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Constantin Tuleasca, Romain Carron, Noémie Resseguier, Anne Donnet, P Roussel, et al.. Decreased Probability of Initial Pain Cessation in Classic Trigeminal Neuralgia Treated With Gamma Knife Surgery in Case of Previous Microvascular Decompression: A Prospective Series of 45 Patients With >1 Year of Follow-up.. Neurosurgery, Lippincott, Williams & Wilkins, 2015, .
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Téléchargements du documentPilot study for hepatitis virus screening among employees and effective approach to encourage screened positive employees to receive medical care in Japan - Sugiyama - 2017 - Hepatology Research - Wiley Online Library
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Background & AimsCountermeasures against hepatitis B and C virus (HBV, HCV) infection at work sites in Japan have not yet been implemented. This study aimed to determine the status of viral hepatitis infection among the employees in Japan.MethodsWe conducted a workplace-based cross-sectional study from 2011 to 2016 in Hiroshima. HBV and HCV markers were identified during a routine checkup of employees in 15 enterprises. The screening results were sent to employees directly and not to employers. A thorough examination of the participants who screened positive was encouraged by forwarding to them a referral letter by our research group to specialized medical institutions.ResultsOf the 3,015 employees, 2,420 (80.3%) underwent hepatitis virus screening. Of these, 13.8% had been screened for hepatitis virus before this survey. The prevalence of HBsAg was 0.95% (N=23, 95% CI: 0.6&1.3%). The prevalence of anti-HBc was as high as 31.5% at age 60&69 years, and 41.5% at age 70 years and over. HCV carriers rate was 0.45% (N=11, 0.2&0.7%) and 54.5% of them had genotype 2. Thirty-four carriers were detected, and 44.1% of them were detecte 53.3% of the newly detected carriers visited medical institutions with the referral, and underwent a periodic follow-up or treatment.ConclusionPromoting hepatitis virus screening for employees may help detect carriers who are unaware of their infection and require treatment. Submitting the results to employees with a referral letter to medical institutions at the time of positive diagnosis may be effective.
AdvertisementClinical observation on 1g/L bromfenac sodium hydrate ophthalmic solution associated with glucocorticoid in high myopia after LASEK--《International Eye Science》2017年06期
Clinical observation on 1g/L bromfenac sodium hydrate ophthalmic solution associated with glucocorticoid in high myopia after LASEK
Qing-He Li;Yue-Mei Li;Xue-Ying SHao WShao-Wen Qi;Department of Ophthalmology,the 152th Hospital of Chinese PLA;School of Medicine,Pingdingshan U
AIM: To observe the efficacy and safety of 1g/L bromfenac sodium hydrate ophthalmic solution in the partial substitution of glucocorticoid after laser subepithelial keratomileusis( LASEK).METHODS: Totally 104 cases( 208 eyes) were received LASEK,which were selected and divided into study group and control group. The study group were adopted1g/L bromfenac sodium hydrate ophthalmic solution combined with tobramycin dexamethasone eye drops and fluorometholone eye drops,the control group were adopted tobramycin dexamethasone eye drops and fluorometholone eye drops. The changes of visual acuity and intraocular pressure of two groups were recorded before and after surgery,and the score of painness and the occurrence of haze were observed after surgery.RESULTS: At postoperative 1,2,3d,respectively,the pain score of the study group were 1. 70 ± 0. 35,1. 25 ±0. 34,0. 82±0. 32,the pain score of the control group were2. 30±0. 43,1. 68±0. 44,1. 12±0. 33,the differences were significant( P0. 05). Before and at 2wk,1,3mo after surgery,respectively,uncorrected visual acuity of study group were 0. 035±0. 02,0. 71±0. 13,0. 89±0. 17,0. 88±0. 18,while which of control group were 0. 037 ±0. 015,0. 73±0. 15,0. 87 ±0. 14,0. 86 ±0. 15( P0. 05),and the differences were not significant( P
0. 05). At preoperative and postoperative 1,2wk,1 and 3mo of surgery,respectively,the intraocular pressure of study group were 17. 33±1. 58,7. 54±1. 28,7. 23±1. 58,7. 26±1. 47,and 7. 30±1. 36 mmHg; the intraocular pressure of control group were 17. 53±1. 43, 7. 57±1. 32, 7. 73±1. 55,7. 80±1. 38,7. 86 ± 1. 43 mmHg,the differences were not significant between before and at 2wk after surgery( P0. 05),the differences were significant between the two groups at 2wk,1mo and 3mo( P0. 05). At postoperative1,3mo of surgery,the score of haze level of the study group were 91. 7% and 93. 3%,respectively and which in control group were 92. 0% and 92. 9%,respectively,and the differences were not significant between the two groups at every time point( P0. 05). CONCLUSION: It is safe and effective that 1g/L bromfenac sodium hydrate ophthalmic solution in the partial substitution of glucocorticoid after laser subepithelial keratomileusis. The patient has a lower intraocular pressure, has similar therapeutic effect as glucocorticoid in vision and antiinflammatory.
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