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Preliminary criteria for global flares in childhood-onset systemic lupus erythematosus.

https://arctichealth.org/en/permalink/ahliterature134135
Source
Arthritis Care Res (Hoboken). 2011 Sep;63(9):1213-23
Publication Type
Conference/Meeting Material
Article
Date
Sep-2011
Author
Hermine I Brunner
Rina Mina
Clarissa Pilkington
Michael W Beresford
Andreas Reiff
Deborah M Levy
Lori B Tucker
B Anne Eberhard
Angelo Ravelli
Laura E Schanberg
Claudia Saad-Magalhaes
Gloria C Higgins
Karen Onel
Nora G Singer
Emily von Scheven
Lukasz Itert
Marisa S Klein-Gitelman
Marilynn Punaro
Jun Ying
Edward H Giannini
Author Affiliation
Cincinnati Children's Hospital Medical Center, Ohio, USA. hermine.brunner@cchmc.org
Source
Arthritis Care Res (Hoboken). 2011 Sep;63(9):1213-23
Date
Sep-2011
Language
English
Publication Type
Conference/Meeting Material
Article
Keywords
Age of Onset
Algorithms
Antibodies, Antinuclear - blood
Biological Markers - blood - urine
Blood Sedimentation
Canada - epidemiology
Complement System Proteins - metabolism
Consensus
Creatinine - urine
DNA - immunology
Delphi Technique
Disability Evaluation
England - epidemiology
Humans
Logistic Models
Lupus Erythematosus, Systemic - blood - diagnosis - epidemiology - immunology - psychology
Predictive value of tests
Prognosis
Proteinuria - diagnosis
Quality of Life
Questionnaires
ROC Curve
Severity of Illness Index
Time Factors
United States - epidemiology
Abstract
To develop widely acceptable preliminary criteria of global flare for childhood-onset systemic lupus erythematosus (cSLE).
Pediatric rheumatologists (n = 138) rated a total of 358 unique patient profiles with information about the cSLE flare descriptors from 2 consecutive visits: patient global assessment of well-being, physician global assessment of disease activity (MD-global), health-related quality of life, anti-double-stranded DNA antibodies, disease activity index scores, protein:creatinine (P:C) ratio, complement levels, and erythrocyte sedimentation rate (ESR). Based on 2,996 rater responses about the course of cSLE (baseline versus followup), the accuracy (sensitivity, specificity, and area under the receiver operating characteristic curve) of candidate flare criteria was assessed. An international consensus conference was held to rank these candidate flare criteria as per the American College of Rheumatology recommendations for the development and validation of criteria sets.
The highest-ranked candidate criteria considered absolute changes (?) of the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) or British Isles Lupus Assessment Group (BILAG), MD-global, P:C ratio, and ESR; flare scores can be calculated (0.5 × ?SLEDAI + 0.45 × ?P:C ratio + 0.5 × ?MD-global + 0.02 × ?ESR), where values of =1.04 are reflective of a flare. Similarly, BILAG-based flare scores (0.4 × ?BILAG + 0.65 × ?P:C ratio + 0.5 × ?MD-global + 0.02 × ?ESR) of =1.15 were diagnostic of a flare. Flare scores increased with flare severity.
Consensus has been reached on preliminary criteria for global flares in cSLE. Further validation studies are needed to confirm the usefulness of the cSLE flare criteria in research and for clinical care.
Notes
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PubMed ID
21618452 View in PubMed
Less detail

AIDS patients' concerns at centre stage during Vancouver conference.

https://arctichealth.org/en/permalink/ahliterature226014
Source
CMAJ. 1991 Jul 15;145(2):151-2
Publication Type
Conference/Meeting Material
Date
Jul-15-1991

Natural history of tuberculosis. Epidemiology.

