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International Journal of General Medicine

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https://www.readbyqxmd.com/read/27920571/commercial-test-kits-for-detection-of-lyme-borreliosis-a-meta-analysis-of-test-accuracy
#1
Michael J Cook, Basant K Puri
The clinical diagnosis of Lyme borreliosis can be supported by various test methodologies; test kits are available from many manufacturers. Literature searches were carried out to identify studies that reported characteristics of the test kits. Of 50 searched studies, 18 were included where the tests were commercially available and samples were proven to be positive using serology testing, evidence of an erythema migrans rash, and/or culture. Additional requirements were a test specificity of ≥85% and publication in the last 20 years...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27895508/multi-ethnic-differences-in-hba1c-blood-pressure-and-low-density-lipid-cholesterol-control-among-south-africans-living-with-type-2-diabetes-after-a-4-year-follow-up
#2
Yacob Pinchevsky, Varada J Shukla, Neil Butkow, Tobias Chirwa, Frederick Raal
PURPOSE: Our study set out to examine if disparities in control of glycated hemoglobin (HbA1c), blood pressure (BP), and low-density-lipoprotein cholesterol (LDL-C) existed among an urban multi-ethnic cohort of South Africans, living with type 2 diabetes mellitus (T2DM). PATIENTS AND METHODS: This longitudinal, retrospective study consisted of 261 men and women with previously diagnosed T2DM who attended Charlotte Maxeke Johannesburg Academic Hospital, South Africa across two time periods 2009 and 2013...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27877063/copd-patients-medical-care-and-support-in-greece-during-financial-crisis
#3
George Mitonas, Alexia Juvana, Zoe Daniil, Chryssa Hatzoglou, Konstantinos Gourgoulianis
BACKGROUND: The need to follow a multidisciplinary strategy in chronic obstructive pulmonary disease (COPD) management and rehabilitation in community settings in Greece raises significant questions, given the severe austerity measures being imposed at present. The aim of this study was to investigate the clinical profile of patients with COPD along with the care provided in rural community settings in Greece. METHODS: Two primary health care centers and 200 newly diagnosed patients over a 12-month period were involved in the study...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27843336/treatment-of-bleeding-in-acquired-hemophilia-a-with-the-proper-administration-of-recombinant-activated-factor-vii-single-center-study-of-7-cases
#4
Makoto Saito, Minoru Kanaya, Koh Izumiyama, Akio Mori, Tatsuro Irie, Masanori Tanaka, Masanobu Morioka, Masahiro Ieko
Recombinant activated factor VII (rFVIIa) is the bypassing agent used in the first-line hemostatic therapy for acquired hemophilia A (AHA); however, the occurrence of thrombotic complications in rFVIIa-treated AHA patients was recently reported to be 2.9-6.5%. Therefore, the investigation of the proper administration of rFVIIa for AHA is needed. In the present study, we retrospectively investigated the clinical features of AHA with regards to the use of rFVIIa (presence or absence of use and total amount) in 7 AHA patients encountered in our department for 7 years between January 2008 and December 2014...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27843335/incidence-of-clinical-symptoms-during-long-duration-orbital-spaceflight
#5
Brian Crucian, Adriana Babiak-Vazquez, Smith Johnston, Duane L Pierson, C Mark Ott, Clarence Sams
BACKGROUND: The environment of spaceflight may elevate an astronaut's clinical risk for specific diseases. The purpose of this study was to derive, as accurately as currently possible, an assessment of in-flight clinical "incidence" data, based on observed clinical symptoms in astronauts on board the International Space Station (ISS). METHODS: Electronic medical records were examined from 46 long-duration ISS crew members, each serving approximately a 6-month mission on board the ISS, constituting 20...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27822080/plant-wealth-of-a-sacred-grove-mallur-gutta-telangana-state-india
#6
Sateesh Suthari, Ramesh Kandagalta, Ajmeera Ragan, Vatsavaya S Raju
The Mallur Gutta (Hill) of Warangal district in Telangana state, India, reputed as a habitat for medicinal plants, was inventoried from 2009 to 2015 for its plant wealth through the traditional knowledge of the local people. The Hindu temples of Lord Sri Laxminarasimha Swamy and Lord Hanuman, and the ethnic worship of mahua trees indicated it was a sacred grove which was selected as a Medicinal Plants Conservation Area. The exploration of Mallur Gutta resulted in the enumeration and documentation of plant wealth representing 470 species of 318 genera pertaining to 95 families of vascular plants...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27822079/intravenous-recombinant-tissue-plasminogen-activator-for-acute-ischemic-stroke-a-feasibility-and-safety-study
#7
Elyar Sadeghi-Hokmabadi, Mehdi Farhoudi, Aliakbar Taheraghdam, Mazyar Hashemilar, Daryous Savadi-Osguei, Reza Rikhtegar, Kaveh Mehrvar, Ehsan Sharifipour, Parisa Youhanaee, Reshad Mirnour
