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2.
Front Pharmacol ; 14: 1156655, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-38410524

RESUMEN

Background: Uncontrolled blood pressure is a major risk factor for cardiovascular diseases. Fixed-dose combination (FDC) therapy offers a promising approach to addressing this challenge by providing a convenient single-tablet solution that enhances the effectiveness of blood pressure control. In our systematic review, we assess the effectiveness of perindopril/amlodipine FDC in managing blood pressure. Methods: We conducted a comprehensive search across four primary electronic databases, namely, PubMed, Virtual Health Library (VHL), Global Health Library (GHL), and Google Scholar, as of 8 February 2022. Additionally, we performed a manual search to find relevant articles. The quality of the selected articles was evaluated using the Study Quality Assessment Tools (SQAT) checklist from the National Institute of Health and the ROB2 tool from Cochrane. Results: Our systematic review included 17 eligible articles. The findings show that the use of perindopril/amlodipine FDC significantly lowers blood pressure and enhances the quality of blood pressure control. Compared to the comparison group, the perindopril/amlodipine combination tablet resulted in a higher rate of blood pressure response and normalization. Importantly, perindopril/amlodipine FDC contributes to improved patient adherence with minimal side effects. However, studies conducted to date have not provided assessments of the cost-effectiveness of perindopril/amlodipine FDC. Conclusion: In summary, our analysis confirms the effectiveness of perindopril/amlodipine FDC in lowering blood pressure, with combination therapy outperforming monotherapy and placebo. Although mild adverse reactions were observed in a small subset of participants, cost-effectiveness assessments for this treatment remain lacking in the literature.

3.
Indian Pediatr ; 59(12): 943-945, 2022 12 15.
Artículo en Inglés | MEDLINE | ID: mdl-36333894

RESUMEN

OBJECTIVE: To compare the performance of cerebrospinal fluid (CSF) polymerase chain reaction (PCR) with bacterial culture for the diagnosis of neonatal bacterial meningitis (NBM). METHOD: The CSF analysis of neonate with confirmed bacterial meningitis was performed with PCR and bacterial culture, and results were compared. RESULT: Among 24 neonates, the pathogens Identified included E. coli K1, GBS, Streptococcus pneumoniae and Listeria. PCR identified 20 (83.3%) pathogens, and culture 4 (16.7%) pathogens. Prior antibiotics were administered to 20 (83.3%) neonates in whom PCR identified 17 (85%) and culture 3 (15%) pathogens. CONCLUSION: CSF PCR had a higher yield of pathogens than CSF culture in confirmed neonatal bacterial meningitis with a high rate of prior antibiotic therapy.


Asunto(s)
Enfermedades del Recién Nacido , Meningitis Bacterianas , Recién Nacido , Humanos , Escherichia coli , Sensibilidad y Especificidad , Meningitis Bacterianas/microbiología , Bacterias , Reacción en Cadena de la Polimerasa/métodos , Antibacterianos/uso terapéutico , Enfermedades del Recién Nacido/tratamiento farmacológico
4.
J Parasitol ; 95(1): 246-8, 2009 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19245276

RESUMEN

Human infections with Gnathostoma spinigerum frequently occur in southern Vietnam. Previous investigations have implicated infected swamp eels (Monopterus albus) as an important source of infection to humans. Because aquaculture of M. alba is an important farming activity in Vietnam, a 2-yr study was carried out to assess the relative importance of farmed and wild eels as potential sources of gnathostome infections in humans. Eels sold for public consumption in markets in southern provinces were examined between November 2005 and August 2007. Although no infections were detected in 1,020 cultured eels and 1,021 wild-caught eels collected from November 2005 to September 2006, larval G. spinigerum (AL3) infections were first detected in September 2006 in 28 of 230 wild-caught eels (12.2%) obtained from markets in Long An province and the Hoc Mon district of Ho Chi Minh City. Subsequently, monthly surveillance of wild-caught eels from these markets was carried out through August 2007. Prevalence of AL3 varied monthly, ranging from 0.8 to 19.6%. Both prevalence and infection intensity were higher during the latter part of the rainy season (August- October). These results demonstrate that potentially zoonotic G. spinigerum larvae are common in wild eels in southern Vietnam and present a risk to consumers of raw fish dishes, especially during the annual rainy season. This information could help target public health education efforts in the region. The basis for the seasonal variation on eel infections is not known, but may be related to climate effects (flooding, higher temperatures) on intermediate host species ecology.


Asunto(s)
Enfermedades de los Peces/epidemiología , Gnathostoma/aislamiento & purificación , Smegmamorpha/parasitología , Infecciones por Spirurida/epidemiología , Zoonosis/epidemiología , Animales , Animales Salvajes , Enfermedades de los Peces/parasitología , Enfermedades de los Peces/transmisión , Explotaciones Pesqueras , Gnathostoma/fisiología , Humanos , Hígado/parasitología , Músculos/parasitología , Prevalencia , Estaciones del Año , Infecciones por Spirurida/parasitología , Infecciones por Spirurida/transmisión , Vietnam/epidemiología , Zoonosis/parasitología , Zoonosis/transmisión
5.
Asia Pac J Clin Nutr ; 18(3): 326-34, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19786380

RESUMEN

This is a follow-up study to an investigation on the prevalence of malnutrition and micronutrient deficiencies among Vietnamese primary schoolchildren. A total of 454 children aged 7 to 8 years attending three primary schools in the Northern delta province of Vietnam were either provided with regular milk, milk fortified with vitamins, minerals and inulin or served as a reference control group. Children were monitored for anthropometrics, (micro)-nutritional status, faecal microbiota composition, school performance, and health indices. Both weight-for-age (WAZ) and height-for-age (HAZ) significantly improved during 6 months of milk intervention; and underweight and stunting dropped by 10% in these groups. During intervention the incidence of anemia decreased and serum ferritin levels increased significantly in all groups. Serum zinc levels increased and consequently the incidence of zinc deficiency improved significantly in all three groups. Serum retinol levels and urine iodine levels remained stable upon intervention with fortified milk whereas in the control group the incidence of iodine deficiency increased. Bifidobacteria composed less than 1% of the total faecal bacteria. After three months of milk intervention total bacteria, bifidobacteria and Bacteroides sp. increased significantly in both milk and inulin fortified milk groups. Children in the milk consuming groups had significantly better short-term memory scores. Parent reported that health related quality of life status significantly improved upon milk intervention. In conclusion, (fortified) milk consumption benefited the children in rural Vietnam including lowering the occurrence of underweight and stunting, improving micronutrients status and better learning indicators as well as improving the quality of life.


Asunto(s)
Alimentos Fortificados , Indicadores de Salud , Memoria a Corto Plazo , Leche , Estado Nutricional , Población Rural , Anemia/prevención & control , Animales , Estatura , Niño , Trastornos de la Nutrición del Niño/prevención & control , Dieta , Heces/microbiología , Femenino , Estudios de Seguimiento , Humanos , Inulina/administración & dosificación , Masculino , Micronutrientes/administración & dosificación , Micronutrientes/sangre , Micronutrientes/orina , Leche/química , Calidad de Vida , Encuestas y Cuestionarios , Delgadez/prevención & control , Vietnam
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