Advances in internal medicine最新文献_第2页

Study of Endoscopic Findings in First Episode of Upper Gastrointestinal Bleeding 首次上消化道出血的内镜表现研究

Advances in internal medicine Pub Date : 2021-05-14 DOI: 10.3126/JAIM.V10I1.37085

K. Adhikari, R. Mandal

引用次数: 1

COVID-19: Vaccine and antimicrobial resistance what are the global implications? 新冠肺炎：疫苗和抗微生物耐药性对全球有何影响？

Advances in internal medicine Pub Date : 2021-05-14 DOI: 10.3126/JAIM.V10I1.37099

J. Robinson, Alexandra Leclézio, I. Banerjee

引用次数: 1

Association between lipid indices and 10-year cardiovascular risk of a cohort of black Africans living with type 2 diabetes mellitus 血脂指数与非洲黑人2型糖尿病患者10年心血管风险之间的关系

Advances in internal medicine Pub Date : 2021-05-14 DOI: 10.3126/JAIM.V10I1.37090

T. Azeez

引用次数: 2

SARS-CoV-2 vaccines and their challenges against the variants 严重急性呼吸系统综合征冠状病毒2型疫苗及其对变种的挑战

Advances in internal medicine Pub Date : 2021-05-14 DOI: 10.3126/JAIM.V10I1.37080

U. Shrestha

引用次数: 3

Safe management of bodies of deceased person with suspected or confirmed COVID-19 疑似或确诊新冠肺炎死者尸体的安全管理

Advances in internal medicine Pub Date : 2020-11-10 DOI: 10.3126/jaim.v9i2.32835

Aabishkar Bhattarai, B. Karki

引用次数: 0

Balloon-Occluded Retrograde Transvenous Obliteration (BRTO): A Novel Method of Obliterating Gastric Varices. Report of Six Cases and Review of Literature 球囊闭塞逆行经静脉闭塞术（BRTO）：一种闭塞胃静脉曲张的新方法。六例报告及文献复习

Advances in internal medicine Pub Date : 2020-11-10 DOI: 10.3126/jaim.v9i2.31049

A. Thapa, D. Koirala, R. Pathak, D. Chataut, Sashi Sharma, Brindeswari Kafle Bhandari, A. Jha, R. Hamal, R. Pandey, A. Gyawali, Mohan Bhusal

{"title":"Balloon-Occluded Retrograde Transvenous Obliteration (BRTO): A Novel Method of Obliterating Gastric Varices. Report of Six Cases and Review of Literature","authors":"A. Thapa, D. Koirala, R. Pathak, D. Chataut, Sashi Sharma, Brindeswari Kafle Bhandari, A. Jha, R. Hamal, R. Pandey, A. Gyawali, Mohan Bhusal","doi":"10.3126/jaim.v9i2.31049","DOIUrl":"https://doi.org/10.3126/jaim.v9i2.31049","url":null,"abstract":"Portal hypertension results in various complications, gastroesophageal varices being one of them. Although less common than esophageal varices, gastric varices are difficult to obliterate and carry a higher mortality rate when bleeding occurs. They are less amenable to sclerotherapy, endoscopic variceal ligation. Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) has been developed as a minimal invasive procedure to obliterate gastric varices. BRTO is an endovascular procedure where a balloon catheter is inserted into a draining vein of gastric varix, and the sclerosant can be injected into the varices through the catheter during balloon occlusion. We report six cases where BRTO was done for gastric varices obliteration. Ajit Thapa1, Dinesh Koirala2*, Rahul Pathak2, Dinesh Chataut1, Sashi Sharma2, Brindeswari Kafle Bhandari2, Anurag Jha2, Rabin Hamal2, Rajesh Pandey2, Arun Gyawali2, Mohan Bhusal2 Department of Radiology and Imaging1, Department of Gastroenterology and Hepatology2 Maharajgunj Medical Campus, TUTH, Institute of Medicine, Kathmandu, Nepal Case Report","PeriodicalId":75443,"journal":{"name":"Advances in internal medicine","volume":"9 1","pages":"89-93"},"PeriodicalIF":0.0,"publicationDate":"2020-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44392990","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

COVID-19: Is herd immunity the answer? COVID-19:群体免疫是答案吗?

