Effect of Vitamin D Level and Physical Exercise on the Physical Performance and Functional Test Results in Elderly Women
Neide AP Nascimento, Patricia FP Moreira, Vanessa A Carvalho, Levy Aragao, Rosangela Villa Marin-Mio, Marise Lazaretti-Castro and Maysa S Cendoroglo
Article Type: RESEARCH ARTICLE | First Published: January 23, 2019
Global awareness on vitamin D deficiency and its consequences has been increasing. Furthermore, there is substantial agreement among all guidelines that serum 25(OH)D concentrations < 25-30 nmol/L should be avoided in all age groups. In addition, hypovitaminosis D is a world health problem, and Brazil has an elevated prevalence of hypovitaminosis D among its population. In general, a 25(OH)D level of less than 20 ng/mL has been associated with neuromuscular performance issues in elderly people including poor physical performance, low muscular strength, and muscle weakness, thus suggesting that...
Integrating Traditional Chinese Medicine (TCM) into Health Care of Elderly-A Short Review
Yun-Tai Chen, Yu-Liang Chen, Fu-Yang Ko and Lun-Chien Lo
Article Type: Short Review | First Published: January 23, 2019
Traditional Chinese Medicine (TCM) emphasizes the combination of: The physical, psychological, spiritual, social, and environmental aspects. These aspects encourage human beings to live in harmony with the rhythm of nature. We believe these principles match with up the ideas of holistic care, and the characteristics of TCM therapies are much gentler and safer for the elderly. Nowadays, significant evidence supports the effectiveness and safety of TCM for seniors' health care. In this short review, we shall provide some brief illustrations for healthcare professionals to understand some of TCM'...
Could we Spare Carbapenems for Empiric Therapy in ESBL-Enterobacteriaceae Colonized Elderly with Community-Onset Sepsis?
NAHTIGAL KLEVISAR Mirijam, LUSA Lara, TERZIC Sara, MUELLER-PREMRU Manica, PIRS Mateja and STUPICA Dasa
Article Type: RESEARCH ARTICLE | First Published: January 21, 2019
The preference for empiric antibiotic therapy with carbapenems over non-carbapenems in all extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) colonized patients with sepsis warrants further investigation from an ecologic perspective; even more so in the elderly (≥ 65 years) because the proportion of ESBL-E in adults increases with patients' age. In this retrospective observational study, enrolling 547 ESBL-E colonized elderly patients with community-onset sepsis, hospitalized at a single medical centre from 2011 to 2015, the positive predictive value of ESBL-E faecal coloni...
Stigma Related to Fear and Shame Restricts Access to HIV Testing and Treatment in Tanzania
Danielle A Walker, Kyle L Johnson and Jacen S Moore
Article Type: Review Article | First Published: February 22, 2019
Tanzania is one of 15 nations that share 75% of the HIV burden in sub-Saharan Africa, with a national prevalence of 5.3% and prevalence rates as high as 30% in special populations. Knowledge about HIV infection, testing, and treatment is low, especially in younger populations, suggesting a need for effective HIV educational programs. We sought to understand the impact of HIV-related stigma and gender roles in HIV education and knowledge in educational programs and explored methodologies that effectively incorporate culturally competent approaches to reduce stigma in HIV education programs....
Management of Non-Classic Congenital Adrenal Hyperplasia in Pregnant Woman - Non-Referral Center Experience- Case Report
Zoran Gluvic, Milena Lackovic, Vladimir Samardzic, Bojan Mitrovic, Violeta Mladenovic, Milan Obradovic, Danimir Jevremovic and Esma R Isenovic
Article Type: Case Report | First Published: February 22, 2019
Congenital adrenal hyperplasia (CAH) is a rare autosomal recessive disorder with mutations in genes involved in cortisol and aldosterone production. Based on overall 21-OHase activity, CAH is divided into classic (C-CAH) and non-classic (NC-CAH). Females who suffered from NC-CAH have had increased infertility rates and higher miscarriage susceptibility. The treatment of CAH in pregnancy is still debatable. We present 22 years old pregnant female (seventh week of gestation), who is currently under dexamethasone (DEX) since almost seven years for NC-CAH. At presentation, she is normotensive, non...
