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  Subjects -> SCIENCES: COMPREHENSIVE WORKS (Total: 426 journals)
Showing 1 - 200 of 265 Journals sorted alphabetically
AAS Open Research     Open Access   (Followers: 1)
ABC Journal of Advanced Research     Open Access  
Accountability in Research: Policies and Quality Assurance     Hybrid Journal   (Followers: 22)
Acta Materialia Transilvanica     Open Access  
Acta Nova     Open Access   (Followers: 1)
Acta Scientifica Malaysia     Open Access  
Acta Scientifica Naturalis     Open Access   (Followers: 3)
Adıyaman University Journal of Science     Open Access  
Advanced Science     Open Access   (Followers: 13)
Advanced Science, Engineering and Medicine     Partially Free   (Followers: 11)
Advanced Theory and Simulations     Hybrid Journal   (Followers: 5)
Advances in Research     Open Access  
Advances in Science and Technology     Full-text available via subscription   (Followers: 17)
African Journal of Science, Technology, Innovation and Development     Hybrid Journal   (Followers: 8)
Afrique Science : Revue Internationale des Sciences et Technologie     Open Access   (Followers: 2)
AFRREV STECH : An International Journal of Science and Technology     Open Access   (Followers: 4)
American Academic & Scholarly Research Journal     Open Access   (Followers: 6)
American Journal of Applied Sciences     Open Access   (Followers: 27)
American Journal of Humanities and Social Sciences     Open Access   (Followers: 17)
American Scientist     Full-text available via subscription   (Followers: 13)
ANALES de la Universidad Central del Ecuador     Open Access   (Followers: 4)
Anales del Instituto de la Patagonia     Open Access  
Applied Mathematics and Nonlinear Sciences     Open Access   (Followers: 1)
Apuntes de Ciencia & Sociedad     Open Access  
Arab Journal of Basic and Applied Sciences     Open Access  
Arabian Journal for Science and Engineering     Hybrid Journal   (Followers: 5)
Archives Internationales d'Histoire des Sciences     Partially Free   (Followers: 7)
Archives of Current Research International     Open Access  
ARO. The Scientific Journal of Koya University     Open Access   (Followers: 1)
ARPHA Conference Abstracts     Open Access   (Followers: 5)
ARPHA Proceedings     Open Access   (Followers: 5)
ArtefaCToS : Revista de estudios sobre la ciencia y la tecnología     Open Access   (Followers: 1)
Asia-Pacific Journal of Science and Technology     Open Access  
Asian Journal of Advanced Research and Reports     Open Access   (Followers: 2)
Asian Journal of Applied Science and Engineering     Open Access   (Followers: 2)
Asian Journal of Scientific Research     Open Access   (Followers: 3)
Asian Journal of Technology Innovation     Hybrid Journal   (Followers: 7)
Australian Field Ornithology     Full-text available via subscription   (Followers: 4)
Australian Journal of Social Issues     Hybrid Journal   (Followers: 7)
Avrasya Terim Dergisi     Open Access  
Bangladesh Journal of Scientific Research     Open Access   (Followers: 1)
Beni-Suef University Journal of Basic and Applied Sciences     Open Access   (Followers: 3)
Berichte Zur Wissenschaftsgeschichte     Hybrid Journal   (Followers: 10)
Berkeley Scientific Journal     Full-text available via subscription  
BIBECHANA     Open Access   (Followers: 2)
BibNum     Open Access  
Bilge International Journal of Science and Technology Research     Open Access   (Followers: 1)
Bioethics Research Notes     Full-text available via subscription   (Followers: 16)
Bistua : Revista de la Facultad de Ciencias Básicas     Open Access  
BJHS Themes     Open Access   (Followers: 1)
Black Sea Journal of Engineering and Science     Open Access  
Borneo Journal of Resource Science and Technology     Open Access  
Brazilian Journal of Science and Technology     Open Access   (Followers: 2)
Bulletin de la Société Royale des Sciences de Liège     Open Access  
Bulletin of the National Research Centre     Open Access  
Butlletí de la Institució Catalana d'Història Natural     Open Access  
Central European Journal of Clinical Research     Open Access  
Chain Reaction     Full-text available via subscription  
Ciencia & Natura     Open Access   (Followers: 1)
Ciencia Amazónica (Iquitos)     Open Access   (Followers: 1)
Ciencia en Desarrollo     Open Access   (Followers: 3)
Ciencia en su PC     Open Access   (Followers: 1)
