{"title":"Epidemiological Features of Non-Sustained Ventricular Tachycardia in Acute Coronary Syndrome with ST Segment Elevation.","authors":"Hanane ZOUZOU","doi":"10.18535/cmhrj.v3i5.231","DOIUrl":"https://doi.org/10.18535/cmhrj.v3i5.231","url":null,"abstract":"Background: Non-Sustained Ventricular Tachycardia is the most frequent ventricular arrhythmias in acute coronary syndrome with ST segment elevation, the assessment of its incidence and prognosis have been the subject of several international studies, but its epidemiological data is lacking in Algeria.\u0000Aims: The main objective of our study is the determination of the frequency of Non-Sustained ventricular tachycardia in acute coronary syndrome with ST segment elevation, the secondary objective was the analysis of predictive factors of this arrhythmia, and related mortality.\u0000Methods and materials: In this prospective study, conducted in the cardiology department of Hussein Dey hospital (Algiers-Algeria), 467 patients with acute coronary syndrome with elevated ST segment (87 women and 380 men) were enrolled between 28 February 2014 and 16 July 2015. The average age is 60 ± 13 years; at admission, a Holter recorder was attached for continuous ECG monitoring during 48 hours\u0000Kruskal’s ANNOVA or H tests were used for comparison of quantitative variables, χ2 test or Fisher’s exact test, were used for qualitative variables, all tests were performed with 1st species risk of 5%.\u0000Results: The frequency of Non-Sustained Ventricular Tachycardia is 28.3 % (132 patients), CI 95%: [24.2%-32.4%], multivariate analysis identified the following independent predictors: Age ≤ 58 years, current active smoking, presence of akinetic segment in echocardiography, and short time from symptom onset to emergency room.\u0000The risk of in-hospital mortality is low, but not significant (Hazard Ration of 0.156. CI 95%: [0.21-1.177], p = 0.072)\u0000Conclusion: NonSustained Ventricular tachycardia is the most frequent arrhythmias during acute coronary syndrome with elevated ST segment, its predictive factors according to our study are: Age ≤ 58 years, current active smoking, presence of akinetic segment in echocardiography, and short time from symptom onset to emergency room. The risk of in-hospital mortality is low, but not significant","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135437098","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}
Karine Cristine Prado da Silva, Maria Eleonora Feracin da Silva Picoli, Simone Camargo de Oliveira Rossignolo, Luciana Pietro
{"title":"Vitamin D and High Blood Pressure","authors":"Karine Cristine Prado da Silva, Maria Eleonora Feracin da Silva Picoli, Simone Camargo de Oliveira Rossignolo, Luciana Pietro","doi":"10.18535/cmhrj.v3i5.230","DOIUrl":"https://doi.org/10.18535/cmhrj.v3i5.230","url":null,"abstract":"Introduction: Cardiovascular diseases are the main cause of death in the world, and some of these diseases can be controlled or avoided with a healthier lifestyle. These diseases are often associated with the emergence of other diseases such as diabetes mellitus, obesity, high cholesterol levels and high blood pressure. Research has shown that vitamin D deficiency can be a factor that also helps in the appearance of these diseases, since if the serum levels of vitamin D are adequate, it can help in the control and prevention of these diseases. Objectives: To evaluate the relationship between vitamin D and cardiovascular diseases, specifically systemic arterial hypertension and its effects. Methods: A systematic review was carried out by searching for original articles in scientific databases: Pubmed, Science Direct, Lilacs and Scielo in English and Portuguese. Results: No conclusive data were found for the indication of vitamin D supplementation in the treatment of systemic arterial hypertension, due to its lack of efficiency so far, requiring further research to better clarify the subject. Conclusion: The results obtained do not present conclusive data for the indication of vitamin D supplementation in the treatment of systemic arterial hypertension, due to its lack of efficiency up to the present moment, more research is necessary for a better clarification on the subject.