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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (11): 2025-2028
em Inglês | IMEMR | ID: emr-192760

RESUMO

Introduction: Around 10% of live births globally require immediate intervention, and 4 million neonatal deaths happen in a year, where one fourth of them are due to asphyxia. Regular respiration may fail to achieve spontaneously in about ten percent of live births, with one percent of cases needing resuscitation with chest compressions, and about 0.06% needing epinephrine. The target in neonatal resuscitation is to achieve sufficient functional residual capacity, while avoiding pulmonary damage, and to optimize the tissue delivery of oxygen without causing toxicity


Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1985, through February 2017. The following search terms were used: neonatal asphyxia, neonatal resuscitation, neonatal intensive care, respiratory distress syndrome, complications of prematurity, oxygen therapy, neonatal ventilation


Aim: In this review, we aim to study the various approach taken to provide immediate resuscitation to neonates with respect to respiratory distress


Conclusion: With advancing research, physicians should have more devices to decrease the mortality rates among infants. We also need more research to establish best recommendations and guidelines on the use of best interventions especially in clinical setting with limited resources

2.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (6): 2583-2588
em Inglês | IMEMR | ID: emr-190666

RESUMO

Background: Noncompliance to treatment in chronic diseases such as hypertension is a very common phenomenon, owing to its chronic nature, lack of obvious symptoms, affordability, doctor-patient relationship, unawareness of complication, and forgetfulness. This noncompliance negatively affects disease course and increases risk of morbidity and mortality


Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1999, through March 2017. The following search terms were used: drug compliance, hypertension medication compliance, antihypertensive drug compliance, factors affecting compliance, medication compliance


Aim: Our aim in carrying out this study was to understand the status of medication compliance among hypertensive patients, studying the factors that affect it, and exploring ways to improve compliance


Conclusion: We have noticed in the review that there is direct correlation between noncompliance and lack of proper doctor-patient relationship, patient education, and patients? belief about disease and treatment. Improvement on such factor can benefit the patients in great amount regarding blood pressure control and in preventing morbidity and mortality. More studies to analyze the lack of compliance must take place in Saudi Arabia, and stricter guidelines of doctor-patient- relationship must be reinforced

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