Ciencia Ergo Sum     Open Access  
Ciência ET Praxis     Open Access  
Ciencia y Tecnología     Open Access  
Ciencia, Docencia y Tecnología     Open Access  
Ciencias Holguin     Open Access   (Followers: 2)
CienciaUAT     Open Access   (Followers: 1)
Citizen Science : Theory and Practice     Open Access   (Followers: 2)
Communications Faculty of Sciences University of Ankara Series A2-A3 Physical Sciences and Engineering     Open Access  
Communications in Applied Sciences     Open Access  
Comprehensive Therapy     Hybrid Journal   (Followers: 3)
Comunicata Scientiae     Open Access   (Followers: 1)
ConCiencia     Open Access  
Conference Papers in Science     Open Access   (Followers: 2)
Configurations     Full-text available via subscription   (Followers: 11)
COSMOS     Hybrid Journal   (Followers: 1)
Crea Ciencia Revista Científica     Open Access   (Followers: 2)
Cuadernos de Investigación UNED     Open Access  
Current Issues in Criminal Justice     Hybrid Journal   (Followers: 15)
Current Research in Geoscience     Open Access   (Followers: 8)
Dalat University Journal of Science     Open Access  
Data     Open Access   (Followers: 5)
Data Curation Profiles Directory     Open Access   (Followers: 5)
Dhaka University Journal of Science     Open Access  
Dharmakarya     Open Access  
Diálogos Interdisciplinares     Open Access  
Digithum     Open Access   (Followers: 2)
Discover Sustainability     Open Access   (Followers: 2)
Einstein (São Paulo)     Open Access  
Ekaia : EHUko Zientzia eta Teknologia aldizkaria     Open Access  
Elkawnie : Journal of Islamic Science and Technology     Open Access  
Emergent Scientist     Open Access  
Enhancing Learning in the Social Sciences     Open Access   (Followers: 9)
Enseñanza de las Ciencias : Revista de Investigación y Experiencias Didácticas     Open Access  
Entramado     Open Access  
Entre Ciencia e Ingeniería     Open Access   (Followers: 1)
Epiphany     Open Access   (Followers: 4)
Estação Científica (UNIFAP)     Open Access   (Followers: 1)
Ethiopian Journal of Education and Sciences     Open Access   (Followers: 6)
Ethiopian Journal of Science and Technology     Open Access  
Ethiopian Journal of Sciences and Sustainable Development     Open Access   (Followers: 5)
European Online Journal of Natural and Social Sciences     Open Access   (Followers: 12)
European Scientific Journal     Open Access   (Followers: 12)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Exchanges : the Warwick Research Journal     Open Access   (Followers: 2)
Experimental Results     Open Access   (Followers: 1)
Extensionismo, Innovación y Transferencia Tecnológica     Open Access   (Followers: 3)
Facets     Open Access  
Fides et Ratio : Revista de Difusión Cultural y Científica     Open Access   (Followers: 1)
Fırat University Turkish Journal of Science & Technology     Open Access  
Fontanus     Open Access  
Forensic Science Policy & Management: An International Journal     Hybrid Journal   (Followers: 381)
Frontiers for Young Minds     Open Access  
Frontiers in Climate     Open Access   (Followers: 3)
Frontiers in Science     Open Access   (Followers: 1)
Fundamental Research     Open Access   (Followers: 3)
Futures & Foresight Science     Hybrid Journal   (Followers: 4)
Gaudium Sciendi     Open Access   (Followers: 1)
Gazi University Journal of Science     Open Access  
Ghana Studies     Full-text available via subscription   (Followers: 15)
Global Journal of Pure and Applied Sciences     Full-text available via subscription  
Global Journal of Science Frontier Research     Open Access   (Followers: 2)
Globe, The     Full-text available via subscription   (Followers: 4)
HardwareX     Open Access  
Heidelberger Jahrbücher Online     Open Access  
Heliyon     Open Access  
Himalayan Journal of Science and Technology     Open Access   (Followers: 1)
History of Science and Technology     Open Access   (Followers: 2)
Hoosier Science Teacher     Open Access  
Iberoamerican Journal of Science Measurement and Communication     Open Access  
Impact     Open Access   (Followers: 2)
Indian Journal of History of Science     Hybrid Journal   (Followers: 2)
Indonesian Journal of Fundamental Sciences     Open Access  
Indonesian Journal of Science and Mathematics Education     Open Access   (Followers: 4)
Indonesian Journal of Science and Technology     Open Access  
Ingenieria y Ciencia     Open Access   (Followers: 1)
