Incidence of liver damage of uncertain origin in HIV patients not co-infected with HCV/HBV.

BACKGROUND AND AIMS Several studies have reported that a significant number of HIV patients not co-infected with HCV/HBV develop liver damage of uncertain origin (LDUO). The objective of our study was to evaluate the incidence of and risk factors for the development of LDUO in HIV infected patients not co-infected with HCV/HBV. METHODS Prospective longitudinal study that included HIV-infected patients free of previous liver damage and viral hepatitis B or C co-infections. Patients were followed up at 6-monthly intervals. Liver stiffness was measured at each visit. Abnormal liver stiffness (ALS) was defined as a liver stiffness value greater than 7.2 kPa at two consecutive measurements. For patients who developed ALS, a protocol was followed to diagnose the cause of liver damage. Those patients who could not be diagnosed with any specific cause of liver disease were diagnosed as LDUO and liver biopsy was proposed. RESULTS 210 patients matched the inclusion criteria and were included. 198 patients completed the study. After a median (Q1-Q3) follow-up of 18 (IQR 12-26) months, 21 patients (10.6%) developed ALS. Of these, fifteen patients were diagnosed as LDUO. The incidence of LDUO was 7.64 cases/100 patient-years. Histological studies were performed on ten (66.6%) patients and all showed liver steatosis. A higher HOMA-IR value and body mass index were independently associated with the development of LDUO. CONCLUSION We found a high incidence of LDUO in HIV-infected patients associated with metabolic risk factors. The leading cause of LDUO in our study was non-alcoholic fatty liver disease.

[Phot. de la baie de Gravosa (Adriatique) en oct. 1880, lors de l'affaire de Dulcigno (aujourd'hui Ulcinj, Montenegro), avec 9 navires de l'escadre internationale: le Marco Antonio Colonna (Italie), le Zrini (Autriche), le Suffren (France), le Laudon (Autriche), le Palestro (Italie), I'Alexandra (Grande-Bretagne), le Friedland (France), le Svetlana (Russie), le Djeguita (Russie). Phot. par Silvino Masacarich, phot. à Raguse] / [don Edgar Humann]

Donateur : Humann, Edgar (1838-1914)

Fractura de cadera : proceso asistencial integrado

Este proceso asistencial reemplaza al anterior "Fractura de cadera en el anciano", publicado en 2002 (http://www.repositoriosalud.es/handle/10668/1533). Publicado en la página web de la Consejería de Igualdad, Salud y Políticas Sociales: www.juntadeandalucia.es/salud (Consejería de Igualdad, Salud y Políticas Sociales/ Profesionales / Nuestro Compromiso por la Calidad / Procesos Asistenciales Integrados)

M. Fontoura Xavier [i. e Antonio Vicente da Fontoura Xavier] ambassadeur du Brésil à Londres : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 57289

Análisis traductológico de referentes culturales en La Testa Perduta di Damasceno Monteiro de Antonio Tabucchi

Este trabajo de investigación pretende llevar a cabo un estudio exploratorio para observar cómo se resuelven los problemas traductológicos de índole cultural dentro del contexto de la autotraducción in mente. El trabajo está estructurado en dos partes: la primera abarca el marco teórico referencial como base para poder desarrollar la segunda parte, el apartado práctico, donde se llevará a cabo el análisis traductológico de referentes culturales para obtener los resultados de los objetivos e hipótesis planteados. Para llevar a cabo dicho análisis, se parte de una serie de ejemplos (rich points) de La testa perduta di Damasceno Monteiro de Antonio Tabucchi, una obra escrita en italiano que se enmarca y refleja la cultura portuguesa

Canzonetta : mélodie : [Quanto è folle quell'amante] / Bernado Pasquini, comp.. Aria : mélodie : [Alma del core, spirto dell'alma] / Antonio Caldara, comp. ; Leila Ben-Sedira, S ; Mme Simone Gouat, p

Comprend : Canzonetta / Bernado Pasquini, comp. ; Aria / Antonio Caldara, comp.

Kyrie eleison [VIII] : 13 °Centenaire de St. Grégoire Magno : chant grégorien d'aprés la 2e édition de Solesmes / [Dom Antonio] Rella, chef de choeur

[Chant grégorien. Messe]

Les Apontamentos de Antonio de Paula Brito

This article deals with the main characteristcs of the apontamentos, a Santiaguense caboverdean creole grammar published both in Capeverdean an Portuguese in 1887

Antonio de Barros Bezerra de Oliveira O Regulo da Ilha de Santiago

No início do século XVIII, a ilha de Santiago, devido a uma nova conjuntura internacional, já não é a placa giratória onde eram armazenadas as mercadorias africanas para serem exportadas para vários pontos do Atlântico. A economia da ilha, deixando de se basear no comércio e na produção de mercadorias para o trato com a costa da Guiné virou-se, inteiramente, para a agricultura de subsistência e para o abastecimento de géneros aos vários navios que atracavam nos seus portos para fazer aguada. A sociedade santiaguense transfigura-se, a estrutura social escravocrata desmorona-se pouco a pouco.

Vie de sainte Rose de Lima, vierge, l'an 1617 / par Hubert Lebon

Collection : Bibliothèque des enfants pieux