Texas Journal of Medical Science
Not a member yet
866 research outputs found
Sort by
Prevention of urinary stone diseases
Get PDFThis article provides information about kidney stone disease and its prevention and treatmen
Diabetes Mellitus and Hyperglycemia in Patients with Rheumatoid Arthritis
Get PDFProinflammatory cytokines involved in the pathogenesis of rheumatoid arthritis (RA) can inhibit insulin production and cause insulin resistance of peripheral tissues. Perhaps, with RA, the risk of developing disorders of carbohydrate metabolism (NUO) increases: diabetes mellitus (DM), fasting hyperglycemia (GN), glucose tolerance disorders. Patients with a combination of RA and DM belong to the category of the most severe patients with an unfavorable prognosis of macro- and microvascular complications. The problem of rheumatoid arthritis (RA) is becoming of general medical importance, since it creates prerequisites for improving the pharmacotherapy of other chronic diseases, such as atherosclerosis, diabetes mellitus (DM) type 2, osteoporosis, the development of which is also associated with chronic inflammation. The study of the pathogenesis of RA has revealed numerous "non-rheumatological" functions of proinflammatory cytokines, for example, the ability to interfere with various stages of metabolism glucose. It has been shown that tumor necrosis factor (TNF) α and interleukin (IL) 6 disrupt the synthesis and functioning of insulin receptors and intracellular glucose transporter in muscles, adipose tissue, liver, along with IL1ß inhibit insulin secretion, cause apoptosis of beta cells of islets Langerhans of the pancreas. RA can be considered as a model for studying disorders of carbohydrate metabolism (NUO). Several studies in RA patients have demonstrated a decrease in the level of functional capabilities of β-cells and an increase in insulin resistance of peripheral tissues. Rheumatoid arthritis (RA) is an immuno-inflammatory disease characterized by chronic erosive arthritis and systemic damage to internal organs, which leads to an increased risk of concomitant pathology, early disability and a decrease in the life expectancy of patients
"Clinical Dentistry Effects of Covid 19"
Get PDFThe aim of this study was to determine the rate of cracks and other etiologic factors during the period of March 16th to May 31st in 2020 (COVID-19 initial outbreak) and 2021 (COVID-19 ongoing pandemic) compared with figures from the same period in 2019 (pre-COVID era) in 2 endodontists’ practices
The role of coronavirus infection Covid -19 in causing liver damage
No full textPost covid syndrome can develop in all patients who have had COVID-19, regardless of the severity of the disease. The clinical picture of post covid syndrome is very diverse, but the most common are asthenic disorders, anxiety-depressive disorders (TDD) and cognitive impairment (CN)
Pharmacotherapy of IDPP 4: benefits of modern diabetes management
No full textThe place of traditional sulfonylurea (SM) drugs that stimulate insulin secretion began to be occupied by incretin drugs , primarily dipeptidyl peptidase-4 (iDPP-4) inhibitors, due to their unique physiological glucose-dependent effect on the secretion of insulin and glucagon, allowing effective control of diabetes mellitus (DM) . ) 2 types without significant side effects. Drugs of the DPP-4 class are recommended for use at all stages of the development of diabetes, starting from the onset, both in monotherapy and in combination with oral hypoglycemic drugs (PSP) and insulin. Cardiovascular safety, the ability to take in the late stages of chronic kidney disease (CKD), a neutral effect on body weight, ease of use are their undeniable advantages. The combination of iDPP-4 (for example, vildagliptin ) with metformin is the most popular, covers the vast majority of pathophysiological defects in type 2 diabetes, is available in a fixed form (for example, Galvus Met). More than 10 years of experience in clinical practice with drugs of the DPP-4 class (for example, Galvus) suggests that their main clinical effects have been finally identified, they can be systematized and the established advantages and disadvantages in the management of type 2 diabetes can be discussed.