Innovare : Revista de ciencia y tecnología     Open Access  
Instruments     Open Access  
Integrated Research Advances     Open Access  
Interciencia     Open Access   (Followers: 1)
Interface Focus     Full-text available via subscription  
International Annals of Science     Open Access  
International Archives of Science and Technology     Open Access  
International Journal of Academic Research in Business, Arts & Science     Open Access   (Followers: 2)
International Journal of Advanced Multidisciplinary Research and Review     Open Access  
International Journal of Applied Science     Open Access  
International Journal of Basic and Applied Sciences     Open Access   (Followers: 4)
International Journal of Computational and Experimental Science and Engineering (IJCESEN)     Open Access  
International Journal of Culture and Modernity     Open Access   (Followers: 3)
International Journal of Engineering, Science and Technology     Open Access  
International Journal of Engineering, Technology and Natural Sciences     Open Access  
International Journal of Innovation and Applied Studies     Open Access   (Followers: 12)
International Journal of Innovative Research and Scientific Studies     Open Access   (Followers: 6)
International Journal of Network Science     Hybrid Journal   (Followers: 3)
International Journal of Recent Contributions from Engineering, Science & IT     Open Access   (Followers: 1)
International Journal of Research in Science     Open Access   (Followers: 2)
International Journal of Science & Emerging Technologies     Open Access   (Followers: 1)
International Journal of Social Sciences and Management     Open Access   (Followers: 3)
International Journal of Technology Policy and Law     Hybrid Journal   (Followers: 7)
International Letters of Social and Humanistic Sciences     Open Access   (Followers: 1)
International Review of Applied Sciences     Open Access  
International Scientific and Vocational Studies Journal     Open Access   (Followers: 2)
InterSciencePlace     Open Access   (Followers: 1)
Investiga : TEC     Open Access  
Investigación Joven     Open Access  
Investigación Valdizana     Open Access  
Investigacion y Ciencia     Open Access   (Followers: 1)
Iranian Journal of Science and Technology, Transactions A : Science     Hybrid Journal  
iScience     Open Access   (Followers: 2)
Issues in Science & Technology     Free   (Followers: 7)
Ithaca : Viaggio nella Scienza     Open Access  
J : Multidisciplinary Scientific Journal     Open Access  
Jaunujų mokslininkų darbai     Open Access   (Followers: 1)
Journal de la Recherche Scientifique de l'Universite de Lome     Full-text available via subscription   (Followers: 2)
Journal of Chromatography & Separation Techniques     Open Access   (Followers: 12)
Journal of Advanced Research     Open Access   (Followers: 3)
Journal of Al-Qadisiyah for Pure Science     Open Access   (Followers: 1)
Journal of Alasmarya University     Open Access   (Followers: 3)
Journal of Analytical Science & Technology     Open Access   (Followers: 6)
Journal of Applied Science and Technology     Full-text available via subscription   (Followers: 1)
Journal of Applied Sciences and Environmental Management     Open Access   (Followers: 3)
Journal of Big History     Open Access   (Followers: 3)
Journal of Composites Science     Open Access   (Followers: 3)
Journal of Critical Thought and Praxis     Open Access   (Followers: 2)
Journal of Deliberative Mechanisms in Science     Open Access  
Journal of Diversity Management     Open Access   (Followers: 6)
Journal of Indian Council of Philosophical Research     Hybrid Journal  
Journal of Institute of Science and Technology     Open Access  
Journal of Integrated Science and Technology     Open Access  
Journal of Interaction Science     Open Access   (Followers: 1)
Journal of Kerbala University     Open Access   (Followers: 1)
Journal of King Saud University - Science     Open Access   (Followers: 1)
Journal of Mathematical and Fundamental Sciences     Open Access  
Journal of Natural Sciences and Mathematics Research     Open Access  
Journal of Natural Sciences Research     Open Access   (Followers: 4)
Journal of Negative and No Positive Results     Open Access  
Journal of Responsible Technology     Open Access   (Followers: 1)
Journal of Science (JSc)     Open Access  
Journal of Science and Engineering     Open Access  

