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Journal of Clinical Medicine Research

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https://www.readbyqxmd.com/read/28496557/in-stent-restenosis-due-to-stent-recoil-after-third-generation-drug-eluting-stent-implantation
#1
Yuta Kato, Atsushi Iwata, Masayuki Nakamura, Shin-Ichiro Miura, Keijiro Saku
A 72-year-old man with a heavily calcified coronary lesion underwent percutaneous coronary intervention (PCI) using a third-generation drug-eluting stent (DES) with thin stent struts. Two months after the PCI, in-stent restenosis due to stent recoil (SR) occurred. An intravascular ultrasound (IVUS) revealed deformed stent struts and heavily calcified coronary plaque. The SR probably occurred due to persistent vessel compression as a result of heavily calcified coronary plaque. We should consider using a DES with thick stent struts rather than a third-generation DES with thin stent struts in patients with a heavily calcified coronary lesion...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28496556/epidemiological-profile-of-hispanics-admitted-with-acute-myocardial-infarction-in-puerto-rico-the-experience-of-2007-2009-and-2011
#2
Dagmar F Hernandez-Suarez, Anthony D Osterman-Pla, Onelys Carrasquillo, Juan Aranda, Stella Baez, Mariel Lopez, Enid J Garcia-Rivera
BACKGROUND: A limited number of studies have been published about coronary artery disease in Hispanics, particularly among the Puerto Rican population. The aim of this study was to present a clinical epidemiological profile and management practices in patients hospitalized in Puerto Rico with acute myocardial infarction (AMI). METHODS: This secondary data analysis from the Puerto Rico Cardiovascular Surveillance Study included 6,162 patients at 19 hospitals in Puerto Rico, during years 2007, 2009 and 2011...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28496555/effect-of-acupressure-acupuncture-and-moxibustion-in-women-with-pregnancy-related-anxiety-and-previous-depression-a-preliminary-study
#3
Shunji Suzuki, Chiharu Tobe
BACKGROUND: In this preliminary study, we examined the effect of acupressure, acupuncture and moxibustion (oriental treatments) to prevent of the relapse/deterioration of perinatal depression in women with pregnancy-related anxiety and previous depression. METHODS AND RESULTS: Between 2014 and 2016, there were 48 women with pregnancy-related anxiety and previous depression who had delivery at ≥ 22 weeks' gestation in our institute. Of these, oriental treatments were performed in eight and two women (totally 10, 21%) during pregnancy and postpartum, respectively...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28496554/relationship-between-body-mass-index-and-obesity-awareness-in-school-students
#4
Hassan D Alasmari, Abdullah D Al-Shehri, Tariq A Aljuaid, Bassam A Alzaidi, Khaled A Alswat
BACKGROUND: The primary aim was to assess the prevalence of overweight and obesity among the participants and its relationship to obesity awareness. METHODS: A cross-sectional study that included intermediate and high schools students was conducted between April 2014 and June 2015. Anthropometric measurements were obtained by the researchers and body mass index (BMI) was calculated. We used the obesity risk knowledge (ORK-10) scale to assess obesity awareness. Participants who answered ≥ 5 out of 10 questions correctly were considered to be aware...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28496553/does-syncope-predict-mortality-in-patients-with-acute-pulmonary-embolism-a-retrospective-review
#5
Umair Iqbal, Ayesha Jameel, Hafsa Anwar, Melissa B Scribani, Edward Bischof, Ahmad Chaudhary
BACKGROUND: Acute pulmonary embolism (APE) is a potentially fatal disease with high mortality. Prior studies have shown an increased frequency of central localization of the clot, right ventricular dysfunction and elevated troponin in patients who present with syncope and APE. Existing evidence regarding mortality and length of hospital stay in these patients is unclear. METHODS: We retrospectively reviewed electronic medical records of patients who were admitted in a tertiary care hospital in rural Upstate New York and diagnosed with APE from July 2014 to July 2016...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28496552/screening-for-depressive-and-anxiety-symptoms-during-pregnancy-and-postpartum-at-a-japanese-perinatal-center
#6
Shunji Suzuki, Masako Eto
BACKGROUND: We examined the current status of depressive and anxiety symptoms in Japanese women during pregnancy and postpartum. METHODS: We asked 220 Japanese women who gave birth to singleton babies at term to answer the two self-administered questionnaires (Whooley's two questions and two-item generalized anxiety disorder scale) at first, second and third trimester of pregnancy and 1 month after delivery. RESULTS: The rates of women with depressive symptoms were common during the first trimester of pregnancy (25%) and the postpartum (17%), while the women with anxiety symptoms were common during the first trimester of pregnancy (36%)...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28496551/lack-of-association-between-toxoplasma-gondii-infection-and-diabetes-mellitus-a-matched-case-control-study-in-a-mexican-population
#7
