Izzet Goker Kucuk, Utku Eser, Murat Çevik, K. Ongel
Objective: The aim of this study was to measure the knowledge level of physicians working in family health centers about the conditions leading to neural tube defect (NTD) and preventive measures. Material and Methods: In this cross-sectional study, 406 general practitioners and family medicine specialists made a survey consisted of 13 questions. Chi-square, Fisher’s Exact test and Pearson chi-square analysis were applied as statistical methods. Results: A total of 406 physicians (family medicine specialists: 110, general practitioners: 296) participated in the study. 81.53% of the participants were working in a city and 18.47% were working in the countryside. The number of referral to general practitioners before pregnancy was significantly higher than that of family medicine specialists. (p<0.05). 36.95% of the respondents knew that the neural tube was closed in the first month of embryological life. Folic acid initiation rate was 99.26% for patients planning pregnancy. Initiation of vit B12 with folic acid was 28.33% in patients planning pregnancy. The rate of knowing that vitamin B12 deficiency causes NTD was 39.41% (family medicine specialists: 50%, general practitioners: 35.47%), and FMSs were statistically significant (p<0.05). Discussion: While the number of pregnant women who received folic acid only was sufficient, the number of pregnant women who took vitamin B12 with folic acid was very low. Family medicine specialists and general practitioners had insufficient knowledge that using vitamin B12 in combination with folic acid prevented NTD development. By preparing and implementing algorithms that can prevent NTDs, many life-long complications can be prevented.
{"title":"Awareness of Neural Tube Defects in Family Physicians","authors":"Izzet Goker Kucuk, Utku Eser, Murat Çevik, K. Ongel","doi":"10.29333/JCEI/9707","DOIUrl":"https://doi.org/10.29333/JCEI/9707","url":null,"abstract":"Objective: The aim of this study was to measure the knowledge level of physicians working in family health centers about the conditions leading to neural tube defect (NTD) and preventive measures.\u0000Material and Methods: In this cross-sectional study, 406 general practitioners and family medicine specialists made a survey consisted of 13 questions. Chi-square, Fisher’s Exact test and Pearson chi-square analysis were applied as statistical methods.\u0000Results: A total of 406 physicians (family medicine specialists: 110, general practitioners: 296) participated in the study. 81.53% of the participants were working in a city and 18.47% were working in the countryside. The number of referral to general practitioners before pregnancy was significantly higher than that of family medicine specialists. (p<0.05). 36.95% of the respondents knew that the neural tube was closed in the first month of embryological life. Folic acid initiation rate was 99.26% for patients planning pregnancy. Initiation of vit B12 with folic acid was 28.33% in patients planning pregnancy. The rate of knowing that vitamin B12 deficiency causes NTD was 39.41% (family medicine specialists: 50%, general practitioners: 35.47%), and FMSs were statistically significant (p<0.05).\u0000Discussion: While the number of pregnant women who received folic acid only was sufficient, the number of pregnant women who took vitamin B12 with folic acid was very low. Family medicine specialists and general practitioners had insufficient knowledge that using vitamin B12 in combination with folic acid prevented NTD development. By preparing and implementing algorithms that can prevent NTDs, many life-long complications can be prevented.","PeriodicalId":53255,"journal":{"name":"Journal of Clinical and Experimental Investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45421892","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 : 2021-01-29DOI: 10.31487/J.CEI.2020.03.06
M. Karimian, H. Famitafreshi
COVID-19 is a viral disease with a different set of manifestations. However, all clinical manifestations are not occurring at the same time and some patients present the disease with an isolated or even without any specific symptoms. This disease besides neurologic symptoms in rare cases even presents itself with other symptoms such as cardiac failure. In this case, a health care provider may not aware of this situation. In these situations, the transmission of the virus to individuals remains and people may not be aware of the high-risk situation. It is suggested to be aware of different clinical manifestations of COVID-19 disease and preventive strategies keep for all patients.
