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Ruiz J, Correa JE, Martínez M. Vitrificación de ovocitos bovinos y su uso en el desarrollo partenogenético de embriones. ACTA ACUST UNITED AC 2010. [DOI: 10.4067/s0301-732x2010000100011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Palacios R, González-Correa JA, Ruiz J, Nuño E, Márquez M, de la Cruz JP, Santos J. Platelet activity in HIV-infected patients on abacavir-containing antiretroviral therapy. J Int AIDS Soc 2010. [PMCID: PMC3113068 DOI: 10.1186/1758-2652-13-s4-p63] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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203
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Peytremann-Bridevaux I, Hagon-Traub I, Cauderay M, Kuhne Y, Favrod-Coune C, Ruiz J, Burnand B, Stucki G. Chronic disease prevention and management program for diabetic patients in the canton of Vaud (Switzerland). Int J Integr Care 2009. [PMCID: PMC2807098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Background and problem statement Diabetes constitutes a major burden for communities in terms of morbidity, mortality and healthcare costs. The canton of Vaud plans to implement a prevention and chronic disease management program for diabetes. Methods Meetings gathering cantonal and academic specialists in prevention and public health, GPs and specialists in diabetology (private practices and hospitals), representatives of para-medical and hospital professionals, from patients' associations and insurance companies have allowed to define the aims and main action lines of the program. Results Four objectives were defined: 1) general population: increase knowledge on diabetes and risk factors, reduce the prevalence of glucose intolerance and undiagnosed diabetes; 2) diabetic patients: promote self-management education, and coordinated, integrated evidence-based care stratified according to disease severity and patients' needs; 3) healthcare professionals: reinforce information and education for better diabetic care; 4) authorities and partners: implement a surveillance system. Working groups determined provisional measures. Conclusions This preparatory work will enable the development and implementation of the diabetes program. This project, innovative for Switzerland, represents a tremendous opportunity for all healthcare stakeholders of the canton to work together towards a common goal: improving the state of health and healthcare of diabetic patients.
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Rodrigo E, Minambres E, Pinera C, Llorca J, Fernandez-Fresnedo G, Vallejo A, Ruiz J, Ruiz J, Gago M, Arias M. Using RIFLE criteria to evaluate acute kidney injury in brain-deceased kidney donors. Nephrol Dial Transplant 2009; 25:1531-7. [DOI: 10.1093/ndt/gfp622] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Moreno F, Indakoetxea B, Barandiaran M, Alzualde A, Gabilondo A, Estanga A, Ruiz J, Ruibal M, Bergareche A, Martí-Massó JF, López de Munain A. "Frontotemporoparietal" dementia: clinical phenotype associated with the c.709-1G>A PGRN mutation. Neurology 2009; 73:1367-74. [PMID: 19858458 DOI: 10.1212/wnl.0b013e3181bd82a7] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Mutations in the progranulin gene (PGRN) are a major cause of frontotemporal lobar degeneration with tau-negative and ubiquitin-positive neuronal inclusions. Most previous studies aimed at characterizing the clinical and neuropsychological phenotype of PGRN mutation carriers included patients with different PGRN mutations, assuming that the common proposed pathogenetic mechanism of haploinsufficiency will lead to a comparable phenotype. METHODS We studied 21 patients with a single pathogenic splicing mutation in the PGRN gene (c.709-1G>A) in the same tertiary referral center using homogenous diagnostic criteria and protocols. All patients were of Basque descent. RESULTS Patients exhibited a variable phenotype both in age at onset and initial symptoms. Behavioral variant frontotemporal dementia (52.4%) and progressive nonfluent aphasia (23.8%) were the most common presenting syndromes. Apathy was the most common behavioral symptom. Patients developed a relatively rapidly progressive dementia with features that led to a secondary diagnosis in 61.9% of cases 2 years after primary diagnosis. Notably, this secondary or tertiary diagnosis was corticobasal syndrome in 47.6% of cases, which confirmed the neuropsychological features of parietal lobe dysfunction seen at the initial assessment in 81.8% of patients. CONCLUSIONS Patients carrying the c.709-1G>A mutation in the PGRN gene showed heterogeneous clinical and neuropsychological features and commonly developed corticobasal syndrome as the disease progressed.
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Bahia D, Lima F, Oliveira P, Oliveira L, Ruiz J, Silveira J, Mortara R. Genomic localization of phosphatidylinositol – and related – kinases: chromosomal polymorphism in G strains and CL Brener clones of Trypanosoma cruzi. N Biotechnol 2009. [DOI: 10.1016/j.nbt.2009.06.683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Garrido-Laguna I, Amador ML, Ruiz J, Cortés-Funes H. Acute ischaemic cerebrovascular attack secondary to infusional 5-fluoruracil and cisplatin in a patient with advanced gastric cancer. Clin Transl Oncol 2009; 11:183-5. [PMID: 19293057 DOI: 10.1007/s12094-009-0336-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Acute ischaemic cerebrovascular attack may be an underreported complication related to chemotherapy. We report here the case of a patient with acute ischaemic cerebrovascular attack, immediately after administration of a first cycle of chemotherapy based on 5-fluoruracil and cisplatin.
