Advances in internal medicine最新文献_第9页

Correlation of neck and wrist circumference with waist circumference 颈、腕围与腰围的相关性

Advances in internal medicine Pub Date : 2015-12-09 DOI: 10.3126/JAIM.V3I2.14063

Buddha Bahadur Karki, M. Bhattarai, Manil R Bajracharya, S. Karki, A. Devkota

{"title":"Correlation of neck and wrist circumference with waist circumference","authors":"Buddha Bahadur Karki, M. Bhattarai, Manil R Bajracharya, S. Karki, A. Devkota","doi":"10.3126/JAIM.V3I2.14063","DOIUrl":"https://doi.org/10.3126/JAIM.V3I2.14063","url":null,"abstract":"Background and aims: Body mass index, waist and hip circumference have been using for measurement of obesity, however practically it’s difficult to get these measures accurately because of the various reasons, so an alternative to this could be neck and wrist circumference measurement. As there is scarce report on such anthropometric studies from Nepal, we aimed to find out the correlation between neck and wrist circumference with waist circumference for obesity measure. Method: A cross sectional observational study of total 297(147 male and 150 female) participants, aged above 18 years conducted on 2013 at Kathmandu valley. Anthropometric markers of obesity were measured, including body weight, height, waist, hip, neck and wrist circumferences. Results: A strong positive Pearson correlation of neck circumference with waist circumference was found in both male and females(r=0.64 in male and r=0.86 in female). Neck circumference had strong positive correlation with waist circumference in obese female than in male(r=0.5 in male and r=0.82 in female).Similarly, neck circumference had positive correlation with body mass index(r=0.53in male and r=0.79 in female),hip(r=0.54in male and r=0.76in female), weight(r=0.59in male and r=0.77in female) except waist hip ratio(r=0.59in male and r=0.10in female). Neck circumference cutoff for abnormal waist (>=90cm for male and >=80cm for female) was 34.4cm for male and 32.5 cm for female. Similarly wrist circumference had also positive correlation with waist circumference(r=0.58 and r=0.64 in female) and with weight(r>0.6) in both sexes. Conclusion: Neck circumference which can be relatively easily measured has shown strong correlation with waist. Journal of Advances in Internal Medicine 2014;3(2):47-51.","PeriodicalId":75443,"journal":{"name":"Advances in internal medicine","volume":"3 1","pages":"47-51"},"PeriodicalIF":0.0,"publicationDate":"2015-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/JAIM.V3I2.14063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69271716","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: 4

D-penicillamine-induced Status Dystonicus in A Patient with Wilson’s Disease: A Diagnostic & Therapeutic Challenge d -青霉胺诱导的肝豆状核变性患者状态障碍:诊断和治疗的挑战

Advances in internal medicine Pub Date : 2015-12-09 DOI: 10.3126/JAIM.V3I2.14066

A. Satyasrinivas, Y. S. Kanni, N. Rajesh, M. SaiSravanthi, Vijay Kumar

引用次数: 0

Chronic Obstructive Lung Disease in young: Alpha 1 anti trypsin deficiency 青少年慢性阻塞性肺病:α 1抗胰蛋白酶缺乏

Advances in internal medicine Pub Date : 2015-12-09 DOI: 10.3126/JAIM.V3I2.14067

S. Dhakal, K. Agrawaal, N. Bhatta

引用次数: 1

Hair Dye poisoning - A rare case Report 染发剂中毒——一例罕见病例报告

Advances in internal medicine Pub Date : 2015-12-09 DOI: 10.3126/JAIM.V3I2.14069

Ankur Jain, R. Bajaj, M. Jindal

引用次数: 0

Etiological profile, gender difference and age group patterns of 415 patients presenting with lower gastrointestinal bleeding in the western region of Nepal 尼泊尔西部地区415例下消化道出血患者的病因学特征、性别差异和年龄组模式