{"title":"Transmission of COVID-19 Virus in the Presence of Neurologic Manifestations","authors":"M. Karimian, H. Famitafreshi","doi":"10.31487/J.CEI.2020.03.06","DOIUrl":"https://doi.org/10.31487/J.CEI.2020.03.06","url":null,"abstract":"COVID-19 is a viral disease with a different set of manifestations. However, all clinical manifestations are\u0000not occurring at the same time and some patients present the disease with an isolated or even without any\u0000specific symptoms. This disease besides neurologic symptoms in rare cases even presents itself with other\u0000symptoms such as cardiac failure. In this case, a health care provider may not aware of this situation. In\u0000these situations, the transmission of the virus to individuals remains and people may not be aware of the\u0000high-risk situation. It is suggested to be aware of different clinical manifestations of COVID-19 disease and\u0000preventive strategies keep for all patients.","PeriodicalId":53255,"journal":{"name":"Journal of Clinical and Experimental Investigations","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73248943","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}
Aim: To determine the demographic characteristics of cases followed up with a diagnosis of perinatal asphyxia and to examine the risk factors in these cases. Material and Method: This retrospective study included 81 cases diagnosed with perinatal asphyxia and applied with hypothermia therapy in the neonatal intensive care unit of a tertiary level hospital between June 2018 and January 2020. The demographic characteristics of the cases and data related to perinatal risk factors were collected from the patient files and were analyzed using SPSS software. Results: When the pregnancy follow-up of the mothers was examined, 43.2% had attended antenatal examinations and 56.8% had not had regular follow-up. Delivery was by caesarean section in 24 (29.6%) cases and the normal spontaneous vaginal route in 57 (70.4%) cases. Risk factors determined before the birth were fetal bradycardia in 10 (10.1%) cases, pre-eclampsia in 5 (5.1%) cases, and gestational diabetes mellitus in 7 (7.1%) cases. Birth complications were recorded as prolonged difficult labour in 42 (42.4%) cases, cord prolapse in 7 (7.1%), abruptio placentae in 6 (6.1%) and amniotic fluid with meconium in 7 (7.1%) cases. No risk factors for perinatal asphyxia were determined in 4 (4.0%) cases. Conclusion: Perinatal asphyxia was observed at a higher rate in male gender infants and perinatal asphyxia was determined to develop more often in the infants of mothers who had not had antenatal follow-up. Of the known risk factors in the antenatal period and during the birth, difficult labour was observed at the highest rate.
{"title":"An Evaluation of Risk Factors in Cases of Perinatal Asphyxia","authors":"Huseyin Gumus, Abit Demir","doi":"10.29333/JCEI/9563","DOIUrl":"https://doi.org/10.29333/JCEI/9563","url":null,"abstract":"Aim: To determine the demographic characteristics of cases followed up with a diagnosis of perinatal asphyxia and to examine the risk factors in these cases.\u0000Material and Method: This retrospective study included 81 cases diagnosed with perinatal asphyxia and applied with hypothermia therapy in the neonatal intensive care unit of a tertiary level hospital between June 2018 and January 2020. The demographic characteristics of the cases and data related to perinatal risk factors were collected from the patient files and were analyzed using SPSS software.\u0000Results: When the pregnancy follow-up of the mothers was examined, 43.2% had attended antenatal examinations and 56.8% had not had regular follow-up. Delivery was by caesarean section in 24 (29.6%) cases and the normal spontaneous vaginal route in 57 (70.4%) cases. Risk factors determined before the birth were fetal bradycardia in 10 (10.1%) cases, pre-eclampsia in 5 (5.1%) cases, and gestational diabetes mellitus in 7 (7.1%) cases. Birth complications were recorded as prolonged difficult labour in 42 (42.4%) cases, cord prolapse in 7 (7.1%), abruptio placentae in 6 (6.1%) and amniotic fluid with meconium in 7 (7.1%) cases. No risk factors for perinatal asphyxia were determined in 4 (4.0%) cases.\u0000Conclusion: Perinatal asphyxia was observed at a higher rate in male gender infants and perinatal asphyxia was determined to develop more often in the infants of mothers who had not had antenatal follow-up. Of the known risk factors in the antenatal period and during the birth, difficult labour was observed at the highest rate.","PeriodicalId":53255,"journal":{"name":"Journal of Clinical and Experimental Investigations","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41704585","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}
Objective: Restless legs syndrome is a disorder that negatively affects quality of life. Pregnancy increases the frequency of restless leg syndrome. Symptoms that occur during pregnancy can become permanent. This study aimed to investigate the possible relationship between restless legs syndrome and biochemical parameters. Method: Alanya Alaaddin Keykubat University Education and Research Hospital was included in our randomly selected 100 pregnant women that applied to the Gynecology and Obstetrics outpatient clinic. The demographic characteristics and laboratory results of the patients were recorded. Patients were divided into two groups: one group with restless leg syndrome, and one group without. It was investigated whether there is a statistically significant difference between the demographic characteristics, blood biochemical levels, and hormonal levels between the two groups. Results: Age, height, weight, body mass index, ferritin with pregnancy week, magnesium, vitamin D, vitamin B12, thyroid stimulant hormone (TSH), hemoglobin, calcium, and aspartate aminotransferase / alanine aminotransferase (AST/ALT) levels were similar between the two groups (p>0.05). Conclusion: Restless legs syndrome is seen in about a third of the pregnancies. Pregnant patients do not come to the doctor with this complaint, because leg complaints are a normal condition caused by pregnancy. For this reason, they continue to live with symptoms of restless leg syndrome and endure this problem. However, this disease can be diagnosed with specific inquiries of physicians regarding restless leg syndrome. Although this study could establish no significant relationship between routine biochemical parameters and RLS, it is essential to examine the possible relationship in larger patient groups in terms of evidence-based medicine.
