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  Subjects -> MEDICAL SCIENCES (Total: 7797 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (196 journals)
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    - CARDIOVASCULAR DISEASES (323 journals)
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    - INTERNAL MEDICINE (151 journals)
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    - MEDICAL GENETICS (58 journals)
    - MEDICAL SCIENCES (2005 journals)
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    - RHEUMATOLOGY (66 journals)
    - SPORTS MEDICINE (74 journals)
    - SURGERY (371 journals)
    - UROLOGY, NEPHROLOGY AND ANDROLOGY (142 journals)

MEDICAL SCIENCES (2005 journals)                  1 2 3 4 5 6 7 8 | Last

Showing 1 - 200 of 3562 Journals sorted alphabetically
16 de Abril     Open Access  
3D Printing in Medicine     Open Access   (Followers: 1)
AADE in Practice     Hybrid Journal   (Followers: 5)
ABCS Health Sciences     Open Access   (Followers: 3)
Abia State University Medical Students' Association Journal     Full-text available via subscription  
ACIMED     Open Access   (Followers: 1)
ACS Medicinal Chemistry Letters     Hybrid Journal   (Followers: 41)
Acta Bio Medica     Full-text available via subscription   (Followers: 2)
Acta Bioethica     Open Access  
Acta Bioquimica Clinica Latinoamericana     Open Access   (Followers: 1)
Acta Facultatis Medicae Naissensis     Open Access  
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Medica (Hradec Králové)     Open Access  
Acta Medica Bulgarica     Open Access  
Acta Medica Colombiana     Open Access   (Followers: 1)
Acta Médica Costarricense     Open Access   (Followers: 2)
Acta Medica Indonesiana     Open Access  
Acta Medica International     Open Access  
Acta medica Lituanica     Open Access  
Acta Medica Marisiensis     Open Access  
Acta Medica Martiniana     Open Access  
Acta Medica Nagasakiensia     Open Access  
Acta Medica Peruana     Open Access   (Followers: 2)
Acta Médica Portuguesa     Open Access  
Acta Medica Saliniana     Open Access  
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Acupuncture & Electro-Therapeutics Research     Full-text available via subscription   (Followers: 4)
Acupuncture and Natural Medicine     Open Access  
Addiction Science & Clinical Practice     Open Access   (Followers: 7)
Addictive Behaviors Reports     Open Access   (Followers: 8)
Adıyaman Üniversitesi Sağlık Bilimleri Dergisi / Health Sciences Journal of Adıyaman University     Open Access  
Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access  
Advanced Biomedical Research     Open Access  
Advanced Health Care Technologies     Open Access   (Followers: 4)
Advanced Science, Engineering and Medicine     Partially Free   (Followers: 7)
Advances in Bioscience and Clinical Medicine     Open Access   (Followers: 5)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 29)
Advances in Life Course Research     Hybrid Journal   (Followers: 8)
Advances in Lipobiology     Full-text available via subscription   (Followers: 1)
Advances in Medical Education and Practice     Open Access   (Followers: 26)
Advances in Medical Ethics     Open Access  
Advances in Medical Research     Open Access  
Advances in Medical Sciences     Hybrid Journal   (Followers: 6)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Advances in Medicine     Open Access   (Followers: 3)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 4)
Advances in Molecular Oncology     Open Access   (Followers: 2)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 7)
Advances in Parkinson's Disease     Open Access  
Advances in Phytomedicine     Full-text available via subscription  
Advances in Preventive Medicine     Open Access   (Followers: 6)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 20)
Advances in Regenerative Medicine     Open Access   (Followers: 2)
Advances in Skeletal Muscle Function Assessment     Open Access  
Advances in Therapy     Hybrid Journal   (Followers: 5)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 13)
Advances in Virus Research     Full-text available via subscription   (Followers: 5)
Advances in Wound Care     Hybrid Journal   (Followers: 10)
Aerospace Medicine and Human Performance     Full-text available via subscription   (Followers: 11)
African Health Sciences     Open Access   (Followers: 3)
African Journal of Biomedical Research     Open Access   (Followers: 1)
