International medicine (Antioch, Turkey)最新文献

{"title":"COVID-19: impetus and catalyst for an ethical imperative for global collaboration","authors":"Madeleine Schachter","doi":"10.5455/im.113552","DOIUrl":"https://doi.org/10.5455/im.113552","url":null,"abstract":"A pandemic such as COVID-19 vividly illustrates the critical need to commit steadfastly to global biomedical ethics as an ethical imperative for the prevention and treatment of disease While the virus’ ubiquity highlights this moral obligation, the practice of medicine demands this commitment To achieve this ideal, I submit that we should incorporate global biomedical ethics into medical pedagogy;commit to non-homogenized, ethical analyses founded on fundamental humanitarian principles;collaborate to ensure efficient and equitable access to evidence-based healthcare services;and cooperate in interdisciplinary, cross-cultural innovation A shared enterprise in the therapeutic endeavor across borders may even portend multiculturalism whose benefits extend beyond the practice of medicine","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70792387","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":"Dietary regulation for children with autism: Is it important?","authors":"Tungki Pratama Umar","doi":"10.5455/im.104848","DOIUrl":"https://doi.org/10.5455/im.104848","url":null,"abstract":"","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70792829","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":"The comparison of three selective serotonin reuptake inhibitors for adolescent depression","authors":"Oguz Guvenmez, Serkan Güneş","doi":"10.5455/IM.24457","DOIUrl":"https://doi.org/10.5455/IM.24457","url":null,"abstract":"Background: Major depression is a common psychiatric disorder among children, adolescents, and adults that affects the daily functioning. In this study, we aim to determine the efficacy and tolerability of three medications that frequently use in the treatment of adolescent depression. Methods: A total of 432 adolescents with documented DSM-5 major depression diagnosis was included to the study. Clinical characteristics of the sample were retrospectively obtained from the medical records and structured psychiatric interviews. Improvement was assessed with Children's Depression Inventory (CDI) and Clinical Global Impression-Improvement Scale (CGI-I) and side effects were examined with the adverse effect scale developed by the authors. Results: Mean age of the patients was 14.11±1.75. 34.1% of adolescents were male and 65.9% were female. 38.0% of the patients were using fluoxetine, 43.3% were using sertraline, and 18.7% were using citalopram. The CGI-I and CDI scores were significantly different between the three groups. There was no significance in terms of treatment compliance. Stomach ache and aggressionirritability were meaningfully different between the groups. Conclusions: Citalopram appears to be less effective than fluoxetine and sertraline. Fluoxetine and sertraline seem to show similar effectiveness. Sertraline may be associated with less side effects and may be the most appropriate treatment for adolescent depression.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70792465","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":"The impact of a redesigned clinical course curriculum on the development of clinical reasoning skills among medical students: a quantitative study","authors":"Rhys E. Taylor, S. Htun","doi":"10.5455/IM.46576","DOIUrl":"https://doi.org/10.5455/IM.46576","url":null,"abstract":"Background: Clinical reasoning is an essential skill for healthcare professionals to develop to better manage and treat their patients. It is best described as the ability to analyze, interpret, and investigate a patient appropriately given their constellation of symptoms and signs. Clinical reasoning has come under scrutiny as an area for professional development, with many questionings whether it can be formally taught or if it is simply an organic process which improves with experience. This study aims to investigate whether formalized clinical reasoning teaching during medical school has an impact on the clinical reasoning abilities of its students. Methods: Data was collected across three cohorts at the University of Nottingham Medical School. Each cohort had had varying degrees of clinical reasoning teaching, with Cohort 1 receiving no formalized clinical reasoning teaching, Cohort 2 receiving some teaching, and Cohort 3 having an embedded clinical reasoning component to their clinical education. The end of year exam results for each cohort were analyzed both in their first and final year of clinical exposure, to determine how well each cohort performed in the clinical reasoning component of the written tests. Results: On analysis of the results, the clinical reasoning scores were consistently higher in the cohort who received full clinical reasoning teaching during their clinical phases. There was one exception to this, but the data suggests this may itself be due to an anomaly in the overall abilities of that cohort during this time. With these results, the null hypothesis that clinical reasoning teaching has no significant effect on the clinical reasoning of students as measured by the clinical reasoning score in the summative exams was rejected. Conclusions: The main finding of this research was that the implementation of a clinical reasoning teaching curriculum can have a significant impact on the clinical reasoning of its students. This suggests that clinical reasoning can be developed both before and during clinical practice.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70793443","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":"Analysis of digital histopathology images for breast cancer diagnosis","authors":"S. Bandyopadhyay","doi":"10.5455/IM.41366","DOIUrl":"https://doi.org/10.5455/IM.41366","url":null,"abstract":"Significant development of mammogram-based computer-aided diagnosis using image processing techniques has been reported by different research articles. Huge opportunity still persists to develop a fully automatic system to detect abnormalities and predict future risk factors. Digital histopathology analyzes breast biopsy slide image for diagnosis of breast tumors.