Advances in clinical and medical research (Chandigarh, India)最新文献

{"title":"Family Functioning In Patients With SARS-COV2","authors":"Riquelme-Heras Hector","doi":"10.52793/acmr.2021.2(1)-17","DOIUrl":"https://doi.org/10.52793/acmr.2021.2(1)-17","url":null,"abstract":"Background: The SARS-CoV-2 pandemic is the first in the modern world where social distancing has been so widespread in people's minds as never before in such a short time. Although social distancing is less harmful than quarantine, both have the potential to alter lifestyle, cause fear, financial distress and uncertainty. The objective of this study was to determine the cohesion and adaptability of the patient's family during the pandemic of SARS-CoV-2 infection. Methods: During the last quarter of 2020, we conducted a survey using the Google Forms platform using the FACES III questionnaire applied to families of patients on the UANL campus which has a Cronbach's alpha coefficient of 0.7%. Results: this study included 99 patients. Most of family patients with COVID-19 were a nuclear family (72.4), followed by extended families (13.3%) and a single parent (8.2) of which all lived in urban areas. Regarding the severity of COVID-19, 63.3% of the patients had mild symptoms, 20.4% had moderate symptoms, and only 9.2% were asymptomatic. In general, they had high cohesion and adaptability. For the cohesion class, the mean tendency was linked / clumped and adaptability was chaotic / flexible; however, we did not find any relationship between family class-severity of the disease and family cohesion or adaptability. We observe a greater tendency towards the type of family with high cohesion and adaptability, being by cohesion related and agglutinated, and by adaptability, flexible and chaotic, however, we did not find any association between the family type by kinship and the severity of the COVID-19 disease with the adaptability and cohesion of the family. The role of the family doctor in family support and the application of family interventions from the diagnosis of the disease, the follow-up, the recovery, and later is important, given the enormous psychosocial impact that the disease entails and the degree of stress and anxiety involved, as well as the relationship that the disease has on rearrangements in family dynamics and functionality.","PeriodicalId":72085,"journal":{"name":"Advances in clinical and medical research (Chandigarh, India)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49187730","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 Sustainable Approach To COVID-19 Testing -Forging A Public-Private-People Healthcare Initiative","authors":"K. Kris","doi":"10.52793/acmr.2021.2(1)-16","DOIUrl":"https://doi.org/10.52793/acmr.2021.2(1)-16","url":null,"abstract":"","PeriodicalId":72085,"journal":{"name":"Advances in clinical and medical research (Chandigarh, India)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44685642","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":"Critical Respiratory Dysfunction And Role Of Chest Physiotherapy In Sars Cov-2 Pandemic: A Case Series","authors":"Gowrishankar Potturi","doi":"10.52793/acmr.2021.2(1)-15","DOIUrl":"https://doi.org/10.52793/acmr.2021.2(1)-15","url":null,"abstract":"COVID-19 is a serious burden on the health care workers, administration and government on critical care resources due to large burden of cases requiring critical care. The spectrum of disease ranges from influenza like illness to fever, cough, fatigue, sputum production and shortness of breath. Early intervention with chest physiotherapy can prevent the need for intubation in COVID-19 patients with respiratory distress. Seven cases from ICU and Eight cases from the Isolation ward were selected for current study. All cases were RT-PCR positive. The patients were assessed for the SPO2 levels, Level of dyspnea, Anxiety and depression levels by Hospital anxiety and depression scale (HADS) pre intervention and post intervention. After the physiotherapy sessions, it was observed that the recovery is speeded and the patients anxiety and depression levels also decreased with increase in self-esteem and confidence in these cases. . As we know that the COVID-19 cases suffer from dyspnea, reduced rate and depth of respiration, weakness, anxiety and depression which can increase the risk of mortality. by designing individualized treatment protocols for a better outcome. The SARS-CoV-2 cases (N=15) were selected from ICU and Isolation ward following a recommendation for physiotherapy by senior physicians from Level 3 COVID hospital in Uttar Pradesh, India. Both males (N=13) and females (N=2) cases were selected for the study. An informed consent was taken from these subjects. Seven cases from ICU and eight cases from Isolation ward were selected for this study. All 15 cases were RT-PCR positive. The cases were assessed for the SPO2 levels, Level of dyspnea, anxiety and depression Early physiotherapeutic interventions in the form of NPF, PNF, ACBT, Accupressure, Aerobic activities improved the respiratory health along with reduction in anxiety and depression may result in good outcome in these cases. Early Physiotherapy when given regularly can avoid the need for mechanical ventilation, thus can prevent mortality in COVID-19 patients. Hence, early interventional physiotherapy can be incorporated in the scheduled treatment protocols of COVID-19 patients globally.","PeriodicalId":72085,"journal":{"name":"Advances