African Journal of Clinical and Experimental Microbiology     Open Access   (Followers: 2)
African Journal of Laboratory Medicine     Open Access   (Followers: 2)
African Journal of Medical and Health Sciences     Open Access   (Followers: 2)
African Journal of Trauma     Open Access   (Followers: 1)
Afrimedic Journal     Open Access   (Followers: 2)
Aggiornamenti CIO     Hybrid Journal   (Followers: 1)
AIDS Research and Human Retroviruses     Hybrid Journal   (Followers: 8)
AJOB Primary Research     Partially Free   (Followers: 3)
AJSP: Reviews & Reports     Hybrid Journal  
Aktuelle Ernährungsmedizin     Hybrid Journal   (Followers: 4)
Al-Azhar Assiut Medical Journal     Open Access  
Alexandria Journal of Medicine     Open Access   (Followers: 1)
Allgemeine Homöopathische Zeitung     Hybrid Journal   (Followers: 2)
Alpha Omegan     Full-text available via subscription  
ALTEX : Alternatives to Animal Experimentation     Open Access   (Followers: 3)
American Journal of Biomedical Engineering     Open Access   (Followers: 11)
American Journal of Biomedical Research     Open Access   (Followers: 2)
American Journal of Biomedicine     Full-text available via subscription   (Followers: 7)
American Journal of Chinese Medicine, The     Hybrid Journal   (Followers: 4)
American Journal of Clinical Medicine Research     Open Access   (Followers: 7)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Law & Medicine     Full-text available via subscription   (Followers: 11)
American Journal of Lifestyle Medicine     Hybrid Journal   (Followers: 5)
American Journal of Managed Care     Full-text available via subscription   (Followers: 11)
American Journal of Medical Case Reports     Open Access   (Followers: 1)
American Journal of Medical Sciences and Medicine     Open Access   (Followers: 4)
American Journal of Medicine     Hybrid Journal   (Followers: 46)
American Journal of Medicine and Medical Sciences     Open Access   (Followers: 1)
American Journal of Medicine Studies     Open Access   (Followers: 1)
American Journal of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American Journal of the Medical Sciences     Hybrid Journal   (Followers: 12)
American Journal on Addictions     Hybrid Journal   (Followers: 9)
American medical news     Free   (Followers: 3)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Amyloid: The Journal of Protein Folding Disorders     Hybrid Journal   (Followers: 5)
Anales de la Facultad de Medicina     Open Access  
Anales de la Facultad de Medicina, Universidad de la República, Uruguay     Open Access  
Anales del Sistema Sanitario de Navarra     Open Access   (Followers: 1)
Analgesia & Resuscitation : Current Research     Hybrid Journal   (Followers: 5)
Anatolian Clinic the Journal of Medical Sciences     Open Access  
Anatomica Medical Journal     Open Access  
Anatomical Science International     Hybrid Journal   (Followers: 3)
Anatomical Sciences Education     Hybrid Journal   (Followers: 1)
Anatomy     Open Access   (Followers: 1)
Anatomy Research International     Open Access   (Followers: 2)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Angiogenesis     Hybrid Journal   (Followers: 3)
Ankara Medical Journal     Open Access   (Followers: 2)
Ankara Üniversitesi Tıp Fakültesi Mecmuası     Open Access  
Annales de Pathologie     Full-text available via subscription  
Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale     Full-text available via subscription   (Followers: 3)
Annals of African Medicine     Open Access   (Followers: 1)
Annals of Anatomy - Anatomischer Anzeiger     Hybrid Journal   (Followers: 2)
Annals of Bioanthropology     Open Access   (Followers: 4)
Annals of Biomedical Engineering     Hybrid Journal   (Followers: 18)
Annals of Biomedical Sciences     Full-text available via subscription   (Followers: 3)
Annals of Clinical Microbiology and Antimicrobials     Open Access   (Followers: 11)
Annals of Family Medicine     Open Access   (Followers: 14)
Annals of Ibadan Postgraduate Medicine     Open Access  
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Medicine     Hybrid Journal   (Followers: 12)
Annals of Medicine and Surgery     Open Access   (Followers: 7)
Annals of Microbiology     Hybrid Journal   (Followers: 11)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Saudi Medicine     Open Access  
Annals of the New York Academy of Sciences     Hybrid Journal   (Followers: 5)
Annals of The Royal College of Surgeons of England     Full-text available via subscription   (Followers: 3)
