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Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre

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https://www.readbyqxmd.com/read/30396181/does-tourniquet-time-or-pressure-contribute-to-intracranial-pressure-increase-following-tourniquet-application
#1
Ahmet Besir, Ersagun Tugcugil
OBJECTIVE: The aim of this study was to determine whether an early increase in intracranial pressure (ICP) following the deflation of a tourniquet is related to the tourniquet time (TT) or tourniquet pressure (TP) and to identify a safe cutoff value for TT or TP. MATERIALS AND METHODS: Patients who underwent elective orthopedic lower extremity surgery under general anesthesia were randomized into two groups: Group A, inflation with a pneumatic TP of systolic blood pressure + 100 mmHg (n = 30) and Group B, inflation using the arterial occlusion pressure formula (n = 30)...
November 5, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30396178/level-of-anxiety-and-depression-in-cardiac-syndrome-x
#2
Elif Cekirdekci, Baris Bugan
OBJECTIVE: Cardiac syndrome X (CSX) is defined as angina-like symptoms, abnormalities on stress testing and normal epicardial coronary arteries on coronary angiography. The aim of this study was to determine the Hospital Anxiety and Depression scores of patients with CSX and to compare with healthy controls. Materials/Subjects and Methods: Patients undergoing coronary angiography between January 2015 and December 2016 because of clinical indications, including abnormal noninvasive test results were examined...
November 5, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30396170/crestal-bone-loss-around-submerged-and-non-submerged-dental-implants-in-individuals-with-type-2-diabetes-mellitus-a-7-year-prospective-clinical-study
#3
Saaed Al Zahrani, Abdullah Al Mutairi
OBJECTIVE: In establishing an evidence-based rationale for the optimal use of implant therapy in patients with type 2 diabetes mellitus (T2DM), it is essential to first understand the impact of glycemic control on early healing and the success of dental implants. The objective of this study was to evaluate crestal bone loss (CBL) and stability around submerged and non-submerged dental implants in Saudi patients with well- and poorly-controlled type 2 diabetes mellitus (T2DM). SUBJECT AND METHODS: Thirty-five patients with well-controlled T2DM (24 males and 11 females) and 32 poorly-controlled T2DM patients (19 males and 13 females) were included...
November 5, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30391950/potential-new-approaches-in-predicting-adverse-cardiac-events-one-month-after-major-vascular-surgery
#4
Mladjan Golubović, Velimir Peric, Dragana Stanojevic, Milan Lazarevic, Nenad Jovanovic, Nenad Ilic, Miodrag Djordjevic, Tomislav Kostić, Dragan J Milic
OBJECTIVE: The aim of our study was to find the best model with sufficient power to improve the risk stratification in major vascular surgery patients during the first 30 days after this procedure. The discriminatory power of 4 biomarkers [troponin I (TnI), N terminal brain natriuretic peptide (NT-ProBNP), Creatine kinase-MBenotype (CK-MB), high sensitivity C-reactive protein (hs-CRP)] was tested and 2 risk assessment models, with 13 different combinations of them. SUBJECT AND METHODS: The study included 122 patients (men - 77%, women - 23%) with an average age of 67...
November 4, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30380556/acute-myocardial-infarction-due-to-multiple-thrombosis-without-cardiogenic-shock
#5
Yurdaer Dönmez, Armağan Acele, Zikret Köse
OBJECTIVE: Acute thrombotic occlusion of >1 major coronary arteries is very rare (2.5%). Herein, we report a patient with simultaneous anterior and inferior myocardial infarction without cardiogenic shock. CLINICAL PRESENTATION AND INTERVENTION: A 43 year old woman was admitted with severe chest pain. Electrocardiography showed ST segment elevation in anterior and inferior derivations. There was no severe hypotension. Urgent coronary angiography showed that there were thrombotic occlusions in both LAD and RCA...
