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Hyperparathyroidism in Pregnant Women: Clinical Issues, Laboratory Findings and Relevant Therapeutic Approachesr - Juniper Publishers

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  Juniper Publishers- Open Access Journal of Annals of Reviews & Research Hyperparathyroidism in Pregnant Women: Clinical Issues, Laboratory Findings and Relevant Therapeutic Approachesr -  Juniper Publishers  Authored by Rosita Fontes Abstract Primary hyperparathyroidism (PHPT) is the most common cause of hypercalcemia in outpatient settings, with an incidence in women of reproductive age of 4.7-6.2 cases per 100,000 persons. When untreated in pregnant women, PHPT can lead to maternal and fetal complications. The authors present a case of a patient with a pre-pregnancy hyperparathyroidism diagnosis: she had worsening symptoms during pregnancy, so was referred for surgery due to failure of clinical treatment to keep the disease under control. Clinical issues, laboratory findings, and relevant therapeutic approaches are discussed. Keywords: Hyperparathyroidism; Hypercalcemia; Multiple endocrine neoplasia syndrome; mTc-sestamibi scintigraphy; Beta chorio...

A Comparative Analysis of the Cost Effectiveness of Five Advanced Skin Substitutes in the Treatment of Foot Ulcers in Patients with Diabetes- Juniper Publishers

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  Juniper Publishers- Open Access Journal of Annals of Reviews & Research   A Comparative Analysis of the Cost Effectiveness of Five Advanced Skin Substitutes in the Treatment of Foot Ulcers in Patients with Diabetes- Juniper Publishers Authored by Robert Snyder Abstract Objective: The purpose of this economic analysis was to generate the cost-effectiveness of five (5) advanced skin substitutes/ Cell/Tissue based Products (CTPs) in the treatment of foot ulcers in patients with diabetes (DFUs): ActiGraft® (RedDress, Pardes Hanna, Israel); Apligraf® (Organogenesis, Canton, MA); Dermagraft® (Organogenesis, Cant-on, MA) ; Grafix Core® (Smith & Nephew, Andover, MA) and EpiFix® (MiMedx, Marietta, GA). Methods: For each skin substitute product, three data points were central to the analysis: Number of applications over a 12-week course of treatment; complete healing efficacy over a 12-week course of treatment; product cost per application; the number of appli...

Effect of Linear and Non-Linear Estimation of Fish Mortality on Feed Conversion Rate and Economic Profitability of Oreochromis shiranus in Cages- Juniper Publishers

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                         Juniper Publishers-Open Access Journal of Annals of Reviews & Research   Abstract This study was conducted to investigate the effect of linear and non-linear methods of estimating fish mortality on feed conversion ratio (FCR) and profitability of cage cultured   Oreochromis shiranus   (Makumba). Two treatments were used, designated as T 1   and T 2   and were replicated three times. In each cage, 105000 fish were stocked at an initial average body weight of 1.59±0.04g and cultured for 365 days. The fish was fed twice a day with formulated feed (36% Crude Protein) at 4-1% body weight with feed adjustments based on standing biomass from linear and non-linear estimated mortality. The results showed that there were significant differences between the two treatments on FCR . Final mean weight was 179.41±7.71g and feed convers...