 
Transmission of Bacterial Infections by Dental Impression
No full textThe aim of this research is to evaluate the type of transmission of bacterial infections by dental impression. Samples were collected from the clinics of the Dentistry College-University of Dhi-Qar. After obtaining the consent of both the patient and the doctor taking two swabs from the same patient, the first swab from the patient’s mouth and the second from the Alginate impression. Each sample specimen's was inoculated onto appropriate plates, such as blood agar and MacConkey agar for standard aerobic development, and used the biochemical characterization and identification of these isolates at genus and species levels was confirmed using the analytical profile index (API) assays, and then the automated device VITEK 2. The result appear different signification between all the groups that divided to it that return to Dental patients are high-risk patients relative to their potential to transmit as well as acquire an infectious diseas
Pathology of the Thyroid Gland in Women Rheumatoid Arthritis
No full textEndocrine disorders are of primary importance in the occurrence and progression of rheumatic diseases. Often, endocrine restructuring that occurs during puberty, menopause, pregnancy, childbirth, and abortion serves as a background for the development of connective tissue diseases. At the same time, the change in neuroendocrine status is an integral component of the progression of rheumatic diseases. Especially distinct hormonal shifts were found on the part of the thyroid gland in rheumatoid arthritis (RA). The prevalence of thyroid pathology in general among patients with rheumatoid arthritis, according to literature data, reaches 34%, and Hashimoto's thyroiditis, according to various authors, from 4 to 13.5%. In addition, the greatest susceptibility to RA in women of reproductive age indicates a certain role of sex hormones in the pathogenesis of the disease. Metabolic and degenerative changes in connective tissue largely determine the pathogenesis and clinical picture of various diseases. Rheumatic diseases, the most common of which is rheumatoid arthritis (RA), make up a significant proportion of the pathology of the joints, musculoskeletal system, and connective tissue. It affects 0.5—1% of the world's population, which is about 63 million patients
Modern Clinical and Biochemical Characteristics of Liver Cirrhosis Patients of Viral Etiology with Spontaneous Bacterial Peritonitis
Get PDFThe clinical and laboratorical characteristics of spontaneous bacterial peritonitis with cirrhosis of the liver of viral etiology were studied. A total of 58 (32 (55.2%) men and 26 (40.6%) women) patients with cirrhosis of the liver of viral etiology aged 30 to 69 years were examined. Upon admission, all patients underwent diagnostic laparocentesis, followed by counting the number of neutrophils in the AF and plating on culture media. It was established in the examined patients that cirrhosis with HCV markers was most frequently encountered. An analysis of the infection factors in the examined patients with liver cirrhosis with complicated SBP showed that problems associated with parenteral interventions were noted by 67.3% and the source of infection was not established in 24.1% of patients. The most common signs of SBP were dyspeptic symptoms-60.3%, fever-37.9%, leukocytosis with the appearance of immature forms of leukocytes-48.2%
Diabetic Foot, Conservative Management.
Get PDFDiabetic foot ulcers are serious complications of Diabetes Mellitus and are known to be resistant to conventional treatment; they may herald severe complications and may lead to lower limb amputation if not treated wisely. Objectives: To assess the efficacy of conservative management and LowLevel Laser Therapy (LLLT) in the treatment of diabetic foot ulcers. Setting: Baghdad Teaching Hospital. Time, from January 2015 through April 2020. Patients and methods: A prospective randamised study included (45) patients who were proved to have a diabetic foot ulcer, the ulcers were graded according to Wagner classification into six grades from (0 to 5), and patients with Wagner grades 1, 2, and 3 were treated conservativly by wound cleaning, controlling of blood sugar in the ward and send for laser therapy. Results: There were six patients with grade 1 ulcers, and all of them (100%) showed complete healing over a period of 3 weeks of conservative treatment and laser therapy. Also, 22 patients out of 25 (88%) with grade 2 ulcers and 11 patients out of 14 (78.6%) with grade 3 ulcers showed complete healing in about six weeks of treatment. Forty-five patients were treated by laser, and only six patients (13.3%) showed minor complications (itching, numbness, erythema, or even blisters), which were reported after the 2nd. Weak of treatment. Conclusion: Diabetic foot ulcers are a common problem in Baghdad Teaching Hospital; it is most commonly occure in patients with long-standing uncontrolled diabetes. Conservatie treatment by wound cleaning, controlling of blood sugar, and laser therapy (LLLT) was proved to be effective in treating grade 1,2 and 3 ulcers and decreasing the time of ulcer healin
Sacrococcygeal Pilonidal Sinus: A Comparative Study of Excision with Laying Open and Bascom's Technique
No full textPilonidal Sinus is a disease that most commonly arises in the hair follicles of the natal cleft of the sacrococcygeal area of young adults. Principles of treatment require eradication of the sinus tract; complete healing of the overlying skin and prevention of recurrenc