Vermiform appendix reportedly shows lots of variations in its position and length among different individuals. The signs and symptoms presented by acute appendicitis requiring medical or surgical intervention may vary accordingly. Hence, medical practitioners should have a fair knowledge of such variations to diagnose the underlying pathology. Knowledge about variations in the position and length of the appendix is also equally important for its removal through minimally invasive surgery. The present study was conducted at Lady Hardinge Medical College, New Delhi from October 2018 to March 2020 to observe the variations in position and length of appendix in the dead bodies brought for routine medico-legal autopsies. Among 200 randomly selected deceased individuals, males were 88.5% whereas females were 11.5%. Maximum numbers of individuals were found in the age group 31–40 years (23%), followed by 41–50 years (22.5%) and then 21–30 years (22%). The mean age of the individuals was 43 ± 14.98 years, with an age range varied from 14 to 90 years. Position of the appendix was found pre-ileal in 6.5%, post-ileal in 10%, promonteric in 12%, pelvic in 21%, retro-caecal in 27.5%, para-colic in 13.5%, sub-caecal in 6.5% and others in 3% cases. Retro-caecal position was the most common position in the present study. The mean length of the vermiform appendix was found to be in the range of 0–5 cm in 10.5%, 5–10 cm in 63%, 10–15. cm in 21.5%, 15–20 cm in 4.5%, and more than 20 cm in 0.5% cases. The mean (average) length of the vermiform appendix was 8.4 ± 3.07 cm, with a range varied from 4.2 cm to 21.1 cm. The position of the appendix could not be related to the sex and age of the individual or to the length of the appendix.
{"title":"Position and Length of Appendix among Delhi Population-An Autopsy Based Study","authors":"Nisha Nupur, Satyakam Jena, Mukesh Singh, Shrabana Naik, Thejaswi Hiriyur Thipperudrappa, Sachin Mittal","doi":"10.24018/ejmed.2024.6.1.1942","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.1942","url":null,"abstract":"Vermiform appendix reportedly shows lots of variations in its position and length among different individuals. The signs and symptoms presented by acute appendicitis requiring medical or surgical intervention may vary accordingly. Hence, medical practitioners should have a fair knowledge of such variations to diagnose the underlying pathology. Knowledge about variations in the position and length of the appendix is also equally important for its removal through minimally invasive surgery. The present study was conducted at Lady Hardinge Medical College, New Delhi from October 2018 to March 2020 to observe the variations in position and length of appendix in the dead bodies brought for routine medico-legal autopsies. Among 200 randomly selected deceased individuals, males were 88.5% whereas females were 11.5%. Maximum numbers of individuals were found in the age group 31–40 years (23%), followed by 41–50 years (22.5%) and then 21–30 years (22%). The mean age of the individuals was 43 ± 14.98 years, with an age range varied from 14 to 90 years. Position of the appendix was found pre-ileal in 6.5%, post-ileal in 10%, promonteric in 12%, pelvic in 21%, retro-caecal in 27.5%, para-colic in 13.5%, sub-caecal in 6.5% and others in 3% cases. Retro-caecal position was the most common position in the present study. The mean length of the vermiform appendix was found to be in the range of 0–5 cm in 10.5%, 5–10 cm in 63%, 10–15. cm in 21.5%, 15–20 cm in 4.5%, and more than 20 cm in 0.5% cases. The mean (average) length of the vermiform appendix was 8.4 ± 3.07 cm, with a range varied from 4.2 cm to 21.1 cm. The position of the appendix could not be related to the sex and age of the individual or to the length of the appendix.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"9 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140439991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-19DOI: 10.24018/ejmed.2024.6.1.1987
Meriem El Alami, Chaimae Baqadir, Imane Laabi, Ziyad Laftimi, G. Daghouj, L. El maaloum, B. Allali, A. EL kettani
Introduction: Mooren ulcer is an immune-related corneal pathology of unknown origin, that often occurs following a triggering factor. Case Report: We report the case of a 32-year-old woman who presented with a red painful right eye. The clinical findings were in favor of peripheral ulcerative keratitis. The etiological assessment came back negative. The retained diagnosis was Mooren ulcer. The treatment was based on oral corticosteroid therapy and immunosuppressants prescribed by internists. The evolution was marked by the regression of the pain and the stability of the lesion. Discussion: Currently in the literature, rare cases of corneal ulcers following COVID-19 vaccination have been described. A causal link remains possible but not yet proven. This subject needs more perspective and research. Conclusion: The COVID-19 vaccine has several ocular side effects. The mechanism of triggering a mooren ulcer remains unclear.
