{"title":"A Latent Growth Model Evaluation of the Comprehensive, Integrated HIV Prevention Program Effect on Excessive Alcohol Risk Awareness and Excessive Alcohol Consumption Risk","authors":"M. Y. Mongkuo","doi":"10.33552/ctcms.2020.01.000531","DOIUrl":"https://doi.org/10.33552/ctcms.2020.01.000531","url":null,"abstract":"Aim: Since the early 1980s, excessive consumption among minority young adults (age 18-24 years old) became a severe public health concern in preventing the prevalence of HIV infection. In the United States, minority young adult population have a higher excessive alcohol consumption rate of HIV infection disproportionately infected with the disease than any other racial group. The continued spread of HIV among this vulnerable population has led to a need to identify risk and protective factors and evidence-based prevention strategies to reduce the transmission of the disease. A popular approach is the comprehensive, integrated HIV prevention program (CIHPP), a program based on the ecological epistemology framework. This framework views risk factors as a multilevel concentric system, including the individual, family, community, and societal levels. The theory asserts that any meaningful prevention strategy should examine the effect of these different levels on the population of interest. This study aims at testing the effectiveness of the CIHPP in raising awareness and excessive alcohol consumption risk of minority young adults.","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121479918","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}
{"title":"Increasing Sexual Self-Efficacy Among College Students Through Telehealth Consultation: A Case Management Approach","authors":"Pamela Stokes","doi":"10.33552/ctcms.2020.01.000530","DOIUrl":"https://doi.org/10.33552/ctcms.2020.01.000530","url":null,"abstract":"Unsafe sex is one of the main risk factors for young people, ages 18 to 24, in contracting sexually transmitted infections (STIs) [1]. Recently, the Centers for Disease Control (CDC) stated that nearly half (46.8%) of young adults surveyed across 42 states, had engaged in sexual intercourse and were currently sexually active [1]. This paper summarizes the role that case management, using telehealth, can play on increasing sexual communication self-efficacy, ultimately reducing STIs on campus. After testing positive for an STI (N=11), the implementation of a telehealth appointment with a nurse took place in conjunction with the administration of the Sexual Communication Self-Efficacy Scale (SCSES), before and after the sexual health education. The outcomes revealed that young adults, ages 18 to 24, already possess a high level of sexual self-efficacy, although they lack knowledge of their personal risk for contracting STIs. Furthermore, themes gathered during the telehealth appointment, including • The desire for easy access. • The need for support from a trusted health care provider, validates the desire of this population to pursue sexual health appointments and STI checks if a telehealth platform is available.","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117091032","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}
{"title":"Usability Comparison Study of Spot-on Formulations of Parasiticides in Cats","authors":"P. Chansiripornchai","doi":"10.33552/ctcms.2020.01.000528","DOIUrl":"https://doi.org/10.33552/ctcms.2020.01.000528","url":null,"abstract":"The aim of this study was to evaluate the usability of spot-on parasiticides for cats from the aspects of their stickiness and drying time after application. Eighteen client-owned healthy, munchkin cats (3 males, 15 females), between 9-month-old and 6-year-old, weighing from 1.5-2.9 kg were used in the study. Six spot-on parasiticides which are commercially available in Thailand including selamectin (SE), moxidectin + imidacloprid (MI), praziquantel + emodepside(PE), fipronil + (S)-methoprene + eprinomectin + praziquantel (FMEP), fluralaner (FL) and fipronil + (S)-methoprene (FM) were assessed after their respective application to the skin between shoulder blades of the 18 cats. Stickiness scores (STS) and drying time scores (DTS) were evaluated and recorded at 0.5, 1, 3, 6, 9, 12, 24 and 48 h after drug administration (DA). SE and MI groups showed the most satisfying scores of STS at 3 h after DA, STS in all groups was zero (not sticky) at 48 h after DA. For DTS, the SE and FL groups had the most satisfying score at 0.5 and 1 h after DA, DTS in all groups were zero (dry) at 24 h after DA. Some skin lesions such as erythema and alopecia were found in the MI and FMEP groups but the lesions completely recovered and all cats had normal general health throughout the study. From the study results, all of the 6 spot-on parasiticides are safe for cats and are acceptable for cat owners.","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129395006","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}
