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Structured exercise interventions for type 2 diabetes mellitus: Strength of current evidence
Unaise Abdul Hameed,MY Shereef,Mohammed Ejas Hussain
Journal of Medical and Allied Sciences , 2011,
Abstract: Exercise, along with medical nutrition therapy and pharmacological interventions, is an important component in the clinical management of type 2 diabetes mellitus (T2D). Current clinical guidelines on type 2 diabetes provide no detailed information on the modalities of effective exercise intervention in the treatment of type 2 diabetes. Both endurance and resistance types of exercise seem to be equally effective in improving metabolic control in patients with type 2 diabetes. Determining the best method of providing exercise is clinically relevant to this population. This paper reviews the epidemiology of diabetes and problems of physical function associated with type 2 diabetes and discuss the benefits of exercise therapy on the parameters of glycemic control and function in type 2 diabetes patients, with special reference to Asian Indians. Based on the currently available literature, it is concluded that type 2 diabetes patients should be encouraged to participate in specifically designed exercise intervention programs. Attention should be paid to the avoidance of cardiovascular and musculoskeletal deconditioning. More clinical research is warranted to establish the efficacy of different dosages of exercise intervention in a holistic approach for type 2 diabetes subpopulations within different stages of the disease and various levels of co-morbidity.
Reliability of I-Repetition Maximum Estimation for Upper and Lower Body Muscular Strength Measurement in Untrained Middle Aged Type 2 Diabetic Patients
Unaise Abdul-Hameed,Prateek Rangra,Mohd. Yakub Shareef,Mohd. Ejaz Hussain
Asian journal of Sports Medicine , 2012,
Abstract: Purpose: The 1-repetition maximum (1-RM) test is the gold standard test for evaluating maximal dynamic strength of groups of muscles. However, safety of actual 1-RM testing is questionable in clinical situations such as type 2 diabetes (T2D), where an estimated 1-RM test is preferred. It is unclear if acceptable test retest reliability exists for the estimated 1-RM test in middle aged T2D patients.This study examined the reliability of the estimated 1-RM strength test in untrained middle aged T2D subjects.Methods: Twenty five untrained diabetic males (n=19) and females (n=6) aged 40.7+0.4 years participated in the study. Participants undertook the first estimated 1-RM test for five exercises namely supine bench press, leg press, lateral pull, leg extension and seated biceps curls. A familiarisation session was provided three to five days before the first test. 1-RM was estimated for all participants by Brzycki 1-RM prediction equation. Another identical 1-RMestimation procedure occurred one week after first test. Intraclass correlation coefficients (ICC), paired t-test, standard error of measurement (SEM), Bland- Altman plots, and estimation of 95% CI were used to assess reliability.Results: Test-retest reliability was excellent (ICC2,1=0.98-0.99) for all measurements with the highest for leg extension (ICC2,1=0.99). The SEM was lowest for lateral pull and leg extension exercises. Paired t-tests showed nonsignificant differences between the means of 2 sessions across three of five exercises.Conclusions: The study findings suggest that estimation of 1-RM is reliable for upper and lower body muscular strength measurement in untrained middle aged T2D patients.
Information and Communication Technologies as a New Learning Tool for the Deaf
Abdul Hameed
Lecture Notes in Engineering and Computer Science , 2007,
Abstract:
Isolation, Characterization and Antimicrobial Resistance Patterns of Lactose-Fermenter Enterobacteriaceae Isolates from Clinical and Environmental Samples  [PDF]
Israa Abdul Jabbar Ibrahim, Tuqa Abdul Kareem Hameed
Open Journal of Medical Microbiology (OJMM) , 2015, DOI: 10.4236/ojmm.2015.54021
Abstract: The lactose-fermenter Enterobacteriaceae are the most frequent cause of clinical infection in our country. The objective of this study was to isolate and identify the most common lactose-fermenter Enterobacteriaceae from clinical samples, including urine, blood, wounds, and sputum, obtained from the local hospital and from environmental samples from a chicken farm, agriculture soil, and water from the Tigris River in Baghdad City. The study also aimed at establishing the antibiotic resistance patterns of the isolated bacteria. A total of 155 bacterial isolates were identified from 10 genera according to the Vitek 2 system. The most common bacterial isolates from the clinical and environmental samples were Escherichia coli and Klebsiella pneumoniae, respectively. The antibiotic resistance patterns showed that all clinical and environmental isolates were multidrug resistant to β-lactam (except carbapenems) drug and aminoglycosides and more sensitive to carbapenems.
