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Horizontal Inequities in the uptake of Hospital Delivery and the Role of Social Determinants in China

Abstract:

Objectives:

To measure the horizontal inequity in the uptake of hospital delivery and quantify the contribution of various social determinants of health (SDH) to such inequity in China from 1993-2008

Methods:

With four national representative surveys in China conducted in 1993, 1998, 2003 and 2008, we measured horizontal inequity in the uptake of hospital delivery using indirect standardized concentration indices (CIs). By decomposing Cis into components, we explored the contributions of income, health insurance, education, living conditions to such inequities. Oaxaca type decomposition was further used to explain the role for each SDH on the changes of inequities between 1993 and 2008.

Results:

We found that horizontal inequ...

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Role of Helicobacter Pylori in Nasal Polyp Formation: A Case-Control Study in Tehran, Iran

Abstract:

Background and Objective:

The etiological factors for nasal polyps include infection, inflammation or an imbalance of a metabolic pathway. This study was designed to compare serum Helicobacter pyloriantibodies and H. pylori–DNAs between cases of nasal polyp and controls (nasal fracture).

Patients and Methods:

This case control study was carried out in ENT Department of Rasul Hospital in Tehran (2007-2008), upon nasal polyp tissues in 62 cases and inferior nasal turbinate mucosa in 25 controls. H. pylori–DNAs were searched by qualitative polymerase chain reaction (PCR) and serum specific H. pylori antibodies (ELISA IgG and IgA). Comparative tests were performed for the 2 groups, and P value < 0.05 was considered as statistically significant.<...

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A Rare Sellar Lesion: Pituitary Actinomyces Infection

Abstract:

Pituitary abscess is extremely rare and often misdiagnosed as pituitary tumor pre-operatively.

We document a case of a 64-year-old lady presented to the outpatient department with complaints of headache and blurring vision of right eye for one month. Based on preliminary investigations, a clinical diagnosis of pituitary adenoma was made and the pituitary gland was surgically excised. Histopathological examination showed Actinomyces infection. This case has been documented due to the extremely rare involvement of the pituitary gland by actinomyces infection. Pituitary abscess is a rare pathology, but it must be considered during evaluating sellar masses, since its prognosis depends on surgical drainage and on the use of specific antibiotics. We report, to our knowledge, the fourth case of Actinomyces israelii infection of the pituitary region.

...

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A Multidisciplinary Approach in The Diagnosis of Allergic and Non-Allergic Respiratory Diseases: Nasal Cytology and Feno.

Abstract:

Upper and lower airway disease is a common condition. Its prevalence is increasing in different areas of the world, but, at present, non-allergic rhinitis is underestimated. The aim of this study was to investigate FeNO (fractional exhaled nitric oxide) and nasal cytology in allergic and non-allergic patients, in order to reach a correct diagnosis.

This study was performed on 120 children with rhinitis and/or asthma, evaluated by an allergist and an otolaryngologist. Skin prick-test and nasal cytology were tested in all patients; FeNO only in the asthmatic ones.

The proportion of positive results in nasal cytology was higher in non-allergic than in allergic children: 22 out of 23 patients, vs 91 out of 97 patients. A significant correlation was found between FeNO levels and increase in nasal eosinophil counts.

There is compelling evidence of a close relationship between upper and lower airway in asthma and rhinitis. Th...

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Reversible Cerebral Lession and Irreversible Cerebral Necrosis After Cardiorespiratory Arrest: A Case Report

Abstract:

This case contrasts reversible cerebral lesions with areas of irreversible necrosis following cardiorespiratory arrest. The authors discuss imaging evolution, mechanisms of hypoxic–ischemic injury, and implications for prognostication and rehabilitation.

...

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The Daughter of Time: Late Development of Waldenstrom’s Macroglobulinemiain a Patient with Immunotactoid Glomerulopathy.

