Subjects -> MEDICAL SCIENCES (Total: 8529 journals)
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MEDICAL SCIENCES (2342 journals)            First | 3 4 5 6 7 8 9 10 | Last

Showing 1201 - 1400 of 3562 Journals sorted alphabetically
Journal of health sciences     Open Access  
Journal of Health Sciences / Sağlık Bilimleri Dergisi     Open Access  
Journal of Health Sciences and Medicine     Open Access  
Journal of Health Sciences and Surveillance System     Open Access  
Journal of Health Sciences Scholarship     Open Access  
Journal of Health Specialties     Open Access  
Journal of Health Studies     Open Access  
Journal of Healthcare Informatics Research     Hybrid Journal   (Followers: 1)
Journal of Heavy Metal Toxicity and Diseases     Open Access  
Journal of Helminthology     Hybrid Journal   (Followers: 2)
Journal of Herbs Spices & Medicinal Plants     Hybrid Journal  
Journal of HIV for Clinical and Scientific Research     Open Access   (Followers: 1)
Journal of Hospital Medicine     Hybrid Journal   (Followers: 10)
Journal of Huazhong University of Science and Technology [Medical Sciences]     Hybrid Journal  
Journal of Human Hypertension     Hybrid Journal   (Followers: 3)
Journal of Human Rhythm     Open Access  
Journal of Human Transcriptome     Open Access  
Journal of Ideas in Health     Open Access  
Journal of Inflammation     Open Access   (Followers: 2)
Journal of Inflammation Research     Open Access  
Journal of Injury and Violence Research     Open Access   (Followers: 7)
Journal of Innovation in Health Informatics     Open Access   (Followers: 17)
Journal of Institute of Medicine     Open Access  
Journal of Insulin Resistance     Open Access   (Followers: 1)
Journal of Interactional Research in Communication Disorders     Hybrid Journal   (Followers: 5)
Journal of Interferon & Cytokine Research     Hybrid Journal   (Followers: 3)
Journal of International Medical Research     Open Access   (Followers: 4)
Journal of Interventional Medicine     Open Access   (Followers: 1)
Journal of Investigative Medicine     Hybrid Journal   (Followers: 3)
Journal of Islamabad Medical & Dental College     Open Access  
Journal of Istanbul Faculty of Medicine     Open Access  
Journal of Karnali Academy of Health Sciences     Open Access   (Followers: 1)
Journal of Kathmandu Medical College     Open Access   (Followers: 1)
Journal of King Abdulaziz University : Medical Sciences     Open Access   (Followers: 2)
Journal of Laboratory Medicine     Hybrid Journal   (Followers: 27)
Journal of Laryngology and Voice     Open Access   (Followers: 11)
Journal of Lasers in Medical Sciences     Open Access  
Journal of Law, Medicine & Ethics     Hybrid Journal   (Followers: 24)
Journal of Legal Medicine     Hybrid Journal   (Followers: 7)
Journal of Limb Lengthening & Reconstruction     Open Access  
Journal of Lumbini Medical College     Open Access   (Followers: 1)
Journal of Mahatma Gandhi Institute of Medical Sciences     Open Access  
Journal of Manipulative and Physiological Therapeutics     Hybrid Journal   (Followers: 6)
Journal of Manmohan Memorial Institute of Health Sciences     Open Access   (Followers: 1)
Journal of Marine Medical Society     Open Access  
Journal of Materials Science : Materials in Medicine     Hybrid Journal   (Followers: 4)
Journal of Maternal and Child Health     Open Access  
Journal of Mechanics in Medicine and Biology     Hybrid Journal  
Journal of Medical and Biological Engineering     Hybrid Journal   (Followers: 4)
Journal of Medical and Biomedical Sciences     Open Access   (Followers: 2)
Journal of Medical Case Reports     Open Access   (Followers: 1)
Journal of Medical Cases     Open Access   (Followers: 6)
Journal of Medical Colleges of PLA     Full-text available via subscription  
Journal of Medical Disorders     Open Access  
Journal of Medical Economics     Hybrid Journal   (Followers: 8)
Journal of Medical Education and Curricular Development     Open Access   (Followers: 6)
Journal of Medical Ethics     Partially Free   (Followers: 25)
Journal of Medical Ethics and History of Medicine     Open Access   (Followers: 15)
Journal of Medical Humanities     Hybrid Journal   (Followers: 21)
Journal of Medical Hypotheses and Ideas     Open Access  
Journal of Medical Imaging and Health Informatics     Full-text available via subscription   (Followers: 1)
Journal of Medical Investigation and Practice     Open Access  
Journal of Medical Laboratory and Diagnosis     Open Access  
Journal of Medical Law and Ethics     Full-text available via subscription   (Followers: 15)
Journal of Medical Microbiology     Full-text available via subscription   (Followers: 6)
Journal of Medical Sciences     Open Access  
