Clinical Medicine Research

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

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Volume 9, Issue 4, July 2020

  • Authors: Xia Wenfang, Liu Yaling, Li Hui, Ji Xiangnian

    Abstract: In the context of the development of medical science and the transformation of medical models, higher requirements are placed before physicians with respect to comprehensive quality. Training for comprehensive quality requires strengthening of medical education. In the current training environment, it is difficult for traditional medical colleges and universities to meet this demand. Our school takes an approach that places the medical students at the center. We are conducting research on strategies and methods of the practical teaching model called “health management for relatives and friends (HMRF).” This entails managing the health of medical students’ relatives and friends, establishing a network platform, and organically combining the network platform with traditional teaching. After 6 years of exploration and implementation, medical students effectively improved their autonomous learning abilities and augmented occupational qualities such as clinical thinking, doctor-patient communication, information collection, and clinical decision-making. They did this by role-playing, practicing progressive humanistic care, and transferring educational practice to clinical practice. Practical teaching of health management for relatives and friends is a new, effective, and simple training model to enhance multidimensional qualities of medical students.

    Received: Jun. 30, 2020 Accepted: Jul. 13, 2020 Published: Jul. 23, 2020

    DOI: 10.11648/j.cmr.20200904.11 View: Downloads:

  • Author: Anees Alyafei

    Abstract: There is no agreed management for Erectile Dysfunction (ED) for male patients with Diabetes Mellitus (DM). Regular Physical Exercise (PE) starts to be a more exciting area that needs further focus. This review attempts to gather available data about the ED burden, etiology, risk factors, assessment, and management. Further, it highlights the available evidence on the effect of PE on the progression of ED and the possible underline mechanisms. The available evidence is hugely supportive of the beneficial role of PE in the ED. The cardiovascular, neurological, endothelial, metabolic, and overall health benefits of PE are repeated mechanisms reported by many researchers. The possible explanation is quite not clear due to the complexity and bidirectional effect on many aspects related to the changes during PE. Further interventional studies are needed to determine the superiority of each factor. All physicians managing DM and ED are strongly invited to involve PE as part of their management plan in conjunction with other available treatment options. Research has to look after which type, duration, frequency, and intensity of PE is sufficient for detectable improvement in ED.

    Received: Jul. 8, 2020 Accepted: Jul. 20, 2020 Published: Jul. 30, 2020

    DOI: 10.11648/j.cmr.20200904.12 View: Downloads:

  • Authors: Ashebir Nigussie Yirgu, Wosenyeleh Admasu Sahile, Abdurahman Tune Dedecho, Mohammed Suleiman Obsa, Zewde Zema Kanche

    Abstract: Introduction: Hypotension is a 20% to 30% reduction in baseline blood pressure. Infrequently, hypotension after spinal anesthesia can be significantly severe in pregnant mother and increases intraoperative and postoperative morbidity and mortality. Objectives: To assess magnitude and associated factors of post spinal hypotension among pregnant mothers who delivered by elective cesarean sections from January to February 2016 at Gandhi Memorial Hospital, Addis Ababa. Methods: Institution based cross sectional study design was conducted. All lists of pregnant mothers who gave birth by elective cesarean section under spinal anesthesia at Gandhi Memorial Hospital were included. Training was given for data collectors and supervisors. Regular supervision and follow up were made. Data was entered in to Epi info version 7 software and transported to SPSS version 20 for analysis. Odd ratio and 95% confidence interval was computed. Bivariate and Multivariate analysis used to identify factors associated with hypotension. Results: The study was conducted on 60 study participants. 24 (40%) were equally found between 25-29 years and 30-34 years. The incidence of hypotension was 80% during five to fifteen minute and 83% during fifteen to twenty five minute. 70% of the study participants were preloaded with more than 500ml of crystalloid and 60% were took oxytocin for uterine contraction. Majority of them were in supine position prior to spinal anesthesia. Conclusion and recommendation: The magnitude of post spinal hypotension was so high that the use vigorous fluid resuscitation and the use of prophylactic vasopressor were recommended.

    Received: Jun. 17, 2020 Accepted: Jul. 21, 2020 Published: Aug. 10, 2020

    DOI: 10.11648/j.cmr.20200904.13 View: Downloads:

  • Authors: Abdurahman Tune Dedecho, Beleaneh Tefera Geda, Gemechis Kabe Gonfa

    Abstract: Back ground: Elective surgery is a term used for non-emergency surgery which is medically Necessary, but which can be delayed for at least 24 hours. Elective surgery is usually performed in an operating theatre or procedure room under some form of Anesthesia by a surgeon. Operation theatre requires considerable human resources and expenditure from Hospital budget. Objective: To assess the magnitude of cancelation of elective operations and associated factors among elective surgical patients at Arsi University, Assella Referral and Teaching Hospital. Method: a cross sectional hospital based study was conducted at Arsi University, Assella Referral and Teaching Hospital from April 20 to June 1, 2018. The total sample size was 112 elective surgical patients Who was planned to have a surgery at ATRH. The data was collected by reviewing the daily schedule lists for elective surgery with a predesigned form. The data was analyzed using SPSS software version 20. Result: a total of 112 patients were planned to be operated during our study period; from those 36 (32.2%) was canceled. Rate of cancelation in male and female is 36.6%, 27% respectively. surgery department has the highest number of cancelation procedures 19 (52.7%) The most common reasons for cancellations were administration related from surgical side and shortage of time 17 (47.2%), medical reasons 9 (25%) and inadequate preparation of the patient 7 (16.6%). Conclusion: Cancellation of elective surgical procedures on the scheduled day of surgery was high during the study. Most of the reasons were shortage of time and management related, medical reasons and inadequate preparation of patient. Most of the reasons were avoidable.

    Received: Jun. 17, 2020 Accepted: Jul. 21, 2020 Published: Aug. 10, 2020

    DOI: 10.11648/j.cmr.20200904.14 View: Downloads:

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