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International Journal of Clinical Medicine is a peer reviewed journal dedicated to the latest advancements of clinical medicine. The goal of this journal is to serve as a resource for dissemination of state-of-the-art research and educational material within the field of clinical medicine. All manuscripts submitted to…
Mohammed Choudhury, Michael Vassallo
Background: An elderly lady presented with dyspnoea due to congestive cardiac failure. She was subsequently noted to have cervi-cal subcutaneous emphysema. Post mortem identified an occult perforation of a sigmoid diverticulum. Cervical subcutaneous em-physem…
François Béïque, Donald Hickey, Karine Toledano, Jean-Francois Morin
We describe a patient who developed catastrophic consequences of heparin-induced thrombocytopenia (HIT) post car¬diac surgery, for which she required reoperation using CPB. We also illustrate the impact of intraoperative transe¬sophageal echocardiography (TEE…
Sezen Özkısacık, Mesut Yazıcı, Harun Gürsoy
The method of choice for the treatment of choledochal cysts in children is excision of the cyst and Roux-en-Y (RY) choledochoenterostomy. When the ratio of the diameter of the main hepatic ductus to that of the proximal RY jejunum is 1:2.5 or lower during cho…
Jean-Francois Morin, Andrew Hirsch, Patrick Chamoun
This is a very unusual case with unexpected findings. In spite of sophisticated investigation tests such as MRI and pul¬monary angiogram, it may be very difficult to identify the nature of pulmonary artery stenosis or occlusion.
Jonathan Carter, Shannon Philp, Vivek Arora
Introduction: To review the outcomes of overweight and obese patients undergoing laparotomy and managed with a Fast Track Surgical (FTS) protocol. Methods: Between January 2008 and May 2010 patients having a laparotomy and managed on a FTS protocol were ident…
Rainah Seepersad, Hari Maharajh
Background: Alcoholics Anonymous (AA) is well established in Trinidad and serves as an indispensable modality in the rehabilitation of alcoholics. This study investigates the gender differences in socio-demographic characteristics and clinical presentation of…
Gideon de Sousa, Bernhard Schlüter, Thomas Menke, Eckardt Trowitzsch, Werner Andler, Thomas Reinehr
The prevalence of obstructive sleep apnea syndrome (OSAS) is clearly increased in adults with polycystic ovarian syndrome (PCOS). The symptoms of PCOS usually begin around menarche. However, data concerning poly¬somnographic variables in adolescents with PCOS…
Irén Tiberg, Inger Hallström, Annelie Carlsson
The aim was to assess whether temporal changes in the initial management for children diagnosed with type 1 diabetes over a ten year period affected metabolic control two years after diagnosis. A further aim was to investigate if social factors, registered at…
Michael E. Seifert, Scott R. Welak, Christopher L. Carroll
INTRODUCTION: Hyponatremia is the most common electrolyte abnormality seen in the intensive care unit (ICU), and is associated with increased morbidity and mortality. Critically ill children with bronchiolitis are at risk of developing hyponatremia, due to im…
Asuquo Maurice, Bassey Okon, Etiuma Anietimfon, Ngim Ogbu, Ugare Gabriel, Anthonia Ikpeme
Background: Over the past several years, nonoperative management has been increasingly recommended for the care of selected blunt abdominal trauma patients with solid organ injuries. Objective: To evaluate the pattern and outcome of blunt abdominal trauma usi…
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International Journal of Clinical Medicine is a peer reviewed journal dedicated to the latest advancements of clinical medicine. The goal of this journal is to serve as a resource for dissemination of state-of-the-art research and educational material within the field of clinical medicine. All manuscripts submitted to… All articles are open access under a CC BY 4.0 licence, with authors retaining copyright.
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