{"title":"Investigation of Biochemical Data in Pregnant Women Diagnosed with Restless Legs Syndrome","authors":"H. Savaş, M. Cimsir","doi":"10.29333/JCEI/9568","DOIUrl":"https://doi.org/10.29333/JCEI/9568","url":null,"abstract":"Objective: Restless legs syndrome is a disorder that negatively affects quality of life. Pregnancy increases the frequency of restless leg syndrome. Symptoms that occur during pregnancy can become permanent. This study aimed to investigate the possible relationship between restless legs syndrome and biochemical parameters.\u0000Method: Alanya Alaaddin Keykubat University Education and Research Hospital was included in our randomly selected 100 pregnant women that applied to the Gynecology and Obstetrics outpatient clinic. The demographic characteristics and laboratory results of the patients were recorded. Patients were divided into two groups: one group with restless leg syndrome, and one group without. It was investigated whether there is a statistically significant difference between the demographic characteristics, blood biochemical levels, and hormonal levels between the two groups.\u0000Results: Age, height, weight, body mass index, ferritin with pregnancy week, magnesium, vitamin D, vitamin B12, thyroid stimulant hormone (TSH), hemoglobin, calcium, and aspartate aminotransferase / alanine aminotransferase (AST/ALT) levels were similar between the two groups (p>0.05).\u0000Conclusion: Restless legs syndrome is seen in about a third of the pregnancies. Pregnant patients do not come to the doctor with this complaint, because leg complaints are a normal condition caused by pregnancy. For this reason, they continue to live with symptoms of restless leg syndrome and endure this problem. However, this disease can be diagnosed with specific inquiries of physicians regarding restless leg syndrome. Although this study could establish no significant relationship between routine biochemical parameters and RLS, it is essential to examine the possible relationship in larger patient groups in terms of evidence-based medicine.","PeriodicalId":53255,"journal":{"name":"Journal of Clinical and Experimental Investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48362040","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}
The Horse Shoe Kidney (HSK) is one of the most common congenital malformation of lower poles fusion of kidneys. Despite, HSK is relatively seen with a high incidence of 0.15-0.33%, accompanying with Ascending Aorta Aneurysm is rarely seen. Here, we present the first case to our knowledge that accompanying Ascending Aorta Aneurysm to Horse Shoe Kidney.
{"title":"Treatment of the Ascending Aorta Aneurysm in a Patient with Horse Shoe Kidney","authors":"S. B. Deşer","doi":"10.29333/JCEI/9561","DOIUrl":"https://doi.org/10.29333/JCEI/9561","url":null,"abstract":"The Horse Shoe Kidney (HSK) is one of the most common congenital malformation of lower poles fusion of kidneys. Despite, HSK is relatively seen with a high incidence of 0.15-0.33%, accompanying with Ascending Aorta Aneurysm is rarely seen. Here, we present the first case to our knowledge that accompanying Ascending Aorta Aneurysm to Horse Shoe Kidney.","PeriodicalId":53255,"journal":{"name":"Journal of Clinical and Experimental Investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45615658","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}
Youssef Bouchriti, Oumaima Elghazali, A. Kharbach, H. Gougueni, M. Haddou, A. Achbani
The study aims to describe the profile of asthma patients in Agadir city (Morocco) during a period of 7 years (2013 to 2019) to identify the factors associated with asthma control. Practically, a retrospective analysis was conducted on data collected from 6 primary healthcare centers (PHC) in the city. The reported data are the age, gender, location, date of first consultation, dates of consultations, and treatment of 701 patients and care centers (PHC). Also, the proportional odds model for ordinal logistic regression was used to determine the most variables can be associated with asthma control. The analysis reveals a spatial and temporal variation according to gender. The average age of patients is 43 years. The two-thirds of all recorded cases were reported in 2018 and 2019. Furthermore, the proportion of female and male represents 63% and 37% of the total reported cases, respectively. Generally, the female proportion is higher than male for all age groups. Moreover, the analysis reveals that the asthma control was reported for 19% of cases while the rest was uncontrolled. This control seems be more observed for males (OR: 1.28; 95% CI [0.87; 1.87]), for patients with age between 29 and 44 years (OR: 2.3; 95% CI [1.54; 3.44], p < 0. 001), and for patients who were cared for at the PHC1 center (OR: 21.06; 95% CI [11.13; 39.85], p < 0.001) and at the PHC2 center (OR: 13.19; 95% CI [6.54; 29.54], p < 0.001). Eventually, the current study emphasizes that the gender and care centers are the most associated factors of asthma control.
