Volume 2 Issue 5

Issue 5 Articles

Comparison of Insulin Protocols in Critically ill Patients

Research Article

This study aimed to determine the best protocol in the treatment of stress-related hyperglycemia and insulin resistance. 1.2. Materials and Methods: A total of 30 patients under mechanical ventilation were included in the study. We investigated the effect of intensive insulin treatment on mortality and morbidity by performing three different insulin protocols and close glycemic control. We compared blood glucose levels, blood lipid profiles, ventilator-related pneumonia development, C-reactive protein levels and blood lactate levels between protocols.

DOI: http://dx.doi.org/10.47829/JCMI.2020.2501 

Poland Syndrome-A Typical Presentation

Case Report

Poland’ssyndrome is a rare congenital disorder with unilateral aplasia of the pectoralis major muscle (PMM) associated with other anomalies like ipsilateral synbrachydactyly. We present a female baby with Left side congenital absence of pectoralis major muscle with normal hands at birth which can be a milder form of Poland’ssyndrome i

Clinical Pharmacists in Chronic Care

Research Article

Pharmacy practice has changed significantly lately. The professionals have the chance to contribute straightforwardly to patient consideration so as to lessen morbimortality identified with medica-tion use, promoting wellbeing and preventing diseases. Healthcare organizations worldwide are under substantial pressure from increasing patient demand. Unfortunately, a cure is not always possible particularly in this era of chronic complications, and the role of physicians has become limited to controlling and palliating symptoms. The increasing populations of patients with long-term conditions are associated with high levels of morbidity, healthcare costs and GP workloads. Clinical pharmacy

Importance of L-Glutamate in the Stress of Animals

Review Article

L-glutamic acid (Glu-glutamate) is one of the major and strongest stimulatory neurotransmitters (along with aspartic acid, chinolic acid and glicyne) at the majority of excitatory synapses in the Central Nervous System (CNS), Sympathetic Nervous System (SNS) and peripheral tissues and organs of mammals and well as non-mammals. It mediates in the stress response through stimulation of the hypothalamo-pituitary-adrenal cortex (HPA) axis, thus increasing glucocorticoids, catecholamine and oxytocinsecretion certainly, which contributes to the biochemical and clinical behavioural stress responses.

Laryngeal Chondrosarcoma: A Rare Entity

Clinical Image

Cartilaginous tumours of the larynx are rare. Chondrosarcoma represents 0.2% of all malignant tumours of this organ. Low-grade chondrosarcoma is the most commonly observed[1]. It is typically located on the endolaryngeal surface of the posterior lamina of the cricoid cartilage and has slow growth rate[2]. The clinical presentation depends on the size and location of the tumour and can include cough, hoarseness, dyspnoea, stridor or neck mass[3].