Cosme Alvarado-Esquivel, Nayely Loera-Moncivais, Jesus Hernandez-Tinoco, Luis Francisco Sanchez-Anguiano, Guillermina Hernandez-Madrid, Elizabeth Rabago-Sanchez, Maria Magdalena Centeno-Tinoco, Ada A Sandoval-Carrillo, Jose M Salas-Pacheco, Oscar Vladimir Campos-Moreno, Elizabeth Irasema Antuna-Salcido
BACKGROUND: Very little is known about the association between infection with Toxoplasma gondii (T. gondii) and diabetes mellitus. We perform an age- and gender-matched case-control study to determine the association of T. gondii infection and diabetes mellitus. METHODS: Cases included 156 patients with diabetes mellitus and 156 controls without diabetes mellitus who attended in two public clinics in Durango City, Mexico. Sera of cases and controls were tested for the presence of anti-Toxoplasma IgG and IgM antibodies using commercially available enzyme-linked fluorescence assays (ELFA)...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28496550/efficacy-and-safety-of-sglt2-inhibitors-in-reducing-glycated-hemoglobin-and-weight-in-emirati-patients-with-type-2-diabetes
#8
Alaaeldin Bashier, Azza Abdulaziz Khalifa, Fauzia Rashid, Elamin Ibrahim Abdelgadir, Amina Adil Al Qaysi, Razan Ali, Ahmed Eltinay, Jalal Nafach, Fatima Alsayyah, Fatheya Alawadi
BACKGROUND: SGLT2 inhibitors are a new class of drugs that act by inhibiting glucose reabsorption in the proximal renal tubules. Many trials have demonstrated their effectiveness in reducing glycated hemoglobin (HbA1c) and weight, but they have never been examined in Arab or Emirati populations. METHODS: We assessed the efficacy of SGLT2 inhibitors in reducing HbA1c and weight in our population and specifically in an Emirati cohort. We also assessed the effect on fasting blood glucose, blood pressure, lipid profile, serum creatinine, and side effects...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28496549/phosphodiesterase-5-inhibitors-improve-clinical-outcomes-exercise-capacity-and-pulmonary-hemodynamics-in-patients-with-heart-failure-with-reduced-left-ventricular-ejection-fraction-a-meta-analysis
#9
Renato De Vecchis, Arturo Cesaro, Carmelina Ariano, Anna Giasi, Carmela Cioppa
BACKGROUND: Several studies have compared the use of phosphodiesterase-5 (PDE5) inhibitors sildenafil or udenafil with the placebo in patients suffering from pulmonary hypertension (PH) due to left chronic heart failure (CHF), corresponding to group 2 (PH due to left heart disease) of the PH classification (according to 2015 ESC/ERS guidelines for the diagnosis and treatment of PH). The results of the use of PDE5 inhibitors in the PH due to left heart disease were inconsistent and heterogeneous...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28496548/palliative-thoracic-radiotherapy-for-lung-cancer-what-is-the-impact-of-total-radiation-dose-on-survival
#10
Carsten Nieder, Terje Tollali, Rosalba Yobuta, Anne Reigstad, Liv Randi Flatoy, Adam Pawinski
BACKGROUND: Effective symptom palliation can be achieved with low-dose palliative thoracic radiotherapy. In several studies, median survival was not improved with higher doses of radiation. More controversy exists regarding the impact of higher doses on 1- and 2-year survival rates. Therefore, a comparison of survival outcomes after radiotherapy with different biologically equivalent doses (equivalent dose in 2-Gy fractions, EQD2) was performed. METHODS: This was a retrospective single-institution study of 232 patients with small or non-small cell lung cancer...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28496547/effect-of-ezetimibe-monotherapy-on-low-density-lipoprotein-cholesterol-and-on-markers-of-cholesterol-synthesis-and-absorption-in-japanese-patients-with-hypercholesterolemia
#11
Akio Ohta, Hiroyuki Kato, Satoshi Ishii, Yoshio Nagai, Yasushi Tanaka
BACKGROUND: The aim of this study was to evaluate effect of ezetimibe monotherapy on serum low-density lipoprotein cholesterol (LDL-C) in Japanese patients and to investigate the association between changes of LDL-C and changes of markers for cholesterol synthesis and absorption. METHODS: Seventy-six hypercholesterolemic patients without statin therapy were enrolled and randomized to two groups, which were an ezetimibe group (group E, n = 44) and a control group without ezetimibe treatment that received diet therapy alone (group C, n = 32)...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28496546/the-epidemiology-and-risk-factors-for-postoperative-pneumonia
#12
REVIEW
Morad Chughtai, Chukwuweike U Gwam, Nequesha Mohamed, Anton Khlopas, Jared M Newman, Rafay Khan, Ali Nadhim, Shervin Shaffiy, Michael A Mont
Postoperative pneumonia is a common complication of surgery, and is associated with marked morbidity and mortality. Despite advances in surgical and anesthetic technique, it persists as a frequent postoperative complication. Many studies have aimed to assess its burden, as well as associated risk factors. However, this complication varies among the different surgical specialties, and there is a paucity of reports that comprehensively evaluate this complication. Therefore, the purpose of this study was to review the epidemiology and risk factors of postoperative pneumonia in the setting of: 1) general surgery; 2) cardiothoracic surgery; 3) orthopedic and spine surgery; and 4) head and neck surgery...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28496545/c-reactive-protein-and-frailty-in-the-elderly-a-literature-review
#13
REVIEW