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Bendik CF, Keller U, Moriconi N, Gessler A, Schindler C, Zulewski H, Ruiz J, Puder JJ. Training in flexible intensive insulin therapy improves quality of life, decreases the risk of hypoglycaemia and ameliorates poor metabolic control in patients with type 1 diabetes. Diabetes Res Clin Pract 2009; 83:327-33. [PMID: 19128852 DOI: 10.1016/j.diabres.2008.11.034] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2008] [Revised: 11/24/2008] [Accepted: 11/25/2008] [Indexed: 11/18/2022]
Abstract
AIM Intensified insulin therapy has evolved to be the standard treatment of type 1 diabetes. However, it has been reported to increase significantly the risk of hypoglycaemia. We studied the effect of structured group teaching courses in flexible insulin therapy (FIT) on psychological and metabolic parameters in patients with type 1 diabetes. METHODS We prospectively followed 45 type 1 diabetic patients of our outpatient clinic participating in 5 consecutive FIT teaching courses at the University Hospital of Basel. These courses consist of 7 weekly ambulatory evening group sessions. Patients were studied before and 1, 6, and 18 months after the course. Main outcome measures were glycated haemoglobin (HbA1c), severe hypoglycaemic events, quality of life (DQoL), diabetes self-control (IPC-9) and diabetes knowledge (DWT). RESULTS Quality of life, self-control and diabetes knowledge improved after the FIT courses (all p<0.001). The frequency of severe hypoglycaemic events decreased ten-fold from 0.33 episodes/6 months at baseline to 0.03 episodes/6 months after 18 months (p<0.05). Baseline HbA1c was 7.2+/-1.1% and decreased in the subgroup with HbA1c > or = 8% from 8.4% to 7.8% (p<0.05). CONCLUSIONS In an unselected, but relatively well-controlled population of type 1 diabetes, a structured, but not very time consuming FIT teaching programme in the outpatient setting improves psychological well-being and metabolic parameters.
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Criado-Aldeanueva F, García-Lafuente J, Navarro G, Ruiz J. Seasonal and interannual variability of the surface circulation in the eastern Gulf of Cadiz (SW Iberia). ACTA ACUST UNITED AC 2009. [DOI: 10.1029/2008jc005069] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Palacios R, González M, Ruiz J, Santos J. Efectos adversos de atazanavir. Enferm Infecc Microbiol Clin 2008; 26 Suppl 17:41-4. [DOI: 10.1016/s0213-005x(08)76619-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Briceño J, Ruiz J, Ciria R, Naranjo A, Sánchez-Hidalgo J, Luque A, Rufián S, de la Mata M, López-Cillero P. Factors Affecting Survival and Tumor Recurrence in Patients Transplanted for Hepatocellular Carcinoma and Coexistent Hepatitis C Virus. Transplant Proc 2008; 40:2990-3. [DOI: 10.1016/j.transproceed.2008.09.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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212
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Najera Sotorrio F, Fernández Del Valle A, Ortiz J, Ruiz J, Gutierrez A, Montalvo J. O.492 Mandibular osteosarcoma. J Craniomaxillofac Surg 2008. [DOI: 10.1016/s1010-5182(08)71616-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Bittencourt H, Funke V, Fogliatto L, Magalhães S, Setubal D, Paz A, Macedo AV, Ruiz J, Azambuja AP, Silla L, Clementino N, Pasquini R. Imatinib mesylate versus allogeneic BMT for patients with chronic myeloid leukemia in first chronic phase. Bone Marrow Transplant 2008; 42:597-600. [DOI: 10.1038/bmt.2008.218] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Stiefel F, Zdrojewski C, Bel Hadj F, Boffa D, Dorogi Y, So A, Ruiz J, de Jonge P. Effects of a multifaceted psychiatric intervention targeted for the complex medically ill: a randomized controlled trial. PSYCHOTHERAPY AND PSYCHOSOMATICS 2008; 77:247-56. [PMID: 18443391 DOI: 10.1159/000129658] [Citation(s) in RCA: 53] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND This study evaluated a multifaceted psychiatric intervention targeted at the complex medically ill identified by means of the INTERMED, an instrument to assess case complexity. METHODS Of 885 rheumatology inpatients and diabetes outpatients who were assessed for eligibility, 247 were identified as complex (INTERMED score >20) and randomized to the intervention (n = 125, 84 rheumatology and 41 diabetes patients) or care as usual (n = 122, 78 rheumatology and 44 diabetes patients). For the majority of the cases the multifaceted intervention consisted of an intervention conducted by a psychiatric liaison nurse and/or of referral to a liaison psychiatrist, followed by advice to the treating physician or organization of a multidisciplinary case conference. Baseline and follow-up at months 3, 6, 9 and 12 measured prevalence of major depression (Mini-International Neuropsychiatric Interview), depressive symptoms (Center for Epidemiological Studies Depression Rating Scale), physical and mental health (SF-36), quality of life (EuroQol), health care utilization and HbA(1c) levels (diabetic patients). RESULTS Prevalence of major depression was reduced from 61% (T0) to 28% (T4) in the intervention group and remained stable in care as usual (57% at T0 to 50% at T4). Compared to care as usual, significant improvement over time was observed in the intervention group with regard to depressive symptoms (F = 11.9; p = 0.001), perception of physical (F = 5.7; p = 0.018) and mental health (F = 3.9; p = 0.047) and quality of life (F = 21.8; p < 0.001). Effects tended to be stronger in diabetes patients, in patients with baseline major depression and in patients with moderate INTERMED scores. Finally, hospital admissions occurred less often in the intervention group, reaching statistical significance for the period between 6 and 9 months of follow-up (p = 0.02). CONCLUSIONS The results suggest that a psychiatric intervention targeted for complex medical patients can improve health outcomes.