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Central European Journal of Clinical Research
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Online) 2601-9388
Published by Sciendo Homepage  [414 journals]
  • Primary upper extremity deep vein thrombosis in a Caucasian woman

    • Abstract: Compared to deep vein thrombosis in the lower limbs, upper extremity deep vein thrombosis is uncommon and therefore much less explored or even neglected.We present the case of a 40-year-old female working in the bakery industry, who was admitted for acute onset of upper limb oedema accompanied by pain and functional impairment, affirmative secondary to the sustained and intense effort of the dominant arm. The diagnosis was confirmed by Duplex Ultraso nography on the eighth day after the onset of symptoms. Since clinical examinations and laboratory work excluded any cause of secondary thrombosis, the diagnosis of primary thrombosis was established. The only possible cause of this episode was linked to the woman’s work. The trigger for the thrombotic event was represented most likely by strenuous physical activity with temporary obstruction of the thoracic outlet in the work field. Under anticoagulant treatment, the signs and symptoms gradually resolved. Unfortunately, at the one-year follow-up exam, the patient was diagnosed with post-thrombotic syndrome of the right, dominant arm.
      PubDate: Sat, 04 May 2019 00:00:00 GMT
       
  • Nutrition challenges in polytrauma patients. New trends in energy
           expenditure measurements

    • Abstract: Patients hospitalized in Intensive Care Units (ICU) are in severe general condition and they need specialized care, rehabilitation and proper nutrition to improve their condition and recover as soon as possible. Therefore, it is very important that nutrition consists of all necessary elements that will cover their daily demand for nutrients. However, malnutrition among ICU patients is very common. According to statistics, up to 50% is malnourished. It enhances average length of stay, risk of infection, prolongs ventilator days, delays wound healing and translates into an increased hospital cost. It may end in multi-organ failure, what in consequence increases mortality. Polytrauma pa tients lost their energy because of intensified catabolism, due to neuroendocrine changes and inflammatory reactions, which may worsen already existing malnutrition.
      PubDate: Sat, 04 May 2019 00:00:00 GMT
       
  • Cystic fibrosis related diabetes

    • Abstract: Cystic fibrosis related diabetes (CFRD) is a redoubtable complication associated to cystic fibrosis, with an increasing frequency, directly proportional to children life expectancy. Although this complication has similar features with DM type 1 and some with type 2, the evolution and even the response to insulin therapy is different. It is also possible that other factors to influence the CFRD clinical expression and subsequently the disease evolution. Since its 1t diagnosis was associated with more frequent pulmonary exacerbations and with the deterioration of the respiratory status, therefore CFRD must be early and correctly diagnosed and managed. The aim of this paper is to present an overview of the recent updates and recommendations regarding this important CF complication.
      PubDate: Sat, 04 May 2019 00:00:00 GMT
       
