaquiline in MDR and XDR tuberculosis in Italy

2016

ABSTRACT Objective: To evaluate the cost-effectiveness of bedaquiline plus background drug regimens (BR) for multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) in Italy. Methods: A Markov model was adapted to the Italian setting to estimate the incremental cost-effectiveness ratio (ICER) of bedaquiline plus BR (BBR) versus BR in the treatment of MDR-TB and XDR-TB over 10 years, from both the National Health Service (NHS) and societal perspective. Cost-effectiveness was evaluated in terms of life-years gained (LYG). Clinical data were sourced from trials; resource consumption for compared treatments was modelled according to advice from an expert c…

Determinants of patient and health-care system delay in the diagnosis of tuberculosis in Sicily

2016

tuberculosis, health-care system, diagnosis

El conjunto mínimo básico de datos al alta hospitalaria como fuente de información para el estudio de las anomalías congénitas

1999

PURPOSE: The purpose of this study is that of assessing the validity of the computerized diagnoses of hospital discharges of congenital defects by comparing them with the information included in the medical history. MEANS AND METHODS: Based on the discharge records generated over a one-year period at 7 hospitals in the Autonomous Region of Valencia, 100 children were selected at random from each hospital. As a standard, the diagnoses stated in the medical histories were indexed and coded. Solely those discharges having taken place during the first year of life were considered. A study was also made of the type, seriousness and individual or combinations of congenital defects. A calculation …

Obesity, Body Fat Distribution, and Ambulatory Blood Pressure in Children and Adolescents

2001

Obesity is a common disease with an ever-increasing prevalence and usually with late-onset consequences. If acquired during childhood, it tracks into adult life to some extent, and since the relationship between obesity and hypertension is well established in adults, obese children appear to be at particularly high risk of becoming hypertensive adults. In the authors' study, obese children seemed to have significantly higher casual and ambulatory blood pressure than nonobese children, except for nighttime diastolic blood pressure. The health effects of obesity may depend on the anatomic distribution of body fat, which in turn may be a better indicator of endocrinologic imbalance, environmen…

Some epidemiological aspects of nosocomial infections. Antibiotic sensitivity rates of isolated bacteria from nosocomial infections - A prospective s…

2014

Results The total number of isolated strains was 413, 231 in 2012 and 182 in 2013. In the intensive care units 151 nosocomial infections were identified; 88 strains in the Surgical Department, 27 strains in the Department of Gynecology and Obstetrics, 24 strains in the Department of Neurosurgery and 23 in the Orthopedic Department. 19 strains were identified in the Neurology Department and also in the Internal Medicine Department, 17 strains were identified in the Urology Department, 14 in the Aesthetic Surgery Department, 8 in the Nephrology Department, 8 in the Hematology Department and 5 in the Gastroenterology Department. 3 strains were isolated in each of the following departments: Dia…

Risk factors for refractory Kawasaki disease: clinical records of the paediatric clinic of palermo

2014

Kawasaki disease (KD) is an acute, self-limited febrile illness that mainly affecting small- to medium-sized vessels and occurs in early childhood. The etiology is currently unknown, however it likely results from an immunologic response triggered by microbial agents, with documented genetic susceptibility. Intravenous administration of immunoglobulin (IVIG) is the gold standard therapy for coronary arteritis in the acute phase of KD; some patients do not respond to IVIG and coronary aneurysms continue to develop in 5%. The most serious complications are coronary vasculitis and aneurysms. 15% of these patients do not respond to IVIG (Refractory KD:RMK) and have a higher risk of aneurysms.

The course of psychiatric co-morbidity in patients with breast cancer - results from the prospective multi-centre BRENDA II study

2015

Purpose This study examined the frequency of psychiatric co-morbidity in patients with breast cancer, its changes over time and predictors for these changes. Methods In a prospective study with measurements before surgery (t1, baseline), 1 month (t2) and 8 months thereafter (t3) using the Patient Health Questionnaire, we examined the course of psychiatric co-morbidity in breast cancer patients. The co-morbidity courses were grouped into healthy (no co-morbidity during the study), acute (co-morbidity at t1 and/or t2, but not at t3), emerging (no co-morbidity at t1, but at t3) and chronic (co-morbidity at t1 and t3). Results Of the 598 participants, 19% had acute, 10% emerging and 9% chronic …