{"title":"Unilateral Mooren Ulcer After COVID-19 Vaccination","authors":"Meriem El Alami, Chaimae Baqadir, Imane Laabi, Ziyad Laftimi, G. Daghouj, L. El maaloum, B. Allali, A. EL kettani","doi":"10.24018/ejmed.2024.6.1.1987","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.1987","url":null,"abstract":"Introduction: Mooren ulcer is an immune-related corneal pathology of unknown origin, that often occurs following a triggering factor.\u0000Case Report: We report the case of a 32-year-old woman who presented with a red painful right eye. The clinical findings were in favor of peripheral ulcerative keratitis. The etiological assessment came back negative. The retained diagnosis was Mooren ulcer. The treatment was based on oral corticosteroid therapy and immunosuppressants prescribed by internists. The evolution was marked by the regression of the pain and the stability of the lesion.\u0000Discussion: Currently in the literature, rare cases of corneal ulcers following COVID-19 vaccination have been described. A causal link remains possible but not yet proven. This subject needs more perspective and research.\u0000Conclusion: The COVID-19 vaccine has several ocular side effects. The mechanism of triggering a mooren ulcer remains unclear.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"15 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140450374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Unsafe abortion refers to the termination of an undesired pregnancy by individuals lacking the requisite skills in an environment lacking minimal medical standards, or both. It stands as a prominent contributor to pregnancy-related mortality in Bangladesh. Notably, approximately one-third of all births in Bangladesh are unplanned and unwanted. The initiation of unsafe abortion may be attributed to the woman herself, an unqualified practitioner, or health workers operating in unhygienic conditions. Objectives: The primary aim of this study was to implement interventions aimed at mitigating maternal mortality and morbidity resulting from unsafe abortion. Materials and Methods: This cross-sectional study was conducted in the Department of Obstetrics and Gynecology at Khulna Medical College and Hospital, Khulna, spanning from July 2010 to June 2011. After applying exclusion criteria, which involved cases of medical termination of pregnancy and individuals with known medical conditions, a total of 145 abortion cases were admitted to two maternity units at Khulna Medical College Hospital. These cases exhibited a history of menstrual regulation (MR) and induced abortion performed by unskilled individuals, in unhygienic conditions, or both, throughout the study period. The primary outcome variables assessed in this study included age, marital status, education level, socio-economic status, parity, duration of amenorrhea, methods of induction, and maternal complications. Results: In this study, it has been seen that 588 (29.80%) of gynecological admissions are of abortion, and the incidence of unsafe abortion is 145 (24.65%) of all abortion patients. The majority are primarily educated and their socio-economic status is below average. Most of them are multipara. They had come to the hospital after the development of complications. Among the unsafe abortions, 9 (6.20%) expired and 136 (93.79%) improved after experiencing some sort of minor or major suffering. Conclusion: Maternal mortality is a key women’s health indicator. Reducing it is a global goal, but tracking progress is challenging, especially in developing countries with weak health data systems. Unsafe abortions are underreported, and many deny the truth even when in dire conditions. To address this, promoting modern contraceptives, training personnel for abortions, and emphasizing contraception’s importance is vital. Relaxing abortion laws may be necessary, as women may seek abortions regardless, risking their lives. Ensuring safe abortion access is essential for women’s rights and preventing harm to them and their families. Reducing unplanned pregnancies and providing safe abortion services are critical.
