Turkish Nursing Students’ Ecocentric, Anthropocentric and Antipathetic Attitudes towards the Environment
Media Subasi Baybuga, RN, PhD and Serap Gokbel Sonmez, RN, MSN
Article Type: Original Article | First Published: December 23, 2019
Environmental problems have become global and begun to threaten life on the planet, which has led humans to reconsider their relationship with the environment, and their attitudes, behaviors, duties and responsibilities towards it, and to redefine the importance of ecological culture and environmental awareness. Using the environment in which we live in a more effective, sustainable and efficient manner is only possible by creating a society with environmental awareness...
Strategic Framework to Promote Rationale Use of Medicine in Lmics: A Policy Perspective
Article Type: Review Article | First Published: January 06, 2020
Through the application of a strategic framework, the paper attempts to sharpen the focus, coordination and dissemination of promotion of rational use of medicines (PRUM) framework. The purpose of this strategic framework is to guide and organize the systematic planning, implementation, and evaluation of irrational use of medicines and other efforts aimed at improving rational use of medicines and reducing and, ultimately, eliminating irrational use of medicines. The suggested framework efforts include those aimed directly at irrational use of medicines and related health problems...
A Rare Case Report: Pancreatic IPMN and Lung Adenocarcinoma with Elevation of CA 19-9 in an Asymptomatic Individual
Dorovinis P, Roumpou A and Dimitroulis D
Article Type: Case Report | First Published: December 30, 2019
An 85-year-old man presented to our hospital because of an elevated value of CA 19-9 of 2000 U/ml, free of any symptoms. CT scan of the thorax and abdomen revealed a lesion in the upper lobe of the right lung and a cystic lesion located in the tail of the pancreas, comprised with dilation of the pancreatic duct, being indicative of peripheral pancreatic Intraductal Papillary Mucinous Neoplasm (IPMN). The pulmonary lesion was examined histologically through EBUS and had no specific signs of atypia or malignancy. Therefore, the patient underwent only peripheral pancreatectomy and splenectomy. Al...
Erector Spinae Plane Block for Peripartum Analgesia in a Patient with Tarlov Cysts
LT Scott B Hughey, MD/MBA, MC(FS), USN, LT Jacob H Cole, MD, MC, USN, LCDR Thomas F Olson, MD, MC(FMF), USN and LCDR Victor A Rivera, MD, MC(FS), USN
Article Type: Case Report | First Published: December 21, 2019
Tarlov cysts are sacral perineural cysts which occur in up to 4.6% of the population. Neuraxial anesthesia is relatively contraindicated in these patients. Similarly, many of these patients have chronic pain from the cysts, often requiring chronic opioid use. Pain during labor may be difficult to control in these patients due to concerns regarding neuraxial analgesia and submaximal benefit from systemic remifentanil infusions. The Erector Spinae Plane (ESP) Block has recently been described as a regional technique for thoracic and abdominal procedures which can decrease both somatic and viscer...
Blood Lead, Urinary Lead and Urinary δ-Aminolevulinic Acid Levels among Children Living in Kinshasa, D R Congo: A Pilot Biomonitoring Study
Mputu MLC, Ndelo JP, Ndelo MP, Marini RD, Lusakibanza MM, Dubois N, Rozet E, Le Brun P, Cimanga KR and Charlier C
Article Type: Research Article | First Published: December 16, 2019
Lead exists naturally in the earth’s crust and it is widely used as a heavy metal. It is an environment toxicant that may deleteriously affect nervous, hematopoietic, skeletal, renal, endocrine and reproductive systems. So, exposure to lead in the environment continues to be a serious public health problem for all ages. Children are particularly susceptible to lead poisoning. They absorb more lead from their environment and their developing central nervous systems are vulnerable to the toxic. Fifty percent of children aged from 0 to 17-years-old presented blood lead levels above 100 μg/L an...
Assessment of Knowledge, Attitudes and Practices of Medical Students Regarding Hepatitis B Infection at a Private University of Medicine in Senegal
Fortes Deguenonvo L, Massaly A, Ngom Gueye NF, Diallo Mbaye K, Cisse Diallo VMP, Lakhe NA, Ka D, Thioub D, Badiane AS, Edzang TB, Fall NM, Dieye A, Massaly A, Diop M, Ndour CT, Soumare S and Seydi M
Article Type: Original Article | First Published: December 19, 2019
Senegal is among the most endemic countries for viral hepatitis B with 11% of chronic HBV carriers. Students in the health sector are among those most at risk. The objectives of this study were to determine the Knowledge, Attitudes and Practices (KAP) of students at a private university in Dakar regarding viral hepatitis B and to identify associated factors. A cross-sectional, descriptive, and analytical study has been conducted among students of the St Christopher Iba Mar Diop School from April 1 to 30, 2019. The questionnaire was self-administered. Chi2 testing and logistic regression were u...
Effects of Massage on Cardiovascular Outcomes and Perceived Exertion of Brazilian JIU-JITSU Parathletes Submitted to Simulated Fight
Jaqueline Santos Silva Lopes, Simone Maria Lopes, Anibal Monteiro de Magalhaes Neto, Aline Castilho de Almeida, Abel Pompeu de Campos Junior, Bruno Fernando Cruz Luccheti, Daianne Camargos da Silva, Claudia Marlise Balbinotti Andrade
Article Type: Research Article | First Published: December 16, 2019
The aim of this study was to investigate the cardiovascular physiological responses and perceived exertion rate on Brazilian Jiu-Jitsu parathletes submitted to a simulated fight. Six male athletes were included. After the fight, a recuperative massage protocol was applied to the upper limbs and trunk. Regarding Heart Rate (HR), values above baseline were found in all participants post intervention. Only one participant demonstrated recovery of Blood Pressure (BP) to baseline after the technique. Outcomes related to perceived exertion, measured immediately after the simulated fight, showed an a...
Association between Cigarette Smoking and Serum Gamma-Glutamyl Transferase Level
Dongcheol Lee, Hyun Wuk Kang and Yu Il Kim
Article Type: Research Article | First Published: Lee D, Kang HW, Il Kim Y (2019) Association betwee
Gamma-glutamyltransferase (GGT) is an enzyme mainly produced from the cells of the hepatobiliary tract. And, it has been introduced as a biomarker for oxidative stress mainly by alcohol consumption and current smoking. This study was performed to evaluate the association between smoking status and serum GGT concentration. The effect of cigarette smoking on serum activities of the enzyme, GGT was investigated using the data of the 5th Korea National Health and Nutrition Examination Survey (5th KNHANES, 2010 to 2012); a cross sectional survey in the general population of Korea....
Investigating the Effects of Phenytoin, Phenobarbital, Topiramate, Carbamazepine and Sodium Valproate on the Neurotransmitter Speed in Treated Seizure Children
Farzad Ahmadabadif, Ghasem Fattahzadeh, Abolfazl Atalu and Pooya Badihi
Article Type: Research Article | First Published: December 18, 2019
Anticonvulsants such as phenytoin, phenobarbital, topiramate, carbamazepine and valproate due to their beneficial effects and economic benefits in compare to new drugs are used more but these drugs are not harmless and sometimes had dangerous, safe and reversible side effects. Reduction of the nervous conduction velocity (NCV) is the common side effect of these drugs and it is of clinically importance if it is severe especially in treated children. Therefore, it is necessary to evaluate and compare the effect of each drug on NCV. The aim of this study was to investigate the effects of antiepil...