Current Issue : October - December Volume : 2020 Issue Number : 4 Articles : 6 Articles
Introduction: Tuberculosis remains a major public health problem. The damage\nto the central nervous system is severe. We reported here two cases.\nClinical Case 1: A 37-year-old female patient, naively Human Immunodeficiency\nVirus1 (HIV1)-positive with antiretroviral (ARV) treatment, hospitalized\nin the Internal Medicine department for altered consciousness in a febrile\ncontext. The clinical examination at admission noted a meningeal syndrome.\nCytological analysis of the cerebrospinal fluid (CSF) revealed lymphocytic\nmeningitis with 98% lymphocytes for 3634 leukocytes. CSF polymerase\nchain reaction (PCR) detected Mycobacterium tuberculosis DNA. She\nwas put on anti-tuberculosis treatment. The immediate course was favourable,\nbut a secondary worsening of the clinical picture was the cause of his\ndeath. Clinical Case 2: A 34-year-old male patient, naively HIV1-positive\nwith ARV treatment. He is hospitalized in the Multi-Purpose Anaesthesia and\nResuscitation Department of the CNHU HKM for altered consciousness in a\nfeverish context. The clinical examination noted a meningeal syndrome. The\ncytological analysis of the CSF noted 184 leukocytes for 99% lymphocytes.\nThe CSF PCR identified the DNA of Mycobacterium tuberculosis . He was put\non anti-tuberculosis treatment. The evolution was marked by his death.\nConclusion: The neuromeningeal localization of tuberculosis is a poor prognosis.\nCo-infection with HIV remains a potential deadly combination....
Background: Different treatments have been developed and used to control\nsymptoms and improve quality of life in patients with digestive diseases and\ndisorders. Although the use of drugs or alternative approaches has improved\nsymptom severity in some but not all patients, often these improvements were\nnot sustainable. Objectives: An open label clinical study was initiated to determine\nif oral capsules containing a dietary supplement of herbs and oils (GI\nRegenerateTM) could reduce self-reported gastrointestinal symptoms and improve\nquality of life (QOL) indicators in patients with gastrointestinal conditions.\nMethods: Participants included 50 patients (40 females and 10 males)................
Aim: To explore the trend of diabetes epidemic characteristics in Beilun District\nof Ningbo, China and to provide basis for further improvement and improvement\nof diabetes prevention and treatment program. Methods: The data\nof chronic disease monitoring information management system in Zhejiang\nProvince were collected, and the data of diabetes monitoring in Beilun District\nof Ningbo, China from 2012 to 2018 were compared and analyzed. Results:\nCompared with 2012-2015 years, the incidence rate of diabetes in this\narea was well controlled in 2016-2018 years, from 738.35/100 thousand to................
Objectives: To identify the main risk factors of vascular cognitive impairment\nin patients with acute cerebral infarction by Meta-analysis, and provide references\nfor the effective prevention of the cognitive impairment in stroke patients.\nMethods: To retrieve the observational research literatures that refer to\nthe risk factors of vascular cognitive impairment in patients with ischemic\nstroke, which are published on China National Knowledge Infrastructure\n(CNKI), Wanfang and Weipu Chinese databases. The screening and data extraction\nof these literatures are independently completed by two researchers,\nwho also give the quality evaluation of the literatures according to the evaluation\ncriterion of the Australian JBI Evidence-Based Health Care Center. Then,\nMeta-analysis is conducted by using Revman5.3 software. Results: There are\ntwenty-eight articles selected from 1507 literatures, with a total of 10,711 cases\nand 50 risk factors included. Among them, there are combined effects of\nten factors which have statistical significance, such as infarction area, alcohol\nconsumption, smoking, hyper homocysteinemia, hypertension, diabetes mellitus,\nage, history of cerebral infarction, hyperlipoidemia and education level.\nThe relational merging OR value and 95% CI between the type-variable factors\nand cognitive impairment are 3.25............
Background: Premature ejaculation (PE) is one of the sexual dysfunctions\ncommonly present among patients with diabetes mellitus (DM), but rarely\nreported and not commonly investigated compared to erectile dysfunction. In\nthis study, we aimed to investigate the prevalence of PE in a group of patients\nwith type 2 DM and explore possible determinants of its occurrence and its\nassociation with erectile dysfunction. Methods: This was a cross-sectional\nstudy of subjects recruited from the Diabetes clinic and whose sexual function\nwas assessed using the premature ejaculation diagnostic tool (PEDT) and\nerection hardness score (EHS), who were in heterosexuals relationship and\nresides together with their wives and had no major organ failure or acute infection\nwithin the last 1 month. Other socio-demographic history and diabetes-\nrelated questions were assessed. Results: A total of 69 subjects were recruited.\nThe prevalence of PE was 27.5% in the study. There was a significant\ninverse relationship between the prevalence of premature ejaculation and\nfrequency of sexual intercourse. Almost half 14/30 (46.7%) of those with erectile\ndysfunction had premature ejaculation. Diabetic patients with erectile\ndysfunction (ED) showed a significantly higher incidence of PE with significantly\nlower values of EHS. Higher level of fasting blood glucose was associated\nwith higher prevalence of erectile dysfunction. Conclusions: The prevalence\nof PE was relatively high at 19/69 (27.5%) among our type 2 diabetic\npatients. Hence, health care giver should always endeavour to ask about it\neven when patients do not volunteer the information....
Introduction: It has been found that the viral infection is linked to the ABO\nblood group. Limited studies investigated the relationship of the ABO blood\ngroup and susceptibility to COVID-19 infection. Objective: To investigate\nthe association between the ABO blood group and the COVID-19 susceptibility.\nMaterial & Methods: The study is a retrospective cohort study. It included\nall hospitalized confirmed COVID-19 patients in Qatif central hospital,\nEastern province, Saudi Arabia. We included both genders and people who\nare older than 14 years of age. The study was conducted in the period between\n15th March, and 15th April, 2020. Results: Our sample consists of 72\npatients; we found a percentage distribution of 23.62%, 33.33%, 9.72%, and\n33.33% for blood groups A, B, AB and O, respectively. Our results showed\nsignificantly increased risk for AB blood groups.......................
Loading....