Pub Date : 2018-11-01DOI: 10.30918/IRJMMS.64.18.050
Hanan M Al-kadri, E. Elsherif, L. Khan, Haitham Magdie Fillimban, Saad Kurdi, A. Fayed., Shoeb Qureshi, Saudi Arabia King Abdulaziz Medical City
The objective of the study is to compare the outcome of different closure techniques (subcuticular suture vs. stapler) on patient satisfaction and operative complications post cesarean section. The design is prospective randomized controlled trial. The setting of this study is the Department of Obstetrics and Gynecology, King Abdul Aziz Medical City, Riyadh, KSA. The population or sample includes all pregnant patients with planned elective Caesarian section (CS) to eliminate the effect of confounders such as wound complications resulting from the emergency nature of CS. We calculated our required sample size to be 240 patients. Consequently, 120 subjects were required in each group in order for us to reject the null hypothesis. Both groups were equal with a probability (power) of 80%. The probability of a Type I error (α) associated with this test was calculated as 0.05. Computer-based randomization was performed and the numbers generated were coded to represent the two-different skin closure techniques. Primary outcome measures were wound complications, mainly infection and wound dehiscence, postoperative pain, analgesia requirement and the length of postoperative hospital stay. The secondary outcome measure was patient satisfaction score. Both methods of skin closure were comparable in terms of shortand long-term patient satisfaction although the incidence of wound complication was higher with subcuticular stitches (OR = 2.41; 95% CI: 1.17 4.98; p = 0.02). In conclusion, both methods of skin closure were comparable in terms of shortand long-term patient satisfaction although the incidence of wound complication was higher with subcuticular stitches. However, this finding could relate to the increased incidence of diabetes and high BMI in our pregnant population, as well as the relative experience of the operative surgeon performing the procedure.
{"title":"A comparison of subcuticular and staple skin closure techniques for Caesarian Section: A randomized controlled trial in King Abdul-Aziz Medical City, Riyadh, Saudi Arabiaa","authors":"Hanan M Al-kadri, E. Elsherif, L. Khan, Haitham Magdie Fillimban, Saad Kurdi, A. Fayed., Shoeb Qureshi, Saudi Arabia King Abdulaziz Medical City","doi":"10.30918/IRJMMS.64.18.050","DOIUrl":"https://doi.org/10.30918/IRJMMS.64.18.050","url":null,"abstract":"The objective of the study is to compare the outcome of different closure techniques (subcuticular suture vs. stapler) on patient satisfaction and operative complications post cesarean section. The design is prospective randomized controlled trial. The setting of this study is the Department of Obstetrics and Gynecology, King Abdul Aziz Medical City, Riyadh, KSA. The population or sample includes all pregnant patients with planned elective Caesarian section (CS) to eliminate the effect of confounders such as wound complications resulting from the emergency nature of CS. We calculated our required sample size to be 240 patients. Consequently, 120 subjects were required in each group in order for us to reject the null hypothesis. Both groups were equal with a probability (power) of 80%. The probability of a Type I error (α) associated with this test was calculated as 0.05. Computer-based randomization was performed and the numbers generated were coded to represent the two-different skin closure techniques. Primary outcome measures were wound complications, mainly infection and wound dehiscence, postoperative pain, analgesia requirement and the length of postoperative hospital stay. The secondary outcome measure was patient satisfaction score. Both methods of skin closure were comparable in terms of shortand long-term patient satisfaction although the incidence of wound complication was higher with subcuticular stitches (OR = 2.41; 95% CI: 1.17 4.98; p = 0.02). In conclusion, both methods of skin closure were comparable in terms of shortand long-term patient satisfaction although the incidence of wound complication was higher with subcuticular stitches. However, this finding could relate to the increased incidence of diabetes and high BMI in our pregnant population, as well as the relative experience of the operative surgeon performing the procedure.","PeriodicalId":170316,"journal":{"name":"International Research Journal of Medicine and Medical Sciences","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114724799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-01DOI: 10.30918/IRJMMS.64.18.047
M. Ozinko, O. Otei, R. Ekpo, G. Bassey