Annual Reports in Medicinal Chemistry     Full-text available via subscription   (Followers: 7)
Annual Reports on NMR Spectroscopy     Full-text available via subscription   (Followers: 4)
Annual Review of Medicine     Full-text available via subscription   (Followers: 16)
Anthropological Review     Open Access   (Followers: 23)
Anthropologie et santé     Open Access   (Followers: 5)
Antibiotics     Open Access   (Followers: 9)
Antibodies     Open Access   (Followers: 2)
Antibody Technology Journal     Open Access   (Followers: 1)
Anuradhapura Medical Journal     Open Access  
Anwer Khan Modern Medical College Journal     Open Access   (Followers: 2)
Apmis     Hybrid Journal   (Followers: 1)
Apparence(s)     Open Access   (Followers: 1)
Applied Clinical Research, Clinical Trials and Regulatory Affairs     Hybrid Journal  
Applied Medical Informatics     Open Access   (Followers: 10)
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 1)
Arak Medical University Journal     Open Access  
Archive of Clinical Medicine     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives Medical Review Journal / Arşiv Kaynak Tarama Dergisi     Open Access  
Archives of Medical and Biomedical Research     Open Access   (Followers: 3)
Archives of Medical Laboratory Sciences     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Medicine and Surgery     Open Access  
Archives of Trauma Research     Open Access   (Followers: 3)
Archivos de Medicina (Manizales)     Open Access  
ArgoSpine News & Journal     Hybrid Journal  
Arquivos Brasileiros de Oftalmologia     Open Access  
Arquivos de Ciências da Saúde     Open Access  
Arquivos de Medicina     Open Access  
Ars Medica : Revista de Ciencias Médicas     Open Access  
ARS Medica Tomitana     Open Access   (Followers: 1)
Art Therapy: Journal of the American Art Therapy Association     Full-text available via subscription   (Followers: 13)
Arterial Hypertension     Open Access   (Followers: 1)
Artificial Intelligence in Medicine     Hybrid Journal   (Followers: 13)
Artificial Organs     Hybrid Journal   (Followers: 1)
ASHA Leader     Open Access  
Asia Pacific Family Medicine     Open Access   (Followers: 1)
Asia Pacific Journal of Clinical Nutrition     Full-text available via subscription   (Followers: 10)
Asia Pacific Journal of Clinical Trials : Nervous System Diseases     Open Access  
Asian Bioethics Review     Full-text available via subscription   (Followers: 3)
Asian Biomedicine     Open Access   (Followers: 2)
Asian Journal of Cell Biology     Open Access   (Followers: 5)
Asian Journal of Health     Open Access   (Followers: 3)
Asian Journal of Medical and Biological Research     Open Access   (Followers: 4)
Asian Journal of Medical and Pharmaceutical Researches     Open Access   (Followers: 1)
Asian Journal of Medical Sciences     Open Access   (Followers: 2)
Asian Journal of Scientific Research     Open Access   (Followers: 3)
Asian Journal of Transfusion Science     Open Access   (Followers: 1)
Asian Medicine     Hybrid Journal   (Followers: 5)
Asian Pacific Journal of Cancer Prevention     Open Access  
ASPIRATOR : Journal of Vector-borne Disease Studies     Open Access  
Astrocyte     Open Access  
Atención Familiar     Open Access  
Atención Primaria     Open Access   (Followers: 1)
Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche     Open Access  
Audiology - Communication Research     Open Access   (Followers: 9)
Auris Nasus Larynx     Full-text available via subscription  
Australian Coeliac     Full-text available via subscription   (Followers: 1)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Journal of Medical Science     Full-text available via subscription   (Followers: 1)
Autopsy and Case Reports     Open Access  
Avicenna     Open Access   (Followers: 3)
Avicenna Journal of Clinical Medicine     Open Access  
Avicenna Journal of Medicine     Open Access   (Followers: 1)
Bangabandhu Sheikh Mujib Medical University Journal     Open Access   (Followers: 1)
Bangladesh Journal of Anatomy     Open Access   (Followers: 1)
Bangladesh Journal of Bioethics     Open Access  
Bangladesh Journal of Medical Biochemistry     Open Access   (Followers: 3)
Bangladesh Journal of Medical Education     Open Access   (Followers: 2)
Bangladesh Journal of Medical Microbiology     Open Access   (Followers: 3)
Bangladesh Journal of Medical Physics     Open Access  
Bangladesh Journal of Medical Science     Open Access  

