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sample_0036b28fddf7e93da0970303672934ea2f9944e7.json.ttl
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11012 lines (10373 loc) · 410 KB
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix v2: <http://hl7.org/fhir/v2/> .
@prefix v3: <http://hl7.org/fhir/v3/> .
@prefix w5: <http://hl7.org/fhir/w5#> .
@prefix xml: <http://www.w3.org/XML/1998/namespace> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
<https://fhircat.org/cord-19/fhir/Non-commercial/Composition/0036b28fddf7e93da0970303672934ea2f9944e7.json> a fhir:Composition ;
fhir:nodeRole fhir:treeRoot ;
fhir:Composition.confidentiality [
fhir:value "N"
] ;
fhir:Composition.identifier [
fhir:Identifier.system [
fhir:value "urn:ietf:rfc:3986"
] ;
fhir:Identifier.value [
fhir:value "urn:uuid:92b101d0-48c3-371b-adb9-23ddda10ed8b"
]
] ;
fhir:Composition.section [
fhir:index "1"^^xsd:integer ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index "0"^^xsd:integer ;
fhir:Coding.code [
fhir:value "61150-9"
] ;
fhir:Coding.system [
fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes"
]
]
] ;
fhir:Composition.section.entry [
fhir:index "61"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Procedure/24a42c2d-cd18-3e8f-b014-8ab2ca04da61> ;
fhir:Reference.reference [
fhir:value "Procedure/24a42c2d-cd18-3e8f-b014-8ab2ca04da61"
]
],
[
fhir:index "47"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Condition/3bebdc81-39e5-375b-bafb-e8f5054fa197> ;
fhir:Reference.reference [
fhir:value "Condition/3bebdc81-39e5-375b-bafb-e8f5054fa197"
]
],
[
fhir:index "39"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Condition/654424cd-39e2-3f0a-9305-018df748e619> ;
fhir:Reference.reference [
fhir:value "Condition/654424cd-39e2-3f0a-9305-018df748e619"
]
],
[
fhir:index "43"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Condition/fbb35266-83bd-3140-b7eb-53905a5a0fd9> ;
fhir:Reference.reference [
fhir:value "Condition/fbb35266-83bd-3140-b7eb-53905a5a0fd9"
]
],
[
fhir:index "54"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/MedicationStatement/c8fbf6b9-dc33-3404-8d96-d3dce02f2f07> ;
fhir:Reference.reference [
fhir:value "MedicationStatement/c8fbf6b9-dc33-3404-8d96-d3dce02f2f07"
]
],
[
fhir:index "23"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/MedicationStatement/6f2c96ab-ad7b-386f-9ae7-5775774d47c5> ;
fhir:Reference.reference [
fhir:value "MedicationStatement/6f2c96ab-ad7b-386f-9ae7-5775774d47c5"
]
],
[
fhir:index "7"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Condition/13980a2f-3c38-3e16-9c73-d0604f9ad17c> ;
fhir:Reference.reference [
fhir:value "Condition/13980a2f-3c38-3e16-9c73-d0604f9ad17c"
]
],
[
fhir:index "58"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Procedure/b00da618-dd98-39fd-9b11-4aba8a7796e1> ;
fhir:Reference.reference [
fhir:value "Procedure/b00da618-dd98-39fd-9b11-4aba8a7796e1"
]
],
[
fhir:index "18"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Medication/cefba455-9457-3655-8429-e5f74403a77e> ;
fhir:Reference.reference [
fhir:value "Medication/cefba455-9457-3655-8429-e5f74403a77e"
]
],
[
fhir:index "36"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Medication/e0aee634-9f1d-38de-8f7f-b508a672ab30> ;
fhir:Reference.reference [
fhir:value "Medication/e0aee634-9f1d-38de-8f7f-b508a672ab30"
]
],
[
fhir:index "2"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Procedure/115600bf-fa08-3aab-9dd0-378d38c1b346> ;
fhir:Reference.reference [
fhir:value "Procedure/115600bf-fa08-3aab-9dd0-378d38c1b346"
]
],
[
fhir:index "24"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Medication/fea9bf1c-e9a4-320c-8c95-bb8eb9eceff3> ;
fhir:Reference.reference [
fhir:value "Medication/fea9bf1c-e9a4-320c-8c95-bb8eb9eceff3"
]
],
[
fhir:index "6"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/MedicationStatement/148e0230-dc02-3b65-8a78-5a1806a45b68> ;
fhir:Reference.reference [
fhir:value "MedicationStatement/148e0230-dc02-3b65-8a78-5a1806a45b68"
]
],
[
fhir:index "66"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/MedicationStatement/c26fdcfc-5880-30ac-82ce-0f9ae79735e2> ;
fhir:Reference.reference [
fhir:value "MedicationStatement/c26fdcfc-5880-30ac-82ce-0f9ae79735e2"
]
],
[
fhir:index "64"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Procedure/455685b8-bc69-391d-b6d1-ca55a9a94959> ;
fhir:Reference.reference [
fhir:value "Procedure/455685b8-bc69-391d-b6d1-ca55a9a94959"
]
],
[
fhir:index "28"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Medication/48bf0c6c-aeee-38f9-859e-2e3c808dc2d3> ;
fhir:Reference.reference [
fhir:value "Medication/48bf0c6c-aeee-38f9-859e-2e3c808dc2d3"
]
],
[
