Raahaugehoover9610

infection. The symptoms of opportunistic infections in elderly patients are atypical, but they are prone to multiple infections with poor prognosis. Key Words Elderly patients, Inflammatory bowel disease, Opportunistic infection, Systemic inflammation reaction syndrome.

To evaluate the changes in thyroid functions in Ramadan, and compare late evening and pre-seheri use of levothyroxine in patients with hypothyroidism.

Cross-sectional study.

Department of Endocrinology, Ankara Ataturk Education and Research Hospital and Ankara Yildirim Beyazit University, Turkey, from May to June 2018.

Patients who were on levothyroxine treatment and having normal thyroid functions were recruited for the study in the last one week before Ramadan. Patients were offered to take levothyroxine at 22.30-23.00 pm before sleep or between 0130-0300 am at least 30 min pre-seheri.

There were 53 (85.5%) female and 9 (14.5%) male patients. Basal thyrotrophin (TSH) was 2.02 μIU/mL (0.27-4.14) and insignificantly increased at the end of Ramadan [2.18 μIU/mL (0.04-19.69), p=0.167]. Free-triiodothyronine (fT3) decreased while free-thyroxine (fT4) increased (p<0.001 for both). Eighteen patients preferred to take levothyroxine in late evening and 44 preferred to take at pre-seheri. There were insiWords Thyroid functions, Ramadan fasting, Hypothyroidism, Levotyhroxine.

To evaluate the anatomy and various anatomical variations of the cystic duct and their association with the stones in the biliary tract in the Turkish population.

Observational study.

Sivas Cumhuriyet University Hospital between November 2017 and August 2019.

Patients who had undergone MRCP procedures at the study centre were assessed retrospectively. MRCP images were used to evaluate the variations of the cystic duct. Association with the stones in the biliary tract was noted with p<0.05 as significant.

Three thousand MRCPs were evaluated. Among the 930 patients included in the study, 408 were males (43.9%), 61.9 ± 17 years, while 522 were females (56.1 %), 57.1 ± 19.2 years. The most common variation was lateral insertion in 372 patients (40%), medial insertion in 226 patients (24.3%), and high insertion in 137 patients (14.7%). Lateral, medial, high insertions (all p <0.001), parallel course of the cystic duct (p <0.001), low medial (p=0.024), and posterior insertion (p=0.003) were significantly associated with the calculi in the biliary tract. The highest coexistence frequency was at anterior, posterior, and low medial insertion variation groups, at 25%, 23.8%, and 25%, respectively.

Preoperative information of anatomical variations of the cystic duct is not only important for operative planning; but some variations are significantly associated with the cholelithiasis and/or choledocholithiasis. Key Words Cystic duct, Variations, Bile stones, Cholelithiasis, Choledocholithiasis.

Preoperative information of anatomical variations of the cystic duct is not only important for operative planning; but some variations are significantly associated with the cholelithiasis and/or choledocholithiasis. Masitinib Key Words Cystic duct, Variations, Bile stones, Cholelithiasis, Choledocholithiasis.Null.

Since its initial description in December 2019 in Wuhan, China, coronavirus disease 2019 (COVID-19) has rapidly progressed into a worldwide pandemic, which has affected millions of lives. Unlike the disease in adults, the vast majority of children with COVID-19 have mild symptoms and are largely spared from severe respiratory disease. However, thereare children who have significant respiratory disease, and some may develop a hyperinflammatory response similar to thatseen in adults with COVID-19 and in children with Kawasaki disease (KD), which has been termed multisystem inflammatory syndrome in children (MIS-C).

The purpose of this report was to examine the current evidence that supports the etiopathogenesis of COVID-19 in children and the relationship of COVID-19 with KD and MIS-C as a basis for a better understanding of the clinical course, diagnosis, and management of these clinically perplexing conditions.

The pathogenesis of COVID-19 is carried out in two distinct but overlapping phases of COVID-1 spared from severe respiratory disease, they canpresent with a SARS-CoV-2-associated MIS-C similar to KD.

The aim of this study was to investigate risk factors and psychological stress of health-care workers (HCWs) with coronavirus disease 2019 (COVID-19) in a nonfrontline clinical department.

Data of 2 source patients and all HCWs with infection risk were obtained in a department in Wuhan from January to February 2020. A questionnaire was designed to evaluate psychological stress of COVID-19 on HCWs.

The overall infection rate was 4.8% in HCWs. Ten of 25 HCWs who contacted with 2 source patients were diagnosed with confirmed COVID-19 (8/10) and suspected COVID-19 (2/10). Other 2 HCWs were transmitted by other patients or colleagues. Close care behaviors included physical examination (6/12), life nursing (4/12), ward rounds (4/12), endoscopic examination (2/12). Contacts fluctuated from 1 to 24 times and each contact was short (8.1 min ± 5.6 min). HCWs wore surgical masks (11/12), gloves (7/12), and isolation clothing (3/12) when providing medical care. Most HCWs experienced a mild course with 2 asymptomatic infections, taking 9.8 d and 20.9 d to obtain viral shedding and clinical cure, respectively. Psychological stress included worry (58.3%), anxiety (83.3%), depression (58.3%), and insomnia (58.3%).

Close contact with COVID-19 patients and insufficient protection were key risk factors. Precaution measures and psychological support on COVID-19 is urgently required for HCWs.

Close contact with COVID-19 patients and insufficient protection were key risk factors. Precaution measures and psychological support on COVID-19 is urgently required for HCWs.

To evaluate the effects of dietary Ca intake and Ca supplementation during pregnancy on low birth weight (LBW) and small for gestational age (SGA) infants.

A birth cohort study was conducted in 2010-2012 at the Gansu Provincial Maternity and Child Care Hospital in Lanzhou, China.

A birth cohort study.

Totally, 9595 pregnant women who came to the hospital for delivery at 20 weeks of gestation or more, and who were 18 years of age or older.

Compared with non-users, Ca supplement users had a reduced risk of LBW infants (OR = 0·77, 95 % CI 0·63, 0·95) and a reduced risk of nulliparous women giving birth to LBW infants (OR = 0·75, 95 % CI 0·58, 0·98) (P < 0·05). More specifically, both the use of Ca supplement before conception and during pregnancy (OR = 0·44, 95 % CI 0·19, 0·99) and during pregnancy only (OR = 0·80, 95 % CI 0·65, 0·99) had the main effect of reducing risk of nulliparous women giving birth to LBW infants (P < 0·05). There was no association between Ca supplementation and SGA (OR = 0·87, 95 % CI 0·75, 1·01) (P > 0·05).