Clinical Medicine And Health Research Journal最新文献_第4页

A Case Report: Atrioventricular Block Secondary to Ruptured Sinus of Valsalva Aneurysm in A 12-Year-Old 一例报告:12岁的Valsalva动脉瘤窦破裂继发房室传导阻滞

Clinical Medicine And Health Research Journal Pub Date : 2023-10-14 DOI: 10.18535/cmhrj.v3i5.260

M. Abdelbaki, M. Touati

引用次数: 0

Levosimendan In Cardiology and Cardiac Surgery 左西孟旦在心脏病学和心脏外科中的应用

Clinical Medicine And Health Research Journal Pub Date : 2023-10-14 DOI: 10.18535/cmhrj.v3i5.259

M. Abdelbaki, Y. Sayad, A. Boureghda

{"title":"Levosimendan In Cardiology and Cardiac Surgery","authors":"M. Abdelbaki, Y. Sayad, A. Boureghda","doi":"10.18535/cmhrj.v3i5.259","DOIUrl":"https://doi.org/10.18535/cmhrj.v3i5.259","url":null,"abstract":"Introduction: levosimendan is an inodilator successfully used in the treatment of acute and chronic heart failure. Its use in the treatment of low cardiac output syndrome pre- and postoperatively after cardiac surgery under extracardiac circulation is poorly documented, but it appears to be a very interesting alternative in terms of morbimortality. Aim of the study: to evaluate the value of levosimendan versus dobutamine in the rapid weaning of inotropic drugs in low output patients awaiting cardiac surgery and after surgery under extracorporeal circulation. Materials and methods: sixty patients with low cardiac output syndrome before surgery on levosimendan and after cardiac surgery on extracorporeal circulation, requiring positive inotropic and vasopressor drugs (dobutamine ± noradrenaline). Post-operatively, in the context of drug weaning, we identified two groups : levosimendan group (n=30) and dobutamine group (n=30). In the levosimendan group, dobutamine was replaced immediately postoperatively by levosimendan. Hemodynamic parameters (MAP, HR, CI, ESV, SVR), ICU length of stay and 30-day mortality were assessed and compared between the two groups of patients. Results: Cardiac index was significantly higher in the levosimendan group than in the dobutamine group (2.8 [0.3] l/min/m² versus 2.3 [0.4] ml/min/m²) respectively, P Conclusion: the use of levosimendan in the treatment of low cardiac output syndrome before and after cardiac surgery with extracorporeal circulation resulted in rapid improvement in hemodynamic status with a short intensive care unit stay and low mortality.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135800312","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

Systemic Venous Return Abnormality Associated with An Abnormality of Total Pulmonary Venous Return 全身静脉回流异常与全肺静脉回流异常相关

Clinical Medicine And Health Research Journal Pub Date : 2023-10-14 DOI: 10.18535/cmhrj.v3i5.261

Mourad Abdelbaki, Wahib Bourida, A. Boureghda, Roudoci .

引用次数: 0

Role of Ayurvedic Panchakarma Treatment in Male Infertility (Severe Oligoasthenozoospermia) 阿育吠陀Panchakarma治疗男性不育症(重度少弱精子症)

Clinical Medicine And Health Research Journal Pub Date : 2023-10-06 DOI: 10.18535/cmhrj.v3i5.247

Dr. Md. Mehedi Hasan, Dr. Md. Fazlul Kabir, Dr. Md. Alahi Khandaker, Dr. Morusupalli Ramavani, Dr. Mahmuda Akter

引用次数: 0

Alveolar-Arterial Oxygen Gradient Ratio (Gaao2) As A Predictor of Early Mechanical Ventilation In A Patient with Suspected Sars Cov-2 Infection in the Adult Continuous Admission Area of The "Dr. Gaudencio González Garza” Of The La Raza National Medical Center. 在La Raza国家医疗中心“Dr. Gaudencio González Garza”成人连续住院区，肺泡-动脉氧梯度比(Gaao2)作为疑似Sars - Cov-2感染患者早期机械通气的预测因子

Clinical Medicine And Health Research Journal Pub Date : 2023-10-04 DOI: 10.18535/cmhrj.v3i5.248

Patricia Moreno López, José Correa Basurto, María de la Luz Rivera Guevara, Carlos Vera López, Ignacio Alberto Mendez de Jesus