  • Procedural Sedation and Analgesia in Adults - new trends in patients
           safety

    • Abstract: Sedation and analgesia may be needed for many interventional or diagnostic procedures, whose number has grown exponentially lately. The American Society of Anesthesiologists introduced the term “procedural sedation and analgesia” (PSA) and clarified the terminology, moderate sedation and Monitored Anesthesia Care. This review tries to present a nondissociative sedation classification, follow ing ASA guidelines as well as pre-procedural assessment and preparation, in order to choose the appropriate type and level of sedation, patient monitoring and agents, which are most commonly used for sedation and/or analgesia, along with their possible side effects. The paper also lists the possible complications associated with PSA and a few specific particularities of procedural sedation.
      PubDate: Sat, 04 May 2019 00:00:00 GMT
       
  • Evolution of infections and antimicrobial resistance. A review

    • Abstract: The emergence of multi-drug resistant Acinetobacter spp involved in hospital-acquired infections, once considered an easily treatable pathogen, is troublesome and an immense burden for the modern medical systems worldwide. In the last 20 years the medical community recorded an increase in the incidence and severity of these infections as therapeutic means tend to be less and less effective on these strains. The ability of these bacteria to rapidly develop resistance to antimicrobial agents by continuously changing and adapting their mechanisms, their ability to survive for long periods of time in the hospital environment and the multitude of transmission possibilities raises serious issues regarding the management of these complex infections. The future lies in developing new and targeted methods for the early diagnosis of A. baumannii, as well as in the judicious use of antimicrobial drugs. This review details the evolution of the pathogenicity of this microorganism, together with the changes that appeared in resistance mechanisms and the advancements in molecular testing for the early detection of infection.
      PubDate: Sat, 04 May 2019 00:00:00 GMT
       
  • Refeeding syndrome relevance for critically ill patients

    • Abstract: Refeeding Syndrome (RFS) is a potential life-threatening complication of the nutritional therapy in the replenishment phase after period of starvation. This not very known syndrome may be a life-threatening metabolic condition due to rapid, inadequate nutritional support in malnourished catabolic patients. The intake of food and therefore the switch from a catabolic to an anabolic metabolism is most considered etiological mechanism. The main biochemical feature of RFS is hypophosphatemia and low levels of potassium and magnesium. Lack of vitamins, especially vitamin B1 or thiamine is often present and involves severe clinical complications.
      PubDate: Sat, 04 May 2019 00:00:00 GMT
       
  • New Drug Delivery Systems Concept in Anaesthesia and Intensive
           Care—Controlled Release of Active Compounds

    • Abstract: With time, medical and pharmaceutical research has advanced significantly. However, one of the major issues is how to administer the active substance. Among these, it counts over-or under-dosage of the active substance, low response to treatment, or increased clinical risk of the patient. An innovative method able to avoid these obstacles is represented by controlled release systems for active substances. The interest for these systems came with allowing encapsulation in the antibiotic release matrices, local anesthetics, protein or other substances. Moreover, a number of such vehicles are now available to release controlled substances used predominantly in the anesthesia and intensive care unit.
      PubDate: Sat, 04 May 2019 00:00:00 GMT
       
  • Pharmacological therapies for acute respiratory distress syndrome

    • Abstract: Acute respiratory distress syndrome (ARDS) has no specific treatment, the only effective therapy currently being limited to minimizing potentially harmful ventilation and avoiding a positive fluid balance. These treatments could not be completely effective in severe disease and several measures must be undertaken simultaneously, including pharmacological therapies aimed at correcting the etiology or targeting the pathogenesis. In this review article we provide update on pharmacological therapies in ARDS, showing their effect on outcome in recent trials.
      PubDate: Sat, 04 May 2019 00:00:00 GMT
       