October 31, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30380552/is-there-a-possible-association-between-the-skeletal-face-types-and-third-molar-impaction-a-retrospective-radiographic-study
#6
Melek Tassoker, Hatice Kok, Sevgi Sener
OBJECTIVE: Third molar impaction is seen much more than impaction of any other tooth as they are the last teeth to erupt. Inadequate retromolar space and the direction of eruption may be contributing factors. The aim of this study was to investigate the relationship between third molar impaction and different skeletal face types. SUBJECTS AND METHODS: Panoramic and lateral cephalometric radiographs of 158 orthodontic patients (aged between 19 and 25 years old) were retrieved from the archived records of the Necmettin Erbakan University Faculty of Dentistry, Konya, Turkey...
October 31, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30376667/pregnancy-induced-sweet-s-syndrome-treated-with-infliximab
#7
Brigita Smolovic, Mirjana Gajic-Veljic, Milos Nikolic, Damir Muhovic
OBJECTIVE: To present a case of relapsing and resistant Sweet's syndrome that developed during pregnancy together with an onset of Crohn's disease, showing complete resolution with the use of infliximab. CLINICAL PRESENTATION AND INTERVENTION: A 30- year old pregnant woman presented with fever, skin lesions and diarrhea. Skin biopsy confirmed neutrophilic dermatosis and she was diagnosed with Crohn's disease after endoscopy. There was no recurrence of Sweet's syndrome outside of her pregnancy...
October 30, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30359984/nonsteroidal-anti-inflammatory-drug-colopathy-in-a-colorectal-cancer-screening-program
#8
Sanja Borozan, Ljiljana Vuckovic, Brigita Smolovic
OBJECTIVE: To present a case of colopathy related to the use of diclofenac in a patient with a positive immunochemical faecal occult blood test (iFOBT) with a view to discuss the influence of non-steroidal anti-inflammatory (NSAID) agents on iFOBT specificity. CLINICAL PRESENTATION AND INTERVENTION: A colonoscopy in a 56-year-old female presenting with a positive iFOBT revealed diaphragm-like strictures and ulcers in the right colon. While carrying out a detailed retrospective interview, she reported a chronic backache requiring long-term NSAID treatment...
October 25, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30355921/hashimoto-encephalopathy-as-a-complication-of-autoimmune-thyroiditis
#9
Syed Rizvi, Alixandria Fiorea, Wilson Pfeiffer, Anais Cortes, Conrad Ziembinski, Ronald Pham, Stephanie Graves, Urvesh Patel
OBJECTIVE: To present a case of Hashimoto Encephalopathy as a complication of Autoimmune Thyroiditis. CLINICAL PRESENTATION AND INTERVENTION: A previously healthy 56-year-old female presented with rapidly progressive cognitive decline and visual hallucinations. Being a diagnosis of exclusion, Hashimoto Encephalopathy required an extensive laboratory and diagnostic workup, which was done over the course of a 15-day hospitalization. The patient recovered after treatment with initial IV Methylprednisolone to PO Prednisone...
October 24, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30352435/influence-of-laboratory-culture-media-on-in-vitro-growth-adhesion-and-biofilm-formation-of-pseudomonas-aeruginosa-and-staphylococcus-aureus
#10
Gayan Wijesinghe, Ayomi Dilhari, Buddhika Gayani, Nilwala Kottegoda, Lakshman P Samaranayake, Manjula Weerasekera
OBJECTIVE: Pseudomonas aeruginosa and Staphylococcus aureus dual species biofilm infections are notoriously difficult to manage. This study was aimed at investigating the influence of four different culture media on the planktonic growth, adhesion and biofilm formation of Pseudomonas aeruginosa and Staphylococcus aureus. MATERIALS AND METHODS: We monitored four different culture media including Nutrient broth (NB), Brain Heart Infusion (BHI) broth, Luria-Bertani (LB) broth and RPMI 1640 medium on the planktonic growth, adhesion and biofilm formation of Pseudomonas aeruginosa (ATCC 27853) and Staphylococcus aureus (ATCC 25923) using MTT assay and scanning electron microscopy (SEM)...