Advances in internal medicine Pub Date : 2015-12-09 DOI: 10.3126/JAIM.V3I2.14064

U. Shrestha

{"title":"Etiological profile, gender difference and age group patterns of 415 patients presenting with lower gastrointestinal bleeding in the western region of Nepal","authors":"U. Shrestha","doi":"10.3126/JAIM.V3I2.14064","DOIUrl":"https://doi.org/10.3126/JAIM.V3I2.14064","url":null,"abstract":"Background: Lower gastrointestinal bleeding (LGIB) is a common clinical condition associated with significant morbidity and mortality. The aims of our study were to determine the etiological profile, gender difference and age group patterns of LGIB in Nepal. Methods: A total of 415 consecutive patients presenting with LGIB from April 2011 to September 2014 underwent colonoscopy and the etiology of LGIB was determined. Each diagnosis was compared with respect to the gender and age group. Results: Among 415 LGIB patients (males 62.2%, females 37.8%), the different etiologies of LGIB were as following: hemorrhoid 35.2%, non-specific colitis 24.8%, colon polyp 18.3%, inflammatory bowel disease (IBD) 10.4%, colon cancer 6.5%, diverticulosis 1.7%, unknown 1.4%, upper gastrointestinal bleeding 1.2% and radiation colitis 0.5%. The overall LGIB was more common in male; however, colon polyps were diagnosed more commonly in female (p<0.001). Among LGIB patients, the hemorrhoid was more common in the age group of 30-49 years, colon polyp in 50-69 years, colon cancer in 70-84 years, and non-specific colitis and IBD in 16-29 years (p<0.001). Conclusion: Hemorrhoid and non-specific colitis were the common causes of LGIB in Nepal; colon polyp, IBD and colon cancer were the next common causes. More males presented with LGIB than females; however, colon polyp was diagnosed more in females, which needs to be explored further. When LGIB was presented after 50 years of age, the most likely causes were colon polyp and colon cancer; hence colonoscopy is recommended in all LGIB patients after 50 years. Journal of Advances in Internal Medicine 2014;3(2):52-55","PeriodicalId":75443,"journal":{"name":"Advances in internal medicine","volume":"3 1","pages":"52-55"},"PeriodicalIF":0.0,"publicationDate":"2015-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/JAIM.V3I2.14064","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69271769","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: 4

Insulin Resistance in firstborn offspring of mother who developed diabetes later in fourth decade: Are both related to possible maternal malnutrition? 40岁后患糖尿病母亲的头胎胰岛素抵抗:两者是否可能与母亲营养不良有关?

Advances in internal medicine Pub Date : 2015-12-09 DOI: 10.3126/JAIM.V3I2.14065

Manil R Bajracharya, M. Bhattarai, Buddha Bahadur Karki, S. Prajapati, D. Karmacharya, S. Manandhar, A. Rajouria

{"title":"Insulin Resistance in firstborn offspring of mother who developed diabetes later in fourth decade: Are both related to possible maternal malnutrition?","authors":"Manil R Bajracharya, M. Bhattarai, Buddha Bahadur Karki, S. Prajapati, D. Karmacharya, S. Manandhar, A. Rajouria","doi":"10.3126/JAIM.V3I2.14065","DOIUrl":"https://doi.org/10.3126/JAIM.V3I2.14065","url":null,"abstract":"Back grounds and Aims: Diabetes mellitus is increasing each day. We aimed to study the insulin resistance (IR) in the offspring of people with diabetes and its relation with lifestyle and clinical factors. Methods: This is a cross sectional study of IR in offspring over the age of 18 years and having parents with diabetes. Participants already diagnosed as having diabetes, suffering from any illness or using drugs that may have altered blood sugar levels were excluded. A fasting blood sample was taken for blood glucose and serum insulin level and IR was calculated using homeostatic model assessment for IR (HOMA –IR). Results: Forty nine participants volunteered for the study of which 24.5% were found to have IR, the cut off value of HOMA –IR being 2.48. As compared to the later born offspring, the firstborn were six times more at risk for IR (Odds ratio 6.25, P value 0.015) and after adjustment for BMI, it was seven times (Odds ratio 7.29 , P value 0.011). IR was more in offspring with maternal diabetes than with paternal one. The mean age of diagnosis of diabetes in mothers having firstborn offspring with IR was 38.5 years as compared to 48.2 years of those having firstborn offspring without IR. Conclusion: Higher risk of IR seen in the firstborn offspring whose mother later developed diabetes at fourth decade indicate the probability of relation of both conditions with possible maternal malnutrition during the first pregnancy. Further larger studies are required focusing on these aspects. Journal of Advances in Internal Medicine 2014;3(2):56-61","PeriodicalId":75443,"journal":{"name":"Advances in internal medicine","volume":"3 1","pages":"56-61"},"PeriodicalIF":0.0,"publicationDate":"2015-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/JAIM.V3I2.14065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69271825","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