fhir:index "17"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/MedicationStatement/e6aacfe0-4add-3b31-8b51-47df64c68726> ;
fhir:Reference.reference [
fhir:value "MedicationStatement/e6aacfe0-4add-3b31-8b51-47df64c68726"
]
],
[
fhir:index "55"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Procedure/43ab7bb6-f29f-3838-af0f-7da57551e208> ;
fhir:Reference.reference [
fhir:value "Procedure/43ab7bb6-f29f-3838-af0f-7da57551e208"
]
],
[
fhir:index "44"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Procedure/4d0ee372-9487-39d0-9e7f-f631aa036c80> ;
fhir:Reference.reference [
fhir:value "Procedure/4d0ee372-9487-39d0-9e7f-f631aa036c80"
]
],
[
fhir:index "65"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Medication/4ae61021-e508-39ed-ada2-015f74ae6e7b> ;
fhir:Reference.reference [
fhir:value "Medication/4ae61021-e508-39ed-ada2-015f74ae6e7b"
]
],
[
fhir:index "13"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Procedure/1deae4cd-81cb-3a00-99de-214585a376fc> ;
fhir:Reference.reference [
fhir:value "Procedure/1deae4cd-81cb-3a00-99de-214585a376fc"
]
],
[
fhir:index "69"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Procedure/9f7505d9-b304-353f-9131-b26d8e53cd63> ;
fhir:Reference.reference [
fhir:value "Procedure/9f7505d9-b304-353f-9131-b26d8e53cd63"
]
],
[
fhir:index "30"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Medication/b7ea567a-4564-3904-a71f-a3847e253f2e> ;
fhir:Reference.reference [
fhir:value "Medication/b7ea567a-4564-3904-a71f-a3847e253f2e"
]
],
[
fhir:index "10"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Condition/cb4207d4-58d9-3404-b2fc-e5f896f175b0> ;
fhir:Reference.reference [
fhir:value "Condition/cb4207d4-58d9-3404-b2fc-e5f896f175b0"
]
],
[
fhir:index "12"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Procedure/50aa9c42-3c4c-3887-8004-6adcd99778f2> ;
fhir:Reference.reference [
fhir:value "Procedure/50aa9c42-3c4c-3887-8004-6adcd99778f2"
]
],
[
fhir:index "45"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Condition/945484e4-f350-3342-9869-f9007a377576> ;
fhir:Reference.reference [
fhir:value "Condition/945484e4-f350-3342-9869-f9007a377576"
]
],
[
fhir:index "29"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/MedicationStatement/bea82558-e089-3c97-b681-91ee0b2418d0> ;
fhir:Reference.reference [
fhir:value "MedicationStatement/bea82558-e089-3c97-b681-91ee0b2418d0"
]
],
[
fhir:index "21"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/MedicationStatement/874e6522-8e28-3bfc-92af-8b05585bfa33> ;
fhir:Reference.reference [
fhir:value "MedicationStatement/874e6522-8e28-3bfc-92af-8b05585bfa33"
]
],
[
fhir:index "40"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Condition/66c8191e-7e5a-327f-9d0d-f39444cce9a1> ;
fhir:Reference.reference [
fhir:value "Condition/66c8191e-7e5a-327f-9d0d-f39444cce9a1"
]
],
[
fhir:index "19"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/MedicationStatement/1ee45437-d401-3bd7-9a83-3bc3df426684> ;
fhir:Reference.reference [
fhir:value "MedicationStatement/1ee45437-d401-3bd7-9a83-3bc3df426684"
]
],
[
fhir:index "63"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Procedure/fa791edb-0c1f-3040-9d82-06907bfb8c81> ;
fhir:Reference.reference [
fhir:value "Procedure/fa791edb-0c1f-3040-9d82-06907bfb8c81"
]
],
[
fhir:index "67"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Procedure/e8874643-866a-3fe1-b5bf-35afac6e411b> ;
fhir:Reference.reference [
fhir:value "Procedure/e8874643-866a-3fe1-b5bf-35afac6e411b"
]
],
[
fhir:index "34"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Procedure/011395eb-73a7-30e0-9cc0-13ed06c4a784> ;
fhir:Reference.reference [
fhir:value "Procedure/011395eb-73a7-30e0-9cc0-13ed06c4a784"
]
],
[
fhir:index "62"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/Procedure/ced34b7a-12d7-3e4f-b095-7fb0d6af77a5> ;
fhir:Reference.reference [
fhir:value "Procedure/ced34b7a-12d7-3e4f-b095-7fb0d6af77a5"
]
],
[
fhir:index "31"^^xsd:integer ;
fhir:link <https://fhircat.org/cord-19/fhir/Non-commercial/MedicationStatement/ae518d4b-0fe6-35c1-8594-f53c0f8207d7> ;
fhir:Reference.reference [
fhir:value "MedicationStatement/ae518d4b-0fe6-35c1-8594-f53c0f8207d7"
]
],
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fhir:Narrative.div """<div xmlns="http://www.w3.org/1999/xhtml">ABSTRACT: and Blautia (P = 0.008) significantly decreased on day 20 and C. hiranonis (p = 0.001) on day 60. Blautia (P = 0.017) remained decreased on day 60. E.coli remained unchanged on day 20 (P = 0.999) but decreased on day 60 (P = 0.0001). Faecalibacterium remained unchanged on day 20 (P = 0.711) but increased on day 60 (P = 0.0002). In group 3, no statistically significant differences were identified.