{"title":"Characteristics of Patients with Asthma and Asthma Control: A Retrospective Analysis of Reported Data from Primary Healthcare Centers in Agadir city, Morocco (2013 - 2019)","authors":"Youssef Bouchriti, Oumaima Elghazali, A. Kharbach, H. Gougueni, M. Haddou, A. Achbani","doi":"10.29333/JCEI/9566","DOIUrl":"https://doi.org/10.29333/JCEI/9566","url":null,"abstract":"The study aims to describe the profile of asthma patients in Agadir city (Morocco) during a period of 7 years (2013 to 2019) to identify the factors associated with asthma control. Practically, a retrospective analysis was conducted on data collected from 6 primary healthcare centers (PHC) in the city. The reported data are the age, gender, location, date of first consultation, dates of consultations, and treatment of 701 patients and care centers (PHC). Also, the proportional odds model for ordinal logistic regression was used to determine the most variables can be associated with asthma control. The analysis reveals a spatial and temporal variation according to gender. The average age of patients is 43 years. The two-thirds of all recorded cases were reported in 2018 and 2019. Furthermore, the proportion of female and male represents 63% and 37% of the total reported cases, respectively. Generally, the female proportion is higher than male for all age groups. Moreover, the analysis reveals that the asthma control was reported for 19% of cases while the rest was uncontrolled. This control seems be more observed for males (OR: 1.28; 95% CI [0.87; 1.87]), for patients with age between 29 and 44 years (OR: 2.3; 95% CI [1.54; 3.44], p < 0. 001), and for patients who were cared for at the PHC1 center (OR: 21.06; 95% CI [11.13; 39.85], p < 0.001) and at the PHC2 center (OR: 13.19; 95% CI [6.54; 29.54], p < 0.001). Eventually, the current study emphasizes that the gender and care centers are the most associated factors of asthma control.","PeriodicalId":53255,"journal":{"name":"Journal of Clinical and Experimental Investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47782654","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}
The Coronavirus Disease 2019 (COVID-19) is caused by the new type of coronavirus, severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), emerged in China at the end of 2019, and spread all over the world in a very short time The World Health Organization (WHO) declared COVID-19 a global pandemic due to its rapid spread and lack of effective vaccination, immunization and treatment In this study, we aimed to make a retrospective evaluation of forty-five days of COVID-19 cases and deaths simulated by the modified mathematical model which was previously established and published by us 30 days and 45 days of COVID-19 cases and deaths which were estimated by our modified mathematical model were compared to the real cases and deaths in Turkey since 15 03 2020 The COVID-19 cases increased to a significant level on 20 03 2020 in Turkey The modified mathematical modeling results' estimation accuracy remained above 90% until 13 04 2020 This rate was 78 40% on 28 04 2020 The modified mathematical modeling estimation for the COVID-19 deaths started on 20 03 2020 because the number of deaths were then significant enough for estimation with the modified mathematical model The estimation accuracy for the number of deaths was 100% with a value of 37 on 23 March 2020, and after that, it had always remained above 90% until 13 04 2020 Finally, it was 66 08% on 28 04 2020 The estimation accuracies of the modified mathematical model about the COVID-19 cases in Turkey for 30 days and 45 days were above 90% and 78% respectively The estimation accuracies of the modified mathematical model about the COVID- 19 deaths in Turkey for the 30-day and 45-day periods were above 90% and 66%, respectively This result suggests that the modified mathematical model is available for estimating the course of disease outbreaks and pandemics The model should be developed through future studies, which will improve its estimation accuracy [ABSTRACT FROM AUTHOR] Copyright of Journal of Clinical & Experimental Investigations is the property of Modestum Publications and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )
{"title":"Comparison of Estimated and Real COVID-19 Cases and Deaths for 45 Days","authors":"M. Sozen, H. Savaş, Zafer Cakir","doi":"10.29333/JCEI/9565","DOIUrl":"https://doi.org/10.29333/JCEI/9565","url":null,"abstract":"The Coronavirus Disease 2019 (COVID-19) is caused by the new type of coronavirus, severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), emerged in China at the end of 2019, and spread all over the world in a very short time The World Health Organization (WHO) declared COVID-19 a global pandemic due to its rapid spread and lack of effective vaccination, immunization and treatment In this study, we aimed to make a retrospective evaluation of forty-five days of COVID-19 cases and deaths simulated by the modified mathematical model which was previously established and published by us 30 days and 45 days of COVID-19 cases and deaths which were estimated by our modified mathematical model were compared to the real cases and deaths in Turkey since 15 03 2020 