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How to download Que joyitas, Que joyitas movie, Que joyitas movie download, Que joyitas full movie downloadPredictors of the development of idiopathic osteonecrosis and the management of osteonecrosis as acute sinusitis.
Bone marrow biopsy is accepted as the criterion standard for the diagnosis of idiopathic osteonecrosis (ON). However, in patients with normal bone marrow biopsy results, the development of ON may be overlooked. As ON may be confused with acute sinusitis at initial presentation, we tested the hypothesis that the characteristics of patients at initial presentation may help predict the development of ON. This was a retrospective review of patients diagnosed with acute sinusitis at a single tertiary care center from 2007 to 2014. The demographic and clinical data, including age, BMI, and antibiotic course were collected. Patients were evaluated according to the bone marrow biopsy results and the development of ON. Among 712 patients, 109 patients were diagnosed with acute sinusitis, and 15 patients (14%) developed ON. The mean age of the patients who developed ON was 48.0 (SD 18.0) years, which was lower than that of patients without ON (58.2, SD 18.7 years, p = 0.015). Patients aged >50 years were less likely to develop ON (OR 0.58; 95% CI 0.34-0.99, p = 0.049), when adjusted for other predictors. Furthermore, compared to patients without ON, the mean BMI of patients with ON was significantly higher (29.5, SD 6.1 vs. 28.6, SD 5.8, p = 0.026) and the mean duration of antibiotic therapy was significantly longer (7.8, SD 3.2 days vs. 6.2, SD 3.6 days, p = 0.009). We found that age younger than 50 years and higher BMI are predictors of ON at initial presentation. Early identification of patients who are at risk of developing ON may reduce medical costs and the related morbidity of this disease.
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