{"title":"Alveolar-Arterial Oxygen Gradient Ratio (Gaao2) As A Predictor of Early Mechanical Ventilation In A Patient with Suspected Sars Cov-2 Infection in the Adult Continuous Admission Area of The \"Dr. Gaudencio González Garza” Of The La Raza National Medical Center.","authors":"Patricia Moreno López, José Correa Basurto, María de la Luz Rivera Guevara, Carlos Vera López, Ignacio Alberto Mendez de Jesus","doi":"10.18535/cmhrj.v3i5.248","DOIUrl":"https://doi.org/10.18535/cmhrj.v3i5.248","url":null,"abstract":"Background: Viruses and mainly COVID and the pneumonia it causes are among the pathologies that cause the greatest damage to the alveolus-capillary membrane of the lungs in patients with this disease. Objectives: To relate the alveolar arterial oxygen gradient (GAaO2) and the start of early mechanical ventilation in patients with SARS COV - 2 virus infection in the continuous admission area. Methodology: Descriptive, retrospective, observational, cross-sectional, with 165 clinical records of patients admitted to the emergency area in a period from April 2020 to 2021. Kolmogorov – Smirnov test, Mann-Whitney U and Pearson correlation coefficient were performed. with p>0.05, ROC curve for sensitivity and specificity with Youden index and multivariable regression analysis for correlation. Results: A cut-off point of GAaO2 = 210.25 was obtained with sensitivity of 95% and specificity of 94%, with 2 times more risk of starting mechanical ventilation and correlation of 89%. Conclusion: It was observed that the cut-off point was related to greater risk and correlation of initiation of mechanical ventilation. This is a reliable value to decide the start of invasive ventilation.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135646106","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

Dealing Chronic Diseases with Homoeopathy 用顺势疗法治疗慢性病

Clinical Medicine And Health Research Journal Pub Date : 2023-10-03 DOI: 10.18535/cmhrj.v3i5.250

Dr. Tridibesh Tripathy, Professor Shankar Das, Professor Dharmendra Pratap Singh, Dr. Umakant Prusty, Dr. Jeevan Krushna Pattanaik, Dr. Pramod Bihary Pradhan, Mr. Anil Dubey, Mr. Anjani Kumar, Ms. Sanskriti Tripathy, Mrs. Anjali Tripathy, Prof. Rakesh Dwivedi, Dr. Mohini Gautam

{"title":"Dealing Chronic Diseases with Homoeopathy","authors":"Dr. Tridibesh Tripathy, Professor Shankar Das, Professor Dharmendra Pratap Singh, Dr. Umakant Prusty, Dr. Jeevan Krushna Pattanaik, Dr. Pramod Bihary Pradhan, Mr. Anil Dubey, Mr. Anjani Kumar, Ms. Sanskriti Tripathy, Mrs. Anjali Tripathy, Prof. Rakesh Dwivedi, Dr. Mohini Gautam","doi":"10.18535/cmhrj.v3i5.250","DOIUrl":"https://doi.org/10.18535/cmhrj.v3i5.250","url":null,"abstract":"Since the time homoeopathy was introduced to the world in 1790 by Dr. Samuel Hahnemann, homoeopathy is popular for treating chronic diseases. When that was the case in late 18th, 19th & 20th century, homoeopathy was dealing with chronic diseases that were morbid but not mortal. In 21st century, after the epidemiologic transition, the chronic diseases have taken the form of Non-Communicable Diseases (NCD). [2, 15] 'These NCDs have not only morbidity but also high mortality'. The most hostile chronic diseases like diabetes, heart disease & cancer affects our health & reduces life expectancy. Conditions like heart disease, stroke, cancer, chronic respiratory diseases & diabetes are leading causes of death worldwide. These chronic diseases can affect viral organs like heart, lungs, kidneys & liver causing damage & impacting overall health & longevity & can lead to complications. [1, 2, 15] The article looks at the role of homoeopathy in dealing with the chronic diseases. It brings out the fact that homoeopathy can deal with not only treating these diseases but also prevent this diseases & promote health. The properties of homoeopathic medicines that are aligned to the essential medicines are also discussed. Finally, it mentions that these diseases can only be dealt only if Universal Health Coverage (UHC) is achievable. Achievability of UHC is only possible if the AYUSH systems are integrated into the mainstream & homoeopathy is an active component of this package. [12, 16, 17]","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135696616","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

An Overview of Physiotherapy Intervention on Prevention and Management of Open Fractures - A Literature Review 物理治疗干预预防和治疗开放性骨折的综述-文献综述

Clinical Medicine And Health Research Journal Pub Date : 2023-09-27 DOI: 10.18535/cmhrj.v3i5.246

Abdulkadir Abubakar Sulaiman, Dr. Vikas Sharma

{"title":"An Overview of Physiotherapy Intervention on Prevention and Management of Open Fractures - A Literature Review","authors":"Abdulkadir Abubakar Sulaiman, Dr. Vikas Sharma","doi":"10.18535/cmhrj.v3i5.246","DOIUrl":"https://doi.org/10.18535/cmhrj.v3i5.246","url":null,"abstract":"Study Design: A literature review was conducted in order to provide an overview of physiotherapy intervention on prevention and management of open fractures. Objectives: In addition to determining the issue and choosing the best approach to decrease or get rid of the source of the loss of movement, this research will review the key functions of physiotherapy in relation to fractures. It is still debatable whether open fractures should be treated with irrigation and debridement (I&D) within six hours after the injury. Materials and Methods: A narrative of the literature was performed by 21 articles with actual content based on relevant articles that were identified by a hard copy textbook, engines such as SCIENCE DIRECT, PUBMED, GOOGLESCHOLAR, ORTHOINFO and COCHRANE DATA BASE OF SYSTEMATIC REVIEW (www.cochrane.org),and CINALE. Website like physiopedia (www.physiopedia.com) was searched and published texts were `also reviewed in these studies. Results: For rapid primary wound closure in gustilo-anderson grade 1, 2, and 3 An open fracture, infection rates of 2 to 3 percent have been documented. When primary wound closure was attained for Gustilo-Anderson grade 3 B, complete wound healing, bone consolidation, and no need for secondary surgery were reported in 86.7% of cases. Conclusion: The most frequent open fractures are tibial, phalangeal, forearm, ankle, and metacarpal. Open fractures have a high rate of morbidity and mortality. All patients with open fractures require coverage for antibiotics and current tetanus injections. Optimal outcomes will result from early surgical care with involvement from plastic and vascular surgery as needed.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135538234","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

