Australasian Medical Journal最新文献_第7页

Prevalence, patterns and predictive factors of non-alcoholic fatty liver disease among morbidly obese patients undergoing sleeve gastrectomy 接受袖胃切除术的病态肥胖患者非酒精性脂肪肝的患病率、模式和预测因素

Australasian Medical Journal Pub Date : 2018-01-01 DOI: 10.21767/AMJ.2017.3306

A. R. A. Manasra, M. Hani, H. Qandeel, M. Alqudah, Ruba A. Khasawneh, Mohammad Amir, Khalid Al Sawalmeh, Hiba Al Zou b

{"title":"Prevalence, patterns and predictive factors of non-alcoholic fatty liver disease among morbidly obese patients undergoing sleeve gastrectomy","authors":"A. R. A. Manasra, M. Hani, H. Qandeel, M. Alqudah, Ruba A. Khasawneh, Mohammad Amir, Khalid Al Sawalmeh, Hiba Al Zou b","doi":"10.21767/AMJ.2017.3306","DOIUrl":"https://doi.org/10.21767/AMJ.2017.3306","url":null,"abstract":"Background Obesity related non-alcoholic fatty liver disease (NAFLD) is increasingly recognized worldwide. Aims We aim to describe prevalence, histologic patterns, and risk factors of NAFLD in morbidly obese patients undergoing sleeve gastrectomy. Methods A prospective study included 49 obese patients undergoing sleeve gastrectomy, with concomitant true cut liver biopsy. Exclusion criteria included history of alcohol intake, liver disease, or hepatotoxic agents’ intake. Clinical, biochemical, and histological features were evaluated. Histological patterns were classified based on the NIH-sponsored NASH Clinical Research Network NAFLD Activity Score (NAS). Results Seventy-three per cent were females, mean age 34 (range 17–58). Mean BMI was 43 (35–52). 45 patients (91.8 per cent) showed NAFLD. Nineteen (39 per cent) showed nonalcoholic steatohepatitis (NASH) and 5 (10 per cent) showed fibrosis. 4 biopsies (8 per cent) were normal. About 31 per cent of NAFLD patients had metabolic syndrome as defined by the international diabetes federation consensus. While nineteen patients (38.5 per cent) had abnormality in one or both transaminase levels, 71 per cent of patients with elevated AST had NASH. The prevalence of dyslipidaemia (abnormal lipid profile) in all study patients was found to be 47 per cent. 24 per cent of NAFLD patients and 16 per cent of NASH patients had DM. Conclusion NAFLD has a very high prevalence among our morbidly obese patients. Multiple biochemical abnormalities were evident in association with the histological changes detected in NAFLD categories. Intraoperative liver biopsy is safe during sleeve gastrectomy for the diagnosis of NAFLD.","PeriodicalId":46823,"journal":{"name":"Australasian Medical Journal","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68183261","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

Utility of 18-Fluorodeoxyglucose positron emission tomography in the prediction of ventricular tachycardia and advanced conduction disease in patients with cardiac sarcoidosis 18-氟脱氧葡萄糖正电子发射断层扫描在预测心脏结节病患者室性心动过速和晚期传导疾病中的应用

