RESUMEN
We describe the success of adjunctive bacteriophage therapy for refractory Pseudomonas aeruginosa urinary tract infection in the context of bilateral ureteric stents and bladder ulceration, after repeated failure of antibiotics alone. No bacteriophage-resistant bacteria arose, and the kinetics of bacteriophage and bacteria in urine suggest self-sustaining and self-limiting infection.
Asunto(s)
Bacteriófagos/inmunología , Infecciones por Pseudomonas/microbiología , Pseudomonas aeruginosa/inmunología , Infecciones Urinarias/microbiología , Anciano , Recuento de Colonia Microbiana , ADN Bacteriano/química , ADN Bacteriano/genética , Femenino , Humanos , Reacción en Cadena de la Polimerasa , Infecciones por Pseudomonas/inmunología , Infecciones por Pseudomonas/terapia , Infecciones por Pseudomonas/orina , Pseudomonas aeruginosa/genética , ARN Ribosómico 16S/química , ARN Ribosómico 16S/genética , Infecciones Urinarias/inmunología , Infecciones Urinarias/terapia , Infecciones Urinarias/orinaRESUMEN
OBJECTIVE: To study the growth status of Jordanian boys and girls in comparison with the Centers for Disease Control (CDC) growth charts. DESIGN: Cross-sectional study. SUBJECTS AND DATA COLLECTION: A total of 5826 boys and 1414 girls, aged 6.5-17.5 y, were included in the study. Height and weight were measured. Body mass index (BMI) was calculated as weight (kg) divided by the square of the height (m). Socioeconomic data were collected using a structured questionnaire. RESULTS: The height-for-age values fluctuated between the 5th and 10th percentiles of the CDC for both sexes, and then after the age of 8.5 and 14.5 y for boys and girls, respectively, values were just above the 10th percentile. The body weight-for-age values were just above the 25th percentile for boys and fluctuated between the 25th and 50th percentiles for girls; then after the age of 14.5 and 12.5 y for boy and girls, respectively, values fluctuated between the 25th and 50th percentiles for boys and just above the 50th percentile for girls of the CDC values. BMI values for boys were just above the 50th percentile of the CDC and for girls values fluctuated between the 50th and 75th percentiles until the age of 13.5, then values matched the 75th percentile of the CDC. CONCLUSION: The height of Jordanian children ranges from the 5th to the 10th percentile of the CDC reference values during schools years. Girls have a tendency toward obesity after puberty.
Asunto(s)
Desarrollo Infantil , Trastornos de la Nutrición del Niño/epidemiología , Crecimiento , Adolescente , Distribución por Edad , Estatura , Índice de Masa Corporal , Peso Corporal , Niño , Consanguinidad , Estudios Transversales , Femenino , Humanos , Jordania/epidemiología , Masculino , Valores de Referencia , Factores SocioeconómicosRESUMEN
We aimed to test the hypothesis that there is an association between hypothyroidism and primary open-angle glaucoma. A total of 60 patients with acquired hypothyroidism were evaluated by a senior ophthalmologist for evidence of glaucoma. Evaluations were carried out by history, tonometry, funduscopy, gonioscopy and visual field perimetry. Thyroid function tests, and dermatological and neurological examinations were performed. Patients were matched according to age and gender. There were 10 males and 50 females (age range 34-72 years). We found 3 of the 60 patients had signs of open-angle glaucoma, which indicated a possible relationship between hypothyroidism and open-angle glaucoma. It is worth expanding the study to a larger number of patients.
Asunto(s)
Glaucoma de Ángulo Abierto/etiología , Hipotiroidismo/complicaciones , Adulto , Distribución por Edad , Anciano , Comorbilidad , Femenino , Glaucoma de Ángulo Abierto/diagnóstico , Glaucoma de Ángulo Abierto/epidemiología , Humanos , Hipotiroidismo/sangre , Hipotiroidismo/diagnóstico , Hipotiroidismo/epidemiología , Presión Intraocular , Jordania , Masculino , Persona de Mediana Edad , Factores de Riesgo , Distribución por Sexo , Pruebas de Función de la Tiroides , Tonometría Ocular , Pruebas del Campo Visual , Campos VisualesRESUMEN
We aimed to test the hypothesis that there is an association between hypothyroidism and primary open-angle glaucoma. A total of 60 patients with acquired hypothyroidism were evaluated by a senior ophthalmologist for evidence of glaucoma. Evaluations were carried out by history, tonometry, funduscopy, gonioscopy and visual field perimetry. Thyroid function tests, and dermatological and neurological examinations were performed. Patients were matched according to age and gender. There were 10 males and 50 females [age range 34-72 years]. We found 3 of the 60 patients had signs of open-angle glaucoma, which indicated a possible relationship between hypothyroidism and open-angle glaucoma. It is worth expanding the study to a larger number of patients
Asunto(s)
Glaucoma de Ángulo Abierto , Pruebas de Función de la Tiroides , HipotiroidismoRESUMEN
An attempt was made by the Jordanian National Center for Diabetes, Endocrine and Genetic Diseases (NCDEGD) to identify all cases of type 1 diabetes among Jordanian children aged 0-14 y. Data were obtained retrospectively for the years 1992-1994 and prospectively for the years 1995 and 1996, including full name, national identifying number, date of birth, date of diagnosis and family history. The incidence was calculated as the number of cases per 100,000 population, according to the national census of 1994. The incidence rate for these years (1992 through 1996) was 2.8, 2.9, 3.2, 3.6 and 3.6 per 100,000 population, respectively. The male:female ratio was (1:1.03). Seasonal variation at clinical onset was noticed, with maximum incidence in the winter months and minimum incidence in the summer months. In conclusion, the incidence of type 1 diabetes mellitus in Jordanian children aged 0-14 y is among the lowest in the region, but is rising.