{"title":"Maternal Mortality and Morbidity Following Unsafe Abortion in a Tertiary Medical College Hospital","authors":"Suravi Halder, Bipul Kumar Majumdar, Mumtahena Amir, Ishrat Jahan Moon","doi":"10.24018/ejmed.2024.6.1.1972","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.1972","url":null,"abstract":"Background: Unsafe abortion refers to the termination of an undesired pregnancy by individuals lacking the requisite skills in an environment lacking minimal medical standards, or both. It stands as a prominent contributor to pregnancy-related mortality in Bangladesh. Notably, approximately one-third of all births in Bangladesh are unplanned and unwanted. The initiation of unsafe abortion may be attributed to the woman herself, an unqualified practitioner, or health workers operating in unhygienic conditions.\u0000Objectives: The primary aim of this study was to implement interventions aimed at mitigating maternal mortality and morbidity resulting from unsafe abortion.\u0000Materials and Methods: This cross-sectional study was conducted in the Department of Obstetrics and Gynecology at Khulna Medical College and Hospital, Khulna, spanning from July 2010 to June 2011. After applying exclusion criteria, which involved cases of medical termination of pregnancy and individuals with known medical conditions, a total of 145 abortion cases were admitted to two maternity units at Khulna Medical College Hospital. These cases exhibited a history of menstrual regulation (MR) and induced abortion performed by unskilled individuals, in unhygienic conditions, or both, throughout the study period. The primary outcome variables assessed in this study included age, marital status, education level, socio-economic status, parity, duration of amenorrhea, methods of induction, and maternal complications.\u0000Results: In this study, it has been seen that 588 (29.80%) of gynecological admissions are of abortion, and the incidence of unsafe abortion is 145 (24.65%) of all abortion patients. The majority are primarily educated and their socio-economic status is below average. Most of them are multipara. They had come to the hospital after the development of complications. Among the unsafe abortions, 9 (6.20%) expired and 136 (93.79%) improved after experiencing some sort of minor or major suffering.\u0000Conclusion: Maternal mortality is a key women’s health indicator. Reducing it is a global goal, but tracking progress is challenging, especially in developing countries with weak health data systems. Unsafe abortions are underreported, and many deny the truth even when in dire conditions. To address this, promoting modern contraceptives, training personnel for abortions, and emphasizing contraception’s importance is vital. Relaxing abortion laws may be necessary, as women may seek abortions regardless, risking their lives. Ensuring safe abortion access is essential for women’s rights and preventing harm to them and their families. Reducing unplanned pregnancies and providing safe abortion services are critical.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140450694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-19DOI: 10.34104/ejmhs.024.044049
Summiya Shamima, Prity, Kakoli Akter, Md. Babul Aktar, Kaniz Mehzabin, Laila Jarin, R. Shilpi, Md. Farukh, Faisal Ashrafi, Abdullah Akhtar, Jafrul Islam, Mohammad Zakerin Abedin
Extended-spectrum β-lactamase (ESBL) microorganisms have been shown to increase multidrug resistance worldwide, which is a great concern. The prevalence of ESBL-producing clinical pathogens and their antimicrobial resistance patterns were identified in 66 isolates from patients in Khwaja Yunus Ali Hospital with several clinical infections cultured on blood agar and MacConkey agar media. The most prevalent bacteria were Escherichia coli (80.3%), which were identified by the BD-Phonex automated identifier machine, followed by Pseudomonas spp. (6%), Klebsiella spp. (12.1%), and others (4.4%). This research was conducted from January 2023 to June 2023. Generally, a large number of antibiotic resistance patterns and ESBL-producing common bacterial isolates were found in this study, where most of the resistant percentage was found in third-generation cephalosporin antibiotics, which increases the public health problem. In this study, the most prevalent bacteria E. coli isolates were mostly resistant to penicillin (100%), ceftazidime, cefotaxime, and cefuroxime (98.4%). Besides, 95.4% resistance was shown against ceftriaxone. The double-disc synergy test was done to determine the presence of ESBL-producing bacterial strains. The most widely ESBL-positive isolate was Escherichia coli (83%). Among the 66 sample strains produced, the ESBL maximum (53.03%) belonged to female patients, while 46.97% belonged to male patients. This study focuses on the prevalence and patterns of clinical pathogens and the antimicrobial susceptibility profiles of ESBL-producing bacterial infections in a tertiary-level health service center in Bangladesh. Generally, a large number of antibiotic resistance patterns and ESBL-producing common bacterial isolates were found in this study, which increases the public health risk. Therefore, to save human life, we ought to be taking appropriate action against the threat.
