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Advances in Medicine

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https://www.readbyqxmd.com/read/30018988/mortality-in-a-cohort-of-hiv-infected-children-a-12-month-outcome-of-antiretroviral-therapy-in-makurdi-nigeria
#1
Emmanuel Ademola Anigilaje, Sunday Adedeji Aderibigbe
Introduction: Recognizing the predictors of mortality among HIV-infected children will allow for concerted management that can reduce HIV-mortality in Nigeria. Methodology: A retrospective cohort study in children aged 0-15 years, between October 2010 and December 2013, at the Federal Medical Centre, Makurdi, Nigeria. Kaplan-Meier method analysed the cumulative probability of early mortality (EM) occurring at or before 6 months and after 6 months of follow-up (late mortality-LM) on a 12-month antiretroviral therapy (ART)...
2018: Advances in Medicine
https://www.readbyqxmd.com/read/29974056/basal-insulin-dose-in-adults-with-type-1-diabetes-mellitus-on-insulin-pumps-in-real-life-clinical-practice-a-single-center-experience
#2
Bartłomiej Matejko, Aneta Kukułka, Beata Kieć-Wilk, Agnieszka Stąpór, Tomasz Klupa, Maciej T Malecki
Introduction: Basal insulin (BI) infusion in pump therapy of type 1 diabetes (T1DM) mimics physiological secretion during the night and between meals. The recommended percentage of the total BI to daily insulin dose (termed the %BI) ranges between 30 and 50%. We analyzed whether this recommendation was followed in adults with T1DM from a university center, and whether BI doses were linked with glycemic control. Materials and Methods: We included 260 consecutive patients with T1DM (159 women and 101 men) treated with continuous subcutaneous insulin infusion at the Department of Metabolic Diseases, Krakow, Poland...
2018: Advances in Medicine
https://www.readbyqxmd.com/read/29854855/assessment-of-antibiotic-utilization-pattern-in-treatment-of-acute-diarrhoea-diseases-in-bishoftu-general-hospital-oromia-ethiopia
#3
Selamawit Tulu, Tarekegne Tadesse, Addisu Alemayehu Gube
Background: Majority of acute diarrhoeal diseases are self-limiting and do not require routine treatment. Treatment with empirical antimicrobials is recommended only for dysenteric and invasive bacterial diarrhoea. Irrational use of antibiotics in treatment of acute diarrhoea is common in clinical practice worldwide. This study was carried out to assess the pattern of antibiotic use for acute diarrhoeal diseases in Bishoftu General Hospital, East Shewa Ethiopia. Methods and Materials: Institution based cross-sectional study was conducted from April 1 to April 30, 2016...
2018: Advances in Medicine
https://www.readbyqxmd.com/read/29850642/radiation-effects-of-mobile-phones-and-tablets-on-the-skin-a-systematic-review
#4
REVIEW
A Keykhosravi, M Neamatshahi, R Mahmoodi, E Navipour
Background: Skin health has become a worldwide concern. Most of the studies investigated the effect of mobile phone radiation on DNA and animals, but a few studies were carried out about skin diseases in mobile phone and tablet users. Few systematic studies have examined the relationship between mobile phone exposure and skin diseases. Methods: We evaluated the association between mobile phones and tablets and skin diseases. We checked databases including PubMed, Scopus, Springer, Cochrane, and Google Scholar from 1995 to 2013...
2018: Advances in Medicine
https://www.readbyqxmd.com/read/29796393/the-role-of-private-health-sector-for-tuberculosis-control-in-debre-markos-town-northwest-ethiopia
#5
Alemayehu Reta, Addis Simachew
Background: Tuberculosis has been declared to be a global epidemic. Despite all the effort, only less than half the annual estimated cases are reported by health authorities to the WHO. This could be due to poor reporting from the private sector. In Ethiopia, tuberculosis has also been a major public health problem. The aim of this study was to assess the role of the private health sector in tuberculosis control in Debre Markos. Methods: An institution based cross-sectional descriptive study was carried out in private health facilities...