The COVID-19 cases increased to a significant level on 20 03 2020 in Turkey The modified mathematical modeling results' estimation accuracy remained above 90% until 13 04 2020 This rate was 78 40% on 28 04 2020 The modified mathematical modeling estimation for the COVID-19 deaths started on 20 03 2020 because the number of deaths were then significant enough for estimation with the modified mathematical model The estimation accuracy for the number of deaths was 100% with a value of 37 on 23 March 2020, and after that, it had always remained above 90% until 13 04 2020 Finally, it was 66 08% on 28 04 2020 The estimation accuracies of the modified mathematical model about the COVID-19 cases in Turkey for 30 days and 45 days were above 90% and 78% respectively The estimation accuracies of the modified mathematical model about the COVID- 19 deaths in Turkey for the 30-day and 45-day periods were above 90% and 66%, respectively This result suggests that the modified mathematical model is available for estimating the course of disease outbreaks and pandemics The model should be developed through future studies, which will improve its estimation accuracy [ABSTRACT FROM AUTHOR] Copyright of Journal of Clinical & Experimental Investigations is the property of Modestum Publications and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )","PeriodicalId":53255,"journal":{"name":"Journal of Clinical and Experimental Investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46928629","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}
Objective: The study aims to ascertain the prevalence and cause of low vision/ blindness in children of the rural population of the Indian states of Bihar and Jharkhand and justify the investment done on a population based survey for the particular age group. Material and Methods: The documentation of 1500 children was done with respect to their demographic data and ophthalmological examination. Results: The prevalence of childhood blindness was observed to be 0.2% with a predilection to female sex. The most common cause of visual impairment was uncorrected refractive error with incidences of blindness caused due to correctable condition of congenital cataract. Conclusion: Keeping in view of the life expectancy of 68 years in India, it can be reasonably stated that the number of years of visual impairment that can be shunned by these children oriented population based programs will have a significant impact on the burden being posed.
{"title":"Visual Impairment among School Going Paediatric Group Children in Rural Areas of Bihar and Jharkhand: A Population Based Study","authors":"C. Pandey, S. Kumari, Vivek Kumar","doi":"10.29333/JCEI/9564","DOIUrl":"https://doi.org/10.29333/JCEI/9564","url":null,"abstract":"Objective: The study aims to ascertain the prevalence and cause of low vision/ blindness in children of the rural population of the Indian states of Bihar and Jharkhand and justify the investment done on a population based survey for the particular age group.\u0000Material and Methods: The documentation of 1500 children was done with respect to their demographic data and ophthalmological examination.\u0000Results: The prevalence of childhood blindness was observed to be 0.2% with a predilection to female sex. The most common cause of visual impairment was uncorrected refractive error with incidences of blindness caused due to correctable condition of congenital cataract.\u0000Conclusion: Keeping in view of the life expectancy of 68 years in India, it can be reasonably stated that the number of years of visual impairment that can be shunned by these children oriented population based programs will have a significant impact on the burden being posed.","PeriodicalId":53255,"journal":{"name":"Journal of Clinical and Experimental Investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43124189","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}
The world has been suffering from the deadly effects of coronavirus and seemingly will continue to suffer for quite more time. Humanity has witnessed many kinds of outbreaks that have affected the population endemically or epidemically. Urgent need for treatment of COVID-19 is necessary and essential. In this article the cornerstones of clinical trial ethics, current publications and statements are analyzed to overcome the difficulties of pandemics with an additional focus on Turkey. The researching physician, volunteering patients, industry, institutions, and national/international ethico-legal bodies are playing important role in clinical research. As stated in the Hippocratic Oath, it is a physician’s duty to “first do no harm”. Many international documents also state the fact that preserving the dignity of people and basic rights is the most essential attitude. Clinical trials follow a certain set of principles regulated by legislative bodies. Medical ethics try to establish a common base for all research to fulfill the need for an internationally acceptable standard. Rather than serving the benefit of qualifications, ethical standards preserve qualitative values. It can be said that medical ethics is an appropriate discipline to serve the improvement of both science and morals.