Journal of Medical Sciences     Open Access  
Journal of Medical Screening     Hybrid Journal   (Followers: 6)
Journal of Medical Signals and Sensors     Open Access   (Followers: 3)
Journal of Medical Society     Open Access  
Journal of Medical Systems     Hybrid Journal  
Journal of Medical Toxicology     Hybrid Journal   (Followers: 6)
Journal of Medical Ultrasound     Open Access   (Followers: 2)
Journal of Medicinal Botany     Open Access  
Journal of Medicinal Chemistry     Hybrid Journal   (Followers: 197)
Journal of Medicine     Open Access   (Followers: 1)
Journal of Medicine and Biomedical Research     Open Access   (Followers: 1)
Journal of Medicine and Philosophy     Hybrid Journal   (Followers: 8)
Journal of Medicine and the Person     Hybrid Journal  
Journal of Medicine in Scientific Research     Open Access  
Journal of Medicine in the Tropics     Open Access  
Journal of Medicine Research and Development     Open Access   (Followers: 3)
Journal of Medicine, Physiology and Biophysics     Open Access   (Followers: 5)
Journal of Medicines Development Sciences     Open Access   (Followers: 1)
Journal of Metabolomics & Systems Biology     Open Access  
Journal of Mind and Medical Sciences     Open Access   (Followers: 1)
Journal of Molecular Medicine     Hybrid Journal   (Followers: 11)
Journal of Movement Disorders     Open Access   (Followers: 2)
Journal of Muscle Research and Cell Motility     Hybrid Journal   (Followers: 1)
Journal of Nanotechnology in Engineering and Medicine     Full-text available via subscription   (Followers: 6)
Journal of Natural Medicines     Hybrid Journal  
Journal of Natural Science, Biology and Medicine     Open Access   (Followers: 3)
Journal of Nature and Science of Medicine     Open Access   (Followers: 4)
Journal of Negative and No Positive Results     Open Access  
Journal of Nepalgunj Medical College     Open Access  
Journal of Neurocritical Care     Open Access  
Journal of Neurodegenerative Diseases     Open Access   (Followers: 2)
Journal of Neurorestoratology     Open Access  
Journal of Neuroscience and Neurological Disorders     Open Access  
Journal of Nobel Medical College     Open Access  
Journal of Obesity and Bariatrics     Open Access  
Journal of Occupational Health     Open Access  
Journal of Occupational Therapy Education     Open Access   (Followers: 9)
Journal of Ocular Biology, Diseases, and Informatics     Hybrid Journal  
Journal of Oral Biology and Craniofacial Research     Full-text available via subscription  
Journal of Oral Health and Craniofacial Science     Open Access  
Journal of Orofacial Sciences     Open Access  
Journal of Otorhinolaryngology, Hearing and Balance Medicine     Open Access   (Followers: 1)
Journal of Ovarian Research     Open Access  
Journal of Ozone Therapy     Open Access  
Journal of Palliative Medicine     Hybrid Journal   (Followers: 47)
Journal of Paramedical Sciences & Rehabilitation     Open Access  
Journal of Parkinsonism and Restless Legs Syndrome     Open Access   (Followers: 2)
Journal of Parkinson’s Disease and Alzheimer’s Disease     Open Access  
Journal of Participatory Medicine     Open Access  
Journal of Patan Academy of Health Sciences     Open Access  
Journal of Pathogens     Open Access   (Followers: 1)
Journal of Patient Experience     Open Access  
Journal of Patient Safety and Risk Management     Hybrid Journal   (Followers: 1)
Journal of Patient-Centered Research and Reviews     Open Access  
Journal of Patient-Reported Outcomes     Open Access  
Journal of Periodontal Research     Hybrid Journal  
Journal of Personalized Medicine     Open Access   (Followers: 3)
Journal of Pest Science     Hybrid Journal   (Followers: 1)
Journal of Pharmaceutical Policy and Practice     Open Access   (Followers: 4)
Journal of Physiobiochemical Metabolism     Hybrid Journal   (Followers: 2)
Journal of Physiology-Paris     Hybrid Journal   (Followers: 2)
Journal of Pioneering Medical Sciences     Open Access  
Journal of Postgraduate Medicine     Open Access  
Journal of Pregnancy     Open Access   (Followers: 4)
Journal of Prevention & Intervention Community     Hybrid Journal   (Followers: 6)
Journal of Preventive Medicine and Public Health     Open Access  
Journal of Primary Prevention     Hybrid Journal   (Followers: 7)
Journal of Prosthodontic Research     Full-text available via subscription   (Followers: 1)
Journal of Prosthodontics     Hybrid Journal   (Followers: 2)
Journal of Receptor, Ligand and Channel Research     Open Access  
Journal of Regenerative Medicine     Partially Free   (Followers: 3)
Journal of Research in Medical Sciences     Open Access   (Followers: 2)
Journal of Science and Applications : Biomedicine     Open Access   (Followers: 1)