2018: Advances in Medicine
https://www.readbyqxmd.com/read/29568779/evaluating-the-difference-between-virtual-and-paper-based-clinical-cases-in-family-medicine-undergraduate-education
#6
Zalika Klemenc-Ketis, Branka Cagran, Dejan Dinevski
Introduction: A "virtual patient" is defined as a computer program which simulates real patients' cases. The aim of this study was to determine whether the inclusion of virtual patients affects the level of factual knowledge of family medicine students at the undergraduate level. Methods: This was a case-controlled prospective study. The students were randomly divided into experimental (EG: N = 51) and control (CG: N = 48) groups. The students in the EG were asked to practice diagnosis using virtual patients instead of the paper-based clinical cases which were solved by the students in the CG...
2018: Advances in Medicine
https://www.readbyqxmd.com/read/29445763/corrigendum-to-topical-colchicine-gel-versus-diclofenac-sodium-gel-for-the-treatment-of-actinic-keratoses-a-randomized-double-blind-study
#7
Gita Faghihi, Azam Elahipoor, Fariba Iraji, Shadi Behfar, Bahareh Abtahi-Naeini, Fatemeh Mokhtari
[This corrects the article DOI: 10.1155/2016/5918393.].
2017: Advances in Medicine
https://www.readbyqxmd.com/read/29359178/the-impact-of-saffron-on-symptoms-of-withdrawal-syndrome-in-patients-undergoing-maintenance-treatment-for-opioid-addiction-in-sabzevar-parish-in-2017
#8
Mohammad Nemat Shahi, Atefeh Asadi, Elham Behnam Talab, Mahbobeh Nemat Shahi
Background and Objective: Drug dependence is one of the serious problems around the world. Saffron is one of those beneficial medicinal plants which is embedded with a similar mechanism to methadone (e.g., inhibition of serotonin reuptake). Thus, it can be helpful in reducing the withdrawal symptoms. The aim of this study was to reduce the daily dose of methadone usage and reduce its side effects using saffron in the form of medicinal supplements. Methodology: This study was categorized as a clinical trial...
2017: Advances in Medicine
https://www.readbyqxmd.com/read/29318182/confidence-in-procedural-skills-before-and-after-a-two-year-master-s-programme-in-family-medicine-in-gezira-state-sudan
#9
K G Mohamed, S Hunskaar, S H Abdelrahman, E M Malik
Many postgraduate family medicine training programmes have been developed to meet the worldwide dire need for practicing family physicians. This study was conducted in Gezira state of Sudan in a "before-and-after" design in the period of 2010-2012 with the aim to assess improvements in candidates' confidence in performing certain clinical skills. A self-evaluation questionnaire was used with a five-grade scale (1-5) to assess candidates' confidence in performing 46 clinical skills. A group of 108 participants responded for both the "before" and the "after" questionnaire: the response rate was 91% (before) and 90% (after)...
2017: Advances in Medicine
https://www.readbyqxmd.com/read/29164177/a-systems-medicine-approach-translating-emerging-science-into-individualized-wellness
#10
REVIEW
J S Bland, D M Minich, B M Eck
In today's aging society, more people are living with lifestyle-related noncommunicable diseases (NCDs) such as cardiovascular disease, type 2 diabetes, obesity, and cancer. Numerous opinion-leader organizations recommend lifestyle medicine as the first-line approach in NCD prevention and treatment. However, there is a strong need for a personalized approach as "one-size-fits-all" public health recommendations have been insufficient in addressing the interindividual differences in the diverse populations...
2017: Advances in Medicine
https://www.readbyqxmd.com/read/28894786/methylene-blue-effectiveness-as-local-analgesic-after-anorectal-surgery-a-literature-review
#11
REVIEW
Dewi Fransiska, Wifanto Saditya Jeo, Yefta Moenadjat, Dewi Friska
BACKGROUND: Methylene blue (MB) has been found to have unique analgesic property through temporary disruption of sensory nerve conduction. In anorectal surgery, MB is widely used as a biologic stain but the analgesic effect has never been studied. Thus, a literature review completed with critical appraisal is required to find out its efficacy. METHODS: A review has been run to find out its efficacy. Literature search proceeded in database sites, namely, PubMed, EBSCO, Cochrane, Wiley, and ProQuest using the following keywords: "anorectal" OR "hemorrhoid" OR "anal fistula" OR "anal fissure" OR "anal abscess" OR "anal pruritus" AND "methylene blue" AND "analgesic"; then the critical appraisal and its implication were discussed...
