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Association between sleep duration and menstrual cycle irregularity in Korean…
The association between sleep and the menstrual cycle in the adolescent population has been scarcely studied. This study aimed to investigate the association between sleep duration and menstrual cycle irregularity among female adolescents using nationwide representative data from the South Korean population
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Assessment of the menstrual cycle, eating disorders and self-esteem of Polish…
Girls with irregular menses had higher scores on the EAT-26 test in subscales: EAToverall score, EAT-diet and EAT–bulimia, while lower scores on the SES. In our study, we did not observe a significant relationship between exercise intensity, body mass, BMI and menstrual cycle regularity. Low self-esteem among adolescent girls may be a risk factor for eating disorders which could interrupt the…
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Randomized, controlled trial comparing the effects of anesthesiawith propofol…
Pain is the primary complaint and the main reason for prolonged recovery after laparoscopic cholecystectomy. The authors hypothesized that patients undergoing laparoscopic cholecystectomy will have less pain four hours after surgery when receiving maintenance of anesthesia with propofol when compared to isoflurane, desflurane, or sevoflurane
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Clinical Research Methodology 3: Randomized Controlled Trials
Randomized assignment of treatment excludes reverse causation and selection bias and, in suffciently large studies, effectively prevents confounding. Well-implemented blinding prevents measurement bias. Studies that include these protections are called randomized, blinded clinical trials and, when conducted with suffcient numbers of patients, provide the most valid results. Although conceptuall…
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Thyrotoxic Hypokalemic Periodic Paralysis
TPP is an infrequent subtype of periodic hypokalemic paralysis. The mechanism by which hyperthyroidism lead to the development of TPP is poorly understood. The use of non-prescribed and occult thyroid or iodinecontaining diet pills or nutraceuticals should be ruled out when TPP is suspected. TPP can be life-threatening so a prompt diagnosis is crucial to improve its prognosis.
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HYPOKALEMIC PERIODIC PARALYSIS IN A PATIENT WITH EUTHYROID GRAVES DISEASE AND…
Thyrotoxic periodic paralysis is a sporadic form of hypokalemic periodic paralysis (HPP) that is most commonly seen in patients with Graves disease (GD) in association with acute thyrotoxicosis. A very few cases of HPP have been reported in patients with GD while the patient was euthyroid
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Hypokalemic Periodic Paralysis due to Graves Disease
Hypokalemic thyrotoxic periodic paralysis is a potentially life-threatening complication of hyperthyroidism, defined by 3 characteristic features: thyrotoxicosis, hypokalemia, and acute painless muscle weakness. In this case, a 25-year-old Malaysian man presented with acute, painless lower extremity weakness immediately after a meal. His associated symptoms included palpitations, tremor, and a…
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PRACTICE GUIDELINE FOR THE TREATMENT PATIENS WITH HIV/AIDS
Since publication in 2000 of APA’s Practice Guideline for the Treatment of Patients With HIV/ AIDS (1), new evidence has become available that affects the psychiatric care of patients with human immunodeficiency virus (HIV) infection and acquired immune deficiency syndrome (AIDS). This guideline watch highlights this evidence for the following areas: epidemiology, antiretroviral medication re…
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Cardiovascular Management in Pregnancy: Congenital Heart Disease
Marked advances in the treatment of congenital heart disease (CHD) have resulted in a growing population of adults with CHD, currently estimated at >1 million adults (at least equal to the pediatric population).1 Many of these are young women, facing decisions about childbearing, and will require expert care. A recent analysis of a large nationally representative hospital discharge database in…
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The role of vitamin D in pre-eclampsia: a systematic review
The etiology of pre-eclampsia (PE) is not yet fully understood, though current literature indicates an upregulation of inflammatory mediators produced by the placenta as a potential causal mechanism. Vitamin D is known to have anti-inflammatory properties and there is evidence of an inverse relationship between dietary calcium intake and the incidence of PE. Evidence of the role of vitamin D s…
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