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Between 1975 and 1979, 128 pregnant diabetic and 21 with renal failure were treated at St. Luke’s Medical Center. The complications of pregnancy and perinatal mortality were not different in this two groups. The overall cesarean section rate was higher in diabetic patients (60%) compared with other groups (41.1%). In patients with renal failure and controlled diabetes, the antepartum cesarean section rate was 50%. The newborns of diabetic patients were more likely to have hypoglycemia (42%), pulmonary hemorrhage (13%) and intrauterine growth retardation (7%). Fetal loss in diabetic patients averaged 23.9%. Prenatal care and careful control of metabolic state in diabetic women are required to reduce this risk.Post-fire landscapes and past fire histories: landscape comparisons and fire-interval detection in a fire-prone sub-tropical eucalypt woodland.
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You are viewing the book ‘Libretto Sanitario Cane. Libretto Sanitario Cane. What You’ll Need Before You Can Get Free eBooks. Before downloading free books,Â .’in PDF Free to download.Sputum culture in the diagnosis of pulmonary tuberculosis in children: low sensitivity in a study from Central India.
Children with symptoms of pulmonary tuberculosis are often diagnosed on the basis of clinical findings, sputum smear microscopy and the Mantoux test. This study was designed to compare the sensitivity of sputum microscopy, sputum culture and the Mantoux test in the diagnosis of pulmonary tuberculosis in children. We evaluated 310 patients with suspected pulmonary tuberculosis at a government referral hospital in a rural setting in central India. A Mantoux test with 2 tuberculin units of PPD RT23 was performed in all patients. Sputum was collected and examined using the Löwenstein-Jensen method. Sputum cultures were performed on Lowenstein-Jensen medium as well as on Middlebrook 7H10 (7H10) and Mycobacterium growth indicator tube (MGIT) liquid medium. Sputum for microscopy and culture was collected from 245 patients and for the Mantoux test, from 313. Of the patients, 46 (17.2%) had culture-proven tuberculosis, of whom 37 (80.4%) had smear-positive sputum. Of the 178 patients with negative sputum culture results, 65 (36.5%) had smear-positive sputum; of these, 67.7% were given a provisional diagnosis of tuberculosis. Thus, the sensitivity of a positive
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