CME: Zoonosis in Switzerland: Leptospirosis.

[CME: Zoonosis in Switzerland: Leptospirosis]. Praxis (Bern 1994). 2019 Jun;108(8):519-524 Authors: Vock I, Scholz MC, Stettler CD, Shabb DW, Martinez AE Abstract CME: Zoonosis in Switzerland: Leptospirosis Abstract. Leptospirosis is worldwide a common zoonosis that also occurs in Switzerland. Frequently it presents as a self-limited, mild illness. The more severe presentation with jaundice and sever acute kidney injury (Weil's disease) is, however, associated with a high morbidity and mortality. In order to make the diagnosis, it is important to recognize the typical findings and perform the appropriate diagnostic workup. In this article, we discuss the clinical signs, diagnostic workup, therapy and prevention of leptospirosis and present the case of a 54-year-old patient with severe leptospirosis. PMID: 31185842 [PubMed - in process]
Source: Praxis - Category: General Medicine Authors: Tags: Praxis (Bern 1994) Source Type: research

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ConclusionA high index of suspicion is essential for early diagnosis and intervention to improve the clinical outcome. In difficult ERCP, performing a post-procedural fluoroscopy study with contrast injection is essential.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
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Source: Browsing - Category: Databases & Libraries Tags: midwifery Source Type: blogs
Conclusion: Mothers have poor sensitivity and PPV to detect significant neonatal jaundice in the Indian population.
Source: Indian Journal of Community Medicine - Category: International Medicine & Public Health Authors: Source Type: research
Conclusions: Simultaneous use of screening model and rapid test gave NRI 81.25% and sequential use of confirmatory test gave NRI 47.18% compared to corresponding parts of the modified Faine's criteria.
Source: Indian Journal of Community Medicine - Category: International Medicine & Public Health Authors: Source Type: research
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This study aimed to explore the risk factors for post-EST delayed hemorrhage and suggest some precautionary measures.MethodsThis study analyzed 8477 patients who successfully underwent endoscopic retrograde cholangiopancreatography (ERCP) and EST between January 2007 and June 2015 in the First Affiliated Hospital of Nanchang University. Univariate and multivariate analyses were performed to find the risk factors for delayed hemorrhage after EST.ResultsOf the 8477 patients screened, 137 (1.62%) experienced delayed hemorrhage. Univariate analysis showed that male, the severity of jaundice, duodenal papillary adenoma and carc...
Source: Hepatobiliary and Pancreatic Diseases International - Category: Gastroenterology Source Type: research
Abstract The Sustainable Development Goal 6 (SDG #6) of the United Nations (UN) is hinged on the provision, availability, and sustainability of water for the global populace by 2030. In a bid to achieve this goal, the quest to seek for ubiquitous and low-cost adsorbents to treat effluents laden with industrial dyes, such as methylene blue (MB), is on the increase in recent years. Acute exposure of humans to (MB) dye causes cyanosis, necrosis, and jaundice and even leads to death. In this research, zinc-modified hybrid clay composite adsorbent (materials from kaolinite and biomass (crushed Carica papaya seeds ...
Source: Environmental Science and Pollution Research International - Category: Environmental Health Authors: Tags: Environ Sci Pollut Res Int Source Type: research
AbstractChanges in gene expression profiles were investigated in 23 patients with Niemann –Pick C1 disease (NPC). cDNA expression microarrays with subsequent validation by qRT-PCR were used. Comparison of NPC to control samples revealed upregulation of genes involved in inflammation (MMP3,THBS4), cytokine signalling (MMP3), extracellular matrix degradation (MMP3,CTSK), autophagy and apoptosis (CTSK,GPNMB,PTGIS), immune response (AKR1C3,RCAN2,PTGIS) and processes of neuronal development (RCAN2). Downregulated genes were associated with cytoskeletal signalling (ACTG2,CNN1); inflammation and oxidative stress (CNN1); inh...
Source: Neurogenetics - Category: Genetics & Stem Cells Source Type: research
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Source: Journal of Ethnopharmacology - Category: Drugs & Pharmacology Source Type: research
This study aimed to compare the treatment outcomes and safety between stent placement with or without Iodine-125 (125I) seeds strand for patients with unresectable malignant obstructive jaundice (MOJ).Methods: A total of 84 patients with unresectable MOJ treated in our hospital were retrospectively included and divided into the stent group (n = 54) undergoing biliary stent placement and the stent + seeds group (n = 30) receiving stent placement with 125I seeds strand. The therapeutic outcome, postoperative complications, duration of patient survival and stent patency were compared ...
Source: Scandinavian Journal of Gastroenterology - Category: Gastroenterology Tags: Scand J Gastroenterol Source Type: research
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