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Relation between pregnant women and the Brazilian Unified Health System (SUS): Screening and diagnosis of GDM

Review Article of International Research Journal of Obstetrics and Gynecology Relation between pregnant women and the Brazilian Unified Health System (SUS): Screening and diagnosis of GDM Matheus Alves Siqueira de Assunção1*, Francisco Henrique da Silva2, Aline Fernanda Carneiro Cardoso3, Evandro Valentim da Silva4, Hellencléia Pereira Cunha3, Fálba Bernadete Ramos dos Anjos2 1Department of Histology and Embryology, Federal University of Pernambuco,  Recife, Pernambuco, Brazil 2Department of Biochemistry, Federal University of Pernambuco, Recife, Pernambuco, Brazil 3Graduada em Farmácia pela Federal University of Pernambuco, Recife, Pernambuco, Brazil 4Clinical Hospital, Federal University of Pernambuco,  Recife, Pernambuco, Brazil The existence of a complex health system is capable of providing the necessary care for the mother and mother, but the levels of complexity of this treatment vary according to the need and severity of the situation in which the pregnant woman is ebcibtra. From this perspective, this chapter will address the relationship between pregnant women and the Brazilian Unified Health System, as well as the care and diagnosis of Gestational Diabetes Mellitus. Keywords: SUS, Complexity, Treatment, Diabetes ...

METABOLISM: PANCREAS AND GLYCEMIC REGULATING HORMONES

Review Article of American Journal of Anatomy and Physiology METABOLISM: PANCREAS AND GLYCEMIC REGULATING HORMONES Francisco Henrique da Silva1, Matheus Alves Siqueira de Assunção2, Alamisne Gomes da Silva3, Evandro Valentim da Silva4, Aline Fernanda Carneiro Cardoso3, Fálba BernadeteRamos dos Anjos2 1Department of Biochemistry, Federal University of Pernambuco, Recife, Pernambuco, Brazil 2Department of Histology and Embryology, Federal University of Pernambuco,  Recife, Pernambuco, Brazil 3Pharmaceutical of University of Pernambuco, Recife, Pernambuco, Brazil 4Clinical Hospital, Federal University of Pernambuco,  Recife, Pernambuco, Brazil Understanding the physiology of the metabolic regulation of hormones responsible for glycemic control is of fundamental importance for a thorough understanding of Diabetes Mellitus. In this scenario, this chapter is intended to explain this regulation, as well as the main hormones that participate in this metabolic process. Keywords: Insulin, Glucagon, Hormone Regulation ...

COVID-19 infection In Beta Thalassemia Major: Case series

Case Report of International Journal of Case Reports COVID-19 infection In Beta Thalassemia Major: Case series Lina Okar1*, Maya Aldeeb1, Rita Ahmad1, Mohamed A. Yassin2 1Department of Medical Education, Hamad Medical Corporation, Doha, Qatar. 2Department of Medical Oncology, Hematology Section, National Center for Cancer Care & Research, Hamad Medical Corporation, Doha, Qatar. COVID-19 infection was first described in Wuhan, China after an increasing spread of atypical pneumonia of unknown pathogen. Unfortunately, this novel virus continues spreading causing a pandemic. Thalassemia considered one of the most common hemoglobinopathies. Beta thalassemia is the commonest type with a variety in clinical picture due to the deference in homozygous. A lot of vulnerable categories were at high risk of getting infected with the coronavirus and more even its complication. Despite the conflicting data and ongoing research on this topic, thalassemia patients were categorized among the high-risk population. Here we present a case series describing the clinical progression of two splenectomised patients who has transfusion dependent beta thalassemia major. Keywords: COVID-19; Beta Thalassemia Major; Haemoglobinopathies; Splenectomy; blood transfusion ...