Journal of Science and Technology (Ghana)     Open Access   (Followers: 3)
Journal of Scientific Innovation in Medicine     Open Access  
Journal of Scientific Perspectives     Open Access   (Followers: 1)
Journal of Sensory Studies     Hybrid Journal   (Followers: 4)
Journal of Shaheed Suhrawardy Medical College     Open Access  
Journal of Shoulder and Elbow Arthroplasty     Open Access  
Journal of Sleep Disorders : Treatment & Care     Hybrid Journal   (Followers: 10)
Journal of South American Earth Sciences     Hybrid Journal   (Followers: 5)
Journal of Spinal Cord Medicine     Hybrid Journal   (Followers: 4)
Journal of Spinal Disorders & Techniques     Hybrid Journal   (Followers: 2)
Journal of Sports Medicine and Allied Health Sciences : Official Journal of the Ohio Athletic Trainers Association     Open Access   (Followers: 1)
Journal of Stem Cell Therapy and Transplantation     Open Access   (Followers: 1)
Journal of Stomal Therapy Australia     Full-text available via subscription  
Journal of Strength and Conditioning Research     Hybrid Journal   (Followers: 73)
Journal of Substance Use     Hybrid Journal   (Followers: 14)
Journal of Surgical Academia     Open Access   (Followers: 1)
Journal of Surgical and Clinical Research     Open Access  
Journal of Surgical Case Reports     Open Access  
Journal of Surgical Education     Full-text available via subscription   (Followers: 3)
Journal of Surgical Technique and Case Report     Open Access  
Journal of Systemic Therapies     Full-text available via subscription   (Followers: 3)
Journal of Taibah University Medical Sciences     Open Access  
Journal of Telemedicine and Telecare     Hybrid Journal   (Followers: 12)
Journal of The Academy of Clinical Microbiologists     Open Access  
Journal of the American Association for Laboratory Animal Science     Full-text available via subscription   (Followers: 7)
Journal of the American College of Certified Wound Specialists     Hybrid Journal   (Followers: 2)
Journal of the American College of Clinical Wound Specialists     Hybrid Journal   (Followers: 2)
Journal of the American Medical Directors Association     Hybrid Journal   (Followers: 6)
Journal of the American Medical Informatics Association : JAMIA     Hybrid Journal   (Followers: 35)
Journal of the American Podiatric Medical Association     Full-text available via subscription   (Followers: 7)
Journal of the Anatomical Society of India     Full-text available via subscription  
Journal of the Anus, Rectum and Colon     Open Access  
Journal of The Arab Society for Medical Research     Open Access  
Journal of the Australasian College of Nutritional and Environmental Medicine     Full-text available via subscription  
Journal of the Australasian Society of Aerospace Medicine     Open Access   (Followers: 1)
Journal of the Ceylon College of Physicians     Open Access  
Journal of the Chinese Medical Association     Open Access   (Followers: 2)
Journal of the College of Community Physicians of Sri Lanka     Open Access  
Journal of The Egyptian Public Health Association     Open Access   (Followers: 1)
Journal of the Formosan Medical Association     Open Access   (Followers: 2)
Journal of the Ghana Science Association     Full-text available via subscription   (Followers: 3)
Journal of the Grodno State Medical University     Open Access   (Followers: 1)
Journal of the History of Medicine and Allied Sciences     Hybrid Journal   (Followers: 17)
Journal of the International Society for Telemedicine and eHealth     Open Access   (Followers: 3)
Journal of the Learning Sciences     Hybrid Journal   (Followers: 17)
Journal of the Medical Library Association     Open Access   (Followers: 283)
Journal of the Medical Sciences (Berkala ilmu Kedokteran)     Open Access   (Followers: 1)
Journal of the National Medical Association     Full-text available via subscription  
Journal of the Peripheral Nervous System     Hybrid Journal   (Followers: 3)
Journal of the Postgraduate Institute of Medicine     Open Access  
Journal of the Renin-Angiotensin-Aldosterone System     Open Access   (Followers: 1)
Journal of the Royal Society of Medicine     Hybrid Journal   (Followers: 2)
Journal of the Ruhunu Clinical Society     Open Access  
Journal of the Scientific Society     Open Access   (Followers: 1)
Journal of the Siena Academy of Sciences     Open Access   (Followers: 1)
Journal of Therapeutic Ultrasound     Open Access  
Journal of Thyroid Research     Open Access   (Followers: 1)
Journal of Tissue Engineering     Open Access   (Followers: 6)
Journal of Tissue Viability     Full-text available via subscription   (Followers: 3)
Journal of Topology     Hybrid Journal   (Followers: 1)
Journal of Toxicology     Open Access   (Followers: 11)