2017: Advances in Medicine
https://www.readbyqxmd.com/read/28831434/reducing-30-day-rehospitalization-rates-using-a-transition-of-care-clinic-model-in-a-single-medical-center
#12
Tamer Hudali, Robert Robinson, Mukul Bhattarai
BACKGROUND: Rehospitalization for medical patients is common. Multiple interventions of varying complexity have been shown to be effective in achieving that goal with variable results in the literature. For medical patients discharged home, no single intervention implemented alone has been shown to have a sustainable effect in preventing rehospitalization. OBJECTIVE: To study the effect of a transition of care clinic model on the 30-day rehospitalization rate in a single medical center...
2017: Advances in Medicine
https://www.readbyqxmd.com/read/28819637/cigarette-smoking-and-its-hazards-in-kidney-transplantation
#13
REVIEW
Muhammad Abdul Mabood Khalil, Jackson Tan, Said Khamis, Muhammad AshhadUllah Khalil, Rabeea Azmat, Arslan Rahat Ullah
Cigarette smoking affects many organs. It causes vasoconstriction through activation of sympathetic nervous system which leads to elevation of blood pressure and reduction in glomerular filtration rate and filtration pressure. It also causes thickening of renal arterioles. Cigarette smoking increases the risk of microalbuminuria and accelerates progression of microalbuminuria to macroalbuminuria. Furthermore, it causes rapid loss of glomerular filtration rate in chronic kidney disease patients. After kidney donation, these factors may be injurious to the solitary kidney...
2017: Advances in Medicine
https://www.readbyqxmd.com/read/28484730/the-relation-of-diabetes-type-2-with-sexual-function-among-reproductive-age-women-in-iran-a-case-control-study
#14
Poorandokht Afshari, Shiva Yazdizadeh, Parvin Abedi, Homayra Rashidi
Background. Diabetic patients are at the greater risk of retinopathy, nephropathy, neuropathy, and sexual dysfunction compared to the general population. Objective. The aim of this study was to evaluate the sexual dysfunction in type 2 diabetes reproductive age women in Iran. Method. This was a case-control study carried out on 130 women with type 2 diabetes and 130 healthy women. The type 2 diabetes diagnosis was confirmed with abnormal fasting blood sugar, abnormal random blood sugar test, and abnormal level of HbA1C...
2017: Advances in Medicine
https://www.readbyqxmd.com/read/28116347/knowledge-and-attitude-toward-epilepsy-of-close-family-members-of-people-with-epilepsy-in-north-of-iran
#15
Narges Karimi, Seyyed Ali Akbarian
Background. Knowledge and attitudes are required for relatives of people with epilepsy to allow them to better understand and cope with this condition. This study evaluated the knowledge and attitudes of family members of people with epilepsy about the disease. Methods. This cross-sectional survey was conducted using a self-administered questionnaire completed by close family members of people with epilepsy at the outpatient clinic of a medical university. The questionnaire included 25 items that determined the demographics and information on the level of knowledge and attitudes about epilepsy...
2016: Advances in Medicine
https://www.readbyqxmd.com/read/28042600/efficacy-of-synbiotics-for-treatment-of-bacillary-dysentery-in-children-a-double-blind-randomized-placebo-controlled-study
#16
Manijeh Kahbazi, Marzieh Ebrahimi, Nader Zarinfar, Mohammad Arjomandzadegan, Taha Fereydouni, Fatemeh Karimi, Amir Reza Najmi
Bacillary dysentery is a major cause of children's admission to hospitals. To assess the probiotic and prebiotic (synbiotics) effects in children with dysentery in a randomized clinical trial, 200 children with dysentery were studied in 2 groups: the synbiotic group received 1 tablet/day of synbiotic for 3-5 days and the placebo group received placebo tablets (identical tablet form like probiotics). The standard treatment was administered for all patients. Duration of hospitalization, dysentery, fever, and the weight loss were assessed in each group...