        1 2 3 4 5 6 7 8 | Last

Journal Cover
American Journal of Medicine and Medical Sciences
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2165-901X - ISSN (Online) 2165-9036
Published by SAP Homepage  [105 journals]
  • Epidemiology of Irritable Bowel Syndrome in Saudi Arabia

    • Abstract: Publication year: 2018Source: American Journal of Medicine and Medical Sciences, Volume 8, Number 1Saleh Hadi AlharbiThe irritable bowel syndrome (IBS), is a clinical syndrome characterized by chronic abdominal dis-comfort, is the most mutual complaint met by gastroenterologists. IBS associated with symptoms in bowel habits, which can't be clarified by any biochemical or organic disorders. The most common symptoms include, the existence of current or recurrent abdominal pain or discomfort accompanying with bloating and altered bowel habits. These symptoms could intensely change the quality of life. Several reports confirms the existence of dysfunction of the intrinsic enteric nervous system (ENS). Several reports have revealed that inflammation and immune dysregulation disturb the sensitivity of nerve fibers. A relatively high prevalence of IBS was reported in several Saudi studies with variable study population settings. This review is mainly focused on the current status of IBS in the Kingdom Saudi Arabia (KSA) in light of the existent literature. The prevalence of IBS in Saudi Arabia among the available literature was slightly higher but relatively comparable to some worldwide reports.
       
  • Male Body Mass Index and Intracytoplasmic Sperm Injection Outcomes in Men
           with Non-Obstructive Azoospermia

    • Abstract: Publication year: 2017Source: American Journal of Medicine and Medical Sciences, Volume 7, Number 12Ahmed F. El-Sherbiny, Eman A. Hassan, Mohamed Shehata, Mokhtar M. ElsapaghThe aim of the current study was to evaluate the relationship between male body mass index (BMI) and the intracytoplasmic injection (ICSI) outcomes in men undergoing testicular sperm extraction (TESE) and intracytoplasmic sperm injection (ICSI) for non-obstructive azoospermia (NOA). Methods: Prospective comparative study was conducted at the Assisted Reproduction Unit, International Islamic Center for Population Studies and Researches, Al-Azhar University. All included patients were divided into two groups; group I, including patients with a BMI < 25 kg/m2; and group II, including patients with a BMI ≥ 25 kg/m2 (Fifty patients planned to undergo TESE and ICSI for NOA were included in each group). The primary outcome was clinical pregnancy rate. Secondary outcomes included fertilization rate, embryo development and embryo grade. Results: The rate of positive sperm retrieval was comparable in both groups. The mean values of fertilization rates and embryo development rates were significantly higher in patients of group I. also rate of grade A embryo was significantly higher in patients of group I. The per-cycle and per-transfer clinical pregnancy rates were both significantly higher in patients of group I [13/50 (26%) vs. 4/50 (8%), respectively, OR 4.04, 95% CI (1.22 to 13.43), p=0.017; and 13/22 (59.1%) vs. 4/23 (17.4%), respectively, OR 6.86, 95% CI (1.74 to 27.08), p=0.004; respectively]. Conclusion: Among men with NOA, obesity seems to be associated with reduced ICSI outcomes in terms of reduced fertilization, embryo development and clinical pregnancy rates.
       