Australasian Medical Journal Pub Date : 2018-01-01 DOI: 10.21767/AMJ.2018.3218

Roy Chung, Wilson Tang, R. Brunken, G. Novaro, D. Culver, P. Tchou

{"title":"Utility of 18-Fluorodeoxyglucose positron emission tomography in the prediction of ventricular tachycardia and advanced conduction disease in patients with cardiac sarcoidosis","authors":"Roy Chung, Wilson Tang, R. Brunken, G. Novaro, D. Culver, P. Tchou","doi":"10.21767/AMJ.2018.3218","DOIUrl":"https://doi.org/10.21767/AMJ.2018.3218","url":null,"abstract":"Background The diagnosis and management of cardiac sarcoidosis (CS) along with the recognition of high risk features remains a significant challenge. Failing to identify reliable disease prognosticators often results in fatal ventricular arrhythmia or heart failure. Aims This study sought to determine the association of regional fluorodeoxyglucose positron emission tomography ( 18 FDG PET) patterns and the presence of ventricular tachycardia (VT) storm and conduction disease in patients with CS. Methods In an observational cohort analysis, patients with a working diagnosis of CS who underwent 18 FDG PET imaging were included. Baseline clinical data and 18 FDG PET data were collected and analysed. Results A total of 57 patients with CS were studied. All had abnormal 18 FDG PET imaging consisting of inflammation, scar or combination of both. VT storm was present in 33 per cent of the cohort, while 63 per cent had high grade conduction disease. Mean inflammatory burden noted on 18 FDG PET in those with VT storm was 12 per cent. Inflammation involving ≥2 basal septal or mid septal segments (>15 per cent myocardium) was an independent predictor of VT storm (OR: 9.62, 95 per cent CI 1.97–46.9, p=0.005). The degree of inflammatory burden and regional inflammation pattern on 18 FDG PET demonstrated significant concordance with the presentation of VT storm. Inflammation in the anteroseptal segment was associated with high grade conduction disease (OR: 8.00, 95 per cent CI 0.94–68, p=0.029). Conclusion The presence of >15 per cent myocardial inflammation on 18 FDG PET imaging and regional inflammation ≥2 basal or mid septal segment significantly correlated with risk of ventricular arrhythmia specifically VT storm regardless of scar burden.","PeriodicalId":46823,"journal":{"name":"Australasian Medical Journal","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68183614","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

Rapidly growing vaginal mass: Benign or malignant? 快速增长的阴道肿块:良性还是恶性?

Australasian Medical Journal Pub Date : 2018-01-01 DOI: 10.21767/amj.2018.3402

A. Yordanov, S. Strashilov, M. Karamanliev, S. Slavchev, P. Vasileva, Yoana G. Ivanova

引用次数: 0

A multibody model for the optimization of hip arthroplasty in relation to range of movement 基于运动范围的髋关节置换术优化多体模型

Australasian Medical Journal Pub Date : 2018-01-01 DOI: 10.21767/AMJ.2018.3444

E. Zanetti, C. Bignardi, M. Terzini, G. Putame, A. Audenino

引用次数: 10

Effect of self-assessment training in preclinical endodontic courses on the clinical performance of undergraduate dental students 临床前牙髓学课程中自我评估训练对牙科本科生临床表现的影响

Australasian Medical Journal Pub Date : 2018-01-01 DOI: 10.21767/AMJ.2018.3458

R. Abiad

{"title":"Effect of self-assessment training in preclinical endodontic courses on the clinical performance of undergraduate dental students","authors":"R. Abiad","doi":"10.21767/AMJ.2018.3458","DOIUrl":"https://doi.org/10.21767/AMJ.2018.3458","url":null,"abstract":"Background Root canal treatment (RCT) of molar teeth is very challenging to undergraduate dental students. Wellstructured self-assessment was shown to be the key for improving quality of dental education so that graduates could be properly prepared to act independently in dental practice. Aims To observe the effect of rubric self-assessment teaching during the preclinical stage on the performance of undergraduate students in treating patients’ molars. Methods An improved rubric was introduced to the endodontic preclinical stage through which 128 students were trained on self-assessing their practical work over an entire year (Group A). While 149 students (Group B) were taught without self-assessment. The following year, during the clinical stage, both groups were asked to treat single rooted teeth only, after they finish at least ten teeth, students who feel confident enough were allowed to do simple molar cases. The effect of new system on the ability of undergraduate students to perform root canal treatment on patients’ molars was studied. Results All students taught on self-assessment where able to perform RCT on patients’ on molars before graduation (100 per cent) in comparison to 73.83 per cent for the students of the previous groups. There was statistically significant difference for the average number of molars treated per student: 6.06 for Group A in comparison to 3.00 for Group B. All analysis was performed with 0.05 level of set significance using the statistical software SPSS 16.0 for Windows. Conclusion When cases are properly selected, ttechnical part of root canal treatment must not be time consuming if the student is properly trained on how to assess his own work.","PeriodicalId":46823,"journal":{"name":"Australasian Medical Journal","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185747","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: 3