2016: Advances in Medicine
https://www.readbyqxmd.com/read/27990462/the-biological-metallic-versus-metallic-solution-in-treating-periprosthetic-femoral-fractures-outcome-assessment
#17
Serafino Carta, Mattia Fortina, Alberto Riva, Luigi Meccariello, Enrico Manzi, Antonio Di Giovanni, Paolo Ferrata
Introduction . The periprosthetic fracture of the femur is, in order of frequency, the fourth leading cause (5.9%) of surgical revision. Our study aims to demonstrate how the grafting of bone splint betters the outcomes. Materials . We treated 15 periprosthetic femoral fractures divided into two groups: PS composed of 8 patients treated with plates and splints and PSS involving 7 patients treated only with plates. The evaluation criteria for the two groups during the clinical and radiological follow-up were the quality of life measured by the Short Form (36) Health Survey (SF-36), Harris Hip Score (HHS), Modified Cincinnati Rating System Questionnaire (MCRSQ), bone healing measured by the Radiographic Union Score (RUS), postoperative complications, and mortality...
2016: Advances in Medicine
https://www.readbyqxmd.com/read/27872896/comparison-of-clinical-and-radiologic-outcome-of-adolescent-idiopathic-scoliosis-treated-with-hybrid-hook-screw-instrumentation-versus-universal-clamp-system
#18
Ebrahim Ghayem Hassankhani, Farzad Omidi-Kashani, Shahram Moradkhani, Golnaz Ghayem Hassankhani, Mohammad Taghi Shakeri
Background. In surgical treatment of adolescent idiopathic scoliosis (AIS), hybrid universal clamp system has been used by some authors. We aimed to compare the clinical and radiologic outcome of hybrid universal clamp with hybrid thoracic hook lumbar screw. Methods. A prospective study was performed on 56 consecutive patients with AIS, who had alternatively undergone a posterior spinal fusion and instrumentation with hybrid thoracic hook lumbar screw system (28 patients: group A) and hybrid universal clamp system (28 patients: group B) between June 2006 and January 2014 at Imam Reza University Hospital and had been followed up for more than two years...
2016: Advances in Medicine
https://www.readbyqxmd.com/read/27847860/morphology-of-anterolateral-ligament-of-the-knee-a-cadaveric-observation-with-clinical-insight
#19
Bhagath Kumar Potu, Abdel Halim Salem, Marwan F Abu-Hijleh
Background . The morphology and function of anterolateral ligament (ALL) of the knee are not clearly understood even today with all the sophisticated techniques available. There have been differing descriptions of the ALL of the knee in literature, and not all of them have been named or described clearly. Aim . The present study was undertaken to provide a clear structure/relationship description on ALL. Materials and Methods . We used 24 formalin-fixed cadaveric limbs. Knee regions of the all the limbs were neatly dissected and the ALL was exposed...
2016: Advances in Medicine
https://www.readbyqxmd.com/read/27833937/external-validation-of-the-cancer-of-the-prostate-risk-assessment-postsurgical-score-for-prediction-of-disease-recurrence-after-radical-prostatectomy
#20
Taha Numan Yıkılmaz, Erdem Öztürk, Eşref Oğuz Güven, Halil Başar
Objective . The cancer of the prostate risk assessment (CAPRA-S) postsurgical score predicts recurrence, metastasis, and cancer-specific survival after radical prostatectomy (RP). We evaluated the relation between CAPRA-S score and biochemical recurrence (BCR) in prostate cancer after RP in our clinic. Materials and Methods . This study was performed on 203 patients with prostate carcinoma who underwent open RP and regional lymph node dissection in our clinic between 2008 and 2013. We calculated the CAPRA-S scores including prostate-specific antigen (PSA) at diagnosis, pathology Gleason score, surgical margin, seminal vesicle invasion, extracapsular extension, and lymph node involvement...
2016: Advances in Medicine
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