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135827417","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":"Comparations Controlled Cord Traction and Manual Removal of Placenta in Caesarean Section: Prospective Study of Somali Pregnant Women","authors":"Adil Barut M.D., Deka Omer Mohamud M.D.","doi":"10.18535/cmhrj.v3i5.227","DOIUrl":"https://doi.org/10.18535/cmhrj.v3i5.227","url":null,"abstract":"Aim: This study sought to examine the intraoperative and postoperative outcomes of Controlled cord traction and manual removal of the placenta in the third stage of labour during the caesarean section. Methods: We prospectively enrolled pregnancies who were admitted to the clinic of the Department of obstetrics and Gynaecology for caesarean section (Pfannenstiel method) in addition to providing sociodemographic data (age, body mass index) and clinical data (haemoglobin, total operative time, removed placenta total time, postpartum haemorrhage, need to blood transfusion, hospital stay, intensive care unit (ICU) admission, postoperative eating and drinking time, and intrabdominal blood). Results: Of 196 participating women, 98 performed controlled cord traction removal of the placenta, and 98 performed manual removal. The controlled cord traction removal of the placenta group and the manual removal of the placenta group had similar blood loss (haemoglobin drop) and postpartum haemorrhage (p>0.05). In the controlled cord traction removal of placenta group, significant intra-operative findings were shorter removal of placenta time (18.7±10.6 vs 28.6±13.1 second, p=0.0001), shorter total operative time (36.3±10.7 vs 41.8±11.4, p=0.003) and lower prevalence of presenting intrabdominal blood (12.2% vs 26.7%, p=0.021). Significant postoperative findings were earlier eating time ( 15.0±7.3 vs 19.6±14.4 hours, p=0.011) and lower incidence of endometritis ( 1% vs 4.1%, p=0.042) compared with the manual removal of placenta. Conclusion: The umbilical cord traction maneuverer for the placenta delivery had more advantages than the manual removal maneuverer. This technique should be recommended during the third stage of labour during the caesarean section.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136192986","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}
Olusoji A. Onabanjo, Solomon O. Nwhator, Fatiu A. Arogundade
{"title":"Effect of Non-Surgical Periodontal Therapy on Renal Function Among Pre-Dialysis Chronic Kidney Disease Patients","authors":"Olusoji A. Onabanjo, Solomon O. Nwhator, Fatiu A. Arogundade","doi":"10.18535/cmhrj.v3i4.211","DOIUrl":"https://doi.org/10.18535/cmhrj.v3i4.211","url":null,"abstract":"Background: Association between chronic kidney disease (CKD) and periodontitis has been established. The aim of this study was to determine the effect of non-surgical periodontal therapy (NSPT) on renal function among pre-dialysis CKD patients. Methods: This is an intervention study involving 120 CKD participants. 60 CKD participants constituted the intervention group while 60 CKD participants constituted the control group. Blood samples were collected from all participants at baseline and after 3 months for the measurement of high sensitivity C-reactive protein (hsCRP), interleukin-6 (IL-6), and serum creatinine for the estimation of glomerular filtration rate (eGFR). Periodontal clinical examination was performed in all participants at six sites per tooth by the researcher for the measurement of Probing Pocket Depth (PPD) and Clinical Attachment Loss (CAL). The intervention group received NSPT (scaling and root planning) and oral hygiene motivation while the control group received only oral hygiene motivation only. Re-evaluation was done after 3 months. Results: In this study, three months post NSPT, PPD reduced from 5.44mm to 3.17mm (P < 0.01) and CAL from 6.29mm to 4.29mm (P < 0.01) in the intervention group. There was also a statistically significant reduction in the mean values of hsCRP and IL-6 at 3 months post NSPT in the intervention group (p<0.01). However, there was no reduction observed in the control group (p=0.59 and 0.66) respectively. Estimated GFR (eGFR) for the intervention group improved from 40.55 mL/min/1.73m2 to 43.22 mL/min/1.73m2 three months post NSPT (P < 0.01). Conclusion: This study demonstrates the potential beneficial effects of NSPT on renal function among pre-dialysis CKD participants as estimated by improvement in eGFR.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135265272","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}
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