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Gómez J, García-Vázquez E, Martínez Pérez M, Martínez Lage J, González Tortosa J, Pérez Espejo MA, Ruiz J, Herrero JA, Canteras M, Valdés M. Abscesos cerebrales: análisis de factores pronóstico e influencia del tratamiento antibiótico protocolizado en su evolución. ACTA ACUST UNITED AC 2008; 25:331-4. [DOI: 10.4321/s0212-71992008000700004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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216
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Gastaldi G, Giacobino JP, Ruiz J. [Metabolic syndrome, a mitochondrial disease?]. REVUE MEDICALE SUISSE 2008; 4:1387-1391. [PMID: 18630061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
The metabolic syndrome is a cluster of metabolic risk factors including: atherogenic dyslipidemia, elevated blood pressure, high plasma glucose and a prothrombotic and proinflammatory state, frequently associated to overweight. Impaired cell metabolism has been suggested as a relevant pathophysiological process. Indeed, the accumulation of intracellular fatty acylCoA and diacylglycerol, which then activate critical signal transduction pathways that ultimatly lead to suppression of insulin signalisation. Therefore a defect in mitochondrial function may be responsible for insulin resistance. Moreover, mitochondrial dysfunction has been found to take place in organs such as skeletal muscle, liver, pancreas and smoth vascular cells suggesting that mitochondrial defect could play a critical role in the occurence of cardiovascular diseases.
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Ruiz J, Philippe J. [The paradigm of diabetes]. REVUE MEDICALE SUISSE 2008; 4:1371-1372. [PMID: 18630058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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Egli M, Sofra D, Puder JJ, Berwart SM, Ruiz J. [The inefficacy of glycemic control in the hospitalized patient: origins and solutions]. REVUE MEDICALE SUISSE 2008; 4:1398-1404. [PMID: 18630063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
The hospital inpatient prevalence of diabetes mellitus can be estimated between 20 and 30%. Even moderate hyperglycemia is associated with increased morbidity and mortality in the acute care setting, whereas efficient glycemic control has been shown to improve both of them significantly. Glycemic control however remains largely inefficient outside of the intensive care unit due to the persistance of an inadequate glycemic management practice. We are currently developing a clinical care project aimed at changing this practice. For an efficient glycemic control, a training programme for health care professionals based on the concept of covering the insulin needs of the patient is mandatory. This programme needs to be integrated in a systemic approach, which takes the professionals' context in account.
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Ruiz J. [Patient education: the way for long-term follow up]. REVUE MEDICALE SUISSE 2008; 4:1405-1409. [PMID: 18630064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Therapeutic education is now perfectly integrated in caring and medicine. Its field of application is primarily in chronic diseases for the acquisition of competences in the management of treatments, in co-operation with health professionals. In ambulatory medicine, patients and health professionals are currently running up against the difficulties of the long-term follow-up with its part of uncertainty, lassitude and economic pressure. EBM and the various models of health psychology light us only partially the way. A new type of reflexive step is emerging. This way of thinking should place in its center the concept of therapeutic relation: between science and being. We summarize here our reflexive process in the course of an interdisciplinary team gathering social sciences, art and medicine.
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Martín MC, Cabré L, Ruiz J, Blanch L, Blanco J, Castillo F, Galdós P, Roca J, Saura RM. [Indicators of quality in the critical patient]. Med Intensiva 2008; 32:23-32. [PMID: 18221710 DOI: 10.1016/s0210-5691(08)70899-4] [Citation(s) in RCA: 59] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The utility of using quality indicators as a tool to measure the common practice and evaluate efficacy of measures established to improve quality has been demonstrated, making it possible to identify and make known the improvements carried out. The project "Quality indicators in the critical patient" has been conducted by the Spanish Society of Intensive and Critical Medicine (SEMICYUC) under the methodological management of the Foundation Avedis Donabedian (FAD) of Barcelona. Its objective was to develop key indicators in the care of the critical patient, considering the following as added values: reaching an agreement on the quality criteria in these patients and providing the professionals with a potent and reliable instrument for clinical evaluation and management, introducing common evaluation methods that make it possible to unify the measure, making a comparative evaluation (benchmarking), having information that makes it possible to develop quality plans (quantitative, objective, reliable and valid data) and having a system that assures total quality of care to the critical patient.