{"title":"Atypical clinical presentation of COVID-19: a case of Guillain-Barrè Syndrome related to SARS-Cov-2 infection","authors":"A. Carella","doi":"10.33552/ctcms.2020.01.000526","DOIUrl":"https://doi.org/10.33552/ctcms.2020.01.000526","url":null,"abstract":"Background: Emerging evidence indicates that SARS-CoV-2 infection may cause neurological complications Case Report: 63-year-old male was admitted for acute progressive symmetric ascending weakness He denied fever, cough, respiratory symptoms and his past medical history wasunremarkable Physical examination showed normal blood pressure, oxygen saturation 98% on air, temperature 36,4°C, heartrate 96 bpm and severe weakness in all limbs Chest X-ray,echocardiogram and abdominal ultrasonography were normal;ECG showed sinus rhythm (96 bpm) Cervical and brain magneticresonance revealed enhancement of the nerve roots Abnormallaboratory tests were: PCR 447 mg/L, ferritin 1857 ng/mL, Ddimer 935 ng/mL, fibrinogen 1013 mg/dL, platelet count69000/μ L and lymphocytopenia (260/μ L) Viral serologies andautoimmune markers were negative Cerebrospinal fluid analysisshowed normal cell count and lack of albumin-cytological dissociation Guillain-Barrè Syndrome (GBS) was suspected and therapy by intravenous immunoglobulin and steroid was started Anasopharyngeal swab was performed, which resulted positive toSARS-CoV-2 on RT-PCR assay The patient was transferred to Infectious Diseases Unit to begin treatment by tocilizumab, hydroxychloroquine and plasmapheresis Conclusions: GBS is immune-mediated disease often triggeredby various infections Since SARS-Cov-2 may lead to a massiverelease of inflammatory cytokines, it could be hypothesized thatan aberrant immune response to SARS-CoV-2 infection inducesinflammatory damage in peripheral nerves with molecular mimicryreaction","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128682658","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}
{"title":"Scope of Tele-Pharmacists in Pandemic Situations of Bangladesh","authors":"Mohiuddin Ak","doi":"10.33552/ctcms.2020.01.000525","DOIUrl":"https://doi.org/10.33552/ctcms.2020.01.000525","url":null,"abstract":"This work is licensed under Creative Commons Attribution 4.0 License CTCMS.MS.ID.000525. Abstract Currently, coronavirus COVID-19 has affected 210 countries around the world, killed more than 146,000 and infected more than 2.1 million, according to worldometer, April 17, 2020. Home-care is especially important in these situations because hospitals are not seemingly safe during pandemic outbreaks. Also, the chance to get out of the home during the lockdown period is limited. Telemedicine and telehealth technologies are especially effective during epidemic outbreaks, when health authorities recommend implementing social distance systems. Telephone-based measures improve efficiency by linking appropriate information and feedback. In addition to increasing access to healthcare, telemedicine is a fruitful and proactive way to provide a variety of benefits to patients seeking healthcare; diagnose and monitor critical and chronic health conditions; improve healthcare quality and reduce costs. Abbrevations: IEDCR-Institute of Epidemiology, Disease Control and Research","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126531384","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}
{"title":"Musculoskeletal Pain among Rural Homemakers and their Health Seeking Behaviors","authors":"M. Hasan","doi":"10.33552/ctcms.2020.01.000527","DOIUrl":"https://doi.org/10.33552/ctcms.2020.01.000527","url":null,"abstract":"Background: Homemakers use their time & strengths to provide service to make their house a home. This routine and compulsory household maintenance task often leads them to musculoskeletal pain (MSP). Purpose: The aim of this study was to identify the areas of musculoskeletal pain in different parts of the body as a result of household work among rural homemakers in Bangladesh and in this case to detect their health-seeking behaviors. Materials and Methods: Three hundred and forty one randomly selected married homemakers’ living in the rural area of Barishal division of Bangladesh who has experienced any type of musculoskeletal pain at least once in life due to household work participated in this cross sectional study. Data were collected by pretested semi-structured questionnaire through face to face interview. Results: The one year pattern of MSP among respondents were lower back (80.46%), followed by knee (24.4%), neck (19.13%), upper-back (11.3%), shoulder (5.3%), hips/thighs (5.46%), ankle/feet (4.8%), wrist/hand (4.4%), and elbow (3.4%). Lower back pain had an association with lifting heavy objects, number of children, educational qualification, age and awkward/faulty postures (p<0.05). Total working experiences more than 10 years was associated with upper back pain (p<0.05).Further, pain in the wrist/hand and knee (P <0.05) was linked with awkward position and spending more than 8 hours a day doing homework. In addition, there was a relationship between repetitive work and wrist/hand pain (p<0.05). In contrast, three-fourth received treatment for their pain. Of these, 54.9% sought treatment from the para-professional health service providers. ` This study shows that housework exposed musculoskeletal pain on the different sites of the body. Although sufferers sought treatment in this regard, it is necessary to improve policies & intervention for reducing possible risks of musculoskeletal pain among homemakers.","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125138370","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}
