OBJECTIVES: To determine the incidence and trends of gestational
hypertension among pregnant women in the Calgary Health Region of Alberta.
Methods: Gestational hypertension was classified according to current
published Canadian guidelines: without proteinuria and with proteinuria.
Hospital discharge abstracts were used to identify women diagnosed with
gestational hypertension in the Calgary Health Region between January 1995
and December 2004. The Birth Registry of Vital Statistics was used to determine the number of live births and stillbirths in the Calgary Health Region during the study period. Incidence was calculated with 95% CIs. Age-standardized gestational hypertension rates were calculated using 2004 live PF-00299804 nmr births and stillbirths as the reference.
RESULTS: Over the 10-year period, the incidence of nonproteinuric gestational
hypertension was relatively stable even LY3023414 in vivo after
age adjustment, with an
average incidence of 6.3% (95% CI 6.1% to 6.4%). When gestational hypertension
was stratified by age, women aged 35 years or older had an almost
twofold higher incidence of both nonproteinuric and proteinuric gestational hypertension than those younger than 35 years of age.
CONCLUSIONS: Interventions to prevent and improve the management of gestational hypertension, particularly among women aged 35 years and older, are required.”
“Case Description-A 7-year-old neutered male Saint Bernard was evaluated because of a 6-month history of coughing, gagging, change in phonation, excessive panting, and chronic intermittent vomiting and diarrhea.
Clinical Findings-Physical examination revealed no remarkable findings other than panting. Total thyroxine concentration and results of a CBC, serum biochemistry analysis, urinalysis, and thoracic radiography were within reference limits. A laryngeal examination revealed edema, erythema, and ulceration of the larynx and pharynx, with normal laryngeal movement. Results of bronchoscopy and cytologic examination of bronchoalveolar lavage fluid were diagnostic
only for distal tracheitis. Esophagoscopy and an esophagography revealed esophagitis consistent with gastroesophageal click here reflux. Gastroduodenoscopy and histologic examination of biopsy specimens revealed Helicobacter colonization and lymphocytic or plasmacytic enteritis.
Treatment and Outcome-Following treatment for gastroesophageal reflux and suspected Helicobacter infection with combination antacid and antimicrobial treatment, the dog’s respiratory signs resolved but vomiting continued. Gastroduodenoscopy revealed complete resolution of the previous laryngitis, pharyngitis, and esophagitis. Treatment for the lymphocytic or plasmacytic enteritis was initiated with prednisone (1 mg/kg [0.45 mg/lb], PO, q 12 h) and a novel protein diet. The previous treatment was also continued.