Clinical Medicine Research

ISSN Online: 2326-9057 ISSN Print: 2326-9049

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Volume 2, Issue 2, March 2013

  • Authors: Gustavo Romero-Gutiérrez, Nancy Pérez-Durán, Ana Camarillo-Trujillo, Armando Ruiz-Treviño

    Abstract: Objective: To determine the frequency of women with spontaneous abortions that present psycho-emotional disorders. Design: Cross-sectional study using a face-to-face questionnaire. Setting: Postpartum area at a tertiary care referral hospital in Leon, Mexico. Participants: 210 postpartum women, divided into 105 women with spontaneous abortion, and 105 with eutocic deliveries (controls). Data collection: Women answered face-to-face the questionnaire Minnesota Multiphase Personality Inventory-2 (MMPI-2), applied one day after the abortion. Findings: the frequency of psycho-emotional disorders in women who presented abortion was (12.7%), which was higher compared with the controls (9.04%), P = 0.002, being significant the hysteria (6.6%), P = 0.021. Key conclusions: There is a higher frequency of psycho-emotional disorders in women who present an abortion, represented for hysteria. Implications for practice: It is recommended to supply psychological support to women who suffer a spontaneous abortion.

    Received: Apr. 5, 2013 Accepted: Published: Mar. 10, 2013

    DOI: 10.11648/j.cmr.20130202.11 View: Downloads:

  • Author: Muhammed Al-Jarrah

    Abstract: Parkinson's disease (PD) is one of the most chronic progressive neurodegenerative diseases that is clinically manifested by of cardinal motor symptoms including, tremor and rigidity. The known cause of PD is the loss of dopaminergic neurons in substantia nigra in the brain. There are motor and non motor features of this disease with heterogenic complaints. The main treatment available for PD is levodopa as dopamine replacement therapy. However, after few years of treatment, PD patients experience levodopa-resistant symptoms. Other neurosurgical procedures for the treatment of PD have become a widely performed. These surgical procedures stimulate the dopaminergic neurons to produce more dopamine, but won’t halt the progression of degeneration of these cells. Over the last years, many studies focused on the effect of physical therapy on PD, most of these studies have investigated the rehabilitation effects on musculoskeletal system, like gait, balance, and strength. Other studies focused on the effect of physiotherapy on non motor feature in PD, like quality of life. However, there is limited information about the beneficial impact of exercise on the brain of PD patients. In this review, we provide a brief review of the literature on exercise effects on the brain of PD. The present review was designed to gain more insight into the mechanism of improvement in PD patients with exercise and to answer in part the question of how exercise training rehabilitates the brain in PD patients.

    Received: Mar. 23, 2013 Accepted: Published: Mar. 10, 2013

    DOI: 10.11648/j.cmr.20130202.12 View: Downloads:

  • Authors: Tanzer Korkmaz, S. Hakan Atalgın, H. Ali Kilicgun, Onursal Bugra, Nurettin Kahramansoy

    Abstract: Purpose: In this study, flow rates of intraosseously (IO) or intravenously (IV) administered fluids (blood or Ringer lactate) and their effects on vital signs were examined in a rabbit model of hypovolemia. Methods: Underanesthesia, 20 mL of blood was removed from each of the 36 New Zealand-type rabbits. Ten minutes later, each group of nine rabbits received one of four fluids by gravity flow from a height of 100 cm: blood via IO, Ringer Laktat (RL) via IO, blood via IV, or RL via IV. IO fluids were given in the proximal tibia through a 15 g needle placed with an EZ-IO instrument; IV fluids were given through a 22g catheter in the femoral vein. Vital signs were monitored for four hours after the infusion ended. Results: Flow rates were blood IO 2.6 mL/min, RL IO 3.4 mL/min, blood IV 3.2 mL/min, and RL IV 11.8 mL/min. Ten minutes after fluid administration ended, in the RL via IO group, heart rate was significantly slower than preinfusion; in the blood via IO group, body temperature was significantly lower than preinfusion, and in the blood via IO group, StO2 saturation was higher than preinfusion. Postinfusion respiratory rates within groups were not significantly different than preinfusion rates. Vital sign changes between groups were not significantly different. Conclusion: Fluids given by gravity feed through an IO needle were effective in treating hypovolemia in this rabbit model, but the flow of RL and blood were significantly slower through the 15g IO needle than the 22g IV catheter.

    Received: Apr. 15, 2013 Accepted: Published: Mar. 10, 2013

    DOI: 10.11648/j.cmr.20130202.13 View: Downloads:

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