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Cuevas G, Martinez MA, Velazquez M, Ruiz J, Manso M. Splitting of the middle layer of LPW SAFNWC/MSG satellite product in order to improve the monitoring of pre-convective environments. ADVANCES IN SCIENCE AND RESEARCH 2008. [DOI: 10.5194/asr-2-71-2008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Abstract. Seven of the infrared channels from the Spinning Enhanced Visible and Infrared Imagery (SEVIRI) instrument, on board the Meteosat Second Generation (MSG), are used to retrieve Layer Precipitable Water (LPW) and Stability Analysis Imagery (SAI) in the SAFNWC framework. Both products are retrieved using a statistical retrieval based on neural networks; they are routinely generated every fifteen minutes at a satellite horizontal resolution of 3 km in NADIR only in cloud-free areas. Many factors are involved in the development of severe weather and these parameters are only some of the indicators. However, due to the high resolution of these products, the use of them in conjunction with satellite and radar images can help to identify mesoscale features related to convection. The MSG moisture and parcel instability time trend fields are especially useful during the period previous to convection. Once the outbreak of convection occurs, the products calculated in the clear air pixels surrounding the convective system can give us hints to anticipate its evolution. SAFNWC LPW and SAI were analyzed for a severe weather event during August 2004. A thunderstorm over Teruel (Spain) produced intense precipitation and hail; a tornado developed while this thunderstorm was moving towards SE. The pre-convective parcel potential buoyancy and moisture SAFNWC products changed in a way that was consistent with the observed intense convective activity. In previous studies, the atmospheric moisture in medium levels, which has been proven to be relevant in some cases, was represented by only one level parameter (ML: middle layer LPW). However, it was observed that this layer is too thick to do an adequate analysis of moisture available for convection. Hence, an improvement on the LPW algorithm has been carried out by splitting the middle layer into two new sub-layers (approximately separated at 700 hPa) and training two new neural networks. The impact of monitoring moisture in the new sub-layers separately in this severe weather event has been tested, and the improvements achieved have been evaluated.
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Irusta U, Ruiz J, Aramendi E, Ruiz de Gauna S. Amplitude, frequency and complexity features in paediatric and adult ventricular fibrillation. Resuscitation 2008. [DOI: 10.1016/j.resuscitation.2008.03.164] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Ruiz de Gauna S, Ruiz J, Irusta U. A new CPR artefact removal method using chest compression signals. Resuscitation 2008. [DOI: 10.1016/j.resuscitation.2008.03.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Ruiz J, Mensa L, Pons MJ, Vila J, Gascon J. Development of Escherichia coli rifaximin-resistant mutants: frequency of selection and stability. J Antimicrob Chemother 2008; 61:1016-1019. [DOI: 10.1093/jac/dkn078] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023] Open
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Mensa L, Marco F, Vila J, Gascón J, Ruiz J. Quinolone resistance among Shigella spp. isolated from travellers returning from India. Clin Microbiol Infect 2008; 14:279-81. [DOI: 10.1111/j.1469-0691.2007.01903.x] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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226
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Gómez J, García-Vázquez E, Baños R, Canteras M, Ruiz J, Baños V, Herrero JA, Valdés M. Predictors of mortality in patients with methicillin-resistant Staphylococcus aureus (MRSA) bacteraemia: the role of empiric antibiotic therapy. Eur J Clin Microbiol Infect Dis 2008; 26:239-45. [PMID: 17318479 DOI: 10.1007/s10096-007-0272-x] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
The objective of this study was to evaluate prognostic factors and the influence of different empiric antibiotic therapies on outcome and mortality in a cohort of 100 inpatients with bacteraemia (84 cases nosocomial) caused by methicillin-resistant Staphylococcus aureus (MRSA). Patients were investigated by means of a standard protocol at a 944-bed hospital in the years 2000-2004. Empiric antibiotic therapies included vancomycin (n = 49), teicoplanin (n = 20), linezolid (n = 17), other antibiotics active in vitro (n = 7), and inactive antibiotics (n = 7). Overall mortality was 40% (12% among linezolid-treated patients; 46.3% among glycopeptide-treated patients). In bivariate analyses, the following factors were statistically associated with higher mortality: rapidly fatal underlying disease, altered mental status, metabolic acidosis, and acute severe clinical condition at the onset of bacteraemia; development of complications (septic shock, renal failure, and disseminated intravascular coagulopathy); empiric monotherapy with glycopeptides (vs combination therapy with an aminoglycoside); and inadequate empiric treatment. Empiric therapy with linezolid was associated with lower mortality. In multivariate analysis, risk factors associated with higher mortality included acute severity of illness (OR 7.49; 95%CI 1.19-25.3) and altered mental status (OR 4.83; 95%CI 1.22-19.15) at onset, complications (OR 3.42; 95%CI 1.02-17.46), and inappropriate empiric treatment (OR 7.6; 95%CI 1.87-31.14). In multivariate analysis limited to patients who received empiric therapy with either linezolid (n = 17) or glycopeptides (n = 69), linezolid was associated with greater rates of survival (OR 7.7; 95%CI 1.1-53) and microbiological eradication (OR 11.76; 95%CI 1.46-90.9) but not with fewer complications (OR 0.71; 95%CI 0.16-3.25). In conclusion, the main prognostic factors associated with mortality in patients with MRSA bacteraemia are complications, acute severe clinical condition at onset, and inappropriate empiric treatment. Empiric therapy with linezolid was associated with greater survival and more successful microbiological eradication but did not reduce complications.