  • Reproductive Performance in Women with Fibroid

    • Abstract: Publication year: 2017Source: American Journal of Medicine and Medical Sciences, Volume 7, Number 12Momen A. M. Kamel, Ahmed M. A. Nasr, Kamal M. Zahran, Sohir A. M. IbrahimUterine fibroid is a common gynecological problem among women of reproductive age, and there are conflicting reports of its effect on fertility and pregnancy outcome. It is a common reason for gynecological consultation in most hospitals as well as the most common benign genital tract tumor which are associated with sub-fertility and early pregnancy loss in women of reproductive age. The study was conducted at Women's Health Hospital Assiut University. This study was divided two main groups: Group I: prospective study to assess the reproductive performance of infertile women with myoma after myomectomy. Group II: This cross sectional study to assess the prevalence of myoma in women came for delivery vaginal, cesarean section or abortion. Result shows Intraoperative findings of myomectomy in study group I (45.0% of cases have myoma size in range 5-10 cm, also 45.0% of myoma location was in lower uterine segment and 50.0% was Intramural type and the great majority of women had single fibroid about 76.5% of cases. About reproductive outcome with previous myomectomy after follow up. With (52.5%) of them still have infertility and (47.5%) become pregnancy. Which (42.1%) of them had abortion, (31.5%) were delivered C.S and (15.7%) delivered vaginally and (10.5%) were diagnosed as an ectopic pregnancy. Also, complications of myoma during pregnancy in study group II majority of cases has pain with fibroid during pregnancy about 66.67% of cases, (60.0%) of cases have bleeding during first trimester, (37.61%), (27.3%) malpresentation, also there were (28.57%) have Miscarriage and lowest percentage (2.38%) have placenta abruption and (2.38%) have post-partum hemorrhage. As regard there were (30.0%) of cases have no symptoms. There was higher percentage in myoma (50.47%) in age above 36 years. Higher percentage in myoma (51.42%) in primipara.
       
  • Outcomes of Azygoportal total Dissociation for Complicated Portal
           Hypertension: Comparison of Two Techniques

    • Abstract: Publication year: 2018Source: American Journal of Medicine and Medical Sciences, Volume 8, Number 1F. G. Nazirov, A. V. Devyatov, A. Kh. Babadjanov, U. R. Salimov, D. M. KhakimovThe aim of the research was to study the efficiency of different types of azygoportal collector total dissociation in patients with clinically significant portal hypertension. Material and methods: Depending on the procedure, the patients were divided into two groups. The first group consisted of 63 patients. Azygoportal dissociation was performed according to an original method. In the second group a modified version of azygoportal dissociation was performed. Patients were comparable in the main pathology and course of the disease. Results and discussion: Edematous ascitic syndrome; liver failure; insufficiency of gastro-gastral anastomosis and haemorrhagic syndrome were observed in 28.6%; 23.8%; 11.1%; and 14.3 against 16.5%; 7,7%; 0%; and 4.4% for patients of the I and II groups, respectively. Conclusion: proposed method of azygoportal collector dissociation on a prosthesis is a more effective method for hemorrhagic syndrome control and also allows to significantly reduce the incidence of severe complications in the nearest postoperative period.
       
