Current Trends in Clinical & Medical Sciences in Iris Publishers

The Prevalence of Prediabetes in Sudanese Patients attending Khartoum North Teaching Hospital Referred Clinics Sudan? Authored by Mohammed Handady Introduction Prediabetes (PDM) is an important health issue which rarely draw health workers attention, and hence it is underestimation and under diagnosis. It is an important health issue given the associated complications which are the same for type 2 diabetes mellitus(T2DM) and high rate for development T2DM. Unfortunately, there is no Sudanese studies has been published yet regarding prediabetes. The first technical report for diagnostic criteria of Diabetes Mellitus was published by the World Health organization in 1965 [1]. “Borderline diabetes” and “Chemical Diabetes” were used to classify people with glucose levels in the non-diabetes range and had a higher risk of developing diabetes subsequently [2]. But the term impaired glucose tolerance (IGT) was first mentioned only in 1979 to include people who have plasma glucose between...

Pattern of The Buccal Branch of Facial Nerve Among A Sample of Sudanese Subjects: A Multicenters Study Authored by Saeed Shoja Shafti It is well known in the vast majority of the literature; the buccal branch can be single or double in number. It has a close relationship to the parotid duct, and it was divided to superficial and deep branches, which can be further divided to upper and lower branches as they cross the face horizontally, they predominantly supply a clinically significant part of the face [1]. For successful surgery for parotid field area, it is extremely essential to have a tremendous knowledge of the topography of the buccal branch and its relation to the parotid duct. It’s worthwhile to mention that, careful selection of the surgical technique and suitable incision is highly relevant in these sorts of surgeries in relation to the parotid duct as it is essential in elucidation the pattern of the buccal nerve branch of the facial nerve [1]. A study on the relationship o...

  If Medical Science could provide a Solution to One Healthcare Issue which would you choose? Authored by Jack Ray Gallagher Ischemic heart disease and stroke have remained leading causes of death globally since the turn of this century, accounting for 15.2 million deaths in 2016 [1]. Alzheimer’s disease and related dementias became the fifth leading cause of death in 2016 but were not in the top 10 in 2000, [1] and a study published this month in The Lancet notes that while cardiovascular disease is still the No. 1 cause of death worldwide, cancer has surpassed it in wealthier nations [2]. Would you pick a cure for one of these deadly diseases as the most pressing healthcare issue to solve, or would you give higher priority to development of a spectacular technological advancement such as artificial neural networks with the broad potential to resolve a number of fatal diseases? Before deciding on the healthcare issue most in need of an immediate solution, consider these lines fro...

  Adult Suicidal Behaviour of Native Psychiatric Inpatients: A Retrospective, Record-Based Study Authored by Saeed Shoja Shafti Suicide is derived from the Latin word for “self-murder” It is a fatal act that represents the person’s wish to die. A suicide attempt is a behaviour that the individual has undertaken with at least some intent to die. The behaviour might or might not lead to death, injury or serious medical consequences. Several factors can influence the medical consequences of the suicide attempt, including poor planning, lack of knowledge about the lethality of the method chosen, low intentionality or ambivalence, or chance intervention by others after the behaviour has been initiated [1]. Determining the degree of intent can be challenging. Individuals might not acknowledge intent, especially in situations where doing so could result in hospitalization or cause distress to loved ones. Markers of risk include degree of planning, including selection of a time and place ...

  External Cortical Femoral Implant in A THP A Long Term Follow Up of a Clinical Case Authored by Yves Cirotteau Everyone, in his practice, had patients with more or less severe brain dysfunction, one is hemiplegia [1]. What could happen for the patient from an orthopedic point of view, on the lower limb when such a disease happens? The reduced use of the limb reduces the pressure on the bearing bone and, from a physiological point of view, a reduction of the mineralization. The bone becomes osteoporotic [2]. The physical phenomenon is reversible when the pressure conditions are restored. Here are two examples. This patient had a right haemorrhagic stroke few years ago. He had a left hemiplegia and spent a long time in physiotherapy due to the difficulty to walk. Note the thin both femoral cortical due to the bad utilization of the left lower limb (Figure a). Few years later, he recovered a best walk. Note the very good thickening due to the best support of his body weight by the ...

  Inadvertent Sulfonylurea Overdose and treatment with Octreotide: A Case Report Authored by Sameed Qureshi The most common complication of sulfonylurea overdose is hypoglycemia [1]. The toxicity is caused secondary to the exertion of the sulfonylurea pharmacological properties. It reduces the glucose level by release of insulin from beta cells of the pancreas [2]. Early symptoms of hypoglycemia from sulfonylureas are characterized by weakness, hunger, diaphoresis, pallor, palpitations, sinus tachycardia, headache, irritability, and tremor. If hypoglycemia remains untreated, neuroglycopenia may develop resulting in impaired concentration and judgment, confusion, blurred vision, drowsiness, and amnesia. Further progression can result in seizures or coma, and possibly death [3]. Conventional therapy of hypoglycemia with intravenous dextrose infusions may only temporarily correct blood sugar levels as sulfonylurea and active metabolite levels may remain high for a prolonged period ...

  Panic Disorder: Definitions, Contexts, Neural Correlates and Clinical Strategies Authored by Giulio Perrotta Introductory and contextual aspects about the “anxiety” category The definition of anxiety is not unequivocal in the literature (Rachman, 2004), although the descriptive characteristics are well circumscribed and easily identifiable. The American Psychiatric Association, on the definition of anxiety, describes anxiety as:<<(...) the anticipated anticipation of a future danger or negative event, accompanied by feelings of dysphoria or physical symptoms of tension. The elements exposed to risk may belong both to the internal world and to the external world (...)>> (APA, 1994). Similarly, in the Italian Treaty of Psychiatry, precisely in reference to the definition of anxiety, it is referred to as:<<(...) an emotional state with an unpleasant content, associated with a condition of alarm and fear that arises in the absence of danger real and which, howeve...