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[24-hr monitoring arterial pressure in outpatients with cardiovascular risk factors in the Far North].

https://arctichealth.org/en/permalink/ahliterature261133
Source
Klin Med (Mosk). 2013;91(10):38-43
Publication Type
Article
Date
2013
Author
V B Simonenko
K B Solov'eva
I V Dolbin
Source
Klin Med (Mosk). 2013;91(10):38-43
Date
2013
Language
Russian
Publication Type
Article
Keywords
Adult
Arctic Regions - epidemiology
Arterial Pressure - physiology
Blood Pressure Monitoring, Ambulatory
Cardiovascular Diseases - epidemiology
Humans
Hypertension - diagnosis - epidemiology
Male
Middle Aged
Outpatients - statistics & numerical data
Risk factors
Russia
Abstract
To study peculiar features of daily AP rhythm and profile in men with cardiovascular risk factors residing in the Far North.
The study included 115 servicemen divided into 3 groups (hypertensive disease (HD), hypertonic type neurocirculatory asthenia (NCA) and risk factor of cardiovascular diseases other than AH). HD was diagnosed based on multiple AP measurements and 24-hr monitoring.
HD was associated with elevated mean AP, load indices and AP variability All patients had pathological type of morning dynamics. Normal daily rhythm of systolic AP (SAP) was documented in 66.1% of the patients with HD and in 68% with cardiovascular risk factors without AH. Normal daily rhythm ofdiastolic AP (DAP) was recorded in 63.5% of the patients with HD and in 72% with cardiovascular risk factors without AH. In group 2, normal daily rhythms of SAP and DAP were found in 44 and 56% of the cases respectively.
Men residing in the Far North under conditions of anomalous photoperiod need medicamentous correction of AP regardless of AH type. Ambulatory BP monitoring should be preferred for the assessment of the efficacy of antihypertensive therapy.
PubMed ID
25696949 View in PubMed
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[Active detection of patients with tuberculosis of urinary organs from increased risk groups at the polyclinics of the general therapeutic-and-prophylactic network].

https://arctichealth.org/en/permalink/ahliterature170567
Source
Probl Tuberk Bolezn Legk. 2005;(12):42-5
Publication Type
Article
Date
2005
Author
B I Novikov
D N Golubev
Source
Probl Tuberk Bolezn Legk. 2005;(12):42-5
Date
2005
Language
Russian
Publication Type
Article
Keywords
Diagnosis, Differential
Female
Humans
Incidence
Male
Middle Aged
Mycobacterium tuberculosis - isolation & purification
Outpatients - statistics & numerical data
Retrospective Studies
Risk factors
Russia - epidemiology
Tuberculosis, Urogenital - diagnosis - epidemiology
Urine - microbiology
Abstract
To timely detect tuberculosis of urinary organs (TUO), the authors have proposed a procedure for detecting the disease in increased risk groups. By analyzing 272 cases with TUO and 12 control persons, they established the most important risk factors. The authors have developed a procedure for stratification of contingents and differential measures in accordance with the risk (three degrees). The procedure has shown to be effective.
PubMed ID
16496764 View in PubMed
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Acute infections and venous thromboembolism.

