Clinical Medical Reviews and Reports最新文献_第6页

Vitamin B 12 Assay – are we on Track? 维生素b12测试-我们在轨道上吗?

Clinical Medical Reviews and Reports Pub Date : 2020-11-16 DOI: 10.31579/2690-8794/045

R. Sareen

引用次数: 0

Cryptococcus laurentii (Non Cryptococcus neoformans/gatti) infections – Immunocompromised or Immunocompetent -Who is at risk? – Systematic review 劳伦隐球菌(非新生隐球菌/加蒂隐球菌)感染-免疫功能低下或免疫功能正常-谁有风险?-系统检讨

Clinical Medical Reviews and Reports Pub Date : 2020-11-16 DOI: 10.31579/2690-8794/043

Twinkle Dhamecha

{"title":"Cryptococcus laurentii (Non Cryptococcus neoformans/gatti) infections – Immunocompromised or Immunocompetent -Who is at risk? – Systematic review","authors":"Twinkle Dhamecha","doi":"10.31579/2690-8794/043","DOIUrl":"https://doi.org/10.31579/2690-8794/043","url":null,"abstract":"Non neoformans cryptococci are usually regarded as saprophytes and human infections are rare. C.laurentii is rare of the non neoformans Cryptococci that can cause human infections. Incidence of human infections with Cryptococcus laurentii and albidus has increased over last couple of decades. The risk factors for C. laurentii infections usually include diminished Cell mediated immunity and presence of invasive devices, while mortality risks increases with CNS involvement and age above 45 years. Clinical manifestations are indistinguishable from other invasive yeast infections. High index of suspicion with any yeasts associated with raised inflammatory biomarkers and presence of neutrophils in the specimen’s stained smear is important in the diagnosis and prompt initiation of appropriate treatment since C. laurentii shows low susceptibility to fluconazole. We report here a case of lower respiratory infection due to Cryptococcus laurentii in a 57 years old female patient with bronchiectasis. The patient was admitted with complaints of fever, dyspnoea with productive cough. She was on antibiotic treatment. Her chest x-ray report revealed infiltrative opacities at right upper mid zone of the lungs and pleural effusion at left lower zone. The patient later also developed quadruparesis and urinary incontinence.","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76182442","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}

引用次数: 0

Evaluating the impact of audit interventions on accidental removal of critical care devices in the intensive care unit - Clinical Audit Project 评估审计干预对重症监护室意外移除重症监护设备的影响——临床审计项目

Clinical Medical Reviews and Reports Pub Date : 2020-10-05 DOI: 10.31579/2690-8794/047

A. Noor

{"title":"Evaluating the impact of audit interventions on accidental removal of critical care devices in the intensive care unit - Clinical Audit Project","authors":"A. Noor","doi":"10.31579/2690-8794/047","DOIUrl":"https://doi.org/10.31579/2690-8794/047","url":null,"abstract":"Accidental critical care device removals in intensive care units (ICUs) are serious preventable incidents that have major implications. The study aimed to understand possible causes of such events and identify interventions that reduced their occurrence. The researchers conducted a single-center audit by collecting patient data and bundle forms for accidental device removal across two consecutive periods; they retrospectively reviewed the data from the first period (August 1, 2019 to January 31, 2020) and prospectively analyzed the data from the bundle forms obtained in the second (February 1, 2020 to July 31, 2020). From the findings of the first period, the researchers designed an intervention comprising nurses’ adherence to a care bundle checklist and an educational campaign for the care-taking team and applied it in the second period. Patients either accidentally removed the central venous lines secondary to agitation (47%), or it happened by loss of catheter securement (21%), or during daily care (17%) or patient transfer (13%). Such inadvertent incidents resulted in reinsertion with another central venous line (69%), agitation due to sedation interruption (47%), development of hemodynamic instability because of interruption of inotrope administration (30%), significant bleeding that required intervention (21%), and no complications (39%). The overall nurses’ compliance to the care bundle checklist improved from 87% to 97% after introduction of the intervention and the number of devices found in place increased. Therefore, the designed care bundle checklist and educational program successfully decreased the accidental removal of critical care devices.","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86883010","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}

引用次数: 0

Maxillary mucocele – unusual localization 上颌粘液囊肿-异常定位

Clinical Medical Reviews and Reports Pub Date : 2020-10-05 DOI: 10.31579/2690-8794/042

Carlos E M Zappelini

引用次数: 0

Gestational diabetes management postpartum in primary healthcare facilities: Mini review update on Delta State Nigeria 初级卫生保健机构的产后妊娠糖尿病管理:尼日利亚三角洲州的最新综述

Clinical Medical Reviews and Reports Pub Date : 2020-10-05 DOI: 10.31579/2690-8794/040

E. Nwose

引用次数: 0

Primary Healthcare and diabetes management in the rural communities 农村社区的初级保健和糖尿病管理

Clinical Medical Reviews and Reports Pub Date : 2020-10-05 DOI: 10.31579/2690-8794/039

Edmond I Anowa, Ezekiel U. Nwose, Samuel D Nwajei, H. Chime, Solomon E.O. Egwenu, Eunice O Igumbor