{"title":"Multidrug-Resistant ESBL-Producing Enterobacteriaceae Associated with Clinical Samples in a Tertiary Care Hospital, Sirajganj","authors":"Summiya Shamima, Prity, Kakoli Akter, Md. Babul Aktar, Kaniz Mehzabin, Laila Jarin, R. Shilpi, Md. Farukh, Faisal Ashrafi, Abdullah Akhtar, Jafrul Islam, Mohammad Zakerin Abedin","doi":"10.34104/ejmhs.024.044049","DOIUrl":"https://doi.org/10.34104/ejmhs.024.044049","url":null,"abstract":"Extended-spectrum β-lactamase (ESBL) microorganisms have been shown to increase multidrug resistance worldwide, which is a great concern. The prevalence of ESBL-producing clinical pathogens and their antimicrobial resistance patterns were identified in 66 isolates from patients in Khwaja Yunus Ali Hospital with several clinical infections cultured on blood agar and MacConkey agar media. The most prevalent bacteria were Escherichia coli (80.3%), which were identified by the BD-Phonex automated identifier machine, followed by Pseudomonas spp. (6%), Klebsiella spp. (12.1%), and others (4.4%). This research was conducted from January 2023 to June 2023. Generally, a large number of antibiotic resistance patterns and ESBL-producing common bacterial isolates were found in this study, where most of the resistant percentage was found in third-generation cephalosporin antibiotics, which increases the public health problem. In this study, the most prevalent bacteria E. coli isolates were mostly resistant to penicillin (100%), ceftazidime, cefotaxime, and cefuroxime (98.4%). Besides, 95.4% resistance was shown against ceftriaxone. The double-disc synergy test was done to determine the presence of ESBL-producing bacterial strains. The most widely ESBL-positive isolate was Escherichia coli (83%). Among the 66 sample strains produced, the ESBL maximum (53.03%) belonged to female patients, while 46.97% belonged to male patients. This study focuses on the prevalence and patterns of clinical pathogens and the antimicrobial susceptibility profiles of ESBL-producing bacterial infections in a tertiary-level health service center in Bangladesh. Generally, a large number of antibiotic resistance patterns and ESBL-producing common bacterial isolates were found in this study, which increases the public health risk. Therefore, to save human life, we ought to be taking appropriate action against the threat.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"146 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140451670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-19DOI: 10.24018/ejmed.2024.6.1.1888
S. D. Poddar, Santhanam Sampath, Shikha Sharma, Mohammad Rasheed, Amarinder Singh, Ricky Saini
Introduction: Mode of delivery for term singleton breech presentation has been a raging topic of discussion for decades and continues to be so. The ‘Term Breech Trial’ was a big blow to vaginal breech delivery leading to a torrential increase in the rate of caesarean sections the world over. We intend to compare and evaluate the maternal and perinatal outcomes of vaginal versus caesarean section breech delivery so as to analyse the safety of vaginal delivery for breech presentation. Objectives: Analyse and compare perinatal and maternal outcomes between vaginal versus caesarean deliveries of term or near-term singleton breech presentation. Materials and Methods: Retrospective comparison between 30 vaginal breech deliveries (Group 1) and 252 caesarean deliveries (Group 2) done for singleton breech presentation between 36 weeks to 42 weeks, either in early or advanced labour conducted between January 2015-January 2022 at various Military Hospitals. Statistical Analysis: The association between maternal and perinatal outcomes was estimated using the Chi-square test and Fisher exact test with P < 0.05 considered statistically significant. Results: No maternal complications were noted in Group 1 while in Group 2 surgical site infection and post-partum haemorrhage of varying degree, was noted in 14% cases and 7% cases respectively which was statistically significant. There was no significant difference noted between the groups with regard to neonatal outcomes or NICU admission. Conclusion: Vaginal delivery for termsingleton breech is a reasonable option in well-selected patients at optimally equipped centres, in the hands of an experienced Obstetrician.