BACKGROUND: In developing countries, intravenous thrombolysis (IVT) is available at a limited number of centers. This study aimed to assess the feasibility and safety of IVT at Tabriz Imam Reza Hospital. METHODS: In a prospective study, over a 55-month period, any patient at the hospital for whom stroke code had been activated was enrolled in the study. Data on demographic characteristics, stroke risk factors, admission blood pressure, blood tests, findings of brain computed tomography (CT) scans, time of symtom onset, time of arrival to the emergency department, time of stroke code activation, time of CT scan examination, and the time of recombinant tissue plasminogen activator administration were recorded...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27799812/travel-related-illness-at-a-tertiary-care-hospital-in-osaka-japan
#8
Yoshiro Hadano, Michinori Shirano, Tetsushi Goto
We analyzed the travel-related health problems in persons returning to Japan from overseas. Data were extracted retrospectively for all patients visiting the infectious diseases department of Osaka City General Hospital, Osaka, Japan, between July 2012 and September 2013. There were 209 sick returning travelers during the period of the study. The median age of the subjects was 34.3 years, and the subjects consisted of 133 tourists (63.6%), 39 business travelers (18.7%), 17 expatriates (8.1%), 14 volunteer workers (6...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27789971/morgellons-disease-a-filamentous-borrelial-dermatitis
#9
REVIEW
Marianne J Middelveen, Raphael B Stricker
Morgellons disease (MD) is a dermopathy characterized by multicolored filaments that lie under, are embedded in, or project from skin. Although MD was initially considered to be a delusional disorder, recent studies have demonstrated that the dermopathy is associated with tickborne infection, that the filaments are composed of keratin and collagen, and that they result from proliferation of keratinocytes and fibroblasts in epithelial tissue. Culture, histopathological and molecular evidence of spirochetal infection associated with MD has been presented in several published studies using a variety of techniques...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27785089/minimizing-bleeding-risk-in-patients-receiving-direct-oral-anticoagulants-for-stroke-prevention
#10
REVIEW
Jeffrey Steven Habert
Many primary care physicians are wary about using direct oral anticoagulants (DOACs) in patients with nonvalvular atrial fibrillation (AF). Factors such as comorbidities, concomitant medications, and alcohol misuse increase concerns over bleeding risk, especially in elderly and frail patients with AF. This article discusses strategies to minimize the risk of major bleeding events in patients with AF who may benefit from oral anticoagulant therapy for stroke prevention. The potential benefits of the DOACs compared with vitamin K antagonists, in terms of a lower risk of intracranial hemorrhage, are discussed, together with the identification of reversible risk factors for bleeding and correct dose selection of the DOACs based on a patient's characteristics and concomitant medications...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27757047/an-observation-on-inappropriate-probiotic-subgroup-classifications-in-the-meta-analysis-by-lau-and-chamberlain
#11
Lynne V McFarland
No abstract text is available yet for this article.
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27757046/ability-of-procalcitonin-to-diagnose-bacterial-infection-and-bacteria-types-compared-with-blood-culture-findings
#12
Yuji Watanabe, Nozomi Oikawa, Maya Hariu, Ryota Fuke, Masafumi Seki
Procalcitonin (PCT) and C-reactive protein serve as biomarkers of infection in patients with sepsis/bacteremia. The present study assessed the clinical characteristics of 280 patients with suspected sepsis who were admitted to Tohoku Medical and Pharmaceutical University Hospital between January 2012 and December 2013. Among the patients, 133 and 147 were positive and negative for PCT, respectively. Patients who were PCT positive were older and more frequently male, had reduced levels of platelets and albumin, and increased levels of aspartate aminotransferase, alanine aminotransferase, blood urea nitrogen, creatinine, and C-reactive protein...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27672339/clinical-usefulness-of-red-cell-distribution-width-to-angiographic-severity-and-coronary-stent-thrombosis
#13
Aysun Erdem, Ufuk Sadik Ceylan, Aycan Esen, Ertugrul Zencirci, Birol Topcu, Kivilcim Ozden, Selcuk Yazici, Sait Terzi, Ayse Emre, Kemal Yesilcimen
BACKGROUND: Red cell distribution width (RDW) is a quantitative measurement and shows heterogeneity of red blood cell size in peripheral blood. RDW has recently been associated with cardiovascular events and cardiovascular diseases, and it is a novel predictor of mortality. In this study, we aimed to evaluate the clinical usefulness of measuring RDW in patients with coronary stent thrombosis. PATIENTS AND METHODS: We retrospectively reviewed 3,925 consecutive patients who presented with acute coronary syndrome and who underwent coronary angiography at the Siyami Ersek Hospital between May 2011 and December 2013...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27660485/streptococcus-pneumoniae-sepsis-as-the-initial-presentation-of-systemic-lupus-erythematosus