Advances in internal medicine Pub Date : 2020-11-10 DOI: 10.3126/jaim.v9i2.32834

J. Robinson, I. Banerjee, B. Sathian

{"title":"COVID-19: Is herd immunity the answer?","authors":"J. Robinson, I. Banerjee, B. Sathian","doi":"10.3126/jaim.v9i2.32834","DOIUrl":"https://doi.org/10.3126/jaim.v9i2.32834","url":null,"abstract":"The measures introduced by the vast majority of countries are to Abstract The current global figures of COVID-19 is still rising. Many countries have enforced lockdowns to safeguard its citizens, however in most cases this has been to the dire detriment of the economy. Most leaders and governments have been holding out and looking to the development of a vaccine to be the answer to this COVID-19 pandemic, however at this point in time and for the foreseeable future a viable and widely available vaccine is not likely to be developed. In juxtaposition to the conventional methods countries such as Singapore, Israel, Iceland, Portugal, The Netherlands, Sweden, Hong Kong, Japan, South Korea, Indonesia, Taiwan and Turkey have adopted the concept of herd immunity. It is there for poignant and of the upmost importance that an alternate stratagem is developed and exercised to best facilitate the re-ignition of the country’s economy as well to best protect its citizens from the virus. Models such as herd immunity or a model based thereon are the most logical solution to attain this goal. At this time in the development of the global COVID-19 pandemic it is too early to conclude as to whether a fullyfledged lockdown is more effective and useful than the establishment of herd immunity. In order to achieve the goal of safeguarding the lives of a countries citizens as well as its economy, a mixed method of lockdown and herd immunity is advised. Individuals who are economically active and less susceptible to the virus should adopt the herd immunity model, whereas those who are elderly with concomitant comorbidities should exercise self-isolation and follow the lockdown model. The application of using both models simultaneously, will both capitalize on the advantages of either and negate the drawbacks thereof. This ultimately decreasing the loss of lives whilst still inducing a degree of herd immunity within the general populous. Jared Robinson1, Indrajit Banerjee1*, Brijesh Sathian2","PeriodicalId":75443,"journal":{"name":"Advances in internal medicine","volume":"9 1","pages":"94-97"},"PeriodicalIF":0.0,"publicationDate":"2020-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41554781","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: 2

Angiotensin Converting Enzyme 2 in COVID-19 infections and the implications of COVID-19 on major body systems 新冠肺炎感染中的血管紧张素转换酶2及其对主要身体系统的影响

Advances in internal medicine Pub Date : 2020-11-10 DOI: 10.3126/jaim.v9i2.32604

M. Antoine, Yancheng Xu, Rimanatou Seyni-Boureima, Chrystal D. Antoine-Frank, C. Thiam, Mendame Ehya Regis Ernest

引用次数: 0

A Case Of Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) Presenting with Dizziness-A Rare Case Report 心律失常性右室心肌病(ARVC)伴眩晕1例

Advances in internal medicine Pub Date : 2020-11-10 DOI: 10.3126/jaim.v9i2.32833

S. Adhikari, S. Jha, R. Gajurel, Chandra Mani Paudel, S. Acharya, S. Thapa, R. Khanal, S. Thapa, V. Yadav, Manju Sharma, D. Sapkota

引用次数: 0

Cardiovascular Risk Factors in Pre-dialysis Chronic Kidney Disease patients of Nepal 尼泊尔慢性肾脏病透析前患者心血管危险因素分析

Advances in internal medicine Pub Date : 2020-11-09 DOI: 10.3126/jaim.v9i2.32813

K. Dahal, A. Baral, K. Sah, J. R. Shrestha, Apeksha Niraula, R. Hada

{"title":"Cardiovascular Risk Factors in Pre-dialysis Chronic Kidney Disease patients of Nepal","authors":"K. Dahal, A. Baral, K. Sah, J. R. Shrestha, Apeksha Niraula, R. Hada","doi":"10.3126/jaim.v9i2.32813","DOIUrl":"https://doi.org/10.3126/jaim.v9i2.32813","url":null,"abstract":"Background and Aims: Cardiovascular disease (CVD) is the commonest cause of morbidity and mortality in patients with chronic kidney disease (CKD) due to increased prevalence of traditional and nontraditional CVD risk factors. Our study aimed to evaluate these risk factors in pre-dialysis Nepalese CKD patients. Methods: This was a cross-sectional study conducted in Department of Nephrology, Bir hospital. Total 100 consecutive pre-dialysis CKD patients were enrolled. Ten traditional and six nontraditional CVD risk factors were analyzed and compared between CKD stages. Descriptive statistics was used to illustrate the socio-demographic and clinical characteristics, chi square test for categorical variables and multiple logistic regression analysis was done to determine the risk factors of CVD in CKD patients. p-value<0.05 was considered to be statistically significant. Results: Mean patient age was 52.03±13.64 years with majority (60%) of the patients being male. Comparison of traditional risk factors in different stages depicted similar trend except for old age in Stage 3 CKD (p=0.002). Anemia (p<0.001), hyperphosphatemia (p=0.01), hyperparathyroidism (p<0.01) and cumulative nontraditional risk factors were significantly higher (p=0.01) in stage 5 CKD. The predicted CVD events by Framingham risk score showed high risk in 37% with no significant difference among the stages. Multiple logistic regression analysis showed increased body mass index, low serum albumin and increased serum phosphate as the three significant predictors for left ventricular hypertrophy. Conclusion: Our study shows that the CVD risk factors were prevailing along the various stages of CKD. The occurrence of non-traditional risk factors increased with increasing stage of CKD. Dahal K1*, Baral A1, Sah KK1, Shrestha JR1, Niraula A2, Hada R1 1= Department of Nephrology, National Academy of Medical Sciences, Bir Hospital, Mahaboudha, Kathmandu, Nepal 2= Department of Biochemistry, B. P. Koirala Institute of Health Sciences, Dharan, Nepal","PeriodicalId":75443,"journal":{"name":"Advances in internal medicine","volume":"9 1","pages":"47-53"},"PeriodicalIF":0.0,"publicationDate":"2020-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45223632","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