https://arctichealth.org/en/permalink/ahliterature6458
Source
Bull Int Union Tuberc Lung Dis. 1991 Dec;66(4):193-4
Publication Type
Conference/Meeting Material
Date
Dec-1991
Author
S. Grzybowski
Source
Bull Int Union Tuberc Lung Dis. 1991 Dec;66(4):193-4
Date
Dec-1991
Language
English
Publication Type
Conference/Meeting Material
Keywords
Alaska - epidemiology
Asian Continental Ancestry Group
Canada - epidemiology
Greenland - epidemiology
Humans
India - epidemiology
Longitudinal Studies
Research - standards
Tuberculosis - drug therapy - epidemiology - prevention & control
Abstract
This Symposium honours the achievements of Dr Karel Styblo. In this presentation, specific epidemiologic insights are reviewed. Studies of the epidemiology of tuberculosis in Eskimos showed a picture of tuberculosis at the height of the epidemic. Very high incidence was observed in young people who experienced a high fatality rate. Application of specific control measures were accompanied by rapid decline in rates, greater than observed in any other human population, demonstrating that tuberculosis could be brought under control by specific intervention. Studies of the natural trend of tuberculosis in South India showed that, even in the absence of intervention, a decline was observed in the rates of this disease. In the absence of chemotherapy, 50 per cent of cases die within 5 years, 30 per cent recover spontaneously and 20 per cent remain sputum positive. Studies of the efficacy of BCG in Madras, enabled to study the impact of efficient case-finding associated with poor treatment results showing that such a situation multiplies the number of surviving, infectious cases in the community and, thus, actually deteriorates the epidemiological situation. These various basic studies have shown both how to create success and how to create failure in tuberculosis programmes.
PubMed ID
1687514 View in PubMed
Less detail

Workshop on scrapie-related disease control.

https://arctichealth.org/en/permalink/ahliterature226366
Source
Can Dis Wkly Rep. 1991 May 4;17(18):89-96
Publication Type
Conference/Meeting Material
Date
May-4-1991
Author
J. Davies
Author Affiliation
Laboratory Centre for Disease Control, Department of National Health and Welfare, Ottawa, Ontario.
Source
Can Dis Wkly Rep. 1991 May 4;17(18):89-96
Date
May-4-1991
Language
English
French
Publication Type
Conference/Meeting Material
Keywords
Aged
Animal Feed
Animals
Canada - epidemiology
Cattle
Cattle Diseases - epidemiology - prevention & control
Food Contamination
Humans
Mice
Middle Aged
Risk factors
Scrapie - epidemiology - prevention & control - transmission
Sheep
World Health
Zoonoses - prevention & control
PubMed ID
2065368 View in PubMed
Less detail
Source
Can Dis Wkly Rep. 1991 Mar 30;17(13):63-70
Publication Type
Conference/Meeting Material
Article
Date
Mar-30-1991

Report on Working Group 1: Albania, Andorra, Canada, France, Italy, Moldova, Portugal, Poland, Romania and Spain.

https://arctichealth.org/en/permalink/ahliterature203345
Source
Vaccine. 1998 Nov;16 Suppl:S58-60
Publication Type
Conference/Meeting Material
Article
Date
Nov-1998

We need to know more. Preterm Birth Prevention Consensus Conference.

https://arctichealth.org/en/permalink/ahliterature203751
Source
Can Fam Physician. 1998 Nov;44:2482-3
Publication Type
Conference/Meeting Material
Article
Date
Nov-1998
Source
Can Fam Physician. 1998 Oct;44:2180-1, 2184-5
Publication Type
Conference/Meeting Material
Article
Date
Oct-1998
Author
R. Thomas
Author Affiliation
Memorial University of Newfoundland.
Source
Can Fam Physician. 1998 Oct;44:2180-1, 2184-5
Date
Oct-1998
Language
English
French
Publication Type
Conference/Meeting Material
Article
Keywords
Bacterial Vaccines
Canada - epidemiology
Cost of Illness
Cost-Benefit Analysis
Drug Resistance, Microbial
Humans
Pneumococcal Infections - drug therapy - epidemiology - prevention & control
Pneumococcal Vaccines
Vaccination - adverse effects - economics - methods
Notes
Cites: N Engl J Med. 1991 Nov 21;325(21):1453-601944423
Cites: CMAJ. 1998 Feb 10;158(3):327-319484256
Cites: J Clin Microbiol. 1994 Oct;32(10):2572-57814501
PubMed ID
9805173 View in PubMed
Less detail

Proceedings of a meeting of the Expert Advisory Group on Rubella in Canada. Winnipeg, Canada, November 22, 2001.

https://arctichealth.org/en/permalink/ahliterature185951
Source
Can Commun Dis Rep. 2002 Sep;28 Suppl 4:1-24
Publication Type
Conference/Meeting Material
Article
Date
Sep-2002

59 records – page 1 of 6.