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Similar Journals
Journal Cover
Journal of Medical Sciences
Journal Prestige (SJR): 0.147
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1011-4564 - ISSN (Online) 2542-4939
Published by Medknow Publishers Homepage  [425 journals]
  • Prioritizing factors affecting the hospital employees' productivity
           from the hospital managers' viewpoint using integrated decision-making
           trial and evaluation laboratory and analytic network process

    • Authors: Ardalan Feili, Amir Khodadad, Ramin Ravangard
      Pages: 91 - 101
      Abstract: Ardalan Feili, Amir Khodadad, Ramin Ravangard
      Journal of Medical Sciences 2018 38(3):91-101
      Objectives: This study aimed to identify and prioritize factors affecting the hospital employees' productivity from the viewpoint of hospital managers working in the teaching hospitals affiliated to Iran, Shiraz University of Medical Sciences, in 2017. Materials and Methods: This was an applied, cross-sectional, and descriptive-analytical study conducted in 2017 in all teaching hospitals affiliated to Iran, Shiraz University of Medical Sciences. After identifying factors affecting hospital employees' productivity using the results of previous studies, all hospital managers (56 managers) were selected as the study population using census method to prioritize the factors. The decision-making trial and evaluation laboratory (DEMATEL) and analytic network process (ANP) techniques were used for analyzing the collected data through Excel 2010 and Super Decision 2.8. Results: Fifteen factors affecting employees' productivity were determined using the results of previous studies which were classified into four clusters. The results of DEMATEL technique showed that “employees' attitude toward the organization” was the most affecting factor (r = 11.928) and also the most affected factor (c = 12.120), as well as the most important factor affecting the employees' productivity (r + c = 24.048). In addition, the results of ANP showed that the cluster of “leadership and management styles” (relative weight [RW] = 0.274) and its factors, especially “involving employees in the decision-making processes” (L1) (RW = 0.102) and “delegation of authority to the employees” (L2) (RW = 0.100) were the most important factors affecting the employees' productivity. Conclusion: According to the results, adopting an appropriate leadership style and providing participatory management, involving the employees in the hospital decision-making processes, etc., had significant effects on the increases in the employees' motivation and productivity.
      Citation: Journal of Medical Sciences 2018 38(3):91-101
      PubDate: Fri,1 Jun 2018
      DOI: 10.4103/jmedsci.jmedsci_140_17
      Issue No: Vol. 38, No. 3 (2018)
       