Erratum to “Isolation, Characterization and Antimicrobial Resistance Patterns of Lactose-Fermenter Enterobacteriaceae Isolates from Clinical and Environmental Samples” [Open Journal of Medical Microbiology 5 (2015) 169-176]  [PDF]
Israa Abdul Jabbar Ibrahim, Tuqa Abdul Kareem Hameed
Open Journal of Medical Microbiology (OJMM) , 2016, DOI: 10.4236/ojmm.2016.61001
Abstract: The lactose-fermenter Enterobacteriaceae are the most frequent cause of clinical infection in our country. The objective of this study was to isolate and identify the most common lactose-fermenter Enterobacteriaceae from clinical samples, including urine, blood, wounds, and sputum, obtained from the local hospital and from environmental samples from a chicken farm, agriculture soil, and water from the Tigris River in Baghdad City. The study also aimed at establishing the antibiotic resistance patterns of the isolated bacteria. A total of 155 bacterial isolates were identified from 10 genera according to the Vitek 2 system. The most common bacterial isolates from the clinical and environmental samples were Escherichia coli and Klebsiella pneumoniae, respectively. The antibiotic resistance patterns showed that all clinical and environmental isolates were multidrug resistant to β-lactam (except carbapenems) drug and aminoglycosides and more sensitive to carbapenems.
The Use of ICT in Developing Reading and Writing Skills in Children with Hearing Impairment
Humara Bano,Abdul Hameed
Lecture Notes in Engineering and Computer Science , 2007,
Abstract:
CATARACT SURGERY
ABDUL HAMEED BHATTI
The Professional Medical Journal , 2008,
Abstract: Objective: To compare the effects of spontaneous versus controlled ventilation on IntraocularPressure (IOP) with concomitant haemodynamic changes during cataract extraction and intraocular (IOL) implantsurgery under anaesthesia. Design: Comparative study. Place and Duration of Study: The study was conducted atdepartment of Anesthesiology Combined Military Hospital Jhelum Cantt from Jan 2005 to Oct 2005. Subjects andMethods: 40 ASA I and II patients of both sexes aged 40-68 years, undergoing surgical cataract extraction werestudies. In 20 patients ventilation was controlled while the other 20 patients breathed spontaneously during surgery.IOP was measured preoperatively in non-operated eye. Results: Intraocular pressure (IOP) decreased below the baseline after induction of anaesthesia but it markedly increased after intubation in both group. During operation IOPdecreased more in controlled ventilation group than spontaneous ventilation group. At the end of surgery beforeextubation, IOP increased in both groups with a greater rise in spontaneous ventilation group and extubation wasfollowed by a further rise in IOP in both groups. Heart rate (HR) and arterial blood pressure (BP) changes followedalmost the same pattern as IOP. Conclusion: General anaesthetics decrease IOP in general. Laryngoscopy andintubation are anaesthesia-related events, which cause rise in IOP. In appropriate patients, general anaesthesia withcontrolled ventilation is an acceptable technique for intraocular surgery offering advantages in terms of intraocularpressure and cardiovascular stability compared to spontaneous ventilation.