Injuries to the fingertip are common in our Accident and Emergency Department. The goal of treatment is restoration of a painless, functional digit with protective sensation. In other words, it involves the provision of sensate and durable fingertip and bone support for nail growth. When selecting a treatment option the amount of soft-tissue loss, the integrity of the nail bed, the age and physical demands of the patient should be considered. The study seeks to evaluate the mechanisms and management of fingertip amputations including the treatment modalities used and its impact on patient outcomes. This is a prospective study of 37 patients with 43 cases of fingertip amputations. Patient ages ranged from 5 to 56 years. Data was collected from January, 2016 to December, 2017. Various reconstructive options were considered for the fingertip amputations such as skin grafting, cross finger flap, thenar flap, hypothenar flap, louvers flap and groin flap in multiple digital injuries. The total duration of treatment varied from two to seven weeks with follow-up of two to eight months. The results showed preservation of finger length and contour, retention of sensation and healing minimal complication. About 40% of the patients had well formed fingertip pulps which were aesthetically acceptable. In conclusion, fingertip amputation is a common injury. Treatment depends on how much skin, soft tissue, bone and nail were damaged and how much of the finger or thumb was cut off. A good knowledge of the mechanism of injury, type of injury, occupation of patient and hand dominance would help in deciding the surgical technique to use. A satisfactory reconstruction is ascertained if the patient has durable, sensate, fingertip length preservation and a fairly formed pulp.
{"title":"Mechanisms and management of fingertip amputations in a teaching hospital, South-South, Nigeria","authors":"M. Ozinko, O. Otei, R. Ekpo, G. Bassey","doi":"10.30918/IRJMMS.64.18.047","DOIUrl":"https://doi.org/10.30918/IRJMMS.64.18.047","url":null,"abstract":"Injuries to the fingertip are common in our Accident and Emergency Department. The goal of treatment is restoration of a painless, functional digit with protective sensation. In other words, it involves the provision of sensate and durable fingertip and bone support for nail growth. When selecting a treatment option the amount of soft-tissue loss, the integrity of the nail bed, the age and physical demands of the patient should be considered. The study seeks to evaluate the mechanisms and management of fingertip amputations including the treatment modalities used and its impact on patient outcomes. This is a prospective study of 37 patients with 43 cases of fingertip amputations. Patient ages ranged from 5 to 56 years. Data was collected from January, 2016 to December, 2017. Various reconstructive options were considered for the fingertip amputations such as skin grafting, cross finger flap, thenar flap, hypothenar flap, louvers flap and groin flap in multiple digital injuries. The total duration of treatment varied from two to seven weeks with follow-up of two to eight months. The results showed preservation of finger length and contour, retention of sensation and healing minimal complication. About 40% of the patients had well formed fingertip pulps which were aesthetically acceptable. In conclusion, fingertip amputation is a common injury. Treatment depends on how much skin, soft tissue, bone and nail were damaged and how much of the finger or thumb was cut off. A good knowledge of the mechanism of injury, type of injury, occupation of patient and hand dominance would help in deciding the surgical technique to use. A satisfactory reconstruction is ascertained if the patient has durable, sensate, fingertip length preservation and a fairly formed pulp.","PeriodicalId":170316,"journal":{"name":"International Research Journal of Medicine and Medical Sciences","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115154844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-01DOI: 10.30918/irjmms.64.18.058
S. Hasnain, A. AlQassim, H. Alsini, A. Al-frayh, F. Al-Mohanna, M. Shoukri, S. Al-Sedairy
{"title":"Syed M. Hasnain, Alanoud A. AlQassim, Halima A. Alsini, Abdulrahman S. Al-Frayh, Futwan A. Almohanna, Mohamed M. Shoukri and Sultan T. Al-Sedairy","authors":"S. Hasnain, A. AlQassim, H. Alsini, A. Al-frayh, F. Al-Mohanna, M. Shoukri, S. Al-Sedairy","doi":"10.30918/irjmms.64.18.058","DOIUrl":"https://doi.org/10.30918/irjmms.64.18.058","url":null,"abstract":"","PeriodicalId":170316,"journal":{"name":"International Research Journal of Medicine and Medical Sciences","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122342162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.30918/irjmms.112.23.007
Hung-Shih Lin, Yuan-Kuei Hsieh, Ching-Ming Lee, L. Ye, Te-Ho Wu