{"title":"Confronting the Fear: Our Experience with Breech Vaginal Delivery-A Retrospective Analysis","authors":"S. D. Poddar, Santhanam Sampath, Shikha Sharma, Mohammad Rasheed, Amarinder Singh, Ricky Saini","doi":"10.24018/ejmed.2024.6.1.1888","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.1888","url":null,"abstract":"Introduction: Mode of delivery for term singleton breech presentation has been a raging topic of discussion for decades and continues to be so. The ‘Term Breech Trial’ was a big blow to vaginal breech delivery leading to a torrential increase in the rate of caesarean sections the world over. We intend to compare and evaluate the maternal and perinatal outcomes of vaginal versus caesarean section breech delivery so as to analyse the safety of vaginal delivery for breech presentation.\u0000Objectives: Analyse and compare perinatal and maternal outcomes between vaginal versus caesarean deliveries of term or near-term singleton breech presentation.\u0000Materials and Methods: Retrospective comparison between 30 vaginal breech deliveries (Group 1) and 252 caesarean deliveries (Group 2) done for singleton breech presentation between 36 weeks to 42 weeks, either in early or advanced labour conducted between January 2015-January 2022 at various Military Hospitals.\u0000Statistical Analysis: The association between maternal and perinatal outcomes was estimated using the Chi-square test and Fisher exact test with P < 0.05 considered statistically significant.\u0000Results: No maternal complications were noted in Group 1 while in Group 2 surgical site infection and post-partum haemorrhage of varying degree, was noted in 14% cases and 7% cases respectively which was statistically significant. There was no significant difference noted between the groups with regard to neonatal outcomes or NICU admission.\u0000Conclusion: Vaginal delivery for termsingleton breech is a reasonable option in well-selected patients at optimally equipped centres, in the hands of an experienced Obstetrician.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"25 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140450308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-11DOI: 10.24018/ejmed.2024.6.1.2041
S. Benfaida, Imane Hachami, Rayhana Chafik, Mouna Hamza, Anas Bennani
Objective: To assess the prevalence of musculoskeletal disorders among dentists practicing in the private sector in the city of Agadir, Morocco. Materials and Methods: We conducted a cross-sectional study among dentists in the city of Agadir after informed consent. An anonymous questionnaire containing 19 closed questions was distributed. Data entry and statistical analysis were performed using SPSS software at the Community Health, Epidemiology and Biostatistics Laboratory of the Faculty of Dentistry of Casablanca. Results: 100% of doctors reported at least one musculoskeletal complaint. 19.42% of these musculoskeletal disorders were diagnosed and under treatment, 80.58% were undiagnosed, mainly affecting the neck, shoulders and lumbar region. 40% of dentists were diagnosed between 5 and 10 years of practice, 50% had been practicing for less than 10 years, 46.6% were overweight and 40.3% of the participants did not practice sports. Discussion: The rate of dentists reporting musculoskeletal complaints is alarmingly high compared to rates recorded in the literature. Several factors linked to lifestyle and professional activity may explain the results found. Musculoskeletal suffering can also be amplified if the dentist does not respect ergonomics in his dental practice. Conclusion: The rate of musculoskeletal disorders found in our population is alarming. Further studies are needed to evaluate ergonomic compliance to understand better the results of our study.