  • Effects of Colocasia esculenta leaf extract in anemic and normal wistar
           rats

    • Authors: Silas Anayo Ufelle, Kenechukwu Chibuike Onyekwelu, Samuel Ghasi, Charles Ogbonna Ezeh, Richard Chukwunonye Ezeh, Emmanuel Anayochukwu Esom
      Pages: 102 - 106
      Abstract: Silas Anayo Ufelle, Kenechukwu Chibuike Onyekwelu, Samuel Ghasi, Charles Ogbonna Ezeh, Richard Chukwunonye Ezeh, Emmanuel Anayochukwu Esom
      Journal of Medical Sciences 2018 38(3):102-106
      Background and Objective: Colocasia esculenta is a tropical plant primarily grown for its edible starchy corm. It is a food staple in African, Oceanic, and South Indian cultures and is believed to have been one of the earliest cultivated plants. This study was aimed at investigating the hematological effects of C. esculenta leaf extract in anemic and normal Wistar rats. Materials and Methods: Wistar rats (n = 30), aged 2–3 months, weighing 160–220 g, were categorized into five groups (A to E). Groups A and B were orally induced with 1.35 mg/kg bodyweight of methotrexate for anemia. Graded doses of the extract were administered to Groups A to D (A = 300, B = 600, C = 300, and D = 600 mg/kg bodyweight) for 14 days. Group E served as control. Blood samples (3.0 ml) were collected on days 8 and 15 into tri-potassium ethylenediaminetetraacetic acid containers and analyzed using an hematological autoanalyzer (Sysmex KX-21N) following manufacturer's guidelines. Results: The acute toxicity test revealed an oral LD50of 6000 mg/kg bodyweight. On day 8, Groups A and B revealed significant decrease (P < 0.005) in hemoglobin (Hb), hematocrit (Hct), and red blood cell (RBC) count compared to that of control. On day 15, Group B revealed significant increase (P < 0.005) in total white blood cell (TWBC) count; Groups C and D revealed significant increase (P < 0.005) in Hb, Hct, RBC, and TWBC compared to that of control. Conclusions: This study revealed dose- and time-dependent increase in Hb, Hct, and RBC in normal Wistar rats and leukocytosis in both normal and anemic Wistar rats by crude methanolic extract of C. esculenta leaves. These indicate hematopoiesis in normal Wistar rats.
      Citation: Journal of Medical Sciences 2018 38(3):102-106
      PubDate: Fri,1 Jun 2018
      DOI: 10.4103/jmedsci.jmedsci_80_17
      Issue No: Vol. 38, No. 3 (2018)
       
  • Dosimetric effect of the gantry rotations of a novel trunk phantom using
           an area integration algorithm

