Clinical Medicine And Health Research Journal最新文献_第2页

Prognostic Factors for Morbidity and Mortality in Redux Valve Surgery 再瓣膜手术发病率和死亡率的预后因素

Clinical Medicine And Health Research Journal Pub Date : 2024-02-21 DOI: 10.18535/cmhrj.v4i1.315

E. Boudiaf, M. Abdelbaki, MO AMRANE.

{"title":"Prognostic Factors for Morbidity and Mortality in Redux Valve Surgery","authors":"E. Boudiaf, M. Abdelbaki, MO AMRANE.","doi":"10.18535/cmhrj.v4i1.315","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i1.315","url":null,"abstract":"Objectives: Redux valve surgery is increasingly common in Algeria, and the aim of this study was to identify the risk factors for hospital morbidity and mortality in this type of surgery.\u0000Method :49 patients with a mean age of 51 years (20-67 years) and a sex ratio of 0.88 underwent redux valve surgery between January 2015 and december 2019. 79%), and in almost half of the cases (46%) the first operation was performed in our department; the most frequent reasons for repeat operations were mitral plasty dysfunction, expression of new valve damage and removal of mechanical prostheses due to infective endocarditis.\u0000The Euroscore was used to predict operative risk.\u0000Results: 80% of our patients were classified in the moderate risk group (score 3-5) with an expected mortality of between 2.90 and 2.94%. Our results show a mortality rate of 2.56% for these patients. The study of post-operative results revealed a number of cardiac complications (28.5% low output and 37% rhythm disorders), infectious complications (8% mediastinitis) and neurological complications (6%). The risk factors for operative mortality were multiple valve procedures (p=0.03), persistent atrial fibrillation or fibrillation that appeared postoperatively (p=0.05) and age over 70 (p=0.04).\u0000Conclusion: Valvular redux surgery with a single-valve procedure has an operative morbi-mortality, actuarial survival and post-operative functional benefit that are entirely comparable to those of a primary intervention; whereas in redux surgery with a multi-valvular procedure, the operative morbi-mortality is significantly higher, but the actuarial survival and functional benefit are comparable to those of a primary intervention","PeriodicalId":155428,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"81 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140444039","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

« Myxoma Of The Left Atrium Responsible For Fatal Cerebrovascular Accident » "左心房肌瘤是致命脑血管意外的罪魁祸首 "

Clinical Medicine And Health Research Journal Pub Date : 2024-02-21 DOI: 10.18535/cmhrj.v4i1.313

M. Abdelbaki, H. Benmessaoud, N. KHELAFI.

引用次数: 0

Coronary Insufficiency: "surgery or angioplasty" 冠状动脉供血不足："手术或血管成形术

Clinical Medicine And Health Research Journal Pub Date : 2024-02-21 DOI: 10.18535/cmhrj.v4i1.312

M. Abdelbaki, E. Boudiaf

{"title":"Coronary Insufficiency: \"surgery or angioplasty\"","authors":"M. Abdelbaki, E. Boudiaf","doi":"10.18535/cmhrj.v4i1.312","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i1.312","url":null,"abstract":"Surgery for coronary insufficiency begins with surgery to eliminate the pain of angina pectoris by cutting the sensory nerve pathways to the heart. Subsequently, surgeons attempted to revascularise the myocardium indirectly, by causing adhesions between the heart and various tissues, altering the direction of coronary circulation or creating artificial shunts in the myocardium by implanting the internal mammary artery directly into the left ventricle. But all these techniques proved insufficient, and surgeons turned to direct revascularisation of the coronary arteries. It was in 1968 that the first direct coronary revascularisation by bypass with the long saphenous vein was performed. Under the impetus of the pioneers of cardiac surgery, this type of surgery took off, helped by the development of extracorporeal circulation. Coronary surgery evolved at every level, with the development of microsurgical techniques for anastomoses, the use of arterial grafts, which are more durable than veins, and complete revascularisation. Over time, this surgery will prove to be reliable and reproducible, with excellent results and very low post-operative mortality and infarction rates. Above all, it will improve quality of life and long-term survival. Coronary surgery is still today an indispensable therapeutic tool in the treatment of ischaemic coronary disease.","PeriodicalId":155428,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"48 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140445441","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

Valve Surgery After the Age Of 70: Evaluation Risk Factors for Hospital Mortality 70 岁以后的瓣膜手术：评估住院死亡率的风险因素

Clinical Medicine And Health Research Journal Pub Date : 2024-02-21 DOI: 10.18535/cmhrj.v4i1.316