Although it is not a medical diagnosis, brain fog composes of sluggish or fuzzy thinking, impaired memory, confusion, and difficulty in focus. In general, this can be caused by stress, sleep disorder, or other illnesses. After the outbreak of COVID-19, an increasing number of patients suffer from COVID-19 brain fog. Since the symptoms of brain fog represent the dysfunction of the brain, electroencephalogram (EEG) plays a role in the evaluation of brain condition due to its convenience. Repetitive transcranial magnetic stimulation (rTMS) has long been a tool to modulate brain function. Here, we demonstrate the EEG changes of a patient with COVID-19 brain fog before and after rTMS. Before rTMS, we measured the EEG of a 29-year-old male who reported impaired memory, difficulty in concentration, and poor working performance after recovery from COVID-19. After the acquisition of EEG, we analyzed it with quantitative EEG (qEEG) methods and calculated the TMS treatment frequency. Then we used rTMS to stimulate the patient over the frontal region with the calculated frequency. After rTMS, EEG was acquired again. Initially, the EEG revealed dominant delta waves and lower alpha band power in the frontal region. After treatments, there was an increase in the power of the alpha band in the frontal region in EEGs. There is a similar finding in coherence. These results indicated that rTMS with calculated frequency could raise the power of the alpha band and the connectivity of brain regions. Clinically, improvement of symptoms was reported by the patient himself. rTMS seems to be one of the modalities to help ameliorate the symptoms of brain fog while EEGs can be a useful tool to evaluate neurological conditions before and after neuromodulation. Keywords: COVID-19, brain fog, qEEG, rTMS, frequency.
{"title":"The utilization of electroencephalogram and repetitive transcranial magnetic stimulation for case of COVID-19 brain fog","authors":"Hung-Shih Lin, Yuan-Kuei Hsieh, Ching-Ming Lee, L. Ye, Te-Ho Wu","doi":"10.30918/irjmms.112.23.007","DOIUrl":"https://doi.org/10.30918/irjmms.112.23.007","url":null,"abstract":"Although it is not a medical diagnosis, brain fog composes of sluggish or fuzzy thinking, impaired memory, confusion, and difficulty in focus. In general, this can be caused by stress, sleep disorder, or other illnesses. After the outbreak of COVID-19, an increasing number of patients suffer from COVID-19 brain fog. Since the symptoms of brain fog represent the dysfunction of the brain, electroencephalogram (EEG) plays a role in the evaluation of brain condition due to its convenience. Repetitive transcranial magnetic stimulation (rTMS) has long been a tool to modulate brain function. Here, we demonstrate the EEG changes of a patient with COVID-19 brain fog before and after rTMS. Before rTMS, we measured the EEG of a 29-year-old male who reported impaired memory, difficulty in concentration, and poor working performance after recovery from COVID-19. After the acquisition of EEG, we analyzed it with quantitative EEG (qEEG) methods and calculated the TMS treatment frequency. Then we used rTMS to stimulate the patient over the frontal region with the calculated frequency. After rTMS, EEG was acquired again. Initially, the EEG revealed dominant delta waves and lower alpha band power in the frontal region. After treatments, there was an increase in the power of the alpha band in the frontal region in EEGs. There is a similar finding in coherence. These results indicated that rTMS with calculated frequency could raise the power of the alpha band and the connectivity of brain regions. Clinically, improvement of symptoms was reported by the patient himself. rTMS seems to be one of the modalities to help ameliorate the symptoms of brain fog while EEGs can be a useful tool to evaluate neurological conditions before and after neuromodulation. Keywords: COVID-19, brain fog, qEEG, rTMS, frequency.","PeriodicalId":170316,"journal":{"name":"International Research Journal of Medicine and Medical Sciences","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114779294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.30918/IRJMMS.71.18.056
Mastura Johar, Tan Chin Hung, H. Taha, A. Adnan, M. Ishak, A. Philip, M. Azmi