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Bonfim C, Koliski A, Bitencourt M, Quiroga M, Setubal D, Funke V, Ruiz J, Medeiros L, Oliveira M, Coutinho E, Zanis Neto J, de Medeiros C, Pasquini R. 215: Hematopoietic Stem Cell Transplantation (HSCT) in Wiskott Aldrich Syndrome (WAS): A Single Center Experience in 25 Patients. Biol Blood Marrow Transplant 2008. [DOI: 10.1016/j.bbmt.2007.12.224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Moita J, Bárbara C, Cardoso J, Costa R, Sousa M, Ruiz J, Santos M. Tiotropium improves FEV1 in patients with COPD irrespective of smoking status. Pulm Pharmacol Ther 2008; 21:146-51. [DOI: 10.1016/j.pupt.2007.04.003] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2006] [Revised: 03/13/2007] [Accepted: 04/25/2007] [Indexed: 11/28/2022]
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Funke V, Nunes E, Medeiros L, Setubal D, Ruiz J, Oliveira M, Bittencourt M, Bonfim C, Neto J, Medeiros C, Pasquini R. 387: Effect of Acute and Chronic GVHD on Overall Survival in 122 Unrelated Transplants for Malignant Diseases Performed Over Ten Years in a Single Center in Brazil. Biol Blood Marrow Transplant 2008. [DOI: 10.1016/j.bbmt.2007.12.397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Ruiz J, Egli M. [Trends in diabetes]. REVUE MEDICALE SUISSE 2008; 4:116-121. [PMID: 18309874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
A recent meta-analysis on the rosiglitazone in the treatment of type 2 diabetes revealed a significant increased risk of myocardial infarction and a trend to a higher cardiovascular mortality. In the following month after this publication, the methodology as its conclusions were criticized. This study shows the limits of the meta-analyses to which one lends a row obviously too high in the hierarchy of the levels of evidence. The study 4T evaluated 3 insulin strategies in the treatment of the type 2 diabetes. The results at one year show that only a minority of the patients achieve the goals. Post-Steno 2 was presented at the European congress diabetes. These new data confirm that the intensified treatment of all cardiovascular factors risk allows a major reduction of cardiovascular mortality after 13.3 years.
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Bodenmann P, Madrid C, Vannotti M, Rossi I, Ruiz J. [Migration without borders, but...barriers of meaning]. REVUE MEDICALE SUISSE 2007; 3:2710-2717. [PMID: 18214224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Immigration, a political, economic, demographic, social and ethic, as well as a medical issue, continues. Among migrants, asylum seekers, refugees and undocumented immigrants are characterised by their vulnerability, particularly related to their health status. Western physicians are more and more frequently confronted to "colorful" and often vulnerable patients. They face diseases related to international migrations; and at the same time have to integrate the differences in representations and meanings given to illness by patients of diverse origins. A bio-psychosocial and spiritual approach coupled with an evaluation of pre-migration, migration and post-migration trajectories is therefore useful for the clinician; these complementary approaches have all been integrated in the learning of cultural competencies.
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Mendizábal S, Zamora I, Román E, Sanahuja M, Ortega P, Gracia S, Vicente C, Sánchez R, Fons J, Hernández R, Ferrando S, Marín J, Vidal A, Tapia J, Navarro C, Badía J, Carbonell J, Ruiz J, Sánchez M, Uran M, Hervas A, Navarro I, Velasco R, Benito P, Rabasco D, Gutiérrez J, Mataix J. 22 Registro síndrome nefrótico pediátrico de la comunidad Valenciana, Murcia y Albacete. Estudio multicéntrico. An Pediatr (Barc) 2007. [DOI: 10.1016/s1695-4033(07)70740-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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233
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Crawford EL, Blomquist T, Mullins DN, Yoon Y, Hernandez DR, Al-Bagdhadi M, Ruiz J, Hammersley J, Willey JC. CEBPG regulates ERCC5/XPG expression in human bronchial epithelial cells and this regulation is modified by E2F1/YY1 interactions. Carcinogenesis 2007; 28:2552-9. [PMID: 17893230 DOI: 10.1093/carcin/bgm214] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Marked inter-individual variation in lung cancer risk cannot be accounted for solely by cigarette smoke and other environmental exposures. Evidence suggests that variation in bronchial epithelial cell expression of key DNA repair genes plays a role. Variation in these genes correlates with variation in expression of CEBPG and E2F1 transcription factors. Here, we investigated the mechanistic basis for correlation of the DNA repair gene ERCC5 (previously known as XPG) with CEBPG and E2F1. CEBPG expression vector transfected into H23 or H460 cell lines up-regulated endogenous ERCC5 and also luciferase from a reporter construct containing 589 bp of ERCC5 5' regulatory region. A recognition site for CEBPG and a region containing sites for YY1 on the sense strand and E2F1 on the anti-sense strand participated in CEBPG up-regulation of ERCC5. CEBPG, E2F1 and YY1 binding to their respective sites were confirmed by electrophoretic mobility shift assay. Thus, we conclude that CEBPG regulates ERCC5 expression and this regulation is modified by E2F1/YY1 interactions. Several polymorphisms have been identified in these regions and, based on the data presented here, it is reasonable to hypothesize that they may contribute to risk for bronchogenic carcinoma.
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Palacios R, Santos J, González M, Ruiz J, Márquez M. Incidence and prevalence of the metabolic syndrome in a cohort of naive HIV-infected patients: prospective analysis at 48 weeks of highly active antiretroviral therapy. Int J STD AIDS 2007; 18:184-7. [PMID: 17362552 DOI: 10.1258/095646207780132415] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
We undertook a prospective study to assess the prevalence of the metabolic syndrome (MetS) in HIV patients at the start of highly active antiretroviral therapy (HAART), and at 48 weeks, and we also studied its relationship with high-sensitivity C-reactive protein (hs-CRP) in 60 HIV patients who maintained the same regimen during follow-up. The prevalence of MetS rose from 16.6% at baseline to 25% at 48 weeks (P=0.0001). During follow up, 7/50 patients developed MetS, leading an incidence of 14/100 patients/year. The MetS was associated with age, homosexuality, and lower hepatitis C virus prevalence; only age remained significant in the multivariate analysis (for each five-year increase: beta coefficient 4.26, 95% confidence interval, 3.80-4.75; P=0.0039). The hs CRP values were similar in patients with and without the MetS, and they did not increase at 48 weeks of HAART.