{"title":"Musculoskeletal Disorders among Dentists in the Private Sector","authors":"S. Benfaida, Imane Hachami, Rayhana Chafik, Mouna Hamza, Anas Bennani","doi":"10.24018/ejmed.2024.6.1.2041","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.2041","url":null,"abstract":"Objective: To assess the prevalence of musculoskeletal disorders among dentists practicing in the private sector in the city of Agadir, Morocco.\u0000Materials and Methods: We conducted a cross-sectional study among dentists in the city of Agadir after informed consent. An anonymous questionnaire containing 19 closed questions was distributed. Data entry and statistical analysis were performed using SPSS software at the Community Health, Epidemiology and Biostatistics Laboratory of the Faculty of Dentistry of Casablanca.\u0000Results: 100% of doctors reported at least one musculoskeletal complaint. 19.42% of these musculoskeletal disorders were diagnosed and under treatment, 80.58% were undiagnosed, mainly affecting the neck, shoulders and lumbar region. 40% of dentists were diagnosed between 5 and 10 years of practice, 50% had been practicing for less than 10 years, 46.6% were overweight and 40.3% of the participants did not practice sports.\u0000Discussion: The rate of dentists reporting musculoskeletal complaints is alarmingly high compared to rates recorded in the literature. Several factors linked to lifestyle and professional activity may explain the results found. Musculoskeletal suffering can also be amplified if the dentist does not respect ergonomics in his dental practice.\u0000Conclusion: The rate of musculoskeletal disorders found in our population is alarming. Further studies are needed to evaluate ergonomic compliance to understand better the results of our study.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"17 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140458839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-26DOI: 10.24018/ejmed.2024.6.1.1990
Lisa Gerold, Helana Lutfi, Thomas Spittler
With the coronavirus (COVID-19) pandemic uncovering several structural problems within the German healthcare system, especially within the inpatient sector, rapid improvements were needed to strengthen the preventive industry of the healthcare system. To adequately cover prevention as well as aftercare needs, some telemedical solutions, such as wearables can strongly contribute to the preventive sector. Therefore, this research aims to understand users’ perceived attitudes and acceptance towards wearable devices in healthcare. Following the Technology Acceptance Model, the essential factors that influence user acceptance were assessed using an online survey involving 154 participants, students of the Deggendorf Institute of Technology. The results of this survey indicate that among the students’ technology acceptance is generally high, participants had a favourable attitude towards digital health technologies, a high perception of usefulness, and a heightened perception of ease of use. Only a minor of the participants have stated that they have certain concerns, mainly regarding data protection. This study however gives very little insight into what elderly people, people in the active workforce, or those suffering from chronic illness think of wearables and digital health as a whole. So further research including this demographic of people is suggested.
{"title":"User’s Perceived Attitudes and Acceptance Towards Wearable Devices in Healthcare","authors":"Lisa Gerold, Helana Lutfi, Thomas Spittler","doi":"10.24018/ejmed.2024.6.1.1990","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.1990","url":null,"abstract":"With the coronavirus (COVID-19) pandemic uncovering several structural problems within the German healthcare system, especially within the inpatient sector, rapid improvements were needed to strengthen the preventive industry of the healthcare system. To adequately cover prevention as well as aftercare needs, some telemedical solutions, such as wearables can strongly contribute to the preventive sector. Therefore, this research aims to understand users’ perceived attitudes and acceptance towards wearable devices in healthcare. Following the Technology Acceptance Model, the essential factors that influence user acceptance were assessed using an online survey involving 154 participants, students of the Deggendorf Institute of Technology. The results of this survey indicate that among the students’ technology acceptance is generally high, participants had a favourable attitude towards digital health technologies, a high perception of usefulness, and a heightened perception of ease of use. Only a minor of the participants have stated that they have certain concerns, mainly regarding data protection. This study however gives very little insight into what elderly people, people in the active workforce, or those suffering from chronic illness think of wearables and digital health as a whole. So further research including this demographic of people is suggested.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"84 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140494606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-26DOI: 10.24018/ejmed.2024.6.1.2032
Peryson Kekelwa Kalaluka, A. Tsarkov, P. Petlovanyi, Richard Kunda, Simon Himalowa, Phoebe Bwembya, Chiza Kumwenda, Gabriel Mpundu, Crecious Phiri
Background: Metabolic syndrome, a cluster of cardiovascular risk factors, affects approximately 25% of the global population, with a significant impact on the 37,900,000 people living with HIV in 2017. Objective: This cross-sectional study (April-July 2020) in Lusaka District aimed to assess dietary patterns and metabolic syndrome risk in 180 randomly sampled HIV-positive individuals (aged 18 and above) from three health facilities. Methods: Participants underwent anthropometric measurements, blood pressure checks, and biochemical assessments. High prevalence rates were observed for factors like high waist-hip ratio (39%), high total cholesterol (52%), high triglycerides (46%), and high blood pressure (33%). Results: Three dietary clusters (omnivorous, vegetarian, unclassified) showed no significant association with metabolic syndrome or its components (p > 0.05). Conclusion: While metabolic syndrome prevalence among HIV-positive individuals is low, there are notable occurrences of high blood pressure and predictors of non-communicable diseases. Commonly consumed foods did not show a significant association with metabolic syndrome predictors (p > 0.05).