INTRA OCULAR PRESSURE
ABDUL HAMEED BHATTI
The Professional Medical Journal , 2004,
Abstract: Objective: To compare the effects of Laryngeal Mask Airway (LMA) and trachealintubation on Intra Ocular Pressure (IOP) with concomitant haemodynamic changes during cataract extractionand intra ocular lens (IOL) implant surgery under general anaesthesia. Design: Comparative study. Place andDuration of Study: The study was conducted at department of Anaesthesiology Combined Military HospitalJhelum from April 2003 to December 2003. Subjects and Methods: 40 ASA I and II patients of both sexesaged 40-68 years, undergoing surgical cataract extraction were studied. 20 patients were intubated endotrachealywhile LMA was inserted in other 20 patients. Ventilation was controlled in both groups. IOP was measuredpreoperatively in non-operated eye. Results: Intra ocular pressure (IOP) decreased below the base line afterinduction of anaesthesia but it markedly increased after intubation in tracheal tube (TT) group whilst there wasless increase in LMA group. During operation IOP decreased to near pre-induction value in both groups. Atthe end of surgery, before extubation . IOP increased significantly in TT group with a small rise in LMA groupand extubation was followed by a further rise in IOP in TT group. while removal of LMA was not accompaniedby increase in IOP. Heart rate (HR) and arterial blood pressure (BP) changes followed the same pattern as IOP.Conclusion: General anaesthetics decrease IOP in general. Laryngoscopy and intubation are anaesthesiarelatedevents, which cause rise in IOP. In appropriate patients LMA is an acceptable technique for intra ocularsurgery offering advantages in terms of intra ocular pressure and cardiovascular stability compared to trachealintubation.
PULSE OXIMETRY
ABDUL-HAMEED CHOHEDRI
The Professional Medical Journal , 2006,
Abstract: Background/Aim: Pulse oximetry has emerged as a clinical tool inanesthesia and is becoming popular in developing countries. Unfortunately, its use is usually not accompanied byappropriate staff training. The aim of this study was to evaluate the knowledge about pulse oximetry among the 7th yearmedical student Interns (MS) and nursing staff (NS) of Intensive Care Unit (ICU), Coronary Care Unit (CCU) andRecovery Room (RR) of four medical-school affiliated hospitals in Shiraz, Iran. Study Period: Feb 2001- Feb 2002Materials and Methods: A 14-item questionnaire (4 demographic and 10 knowledge), multiple-choice and open ended,was developed to assess knowledge of pulse oximetry. Among 150 7th year medical students and 200 nursing staff,40 from each group was randomly selected and invited to complete the questionnaire. Results: A 100% response ratewas achieved. All of the participants used pulse oximetry regularly in their daily work. The mean test scores for MS andNS were 60.5 ± 21 and 49 ± 17%, respectively (p < 0.05). None of the participants had adequate training in the useof pulse oximetry. Conclusion: Our study revealed that medical students and staff nurses were untrained in pulseoximetry, lacked knowledge of basic principles, and made serious errors in interpretation of readings. Therefore, werecommend that medical schools and nurse training programs place emphasis on teaching the principles andapplications of pulse oximetry and the oxyhemoglobin dissociation curve.
PROPOFOL INDUCED PAIN
ABDUL HAMEED CHOHEDRI
The Professional Medical Journal , 2008,
Abstract: Introduction: Propofol causes pain on injection in 28% - 90% ofpatients. A number of techniques have been tried for minimizing propofol-induced pain with variable results. Objectives:To compare the use of premixed lidocaine-propofol with metoclopramide pretreatment for the reduction of pain duringinjection of propofol in adult patients. Design: A prospective, double blind, randomized, placebo-controlled study.Setting: Shiraz University Hospital, Department of Anesthesiology, Shiraz, Iran. Period: From Jan 2007 to Dec 2007.Materials & Methods: 202 subjects (ASA I-II) scheduled for elective operations under general anesthesia wereallocated into three groups and treated as follows: Group A: 20 ml propofol mixed with 20mg lidocaine %1 following 2mlnormal saline; Group B: 20 ml propofol mixed with 2ml normal saline following 5 mg metoclopramide; Group C (controlgroup): 20 ml propofol mixed with 2 ml normal saline following 2 ml normal saline. Pain intensity was graded by a single,blinded observer and recorded as either severe, moderate, mild or no pain according to the response of the patientsto the injection. Results: The incidence of pain was 72% in placebo group compared to 58.7% in the metoclopramideand 28.8% in the lidocaine group. Conclusion: Propofol-lidocaine admixture is more effective than metoclopramidepre treatment in decreasing the pain of propofol injection.
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