Current Trends in Clinical & Medical Sciences最新文献

{"title":"Lymphadenectomy in the Treatment of Colon Cancer: A Survival Analysis","authors":"I. Filho","doi":"10.33552/ctcms.2020.01.000516","DOIUrl":"https://doi.org/10.33552/ctcms.2020.01.000516","url":null,"abstract":"","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125074195","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":"Outcome of Surveillance Stool Culture Guided Selection of Antibiotics during Febrile Neutropenia in Patient with Acute Leukaemia","authors":"Mesbah U. Ahmed","doi":"10.33552/ctcms.2020.01.000515","DOIUrl":"https://doi.org/10.33552/ctcms.2020.01.000515","url":null,"abstract":"Aklima Khanam1, Shafiqul Islam2, Mohammmad Nazmul Islam3, Fahmida Ahmed4, Fatema Ahmed5, Md Shafiur Rahman6, Mesbah Uddin Ahmed7* and Farzana Rahman8 1Department of Haematology, Dhaka Medical College Hospital, Bangladesh 2Department of Haematology, Bangabandhu Sheikh Mujib Medical University, Bangladesh 3Department of Medicine, Sylhet MAG Osmani Medical College Hospital, Bangladesh 4Department of Haematology, Imperial Hospital Limited, Bangladesh 5Department of Haematology, Bangladesh 6Assistant Director, Hospital and Clinic, DGHS, Bangladesh 7Department of Microbiology, Bangladesh University of Health Sciences, Bangladesh 8Department of Haematology, Bangabandhu Sheikh Mujib Medical University, Bangladesh","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"8 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131722682","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":"The Prevalence of Prediabetes in Sudanese Patients attending Khartoum North Teaching Hospital Referred Clinics Sudan","authors":"Siddig Omer Mohammed Handady","doi":"10.33552/ctcms.2019.01.000514","DOIUrl":"https://doi.org/10.33552/ctcms.2019.01.000514","url":null,"abstract":"Background: Prediabetes is an important health issue which rarely draw health attention, and hence it is underestimated and under diagnosed. It is importance comes from the fact that it carries the same risk as Type 2 diabetes mellitus (T2DM) and the high potential risk to develop T2DM. Objectives: To determine the prevalence of prediabetes, impaired glucose tolerance (IGT) and the risk factors that increase acquisition of T2DM in Khartoum North Teaching Hospital-Khartoum-Sudan Material and Methods: It were descriptive cross-sectional hospital-based study carried out at Khartoum North Teaching Hospital-Khartoum-Sudan during the period September 2016 to April 2017. Four hundred participants above 40 years of age were incorporated. Data was collected by structure questionnaire. Fasting blood glucose and two hours postprandial was obtained by a finger puncture under aseptic conditions. World Health Organization criteria were adopted for the diagnosis of DM (fasting plasma glucose $7.8mmol L21 or plasma glucose of $11.1mmol L21, 2h after an oral anhydrous glucose load of 75g) and IGT (fasting plasma glucose ,7.8mmol L21 and plasma glucose between 7.8mmol L21 and 11.1mmol L21, 2 h after an oral glucose load of 75g). Ethical clearance and approval for conducting this research was obtained from the State Ministry of Health and the hospital and informed verbal consent was obtained from every respondent who agreed to participate in the study. Results: During the study period; a total of 400 volunteers above 40 years were recruited. Among which the males were 195 (48.8%) and the females were 205 (51.2%). All the participants were investigated by fasting blood glucose and two hours postprandial. Hba1c was request for 27 patients (6.8%) who showed impaired glucose for both fasting and two hours. The prevalence of prediabetes was 27 (6.75%), 24 (6.00%) has impaired GT, and 0.75% has IFG. Fasting blood glucose was found to be impaired in two patients whose age 51-60 year and in only one who was more than 60year, which is significant (p value= 0.01). Conclusion: Almost among","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125720874","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":"If Medical Science could provide a Solution to One Healthcare Issue which would you choose?","authors":"J. Gallagher","doi":"10.33552/ctcms.2019.01.000513","DOIUrl":"https://doi.org/10.33552/ctcms.2019.01.000513","url":null,"abstract":"Ischemic heart disease and stroke have remained leading causes of death globally since the turn of this century, accounting for 15.2 million deaths in 2016 [1]. Alzheimer’s disease and related dementias became the fifth leading cause of death in 2016 but were not in the top 10 in 2000, [1] and a study published this month in The Lancet notes that while cardiovascular disease is still the No. 1 cause of death worldwide, cancer has surpassed it in wealthier nations [2]. Would you pick a cure for one of these deadly diseases as the most pressing healthcare issue to solve, or would you give higher priority to development of a spectacular technological advancement such as artificial neural networks with the broad potential to resolve a number of fatal diseases? Before deciding on the healthcare issue most in need of an immediate solution, consider these lines from English poet Samuel Taylor’s “The Rime of the Ancient Mariner” [3]:","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"141 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116610597","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":"Pattern of The Buccal Branch of Facial Nerve Among A Sample of Sudanese Subjects: A Multicenters Study","authors":"S. Shafti","doi":"10.33552/ctcms.2019.01.000512","DOIUrl":"https://doi.org/10.33552/ctcms.2019.01.000512","url":null,"abstract":"","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131007770","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":"Adult Suicidal Behaviour of Native Psychiatric Inpatients: A Retrospective, Record-Based Study","authors":"S. Shafti","doi":"10.33552/ctcms.2019.01.000511","DOIUrl":"https://doi.org/10.33552/ctcms.2019.01.000511","url":null,"abstract":"Suicide