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Guillod L, Comte-Perret S, Monbaron D, Gaillard RC, Ruiz J. Nocturnal hypoglycaemias in type 1 diabetic patients: what can we learn with continuous glucose monitoring? DIABETES & METABOLISM 2007; 33:360-5. [PMID: 17652003 DOI: 10.1016/j.diabet.2007.03.007] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2006] [Accepted: 03/27/2007] [Indexed: 11/24/2022]
Abstract
AIM In type 1 diabetic patients (T1DM), nocturnal hypoglycaemias (NH) are a serious complication of T1DM treatment; self-monitoring of blood glucose (SMBG) is recommended to detect them. However, the majority of NH remains undetected on an occasional SMBG done during the night. An alternative strategy is the Continuous glucose monitoring (CGMS), which retrospectively shows the glycaemic profile. The aims of this retrospective study were to evaluate the true incidence of NH in T1DM, the best SMBG time to predict NH, the relationship between morning hyperglycaemia and NH (Somogyi phenomenon) and the utility of CGMS to reduce NH. METHODS Eighty-eight T1DM who underwent a CGMS exam were included. Indications for CGMS evaluation, hypoglycaemias and correlation with morning hyperglycaemias were recorded. The efficiency of CGMS to reduce the suspected NH was evaluated after 6-9 months. RESULTS The prevalence of NH was 67% (32% of them unsuspected). A measured hypoglycaemia at bedtime (22-24 h) had a sensitivity of 37% to detect NH (OR=2.37, P=0.001), while a single measure < or =4 mmol/l at 3-hour had a sensitivity of 43% (OR=4.60, P<0.001). NH were not associated with morning hyperglycaemias but with morning hypoglycaemias (OR=3.95, P<0.001). After 6-9 months, suspicions of NH decreased from 60 to 14% (P<0.001). CONCLUSION NH were highly prevalent and often undetected. SMBG at bedtime, which detected hypoglycaemia had sensitivity almost equal to that of 3-hour and should be preferred because it is easier to perform. Somogyi phenomenon was not observed. CGMS is useful to reduce the risk of NH in 75% of patients.
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Hurni CA, Perret S, Monbaron D, Gaillard R, Ruiz J. Coronary artery disease screening in diabetic patients: how good is guideline adherence? Swiss Med Wkly 2007; 137:199-204. [PMID: 17525872 DOI: 2007/13/smw-11548] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
INTRODUCTION Diabetic patients are at high risk for coronary artery disease (CAD), which is the leading cause of death in this population. The Swiss Society of Endocrinology-Diabetology (SSED) recommends CAD screening for diabetic patients with > or = 2 additional cardiovascular risk factors (CVRF), by stress echocardiography (SE) or myocardial perfusion imaging (MPI). The aim of this study was to assess the application of these guidelines and the treatment of CVRF in the diabetes outpatient clinics of the five Swiss University Hospitals. METHODS The study was initiated in Lausanne and the study questionnaires were circulated to the endocrinologists of the five Swiss University Hospitals. Practitioners were asked to include consecutive patients attending the diabetes outpatient clinics over one month. Prevalence of CAD, screening methods for CAD, prevalence of CVRF, biological analyses over the last 6 months and medical therapy were recorded. RESULTS A total of 302 subjects were included. The mean age was 53 +/- 14 years, 68% had type 2 diabetes, 27% type 1 and 5% other types. Among T2DM with > or = 2 CVRF, 45% were screened for CAD according to SSED guidelines. In T2DM 25% had blood pressure < or = 130/80 mm Hg, 15% a lipid profile within target, 23% HbA1c < or = 7.0%. Overall, 2% achieved all 3 targets. CONCLUSIONS Only 45% of T2DM with > or = 2 CVRF were screened for CAD according to SSED guidelines and 2% of T2DM had proper control over all CVRF. Efforts are still necessary to improve CAD prevention and screening of diabetic patients in Swiss University Hospitals.
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Arnold-Kunz G, Ruiz J. [Preventing cardiovascular disease in type 2 diabetes. From evidence based medicine to patient based reality]. REVUE MEDICALE SUISSE 2007; 3:1456-8, 1460-2. [PMID: 17639667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
The vascular complications of type 2 diabetes are the principal causes of morbidity and mortality. The prevention of vascular complications is the cornerstone of diabetes management. It includes early and regular screening of cardiovascular risk factors and multifactorial interventions promoting life-style and a step-wise introduction of medical treatment, most frequently multimedication. Overall, the management of these patients implies involving them as the main actors of their disease management. We need to take into account of their beliefs and their priorieties to seek actively the causes of non compliance and beyond evidence based medicine to accompany them in choosing the interventions they are ready to invest themself.
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Girardin S, Andrey M, Ruiz J. [How can we give quick yet relevant nutritional advice in our daily medical practice?]. REVUE MEDICALE SUISSE 2007; 3:1432-4, 1436. [PMID: 17639663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Within our diabetology Unit CHUV-PMU, the dietetic consultation is an integral part of the patients' management, for the majority of diabetic patients. The general practitioner offers very different perspectives. What are the possible modalities of ambulatory dietetic counselling? Are the numerous existing standardized documents really relevant? We bring a critical analysis on such documents, the use of which often engenders a feeling of failure for the patients and the health professionals. We suggest an intervention guide so that the nutritional education work undertaken in an ambulatory consultation may then lead to dietetic management.