https://arctichealth.org/en/permalink/ahliterature130192
Source
J Intern Med. 2012 Jun;271(6):608-18
Publication Type
Article
Date
Jun-2012
Author
M. Schmidt
E. Horvath-Puho
R W Thomsen
L. Smeeth
H T Sørensen
Author Affiliation
Department of Clinical Epidemiology, Institute of Clinical Medicine, Aarhus University Hospital, Aarhus, Denmark. morten.schmidt@dce.au.dk
Source
J Intern Med. 2012 Jun;271(6):608-18
Date
Jun-2012
Language
English
Publication Type
Article
Keywords
Acute Disease
Aged
Algorithms
Anti-Bacterial Agents - therapeutic use
Bacteremia - complications
Bacterial Infections - complications - drug therapy - epidemiology - microbiology
Case-Control Studies
Community-Acquired Infections - complications
Cross Infection - complications - drug therapy
Denmark - epidemiology
Female
Humans
Incidence
Inpatients - statistics & numerical data
Intraabdominal Infections - complications
Logistic Models
Male
Medical Records
Middle Aged
Odds Ratio
Outpatients - statistics & numerical data
Prevalence
Pulmonary Embolism - diagnosis - drug therapy - epidemiology - microbiology
Respiratory Tract Infections - complications
Risk assessment
Risk factors
Skin Diseases, Bacterial - complications
Urinary Tract Infections - complications
Venous Thromboembolism - diagnosis - drug therapy - epidemiology - microbiology
Abstract
Data on the association between acute infections and venous thromboembolism (VTE) are sparse. We examined whether various hospital-diagnosed infections or infections treated in the community increase the risk of VTE.
We conducted this population-based case-control study in Northern Denmark (population 1.8 million) using medical databases. We identified all patients with a first hospital-diagnosed VTE during the period 1999-2009 (n = 15 009). For each case, we selected 10 controls from the general population matched for age, gender and county of residence (n = 150 074). We identified all hospital-diagnosed infections and community prescriptions for antibiotics 1 year predating VTE. We used odds ratios from a conditional logistic regression model to estimate incidence rate ratios (IRRs) of VTE within different time intervals of the first year after infection, controlling for confounding.
Respiratory tract, urinary tract, skin, intra-abdominal and bacteraemic infections diagnosed in hospital or treated in the community were associated with a greater than equal to twofold increased VTE risk. The association was strongest within the first 2 weeks after infection onset, gradually declining thereafter. Compared with individuals without infection during the year before VTE, the IRR for VTE within the first 3 months after infection was 12.5 (95% confidence interval (CI): 11.3-13.9) for patients with hospital-diagnosed infection and 4.0 (95% CI: 3.8-4.1) for patients treated with antibiotics in the community. Adjustment for VTE risk factors reduced these IRRs to 3.3 (95% CI: 2.9-3.8) and 2.6 (95% CI: 2.5-2.8), respectively. Similar associations were found for unprovoked VTE and for deep venous thrombosis and pulmonary embolism individually.
Infections are a risk factor for VTE.
Notes
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PubMed ID
22026462 View in PubMed
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[Analysis of mortality rates among patients with pulmonary tuberculosis].

https://arctichealth.org/en/permalink/ahliterature200917
Source
Probl Tuberk. 1999;(4):12-3
Publication Type
Article
Date
1999
Author
Kh Kh Zhamborov
Source
Probl Tuberk. 1999;(4):12-3
Date
1999
Language
Russian
Publication Type
Article
Keywords
Adult
Female
Humans
Male
Medical Records - statistics & numerical data
Middle Aged
Outpatients - statistics & numerical data
Russia - epidemiology
Survival Rate
Tuberculosis, Pulmonary - mortality
Abstract
The outpatient medical cards and history cases of those who died, autopsy protocols of 428 dead patients with various forms of tuberculosis were analyzed. Of them, 86 patients had been followed up less than a year. The patients treated with antituberculous drugs died not only from a progressive specific process, but from nonspecific complications. The factors predisposing to death were late detection of tuberculosis and irregular treatment, alcohol and drug abuse.
PubMed ID
10479924 View in PubMed
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[An analysis of the diagnostic errors in polyclinic patients who have died at home based on pathologicoanatomic studies].