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70793651","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":"Fertility characteristics of a province in eastern Turkey","authors":"N. Dal, Süreyya Gümüşsoy, Y. Koçak","doi":"10.5455/IM.34984","DOIUrl":"https://doi.org/10.5455/IM.34984","url":null,"abstract":"Objective: The aim of the research was to evaluate the fertility rate of Tunceli, a province located at eastern Turkey and rapidly changes over time, and the factors thought to be effective in the change. Method: The research had a cross-sectional design. The sample of the study consisted of 356 women. The data of the study were obtained using a questionnaire that consists of 41 questions by face to face interview technique. Results: The mean age of the women who participated in the research was 36.49±7.07, the mean first gestational age was 25.20±3.75, the mean number of pregnancies was 1.85±0.91, and the mean parity was 1.74±0.84. The first labors of 70.5% of the women were normal vaginal delivery, 52.0% used effective family planning method, and 95.5% could easily reach the methods. In the study, it was determined that there was a negative, moderate, significant correlation between the first marriage age and the mean number of pregnancies, that the number of pregnancies and parity increased significantly as the educational level of women decreased, that the number of pregnancies and parity increased significantly as the educational level of spouses of women decreased and that the number of pregnancies and parity decreased significantly as the level of income of family increased. Conclusion and Recommendations: In the research, the fertility of women was found to be associated with some sociodemographic characteristics. For this reason, improvement of sociodemographic characteristics that may negatively affect the fertility should be supported. Keywords: fertility, gestation, birth rate.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70793748","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":"Rickets, a reemerging disease in developed countries","authors":"C. Muro, E. Zubero","doi":"10.5455/im.51476","DOIUrl":"https://doi.org/10.5455/im.51476","url":null,"abstract":"Rickets is a skeletal disease of the growing child owing to defective mineralization of the bone tissue. It is a rare entity in developed countries, however, increases due to immigration. Most cases are due to vitamin D deficiency and they may be diagnosed by an exhaustive anamnesis, typical biochemical changes and radiological signs. Its suspicion and early diagnosis are essential for an early start of treatment. We report a case of rickets in a young child with vitamin D deficiency, to remark the importance of this problem, which is currently reemerging in our environment. The child presented legs deformity and growth retardation. All the examinations performed, including blood tests, radiological studies and clinical history oriented to rickets. Adequate treatment with vitamin D and calcium was initiated just after the diagnosis and the child improved remarkably, both growth and skeletal deformities.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70794250","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":"Progressive multifocal leukoencephalopathy and its importance in immunocompromised patients","authors":"J. Ayatollahi, S. Mousavi, S. Shahcheraghi, Marzieh Lotfi, Mohammad Dehghanniri, Azam Fazilati, Behrad Nafisi","doi":"10.5455/im.56464","DOIUrl":"https://doi.org/10.5455/im.56464","url":null,"abstract":"1Infectious Diseases Research Center, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran 2Department of Medical Genetics, School of Medicine, Shahid Sadoughi University of medical sciences, Yazd, Iran 3Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran 4Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran 5Medical Student, Shahid Sadoughi University of Medical Sciences, Yazd, Iran","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70794887","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":"Inflammation in the lung today, hyperbolic perceptions of infection","authors":"I. Klepikov","doi":"10.5455/IM.302644227","DOIUrl":"https://doi.org/10.5455/IM.302644227","url":null,"abstract":"","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70792635","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":"The potency of intraoperative execution on immediate postoperative outcome in patients with chronic hepatitis C viral infection undergoing mitral valve replacement","authors":"A. Saber, Waleed Adel, K. Ragab, Sherif Nasr","doi":"10.5455/IM.302644348","DOIUrl":"https://doi.org/10.5455/IM.302644348","url":null,"abstract":"Background: Prior studies on chronic hepatitis C viral (HCV) infection patients in cardiac surgery were generalized focusing on cirrhotic patients, not on milder forms. Thus, recommendations, surgical indications, and maneuvers were not conclusive. This work aims at illustrating the impact of intraoperative performance of mitral valve replacement (MVR) on the immediate postoperative outcome parameters, recovery, and survival to deduce beneficial recommendations to improve the operative and postoperative results of this high-risk group of patients. Methods: This study included 144 chronic HCV infection patients presenting with rheumatic mitral valve disease necessitating MVR between April 2012 and March 2019. Group (I) included 108 patients with <45 minutes ischemic time and group (II) included 36 patients with >45 minutes ischemia. Results: Group (I) who was subjected to statistically significant lower ischemic time showed statistically significant operative and immediate postoperative outcome parameters: total cardiopulmonary bypass (CPB) time, total operative time, smooth weaning off bypass, intraoperative hemodynamic parameters, duration of mechanical ventilation, duration of inotropic support medications in intensive care unit (ICU), postoperative platelets transfusion, postoperative values of transaminases, alkaline phosphatase, total bilirubin and creatinine, incidence of postoperative acute renal failure, time needed to reach target INR, total ICU stay, and total duration of hospital admission. The overall postoperative mortality was 6 (4.16%); 3 (2.77%) deaths in group (I) and 3 (8.33%) deaths in group (II) (p>0.05) and the overall hospital complication rate was 32.41% and 38.88% for group (I) and (II) respectively (p>0.05). Conclusions: Efficient intraoperative performance: meticulous quite fast surgical maneuver, proper oxygenation, CPB flow rate, and pressure maintenance, metabolic acidosis and glucose level control, and fresh blood transfusion post-CPB have a great positive impact on the immediate postoperative outcome on this high-risk cohort.","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70793011","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}