  • The Clinical Value of Red Blood Cell Distribution Width as a Prognosis
           Factor and Severity Marker in Sepsis and Septic Shock

    • Abstract: Red blood cell distribution width (RDW) is a hematological parameter usually measured with every complete blood count. Its place in daily practice is mainly in the differential diagnosis of anemia, but nowadays, researchers are focused on different approaches for the erythrocyte’s changes in function and morphology.Sepsis and its most advanced form, septic shock, induces profound disturbances into organ system’s function and morphology. The red blood cells physiology and structure are directly and indirectly altered by these im balances produced in sepsis. RDW was studied in many diseases, like acute heart failure, acute stroke, inflammatory bowel diseases, chronic lung diseases and cancer, but also in sepsis. Its changes are seen to be mainly associated with prognosis. Higher values of RDW are correlated with mortality and severity of illnes in septic and all-cause critically ill patients. RDW was studied also as an independent variable in different predictive scores and some studies suggest it should be introduced in the scores use on a daily basis in critical care settings and emergency departments.In this review we will focus on how RDW was associated with mortality and severity of illness in the recent literature, as an independent prognosis factor and as a component part in different predictive and severity scores.
      PubDate: Sat, 04 May 2019 00:00:00 GMT
       
  • The prevalence of Beta Hemolytic Streptococcus in a Children’s Tertiary
           Care Hospital in Timisoara

    • Abstract: Background. Beta hemolytic streptococcus (BHS) represents a worldwide health problem because of the complications that can occur. Thus, it is important to identify the presence and type of BHS in time to start treatment if needed, avoiding the complications.Aim. Our aim was to identify the prevalence of Beta Hemolytic Streptococcus in a Children’s Tertiary Care Hospital in Timisoara.Methods. A cross-sectional study was conducted from April-June 2018 in Emergency Hospital for Children Timisoara. The study lot consists from 1100 children, ages between 0-18 years, which were not given, in the preceding two weeks, any antibiotics. We compared the study with two studies from different cities in Nepal, with the same subject as ours. Group A and Group C Streptococci were identified by beta hemolytic colonies, bacitracin sensitivity, catalase negativity test and latex agglutination test (Oxoid Streptococcal Grouping kit). ASO (Antistreptolysin O) test was also performed from serum samples, for patients with positive cultures. We also tested the antibiotic sensitivity to: Cefepime, Clindamycin, Erythromycin, Tetracycline.Results. The prevalence of BHS (Beta Hemolytic Streptococcus), especially GABHS (Group A Beta Hemolytic Streptococcus) was 4%, in children from a tertiary care hospital in Timisoara, Romania; which is comparable to the findings of similar studies. In the first study, the prevalence of GABHS was 7.2%, and in the second study was 9%. The patients with positive cultures were also tested for ASO, 28 patients (52%) had high levels, while 26 (48%) had normal levels. On all positive patients an antibiogram was made and we observed that most of the isolates were sensitive to the antibiotics used. A few isolates in Group A were resistant.Conclusions. Considering the limited data found on our subject, further epidemiological studies on streptococcal disease complex are needed.
      PubDate: Sat, 04 May 2019 00:00:00 GMT
       
  • Volemic replacement during spinal cord injury patients.

    • PubDate: Sat, 04 May 2019 00:00:00 GMT
       
  • Hemofiltration Romanian Registry – Typologies of patients identified
           by cluster analysis

    • Abstract: Hemofiltration National Registry is one of the patient registries implemented lately in Romania, currently in use, in response to increased clinical and research needs. The registries of patients with extracorporeal support of vital functions were developed with the support of Romanian Society of Anesthesia and Intensive Care. The registry contains data on over 200 hemofiltration procedures that were per formed in the last 3 years in multiple Romanian hospitals. A sample of data containing records of 2018 was analyzed by K-means clustering, revealing patterns that are potentially useful for healthcare improvement. Among the 6 clusters identified, 3 contain patients with a high mortality rate (90-100%), 1 is defined by intermediate mortality (72%) and 2 by a lower mortality rate (62%). Further research is needed in order to refine the clustering criteria, by using a larger number of cases and potentially examining more outcomes.
      PubDate: Sat, 04 May 2019 00:00:00 GMT
       