Dimitrios Velissaris, Nikolaos Pantzaris, Ioanna Koniari, Nikolaos Koutsogiannis, Vasilios Karamouzos, Ioanna Kotroni, Anastasia Skroumpelou, John Ellul
Chronic inflammation is a well-established background process in many age-related diseases. Many recent studies investigate the use of various inflammatory biomarkers such as C-reactive protein (CRP), interleukin-6, and interleukin-1 as predictors of physical and cognitive performance among elders. The phenotype of frailty has also been associated with underlying inflammatory mechanisms. The aim of this article was to review the literature referring to the correlation of CRP serum levels and frailty in older individuals...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28496544/hemodynamic-effects-of-sodium-glucose-cotransporter-2-inhibitors
#14
REVIEW
Motoaki Sano
It is widely accepted that obesity and type 2 diabetes mellitus (T2DM) increase the risk of heart failure (HF) independently of underlying coronary artery disease. The changes in myocardial structure or function associated with diabetes have been termed diabetic cardiomyopathy. Corresponding to changes in the risk factors for HF, an epidemiologic transition is underway from HF with a reduced ejection fraction to HF with a preserved ejection fraction. Hyperglycemia can damage the myocardium, even before diagnosis of diabetes, but intensive glycemic control has no impact on the risk of HF in patients with T2DM...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28496543/combination-antifungal-therapy-a-review-of-current-data
#15
REVIEW
Marco Campitelli, Nabil Zeineddine, Ghassan Samaha, Stephen Maslak
The incidence of invasive fungal infections has been on the rise, particularly in transplant recipients and in patients with hematological malignancies and other forms of immunosuppression. There is a mismatch between the rate of antifungal resistance and the development of new antifungal agents. Based on this, the idea of combining antifungals in the treatment of invasive fungal infections appears tempting for many clinicians, particularly after many in vitro studies showed synergism between many antifungal agents...
June 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28392867/is-an-increase-in-serum-magnesium-one-of-the-causes-of-cardiovascular-events-reduction-in-the-empa-reg-outcome-study
#16
Tatsuo Yanagawa
No abstract text is available yet for this article.
May 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28392866/what-properties-of-sodium-glucose-cotransporter-2-inhibitors-determine-the-improvement-in-hemoglobin-a1c-and-body-weight
#17
Hidekatsu Yanai, Mariko Hakoshima, Hiroki Adachi
No abstract text is available yet for this article.
May 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28392865/cardio-ankle-vascular-index-and-c-reactive-protein-are-useful-parameters-for-identification-of-ischemic-heart-disease-in-acute-heart-failure-patients
#18
Shunsuke Kiuchi, Shinji Hisatake, Takayuki Kabuki, Takashi Oka, Shintaro Dobashi, Takahiro Fujii, Takanori Ikeda
BACKGROUND: The most common cause of heart failure (HF) is ischemic heart disease (IHD). Evaluation of IHD with non-invasive examinations is useful for the treatment of HF, and cardio-ankle vascular index (CAVI) is a good parameter for detecting systemic arteriosclerosis. However, the relationship between IHD and CAVI in acute HF (AHF) patients is still unclear. Therefore, we investigated the effect of non-invasive examinations, including CAVI to detect IHD. METHODS: We studied 53 consecutive patients (average age of 66...
May 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28392864/traumatic-abdominal-solid-organ-injury-patients-might-benefit-from-thromboelastography-guided-blood-component-therapy
#19
Hao Wang, Richard D Robinson, Jessica L Phillips, Andrew Ryon, Scott Simpson, Jonathan R Ford, Johnbosco Umejiego, Therese M Duane, Bradley Putty, Nestor R Zenarosa
BACKGROUND: Thromboelastography (TEG) has been utilized for the guidance of blood component therapy (BCT). We aimed to investigate the association between emergent TEG-guided BCT and clinical outcomes in patients with traumatic abdominal solid organ (liver and/or spleen) injuries. METHODS: A single center retrospective study of patients who sustained traumatic liver and/or spleen injuries receiving emergent BCT was conducted. TEG was ordered in all these patients...
May 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28392863/efficacy-of-intravenous-administration-of-landiolol-in-patients-with-acute-heart-failure-and-supraventricular-tachyarrhythmia
#20
Shunsuke Kiuchi, Hiroto Aikawa, Shinji Hisatake, Takayuki Kabuki, Takashi Oka, Shintaro Dobashi, Takahiro Fujii, Takanori Ikeda
BACKGROUND: Patients with acute heart failure (HF) complicated by supraventricular tachyarrhythmia (SVT) often receive continuous intravenous infusion of landiolol or diltiazem for rate control. It is unclear whether the interval from initiation of infusion to commencement of oral beta-blocker (BB) therapy differs for these two drugs. METHODS: From January 2013 to July 2015, 94 consecutive patients were hospitalized for acute HF complicated by SVT. After 35 patients were excluded, the remaining 59 were divided into groups treated with diltiazem or landiolol...
May 2017: Journal of Clinical Medicine Research
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