E. Boudiaf, M. Abdelbaki, MO AMRANE.

{"title":"Valve Surgery After the Age Of 70: Evaluation Risk Factors for Hospital Mortality","authors":"E. Boudiaf, M. Abdelbaki, MO AMRANE.","doi":"10.18535/cmhrj.v4i1.316","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i1.316","url":null,"abstract":"Objective: Valve surgery after the age of 70 is increasingly common in Algeria. The aim of this study was to identify risk factors for in-hospital mortality in this population.\u0000Methods: 56 patients with a mean age of 72 years (70-81) underwent valve surgery between 2016 and December 2019. 32 patients (57.4%) had aortic valve replacement, 17 patients (29.7%) had mitral surgery and 07 patients (12.9%) had aorto-mitral surgery. 04 procedures (8%) were urgent. The Euroscore was used to predict operative risk. The mean additive Euroscore was 9.05 and the mean logistic Euroscore was 14.2%.\u0000Results: Operative mortality was 3.8%. Preoperative risk factors were: NYHA III class, repeat operations, critical status according to the Euroscore,STS score , PAH, mitral surgery and tricuspid surgery. Post-operative complications were: low flow (12%), supra-ventricular arrhythmia (32.7%), renal dysfunction (14.6%), pulmonary (11%), intestinal (3.5%), infection (4%) and surgical re-exploration (6.5%). Post-operative risk factors for mortality were low flow, renal dysfunction, gastrointestinal complications and surgical re-exploration.\u0000Conclusion: Valve surgery after the age of 70 is a low-risk procedure. Our data are correlated with the Euroscore.","PeriodicalId":155428,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140443924","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

Enormous Enlargement of Right Atrium Occurred Late After Surgical Dilation of Pulmonary Valve Stenosis: Case Report. 肺动脉瓣狭窄手术扩张后晚期出现右心房巨大增大：病例报告。

Clinical Medicine And Health Research Journal Pub Date : 2024-02-15 DOI: 10.18535/cmhrj.v4i1.311

Hanane Zouzou

引用次数: 0

Enormous Enlargement of Right Atrium Occurred Late After Surgical Dilation of Pulmonary Valve Stenosis: Case Report. 肺动脉瓣狭窄手术扩张后晚期出现右心房巨大增大：病例报告。

Clinical Medicine And Health Research Journal Pub Date : 2024-02-15 DOI: 10.18535/cmhrj.v4i1.311

Hanane Zouzou

引用次数: 0

The Correlation Study Between Testosterone Levels and Hba1c In Type 2 Diabetic Patients Compare with Healthy Persons 2 型糖尿病患者睾酮水平与 Hba1c 之间的相关性研究（与健康人比较

Clinical Medicine And Health Research Journal Pub Date : 2024-02-08 DOI: 10.18535/cmhrj.v4i1.307

D. Abood, K. S. Mahdi, Zahraa Ch. Hameed

{"title":"The Correlation Study Between Testosterone Levels and Hba1c In Type 2 Diabetic Patients Compare with Healthy Persons","authors":"D. Abood, K. S. Mahdi, Zahraa Ch. Hameed","doi":"10.18535/cmhrj.v4i1.307","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i1.307","url":null,"abstract":"The purpose of this study was to evaluate the the connection between hemoglobin glycated (Hba1c) and testosterone levels in the patients of type 2 diabetes mellitus compare with healthy person, also determine the significant differences between this parameter among healthy and diabetic patients, after assumed whole blood and serum specimens from laboratory of Diabetes and Endocrinology Center in Marjan hospital and privately owned in Babylon City starting in October 2022 to February 2023.\u0000The outcomes showed non-significant (P>0.05) variations between those with diabetes and control groups in age , which refer to all persons in the same age, also it revealed significant increase (P ˂ 0.05) in Hba1c level in diabetic group compare with healthy men, which may refer to disease effect on these patients and lead to elevation in Hba1c in diabetic group, also it was revealed significant decrease (P ˂ 0.05) in diabetic group compare with control in Testosterone level, in addition to significant increase (P˂0.05) in body mass index in diabetic men compare to control group, and The results showed negative correlation between glycated hemoglobin and testosterone levels in both healthy and diabetic men.\u0000The research was concluded that HbA1c value is associated with testosterone levels in diabetic patients.","PeriodicalId":155428,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"365 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139852360","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

The Correlation Study Between Testosterone Levels and Hba1c In Type 2 Diabetic Patients Compare with Healthy Persons 2 型糖尿病患者睾酮水平与 Hba1c 之间的相关性研究（与健康人比较

Clinical Medicine And Health Research Journal Pub Date : 2024-02-08 DOI: 10.18535/cmhrj.v4i1.307