Administration of amoxicillin/clavulanic acid or doxycycline had profound effects on certain bacterial groups potentially associated with dysbiosis in these kittens.
Several studies have reported intestinal microbial dysbiosis in dogs with chronic enteropathy. Limited data is available about the microbiota gene function in this pathology in dogs. Determining the functional attributes of the microbiome is essential for understanding their role on host metabolism and disease. The aim of this study was to compare the functional roles of the fecal microbiota in healthy dogs and dogs with CE by fecal DNA shotgun sequencing.
Fecal samples were collected from 14 healthy dogs and 20 dogs with chronic enteropathy (CE). Fecal DNA was extracted using a commercial kit (PowerSoil, QIAGEN). Functional characterization of the shotgun sequence reads in the KEGG database was performed using next generation sequencing, in order to identify the relative abundance of specific metabolic pathways. A Wilcoxon test was used for comparison of the gene abundance between groups. Significance was set at q < 0.05.
At phylum level, low abundance of Bacteroidetes was observed in dog with CE, compared to healthy control dogs (48.5 vs 1.6%; q = 0.0006).
Fusobacteria was also significantly increased in healthy controls (0.25 vs 0.04%; q = 0.0111). The pathway enrichment analysis of the bacterial metagenomes showed that 130 of 360 (36.1%) total metabolic modules were differentially abundant between studied groups. Genes for carbohydrate metabolism, biosynthesis of amino acids (lysine, threonine, histidine, isoleucine, tryptophan, leucine and serine) and vitamins (ascorbate, thiamine and riboflavin) were decreased in dogs with CE, while genes involved in transport of molecules and homeostasis maintenance during oxidative stress (glutathione biosynthesis) were increased in CE.
Our data presents, as previous reported, an intestinal microbial dysbiosis in dogs with CE. As new finding, our results show an altered microbial metabolism in dogs with CE compared to healthy dogs, characterized by reduction of amino acid biosynthesis and carbohydrate metabolism. Further studies including transcriptomic analysis are warranted to define the consequences of this microbiota dysfunction on dogs with CE.
'Protein-losing-enteropathy' (PLE) is a syndrome caused by various diseases including idiopathic inflammatory bowel disease, primary lymphangiectasia, lymphoma, and severe acute gastroenteritis. Certain breed predispositions, such as the soft-coated Wheaten Terrier, are well known. Our clinical experience suggests that pugs with PLE respond poorly to treatment, but this is not described in the literature.
The aim of the current study was to assess whether the pug breed demonstrates a worse response to treatment for PLE than other breeds of dog.
This was a retrospective study comparing the response to treatment in all pugs diagnosed with PLE between 2009 and 2018 in five referral centres in the United Kingdom. Approval for the study was granted by the University of Liverpool Research Ethics Committee. A group of non-pug dogs, also diagnosed with PLE within the same period, was selected for comparison. PLE was defined as any gastrointestinal disease resulting in serum albumin below the laboratory reference interval that could not be explained by another cause. Factors associated with survival were assessed using simple statistics (Mann-Whitney tests and chi-square test as appropriate) and Cox's proportional hazards regression. Initially, factors were tested individually using simple regression; a multiple regression model was then created, subsequently refined by backwards stepwise elimination until the best model was found. A total of 35 pugs were diagnosed with a PLE between 2009 and 2018 and were compared with 113 dogs from other breeds. On simple regression analysis, factors associated with survival (at P < 0.1) were pug breed (P = 0.002), diet used for treatment (P = 0.022), receiving immunosuppressive therapy (P = 0.089), and treatment with cobalamin (P = 0.005). However, the only factors that remained in the final model were the pug breed and the diet used for treatment. In this respect, dogs of the pug breed were associated with a greater hazard of dying (compared with non-pugs: hazards ratio [HR] 2.67 (CI 1.60-4.47; P < 0.001), whilst being fed a hydrolysed diet was associated with a lesser hazard risk of death than when fed other diets (compared with low-fat diets: HR 0.50, 95%-CI: 0.26-0.97; P = 0.042; compared with other diets including highly-digestible diets: HR 0.35, 95%-CI: 0.17-0.71; P = 0.004).
In conclusion, this study demonstrated an association between the pug breed and a poorer response to treatment for PLE compared to other breeds. Further research should be undertaken as to the underlying cause.
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