Incidence and outcome of renal anomalies in children with down syndrome 唐氏综合征患儿肾脏异常的发生率和预后

Australasian Medical Journal Pub Date : 2018-01-01 DOI: 10.21767/AMJ.2017.3152

O. Safdar, R. Al-Bloushy, S. Sait, S. Almadani, A. Ismail

{"title":"Incidence and outcome of renal anomalies in children with down syndrome","authors":"O. Safdar, R. Al-Bloushy, S. Sait, S. Almadani, A. Ismail","doi":"10.21767/AMJ.2017.3152","DOIUrl":"https://doi.org/10.21767/AMJ.2017.3152","url":null,"abstract":"Background Down syndrome is one of the most common occurring chromosomal disorders, which involves multiple systems. Renal and urinary tract anomalies have been reported to occur at increased frequency among this population. Aims This study aims to estimate the prevalence of renal anomalies in Down syndrome patients, as well as to evaluate their outcome. Methods A retrospective study was conducted in the tertiary hospital, KAUH, from the period of August to October 2016. Files and medical records of 261 patients diagnosed with Down syndrome were reviewed and retrieved from the years 2005–2016. Results Out of the 241 patients, 113 (46.9 per cent) were screened by ultrasound imaging. Renal abnormalities were detected in 51 (21.2 per cent) patients. Of whom 20 (39.2 per cent) were females and 31 (60.8 per cent) males. Abnormalities detected on imaging consisted of: hydronephrosis, vesicoureteral reflux, obstruction, malpositioned kidney, renovascular anomalies and others. The outcomes of the patients with renal involvement were as following: five patients (9.8 per cent) developed chronic kidney disease, eight (15.7 per cent) died due to different causes: (DIC, multiple organ failure, Respiratory arrest, sepsis, and unspecified), and 38 (74.5 per cent) showed no progression of the renal disease. Conclusion The prevalence of renal abnormalities in Down syndrome was found to be high so early screening for Down syndrome patients is recommended to help diagnose them earlier. Further studies are recommended to follow up Down syndrome patients with renal abnormalities.","PeriodicalId":46823,"journal":{"name":"Australasian Medical Journal","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68181528","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 use of traditional medicines to lower blood pressure 使用传统药物来降低血压

Australasian Medical Journal Pub Date : 2018-01-01 DOI: 10.21767/AMJ.2018.3269

R. Rahmawati, B. Bajorek

引用次数: 5

Anaphylaxis to Moringa oleifera: First description 辣木过敏反应:首次描述

Australasian Medical Journal Pub Date : 2018-01-01 DOI: 10.21767/AMJ.2018.3344

L. Berglund

引用次数: 3

Workers´ health disorders: Burnout syndrome on public servers 工作人员的健康障碍:公共服务人员的职业倦怠综合症

Australasian Medical Journal Pub Date : 2018-01-01 DOI: 10.21767/amj.2018.3426

Pamela Acosta Rodas, Caterina Frattessi Zambrano, Janio Jadán Guerrero, C. Galarza