{"title":"Primary Healthcare and diabetes management in the rural communities","authors":"Edmond I Anowa, Ezekiel U. Nwose, Samuel D Nwajei, H. Chime, Solomon E.O. Egwenu, Eunice O Igumbor","doi":"10.31579/2690-8794/039","DOIUrl":"https://doi.org/10.31579/2690-8794/039","url":null,"abstract":"Primary health care (PHC) was conceptualized to play a ‘central hub’ role in health systems. Diabetes care services are presently unavailable in PHC facilities, except the screening programs that are carried out by non-governmental organizations. This implies there is issue of behavioural change wheel (BCW) of the stakeholders including the quartet of ministry of health, hospital management board, healthcare professionals (HCP) and diabetes patients. This narrative review investigates perception of stakeholders towards scaling-up of a diabetes context of PHC agenda in Delta State Nigeria. The study utilized data from ongoing studies including opportunistic and purposive sampling designs. Data from published literatures on Nigeria were also reviewed. The various stakeholders’ perceptions is that motivation is poor across board. The ministry of health as well as the hospitals management board, but not patients, have the capacity. Suggested ways of improving BCW in the state include increased allocation for the ministry of health, and retraining healthcare professionals. Others improvement measures including tackling socio-cultural beliefs, and taboos are suggested. Scaling-up and sustaining diabetes care program at the PHC level in Delta State is agreed to be the responsibility of all stakeholders. There is need to enhance capacity/knowledge among community members living with diabetes, and opportunity/practice among the HCPs, but most importantly attitude/motivation of all stakeholders.","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78219898","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}

引用次数: 0

To understand well on the source of COVID-19: Rhinolophus affinis-2 了解新冠病毒的来源:亲和鼻蝗2

Clinical Medical Reviews and Reports Pub Date : 2020-09-09 DOI: 10.31579/2690-8794/029

C. Koyunoğlu

引用次数: 0

Early or Forced Marriage and the Roles of Primary Healthcare 早婚或逼婚以及初级保健的作用

Clinical Medical Reviews and Reports Pub Date : 2020-09-09 DOI: 10.31579/2690-8794/036

E. A. Agege

{"title":"Early or Forced Marriage and the Roles of Primary Healthcare","authors":"E. A. Agege","doi":"10.31579/2690-8794/036","DOIUrl":"https://doi.org/10.31579/2690-8794/036","url":null,"abstract":"Early marriage is the marriage done before or during adolescence, about 60% to 70% girls are forced to married early ages in several African and Asian countries. Even their basic human rights are not provided to them; these resulted several psychological and physiological health problems. The purpose of this paper is to narratively review the health problems/issues inherent in forced marriage and enunciate the roles of the public health care in ameliorating them. There was review of the health effects of early marriage grouped into psychological, pathophysiological, antenatal malaria and socio-cultural injustice, recommendations on how the public health-care roles can be useful tools to combating these unhealthy practices fostered by obsolete traditional beliefs and gross ignorance from both the victims and their parents. From the review of the previous studies, though no previous study has been documented in my locations for the study, there were great negative impactful health effects of early marriage on women, it was also obvious that the public health care providers can be vital in controlling or reducing these age-long anomalies. The grave dangers of early marriage on women were elucidated, its prevalence, the adverse consequences on the women as obviously observed were critically examined with enthusiasm and concerns. Therefore, the recommendations as per the roles of primary healthcare which includes teaching, surveillance, screening etc., in mitigating should be seriously adopted to curb the trend.","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85698538","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}

引用次数: 1

Primary Healthcare on Utilization of Insecticide Treated Nets among Pregnant Mothers and Carers of Children in South –South Nigeria 南尼日利亚孕妇和儿童照料者使用驱虫蚊帐的初级保健

Clinical Medical Reviews and Reports Pub Date : 2020-09-09 DOI: 10.31579/2690-8794/035

J. Odoko

{"title":"Primary Healthcare on Utilization of Insecticide Treated Nets among Pregnant Mothers and Carers of Children in South –South Nigeria","authors":"J. Odoko","doi":"10.31579/2690-8794/035","DOIUrl":"https://doi.org/10.31579/2690-8794/035","url":null,"abstract":"One of the strategies of Primary Health Care (PHC) is the use of insecticide treated nets (ITNs) against malaria among pregnant mothers and care givers of children under five years. The agency for PHC in Nigeria is the National Primary Health Care Development Agency (NPHCDA). The objective of this narrative review is to identify the role of PHC providers in promoting the use of ITNs among pregnant mothers and care givers of children under five years. Method was by review of 30 published literatures on PHC; as it relates to use of ITNs. Findings indicate that most pregnant mothers and care-givers of children under five years in Nigeria are aware that the best option to prevent malaria infection is by use of ITNs. Healthcare providers participate in mass distribution of ITNs. There is increase nets ownership in households. Supervisory guidance influences use of ITNs. However, there is evidence of slow uptake of ITNs due to resistance to behavioural change. Also, the knowledge of pregnant women concerning ITNs use was good, but the attitudes and practices were poor. The implication is that health promotion need to be enhanced among both PHC workers and community leaders on use of ITNs. Primary healthcare workers may need to be motivated to do their job in terms of promoting the use of ITNs among pregnant mothers and carers of children under five years.","PeriodicalId":10427,"journal":{"name":"Clinical Medical Reviews and Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74290240","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}

引用次数: 1

Prevention of respiratory distress disease in pregnancy and newborn: a case review of the capacity of primary healthcare tier in Delta State Nigeria 预防妊娠和新生儿呼吸窘迫疾病:对尼日利亚三角洲州初级卫生保健层能力的案例审查

Clinical Medical Reviews and Reports Pub Date : 2020-09-09 DOI: 10.31579/2690-8794/037

O. Akuirene

引用次数: 0