A Literature Review on Effects of Positioning and Early Ambulation on Coronary Angiography Complication 体位和早期走动对冠状动脉造影并发症影响的文献综述

Clinical Medicine And Health Research Journal Pub Date : 2023-09-21 DOI: 10.18535/cmhrj.v3i5.226

Sulaiman Abubakar Sulaiman, Dr. Shahiduz Zafar

引用次数: 0

The Relationship Between the Decrease in Longitudinal Systolic Function and High Filling Pressures in The Hypertensive Patients 高血压患者纵向收缩功能下降与高充盈压的关系

Clinical Medicine And Health Research Journal Pub Date : 2023-09-21 DOI: 10.18535/cmhrj.v3i5.238

Nabila Soufi Taleb Bendiab, Salim Benkhedda, Latifa Henaou

{"title":"The Relationship Between the Decrease in Longitudinal Systolic Function and High Filling Pressures in The Hypertensive Patients","authors":"Nabila Soufi Taleb Bendiab, Salim Benkhedda, Latifa Henaou","doi":"10.18535/cmhrj.v3i5.238","DOIUrl":"https://doi.org/10.18535/cmhrj.v3i5.238","url":null,"abstract":"Introduction: Heart failure with preserved LVEF (left ventricular ejection fraction) is an important cause of mortality and morbidity in hypertensive patients. A close correlation between the achievement of diastolic function and longitudinal systolic dysfunction could have several explanations, first the diastole is a dependent energy process, especially during its first phase, it also includes active systolic components during the iso volumetric relaxation phase. The objective of this work is to determine the effect of diastolic function on the drop in GLS (global longitudinal strain) in hypertensive patients with preserved LVEF. Materials and methods: This work is to perform in a series of 400 hypertensive patients (aged 25-75 years) an echo study full cardiographic, including the study of the systole-diastolic function, and the evaluation of the function by the longitudinal 2D strain. Results: Of the 400 hypertensive patients, 356 patients (89%) had impaired diastolic function, of which 46 patients (13%) had high filling pressures.144 patients had a high LA(left atrial) volume, of which 46 patients had high filling pressures. Of the 144 patients with high LA volume 118 patients (81.9%) had low GLS. The mean of blood pressure was significantly higher in patients with low GLS. There is a statistically very significant relationship between lower GLS, increased left atrium volume, and increased left ventricular filling pressures in hypertensive patients. Conclusion: The decline in longitudinal index of function, despite preserved LVEF, correlates well with increased left atrial volume, filling pressures in hypertensive patients with LVH (left ventricular hypertrophy). The association between hypertension with LVH and the deterioration of asymptomatic diastolic function is well recognized.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136236212","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

Effect of Nomophobia on Body Image Satisfaction and Aggression Among College Students 无恐惧症对大学生身体形象满意度和攻击性的影响

Clinical Medicine And Health Research Journal Pub Date : 2023-09-16 DOI: 10.18535/cmhrj.v3i5.233

Kavita Sharma

{"title":"Effect of Nomophobia on Body Image Satisfaction and Aggression Among College Students","authors":"Kavita Sharma","doi":"10.18535/cmhrj.v3i5.233","DOIUrl":"https://doi.org/10.18535/cmhrj.v3i5.233","url":null,"abstract":"Nomophobia characterized as the fear of being without a mobile phone or being unable to use it has become widespread in today's technologically advanced society. Given the growing reliance on mobile, it is essential to comprehend the potential psychological effects of nomophobia. Body image satisfaction is a person's subjective assessment and perception of their own physical appearance. It includes sentiments, attitudes, and general body pleasure, including weight, shape, size, and overall attractiveness. Excessive smartphone use may result in an obsession with virtual relationships, limiting face-to-face social interactions and empathy, which can contribute to violence. This research aimed to examine the influence of nomophobia on body image satisfaction and aggression. The study utilized a quantitative research design and collected data from a sample of college students (N = 52) using convenience sampling. Correlational analysis and regression analysis were also employed on the data. Findings suggest that the sample under study suffers from a moderate risk of nomophobia higher level of body image satisfaction and moderate levels of aggression. Also, there is a weak negative correlation between nomophobia and body image satisfaction and weak positive correlation between nomophobia levels and four aspects of aggression. In addition, nomophobia is not a significant predictor of college students' body image satisfaction and aggression. These findings highlight the detrimental effects of nomophobia on college students' psychological well-being. In conclusion, results suggest that guided intervention could help decrease the levels of nomophobia in college students, resulting in increased satisfaction with their body image and lower levels of aggression.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135308396","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