{"title":"Workers´ health disorders: Burnout syndrome on public servers","authors":"Pamela Acosta Rodas, Caterina Frattessi Zambrano, Janio Jadán Guerrero, C. Galarza","doi":"10.21767/amj.2018.3426","DOIUrl":"https://doi.org/10.21767/amj.2018.3426","url":null,"abstract":"Background Burnout syndrome encompasses emotional tiredness, depersonalization and the sense of low personal fulfilment. Aims The aim of this study is to analyse Burnout syndrome on public servers. Methods Participants were 121 employees of public institutions, where 46 were females (38.02 per cent) and 75 males (61.98 per cent), aged between 24 and 58 years (Mage=36.21, SD=7.98). As measurement regent Maslach Burnout Inventory General Survey was applied. As statistical analyses descriptive techniques of central tendency and dispersion were conducted. Inferential analyses encompassed correlation techniques, variance comparison and risk factor prediction. Results There were found significant correlations among Burnout dimensions: (a) emotional tiredness, (b) depersonalization, and (c) low personal fulfilment (r=0.32–0.63). Between 5 per cent and 20 per cent of workers presented a high risk to present Burnout’s symptomatology. Male gender presented 1.39 (IC 0.61–3.15) and 1.12 (IC 0.48–2.60) times more probability to present low personal fulfilment and depersonalization respectively. Females presented 1.39 (IC 0.61–3.15) times more probability to present emotional tiredness. According to educational level, workers with secondary level presented lower personal fulfilment (F=4.33, p=0.002) than those with higher educational level. Conclusion Analyses of data in relationship with previous studies are realized, highlighting the need to implement future interventions in order to diminish the risk for a public server to present the Burnout syndrome.","PeriodicalId":46823,"journal":{"name":"Australasian Medical Journal","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185668","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

Screening of attention deficit hyperactivity disorder in children aged 3 to 6 years and 11 month olds 3 - 6岁及11个月大儿童注意缺陷多动障碍的筛查

Australasian Medical Journal Pub Date : 2018-01-01 DOI: 10.21767/AMJ.2018.3530

S. Amiri, Ayyoub Malek, H. Sadeghi-Bazargani, Mona Mansouri, L. Fanid, Salman Abdi, Habibeh Barzegar, Ali Bahari Gharehgoz

{"title":"Screening of attention deficit hyperactivity disorder in children aged 3 to 6 years and 11 month olds","authors":"S. Amiri, Ayyoub Malek, H. Sadeghi-Bazargani, Mona Mansouri, L. Fanid, Salman Abdi, Habibeh Barzegar, Ali Bahari Gharehgoz","doi":"10.21767/AMJ.2018.3530","DOIUrl":"https://doi.org/10.21767/AMJ.2018.3530","url":null,"abstract":"Background ADHD (Attention deficit hyperactivity disorder) is a multifactorial disorder, defined by hyperactivity, impulsivity and attention deficits. Symptoms of ADHD begins during early childhood and negatively affects functionality at various levels. Aims This descriptive and cross-sectional study was conducted in 2016 to screen for Attention Deficit Hyperactivity Disorder in children aged 3 to 6 years, 11 months olds of Tabriz in Iran. Methods A total of 737 children aged 36 months to 6 years, 11 months in Tabriz were randomly selected from kindergarten and preschool centres. Both the Conners Early ChildhoodParent and -Teacher forms were used to estimate the prevalence of ADHD. Results The results indicated that the prevalence of ADHD was 337 (45.7 per cent) based on Conners EC-Parent, 416 (56.4 per cent) according to Conners EC-Teacher, and 225 (30.5 per cent) based on the both Conners EC-Teacher & Parent scales. The results of Fischer's exact test showed that the prevalence of ADHD in boys (n=117, 35.3 per cent) was significantly higher than that of the girls (n=108, 26.6 per cent) (p=0.01, X 2 =6.57). The results of Chi-square test indicated that there was no difference among different age groups in terms of the prevalence of ADHD (X 2 =2.86, p=0.41). Conclusion ADHD screening based on the Conners EC-Teacher & Parent forms was estimated to be 30.5 per cent. The regional prevalence of ADHD appears to be greater among children under the age of 7, although the use of the new Conners EC tool in this study could have possibly affected the ADHD prevalence estimates.","PeriodicalId":46823,"journal":{"name":"Australasian Medical Journal","volume":"95 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68187191","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