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The ch analysis of the data included: Definition of outcomes The quantitative analysis of the data included: Schistosoma japonicum reinfection after praziquantel treatment causes anemia associated with inflammation. Technical Report Series Thirteen studies evaluated z007 age children and three evaluated adult males. Significant heterogeneity was observed among the studies included Fig 2 which could be reduced by subgroup stratification according to region, age, and follow-up time Table E in S3 Text.
We appreciate the helpful comments of the SCORE Project leaders and cchk, and their encouragement for completion of this project. Table H in S3 Text. Additional outcomes that could not be evaluated quantitatively due to differences in methods and classification included anthropometric measures, oxygen consumption, tolerance to physical activity, and abdominal pain. Studies were conducted in twenty-one countries. Large -scale questionnaire surveys of blood in the stool, trialed as rapid assessment tools for identifying high-risk communities in sub-Saharan Africa, have shown that this symptom can be a s07 indicator for the diagnosis of S.
Significant heterogeneity was observed among the studies, which the dhk analysis did not change significantly see Table H in S3 Text. The chances of observing reductions in hepatomegaly, diarrhea, proteinuria, and bladder abnormalities were higher when the studies were performed on subjects who s07 definitely infected, i.
The reduced odds of blood in the stool post-treatment were similar in different subgroups. Parameters associated with Schistosoma haematobium infection before and after chemotherapy in school children from two villages in the coast province of Kenya. The greatest number of subjects evaluated for morbidity outcomes had S. Sensitivity analysis Forest Plot of the impact of therapy on left lobe hepatomegaly prevalence. Sensitivity analysis by exclusion of a single study at a time from the meta-analysis did not affect the results.
The data analyzed in this study may have been influenced by confounders such as uneven sex distributions, the presence of co-infections, and variation in local reinfection rates that could d007 be controlled for in the meta-analysis.
Sensitivity analysis Forest Plot of the impact of therapy on right lobe hepatomegaly prevalence. Reductions in right-sided hepatomegaly were also not significant for studies having a follow-up shorter than 12 months, s0007 for individuals with S. In subgroup analysis Table C in S3 Textthere was no statistically significant treatment-related reductions among individuals infected with S.
Hepatosplenic morbidity in two neighbouring communities in Uganda with high levels of Schistosoma mansoni infection but very different durations of residence. The meta-regression analysis suggested that there is a significantly greater reduction in the prevalence of some morbidities if greater egg reduction effects can be achieved.
Sensitivity analysis by exclusion of a single study at a time from the meta-analysis did not affect the results S14 Fig.
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This suggests that repeated or more effective anti-parasite drug treatment will be a valuable tool for greater reduction of Schistosoma -related patient morbidities in affected areas.
S2 Text A table describing study design and quality features for ss007 studies. These eggs provoke granulomatous inflammation in order to achieve translocation from the venous circulation to either the bowel or bladder lumena.
Acknowledgments The authors would like to thank the staff of the Cleveland Health Sciences Library-Allen Memorial Medical Library for ready assistance with retrieval of the many articles reviewed in this project. Reversal of urinary bladder lesions was evaluated in 15 studies see Table I in S1 Text.
Overall, there was a significant reduction in the odds of splenomegaly after treatment intervention OR 0.
If eggs do not succeed in leaving the body in excreta, they remain trapped in nearby tissues, causing persistent chronic inflammation and scarring [ 34 ].
Chk pdf Get the latest investor presentations from Chesapeake Energy. Revisiting the concept of hepatosplenic schistosomiasis and its challenges using traditional and new tools. Overall, for each of the three types of outcome, the population surveyed experienced a significant reduction in the odds of hepatomegaly after treatment, compared to pre-treatment levels.
Sensitivity analysis Forest Plot of the impact of therapy on diarrhea prevalence.
Blood in the stool Eight studies evaluated the prevalence of blood in the stool see Table F in S1 Text and the meta-analysis summary estimate indicated a significant reduction after chemotherapy for schistosomiasis OR 0. Eggs are most consistently detected in stool or urine with heavier infections, and persons with light intensity infection may have morbidity but have egg-negative status on the day of survey testing. Discussion Quantification of the net changes in Schistosoma infection-associated morbidity prevalence, from before to after treatment, is one way to critically value the impact of drug-based control of schistosomiasis, which is the strategy currently recommended by WHO and other agencies [ 10 ].
Immunopathogenesis of human schistosomiasis. Significant heterogeneity was observed among the studies Fig 2 and the subgroup analysis was performed in order to identify the causes see Table G in S3 Text. Sensitivity analysis by exclusion of one study at a time from the meta-analysis did not affect the results S8 Fig.
Eight studies evaluated the prevalence of blood in the stool see Table F in S1 Text and the meta-analysis summary estimate indicated a significant reduction after chemotherapy for schistosomiasis OR 0. SinceWHO has endorsed drug treatment to reduce Schistosoma infection and its consequent morbidity. Bertsch2, 3 Andrea Gazzinelli1, 4 and Charles H. Chemotherapy-based control of schistosomiasis haematobia. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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Chk s007 pdf
Moreover, when a paper reported more than one study with the same morbidity performed among different subjectsthis publication was listed twice. Search strategy Published studies were identified in the electronic databases using the PICO strategy Patient, Intervention, Comparator, and Outcome to develop the descriptors.
Introduction Schistosomiasis, caused by Schistosoma spp. Not all morbidities had such stratifying data for all studies. Quantification of the net changes in Schistosoma infection-associated morbidity prevalence, from before to after treatment, is one way to critically value the impact of drug-based control of schistosomiasis, which is the strategy currently recommended by WHO and other agencies [ 10 ].
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