  • Association of Coronary Wall Shear Stress With Atheromatous Plaque
           Vulnerability: A Systematic Review

    • Abstract: Acute coronary syndromes are usually triggered by the erosion or rupture of a vulnerable coronary plaque. A vulnerable plaque (VP) is an atheromatous plaque which, after suffering different transformations, is prone to rupture causing an acute coronary event. Such a VP carries inside several biomarkers considered as “signatures of vulnerability”, which, if identified, can prompt timely initiation of therapeutic measures in order to prevent the development of an acute myocardial infarction. The most freqeuntly used techniques for identification of vulnerability markers are computed tomographic angiography (CTA), intravascular ultrasound and optical coherence tomography. Endothelial shear stress (ESS) represents a new promising biomarker associated with plaque vulnerability. Determination of ESS is nowadays possible using noninvasive imaging techniques, based on complex computational post-processing of multiple datasets extracted from CTA images and advanced computational fluid dynamics technologies. The aim of this systematic review was to evaluate the role of the coronary ESS, determined using advanced computational techniques for image post-processing, as a feature associated with CTA-derived biomarkers of atheromatous plaque vulnerability, underlining the conceptual differences between high ESS and low ESS as promotors of vulnerability.
      PubDate: Wed, 03 Oct 2018 00:00:00 GMT
       
  • Recurrent Wheezing

    • PubDate: Wed, 03 Oct 2018 00:00:00 GMT
       
  • Atrial Fibrillation a Benign Condition' Quality of Life Approach

    • Abstract: Introduction: Atrial fibrillation (AF) is the most frequent cardiac rhythm disorder, considered until recently benign. Due to its major complications (cardio-embolic episodes) patients need to be anticoagulated. Aim: To assess the quality of life (QOL) in patients with new oral anticoagulants (NOAC) versus those using classical anticoagulants (VKA). Methods: A total of 483 patients admitted consecutively in our clinic were evaluated during hospitalization and after discharge. Follow-up visits were conducted: at baseline, 6, 12, 18 and 24 months; the quality of life (QoL) was measured by a specific questionnaire (EQ-5D-3L), and the results were assessed. Patients were divided in two groups considering their anticoagulant use: NOAC or VKA. Baseline characteristics, clinical outcomes as well as QoL indices were compared between the two groups The current research has been conducted in accordance with the ethical prin ciples set out in the Helsinki Declaration and Good Clinical Practice Recommendations and was approved by our hospital Ethics Committee. Results: The mean age of our studied group (374 eligible patients) was 64.7 ± 8.2 years (p=0.220); 116 patients (31.01%) used NOAC. Patients with NOAC obtained better results in all domains: physical (57.0±8.9 vs. 51.1±12.5 vs. 42.0±6.2; p<0.001), social (62.6±19.8 vs. 52.5±20.0 vs. 45.7±16.0; p=0.019) and environmental (62.9±12.7 vs. 52.7±7.6 vs. 60.7±3.6; p =0.018). Compared to VKAs, NOACs were more commonly prescribed in patients with a history of stroke or with a higher thromboembolic risk (p<0.001). EQ-5D-3L total score: 75.6 ± 20.9; visual analogue scale: 63.1 ± 20.6. Conclusion(s): Satisfaction and QoL with oral anticoagulants were high, although they were both better with NOACs. A worse QoL was associated with comorbidities, polypragmasy, and previous treatment with VKA. Patients strongly expressed their desire to improve their QoL.
      PubDate: Wed, 03 Oct 2018 00:00:00 GMT
       
