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Bennur Esen, Emel Sağlam Gokmen, Mahmut Kaya, Burak Ozkan and Ahmet Engin Atay

under special dietary restrictions. The participants underwent physical examination, and demographic features of the participants were recorded. All the subjects read and signed the informed consent forms before enrolling into the study. The ethics committee of the Bagcilar Education and Research Hospital approved the study. Methods Blood samples were collected after a 12-h fasting period. Biochemical variables including serum glucose, urea, creatinine, uric acid, aspartate aminotransferase (AST), alanine aminotransferase (ALT), lactate dehydrogenase (LDH

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Gang Hou and Jian Kang

, Sedlák V, et al. Chronic obstructive pulmonary disease in the light of new guidelines-brief summary of phenotypically oriented guidelines for non pulmonary physicians. Vnitr Lek 2013; 59: 505-14. 4. Wedzicha JA, Brill SE, Al l inson JP, Donaldson GC. Mechanisms and impact of the frequent exacerbator phenotype in chronic obstructive pulmonary disease. BMC Med 2013; 14: 181 5. Miravitlles M, Soriano JB, Ancochea J, Muñoz L, Duran-Tauleria E, Sánchez G, et al. Characterisation of the overlap COPD-asthma phenotype: Focus on physical activity and health status, Respir Med

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Herbert Djiambou-Nganjeu

of life style changes by complete alcohol withdrawal, low sodium and high protein intake. Table 1 Liver function tests and complete metabolic panel Case 1 Case 2 Case 3 Case 4 AST (U/L) 74.9 139 219 - ALT (U/L) 32.9 116 79 - AST / ALT 2.3 1.2 2,8 - Total bilirubin (μmol/L) 151.2 35.5 79.8 138.1 Direct bilirubin (μmol/L) 119.7 14.1 26.2 103.7 Albumin (g/L) - 76.4 44 - Blood creatinine (μmol/L) - 36 - 45 Ammonia (μmol/L) 76

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Herbert Djiambou-Nganjeu

, lethargy, impaired intellectual ability, and so on in end-stage coma (with or without response to stimuli) and later death in severe cases. [ 4 , 5 , 6 , 7 ] The neuropsychological peculiarity can be revealed by the use of psychometric tests, for instance, neuropsychological tests such as Halstead-Reitan (H-R) score and Child-Pugh score or other psychometric tests. [ 8 , 9 , 10 ] There is no gold standard test to diagnose HE due to the personal peculiarities of each case. That is why physicians mostly rely on their personal experiences, equipment availability, and

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Xiangbo Xu, Zhaohui Bai, Qingchun Zhao, Hongyu Li, Qiang Shi, Jiao Deng, Jingqiao Zhang, Xiaozhong Guo and Xingshun Qi

liver 3 years ago. He had been diagnosed with liver cirrhosis and mild ascites at the first time in December, 2017 and underwent esophageal variceal ligation for acute variceal bleeding at our department on January 2, 2018. He had drunk wine 0.5 kg/day for more than 10 years. On physical examinations, he was intermittently seditious, confused, and disoriented, his skin was yellowish, shifting dullness was positive, and lower limb edema was moderate. His body temperature was 38.7 °C, heart rate was 100 beats per minute, and blood pressure (BP) was 100/54 mmHg

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Yuqiao Wang, Ying Zhou and Zhiyuan Hu

Introduction Circulating tumor cells (CTCs) are the debris generated from a cluster of primary or metastatic tumor cells at a certain organ. In 1869, the Australian researcher Thomas Ashworth first discovered a pack of CTCs in the blood test from a metastatic cancer case.[ 1 ] In 1976, Nowell amended the definition of CTC as tumor cells derived from primary tumors or metastatic tumors with the ability to get out of the basement membrane and invade into the blood vessels through the tissue matrix.[ 2 ] Currently, CTCs are referred to various types of tumor

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Jiancheng Wang, Nengtai Ouyang, Long Qu, Tengfei Lin, Xianglin Zhang, Yaren Yu, Chongfei Jiang, Liling Xie, Liping Wang, Zhigui Wang, Shuzhen Ren, Shizhi Chen, Jiang Huang, Fang Liu, Weiqing Huang and Xianhui Qin

by Cochran’s Q test with a significance level set at 0.10. The I 2 statistics was also examined, and I 2 > 50% was considered as relevant heterogeneity. The presence of publication bias was assessed by Egger’s linear regression test. Sensitivity analyses were performed by removing one study at a time to calculate overall homogeneity. The Hardy–Weinberg equilibrium was assessed using Fisher’s exact test. All statistical analyses were performed using Review Manager (Revman) 5.3.0. A two-tailed P value of <0.05 was considered statistically significant unless

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Amal Ahmed Mohamed, Eman R. Abd Almonaem, Amira I. Mansour, HebatAllah Fadel Algebaly, Rania Abdelmonem Khattab and Yasmine S. El Abd

ranges between 5 and 16 years with a mean age of 9.5 years. The criteria for controls were normal biochemical tests, CBC, and liver function tests and negative results for HCV infection by enzyme-linked immunosorbent assay (ELISA). The patients with one or more of the following criteria were excluded from the study: co-infection with hepatitis B or schistosomiasis, acute liver failure, hepatocellular carcinoma (HCC), or renal dysfunction. All patients were subjected to clinical evaluation, including medical history and physical examination (to detect hepatic

Open access

Herbert Djiambou-Nganjeu

through blood or urine testing. Individualized meal plans and alimentary educational strategies should be established for each patients in order to adapt to the life style. In general, patients’ calorie intake should be composed of 15–20% of the energy from protein, 30–35% from fat, and 50–55% from carbohydrates. Physician must recommend patients to abstain from alcohol and smoking and must also motivate them to perform a physical activity and visit a health care facility at least 4 times a year. Treatment goal in diabetes is for patient to have an HbA1c of <7%, a

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Gautam Rawal, Raj Kumar, Sankalp Yadav and R Sujana

symptoms; thus, they should be administered empirically in all cases of suspected H1N1 viral infection.[ 1 ] The center for disease control (CDC) recommends the anti-viral Drugs-Oseltamivir or Zanamivir, to be given as early as possible even before the result of the diagnostic test is available. The negative results of the rapid antigen test (RT-PCR of nasopharyngeal secretions) do not exclude the possibility of H1N1 infection in severe cases of ARDS.[ 1 , 3 , 8 ] The standard dose of Oseltamivir in adults is 75 mg orally, twice daily for five days.[ 1 ] Concomitant