The purpose of this study was to evaluate the effect of a 12-weeks of long slow distance (LSD) exercise with interval training for the treatment of health related physical fitness components such as cardiovascular endurance, body fat composition, flexibility, muscle strength, muscle endurance and total fitness score among overweight adults with non-communicable disease. The intervention exercise program is a combination of long slow distance activity with interval training alternating of low and medium intensity involving a physical conditioning training with medium volume and low resistant. The study population consisted of twenty-three overweight subjects with 25 to 55 years of age and have a non-communicable disease. Subjects were assigned to a 12-weeks of intervention treatment for 60 min per once, three times in a week with total of 36 sessions. A pretest-posttest research design was used. Statistical analyses include descriptive analysis and paired t-test to determine within group mean differences. Results of the study subject of treatment group experienced a positive improvement in all the six variables after treatment. Results indicate a significant improvement in body composition between pre-test (M = 33.8) and post-test (M = 30.30). There was a statistical significant increases in cardiovascular endurance, muscle endurance, muscle strength and flexibility. Further to that, fitness score received a significant improvement during pretest (M = 61.13) to post-test (M = 65.96). Therefore, it is concluded that the intervention of long slow distance exercise with interval training program; had improved all the five health-related physical fitness components and overall fitness score. It was also contributed to a positive finding among overweight adults with the non-communicable disease in Malaysia.
{"title":"Effect of long slow distance exercise regime on health-related physical fitness components among overweight adults with non-communicable diseases","authors":"Mastura Johar, Tan Chin Hung, H. Taha, A. Adnan, M. Ishak, A. Philip, M. Azmi","doi":"10.30918/IRJMMS.71.18.056","DOIUrl":"https://doi.org/10.30918/IRJMMS.71.18.056","url":null,"abstract":"The purpose of this study was to evaluate the effect of a 12-weeks of long slow distance (LSD) exercise with interval training for the treatment of health related physical fitness components such as cardiovascular endurance, body fat composition, flexibility, muscle strength, muscle endurance and total fitness score among overweight adults with non-communicable disease. The intervention exercise program is a combination of long slow distance activity with interval training alternating of low and medium intensity involving a physical conditioning training with medium volume and low resistant. The study population consisted of twenty-three overweight subjects with 25 to 55 years of age and have a non-communicable disease. Subjects were assigned to a 12-weeks of intervention treatment for 60 min per once, three times in a week with total of 36 sessions. A pretest-posttest research design was used. Statistical analyses include descriptive analysis and paired t-test to determine within group mean differences. Results of the study subject of treatment group experienced a positive improvement in all the six variables after treatment. Results indicate a significant improvement in body composition between pre-test (M = 33.8) and post-test (M = 30.30). There was a statistical significant increases in cardiovascular endurance, muscle endurance, muscle strength and flexibility. Further to that, fitness score received a significant improvement during pretest (M = 61.13) to post-test (M = 65.96). Therefore, it is concluded that the intervention of long slow distance exercise with interval training program; had improved all the five health-related physical fitness components and overall fitness score. It was also contributed to a positive finding among overweight adults with the non-communicable disease in Malaysia.","PeriodicalId":170316,"journal":{"name":"International Research Journal of Medicine and Medical Sciences","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133552771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.30918/irjmms.93.21.025
N. Császár, G. Kapócs, A. Erdöfi-Szabó, I. Bókkon
Our goal is not to describe a single harmful environmental or lifestyle risk factor in great detail, as most scientific articles do. In contrast, we aim to point out that human beings are continuously and simultaneously exposed to countless kinds of harmful environmental and lifestyle risk factors. First, we briefly review and evaluate several environmental, technological, and lifestyle risk factors. We point out that each of these can be associated with perturbed oxidative and epigenetic processes, and the onset of various diseases, including neurodevelopmental, neurodegenerative, and neurological disorders, with a worldwide increasing prevalence. In addition, disturbed epigenetic changes by modern technological innovations and lifestyle risk factors can be inheritable to offspring and subsequent generations. Furthermore, disturbed epigenetic changes may also accumulate in the genome. Finally, diverse environmental and lifestyle risk factors may enhance vulnerability and decrease the resilience of modern humans. Keywords: Modern environmental and lifestyle risk factors, oxidative stress, perturbed epigenetic processes, neurodevelopmental, neurodegenerative and neurological disorders.