October 23, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30332673/epididymal-dirofilariasis-in-a-child-first-case-report-from-bulgaria
#11
Valeri Velev, Teofil Pelov, Tzvetomir Garev, Stoyan Peev, Iskren Kaftandjiev, Rumen Harizanov
OBJECTIVE: To present case of a child with epididymal dirofilariasis. CLINICAL PRESENTATION AND INTERVENTION: An 11-year-old boy is admitted at the Clinic of Pediatric Urology for elective surgery treatment of epididymal cyst on the left side. After removal, the cyst was sent for histological examination. Microscopic examination of the histological slides revealed cross sections of a nematode belonging to Dirofilaria spp., differentiated morphologically as D. repens...
October 17, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30326473/neutrophil-to-lymphocyte-ratio-and-platelet-to-lymphocyte-ratio-in-patients-with-sudden-sensorineural-hearing-loss
#12
Xiao-Feng Qiao, Xin Li, Guo-Ping Wang, Yin-Huan Bai, Wei Zheng, Tong-Li Li
OBJECTIVES: Sudden sensorineural hearing loss (SNHL) is a common acute disease with an incidence of 0.5-2/10,000. This study aimed to determine whether neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) could be indicators for sudden sensorineural hearing loss (SNHL). METHODS: A total of 60 confirmed cases of SNHL and 60 healthy volunteers were inducted into this study. Peripheral blood NLRs and PLRs were both compared between these. These SNHL patients were divided into two groups, according to therapeutic effect: effective group and ineffective group...
October 16, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30321868/glutathione-s-transferases-and-cytochrome-p450-enzyme-expression-in-patients-with-intracranial-tumors-preliminary-report-of-55-patients
#13
Cahit Kural, Arzu Kaya Kocdogan, Guler Gulcin Simsek, Serpil Oguztuzun, Pınar Kaygın, Irmak Yılmaz, Tugbag Bayram, Yusuf Izci
OBJECTIVE: Intracranial tumors are one of the most frightening and difficult to treat tumor types. In addition to surgery, additional protocols such as chemotherapy and radiotherapy also take place in the treatment. Glutathione S-transferase (GST) and cytochrome P450 (CYP) enzymes are prominent drug metabolizing enzymes in human body. The aim of the present study is to show the expression of GSTP1, GSTM1, CYP1A1 and CYP1B1 in different types of brain tumors and to compare the results with current literature...
October 15, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30317234/proton-pump-inhibitors-and-the-risk-of-dementia-is-there-a-link
#14
Min Yuan, Xufang Xie, Wen-Feng Cao, Ying-Qiong Xiong, Lingfeng Wu, Huangyan Zhou, Xiao-Mu Wu
OBJECTIVE: Dementia is one of the most common neurodegenerative disorder among older populations around the world, and the incidence is increasing. Many epidemiologic studies have considered the association between proton-pump inhibitors and dementia, yet the relationship is still controversial.The objective of this study was to validate whether or not proton-pump inhibitors is indeed associated with dementia.Materials (Subjects) and Methods: We searched for articles on clinical studies of dementia and proton pump inhibitors, then compared,analyzed and summarized the results...
October 14, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30308505/bladder-explosion-during-transurethral-resection-of-the-prostate-repaired-laparoscopically-a-case-report-and-review-of-literature
#15
Fayez Hammad, George Fidal
OBJECTIVE: To report on a case of intravesical explosion during transurethral resection of prostate (TURP) which was managed laparoscopically and to review the relevant literature. CLINICAL PRESENTATION AND INTERVENTION: During TURP, a loud explosion was heard and a jolt was felt in abdomen. A bladder tear was seen endoscopically. Systematic laparoscopic exploration showed no injury to abdominal organs apart from the irregular large bladder tear which was repaired laparoscopically...
