Single lesion multibacillary leprosy, a treatment enigma: a case report

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Predictors of Long-Term Care Utilization by Dutch Hospital Patients aged 65+

Background Long-term care is often associated with high health care expenditures. In the Netherlands, an ageing population will likely increase the demand for long-term care within the near future. The development of risk profiles will not only be useful for projecting future demand, but also for providing clues that may prevent or delay long-term care utilization. Here, we report our identification of predictors of long-term care utilization in a cohort of hospital patients aged 65+ following their discharge from hospital discharge and who, prior to hospital admission, were living at home. Methods The data were obtained from three national databases in the Netherlands: the national hospital discharge register, the long-term care expenses register and the population register. Multinomial logistic regression was applied to determine which variables were the best predictors of long-term care utilization. The model included demographic characteristics and several medical diagnoses. The outcome variables were discharge to home with no formal care (reference category), discharge to home with home care, admission to a nursing home and admission to a home for the elderly. Results The study cohort consisted of 262,439 hospitalized patients. A higher age, longer stay in the hospital and absence of

Dutch guideline on total hip prosthesis

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Prevalência e fatores associados ao ganho de peso gestacional excessivo em unidades de saúde do sudoeste da Bahia

RESUMO: Objetivo: Determinar a prevalência do ganho de peso semanal excessivo em gestantes e verificar a associação com fatores demográficos, socioeconômicos, obstétricos, antropométricos e comportamentais. Metodologia: Trata-se de um estudo transversal realizado com 328 gestantes assistidas em todas as unidades de saúde da zona urbana de Vitória da Conquista, Bahia. Os dados foram coletados no período de maio de 2010 a junho de 2011. O ganho de peso semanal foi avaliado de acordo com as recomendações atuais do Institute of Medicine (IOM). A associação entre os fatores em estudo e o ganho de peso semanal excessivo foi verificada nas gestantes, no segundo e terceiro trimestres, por meio da análise de regressão de Poisson com variância robusta. Resultados: A prevalência de ganho de peso semanal excessivo nas gestantes do segundo e terceiro trimestres foi de 42,5%. Os fatores determinantes do ganho ponderal semanal excessivo foram: renda familiar < 1 salário mínimo (RP: 2,65; IC95% 1,18 - 4,83) e estado nutricional pré-gestacional sobrepeso/obesidade (RP: 1,33; IC95% 1,01 - 1,75). Conclusão: Os resultados do estudo reforçam a importância do monitoramento do ganho de peso durante a gestação. A avaliação do ganho de peso semanal possibilita a realização de intervenções precoces visando a prevenção do ganho de peso total excessivo e suas consequências para a mãe e para a criança

The Value of Cassava for Growth of Sheep

Three experiments were conducted to investigate the value of cassava for sheep feeding. In Experiment 1 twelve Nigerian Dwarf sheep between five and six months of age, ranging in liveweight from 6 to 14 kg were randomly allotted by sex and weight to three experimental treatments. The treatment groups received either a maize-groundnut meal control diet, a fresh cassava + poultry litter mixture that had been ensiled and later mixed with protein supplement, or dried cassava-groundnut meal diet, during the 70-day experimental period.In Experiment 2, unpeeled fresh cassava roots of the high HCN variety were used to replace maize in lamb diets. Fresh cassava was fed mixed daily with a protein supplement to the first treatment group while the other group received a maize-based control diet, over a 56-day period. In Experiment 3 the apparent digestibility of the nutrients in the unpeeled fresh roots, dried roots and peels were investigated.The results of the three experiments indicated that total replacement of maize with either dried total replacement of maize with either dried cassava, cassava ensiled with poultry litter or unpeeled fresh roots for growing lambs gave responses equal to the control diet. Ensiling of fresh cassava roots destroyed 99% of the HCN while the addition of poultry litter increased the crude protein content of the silage by about 270% when compared with the unpeeled fresh roots and by about 435% when compared with ensiled roots to which no poultry litter was added. All the nutrients in cassava roots, except crude protein were well digested by sheep. Ether extract digestibility was however generally low. In all cases no symptoms of toxicity were noticed

Increased protein carbonylation in leaves of Arabidopsis and soybean in response to elevated [CO2].

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