    • Authors: Michael Onoriode Akpochafor, Akintayo Daniel Omojola, Muhammad Yaqub Habeebu, Samuel Olaolu Adeneye, CB Madu, ME Ekpo, Moses Adebayo Aweda, Temitope Aminat Orotoye
      Pages: 107 - 112
      Abstract: Michael Onoriode Akpochafor, Akintayo Daniel Omojola, Muhammad Yaqub Habeebu, Samuel Olaolu Adeneye, CB Madu, ME Ekpo, Moses Adebayo Aweda, Temitope Aminat Orotoye
      Journal of Medical Sciences 2018 38(3):107-112
      Background: Treatment planning systems (TPSs) have proved to be a useful tool in predetermining how a treatment outcome will be in radiotherapy. The accuracy of any TPS to calculate dose to any arbitrary point within a material is largely dependent on the mathematical algorithm used. Aims: The purpose of this study was to design a local trunk phantom and use the phantom to check the percentage dose accuracy of the Area Integration Algorithm of a Precise PLAN 2.16 TPS if it is in agreement with results obtained from manufacturer's verification by varying the gantry angle and whether it is within ± 5% International Commission on Radiation Units and Measurements (ICRU) minimal limit. Materials and Methods: The study was executed with a locally designed phantom made of Plexiglas with six insert and an ionization chamber port. The phantom was simulated using a HiSpeed NX/i computed tomography scanner and Precise PLAN 2.16 TPS for application of beam setup parameters. The mimicked organs for the inserts were: 25%–75% Glycerol-Water for liver, pure carboxyl methyl cellulose was used for lungs, 30%–70% Glycerol-Water for muscle, 40%–60% Glycerol-Water was used for adipose, pure Sodium hypochlorite was used for bone and pure sodium laureth sulfate (Texapon) for kidney. Results: The maximum percentage (%) deviation with a large field for six inhomogeneous inserts and with bone only homogeneous inserts were 3.4% and 2.9%, respectively. The maximum % deviation with a small field for six inhomogeneous inserts was 3.2%. The % deviation between the solid water phantom and the locally designed phantom was 3.5%. Conclusion: The Area Integration Algorithm has shown an overall accuracy of 4% below 5% ICRU minimal limit. There was no statistically significant difference in field sizes and in inhomogeneity/homogeneity, respectively. Variation exists in % deviation for small field size with parallel opposed field between our verification and the manufacturers.
      Citation: Journal of Medical Sciences 2018 38(3):107-112
      PubDate: Fri,1 Jun 2018
      DOI: 10.4103/jmedsci.jmedsci_113_17
      Issue No: Vol. 38, No. 3 (2018)
       
  • Serum procalcitonin levels of patients with candidemia hospitalized in
           Intensive Care Units

    • Authors: Mohammad Reza Yazdani, Farzin Khorvash, Atousa Hakamifard
      Pages: 113 - 116
      Abstract: Mohammad Reza Yazdani, Farzin Khorvash, Atousa Hakamifard
      Journal of Medical Sciences 2018 38(3):113-116
      Objective: Fungal infections are a main reason for mortality of critically ill patients in Intensive Care Units (ICUs). Recently, fungal infections have been on rise. Lack of a specific marker for fungal infections has led to some problems in diagnosing these infections. Scant data exist on serum procalcitonin (PCT) levels in high-risk patients with invasive fungal infections, such as ICU patients. Materials and Methods: In this prospective study conducted in 2014–2015 in Al-Zahra Hospital, Isfahan, Iran, 64 people were investigated. The PCT levels of the patients were measured at 0, 24, 48, and 72 h as well as 7 and 14 days of the ICU stay. Moreover, a blood sample was taken from each person every 3 days and examined for positive BACTEC Candida fungal culture. Results: Nine (15%) patients had candidemia. The mean serum PCT level was not significantly different between the patients with and without candidemia at admission and 24, 48, and 72 h of the ICU stay (P > 0.05), but was significantly different on 7 and 14 days of the ICU stay (P < 0.001). Conclusion: This study demonstrated that the serum PCT levels increased significantly in the patients with candidemia hospitalized in ICUs. Therefore, serum PCT, as a marker, can be relied on, in addition to other symptoms and factors, for taking a decision about the initiation of treatment with antifungal drugs. Besides that, further studies with larger sample size are recommended to examine the predictive value of PCT for invasive fungal infections.
      Citation: Journal of Medical Sciences 2018 38(3):113-116
      PubDate: Fri,1 Jun 2018
      DOI: 10.4103/jmedsci.jmedsci_97_17
      Issue No: Vol. 38, No. 3 (2018)
       
  • Influence of medications and psychotic symptoms on fall risk in acute
           psychiatric inpatients