October 11, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30296784/the-relationship-between-maxillary-sinus-lateral-wall-thickness-alveolar-bone-loss-and-demographic-variables-a-cross-sectional-cone-beam-computerized-tomography-study
#16
Tuba Talo Yildirim, Guliz Guncu, Mehmet Colak, Tolga Tozum
OBJECTIVES: Sinus floor evelation and augmentation surgery is widely used as a reliable procedure to increase insufficient bone height in the posterior maxillary area. The purpose of the present clinical study was to determine the associations between periodontal bone loss (PBL), maxillary sinus lateral bone wall thickness, age, and gender using cone beam computerized tomography (CBCT). MATERIAL AND METHOD: The current retrospective study consists of 716 maxillary sinus CBCT images of 358 patients...
October 8, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30293079/investigation-of-therapeutic-effects-of-erdosteine-on-polycystic-ovary-syndrome-in-a-rat-model
#17
Atilla Karateke, Recep Dokuyucu, Hatice Dogan, Tumay Ozgur, Zeynel Abidin Tas, Okan Tutuk, Gokhan Agturk, Cemil Tumer
OBJECTIVE: Polycystic ovary syndrome (PCOS) is a serious endocrine disorder. In the present study, we investigated the therapeutic effects of erdosteine in letrozole induced-PCOS in rats. <br><br>Methods: Thirty two wistar albino female rats were grouped as control group (C), PCOS group (PCOS), PCOS-metformin group (PCOS+MET), PCOS-erdosteine group (PCOS+Erd). Polycystic ovary syndrome was induced by administering letrozole; such rats presented with sex hormone disorder, abnormal estrous cycles determined by daily vaginal smear, large cystic follicles, and increasing fasting insulin levels...
October 7, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30278440/diet-and-lifestyle-role-in-homocysteine-metabolism-in-turner-s-syndrome
#18
Valeria Calcaterra, Daniela Larizza, Rachele De Giuseppe, Federica De Liso, Catherine Klersy, Riccardo Albertini, Irene Pozzebon, Maria Pilar Princis, Chiara Montalbano, Alexandra Madè, Hellas Cena
OBJECTIVE: Patients with Turner syndrome (TS) have an unfavorable cardiometabolic profile. Hyperhomocysteinemia is a potential cardiovascular risk factor influenced by genetic and environmental factors, therapies, unbalanced diets and other lifestyle factors. We retrospectively studied the relationship between total plasma homocysteine (Hcy), serum vitamin B12 (B12) and folate concentration (s-F) in TS patients, taking into account the genetic profile, diet, smoking habits, hormonal therapies and dietary supplements of the subjects...
October 2, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30257258/does-adding-various-accelerators-to-mineral-trioxide-aggregate-negatively-effect-push-out-bond-strength
#19
Alper İlker, Evren Sarıyılmaz, Fatih Cakici
OBJECTIVE: This study compares the effect of the white mineral trioxide aggregate (WMTA) accelerators including disodium hydrogen orthophosphate (Na2HPO4) (2.5 wt%), calcium chloride (CaCl2) (5 wt% and 10 wt%), and KY jelly, on the push-out bond strength of WMTA. The null hypothesis was that the WMTA accelerators would not affect the push-out strength of WMTA. MATERIALS AND METHODS: Two-mm-thick slices were obtained from 75 human mandibular molar distal roots. The slices were enlarged up to size 6 Gates-Glidden burs to obtain a 1...
September 26, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30219812/physical-activity-and-cognitive-function-among-older-adults-with-an-elevated-gamma-gap
#20
Emily Frith, Paul D Loprinzi
We evaluated whether gamma gap is associated with cognitive function among older adults and whether physical activity is favorably associated with cognition among those with an elevated gamma gap. Materials (Subjects) and Methods:Data from the 1999-2002 NHANES were used to identify 2,352 older adults, ages 60-85. The gamma gap was evaluated from subtracting albumin from total protein (i.e., Gamma Gap = Total Protein (g/dl) - Albumin (g/dl). Those at or above 3.1 g/dl (31.0 g/L) were considered to have an elevated gamma gap...
September 14, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
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