ClinMed International Library

 Open Access DOI:10.23937/2474-1353/1510024

Relationship between Socio Demographic Characteristics and HIV Indicators among Women in Kenya, Tanzania, Uganda, Rwanda, Zambia and Malawi Based on DHS Data

Samuel Kalibala, Erick Oweya and Lyson Phiri

Article Type: Research Article | First Published: June 25, 2016

In sub-Saharan Africa women have disproportionately higher HIV prevalence than men. This is in spite of the wide availability of HIV information, condoms and HIV testing services. UNAIDS has proposed that due to women's fear of stigma and rejection by their partners, women are not able to seek HIV testing and other HIV services. In order to inform targeted programming for women it is important to ...

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 Open Access DOI:10.23937/2474-1353/1510023

Stealth Embolics for Uterine Fibroid Embolization

Alexandre Laurent, Laurence Moine, Laurent Bedouet and Michel Wassef

Article Type: Short Review | First Published: June 15, 2016

Once fibroid ischemia is achieved by the blockade of the uterine arteries with particles, there is no longer the need for these particles which act as permanent foreign bodies in the uterus. They generate inflammation and will compromise the physiological adaptation of the uterine arteries during pregnancy. After having played their role, the particles have to disappear. The time for resorbable bi...

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 Open Access DOI:10.23937/2377-3634/1410063

Hba1c Variability, Absolute Changes in Hba1c, and the Risk of Poor Glycemic Control among Older Adults with Diabetes Enrolled in Medicare Advantage Plans

Dingwei Dai, Susannah Higgins and Natan Szapiro

Article Type: Research Article | First Published: July 01, 2016

Healthcare claims data for all diabetes patients aged 65 years or older and continuously enrolled in Medicare Advantage plans in Independence Blue Cross from 2013 to 2014 and had ≥ 3 HbA1c measurements in the 2013 measurement year (MY). We used patients' zip codes to link to US census data to get socioeconomic status information. Poor glycemic control was identified as the most recent HbA1c ...

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 Open Access DOI:10.23937/2377-3634/1410062

The Impact of Energy Drink Consumption on Vascular Endothelial Function

R Matthew Brothers

Article Type: Research Article | First Published: June 07, 2016

Vascular endothelial dysfunction contributes to a variety of cardiovascular and metabolic diseases. Despite anecdotal reports of adverse cardiovascular and hemodynamic effects of energy drink consumption there has been very little scientific research conducted on this important topic. Furthermore, the limited research available has not yielded consistent results. This study tested the hypothesis t...

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 Open Access DOI:10.23937/2377-3634/1410061

Ethanolic Extract of Bauhinia forficata: Metabolic Effects in Diabetic and Normoglycemic Rats

Liana de Oliveira Gomes, Francislaine Aparecida dos Reis Livero, Aline Maria Stolf, Carlos Eduardo Alves de Souza, Michele Pontes Werneck, Cristiane Vizioli de Castro Ghizoni, Maria Helena Verdan, Jose Ederaldo Queiroz Telles, Rosangela Locatelli Dittrich, Maria Elida Alves Stefanello, Jurandir Fernando Comar and Alexandra Acco

Article Type: Original Article | First Published: June 06, 2016

Diabetes is a group of metabolic diseases characterized by hyperglycemia and associated complications, such as dysfunction and failure of the eyes, kidneys, nerves, brain, heart, and blood vessels. Diabetes may result from defects in secretion and/or insulin action involving specific pathogenic processes, including destruction of pancreatic beta cells, insulin resistance, and insulin secretion dis...

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 Open Access DOI:10.23937/2572-4193.1510021

Piriform Margin Augmentation as a Treatment for Persistent Nasal Valve Dysfunction: A Cadaveric Investigation and Report of Initial Clinical Results

Randolph B Capone, Michael M Kim and Dane J Genther

Article Type: Clinical Study | First Published: June 02, 2016

Background: Revision nasal valve reconstruction is one of the few treatment options available for patients with persistent nasal valve dysfunction after primary functional rhinoplasty. Revision nasal surgery is challenging, hampered by the presence of scar tissue, incorporated grafts, and the morbidity of obtaining additional autologous cartilage. Objective: In order to enhance nasal valve functio...

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 Open Access DOI:10.23937/2469-5777/1510037

Bilateral Osteochondrosis of Medial Cuneiform and Tarsal Scaphoid: A Case Report

Ceccarelli F, Carolla A and Calderazzi F

Article Type: Case Report | First Published: May 27, 2016

Osteochondrosis has been found in most of the bones of the body. We report a rare case report of bilateral osteochondrosis of medial cuneiform and tarsal scaphoid. A five year-old white child with a completely benign medical history presented with bilateral foot pain. Radiographical studies showed a bilateral irregular outline and an increased density of medial cuneiforms and tarsal scaphoids. Phy...

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 Open Access DOI:10.23937/2378-3001/3/4/1052

Endoscopic Biopsy using High-Dose Fluorescein Sodium for Malignant Brain Tumors

Takeshi Okuda, Mitsugu Fujita, Hiromasa Yoshioka, Takayuki Tasaki, Shuichi Izumoto and Amami Kato

Article Type: Case Report | First Published: July 01, 2016

The utility of endoscopic biopsy using high-dose fluorescein sodium in biopsy of malignant brain tumors was investigated. The subjects were 9 patients with malignant brain tumors (malignant lymphoma 5, glioblastoma 3, metastatic brain tumor 1). After making an incision in the dura mater, 20 mg/kg fluorescein sodium were administered intravenously. A transparent sheath was then inserted under neuro...

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 Open Access DOI:10.23937/2378-3001/3/3/1051

Neurology and Cardiac Arrhythmias

Zhengqin Zhai, Min Tang and Shu Zhang

Article Type: Short Review | First Published: June 25, 2016

A host of studies on the cardiac innervation have found a complex link known as cardiac autonomic nervous system (CANS), connecting extracardiac nerves, intracardiac ganglia, and myocardial cells. Now it is well known that CANS plays a critical role in regulating the functions of the heart and its imbalance is regarded as one of the major causes of cardiac arrhythmias. With the development of medi...

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 Open Access DOI:10.23937/2378-3001/3/3/1050

Permanent Memory Deficits with Normal MRI Following Heat Stroke after Physical Activity and Sauna

Massimiliano Ruggeri and Priscilla Rosini

Article Type: Case Report | First Published: June 24, 2016

Heat stroke is the result of high heat stress and determines multi-organ dysfunction with predominant encephalopathy. Heat stroke only rarely leads to permanent neurologic deficits with a propensity to cerebellar dysfunction while memory disorders are very unusual. We report a unique case of a patient who suffered from a heat stroke after strenuous physical activity and sauna, resulting in persist...

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