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Background: The WHO dengue classification 1997 was revised in 2009 and the revised classification system has now been in use for the past decade. This study was carried out to compare the 1997 and revised classifications in assess...
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Background: The WHO dengue classification 1997 was revised in 2009 and the revised classification system has now been in use for the past decade. This study was carried out to compare the 1997 and revised classifications in assessing the severity of dengue infection among all age groups during a dengue outbreak in south-west India.
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Objective. To evaluate the association between the Systemic Lupus International Collaborating Clinics frailty index (SLICC-FI) and damage accrual in systemic lupus erythematosus (SLE) patients. Methods. Patients from the multiethn...
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Objective. To evaluate the association between the Systemic Lupus International Collaborating Clinics frailty index (SLICC-FI) and damage accrual in systemic lupus erythematosus (SLE) patients. Methods. Patients from the multiethnic, multicenter LUpus in MInorities, NAture versus nurture (LUMINA) cohort were included. Damage was ascertained with the SLICC/American College of Rheumatology Damage Index (SDI) at last visit (range 0-51). The first visit in which the SLICC-FI score could be derived was considered as the baseline (range 0-1). Univariable and multivariable negative binomial regression models were performed to determine the association between the baseline SLICC-FI score (per 0.05 increase) and the change in the SDI score (difference between last and baseline SDI score), adjusted for sex, age at diagnosis, ethnicity, insurance, prednisone daily dose, and antimalarial and immunosuppressive drug use at baseline. Age and sex were included a priori in the multivariable model; the other variables were included if they reached P < 0.10 in the univariable models. Results. Of the 503 patients included, 454 (90.3%) were female, with a mean +/- SD age of 37.1 +/- 12.5 years at diagnosis. The mean +/- SD baseline SLICC-FI score was 0.26 +/- 0.06. The mean +/- SD baseline SDI score was 0.6 +/- 1.0, and the mean +/- SD change in the SDI score was 1.9 +/- 2.2. Higher SLICC-FI scores at baseline (per 0.05 increase) were associated with greater damage accrual in the multivariable model after adjustment for possible confounders (incidence rate ratio 1.20 [95% confidence interval 1.08-1.33], P = 0.0015). Conclusion. The SLICC-FI is associated with damage accrual in SLE patients from a multiethnic cohort, supporting the importance of this index in the evaluation of SLE patients, combining several aspects of their disease.
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Based on combined study of the composition of soil solutions and water extracts in Chestnut and Solonetz soils of Russia, the diagnostic factors of the chemistry of salinization are revised-(> 1.0 for chloride, 0.6-1.0 for sulfate...
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Based on combined study of the composition of soil solutions and water extracts in Chestnut and Solonetz soils of Russia, the diagnostic factors of the chemistry of salinization are revised-(> 1.0 for chloride, 0.6-1.0 for sulfate-chloride, and 0.3-0.6 for chloride-sulfate), as well as the optimal (1.0-2.5 g/l) and critical (2.5-3.5 g/l) concentrations of soil solutions for weakly and moderately salt-resistant crops. Identification of a ''very weak extent of soil salinization,'' which corresponds to 0.06-0.10 percent of the total of toxic salts in chloride-sulfate salinization, is proposed.
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Background: Revision total knee arthroplasty (rTKA) can be complex, with greater costs to the treating hospital than primary TKA. A rTKA regional network has been proposed in England. The aim of this work was to accurately quantif...
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Background: Revision total knee arthroplasty (rTKA) can be complex, with greater costs to the treating hospital than primary TKA. A rTKA regional network has been proposed in England. The aim of this work was to accurately quantify current costs and reimbursement for the rTKA service and to assess whether costs are proportional to case complexity at a tertiary referral centre within the National Health Service (NHS).
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The Korean Decimal Classification (KDC) is a national standard classification system of the Korean library community published and maintained by the Classification Committee of the Korean Library Association. This article examines...
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The Korean Decimal Classification (KDC) is a national standard classification system of the Korean library community published and maintained by the Classification Committee of the Korean Library Association. This article examines its general history from its advent to the latest edition (KDC 6), its usage, external characteristics including format and layout, internal principles and characteristics including outline and classificatory principles applied, general aspects of the schedule and the major tables, development and maintenance, and general evaluation. It concludes with some ideas and recommendations for future research and development.