{"title":"Dietary Patterns and Metabolic Syndrome Risk in Adults Living with HIV: A Cross-Sectional Study in Lusaka District, Zambia","authors":"Peryson Kekelwa Kalaluka, A. Tsarkov, P. Petlovanyi, Richard Kunda, Simon Himalowa, Phoebe Bwembya, Chiza Kumwenda, Gabriel Mpundu, Crecious Phiri","doi":"10.24018/ejmed.2024.6.1.2032","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.2032","url":null,"abstract":"Background: Metabolic syndrome, a cluster of cardiovascular risk factors, affects approximately 25% of the global population, with a significant impact on the 37,900,000 people living with HIV in 2017.\u0000Objective: This cross-sectional study (April-July 2020) in Lusaka District aimed to assess dietary patterns and metabolic syndrome risk in 180 randomly sampled HIV-positive individuals (aged 18 and above) from three health facilities.\u0000Methods: Participants underwent anthropometric measurements, blood pressure checks, and biochemical assessments. High prevalence rates were observed for factors like high waist-hip ratio (39%), high total cholesterol (52%), high triglycerides (46%), and high blood pressure (33%).\u0000Results: Three dietary clusters (omnivorous, vegetarian, unclassified) showed no significant association with metabolic syndrome or its components (p > 0.05).\u0000Conclusion: While metabolic syndrome prevalence among HIV-positive individuals is low, there are notable occurrences of high blood pressure and predictors of non-communicable diseases. Commonly consumed foods did not show a significant association with metabolic syndrome predictors (p > 0.05).","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140494778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-26DOI: 10.24018/ejmed.2024.6.1.1999
Ieva Krēsliņa, E. Gašenko, A. Hegmane, Ž. Zvirbule, Signe Plāte, Santa Maksimova
Small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC) are the two different forms of lung cancer, the latter subtype accounts for approximately 85% of cases. Lung cancer is estimated to be the main cause of all cancer deaths, accounting for nearly 1,800,000 deaths globally in 2020. In this clinical case, we describe a female patient with non-specific symptoms over an approximate duration of one and a half years. Metastatic lung adenocarcinoma was diagnosed after the onset of severe neurological symptoms, brain surgery, and historical analysis of the large pathological brain mass. Following this, the tumor in the lung, which was small in size and the sole metabolically active site of the disease, was surgically removed. The recurrence in the brain and the onset of new neurological symptoms occurred rapidly—within three months, necessitating a second operation. Histological examination of the primary tumor and metastasis unveiled significant disparities–the primary tumor was moderately differentiated with PD-L1 expression (programmed death-ligand 1) within the range of 1 to 49%, while metastasis was poorly differentiated and PD-L1 negative, both absent of EGFR mutations (epidermal growth factor receptor) and ALK fusion (anaplastic lymphoma kinase). Following two brain operations, the patient underwent three-dimensional conformal radiation therapy (3DCRT). Subsequently, the initiation of systemic therapy was postponed by a two-month interval due to the activation of chronic hepatitis C virus infection. This case study contributes to the growing body of knowledge aimed at enhancing our grasp of tumor heterogeneity and dynamics of progression.