Abstract:

Immunotactoid glomerulopathy (ITG) is a rare cause of chronic kidney disease (CKD) and end-stage-renal-disease (ESRD). It is often associated with monoclonal gammopathy and/or hematologic malignancy. We report a patient originally diagnosed with ITG in 1998. He presented with nephrotic-range proteinuria, hypertension, and a gradual decline in glomerular filtration rate. A published case report of this patient at the time the disease was originally diagnosed described only a small peak of IgM paraprotein without lymphoma or plasma cell dyscrasia. He was diagnosed with monoclonal gammopathy of unknown significance. He later developed ESRD and initiated hemodialysis in 2004. Fourteen years after the diagnosis of ITG and MGUS was made he developed headache, lymphadenopathy, borderline splenomegaly, thrombocytopenia, and coagulopathy. Workup revealed a very high level of monoclonal IgM-kappa (4390 mg/dL),and low grade B-cell lymphoma, consistent with lymphoplasmacytic ...

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The Total Antioxidant Capacity of Foods: A Reappraisal. Application to Commercial Orange Juices

Abstract:

Since a few years, more and more attention has been specifically given to dietary antioxidants as agents promoting health and preventing the incidence of diseases. As part of these efforts, analytical methods and assays have been developed to measure the antioxidant content in food substances. In this paper, the antioxidant capacity of 17 orange juices is determined by various assays (DPPH, ORAC, heamolysis, xanthine/xanthine oxidase) as the content in ascorbic acid and total phenolics. The results evidence all the complexity to evaluate the in vitro antioxidant capacity of foods. In very general terms, in spite of the wide utilization in these tests (FRAP, TAC, ORAC TRAP and others), their significance remains obscure. The discrepancy of the results and the absence of good correlation between the assays clearly highlight all the importance of understanding the strengths and weakness of assays evaluating antioxidant potential of a food at the risk...

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Contact Hypersensitivity to Lavender Oil in Hungary: A Multicentre Survey 2013-2014

Abstract:

Background:

Lavender has been used for centuries, but its exposure has become part of the everyday life in our days. It is used in the alternative medicine, and as a flavouring component in soaps, cosmetics and in food products (chocolate, ice-cream, spices). The increasing number of exposures resulted the appearance of hypersensitivity- reactions.

Objectives:

A survey on the prevalence of lavender hypersensitivity was conducted by the Contact Dermatitis Work-Group of the Hungarian Dermatological Society in a multicentre, prospective study.

Patients and Methods:

1509 consecutivedermatological patients of 7 dermatological centres were involved in this study. Results were based on the anal...

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Evolution in Scientific Production in the Area of Vegetarian Nutrition, 1907-2013.

Abstract:

The objective is to evaluate the scientific evolution of articles about vegetarian nutrition. We analyzed the publication of articles of vegetarian nutrition, using the key term ‘vegetarian’ in the National Institutes of Health MEDLINE bibliographic database between 1907 and 2013. We quantified the number of articles in vegetarian nutrition by 5–y time periods, and we classified the kind of journals, the affiliation of the first author, the origin of the study population and the type of articles. The number of articles found in MEDLINE is 3256. The publication rate of vegetarian articles increased steadily, except in periods of 2006-2010 and 2011-2013, and this was explained because the application of “embargo period” for the some publishers. Non-nutrition journals have published more articles on vegetarian nutrition for all periods. It is observed that after 1960 the articles on vegetarian nutrition are proportionately greater than the total published, ...

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Ocular Manifestations of Vitamin A Deficiency Among the Rural Pre-School Children of North India

Abstract:

Purpose:

Vitamin A deficiency (VAD) is still a major nutritional problem of public health importance among the rural pre-school children in India, even after the implementation national vitamin A prophylaxis programme for prevention of nutritional blindness and ICDS have been in operation for more than three decades. The purpose of this communication is to assess the prevalence of ocular manifestations of vitamin A deficiency among rural pre-school children of north India.

Methods:

A community based cross-section study; adopting multi-stage random sampling procedure was carried out by NNMB among rural pre-school children of four north Indian states viz. Maharashtra, Madhya Pradesh, Orissa and West Bengal. A total of 36,111 rural pre-school children of 1-5years (Boys: 18408; Girls: 17703) were covered for this study.<...

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