https://arctichealth.org/en/permalink/ahliterature227403
Source
Arkh Patol. 1991;53(6):49-52
Publication Type
Article
Date
1991
Author
A V Babaitsev
Source
Arkh Patol. 1991;53(6):49-52
Date
1991
Language
Russian
Publication Type
Article
Keywords
Aged
Autopsy - statistics & numerical data
Cause of Death
Diagnostic Errors
Disease - classification
Female
Humans
Male
Outpatients - statistics & numerical data
Russia
Abstract
A statistical analysis of the main causes of death and assessment of the quality of outpatient diagnosis have been performed on the basis of 1843 autopsies of patients who died at home. The causes of misdiagnosis were due in 5.3% of cases to objective and in 94.7% of cases to subjective factors. The criteria of three categories of discrepancy between pathological and outpatient diagnosis are suggested. A positive role of a pathological examination as an additional factor in improving the quality of the outpatient service is shown.
PubMed ID
1835369 View in PubMed
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[An outpatient contingent of patients with chronic arterial obliterating diseases of the extremities].

https://arctichealth.org/en/permalink/ahliterature222448
Source
Ter Arkh. 1993;65(1):55-6
Publication Type
Article
Date
1993
Author
V M Koshkin
L I Bogdanets
S Kh Khaev
A D Dibirov
Source
Ter Arkh. 1993;65(1):55-6
Date
1993
Language
Russian
Publication Type
Article
Keywords
Age Distribution
Aged
Arterial Occlusive Diseases - diagnosis - epidemiology
Chronic Disease
Diagnosis, Differential
Diagnostic Errors
Female
Humans
Leg - blood supply
Male
Middle Aged
Outpatients - statistics & numerical data
Referral and Consultation - statistics & numerical data
Russia - epidemiology
Sex Distribution
Abstract
Case records of 2135 outpatients referred to a specialized department with a provisional diagnosis of limb arterial affection have been analyzed. It appeared that in 35% of the cases the diagnosis was erroneous, the complaints being due to neurological and locomotor disturbances. Nosological entities of confirmed vascular diseases were the following: obliterating atherosclerosis (81.8%), obliterating peripheral aortic arteritis (9%), obliterating atherosclerosis associated with diabetic angiopathy (6%), obliterating thromboangiitis (1.6%), Raynaud's disease (1.6%). The disease-specific age pattern showed that obliterating atherosclerosis and age-specific cholesterol levels have the same trends, that there may be transformation of obliterating thromboangiitis into nonspecific aortic arteritis which eventuates in advanced age into obliterating atherosclerosis.
PubMed ID
8036575 View in PubMed
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[Antibacterial drug resistance of gram-negative agents causing urinary infections in female outpatients in Russia: results of multicenter study].

https://arctichealth.org/en/permalink/ahliterature197881
Source
Ter Arkh. 2000;72(6):30-5
Publication Type
Article
Date
2000
Author
L S Strachunskii
S V Sekhin
E R Abramova
G K Reshed'ko
N A Petrochenkova
I A Eidel'shtein
M M Suvorov
O I Krechikova
V N Il'ina
T A Petrova
E N Gugutsidze
N M Furletova
Source
Ter Arkh. 2000;72(6):30-5
Date
2000
Language
Russian
Publication Type
Article
Keywords
Anti-Bacterial Agents
Drug Resistance, Microbial
Drug Therapy, Combination - therapeutic use
Female
Gram-Negative Bacteria - drug effects - isolation & purification
Gram-Negative Bacterial Infections - drug therapy - epidemiology - microbiology
Humans
Incidence
Microbial Sensitivity Tests
Outpatients - statistics & numerical data
Russia - epidemiology
Urinary Tract Infections - drug therapy - epidemiology - microbiology
Urine - microbiology
Abstract
To investigate the spectrum of gram-negative agents causing acute and recurrent cystitis in outpatients and sensitivity of uropathogenic E. coli to antibacterial drugs; to compare drug resistance of uropathogenic E. coli isolated in Russia and other countries.
The spectrum of gram-negative bacteria was identified in 299 cases of acute and recurrent cystitis in Moscow, Smolensk and Novosibirsk. 271 E. coli uropathogenic strains were examined according to CA-SFM and NCCLS criteria for sensitivity to ampicilline, gentamycin, trimetoprim, co-trimoxasol, nitrofurantoine, nalidixic acid, pipemidine acid, norfloxacine, ciprofloxacine, nitroxoline.
E. coli, K. pneumoniae, K. oxytoca, P. mirabilis, P. vulgaris caused acute and recurrent cystitis in 90.6, 6.4, 1, 1.7, 0.3% of the examinees, respectively. For Moscow relative agents were: E. coli (80.8%), K. pneumoniae (13.1%), K. oxytoca (2.3%), P. mirabilis (3.1%), P. vulgaris (0.7%). In Smolensk E. coli, K. pneumoniae, P. mirabilis were isolated in 96.3, 2.5 and 1.2%, respectively. E. coli occurred in 100% of Novosibirsk cases. Mean Russian values of the resistance to ampicilline, gentamycin, trimetoprim, co-trimoxasol, nitrofurantoin, nalidixic acid, pipemidine acid, norfloxacine, ciprofloxacine, nitroxoline were the following: 33.3, 5.9, 20.3, 18.4, 2.9, 5.5, 4.4, 2.6, 2.6 and 94.1%, respectively. Resistance to 2 and more drugs was registered in 18.4% of E. coli strains.
Cystitis in women was in most cases caused by E. coli. The highest resistance among uropathogenic strains E. coli was observed to nitroxoline, ampicilline, trimetoprim and co-trimoxasole; maximal antibacterial activity against uropathogenic E. coli was shown by fluoroquinolones (norfloxacin and ciprofloxacin).
PubMed ID
10900645 View in PubMed
Less detail