  • Erector Spinae Block. A Narrative Review

    • Abstract: The erector spinae plane block is a novel ultrasound-guided technique that has recently been described for the management of acute and chronic thoracic pain. Currently an increasingly number of indications for the ESP block have been published. Nevertheless, the anatomy, mechanism of action, doses and volume of local anesthetic needed are still unclear. The aim of this narrative review is study this new block with base on the updated medical literature.
      PubDate: Wed, 03 Oct 2018 00:00:00 GMT
       
  • Sepsis in Critically Ill Patients – From Molecular to Clinical View

    • PubDate: Wed, 03 Oct 2018 00:00:00 GMT
       
  • Microbiology Characteristics Among Cystic Fibrosis Patients in Western
           Romania

    • Abstract: Background: Pulmonary infectious inflammation is a major cause of decline in lung function in patients with cystic fibrosis (CF) marked by exacerbations, consequently, slowing evolution of lung disease is a primary aim in CF management. The objective of the study was to analyze the microbiological spectrum from epidemiological point of view in our patients. Methods: An observational, cross-sectional transversal study including fifty-seven patients evaluated the prevalence of CF-related microbes in the study group and their pulmonary status. Results: The most frequent microorganism found in our group, regardless age, was Staphyloccocus aureus, closely followed by Pseudomonas aeruginosa. Bacillus tuberculosis was a rare germ, despite the important frequency in our country. The microbes frequency was different with age groups, thus 3.5% of 1-3 years old children had the methicillin sen sitive Staphylococcus aureus (MSSA) strain, while for the 6-12 years group, Pseudomonas aeruginosa was found in an equal percentage of 14% with MSSA. Pseudomonas prevalence was found in 14.0% of adults and the combined infections were diagnosed in about a fifth of our patients. Conclusions: We concluded that the percentage of respiratory infections with redoubtable microbes is relatively moderate. The presence of underweight among CF patients with severe mutations are risk factor for a worse outcome and measures should be instituted.
      PubDate: Wed, 03 Oct 2018 00:00:00 GMT
       
  • Read Science Differently, Look at Science Differently, and Publish Your
           Science Differently

    • PubDate: Wed, 03 Oct 2018 00:00:00 GMT
       
  • Vitamin D in Critically Ill Patients - From Molecular Damage Interactions
           to Clinical Outcomes Benefits. When, Why, How'

    • Abstract: Vitamin D - „the sunshine vitamin” is essential for the good functioning of the human body. The most important forms of the vitamin D are the vitamin D2 and the vitamin D3, both biologically inactived. Vitamin D can come from: diet or nutritiv suplimentts and skin. The activation of vitamin D is effect in two steps to the physiologically active 1,25-dihydroxyvitamin D [1,25(OH)2D]. The biological actions of Vitamin D involve regulation of gene expression at the transcriptional level and are mediated through binding to a Vitamin D Receptor (VDR). Vitamin D has multiple roles: hormonale/ nonhormonale, skeletale/nonscheletale, genomice/nongenomice. Interesting is inversely corelation between Vitamin D and total body fat (BMI) and correlation between Vitamin D and cognitive impairment, especially Alzheimer Disease or delirium during hospitalisation. The curent recomandations regarding the supplying with Vitamin D are different for regions of the globe, also differ depending on the baseline serum Vitamin D and on the desired effect. So, potential nonskeletal effects occur at levels >30ng/ml, above 50-75ng/ml, serum level who should become the target of the supplementation. The loading dose should be considered perioperatively for rapid effects. In conclusion, Vitamin D is more than just a vitamin. It is a substance with multiple roles in body’s economy, and in recent years there has been an interest in the relation be tween vitamin D deficiency and obesity or cognitive impairment. The majority of the data supports association, not causation, of low vitamin D levels. In other words, much of data does not clearly support the idea that vitamin D supplementation in a patient with low vitamin D levels reduces the risk of these diseases. But, the supplimentation is very easy and no harm might be done.
      PubDate: Wed, 03 Oct 2018 00:00:00 GMT
       
 
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