RESULTS: Recurrent TB was found in 73 (1.8%) cases. Identical M. tuberculosis genotypes in initial and serial episodes
were found in 54 (1.3%), indicating relapse, whereas different genotypes, representing re-infection, were found in 19 (0.5%) cases. Cavitary TB in the initial episode was significantly associated with relapse (OR 4.6, 95%CI 1.1-26.9) compared to re-infection.
CONCLUSION: eFT508 The rate of recurrent TB is low in Denmark. Comparing selected characteristics between the relapse and re-infection subgroups revealed that only the presence of cavitary disease was associated with relapse. Although recurrent TB was rarely due to re-infection, the risk of re-infection increased with time.”
“‘Low back pain’ (LBP) is a prevalent condition with a majority showing no specific organic pathology. Distinguishing ‘secondary gain motives (SGM)’ from organic causes is imperative in clinical practice. We describe here, three new tests-resistive straight leg raise test (rSLRT), resistive forward bend test (rFBT) and heel compression test (HCT) to help differentiate patients with ‘SGM’ from those without. We conducted a prospective study to validate the above tests in predicting non-organic causes as
a reason for LBP.
200 patients presenting with low back pain at the senior author’s outpatient orthopaedic clinic from Jan 2009 to Nov 2010 click here were studied. Patients were separated into two groups-’SGM group’ (n = 100) and ‘non-SGM group’ (n = 100). ‘SGM group’ patients had a history of work-related accidents, road traffic accidents or assault, with a background of ongoing litigation issues or compensation benefits. rSLRT, rFBT, HCT, Schober’s test and Waddell’s five signs were performed VEGFR inhibitor on them. Statistical analysis was done to identify correlations
between test results, MRI findings and ‘SGM’ status.
Statistically significant differences were observed between the SGM and non-SGM group (p < 0.0005) for all tests studied. In predicting SGM status, rSLRT showed highest specificity (0.94) and highest positive predictive value (0.925) while HCT showed the highest negative predictive value (0.859). Positive rSLRT was found to be strongly correlated with a parts per thousand yen3 positive Waddell’s signs. SGM patients with positive rSLRT tended to show resistance a parts per thousand currency sign45A degrees.
rSLRT, rFBT and HCT (NK triad) are highly practical tests which strongly predict SGM status in patients.”
“OBJECTIVE: To identify risk factors for default from pulmonary tuberculosis (TB) treatment and to assess mortality associated with default in Estonia.
DESIGN: All patients with culture-confirmed pulmonary TB who started treatment during 2003-2005 were included in a retrospective cohort study.
RESULTS: In 1107 eligible patients, the treatment success rate was 81.5% and the default rate 9.4% (respectively 60.4% and 17.