{"title":"Modern environmental and lifestyle risk factors, oxidative stress, perturbed epigenetic processes, and increasing incidence of neurodevelopmental, neurodegenerative and neurological disorders","authors":"N. Császár, G. Kapócs, A. Erdöfi-Szabó, I. Bókkon","doi":"10.30918/irjmms.93.21.025","DOIUrl":"https://doi.org/10.30918/irjmms.93.21.025","url":null,"abstract":"Our goal is not to describe a single harmful environmental or lifestyle risk factor in great detail, as most scientific articles do. In contrast, we aim to point out that human beings are continuously and simultaneously exposed to countless kinds of harmful environmental and lifestyle risk factors. First, we briefly review and evaluate several environmental, technological, and lifestyle risk factors. We point out that each of these can be associated with perturbed oxidative and epigenetic processes, and the onset of various diseases, including neurodevelopmental, neurodegenerative, and neurological disorders, with a worldwide increasing prevalence. In addition, disturbed epigenetic changes by modern technological innovations and lifestyle risk factors can be inheritable to offspring and subsequent generations. Furthermore, disturbed epigenetic changes may also accumulate in the genome. Finally, diverse environmental and lifestyle risk factors may enhance vulnerability and decrease the resilience of modern humans. Keywords: Modern environmental and lifestyle risk factors, oxidative stress, perturbed epigenetic processes, neurodevelopmental, neurodegenerative and neurological disorders.","PeriodicalId":170316,"journal":{"name":"International Research Journal of Medicine and Medical Sciences","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128148679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.30918/IRJMMS.71.18.051
Taha Inass
The objective of this study is to assess the metabolic control of diabetes during Ramadan fasting among different risk groups. This cohort study included 203 diabetic patients attending Prince Abdulaziz Bin Majid Diabetic Center in Madinah, who intended to fast during Ramadan 2014. They were divided into high-risk group (68.47%), low-risk group (23.65%) and very high-risk group (7.88%). Weight, waist circumference (WC), blood pressure (BP), glycosylated hemoglobin (Hb A1c), creatinine and lipid profile were all measured 2 weeks before Ramadan, 4 weeks during the period of the fast and on the week that followed the end of the month. Hypoglycemia was highest in the very high-risk group (42.9%) which consisted of type 1 diabetics. Hb A1c significantly decreased in the high (9.13 ± 1.46% vs 8.75 ± 1.46%), (p=0.014) and very high-risk (9.88 ± 2.00 vs 8.64 ± 1.67), (p = 0.005) groups but increased in the low-risk group (7.0548 ± .93% vs 7.49 ± .99%), (p=0.002). Weight, WC, BP, creatinine, and lipid profile were similar in lowand high-risk patients. The very high-risk group showed significantly increased systolic BP and total cholesterol levels (P= 0.018 and 0.001). In conclusion, fasting Ramadan has different impacts on glycemic control among different risk groups. Hypoglycemia and other unfavorable effects observed among the very high-risk group mandate close monitoring during fasting.