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IntroductionIn last three decades, total hip replacement in young patients became an habitual procedure. Principles of bone preservation are pushing many surgeons to implant conservative femoral components in patient younger than ...
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IntroductionIn last three decades, total hip replacement in young patients became an habitual procedure. Principles of bone preservation are pushing many surgeons to implant conservative femoral components in patient younger than 65years. Despite an overall good survivorship and clinical outcomes of conservative implants, failed cases are reported and the need to revise a conservative femoral component became an occasional procedure (with high prevalence of failed resurfacing implants).MethodsDuring conservative femoral component revisions, we analyzed proximal bone stock preservation, considering the type of original component removed, aetiology of failure, timing of revision, and femoral explantation technique.ResultsWe identified four patterns of proximal femoral changes (types I-IV). We suggest, for each of them, a revision strategy directed toward a conservative revision procedure using conservative or primary component. Out of our 21 cases, none underwent further revision due to mechanical failure (follow-up ranging from 6 to 152months, mean 54months). We had two cases of re-operation: one for early septic loosening and one for prosthetic modular neck fracture.ConclusionsIf literature offers well-established guidelines to femoral revision of conventional stems, there is, on the other hand, a lack of data about revision strategies in presence of failed conservative implants. Although the mean follow-up of our procedures is still too short (4.5years) to give final conclusions, we would leave a message: a conservative hip arthroplasty is not a one time opportunity for young and active people. A conservative revision is a valid option for at least a part of them, when an early failure of primary procedure occurred.
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We describe three new genera (Ambrosiophilus gen. n., Beaverium gen. n., and Diuncus gen. n.) and diagnose 26 species of ambrosia-feeding scolytines, almost all from the Palaeotropical region. These taxa are ecologically interesti...
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We describe three new genera (Ambrosiophilus gen. n., Beaverium gen. n., and Diuncus gen. n.) and diagnose 26 species of ambrosia-feeding scolytines, almost all from the Palaeotropical region. These taxa are ecologically interesting because of their intimate relationship with other xyleborine species. Recognition of these genera is an initial step towards a revision of the large polyphyletic genus, Xyleborus.
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A prospective study of dengue infected patients at Dr.Soetomo Hospital pediatric ward was carried out from October 2008 to April 2009 to evaluate the revised dengue classification system proposed by the Dengue Control (DENCO), for...
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A prospective study of dengue infected patients at Dr.Soetomo Hospital pediatric ward was carried out from October 2008 to April 2009 to evaluate the revised dengue classification system proposed by the Dengue Control (DENCO), for early detection of severe dengue infected patients using the WHO classification system for comparison, with the addition of clinical interventions as a tool to grade for severity. One hundred forty-five patients were included in the study. Using the WHO classification system, 122 cases (84.1%) were classified as having non-severe dengue, of which 70 (48.3%) were classified as having dengue fever (DF), 39 (26.9%) as having dengue hemorrhagic fever (DHF) grade I, and 13 (9%) as having DHF grade II. Twenty-three (15.9%) were classified as having severe dengue, of which 16 (11%) were classified as having DHF grade III and 7 (4.8%) as having DHF grade IV. With clinical interventions included, 8 cases (6.6%) originally classified as having non-severe dengue infection were reclassified as having severe infection (sensitiv-ity=74%, specificity=100%, likelihood ratio (-) =0.26). Using the new dengue classification system, 117 cases (80.7%) were classified as having non-severe dengue infection, of which 79 (54.5%) were classified as having dengue without warning signs and 38 (26.2%) were classified as having dengue with warning signs, while 28 (19.3%) were classified as having severe dengue infection. Using clinical intervention, 4 cases (3.4%) which were originally classified as having non-severe dengue infection were reclassified as having severe dengue infection (sensitivity=88%, specifidty=99%, likelihood ratio (+)=98.88, likelihood ratio (-)=0.13). Binary logistic regression showed the revised dengue classification system (p=0.000, Wald:22.446) was better in detecting severe dengue infections than the WHO classification system (p=0.175, Wald:6.339).
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