birchrepair71
birchrepair71
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For induction and maintenance treatment, systemic corticosteroids and biological therapy with anti-TNF were the most widely used, respectively. Approximately a third of patients required surgery during the evolution of the disease. Mortality was 5.4%. CD is an increasingly frequent disease in our country, with epidemiological and phenotypic characteristics that differ from other continents.CD is an increasingly frequent disease in our country, with epidemiological and phenotypic characteristics that differ from other continents. To determine the factors associated with adherence to Helicobacter pylori eradication treatment in patients with the infection. A longitudinal prospective cohort analytical observational study was conducted, including 100 patients who initiated Helicobacter pylori eradication treatment. The Morisky Green test was applied to measure adherence to treatment and the Battle Test was applied to measure knowledge about Helicobacter pylori infection. The Chi-square test was performed to determine the association of factors with adherence to treatment and logistic regression analysis to estimate crude RR and adjusted RR. Of the 100 patients, 64% were found to be female. The average age was 49.9 years and 65% were adherent to treatment. Factors associated with lack of treatment adherence were age under 50 years (adjusted RR 3.95, 95% CI 1.09-14.33), lack of higher studies (adjusted RR 5.1, 95% CI 1.26-20.5) and presence of adverse reactions (adjusted RR 5.88, 95% CI 1.56-22.2). Most patients were found to be adherent to the treatment. The risk factors for poor adherence were adverse reactions, age under 50 years and lack of higher education.Most patients were found to be adherent to the treatment. The risk factors for poor adherence were adverse reactions, age under 50 years and lack of higher education. During the COVID-19 pandemic, endoscopic procedures are associated with a high risk of SARS-CoV-2 infection. However, in cases of upper gastrointestinal bleeding (UGIB), priority should be given to an early endoscopy. The main objective was to compare the time since arrival at the hospital and the performance of the endoscopy between both groups. We performed a retrospective study. Data contains information of patients who attended to the hospital with UGIB and underwent an endoscopy between October 19th, 2019 and June 6th, 2020. Patients were divided into 2 phases pre-pandemic and pandemic. The time between arrival at the hospital and the performance of the endoscopy in both phases were compared as well as other indicators such hospital stay and in-hospital mortality. With information from 219 patients, the median age was 69 years. 154 and 65 endoscopies were performed in pre-pandemic and pandemic phase, respectively. The time between arrival at the hospital and the performance of the endoscopy was significantly longer during the pandemic (10.00 vs. 13.08 hours, p-value = 0.019). Nevertheless, there were no significant differences in hospital stay or mortality. The management of patients with UGIB during the COVID-19 pandemic is complex and requires the application of clinical judgment to decide the best timing to perform an endoscopy without affecting patient care.The management of patients with UGIB during the COVID-19 pandemic is complex and requires the application of clinical judgment to decide the best timing to perform an endoscopy without affecting patient care.A previously healthy 22-year-old woman with a history with a healthy pregnancy presented 12 weeks after an uneventful delivery with progressive dyspnea and edema. Initial blood workup was relevant for an elevated B-type natriuretic peptide in 1641 pg/mL (reference 0-100).A 74-year-old woman presented with weakness, dizziness, dyspnea, and chest pain. A 2nd degree atrioventricular block was found. Transvenous temporary pacemaker (TTP) was implanted. Post-TTP implantation electrocardiography (ECG) showed a paced rhythm with a right branch block (RBBB) morphology, inconsistent with the right ventricular stimulation - as expected for this type of device. To describe a case of IgG4-related choroiditis mimicking intraocular lymphoma. The patient underwent a complete ophthalmological evaluation including multimodal imaging, with structural optical coherence tomography (OCT), fluorescein angiography (FA), indocyanine green angiography (ICGA), Ultra-Wide Field color and autofluorescent fundus photographies to assess the ocular involvement. Patient BCVA was of 20/25 in the right eye and 20/20 in the left eye. Fundus appearance showed abnormal yellowish choroidal lesions and moderate vitritis in both eyes . EIDD-2801 concentration FA was within normal limits while ICGA showed areas of choroiditis in both eyes and structural OCT scans disclosed retinal small roundish lesions in the corresponding regions. Laboratory exams and lymph node biopsy led to the final diagnosis of IgG4-related disease. We describe a case of IgG4-related choroiditis mimicking intraocular lymphoma. The proper use of multimodal imaging associated with laboratory investigations was useful to reach the correct diagnosis.We describe a case of IgG4-related choroiditis mimicking intraocular lymphoma. The proper use of multimodal imaging associated with laboratory investigations was useful to reach the correct diagnosis. To study the efficacy of swept source optical coherence tomography angiography (SSOCTA) to longitudinally follow up patients with extrafoveal polyps post laser photocoagulation and anti VEGF injection. Observational case series. Four patients diagnosed as polypoidal choroidal vasculopathy (PCV) with extrafoveal polyps on multimodal imaging were followed up serially on SSOCT, en face and cross-sectional SSOCTA at a month and then 3 monthly for a year. Indocyanine green angiography (ICGA) was repeated at 4 months and one year. 4 patient case series. Anatomical regression of extrafoveal polyps was documented on a combination of en face and cross-sectional SSOCTA, 3 months post laser photocoagulation and anti VEGF. Regression of polyps was maintained at the 12 month follow up visit in all cases. Changes in BVN morphology post treatment were well delineated on en face SSOCTA. SSOCTA findings correlated well with the gold standard indocyanine green angiography (ICGA). SSOCTA is an effective non-invasive imaging modality to diagnose and longitudinally follow up extrafoveal polyps post intervention.

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