D. Abood, K. S. Mahdi, Zahraa Ch. Hameed

{"title":"The Correlation Study Between Testosterone Levels and Hba1c In Type 2 Diabetic Patients Compare with Healthy Persons","authors":"D. Abood, K. S. Mahdi, Zahraa Ch. Hameed","doi":"10.18535/cmhrj.v4i1.307","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i1.307","url":null,"abstract":"The purpose of this study was to evaluate the the connection between hemoglobin glycated (Hba1c) and testosterone levels in the patients of type 2 diabetes mellitus compare with healthy person, also determine the significant differences between this parameter among healthy and diabetic patients, after assumed whole blood and serum specimens from laboratory of Diabetes and Endocrinology Center in Marjan hospital and privately owned in Babylon City starting in October 2022 to February 2023.\u0000The outcomes showed non-significant (P>0.05) variations between those with diabetes and control groups in age , which refer to all persons in the same age, also it revealed significant increase (P ˂ 0.05) in Hba1c level in diabetic group compare with healthy men, which may refer to disease effect on these patients and lead to elevation in Hba1c in diabetic group, also it was revealed significant decrease (P ˂ 0.05) in diabetic group compare with control in Testosterone level, in addition to significant increase (P˂0.05) in body mass index in diabetic men compare to control group, and The results showed negative correlation between glycated hemoglobin and testosterone levels in both healthy and diabetic men.\u0000The research was concluded that HbA1c value is associated with testosterone levels in diabetic patients.","PeriodicalId":155428,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":" 38","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139792429","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

Relevance Between Standing Period and Working Fatigue on Simpang Jam Gas Station Operator in Banda Aceh, Indonesia 印尼班达亚齐省 Simpang Jam 加油站操作员的站立时间与工作疲劳之间的关系

Clinical Medicine And Health Research Journal Pub Date : 2024-02-07 DOI: 10.18535/cmhrj.v4i1.303

Wiwit Aditama, Miftahul Fahira

{"title":"Relevance Between Standing Period and Working Fatigue on Simpang Jam Gas Station Operator in Banda Aceh, Indonesia","authors":"Wiwit Aditama, Miftahul Fahira","doi":"10.18535/cmhrj.v4i1.303","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i1.303","url":null,"abstract":"Background: Workplace fatigue is a major concern that demands proper management, as it can result in various health issues. Gas station attendants who remain stationary for prolonged periods are especially susceptible to this problem. Therefore, this study aims to examine the relationship between standing time and work fatigue among Simpang Jam gas station operators in Banda Aceh City.\u0000Research method: In order to explain the relevance between standing period and work fatigue, this study uses descriptive analytics. All 30 officers participated in the study as the population. At the Simpang Jam Gas Station in Banda Aceh City, this study was carried out in June. Chi-Square test was conducted.\u0000Results: 40.0% of respondents reported being at risk and frequently worn out when standing for extended periods. Additionally, 91.7% of respondents experienced discomfort and exhaustion while working in standing positions.\u0000Conclusion: Standing time and work fatigue have a relationship with a P value of 0.017, and standing work position and work fatigue have a relationship with a P value of 0.005.\u0000Suggestion: When operators begin to experience signs of work fatigue, provide chairs for them and pay closer attention to rest periods.","PeriodicalId":155428,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139796691","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

Relevance Between Standing Period and Working Fatigue on Simpang Jam Gas Station Operator in Banda Aceh, Indonesia 印尼班达亚齐省 Simpang Jam 加油站操作员的站立时间与工作疲劳之间的关系

Clinical Medicine And Health Research Journal Pub Date : 2024-02-07 DOI: 10.18535/cmhrj.v4i1.303

Wiwit Aditama, Miftahul Fahira

{"title":"Relevance Between Standing Period and Working Fatigue on Simpang Jam Gas Station Operator in Banda Aceh, Indonesia","authors":"Wiwit Aditama, Miftahul Fahira","doi":"10.18535/cmhrj.v4i1.303","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i1.303","url":null,"abstract":"Background: Workplace fatigue is a major concern that demands proper management, as it can result in various health issues. Gas station attendants who remain stationary for prolonged periods are especially susceptible to this problem. Therefore, this study aims to examine the relationship between standing time and work fatigue among Simpang Jam gas station operators in Banda Aceh City.\u0000Research method: In order to explain the relevance between standing period and work fatigue, this study uses descriptive analytics. All 30 officers participated in the study as the population. At the Simpang Jam Gas Station in Banda Aceh City, this study was carried out in June. Chi-Square test was conducted.\u0000Results: 40.0% of respondents reported being at risk and frequently worn out when standing for extended periods. Additionally, 91.7% of respondents experienced discomfort and exhaustion while working in standing positions.\u0000Conclusion: Standing time and work fatigue have a relationship with a P value of 0.017, and standing work position and work fatigue have a relationship with a P value of 0.005.\u0000Suggestion: When operators begin to experience signs of work fatigue, provide chairs for them and pay closer attention to rest periods.","PeriodicalId":155428,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139856580","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