in clinical and medical research (Chandigarh, India)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47059483","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":"Measurement Of Life Events In Elderly Adults In A Mexican Population","authors":"Hector Riquelme-Heras","doi":"10.52793/acmr.2021.2(1)-14","DOIUrl":"https://doi.org/10.52793/acmr.2021.2(1)-14","url":null,"abstract":"Introduction: Life events or crisis are any circumstance or experience in the life of a person or family that generates stress or tension and a change. Aging is an irreversible, decreasing process of gradual losses and transformations at the biological, psychological, and social levels. Objective: To know the most stressful life events and compare their frequency and impact on older adults in a Family Medicine Unit. Method: A cross-sectional, descriptive, and prospective study, survey type; in 200 people over 60 years at primary care was done. Holmes and Rahe's scale measuring the impact of life events of the last year with 42 reagents according to the intensity of the event was applied. The assessment was made in SPSS version 25 for Windows. Items were added and when it was higher than 150 it was considered that it may affect the family or health status. A significance of p <0.05 was used. Results: Older adults experienced 4.2 life events per year, with a minimum of one and a maximum of 10. The most frequent crisis was the illness of a close relative; the most stressful was the death of the spouse and the least stressful the vacation period. The minimum value given to an event was 35. The minimum given by Holmes and Rahe was 10. The maximum value of both was 100. to change, so these crises can be both positive and negative for life. A person can be in more than one stressful situation at the same time. The stressful life events described by them are exposed on the scale, ranging from number 1 with a score of 100 to 42 with a minimum score of 10. [7,18,19]. Given that each culture the score can be modified by the assessment of stress, and that the impact of life Conclusions: The intensity with which older adults in Mexico experience life events is higher than that described by Holmes and Rahe. The impact is also quantified differently. The average score was high and it can affect the health of elderly adults and the family.","PeriodicalId":72085,"journal":{"name":"Advances in clinical and medical research (Chandigarh, India)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45109303","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":"Role Of Physiotherapy In Improving Physical And Psychological Dimensions Of Sexual Health In Post-Stroke Survivors-A Randomized Control Trail","authors":"G. Potturi","doi":"10.52793/acmr.2021.2(1)-13","DOIUrl":"https://doi.org/10.52793/acmr.2021.2(1)-13","url":null,"abstract":"Background & purpose: Sexual dysfunction being an important disability of stroke, which is often least addressed by the patient as well as health care workers and can influence the quality of living among the stroke survivors as well as their partners in a negative way. The present study was conducted with an aim to examine the effect of sexual rehabilitation in the form of structured Physiotherapy and counseling on physical and psychological dimensions of sexual health in post-stroke patients. Group A and Group B are found to be significant. There was significant improvement in physical and psychological dimensions of sexual health in experimental group i.e Group B. Conclusion: From this study it is concluded that Physiotherapy in the form of a structured rehabilitation program and verbal communication improves the Physical and Psychological dimensions of sexual health in Post- stroke patients.","PeriodicalId":72085,"journal":{"name":"Advances in clinical and medical research (Chandigarh, India)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43496919","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 Rare Case Of HLA2B27 Positive Presenting With Spondyloarthreditis And Enthesial Inflammation With Negative Rheumatoid Factor, ANA, Who Responded To Methyl Prednisolone Along With Hydroxychloroquine","authors":"K. Kaur","doi":"10.52793/acmr.2020.1(2)-12","DOIUrl":"https://doi.org/10.52793/acmr.2020.1(2)-12","url":null,"abstract":"Spondyloarthreditis and Enthesial with Negative Rheumatoid ANA, who Responded to Methyl Prednisolone along Hydroxychloroquine. Abstract HLAB27 related conditions represents a group of HLA-B27 associated disorders that are HLA-B27 related uveitis and members of the spondyloarthritides which include reactive arthritis, psoriatic arthritis, and Ankylosing Spondylitis","PeriodicalId":72085,"journal":{"name":"Advances in clinical and medical research (Chandigarh, India)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41329661","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 Cross-Sectional Survey Of Availability And Technical Feasibility Of Basic Medical Equipment To Run Community-Based Clinical Trial Sites, In Cross River State, Nigeria","authors":"Sylvester Ekom, Nsed Ebaye","doi":"10.52793/acmr.2020.1(2)-11","DOIUrl":"https://doi.org/10.52793/acmr.2020.1(2)-11","url":null,"abstract":"Background : The ravaging penetration of communities and rural populations by epidemics of new Out of the 78 participants randomly selected, seventy-five completed the study. Seventy nine percent of the participating community-based clinical trial sites had onsite laboratory facility, 