Pub Date : 2023-09-08DOI: 10.24018/ejmed.2023.5.5.1783
Anjely Sukumaran, A. Biju
Leptospirosis is a globally important zoonotic disease. The disease is caused by pathogenic Leptospira species. Infections result from direct or indirect exposure to infected reservoir animals that carry the pathogen in their renal tubules and shed pathogenic leptospirosis in the urine. This study was conducted to assess the social and behavioural predictors of severe Leptospirosis and to study the clinical profile and outcome of patients with severe leptospirosis .148 patients with leptospirosis were divided into severe and non-severe groups. The majority of our study population had risk factors like contact with soil or water through barefoot, farming, swimming, cattle rearing, contact with sewage and stagnant rainwater. Conditions such as inadequate access to safe drinking water and sanitation services, poor personal hygiene practices, low levels of literacy, and lack of access to health services, contribute to increased vulnerability to infection and work against prevention efforts. Severity predictor factors are Cut or injury prior to symptoms, NSAID intake for fever and Myalgia from the periphery, late referral and late initiation of antibiotics, acute kidney injury, pancreatitis, myocarditis, thrombocytopenia, ARDS, acute liver injury, platelet less than 50,000 and prolonged INR. Knowledge about risk factors for severe leptospirosis can improve prevention and control measures to mitigate the incidence of severe cases.
{"title":"A Case-Control Study of Behavioural and Social Predictors of Severe Leptospirosis in a Tertiary Care Centre, Central Kerala","authors":"Anjely Sukumaran, A. Biju","doi":"10.24018/ejmed.2023.5.5.1783","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.5.1783","url":null,"abstract":"\u0000\u0000\u0000\u0000Leptospirosis is a globally important zoonotic disease. The disease is caused by pathogenic Leptospira species. Infections result from direct or indirect exposure to infected reservoir animals that carry the pathogen in their renal tubules and shed pathogenic leptospirosis in the urine. This study was conducted to assess the social and behavioural predictors of severe Leptospirosis and to study the clinical profile and outcome of patients with severe leptospirosis .148 patients with leptospirosis were divided into severe and non-severe groups. The majority of our study population had risk factors like contact with soil or water through barefoot, farming, swimming, cattle rearing, contact with sewage and stagnant rainwater. Conditions such as inadequate access to safe drinking water and sanitation services, poor personal hygiene practices, low levels of literacy, and lack of access to health services, contribute to increased vulnerability to infection and work against prevention efforts. Severity predictor factors are Cut or injury prior to symptoms, NSAID intake for fever and Myalgia from the periphery, late referral and late initiation of antibiotics, acute kidney injury, pancreatitis, myocarditis, thrombocytopenia, ARDS, acute liver injury, platelet less than 50,000 and prolonged INR. Knowledge about risk factors for severe leptospirosis can improve prevention and control measures to mitigate the incidence of severe cases.\u0000\u0000\u0000\u0000\u0000","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"9 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":"117339735","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 : 2023-09-06DOI: 10.34104/ejmhs.023.01010107
The purpose of this study was to observe the impacts of extra virgin olive oil on glycemic control in patients with metabolic syndrome (MetS). A total number of 70 patients of both genders with MetS were selected with the age varying from 35 to 55 years. Among them, 35 patients who had consumed 25 ml of extra virgin olive oil daily for 12 weeks were included in the study group (Group B). Another 35 patients who did not consume extra virgin olive oil, were enrolled as the control group (Group A) for comparison. Levels of fasting blood glucose (FBG) and glycosylated hemoglobin (HbA1c) were measured in both the control and study groups at baseline and after 12 weeks. EVOO consumption group showed a statistically significant decrease in fasting blood glucose (p =.003) and glycosylated hemoglobin (p <0.001) in comparison to a control group who did not consume extra virgin olive oil. Regular consumption of extra virgin olive oil improves glycemic status in patients with metabolic syndrome.