Non-alcoholic Fatty Liver Disease among patients with Inflammatory Bowel Disease in Qatar: Prevalence and Risk Factors

Research Article of Open Journal of Gastroenterology and Hepatology Non-alcoholic Fatty Liver Disease among patients with Inflammatory Bowel Disease in Qatar: Prevalence and Risk Factors Dr. Muneera Al-Mohannadi1, Dr. Prem Chandra2, Dr. Betsy Varughese1, Dr. Abdulwahab Hamid1, Dr. Ahmed Badi1, Dr. Saad Al Kaabi1, Dr. Rafie Yakoob1, Dr. Khalid Al-Ejji1, Dr. Khaleel Sultan1, Dr. Adham A. H. Darweesh3, Nevin Abunahia1 and Dr. Moutaz Derbala4 1Gastroenterology & Hepatology, Hamad Medical Corporation, 2Research Affairs, Hamad Medical Corporation, 3Radiology, Hamad Medical Corporation, 4Prof., Hamad Medical Corporation, Doha. Qatar. Background: Non-alcoholic fatty liver disease (NAFLD) has been increasingly identified in patients with inflammatory bowel disease (IBD), though metabolic risk factors for NAFLD are less frequent in IBD patients. Qatar is among countries characterized by the high prevalence of fatty liver. We aimed to characterize NAFLD in IBD patients and to determine factors associated with its severity. Methods: A retrospective observational study was conducted to estimate the prevalence of NAFLD in all IBD patients followed at Hamad hospital, Doha, Qatar between January 2008 to December 2017. The associations between two or more qualitative variables were assessed using χ2-test and quantitative data between two independent groups were analyzed using the unpaired t-test. Multivariate logistic regression analysis was applied to determine the predictive values of each predictor for NAFLD among IBD patients. Results: Among 913 IBD patients with a mean age of 36.9±13.2 years and BMI 26.9±6.1; 550 were males (60.2%), 383(41.9%) with Crohn’s disease and 530 (58.1%) with Ulcerative colitis. 24 (22.2%) patients had severe steatosis. The overall prevalence of NAFLD was 11.8% (95% CI 9.9, 14.1) and does not differ significantly between CD and UC patients (11.7% vs 11.9%; P=0.949).Patients who developed NAFLD were older at baseline (42.6±12.5 vs 36.2±13.1 years; P<0.001), had higher BMI (29.3±5.7 vs 26.6±6.1; P<0.001) and higher prevalence of diabetes (26% ...

Psychosocial support for families of persons with dementia through home based care programme from a developing country: Process of intervention development and pilot testing

Research Article of International Journal of Aging Research Psychosocial support for families of persons with dementia through home based care programme from a developing country: Process of intervention development and pilot testing Sherin Yohannan, Aravind Raj.E, A.Tirumoorthy Department of Psychiatric Social Work, Dr.M.V.Govindaswamy center, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore-560029, Karnataka, India. In India, person with dementia continue to live with their families all through their illness period. It is common in India that because of the family relationships and cultural values the caregiving process is a joint effort made by the adult members in the family. Thus understanding the psychosocial issues of the caregivers of persons with dementia in the Indian context and providing appropriate psychosocial support for the caregivers is essential in the holistic approach for the care for persons with dementia.The current paper shares the process of development of psychosocial intervention for the families of persons with dementia and findings from the pilot study in urban Bangalore. The findings were helpful in systematically developing the content for the proposed homebased care programme for caregivers of persons with dementia. The pilot results show that the psychosocial support through home based programme for the family caregivers of persons with dementia is feasible and effective. Keywords: Psychosocial support, dementia ...

Recurrent Post-Cardioversion Takotsubo Syndrome

Case Report of International Journal of Case Reports Recurrent Post-Cardioversion Takotsubo Syndrome Jean Paul Mangion1, Geoffrey Horlait1 1Intensive Care Unit, Université Catholique de Louvain, CHU UCL Namur, Avenue Gaston Therasse, 1, 5530 Yvoir Belgium. Takotsubo syndrome (TTS) is characterised by transient regional wall motion abnormalities of the left or right ventricles often associated with new ECG changes (including ST-segment elevations, ST-segment depressions, T-wave inversions and QTc prolongation) in the absence of a culprit atherosclerotic artery which could explain the ventricular dysfunction. In this article we present an unusual case of recurrent TTS following electrical cardioversion in a 61 year old female patient who was admitted to our unit. Keywords: TTS; ECG ...