    • Authors: Shen-Hua Lu, Kuang-Huei Chen, Ying-Chieh Pan, Szu-Nian Yang, Yuan-Yu Chan
      Pages: 117 - 121
      Abstract: Shen-Hua Lu, Kuang-Huei Chen, Ying-Chieh Pan, Szu-Nian Yang, Yuan-Yu Chan
      Journal of Medical Sciences 2018 38(3):117-121
      Objective: In this study, we investigated the incidence rate and risk factors related to falls among acute psychiatric inpatients in a regional hospital. Methods: We included 521 patients who were admitted to the acute psychiatric ward in Taoyuan Armed Forces General Hospital from January 2015 to January 2016 and analyzed their medical records within a 1-year period. We compared differences between the fall and nonfall groups in demographic characteristics, psychiatric diagnoses, medication use, psychotic symptoms, and Timed Up and Go scores. Chi-square tests were used for comparison of categorical variables and t-test was used for continuous variables. Results: A total of 521 patients with an average age of 38.9 years were included in our study; 167 (32.1%) patients were female. Among the inpatients in our study, 3.07% were fallers. Patients with female gender, older age, psychotic symptoms, and use of more types of medication, especially mood stabilizers, laxatives, and other classes of medications, were significantly more likely to experience falls (P < 0.05). Conclusion: Determining the risk factors for falls in an acute psychiatric ward is useful for clinical care. As we identified patients in a high-risk group, fall prevention can be performed to help them to avoid possible injury. However, further studies are needed to determine more quantitative measures to evaluate or predict the risk of falls in acute psychiatric units.
      Citation: Journal of Medical Sciences 2018 38(3):117-121
      PubDate: Fri,1 Jun 2018
      DOI: 10.4103/jmedsci.jmedsci_132_17
      Issue No: Vol. 38, No. 3 (2018)
       
  • The glycemic control of adult population in Nauru

    • Authors: Li-Ju Ho, Ruei-Yu Su, Chieh-Hua Lu, Yu-Hui Lee, Chun-Jui Huang, Chang-Hsun Hsieh
      Pages: 122 - 126
      Abstract: Li-Ju Ho, Ruei-Yu Su, Chieh-Hua Lu, Yu-Hui Lee, Chun-Jui Huang, Chang-Hsun Hsieh
      Journal of Medical Sciences 2018 38(3):122-126
      Aims: The first aim of the present study is to evaluate the current glycemic control and characteristics of overall and newly diagnosed diabetes mellitus (DM) population from two cohorts population (2011–2012 and 2014–2015). Furthermore, the hemoglobin A1C (HbA1C) levels of newly diagnosed in these two cohorts population will be also compared to HbA1C levels on 2013 in subjects of previous diagnosed DM ongoing therapy. Settings and Design: This is a retrospective observational cohort study. Subjects and Methods: All of the data come from the Nauru Diabetes Registry database from Nauru Public Health Center from 2011 to 2015. All patients with their HbA1C will be analyzed and compared between year of 2011–2012 and 2014–2015. Statistical Analysis Used: Descriptive results of continuous variables will be expressed as means ± standard deviation. We use unpaired t-test for comparisons of quantitative variables. A two-tailed P < 0.05 was considered statistically significant. The statistical analyses will be performed using the program SPSS (Chicago, Illinois, USA; version 18.0). Results: A total of 614 patients were enrolled for the analysis with mean age of 49.8 year old and mean diabetic duration of 10.1 years. The mean age of onset of DM is 40.4 year old. The female population had long duration of DM than male population. The overall HbA1C levels are slightly greater in 2014–2015 than 2011–2012 without statistical significance (10.9% ± 2.7% and 10.6% ± 2.2%, respectively). The HbA1C levels also do not differ among DM patients with regular outpatient visits. The mean HbA1C of newly diagnosed DM is significant higher in 2014-15 than that in 2011-2012 (11.5% ± 2.4 and 10.6% ± 2.1%, respectively, P = 0.039), but not different from HbA1C levels in 2013 in DM patients who received ongoing treatment (10.9% ± 2.3%). Furthermore, HbA1C worsened significantly in 2 of the 15 districts between 2011–2012 and 2014–2015. Conclusions: Nauru has a high prevalence rate with early onset and inadequately controlled diabetes. It needs to propose strategy to early detect and improve glycemic control early to prevent future diabetic complications.
      Citation: Journal of Medical Sciences 2018 38(3):122-126
      PubDate: Fri,1 Jun 2018
      DOI: 10.4103/jmedsci.jmedsci_12_18
      Issue No: Vol. 38, No. 3 (2018)
       
  • Infected dentigerous cyst associated with a horizontal impacted ectopic
           supernumerary tooth induced by trauma to the maxillary incisors: A rare
           case report