本研究的目的是评估不同风险人群在斋月禁食期间糖尿病的代谢控制。本队列研究纳入了麦地那阿卜杜勒阿齐兹·本·马吉德王子糖尿病中心的203名糖尿病患者，他们打算在2014年斋月期间禁食。分为高危组(68.47%)、低危组(23.65%)和高危组(7.88%)。体重、腰围(WC)、血压(BP)、糖化血红蛋白(Hb A1c)、肌酐和血脂均在斋月前2周、斋戒期间4周和斋月结束后一周测量。低血糖在高危组中最高(42.9%)，其中包括1型糖尿病患者。高危组(9.13±1.46% vs 8.75±1.46%)、高危组(9.88±2.00 vs 8.64±1.67)(p= 0.005) Hb A1c显著降低(p=0.014)，低危组(7.0548±0.93% vs 7.49±0.99%)Hb A1c显著升高(p=0.002)。低危患者的体重、体重、血压、肌酐和血脂相似。非常高危组的收缩压和总胆固醇水平显著升高(P= 0.018和0.001)。综上所述，斋月对不同危险人群的血糖控制效果不同。在高危险人群中观察到低血糖和其他不利影响需要在禁食期间密切监测。
{"title":"Fasting during Ramadan and its effects on glycemic control and other metabolic markers among diabetic patients stratified to different risk groups","authors":"Taha Inass","doi":"10.30918/IRJMMS.71.18.051","DOIUrl":"https://doi.org/10.30918/IRJMMS.71.18.051","url":null,"abstract":"The objective of this study is to assess the metabolic control of diabetes during Ramadan fasting among different risk groups. This cohort study included 203 diabetic patients attending Prince Abdulaziz Bin Majid Diabetic Center in Madinah, who intended to fast during Ramadan 2014. They were divided into high-risk group (68.47%), low-risk group (23.65%) and very high-risk group (7.88%). Weight, waist circumference (WC), blood pressure (BP), glycosylated hemoglobin (Hb A1c), creatinine and lipid profile were all measured 2 weeks before Ramadan, 4 weeks during the period of the fast and on the week that followed the end of the month. Hypoglycemia was highest in the very high-risk group (42.9%) which consisted of type 1 diabetics. Hb A1c significantly decreased in the high (9.13 ± 1.46% vs 8.75 ± 1.46%), (p=0.014) and very high-risk (9.88 ± 2.00 vs 8.64 ± 1.67), (p = 0.005) groups but increased in the low-risk group (7.0548 ± .93% vs 7.49 ± .99%), (p=0.002). Weight, WC, BP, creatinine, and lipid profile were similar in lowand high-risk patients. The very high-risk group showed significantly increased systolic BP and total cholesterol levels (P= 0.018 and 0.001). In conclusion, fasting Ramadan has different impacts on glycemic control among different risk groups. Hypoglycemia and other unfavorable effects observed among the very high-risk group mandate close monitoring during fasting.","PeriodicalId":170316,"journal":{"name":"International Research Journal of Medicine and Medical Sciences","volume":"116 21","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113945077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.30918/irjmms.101.21.034
H. Shanab, Lavanya Thota, G. Al-Ayfan, Faisal Alnassar, Gunaranjan Thota, Premalatha Jandrajupalli, S. Jandrajupalli, S. Chandolu, A. Nayyar
Obesity is a chronic disease with global epidemic spread. The world wide prevalence of obesity is a considerable source of concern given its potential impact on morbidity, mortality and cost of health care. The World Health Organization (WHO) has recognized obesity as a predisposing factor to measure chronic diseases ranging from cardiovascular diseases to cancer. Once considered a problem only in wealthy countries, WHO estimates overweight and obesity are now dramatically on the rise in low and middle income countries. The disturbing squeals of this increased trajectory of overweight populations are the parallel increases in chronic diseases that are co-morbidities of obesity. Primary health care providers, including dental professionals, are well-positioned to address this public health problem at the patient level. Dental professionals must be aware of the increasing numbers of the obese patients and of the significance of obesity as a multiple risk factor syndrome for oral and overall health. Dental professionals have a crucial role in the prevention and detection of many oral and systemic diseases because of their diagnostic and screening abilities as well as the frequency of patient visits. These invaluable skills and practice paradigms should be considered as part of the equation to solve one of the largest public health concerns of our time: the obesity epidemic. Ultimately, a health condition as prevalent and serious as obesity must be approached by a concerted and collaborative effort of many disciplines and organizations. The dental profession should include itself in this collaboration using the tools and education opportunities available. Although the connection between oral health and obesity is critical to understand, it should not be the sole motivating factor for taking action. Keywords: Body mass index, body weight, body height, adipose tissue, overweight, morbidity, mortality.
