ABSTRACT
Background: Heavy alcohol consumption is an inevitable cause of alcoholic liver disease with a high chance to progress to Alcoholic Liver Cirrhosis. Alcohol could damage the function of body organs and could cause cancer. Liver damage due to excessive alcohol consumption is usually presented as fatty liver [build-up of fats in the liver], steatohepatitis, fibrosis, alcoholic cirrhosis, and hepatocellular carcinoma. When liver fibrosis progresses, it will ultimately end up as alcoholic cirrhosis
Objective of the Study: This article was intended to explore and investigate the possible optimal diagnosis and management of Alcoholic liver cirrhosis
Methods: We searched the medical literatures to retrieve studies for the review till 30 November 2017. Electronic search in the scientific database from 1965 to 2017- [Medline, Embase. The Cochrane Library websites were searched for English Publications [both reprint requests and by searching the database]. Data extracted included authors, country, year of publication, characteristics of patients, pathophysiology, risk factors, clinical manifestations, different diagnostic approaches and treatment modalities
Conclusion: Absolute abstinence remains the foundation for any treatment of any acute or chronic Alcoholic Liver Disease. It's also important to understand that no treatment will cure cirrhosis or repair scarring in the liver that has already occurred and the only resort would be liver transplantation which is also debatable provided the complications it carries along. Nevertheless, timely diagnosis of alcoholic cirrhosis in people with alcoholic liver disease is the cornerstone for evaluation of prognosis or choosing treatment strategies such as nutritional and medical support and lifestyle change
ABSTRACT
Background: Heavy alcohol consumption is an inevitable cause of alcoholic liver disease with a high chance to progress to Alcoholic Liver Cirrhosis. Alcohol could damage the function of body organs and could cause cancer. Liver damage due to excessive alcohol consumption is usually presented as fatty liver [build-up of fats in the liver], steatohepatitis, fibrosis, alcoholic cirrhosis, and hepatocellular carcinoma. When liver fibrosis progresses, it will ultimately end up as alcoholic cirrhosis
Objective of the Study: This article was intended to explore and investigate the possible optimal diagnosis and management of Alcoholic liver cirrhosis
Methods: We searched the medical literatures to retrieve studies for the review till 30 November 2017. Electronic search in the scientific database from 1965 to 2017- [Medline, Embase. The Cochrane Library websites were searched for English Publications [both reprint requests and by searching the database] .Data extracted included authors, country, year of publication, characteristics of patients, pathophysiology, risk factors, clinical manifestations, different diagnostic approaches and treatment modalities
Conclusion: Absolute abstinence remains the foundation for any treatment of any acute or chronic Alcoholic Liver Disease. It's also important to understand that no treatment will cure cirrhosis or repair scarring in the liver that has already occurred and the only resort would be liver transplantation which is also debatable provided the complications it carries along. Nevertheless, timely diagnosis of alcoholic cirrhosis in people with alcoholic liver disease is the cornerstone for evaluation of prognosis or choosing treatment strategies such as nutritional and medical support and lifestyle change
ABSTRACT
Background: Cellulitis is a diffuse, deep, acute inflammation of the skin including the dermis and subcutaneous tissue. It often follows an acute or chronic trauma, and is an important cause of hospital admissions. About 10% of infections-related hospital admissions in the US annually are due to cellulitis. The most common cause of cellulitis is group A streptococci
Aim: of this review was to study the common causes of cellulitis, and understanding the approach to its management
Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1983, through February 2017. The following search terms were used: cellulitis, soft tissue infection, etiology of cellulitis, investigation of cellulitis, management of cellulitis, resistant cellulitis
Conclusion: Cellulitis is a common cause of infection-related hospital admissions worldwide. Mild cases can resolve with empiric antibiotic treatment, whereas moderate or severe diseases are harder to treat and are associated with higher recurrence rates. Recurrence rates can be minimized by treating predisposing factors like obesity, lymphedema, and skin injuries
ABSTRACT
Background: Hypertension is often not taken seriously by patients due to its chronic and silent nature. Establishing a proper managing plan that leads to sufficient control of blood pressure will result in the prevention of most complications and comorbidities associated with hypertension. The most important aspect of long term management of hypertension lies in lifestyle modification which includes diet, exercise, and social habits. Non-pharmacologic therapy plays an essential role in reducing blood pressure as well as in preventing the development of hypertension in normal individuals
Aim of the work: this review was to explore the various modifications a patient can make in lifestyle to maintain and manage blood pressure to achieve a better quality of life
Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1976, through February 2017. The following search terms were used: hypertension, management of hypertension, lifestyle modification, exercise, Mediterranean diet, non-pharmacological management of chronic disease
Conclusion: Even a small decrease in blood pressure can lead to huge benefits on a public health scale. Current evidence supports the application of lifestyle modifications to control blood pressure. These modifications include the control of all possible related factors in order to achieve optimal blood pressure which includes sodium intake, dietary modifications such as Mediterranean diet and reducing alcohol intake, exercise, smoking cessation, and meditation. Family physicians must play a very important role in educating, counseling, and encouraging patients about the benefits of these modifications and their impact in over-all health
ABSTRACT
Background: bariatric surgery is one of the few effective treatments for morbid obesity, yet little information about weight outcomes after surgery in this demographic are available. We determined the effectiveness of bariatric surgery in reducing weight and body mass index [BMI] in adults
Materials and Methods: adults from 18 to 30 years old who had undertaken gastric bypass or adjustable gastric band surgery between May 2013 and November 2016 and who had complete follow-up data available were included in the present analysis. Mean weight and BMI before and one year after surgery were compared
Results: among 35 adults, Mean BMI and weight, and z-scores and percentile transformations were all significantly lower after surgery for the entire sample [P < 0.001]. Gastric bypass surgery presented significantly better weight loss outcomes for all anthropometric measures versus adjustable gastric band surgery [P < 0.05]. No perioperative complications were reported. Two patients who stopped taking supplements as prescribed experienced iron-deficiency anaemia within the year following surgery
Conclusions: our results show that bariatric surgery can markedly reduce weight among a predominantly adult patient's sample, and gastric bypass procedure in particular. These findings indicate that bariatric surgery has the potential to be safe and effective in substantially reducing weight in a group of adults who are at particularly high risk for obesity-related health consequences