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The psychophysical preparation program for pregnant women includes physical exercises and theoretical lectures aimed at preparing the pregnant woman for childbirth and that the benefits far outweigh the risks. Exercise is an essential element of pregnancy, and OB-GYNs and other obstetric care providers should encourage their patients to continue or begin exercise. The aim of this work is to understand the impact of psychophysical preparation of pregnant women on health during and after pregnancy, birth outcomes and postpartum recovery. Twenty scientific research papers/articles including 5517 respondents were reviewed, based on databases: Web of Science, EBSCO, Scopus, Medline, PubMed, ScienceDirect, Google Scholar, and others. Works published from 2017-2022 were reviewed. The results of this study show that pregnant women who attended the program of psychophysical preparation for childbirth had a chance to experience childbirth in a more beautiful light, to be prepared, so that they would go to the maternity hospital with less fear, how to use breathing techniques during childbirth, and how to have the easiest and most beautiful childbirth without the use of drugs and interventions. Pregnant women had significantly more positive outcomes of childbirth as well as postpartum recovery and mental health. Psychological support and education have positive outcomes on the mental health of pregnant women because they reduce fear of the unknown and reduce the risk of postpartum depression. Higher rates of intact perineum, reduction of episiotomy and less damage of perineal tears are recorded. The preparation itself significantly affects the outcome of the test subjects’ births, where vaginal births are much more common, and the rate of instrumental methods of birth and caesarean section is reduced. A positive outcome was recorded during postpartum recovery.
孕妇心理准备项目包括体育锻炼和理论讲座，目的是让孕妇为分娩做好准备，利远大于弊。运动是怀孕的基本要素，妇产科医生和其他产科护理提供者应该鼓励他们的病人继续或开始运动。这项工作的目的是了解孕妇的心理生理准备对怀孕期间和之后的健康、分娩结果和产后恢复的影响。本研究基于Web of Science、EBSCO、Scopus、Medline、PubMed、ScienceDirect、Google Scholar等数据库，共审查了20篇科研论文/文章，共5517名受访者。回顾了2017-2022年出版的作品。本研究结果表明，参加分娩心理生理准备课程的孕妇有机会在更美好的光线下体验分娩，做好准备，这样她们就可以更少地恐惧地去妇产医院，如何在分娩时使用呼吸技术，以及如何在不使用药物和干预的情况下进行最简单，最美丽的分娩。孕妇在分娩、产后恢复和心理健康方面有明显更多的积极结果。心理支持和教育对孕妇的心理健康有积极的影响，因为它们减少了对未知事物的恐惧，减少了产后抑郁的风险。记录了更高的会阴完整率，减少会阴切开术和较少的会阴撕裂损伤。准备本身对测试对象的分娩结果有重大影响，阴道分娩更为常见，并且器械分娩和剖腹产的比率降低了。在产后恢复期间记录了积极的结果。
{"title":"The Influence of Psychophysical Preparation of Pregnant Women on the Outcome of Childbirth and Postpartum Recovery","authors":"Nura Geko, Fahira Imamović, Emina Hadžimuratović, Amer Ovčina, Marijan Marjanović, J. Marušić, Darko Tomić, Vedran Đido","doi":"10.24018/ejmed.2023.5.5.1765","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.5.1765","url":null,"abstract":"The psychophysical preparation program for pregnant women includes physical exercises and theoretical lectures aimed at preparing the pregnant woman for childbirth and that the benefits far outweigh the risks. Exercise is an essential element of pregnancy, and OB-GYNs and other obstetric care providers should encourage their patients to continue or begin exercise. The aim of this work is to understand the impact of psychophysical preparation of pregnant women on health during and after pregnancy, birth outcomes and postpartum recovery. Twenty scientific research papers/articles including 5517 respondents were reviewed, based on databases: Web of Science, EBSCO, Scopus, Medline, PubMed, ScienceDirect, Google Scholar, and others. Works published from 2017-2022 were reviewed. The results of this study show that pregnant women who attended the program of psychophysical preparation for childbirth had a chance to experience childbirth in a more beautiful light, to be prepared, so that they would go to the maternity hospital with less fear, how to use breathing techniques during childbirth, and how to have the easiest and most beautiful childbirth without the use of drugs and interventions. Pregnant women had significantly more positive outcomes of childbirth as well as postpartum recovery and mental health. Psychological support and education have positive outcomes on the mental health of pregnant women because they reduce fear of the unknown and reduce the risk of postpartum depression. Higher rates of intact perineum, reduction of episiotomy and less damage of perineal tears are recorded. The preparation itself significantly affects the outcome of the test subjects’ births, where vaginal births are much more common, and the rate of instrumental methods of birth and caesarean section is reduced. A positive outcome was recorded during postpartum recovery.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130396268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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