{"title":"Medical Use of Povidone Iodine Against Covid-19. Why Not?","authors":"L. Mendoza","doi":"10.2139/ssrn.3568225","DOIUrl":"https://doi.org/10.2139/ssrn.3568225","url":null,"abstract":"Povidone-iodine (PVP-I) is an old antiseptic used in practice of medicine as a surgical scrub; for preand post-operative skin cleansing; for the treatment and prevention of infections in wounds, decubitus ulcers, cuts, and burns; in gynecology for vaginitis associated with candidal, trichomonal or mixed infections. For these purposes, PVP-I has been formulated at concentrations of 7.510.0% in solution, nasal and throat spray, surgical scrub, ointment, swab dosage forms, eye drop, and vaginal suppositories. The safety profile of PVP-I at such concentrations is well established and many available products in the market are over the counter. The most well-known brand for PVP-I is BETADINE.","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126237272","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}
{"title":"A New Hope for Cancer Therapy with Liquid Knife & Immuno Therapy: UMIPIC","authors":"Baofa Yu","doi":"10.33552/ctcms.2020.01.000524","DOIUrl":"https://doi.org/10.33552/ctcms.2020.01.000524","url":null,"abstract":"Recent years cancer immunological therapy is getting very popular and many new drug have been approved by FDA like PD1 and PDl-1, however, in clinical practice of cancer treatment, it looks very limited efficacy for advanced cancer, so that physician started to use comprehensive plan by combination chemotherapy with PD1 as a novel strategy with a better clinical benefit. Since chemotherapy always produce the side effect like loss hair, vomit and neutropenia. Because of the extremely toxic side effects, many cancer patients cannot successfully complete a complete course of chemotherapy, and some even die from the side effects of chemotherapy due to a patient’s poor tolerance. The extreme side effects of anti-cancer drugs are often caused by the poor target specificity of such drugs regarding the tumor in the patient’s body. The drugs circulate through most normal organs of patients as well as the intended target tumors (less than 5% of the drug reach the tumor), while over 95% of the drug circulates through the whole body of the patient.","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125722003","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}
{"title":"Lumbar Supports for Low Back Pain: Consensus Needed","authors":"Matiss Mezals","doi":"10.33552/ctcms.2020.01.000523","DOIUrl":"https://doi.org/10.33552/ctcms.2020.01.000523","url":null,"abstract":"Low back pain is one of the leading causes of disability worldwide. Nevertheless, there is no consensus regarding recommendations for usage of lumbar supports for patients with low back pain which was demonstrated by asking opinions to different health care specialists. Thus, this confusion decreases trust in health care professionals and compliance of the patients for the treatment. Evidence is scarce and conflicting therefore making it difficult for medical experts to give firm recommendations. We do not have evidence-based answer to what type or material lumbar supports should be used. Nevertheless, manufactures claim that every kind of lumbar supports are safe and effective. In our opinion lumbar supports can be effective if used in conjunction with other treatment modalities especially exercise. Further studies are necessary to develop consensus among health care professionals and restore trust in the eyes of patients.","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115105151","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}
{"title":"Which Invasive Electrode to Implant in Humans for Prosthetic use?","authors":"P. Kennedy","doi":"10.33552/ctcms.2020.01.000520","DOIUrl":"https://doi.org/10.33552/ctcms.2020.01.000520","url":null,"abstract":"It has long been maintained that tine type electrodes are adequate for long-term prosthetic command signals. Even Elon Musk has developed an electrode that is claimed to record 3072 single units [1]. He further claims it can be used for long-term prosthetic devices. The tine type Utah array (Blackrockmicro Inc.) has been championed as the savior of long-term prosthetic control. However, even the researchers admit that its lifetime is limited because it loses 85% of single units within three years [2]. It suffers the fate of all foreign bodies, namely, scarring at the electrode tip. This will obviously occur with all metal and tine type electrodes that pierce the cortex. So move over Blackrock, move over Elon, there is another way to do it.","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"300 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116456205","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}