Antibiotics to outpatients in Norway-Assessing effect of latitude and municipality population size using quantile regression in a cross-sectional study.

https://arctichealth.org/en/permalink/ahliterature296700
Source
Pharm Stat. 2018 02; 17(1):4-11
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
02-2018
Author
Pål Haugen
Gunnar S Simonsen
Raul Primicerio
Anne-Sofie Furberg
Lars Småbrekke
Author Affiliation
Recogni AS, Ålesund, Norway.
Source
Pharm Stat. 2018 02; 17(1):4-11
Date
02-2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Ambulatory Care - methods - statistics & numerical data - trends
Anti-Bacterial Agents - therapeutic use
Cross-Sectional Studies
Databases, Factual - trends
Drug Prescriptions - statistics & numerical data
Humans
Norway - epidemiology
Outpatients - statistics & numerical data
Population Density
Regression Analysis
Abstract
High antibiotic consumption rates are associated to high prevalence of antimicrobial resistance. Geographical differences in dispensing rates of antibiotics are frequently analysed using statistical methods addressing the central tendency of the data. Yet, examining extreme quantiles may be of equal or greater interest if the problem relates to the extremes of consumption rates, as is the case for antimicrobial resistance. The objective of this study was to investigate how geographic location (latitude) and municipality population size affect antibiotic consumption in Norway. We analysed all outpatient antibiotic prescriptions (n > 14 000 000) in Norway between 2004 and 2010 using quantile regression. Data were stratified by year, and we aggregated individual data to municipality, county, or latitudinal range. We specified the quantile regression models using directed acyclic graphs and selected the model based on Akaike information criteria. Yearly outpatient antibiotic consumption in Norway varied up to 10-fold at municipality level. We found geographical variation to depend on the number of inhabitants in a municipality and on latitude. These variables interacted, so that consumption declined with increasing latitude when municipality population sizes were small, but the effect of latitude diminished as the number of inhabitants increased. Aggregation to different levels of spatial resolution did not significantly affect our results. In Norway, outpatient antibiotic dispensing rates decreases with latitude at a rate contingent on municipality population size. Quantile regression analysis provides a flexible and powerful tool to address problems related to high, or low, dispensing rates.
PubMed ID
28961357 View in PubMed
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Antipsychotic dosing patterns for schizophrenia in three treatment settings.