{"title":"Body mass index and its association with oral disorders: A review","authors":"H. Shanab, Lavanya Thota, G. Al-Ayfan, Faisal Alnassar, Gunaranjan Thota, Premalatha Jandrajupalli, S. Jandrajupalli, S. Chandolu, A. Nayyar","doi":"10.30918/irjmms.101.21.034","DOIUrl":"https://doi.org/10.30918/irjmms.101.21.034","url":null,"abstract":"Obesity is a chronic disease with global epidemic spread. The world wide prevalence of obesity is a considerable source of concern given its potential impact on morbidity, mortality and cost of health care. The World Health Organization (WHO) has recognized obesity as a predisposing factor to measure chronic diseases ranging from cardiovascular diseases to cancer. Once considered a problem only in wealthy countries, WHO estimates overweight and obesity are now dramatically on the rise in low and middle income countries. The disturbing squeals of this increased trajectory of overweight populations are the parallel increases in chronic diseases that are co-morbidities of obesity. Primary health care providers, including dental professionals, are well-positioned to address this public health problem at the patient level. Dental professionals must be aware of the increasing numbers of the obese patients and of the significance of obesity as a multiple risk factor syndrome for oral and overall health. Dental professionals have a crucial role in the prevention and detection of many oral and systemic diseases because of their diagnostic and screening abilities as well as the frequency of patient visits. These invaluable skills and practice paradigms should be considered as part of the equation to solve one of the largest public health concerns of our time: the obesity epidemic. Ultimately, a health condition as prevalent and serious as obesity must be approached by a concerted and collaborative effort of many disciplines and organizations. The dental profession should include itself in this collaboration using the tools and education opportunities available. Although the connection between oral health and obesity is critical to understand, it should not be the sole motivating factor for taking action. Keywords: Body mass index, body weight, body height, adipose tissue, overweight, morbidity, mortality.","PeriodicalId":170316,"journal":{"name":"International Research Journal of Medicine and Medical Sciences","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114792944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.30918/irjmms.93.21.020
R. Mody, D. Dash, Bhavya Mody
Hyperkalemia is one of the few potentially lethal electrolyte disturbances. Severe hyperkalemia (Serum potassium concentration > 6.5 mmol/L) occurs most commonly from renal failure or the release of potassium from cells and can cause circulatory shock, cardiac arrhythmias or cardiac arrest. Current BLS (Basic Life Support) and ACLS (Advanced Cardiovascular Life Support) protocol should be used to manage cardiac arrest associated with hyperkalemia. But early consideration should be given to using the selective method of therapeutic management in addition to standard ACLS protocols that can be provided rapidly, effectively in patients with cardiovascular instability. We describe here a case of chronic kidney disease and congestive heart failure who developed circulatory shock and eventually cardiac arrest due to hyperkalemia managed with Calcium Gluconate, Sodium Bicarbonate and Insulin along with standard advanced cardiovascular life support protocol. Keywords: Potassium, hyperkalemia, acidosis, calcium, insulin, cardiac arrest.