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239
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Egli M, Ruiz J. [What can be expected from the GLP-1 agonists and DPP-4 inhibitors in the treatment of type 2 diabetes?]. REVUE MEDICALE SUISSE 2007; 3:1449-50, 1453-5. [PMID: 17639666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
The GLP-1 agonists and DPP-4 inhibitors are two novel drug classes in the treatment of type 2 diabetes. They increase insulin secretion and inhibit glucagon secretion without risk of hypoglycaemia. A decrease of glycated haemoglobin of about 1% can be expected with their use as monotherapy and as add-on therapy to the usual oral antidiabetics. In addition, GLP-1 agonists induce weight reduction at the price of gastro-intestinal side-effects and the need for subcutaneous administration. DPP-4 inhibitors can be taken orally, are well-tolerated, but weight-neutral. In the absence of relevant clinical studies, their long-term efficacy is currently unknown, as well as the clinical impact of other promising effects like beta-cell preservation.
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240
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Arias LF, Blanco J, Sanchez-Fructuoso A, Prats D, Duque E, Sáiz-Pardo M, Ruiz J, Barrientos A. Histologic Assessment of Donor Kidneys and Graft Outcome: Multivariate Analyses. Transplant Proc 2007; 39:1368-70. [PMID: 17580141 DOI: 10.1016/j.transproceed.2007.01.085] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2006] [Accepted: 01/29/2007] [Indexed: 11/26/2022]
Abstract
UNLABELLED We performed a multivariate analysis to evaluate the importance of histologic parameters in donor kidney biopsies as predictors of graft outcome. METHODS Wedge protocol biopsies from a single center were analyzed for glomerulosclerosis (GS), interstitial fibrosis (IF), tubular atrophy (TA), arteriosclerosis (AS), and arteriolar hyalinosis (AH). Alterations were quantified as percentage (GS, IF) or semiquantified according to Banff criteria (IF, TA, AS, AH). We calculated creatinine clearance (CrCl) at 1, 2, and 3 years posttransplant. Donor data included age, gender, and type: non-heart-beating donor or brain dead donors. Recipient data included age, gender, cold ischemia time, number of HLA mismatches, peak level of the panel reactive antibody (PRA), number of acute rejection episodes (ARE), and presence or absence of cytomegalovirus (CMV) disease. Univariate and multivariate analyses were performed. Follow-up range was 1 to 4.2 years. RESULTS GS, IF, TA, and AH were associated with graft survival in the multivariate analysis. The histologic parameters were associated with CrCl at several posttransplant time intervals, but the significance of association was lost in the multivariate analysis. Donor age showed a better correlation with graft function. In the univariate analyses adjusting for donor age, only IF and AH were associated with graft function. CONCLUSIONS Histologic parameters showed a modest association with graft function. In our study, donor age is the better predictor of graft function. IF and AH may be similar to or better than GS as predictors of graft outcome.
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DeSantiago J, Batlle D, Khilnani M, Dedhia S, Kulczyk J, Duque R, Ruiz J, Pena-Rasgado C, Rasgado-Flores H. Ca2+ /H+ exchange via the plasma membrane Ca2+ ATPase in skeletal muscle. FRONT BIOSCI-LANDMRK 2007; 12:4641-60. [PMID: 17485401 DOI: 10.2741/2414] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The aims of this work were to determine: 1) whether Ca2+ exit via the plasmalemmal Ca2+ ATPase (PMCA) is coupled to H+ entry via a Ca2+/H+ exchange; 2) whether operation of PMCA has an absolute requirement on external H+ (Ho); and 3) the stoichiometry and voltage-dependence of the Ca2+/H+ exchange. Barnacle muscle cells were used because of the ease with which they can be internally-perfused (e.g., with 45Ca), voltage-clamped and impaled with a pH electrode. Thus, the simultaneous measurement of plasmalemmal Ca2+ and H+ fluxes can be measured. The effects of Ho, intracellular ATP, PMCA blockers, and membrane potential (VM) were studied on PMCA-mediated Ca2+/H+ exchange. The results indicate that: i) Ca2+ efflux is promoted by external acidification, is accompanied by a membrane depolarization, and by an intracellular acidification greater than the one resulting from Ho "leak" and PMCA-mediated ATP hydrolysis; ii) Ho-dependent Ca2+ efflux is inhibited by PMCA blockers and by ATP depletion and is accelerated by membrane depolarization (~3 fold by 20 mV depolarization); iii) the coupling ratio of the Ca2+/H+ exchange depends on Ho: at an extracellular pH (pHo)=6.5, the ratio is 1Ca2+:~3H+; at pHo=8.2, Ca2+ efflux rate is 3 times slower and the ratio is 1Ca2+: <1H+.