{"title":"Clinical Trial Ethics in the Era of COVID-19 Pandemic","authors":"Muhammet Arslan, Nüket Örnek Büken","doi":"10.29333/jcei/9286","DOIUrl":"https://doi.org/10.29333/jcei/9286","url":null,"abstract":"The world has been suffering from the deadly effects of coronavirus and seemingly will continue to suffer for quite more time. Humanity has witnessed many kinds of outbreaks that have affected the population endemically or epidemically. Urgent need for treatment of COVID-19 is necessary and essential. In this article the cornerstones of clinical trial ethics, current publications and statements are analyzed to overcome the difficulties of pandemics with an additional focus on Turkey.\u0000The researching physician, volunteering patients, industry, institutions, and national/international ethico-legal bodies are playing important role in clinical research. As stated in the Hippocratic Oath, it is a physician’s duty to “first do no harm”. Many international documents also state the fact that preserving the dignity of people and basic rights is the most essential attitude.\u0000Clinical trials follow a certain set of principles regulated by legislative bodies. Medical ethics try to establish a common base for all research to fulfill the need for an internationally acceptable standard. Rather than serving the benefit of qualifications, ethical standards preserve qualitative values. It can be said that medical ethics is an appropriate discipline to serve the improvement of both science and morals.","PeriodicalId":53255,"journal":{"name":"Journal of Clinical and Experimental Investigations","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46112124","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}
A. Naciri, A. Achbani, M. A. Baba, Youssef Bouchriti, H. Sine, A. Kharbach
Since World Health Organization (WHO) declared a global Health Emergency at the end of January 2020 caused by the novel coronavirus 2019-nCoV, the rapid spread of this pandemic poses unprecedented challenges throughout the world. Hemodialysis patients are more susceptible to SARS-CoV-2 pneumonia than the general population. Dialysis physicians, health workers should have clinical knowledge of epidemic COVID-19, epidemic prevention tools, and required guidelines. This paper aims to focus on the Moroccan society of nephrology recommendations and the Ministry of Health guidelines to protect both healthcare workers and hemodialysis patients from the virus. A package of measures has been recommended by the Ministry of Health to ensure continuity of health services for hemodialysis patients with Covid-19. Besides, the Moroccan society of nephrology recommendations has been adopted to ensure quality care for this vulnerable category throughout the epidemic.
{"title":"COVID-19 and End-stage Kidney Disease in Morocco: Staying Safe during Dialysis","authors":"A. Naciri, A. Achbani, M. A. Baba, Youssef Bouchriti, H. Sine, A. Kharbach","doi":"10.29333/jcei/9280","DOIUrl":"https://doi.org/10.29333/jcei/9280","url":null,"abstract":"Since World Health Organization (WHO) declared a global Health Emergency at the end of January 2020 caused by the novel coronavirus 2019-nCoV, the rapid spread of this pandemic poses unprecedented challenges throughout the world.\u0000Hemodialysis patients are more susceptible to SARS-CoV-2 pneumonia than the general population. Dialysis physicians, health workers should have clinical knowledge of epidemic COVID-19, epidemic prevention tools, and required guidelines.\u0000This paper aims to focus on the Moroccan society of nephrology recommendations and the Ministry of Health guidelines to protect both healthcare workers and hemodialysis patients from the virus.\u0000A package of measures has been recommended by the Ministry of Health to ensure continuity of health services for hemodialysis patients with Covid-19. Besides, the Moroccan society of nephrology recommendations has been adopted to ensure quality care for this vulnerable category throughout the epidemic.","PeriodicalId":53255,"journal":{"name":"Journal of Clinical and Experimental Investigations","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49150890","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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