{"title":"Impacts of Extra Virgin Olive Oil Consumption on Glycemic Control in Patients with Metabolic Syndrome","authors":"","doi":"10.34104/ejmhs.023.01010107","DOIUrl":"https://doi.org/10.34104/ejmhs.023.01010107","url":null,"abstract":"The purpose of this study was to observe the impacts of extra virgin olive oil on glycemic control in patients with metabolic syndrome (MetS). A total number of 70 patients of both genders with MetS were selected with the age varying from 35 to 55 years. Among them, 35 patients who had consumed 25 ml of extra virgin olive oil daily for 12 weeks were included in the study group (Group B). Another 35 patients who did not consume extra virgin olive oil, were enrolled as the control group (Group A) for comparison. Levels of fasting blood glucose (FBG) and glycosylated hemoglobin (HbA1c) were measured in both the control and study groups at baseline and after 12 weeks. EVOO consumption group showed a statistically significant decrease in fasting blood glucose (p =.003) and glycosylated hemoglobin (p <0.001) in comparison to a control group who did not consume extra virgin olive oil. Regular consumption of extra virgin olive oil improves glycemic status in patients with metabolic syndrome.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"279 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114613684","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 : 2023-08-31DOI: 10.24018/ejmed.2023.5.4.1736
Youssef Hssaine, Adil Jahdaoui, Awatif El Hakkouni, M. Chettati, W. Fadili, I. Laouad
Infections remain a major cause of morbidity and mortality in kidney transplant patients and can be prevented by regular screening after transplantation. Candidiasis is common after renal transplantation and candida albicans is the most isolated species. The clinical presentation isn’t specific and sometimes asymptomatic. The etiological investigation is guided by epidemiological data specific to this population and by an analysis of individual risk factors as well as a mycological study which constitutes the key examination for positive diagnosis and resistance to antifungal agents. In this study, we report the results of a screening program for asymptomatic candiduria in renal transplant patients at the Mohammed VI University Hospital of Marrakech (Morocco).
{"title":"Asymptomatic Candiduria in Kidney Transplant Recipients","authors":"Youssef Hssaine, Adil Jahdaoui, Awatif El Hakkouni, M. Chettati, W. Fadili, I. Laouad","doi":"10.24018/ejmed.2023.5.4.1736","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1736","url":null,"abstract":"Infections remain a major cause of morbidity and mortality in kidney transplant patients and can be prevented by regular screening after transplantation.\u0000Candidiasis is common after renal transplantation and candida albicans is the most isolated species. The clinical presentation isn’t specific and sometimes asymptomatic.\u0000The etiological investigation is guided by epidemiological data specific to this population and by an analysis of individual risk factors as well as a mycological study which constitutes the key examination for positive diagnosis and resistance to antifungal agents.\u0000In this study, we report the results of a screening program for asymptomatic candiduria in renal transplant patients at the Mohammed VI University Hospital of Marrakech (Morocco).","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133060421","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 : 2023-08-31DOI: 10.24018/ejmed.2023.5.4.1845
Suraini Mohamad, Muhammad Syakir Saini, Anna Azmi, Maisarah Mohamad, G. AriffTharani, Baramesvaran Sabariah, Noor, S. M. Saini, M. S. Azmi, A.M.M. Ariff, T. G. Baramesvaran, S. M. Noor
Stroke is one of the top five leading causes of death in Malaysia and increases in the mortality rate between 2016 and 2019. There is growing evidence that inflammation plays an important role in acute ischemic stroke. Studies showed that the level of inflammatory markers such as C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) are strongly correlated with the volume of brain infarct detected using Magnetic Resonance Imaging (MRI). This cross-sectional study conducted in Hospital Pengajar Universiti Putra Malaysia (HPUPM) aims to determine the correlation between the volume of MRI brain infarct with inflammatory markers among patients with acute ischemic stroke in HPUPM. Patients’ sociodemographic information and level of inflammatory markers were extracted from the Hospital Information System (eHIS), the MRI images were accessed through the Picture Archiving and Communication System (PACS) whereas the MRI reports for each sample were searched from the Reporting Information System (RIS). In addition, the MRI sequences DWI/ADC and FLAIR axial were selected. The findings of the site and size of brain ischemia were studied. This study was based on 60 data sets of patients diagnosed with acute ischemic stroke in HPUPM. The majority of the patients were male (68.3%), Malay (51.7%) and ranging from age group 61-75 years old. The mean volume of MRI brain infarction was 27.3268±55.6957cm3. A statistically significant association was found between CRP and volume of brain infarction (r=0.297, p<0.05) whereas no association was found between ESR and volume of brain infarction (r=0.192, p>0.05). A significant association was found between CRP and volume of brain infarction. No association was found between ESR and volume of brain infarction.