#14
Ilknur Erdem, Senay Elbasan Omar, Ridvan Kara Ali, Hayati Gunes, Aynur Eren Topkaya
OBJECTIVE: Infections are among the most important causes of morbidity and mortality in patients with systemic lupus erythematosus (SLE) but are rare initial presentation of the disease. Therefore, in this study, we describe a case of Streptococcus pneumoniae sepsis in a young woman with previously undiagnosed SLE. CASE REPORT: A 23-year-old female patient was admitted to our outpatient clinic complaining of high fever (40°C), chills, fatigue, generalized myalgia, and cough with brown sputum for 5 days...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27621665/interstitial-nephritis-caused-by-hiv-infection-by-itself-a-case-report
#15
Asako Doi, Kentaro Iwata, Shigeo Hara, Yukihiro Imai, Toshikazu Hasuike, Hiroaki Nishioka
Interstitial nephritis is a common cause of renal dysfunction. It is primarily caused by drugs, infections, or autoimmune disorders. Patients with human immunodeficiency virus (HIV) infection can develop interstitial nephritis, although it typically occurs because of the aforementioned etiologies and not as a direct consequence of HIV infection. Interstitial lesions may occur in patients with HIV-associated nephropathy (HIVAN). However, interstitial nephritis without the glomerular injuries characteristic of HIVAN, and without the risk factors described earlier, is very rare...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27621664/health-in-a-fragile-state-a-five-year-review-of-mortality-patterns-and-trends-at-somalia-s-banadir-hospital
#16
Asli Kulane, Douglas Sematimba, Lul M Mohamed, Abdirashid H Ali, Xin Lu
BACKGROUND: The recurrent civil conflict in Somalia has impeded progress toward improving health and health care, with lack of data and poor performance of health indicators. This study aimed at making inference about Banadir region by exploring morbidity and mortality trends at Banadir Hospital. This is one of the few functional hospitals during war. METHODS: A retrospective analysis was conducted with data collected at Banadir Hospital for the period of January 2008-December 2012...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27570460/pharmacist-led-minor-ailment-programs-a-canadian-perspective
#17
REVIEW
Jeff Gordon Taylor, Ray Joubert
Pharmacists have a long history of helping Canadians with minor ailments. This often has involved management with over-the-counter medications. If pharmacists felt that the best care required something more robust, they would refer the patient to a physician. In hopes of improving the care of such ailments, Canadian provinces have granted pharmacists the option of selecting medications traditionally under physician control. This review examines the Canadian perspective on pharmacists prescribing for minor ailments and the evidence of value for these programs...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27555795/does-a-medical-history-of-hypertension-influence-disclosing-genetic-testing-results-of-the-risk-for-salt-sensitive-hypertension-in-primary-care
#18
Masanobu Okayama, Taro Takeshima, Masanori Harada, Ryusuke Ae, Eiji Kajii
OBJECTIVE: Disclosing genetic testing results may contribute to the prevention and management of many common diseases. However, whether the presence of a disease influences these effects is unclear. This study aimed to clarify the difference in the effects of disclosing genetic testing results of the risk for developing salt-sensitive hypertension on the behavioral modifications with respect to salt intake in hypertensive and nonhypertensive patients. METHODS: A cross-sectional study using a self-administered questionnaire was conducted for outpatients aged >20 years (N=2,237) at six primary care clinics and hospitals in Japan...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27540310/retinal-vascular-changes-in-hypertensive-patients-in-ibadan-sub-saharan-africa
#19
Sunday Tunji Oluleye, Bolutife Ayokunu Olusanya, Abiodun Moshood Adeoye
BACKGROUND: Earlier studies in Nigeria reported the rarity of retinal vascular changes in hypertensives. The aim of this study was to describe the various retinal vascular changes in the hypertensive patients of Nigeria. PATIENTS AND METHODS: Nine hundred and three hypertensive patients were studied. This study was approved by the ethical and research committee of the University of Ibadan and University College Hospital, Ibadan, Nigeria. Blood pressure and anthropometric measurements were measured...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27536158/exergaming-and-obesity-in-youth-current-perspectives
#20
REVIEW
Nan Zeng, Zan Gao
Although exergaming has been used as a physical activity modality among various populations, the evidence regarding its effectiveness on health-related outcomes in overweight/obese individuals remains unclear. The current study systematically reviewed literature and summarized findings of exergame-based interventions in overweight/obese populations with the goal of clarifying the current perspectives on exergaming and obesity. The initial search yielded 202 articles from six databases; 12 studies were included after evaluating for inclusion criteria and removing duplicates...
2016: International Journal of General Medicine
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