Expressions of HPV 16-E6 in esophageal carcinoma and its clinical significance 食管癌组织中HPV 16-E6的表达及临床意义

Advances in internal medicine Pub Date : 2015-03-27 DOI: 10.3126/JAIM.V4I2.16897

Xing Zhao, R. Sahi, Yu-yang Zhao, Jun Wang, Chun-Hui Li

引用次数: 1

Demographic Profile and Extra Intestinal Manifestations of Ulcerative Colitis in Nepalese population : Study from TUTH a Tertiary Care Centre , Kathmandu , Nepal 尼泊尔人群中溃疡性结肠炎的人口统计特征和肠道外表现:来自尼泊尔加德满都三级保健中心的TUTH研究

Advances in internal medicine Pub Date : 2015-01-01 DOI: 10.3126/jaim.v4i1.14173

S. Harsh, Ananya Adhikari, Parmatma Parazuli, R. Pathak, P. Khadga, Sashi Sharma

{"title":"Demographic Profile and Extra Intestinal Manifestations of Ulcerative Colitis in Nepalese population : Study from TUTH a Tertiary Care Centre , Kathmandu , Nepal","authors":"S. Harsh, Ananya Adhikari, Parmatma Parazuli, R. Pathak, P. Khadga, Sashi Sharma","doi":"10.3126/jaim.v4i1.14173","DOIUrl":"https://doi.org/10.3126/jaim.v4i1.14173","url":null,"abstract":"Background and Aims: This study aims at determining the demographic profile and extra-intestinal manifestations of Ulcerative Colitis in the Nepalese patients treated in a tertiary referral centre. Methods: The study was conducted between February 1, 2014 and January 31, 2015 at the Department of Gastroenterology Tribhuvan University Teaching Hospital, Kathmandu, Nepal. The clinical and epidemiologic data from patients diagnosed to have Ulcerative Colitis were obtained and analysed. Results: During the study period, 60 patients were identified as having ulcerative colitis. Mean age at diagnosis was 34.6 years. The mean duration of illness at diagnosis was 3.7 years. Extra-intestinal manifestations (EIM) were seen in 16.6% of the patients. Sacroilitis was the most common EIM seen in11.6% followed by peripheral arthritis in 6.6% of the patients. Episcleritis, Primary Sclerosing Cholangitis and Erythema Nodosum were seen only in 1.6% each. At the time of presentation, 38.3% (n=23) had proctosigmoiditis , 50% (n=30) left sided colitis and pancolitis was seen in 11.7% (n=7).53.3% patients had mild disease, 38.3% and 8.3 % presented with moderate to severe disease respectively. Conclusion: Peak age of onset for UC in the study was third and fourth decade which was similar to the various studies from Asia and West. Musculoskeletal manifestation was the most common extraintestinal manifestation of UC in Nepalese population. As Nepal is perhaps the most diverse country in terms of ethnicity, cultural variation, socio-economic status and health care facilities, a comprehensive nationwide data bank involving ethnicity and geographical variation is needed for a better definition of the disease characteristics. DOI Name http://dx.doi.org/10.3126/jaim.v4i1.14173","PeriodicalId":75443,"journal":{"name":"Advances in internal medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69272217","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

HIV Cure: Are we there yet? 治愈艾滋病:我们成功了吗?

Advances in internal medicine Pub Date : 2014-07-03 DOI: 10.3126/JAIM.V3I1.10705

S. Khanal

引用次数: 0

A single but prolonged and eventually fatal episode of capillary leak syndrome with a diagnosis of a small tumor mass B cell lymphoma 一个单一的，但延长和最终致命的发作毛细血管渗漏综合征与小肿瘤肿块B细胞淋巴瘤的诊断

Advances in internal medicine Pub Date : 2014-07-03 DOI: 10.3126/JAIM.V3I1.10702

Marjorie Schlier, M. Rondeau-Lutz, J. Weber

引用次数: 0