is derived from the Latin word for “self-murder” It is a fatal act that represents the person’s wish to die. A suicide attempt is a behaviour that the individual has undertaken with at least some intent to die. The behaviour might or might not lead to death, injury or serious medical consequences. Several factors can influence the medical consequences of the suicide attempt, including poor planning, lack of knowledge about the lethality of the method chosen, low intentionality or ambivalence, or chance intervention by others after the behaviour has been initiated [1]. Determining the degree of intent can be challenging. Individuals might not acknowledge intent, especially in situations where doing so could result in hospitalization or cause distress to loved ones. Markers of risk include degree of planning, including selection of a time and place to minimize rescue or interruption; the individual’s mental state at the time of the behaviour, with acute agitation being especially concerning; recent discharge from inpatient care; or recent discontinuation of a mood stabilizer such as lithium or an antipsychotic such as clozapine in the case of schizophrenia. Approximately 25%-30% of persons who attempt suicide will go on to make more attempts. Suicidal behaviour is seen in the context of a variety of mental disorders, most commonly bipolar disorder, major depressive disorder, schizophrenia, schizoaffective disorder, anxiety disorders, substance use disorders, borderline personality disorder, antisocial personality disorder, eating disorders, and Abstract Introduction: Suicidal behaviour is seen in the context of a variety of mental disorders and while many believe that, in general, first episode psychosis is a particularly high-risk period for suicide, no general agreement regarding higher prevalence of suicide in first episode psychosis is achievable. In the present study, suicides and suicide attempts among psychiatric in-patients has been evaluated to assess the general profile of suicidal behaviour among native psychiatric inpatients and probing any relationship between serum cholesterol level and suicidal behaviour.","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123910629","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":"Panic Disorder: Definitions, Contexts, Neural Correlates and Clinical Strategies","authors":"G. Perrotta","doi":"10.33552/ctcms.2019.01.000508","DOIUrl":"https://doi.org/10.33552/ctcms.2019.01.000508","url":null,"abstract":"","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128434008","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":"Executive Functions: Definition; Contexts and Neuropsychological Profiles","authors":"Dott Giulio Perrotta","doi":"10.33552/ctcms.2019.01.000507","DOIUrl":"https://doi.org/10.33552/ctcms.2019.01.000507","url":null,"abstract":"Starting from the concept of \"executive functions\", we proceeded to describe the object under examination in a more complete and functional way, and their possible role in neuropsychology and developmental psychopathology. The use of statistical methods and clinical observation have allowed us to emphasize the understanding of the multicomponential structure of the processes themselves. Paying particular attention to the psychopathological contents listed in the DSM-V psychiatric manual, the main pathological forms were then analyzed to better contextualize the present discussion, also from a psychotherapeutic point of view, with the preferential choice of the strategic approach for the management of pathological disorders related to the deficit of executive functions","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131074220","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":"Inadvertent Sulfonylurea Overdose and treatment with Octreotide: A Case Report","authors":"S. Qureshi","doi":"10.33552/ctcms.2019.01.000509","DOIUrl":"https://doi.org/10.33552/ctcms.2019.01.000509","url":null,"abstract":"The most common complication of sulfonylurea overdose is hypoglycemia [1]. The toxicity is caused secondary to the exertion of the sulfonylurea pharmacological properties. It reduces the glucose level by release of insulin from beta cells of the pancreas [2]. Early symptoms of hypoglycemia from sulfonylureas are characterized by weakness, hunger, diaphoresis, pallor, palpitations, sinus tachycardia, headache, irritability, and tremor. If hypoglycemia remains untreated, neuroglycopenia may develop resulting in impaired concentration and judgment, confusion, blurred vision, drowsiness, and amnesia. Further progression can result in seizures or coma, and possibly death [3]. Conventional therapy of hypoglycemia with intravenous dextrose infusions may only temporarily correct blood sugar levels as sulfonylurea and active metabolite levels may remain high for a prolonged period of time resulting in persistent hypoglycemia [4]. Although octreotide use has been advocated as a first line therapy, indications and dosing are not firmly established. It has also been identified that the use of octreotide may reduce the incidence of recurrent hypoglycemia that is seen with dextrose-alone therapy. Our case report discusses a patient with severe hypoglycemia resulting from suicide attempt by ingesting 24 mg of glimepiride and highlights the response to treatment with octreotide after failed attempts to correct the patient’s hypoglycemia with dextrose.","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129811353","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":"Acetyl-Cholinesterase inhibitor as Add-On Medication in Schizophrenia: A controlled study","authors":"S. Shafti","doi":"10.33552/ctcms.2019.01.000506","DOIUrl":"https://doi.org/10.33552/ctcms.2019.01.000506","url":null,"abstract":"","PeriodicalId":355321,"journal":{"name":"Current Trends in Clinical & Medical Sciences","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134168888","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}