  • Attitudes to Cardiopulmonary Resuscitation by Nigerian Practising
           Professional and Student Teachers Compared

    • Abstract: Publication year: 2017Source: American Journal of Medicine and Medical Sciences, Volume 7, Number 11Adedamola Olutoyin Onyeaso, Onyedikachi Oluferanmi OnyeasoBackground: There is an understandably global trend to have bystander cardiopulmonary resuscitation (CPR) training encouraged in schools and many countries of the world especially the developed nations are complying but the situation is different in Nigeria. School teachers are expected to play central role in the success of this programme. This study aimed at comparing the attitude of Nigerian practising professional teachers and the undergraduate student (upcoming) teachers. Methods: A quasi-experimental study involving two cohorts (practising professional teachers and undergraduate student teachers) of forty-one (41) participants each was carried out. Their pre-training and post-training attitudes of both groups were assessed using the same self-administered questionnaire. The data was analysed using SPSS and tested statistically using both descriptive statistics of percentages, means with standard deviations and paired sample T-test for the null hypotheses while significance level was set at P < .05. Results: The null hypotheses generated in this study were accepted because both groups (practising professional and student teachers) had statistically significantly similar positive pre-training and post-training attitudes to CPR. The relatively generally better attitude of student teachers to CPR was not significant (P>0.05). Conclusion: The practising professional teachers and the student teachers have statistically significantly similar positive attitudes to CPR before and after the training. This is considered a very positive finding for the future of bystander CPR training and provision in Nigerian schools system and ultimately the general public.
       
  • Barriers to Adenoid and Tonsil Surgeries in Ekiti, Nigeria

    • Abstract: Publication year: 2017Source: American Journal of Medicine and Medical Sciences, Volume 7, Number 12Adegbiji Waheed Atilade, Gabriel Toye Olajide, Shuaib Kayode Aremu, Sulyman Biodun AlabiAim and Background: Different form of barriers prevented or delayed patients from undergoing adenoid and tonsillar surgery in low-income countries. This study aimed at determining the prevalence of patients with barriers, types of barriers, identified affected individuals and possible way out to receive required adenotonsillar surgical care. Materials and Methods: This was a prospective hospital based study of patients scheduled for surgical procedures of adenoidectomy, tonsillectomy or both in the Ear, Nose and Throat department of Ekiti state university teaching hospital, Ado Ekiti, over a period of two years between July 2015 and June 2017. Results: A total of 172 patients were scheduled for adenotonsillectomy out of which 89 patients had surgery done over the study period. This represented 51.7% of patients that had surgery done. Majority (59.6%) with barriers were in the age group (1-10) years. There were 64.0% males and 36.0% females with a male: female ratio of 2:1. Majority (60.7%) of the study population were students/apprentice. Among the participants, 34.8% resided in Ado Ekiti, 55.1% live outside Ado Ekiti and within Ekiti state, while 10.1% were from outside Ekiti state. Major indications for the surgeries were obstructive adenotonsillar hypertrophy in 71.9% patients, recurrent tonsillitis in 19.5% while 4.5% were due to otitis media. About 43.8% patients accepted the surgical option. For one reason or the other 23.6% patients’ differed date for the adenotonsillectomy while 19.1% patients preferred to wait for patients to outgrowth the condition. 13.5% of the patients preferred alternative to surgery. In the findings 43.8% patients had both adenoidectomy and tonsillectomy (adenotonsillectomy) done, 24.7% patients had only adenoidectomy done while 31.5% patients had only tonsillectomy done. No barrier was experienced in 15.7% patients, 58.4% patient’s encountered hospital based barrier, 38.2% encountered patients based barrier, and 48.3% of the studied patients encountered barriers from the hospital staffs. High cost of surgical service and cumbersome preoperative surgical tests were barriers in all (100%) patients. Other major barriers to adenotonsillectomy were fear of bleeding in 94.4%, 88.8% are due to fear of complications and 86.5% were due to fear of surgery itself. Conclusions: Close to half of the patients with adenoid and tonsils disorder did not have the scheduled surgery. They were mainly due to patients based barriers, hospitals based barriers and hospital workers based barriers in these study patients.
       