Awareness Level, Knowledge and Attitude towards Breast Cancer between Medical and Non-Medical University Students in Makkah Region: A Cross Sectional Study
Ramya Ahmad Sindi, Asmaa Ahmad Alzahrani, Nesreen Abdullah Alzahrani, Rana Ahmad Bin Salman, Shaimaa Amer Alshareef, Aisha Tabassum and Mohammad Shahid Iqbal
Article Type: Research Article | First Published: February 21, 2019
The worldwide cancer incidence and mortality has rapidly increased in the last decade. The cancer burden globally estimated to have crossed 18.1 million new cases and 9.6 million deaths in 2018. As per the report of GLOBOCAN 2018, the worldwide incidence of breast cancer is 2.08 million and deaths due to breast cancer are 6.3 lakhs. With these figures, breast cancer is the most common cancer diagnosed among women worldwide accounting for 24.2% of all cancers diagnosed in women. As per WHO country profile for cancers, 4300 deaths were reported in Saudi Arabia till 2014 and 18.7% were due to bre...
Early Removal of Foley Catheter after Sigmoid Colectomy for Diverticular Colovesical Fistula without Intraoperative Bladder Repair or Postoperative Cystography: Feasibility of a Quality Improvement Pilot Program
Anthony Carden, MD, Riley K Kitamura, MD, John Leppert, MD and Dan Eisenberg, MD
Article Type: Review Article | First Published: February 20, 2019
The treatment of colovesical fistula (CVF) due to diverticular disease is complex and imposes significant risk to the patient. Specifically, management of the bladder defect after fistula takedown is inconstant. In this quality improvement study, we report on the safety of early (< 7 days) urethral catheter removal without intraoperative or postoperative bladder imaging. Between 2008 and 2018, patients who were operated on for CVF due to diverticular disease were identified retrospectively. Medical records were reviewed to obtain patient characteristics, operative technique and findings, and p...
Determining Rheumatology Patient Interest in a Group Strength Training Program - Results of an Exercise Survey
Kevin Rhie, MD, Danielle M Feger, MS, Rayford R June, MD, Christopher N Sciamanna, MD, MPH and Sharon E Banks, DO, MS
Article Type: Research Article | First Published: February 20, 2019
Exercise has proven benefits in rheumatologic disease including reducing inflammation and improving symptoms. A Group Strength Training (GST) program design has improved adherence to exercise in primary care patients but the effect is unknown in rheumatology patients. We examined the interest of rheumatology patients with different diagnoses and the effect of comorbidities in pursuing an organized GST program. We conducted a cross-sectional survey of patients from a rheumatology practice in central Pennsylvania in February and April 2017. This survey assessed self-reported interest of patients...
Dental Caries in Geriatric Dentistry: An Update for Clinicians
Rapp L, Maret D, Diemer F and Lacoste Ferré MH
Article Type: Review Article | First Published: February 20, 2019
Caries is a progressive infectious disease that, without treatment, leads to the destruction of the dental organ and can damage the surrounding tissues. According to the WHO, it is the third global scourge affecting all ages of life. Over the past 40 years, prevention campaigns for children and adolescents have led to a decline in the prevalence of caries. The CAOD index for children aged 6 to 12 years decreased from 4.20 in 1987 to 1.23 in 2006 and there is an increase in the number of children who have no cavities. The impact of these preventive actions is to preserve teeth throughout life. ...
Spontaneous Coronary Artery Dissection: An up to Date
Dario Buccheri and Daniele Adorno
Article Type: Commentary article | First Published: February 20, 2019
Spontaneous dissection of the coronary artery (SCAD) is an uncommon cause of acute coronary syndrome (ACS) and is defined as a dissection of the coronary artery not associated with an atherosclerotic process, plaque rupture and/or thrombus formation and, by definition, not iatrogenic. The resulting myocardial damage is determined not by the rupture of a plaque indeed, but by the formation of an intramural hematoma (IMH) or intimal/medial disruption that determines the dissection of the arterial wall with the formation of a false lumen that obstructs the blood flow through the true lumen. SCAD ...