https://arctichealth.org/en/permalink/ahliterature196219
Source
Psychiatr Serv. 2001 Jan;52(1):96-8
Publication Type
Article
Date
Jan-2001
Author
G. Remington
C M Shammi
R. Sethna
R. Lawrence
Author Affiliation
Department of Psychiatry, University of Toronto, Ontario, Canada. gary_remington@camh.net
Source
Psychiatr Serv. 2001 Jan;52(1):96-8
Date
Jan-2001
Language
English
Publication Type
Article
Keywords
Adult
Antipsychotic Agents - administration & dosage
Canada
Chlorpromazine - administration & dosage
Dosage Forms
Drug Utilization - statistics & numerical data
Drug Utilization Review
Female
Guideline Adherence
Hospitals, Community - statistics & numerical data
Hospitals, County - statistics & numerical data
Hospitals, Teaching - statistics & numerical data
Humans
Inpatients - statistics & numerical data
Male
Outpatients - statistics & numerical data
Practice Guidelines as Topic
Retrospective Studies
Schizophrenia - drug therapy
Therapeutic Equivalency
Abstract
Daily dosages of antipsychotic medications were evaluated to determine whether current guidelines advocating lower dosing are being followed. A chart review of 163 outpatients with schizophrenia was undertaken in three outpatient hospital settings-a general community hospital, a provincial hospital, and an academic teaching hospital. The daily dosage in chlorpromazine equivalents was significantly higher in the provincial hospital (773.8 mg) than in the community hospital (355 mg) or the academic hospital (424.8 mg). A greater proportion of patients at the provincial hospital received conventional antipsychotics than novel antipsychotics or depot antipsychotics, and a greater proportion received more than one antipsychotic.
PubMed ID
11141536 View in PubMed
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Applying the evidence: do patients with stroke, coronary artery disease, or both achieve similar treatment goals?

https://arctichealth.org/en/permalink/ahliterature152667
Source
Stroke. 2009 Apr;40(4):1417-24
Publication Type
Article
Date
Apr-2009
Author
Gustavo Saposnik
Shaun G Goodman
Lawrence A Leiter
Raymond T Yan
David H Fitchett
Neville H Bayer
Amparo Casanova
Anatoly Langer
Andrew T Yan
Author Affiliation
Division of Cardiology, Canadian Heart Research Centre and Terrence Donnelly Heart Centre, University of Toronto, Canada. saposnikg@smh.toronto.on.ca
Source
Stroke. 2009 Apr;40(4):1417-24
Date
Apr-2009
Language
English
Publication Type
Article
Keywords
Aged
Antihypertensive Agents - therapeutic use
Blood pressure
Canada - epidemiology
Coronary Artery Disease - drug therapy - epidemiology
Evidence-Based Medicine
Female
Fibrinolytic Agents - therapeutic use
Guideline Adherence
Humans
Hypolipidemic Agents - therapeutic use
Lipids - blood
Male
Middle Aged
Multivariate Analysis
Outpatients - statistics & numerical data
Prospective Studies
Registries
Risk factors
Sex Distribution
Stroke - drug therapy - epidemiology
Treatment Outcome
Abstract
The importance of early and aggressive initiation of secondary prevention strategies for patients with both coronary artery disease (CAD) and cerebrovascular disease (CVD) is emphasized by multiple guidelines. However, limited information is available on cardiovascular protection and stroke prevention in an outpatient setting from community-based populations. We sought to evaluate and compare differences in treatment patterns and the attainment of current guideline-recommended targets in unselected high-risk ambulatory patients with CAD, CVD, or both.
This multicenter, prospective, cohort study was conducted from December 2001 to December 2004 among ambulatory patients in a primary care setting. The prospective Vascular Protection and Guidelines-Oriented Approach to Lipid-Lowering Registries recruited 4933 outpatients with established CAD, CVD, or both. All patients had a complete fasting lipid profile measured within 6 months before enrollment. The primary outcome measure was the achievement of blood pressure (BP)
PubMed ID
19213947 View in PubMed
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97 records – page 1 of 10.