92% had a pharmacy with space for study drug storage. A functional centrifuge was available in 73% of the sites and computer with internet access was available in 76% of the participating community-based clinical trial sites. Urinalysis device and a refrigerator were each available in 100% of the study sites. A power generating set for electricity backup was available in 99% while electrocardiography (ECG) machine was available in 52% of these private-sector community-based clinical trial sites. Conclusion: These resources finding very unique study revealed that the community-based clinical trial sites in Cross River State, Nigeria, had all necessary basic medical equipment which can be sufficient to run Pharmaceutical company sponsored clinical studies. The availability and technical feasibility of the equipment in these trial sites were adequate to influence perception of affordability of care for patients; ensure quality and safety to trial subjects, generate, and document reliable clinical trial data. A qualitative research with semi questions. This a cross-sectional survey with observational visits to the 75 randomly selected private-sector medical practices.","PeriodicalId":72085,"journal":{"name":"Advances in clinical and medical research (Chandigarh, India)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49193948","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 Cross-Sectional Survey Of Availability And Technical Feasibility Of Basic Medical Equipment To Run Community-Based Clinical Trial Sites, In Cross River State, Nigeria","authors":"Mason R Pearce, V. Gallicchio","doi":"10.52793/jscr.2021.3(2)-35","DOIUrl":"https://doi.org/10.52793/jscr.2021.3(2)-35","url":null,"abstract":"","PeriodicalId":72085,"journal":{"name":"Advances in clinical and medical research (Chandigarh, India)","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71005493","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":"Immunonutrition And Corona Virus Disease 2019 (Covid-19)","authors":"K. Kris","doi":"10.52793/acmr.2020.1(2)-09","DOIUrl":"https://doi.org/10.52793/acmr.2020.1(2)-09","url":null,"abstract":"Introduction In late December 2019, severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) initially emerged in Wuhan, Hubei, China, causing the potentially fatal COVID-19. It was then officially declared as a pandemic by the World Health Organization on 11 March 2020. This paper assesses the existing facts concerning to immune-nutrition, with a specific focus on respiratory viruses. In the nutrition segment, a promising body of facts exploring inter-relationships between certain nutrients and immune capability already occurs. This could possibly be crucial in assisting the body to cope with the corona virus, particularly among the elderly. Facts for vitamin C, vitamin D and zinc and their functions in preventing pneumonia and respiratory infections (vitamins C and D) and strengthening immunity (zinc) seems predominantly promising. One recent review recognized that arrange of micro nutrients are essential to meet the complex requirements of the immune system, including vitamins A, D, C, E, B6, B12, folate, copper, iron, zinc and selenium, with numerous of these having likely synergistic associations. Nevertheless, it was reckoned that the major body of evidence linked to immune function occurred for vitamin C, D and zinc [1].","PeriodicalId":72085,"journal":{"name":"Advances in clinical and medical research (Chandigarh, India)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49287663","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":"Presence Of Rib Notching As An Indicator Of Hypertension And Its Sequelae In Cardiovascular Diseases In An Historic African American Skeletal Population","authors":"Fatimah Jackson","doi":"10.52793/acmr.2020.1(2)-10","DOIUrl":"https://doi.org/10.52793/acmr.2020.1(2)-10","url":null,"abstract":"as an Indicator of Hypertension and its Sequelae Diseases in Abstract Background : Cardiovascular disease (CVD) is the leading cause of death in the United States and around the world. A plethora of scientific findings identify African Americans as having the highest rates of CVD in comparison to other racial/ethnic groups in the United Sates. Associated with a wide range of congenital and chronic cardiac disorders, rib notching is a pathognomonic notches were not included in the data. Results : From the 53 individuals that were identified as having rib notching, 44 of them were due to cardiovascular ailments while the others were due to pathologies that could potentially lead to hypertension if left untreated. Males were more likely to have rib notching when compared to their female counterparts. Conclusion : From the results of this study, a strong link is observed between CVD and rib notching. This makes rib notching assessment a useful diagnostic tool for historical skeletal samples or for confirming previous diagnoses of CVD. This study also provides a major improvement to our understanding of CVD in historical African American populations. The historical context of diseases now rampant in the African American community can inform clinicians in their efforts to develop precision interventions designed to treat CVD in this vulnerable population.","PeriodicalId":72085,"journal":{"name":"Advances in clinical and medical research (Chandigarh, India)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46676690","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}