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Maternal Plasma Lipid Profile in Women Screened for Gestational Diabetes Mellitus (GDM)

Open Journal of Obstetrics and Gynecology 2017年第12期7卷 1209-1215页

作者： Adeniran Samuel Atiba Babatunde Ajayi Olofinbiyi akindele rasaq akintunde Aduloju Olusola Peter Ojo Olubunmi Clementinah Akinlua Ibikunle Department of Chemical Pathology Ekiti State University Ado-Ekiti Nigeria Department of Obstetrics and Gynaecology Ekiti State University Ado-Ekiti Nigeria Department of Obstetrics and Gynaecology Ladoke Akintola University of Technology Ogbomoso Nigeria Department of Biochemistry Ekiti State University Ado-Ekiti Nigeria

Objective: This is to determine the plasma lipid profile status of patients diagnosed with gestational diabetes mellitus. Methodology: Seventy-nine pregnant women between gestational age of 24 and 28 weeks out of which 23 and 16 were diagnosed of having GDM using IADAPSG and WHO guidelines respectively were recruited into the study. Plasma lipid profile was determined among the study groups using standard laboratory techniques. Results: Higher numbers of women were diagnosed with GDM using IASDAPG criteria than when WHO criteria were used. Plasma lipid profile showed no significant difference between women with GDM and Non-GDM irrespective of guidelines used in the diagnosis of GDM. Conclusion: Pregnancy and Gestational Diabetes Mellitus may have influence on lipid metabolism but not likely in the second trimester of pregnancy as observed in our study.

关键词： Gestational Diabetes Mellitus Lipid Profile

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Effects of Cardiac Rehabilitation Exercise Protocols on Physical Function in Patients with Chronic Heart Failure: An Experience from a Resource Constraint Nation

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International Journal of Clinical Medicine 2016年第8期7卷 547-557页

作者： Taofeek O. Awotidebe Rufus A. Adedoyin Michael O. Balogun rasaq A. Adebayo Victor O. Adeyeye Kayode I. Oke Rita N. Ativie Anthony O. Akintomide Mukadas O. akindele Department of Medical Rehabilitation College of Health Sciences Obafemi Awolowo University Ile-Ife Nigeria Department of Medicine College of Health Sciences Obafemi Awolowo University Ile-Ife Nigeria Cardiac Care Unit Obafemi Awolowo University Teaching Hospitals Complex Ile-Ife Nigeria Department of Physiotherapy School of Medical Sciences University of Benin Benin Nigeria Department of Medical Rehabilitation College of Health Sciences and Technology University of Nigeria Enugu Campus Enugu Nigeria Department of Physiotherapy College of Allied Health Sciences Bayero University Kano Kano State Nigeria

Objective: This study investigated the effects of cardiac rehabilitation exercise protocols on physical function (PF) in patients with chronic heart failure (CHF). Study Design and Setting: This randomized controlled trial recruited 70 patients who are in stage II CHF with ejection fraction (≤40%) from a Nigerian university teaching hospital. They were randomly assigned into Exercise Group (EG: n = 35) or Control Group (CG: n = 35). Physical function, activity of daily living (ADL), distance walked in six minutes and grip strength were assessed using a validated ADL questionnaire, six minute walk test and a hand dynamometer respectively. In addition to medication, EG underwent aerobic and upper extremity resistance exercises thrice weekly for eight weeks while CG used medications only. Data were analyzed using descriptive and inferential statistics. Alpha level was at p p > 0.05). Significant improvements were noticed at fourth week among participants’ ADL (30.0% ± 6.0%), 6MWD (321.7 ± 26.3 m) and VO2 max (8.9 ± 0.4 mL/kg/min) variables within the exercise EG but no significant changes were observed in the CG (p > 0.05). Participants in EG demonstrated more significant improvements in ADL (15.0% ± 5.0%), 6MWD (406.0 ± 29.7 m) and VO2 max (10.3 ± 0.5 mL/kg/min) (p p > 0.05). Conclusions: Cardiac rehabilitation exercise protocols involving self-paced walking, sit-to-stand and upper extremity dynamic strength training improved activity of daily living, walking and functional capacity in patients with stable chronic heart failure.

关键词： Cardiac Rehabilitation Exercise Physical Function Heart Failure

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