    • Authors: Treville Pereira, Subraj Shetty, Amit Date
      Pages: 127 - 130
      Abstract: Treville Pereira, Subraj Shetty, Amit Date
      Journal of Medical Sciences 2018 38(3):127-130
      Dentigerous cyst is known to be caused by the accumulation of fluid between the epithelium and the crown of an unerupted tooth. Its size increases by the expansion of the follicle, and it is attached to the neck of the tooth. These cysts are often associated with impacted third molars and maxillary canines and rarely with supernumerary teeth. In the present paper, we report a case of a dentigerous cyst associated with an impacted ectopic supernumerary tooth. This cyst was missed initially due to a failed root canal treatment associated with the nonvital maxillary central incisor. This case of a cystic lesion can create a dilemma between radicular and dentigerous cyst. The pathogenesis of the ectopic tooth, differential diagnosis, and management are also discussed.
      Citation: Journal of Medical Sciences 2018 38(3):127-130
      PubDate: Fri,1 Jun 2018
      DOI: 10.4103/jmedsci.jmedsci_127_17
      Issue No: Vol. 38, No. 3 (2018)
       
  • Perioperative hemodynamic management of refractory hypotension in a
           patient with giant hepatic cysts complicated by compression of the
           inferior vena cava

    • Authors: Wei-Cheng Tseng, Hou-Chuan Lai, Teng-Wei Chen, Zhi-Fu Wu
      Pages: 131 - 134
      Abstract: Wei-Cheng Tseng, Hou-Chuan Lai, Teng-Wei Chen, Zhi-Fu Wu
      Journal of Medical Sciences 2018 38(3):131-134
      Surgery is the treatment of choice for compression of the inferior vena cava (IVC) in patients with polycystic liver disease (PCLD). However, hemodynamic instability may develop after induction of anesthesia and during maintenance when compression of the IVC causes a decrease in venous return and may persist until reduction of the volume of the cysts or liver. Perioperative hypotension should be treated promptly by titration of anesthetic drugs, fluid therapy, transfusion, intravenous administration of a vasopressor, and postural modification depending on the etiology. However, regardless of the method(s) chosen, placement in the left lateral decubitus position is crucial for increasing venous return in patients with compression of the IVC. Herein, we report the case of a male patient with PCLD and compression of the IVC who developed refractory hypotension after induction of anesthesia. A dramatic improvement in his hemodynamic status was noted immediately after he was placed in the left lateral decubitus position. The patient's critical hemodynamic state was then able to be managed until his hepatic cysts were drained, and there were no sequelae.
      Citation: Journal of Medical Sciences 2018 38(3):131-134
      PubDate: Fri,1 Jun 2018
      DOI: 10.4103/jmedsci.jmedsci_118_17
      Issue No: Vol. 38, No. 3 (2018)
       
  • Delayed bowel stricture complicating superior mesenteric vein thrombosis

    • Authors: Yen-Lien Chou, Tien-Yu Huang
      Pages: 135 - 136
      Abstract: Yen-Lien Chou, Tien-Yu Huang
      Journal of Medical Sciences 2018 38(3):135-136
      Superior mesenteric thrombosis is a rare disease of acute abdomen; many risk factors have been identified including arrhythmia, deep vein thrombosis, and hematologic or rheumatologic causes. Image study is more helpful than laboratory test. The standard therapy is anticoagulant (unfractionated heparin or low-molecular-weight heparins) administration, but there is still low possibility to need surgery for the complications such as bowel stricture or ischemic bowel disease. We describe the case of acute abdominal pain, the computed tomography showed superior mesenteric thrombosis, and the patient received the therapy with unfractionated heparin and the procedure of superior mesenteric arteriography with intravascular thrombolytic therapy. However, the complication of delayed bowel stricture occurred, which was proved by upper gastrointestinal series. Then, he was cured by surgical intervention with segmental resection of small bowel.
      Citation: Journal of Medical Sciences 2018 38(3):135-136
      PubDate: Fri,1 Jun 2018
      DOI: 10.4103/jmedsci.jmedsci_15_18
      Issue No: Vol. 38, No. 3 (2018)
       
 
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