  • Assessment of Vitamin D Level in Sudanese Post Renal Transplant Patients
           – Khartoum State

    • Abstract: Publication year: 2017Source: American Journal of Medicine and Medical Sciences, Volume 7, Number 10Zainab S. A. Ali, Ikram H. M. Babiker, Ayman A. M. AlameenBackground: Insufficient levels of Vitamin D and abnormal metabolism of calcium and phosphate are common problems among post renal transplant patients and general population. It creates a universal health apprehension since vitamin D deficiency is associated with many diseases. Vitamin D supplements after transplantation has been suggested to prevent risk of bone loss. Tacrolimus (FK506) and cyclosporine A (CsA), two kinds of immunosuppressive drugs, have been widely used in the field of renal transplantation. As triple-immunosuppressive regimen, FK506-Mycophenolate Mofetil (MMF)- Prednisone (Pred) or CsA-MMF-Pred was applied mainly depended on doctors’ experience and drug economics. However, there was no any detail treatment guidelines for the drug selection. The objectives of this study are to assess the prevalence of Vitamin D deficiency in the Sudanese renal transplant patients, compared with controls and study the role of immunosuppressive drugs. Methodology: This study was conducted in kidney transplantation centers to investigate the levels of Vitamin D, Parathyroid hormone, calcium and phosphorus and the effect of immunosuppressive drug on vitamin D metabolism in Sudanese renal-transplantation patients, Khartoum state during March 2017. The control group (n=40) matched for age and sex with renal post-transplants patients group (n=40). Results: In our study, 80 participants, 26 out of 40 individuals (65%) were males and 14 (35%) were females in each study group (patient and control). The mean age was 42.25±14.46 years in kidney transplant patients and 42.15±14.66 years in control group. Inadequate serum 25-hydroxyvitamin D (vitamin D level: 50 – 72.5 nmol/L) was seen in 17.5% of transplant patients and 35% of the controls, 72.5% of patients had vitamin D deficiency (level of vitamin D < 50 nmol/L) and 5% of control group. There was significant difference in vitamin D concentrations between the two groups (P value < 0.05). Low vitamin D concentrations were associated with increased Parathyroid Hormone (PTH) levels (P value < 0.05). Tacrolimus (FK-506) was associated with higher risk of deficiency. Conclusion: Vitamin D deficiency is prevalent among Sudanese kidney transplant patients; there were insufficient and deficient status among healthy control too, due to lack of exposure to sun despite being in a region with high UV light or poor diet. They may need vitamin D supplements for stabilization of serum vitamin D and improving the diet and life style.
       
  • Time for Recovery of Symptoms after Septoplasty

    • Abstract: Publication year: 2017Source: American Journal of Medicine and Medical Sciences, Volume 7, Number 10Abdullah Alotaibi, Bassam Ahmed Almutlaq, Hussain Gadelkarim AhmedBackground: Nasal obstruction is one of the mutual clinical presentations that otorhinolaryngologists faces in every day practice. Deviated nasal septum (DNS) is one of the most frequent reason for the nasal obstruction. Therefore, the aim of the present study was assess the suitable timing for recovery of nasal obstruction associated complications after Septoplasty. Methodology: This study included a series of 104 patients presented with nasal obstruction and subsequently undergone septoplasty. Several nasal obstruction clinical complains were evaluated after 3 months and one year of septoplasty. Results: Statistically significant improvement with increase of time has been achieved in nasal blockage, breathing distress, sleeping distress, nasal congestion, exercise, and other complications. Conclusion: A significant improvement of nasal obstruction associated complications start after 3 months of Septoplasty but ultimate benefit may occur after one year.
       