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Hurni CA, Perret S, Monbaron D, Gaillard R, Ruiz J. Coronary artery disease screening in diabetic patients: how good is guideline adherence? Swiss Med Wkly 2007; 137:199-204. [PMID: 17525872 DOI: 10.4414/smw.2007.11548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
INTRODUCTION Diabetic patients are at high risk for coronary artery disease (CAD), which is the leading cause of death in this population. The Swiss Society of Endocrinology-Diabetology (SSED) recommends CAD screening for diabetic patients with > or = 2 additional cardiovascular risk factors (CVRF), by stress echocardiography (SE) or myocardial perfusion imaging (MPI). The aim of this study was to assess the application of these guidelines and the treatment of CVRF in the diabetes outpatient clinics of the five Swiss University Hospitals. METHODS The study was initiated in Lausanne and the study questionnaires were circulated to the endocrinologists of the five Swiss University Hospitals. Practitioners were asked to include consecutive patients attending the diabetes outpatient clinics over one month. Prevalence of CAD, screening methods for CAD, prevalence of CVRF, biological analyses over the last 6 months and medical therapy were recorded. RESULTS A total of 302 subjects were included. The mean age was 53 +/- 14 years, 68% had type 2 diabetes, 27% type 1 and 5% other types. Among T2DM with > or = 2 CVRF, 45% were screened for CAD according to SSED guidelines. In T2DM 25% had blood pressure < or = 130/80 mm Hg, 15% a lipid profile within target, 23% HbA1c < or = 7.0%. Overall, 2% achieved all 3 targets. CONCLUSIONS Only 45% of T2DM with > or = 2 CVRF were screened for CAD according to SSED guidelines and 2% of T2DM had proper control over all CVRF. Efforts are still necessary to improve CAD prevention and screening of diabetic patients in Swiss University Hospitals.
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Gary HE, Smith B, Jenks J, Ruiz J, Sessions W, Vinje J, Sobsey M. Failure to detect infection by oral polio vaccine virus following natural exposure among inactivated polio vaccine recipients. Epidemiol Infect 2007; 136:180-3. [PMID: 17376256 PMCID: PMC2870796 DOI: 10.1017/s0950268807008321] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
While oral polio vaccine (OPV) has been shown to be safe and effective, it has been observed that it can circulate within a susceptible population and revert to a virulent form. Inactivated polio vaccine (IPV) confers protection from paralytic disease, but provides limited protection against infection. It is possible, then, that an IPV-immunized population, when exposed to OPV, could sustain undetected circulation of vaccine-derived poliovirus. This study examines the possibility of polio vaccine virus circulating within the United States (highly IPV-immunized) population that borders Mexico (OPV-immunized). A total of 653 stool and 20 sewage samples collected on the US side of the border were tested for the presence of poliovirus. All samples were found to be negative. These results suggest that the risk of circulating vaccine-derived poliovirus is low in fully immunized IPV-using populations in developed countries that border OPV-using populations.
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Ruiz J, Mandomando I, Macete E, Puyol L, Echeita A, Alonso P. P511 Salmonella enterica serotype Typhimurium DT104 as a cause of infantile bacteraemia in Southern Mozambique. Int J Antimicrob Agents 2007. [DOI: 10.1016/s0924-8579(07)70354-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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245
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Soto S, Garcia-Vázquez E, Gómez J, Herrero J, Baños V, Ruiz J, Hernández T, Valdés M. P1188 The hospital admission decision for patients with community-acquired pneumonia;factors in low-risk PORT-score categories associated with hospitalisation: would low risk for death have applied in case of outpatients care? Int J Antimicrob Agents 2007. [DOI: 10.1016/s0924-8579(07)71028-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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246
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De Juliàn R, Ruiz J, Lago M, Puente S, Baquero M, Gascón J, Gónzalez-Lahoz J. P1510 Traveller diarrhoea. Aetiological study in a tropical medicine unit. Int J Antimicrob Agents 2007. [PMCID: PMC7135132 DOI: 10.1016/s0924-8579(07)71349-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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247
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Soto S, Garcia-Vázquez E, Gómez J, Herrero J, Baños V, Ruiz J, Hernández T, Valdés M. P1189 Simpler criteria to assess mortality in patients with community-acquired pneumonia. Int J Antimicrob Agents 2007. [DOI: 10.1016/s0924-8579(07)71029-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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248
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Thibodeau AM, Killick DJ, Ruiz J, Chesley JT, Deagan K, Cruxent JM, Lyman W. The strange case of the earliest silver extraction by European colonists in the New World. Proc Natl Acad Sci U S A 2007; 104:3663-6. [PMID: 17360699 PMCID: PMC1805524 DOI: 10.1073/pnas.0607297104] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
La Isabela, the first European town in the New World, was established in 1494 by the second expedition of Christopher Columbus but was abandoned by 1498. The main motive for settlement was to find and exploit deposits of precious metals. Archaeological evidence of silver extraction at La Isabela seemed to indicate that the expedition had located and tested deposits of silver-bearing lead ore in the Caribbean. Lead isotope analysis refutes this hypothesis but provides new evidence of the desperation of the inhabitants of La Isabela just before its abandonment.
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Funke V, Coutinho E, Setubal D, Ruiz J, Bonfim C, Bittencourt M, Oliveira M, Zanis-Neto J, de Medeiros C, Pasquini R. 238: Risk factor analisis for survival in 125 unrelated transplants for malignant diseases performed over ten years in a single center in Brazil. Biol Blood Marrow Transplant 2007. [DOI: 10.1016/j.bbmt.2006.12.243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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250
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Funke V, Pettengill C, Bonfim C, Ruiz J, Azambuja A, Medeiros L, Setubal D, Bitencourt M, Oliveira M, Coutinho E, Zanis-neto J, de Medeiros C, Pasquini R. 237: Long term results of allogeneic stem cell transplant for CML in pediatric patients. Biol Blood Marrow Transplant 2007. [DOI: 10.1016/j.bbmt.2006.12.242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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