{"title":"Hyperkalemic circulatory shock and cardiac arrest altered by therapeutic management: A case report","authors":"R. Mody, D. Dash, Bhavya Mody","doi":"10.30918/irjmms.93.21.020","DOIUrl":"https://doi.org/10.30918/irjmms.93.21.020","url":null,"abstract":"Hyperkalemia is one of the few potentially lethal electrolyte disturbances. Severe hyperkalemia (Serum potassium concentration > 6.5 mmol/L) occurs most commonly from renal failure or the release of potassium from cells and can cause circulatory shock, cardiac arrhythmias or cardiac arrest. Current BLS (Basic Life Support) and ACLS (Advanced Cardiovascular Life Support) protocol should be used to manage cardiac arrest associated with hyperkalemia. But early consideration should be given to using the selective method of therapeutic management in addition to standard ACLS protocols that can be provided rapidly, effectively in patients with cardiovascular instability. We describe here a case of chronic kidney disease and congestive heart failure who developed circulatory shock and eventually cardiac arrest due to hyperkalemia managed with Calcium Gluconate, Sodium Bicarbonate and Insulin along with standard advanced cardiovascular life support protocol. Keywords: Potassium, hyperkalemia, acidosis, calcium, insulin, cardiac arrest.","PeriodicalId":170316,"journal":{"name":"International Research Journal of Medicine and Medical Sciences","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114820108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.30918/irjmms.111.23.004
M. Engin, Mustafa Çağrı Engin, A. Yazıcı, A. Engi̇n
This study was organized to aim to define the university students’ healthier level of life at the sharing basement of health literacy that balanced the workload of partners/stakeholders by influencing the relations between the patients and physicians/doctors positively to ensure to be more successful in/during the diagnosis and treatment services carried out on health area in the last years. In the first chapter of this study, some operational and conceptual information were given and studied related to literature and some research. In the second chapter, the importance, necessity of this study, research problem, sub-problems, data collecting instrument/tool, the evaluating form of data, research World and research sample were defined. In the last chapter of the study, the data were analyzed by using correct/suitable statistical methods, evaluated and answered the problem and sub-problem questions by comparing, and then some suggestions were presented and discussed. As a result of this study, it may be said that the patients and their close relatives have a high level of health literacy and awareness and a high level of satisfaction with the health services, which affects the process positively depending on satisfaction level and ensures economical and time savings/advantages. At the same time, it was understood that there were very important personal and social problems. In the study, the health literacy levels of the participants were found to be “Moderate”. In addition, it was determined that health literacy differed according to gender, age, marital status and number of siblings variables in the study; it was also observed that health literacy did not differ according to educational status, income level and family type variables. Keywords: Health literacy, awareness, healthy living, preventive health services, orthopedical accidents.
{"title":"Examination of health literacy and healthy life awareness levels of university students","authors":"M. Engin, Mustafa Çağrı Engin, A. Yazıcı, A. Engi̇n","doi":"10.30918/irjmms.111.23.004","DOIUrl":"https://doi.org/10.30918/irjmms.111.23.004","url":null,"abstract":"This study was organized to aim to define the university students’ healthier level of life at the sharing basement of health literacy that balanced the workload of partners/stakeholders by influencing the relations between the patients and physicians/doctors positively to ensure to be more successful in/during the diagnosis and treatment services carried out on health area in the last years. In the first chapter of this study, some operational and conceptual information were given and studied related to literature and some research. In the second chapter, the importance, necessity of this study, research problem, sub-problems, data collecting instrument/tool, the evaluating form of data, research World and research sample were defined. In the last chapter of the study, the data were analyzed by using correct/suitable statistical methods, evaluated and answered the problem and sub-problem questions by comparing, and then some suggestions were presented and discussed. As a result of this study, it may be said that the patients and their close relatives have a high level of health literacy and awareness and a high level of satisfaction with the health services, which affects the process positively depending on satisfaction level and ensures economical and time savings/advantages. At the same time, it was understood that there were very important personal and social problems. In the study, the health literacy levels of the participants were found to be “Moderate”. In addition, it was determined that health literacy differed according to gender, age, marital status and number of siblings variables in the study; it was also observed that health literacy did not differ according to educational status, income level and family type variables. Keywords: Health literacy, awareness, healthy living, preventive health services, orthopedical accidents.","PeriodicalId":170316,"journal":{"name":"International Research Journal of Medicine and Medical Sciences","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123443631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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