  • The Hidden Truth behind Osteoporosis and Vitamin D Deficiency

    • Abstract: Publication year: 2017Source: American Journal of Medicine and Medical Sciences, Volume 7, Number 11Abdullah M. Nasrat, Rand M. Nasrat, Mohammad M. NasratThe study aimed to demonstrate the possibility of an existing hidden underlying reason behind the increased frequency of osteopenia/osteoporosis and vitamin D deficiency during latest decades. Prevalence of osteopenia/osteoporosis and vitamin D deficiency constitutes a world health challenge. The latest decades demonstrated flare up of abnormal-existence/behavior colonic Helicobacterpylori strains and rising figures of disease spread related to these strains. The association of vitamin D deficiency with H. pylori is controversial in literature whereas it has been confirmed that colonic H. pylori strains could lead to abnormal lipid metabolism interfering with absorption of the fat-soluble vitamin D. H. pylori was found significantly associated with osteoporosis; H. pylori can influence osteoporosis directly by increasing the release of toxic inflammatory mediators and through the developed H. pylori related-vitamin D deficiency. Existence of colonic H. pylori strains was investigated among 100 males and females known with osteopenia/osteoporosis due to vitamin D deficiency employing a specific test. Natural measures for eradication of H. pylori with or without vitamin D supplement were employed for 3 groups of patients with osteoporosis/vitamin D deficiency and positive for colonic H. pylori strains in order to assess and compare effect of H. pylori eradication on recovery of vitamin D serum level. Significant recovery of vitamin D serum level was achieved within rather short duration of eradication of the colonic H. pylori strains employing natural measures even without further vitamin D supplement therapy. The striking association of colonic H. pylori strains with osteoporosis/vitamin D deficiency indicates that these strains could have a significant influence on the challenge of osteoporosis and vitamin D deficiency during latest decades. Eradication of colonic H. pylori strains from the colon employing natural measures could be therefore an effective measure to control the challenge of osteoporosis/vitamin D deficiency worldwide.
       
  • A Comparison of Atherogenic Indices among Untreated Hypertensives in a
           Tertiary Hospital in Southern Nigeria

    • Abstract: Publication year: 2017Source: American Journal of Medicine and Medical Sciences, Volume 7, Number 11Akpa Maclean Romokere, Unamba Ndubuisi NorbertBACKGROUND: Cardiovascular disease (CVD) is the major cause of deaths worldwide because of increasing prevalence of hypertension, the major risk factor. Clustering of hypertension and dyslipidemia increases cardiovascular morbidity and mortality. Several atherogenic indices have been derived from standard lipid profiles measurement in an attempt to enhance predictive capacity of the lipid profile in CVD management. OBJECTIVES: To measure plasma lipids of untreated hypertensive patients and determine if the lipid ratios were superior in identifying dyslipidemia compared to the use of conventional lipid parameters. METHODS: Hypertensive subjects were consecutively enrolled from our cardiac clinic and had fasting lipid profile measured using standard procedures. The following atherogenic indices were then calculated from the lipid profile: Castelli Risk Index-I (total cholesterol/high-density lipoprotein), Castelli Risk Index-II (low-density lipoprotein/high-density lipoprotein), and the atherogenic index of plasma (AIP) [Log Triglyceride/HDL]. Descriptive statistics and correlation studies were used to determine the relationship between lipid parameters, atherogenic indices and gender. The area under the curve (AUC) of the receiver operator curve (ROC) and the 95% confidence intervals (CIs) were used to determine which index showed the highest accuracy in screening for dyslipidemia in the studied population. RESULTS: Two hundred and forty-eight subjects (108 males and 140 females) aged 20 to 86 years were recruited, mean age was 55.94 ±15.29 and 53.46±13.99 years for males and females respectively (p=0.186). Mean total cholesterol (TCH) and low-density lipoprotein (LDL-C) levels were significantly higher in the females (p=0.005 and p=0.021) respectively. Mean high-density lipoprotein (HDL-C) levels were higher in the females (p=0.003). 10.3% of patients had increased TCH 2.1% had elevated triglyceride, 37.3% had reduced HDL-C and 30.3% had elevated LDL-Cholesterol. AIP showed a strong inverse correlation with HDL-C (r= -0.447, p
       
 
 
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