{"title":"Correlation between the Volume of MRI Brain Infarct and Inflammatory Markers among Acute Ischemic Stroke Patients","authors":"Suraini Mohamad, Muhammad Syakir Saini, Anna Azmi, Maisarah Mohamad, G. AriffTharani, Baramesvaran Sabariah, Noor, S. M. Saini, M. S. Azmi, A.M.M. Ariff, T. G. Baramesvaran, S. M. Noor","doi":"10.24018/ejmed.2023.5.4.1845","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1845","url":null,"abstract":"\u0000\u0000\u0000\u0000Stroke is one of the top five leading causes of death in Malaysia and increases in the mortality rate between 2016 and 2019. There is growing evidence that inflammation plays an important role in acute ischemic stroke. Studies showed that the level of inflammatory markers such as C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) are strongly correlated with the volume of brain infarct detected using Magnetic Resonance Imaging (MRI). This cross-sectional study conducted in Hospital Pengajar Universiti Putra Malaysia (HPUPM) aims to determine the correlation between the volume of MRI brain infarct with inflammatory markers among patients with acute ischemic stroke in HPUPM. Patients’ sociodemographic information and level of inflammatory markers were extracted from the Hospital Information System (eHIS), the MRI images were accessed through the Picture Archiving and Communication System (PACS) whereas the MRI reports for each sample were searched from the Reporting Information System (RIS). In addition, the MRI sequences DWI/ADC and FLAIR axial were selected. The findings of the site and size of brain ischemia were studied. This study was based on 60 data sets of patients diagnosed with acute ischemic stroke in HPUPM. The majority of the patients were male (68.3%), Malay (51.7%) and ranging from age group 61-75 years old. The mean volume of MRI brain infarction was 27.3268±55.6957cm3. A statistically significant association was found between CRP and volume of brain infarction (r=0.297, p<0.05) whereas no association was found between ESR and volume of brain infarction (r=0.192, p>0.05). A significant association was found between CRP and volume of brain infarction. No association was found between ESR and volume of brain infarction.\u0000\u0000\u0000\u0000\u0000","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115988397","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 : 2023-08-31DOI: 10.24018/ejmed.2023.5.4.1796
Youssouf M. Mouliom, D. Achukwi, Mohammed Mamman, E. O. Balogun, M. N. Shuaibu, Junaidu Kabir
microbiota is involved in their vector competence and may help in developing novel disease control tools. Pseudomonas aeruginosa is reported to be ubiquitous in the natural environment, humans, and animals. It has been used for biocontrol in plants. Methods: Twenty-five live tsetse flies, collected from Yankari Game Reserve, Nigeria, were dissected under sterile conditions. The midgut was incubated successively in standard culture media. Suspected isolates were then subjected to biochemical tests. The 16S rRNA gene sequence was used to confirm the genotype. The positive isolate was also tested for susceptibility to 17 antimicrobials. Results: Eight (32%) of the 25 flies tested were positive for P. aeruginosa. They were positive for oxidase, catalase, citrate, and motility tests and negative for urease, indole, Methyl Red tests. Analysis of 16S rRNA gene confirmed the identity of the isolate, and the phylogenetic relationship with other strains was established. The isolate was sensitive to fluoroquinolones and intermediate to chloramphenicol. Drug resistance was observed against aminoglycosides, penicillin, erythromycin, clindamycin and imipenem Conclusion: The presence of P. aeruginosa in tsetse gut contributes to the repertoire of cultivable tsetse gut bacteria. It is crucial to investigate whether it could play a role in modulating the fly vector’s competence.
{"title":"Isolation, Characterization and Antimicrobial Susceptibility Pattern of Pseudomonas aeruginosa from Tsetse Flies Captured in Yankari Game Reserve, Nigeria","authors":"Youssouf M. Mouliom, D. Achukwi, Mohammed Mamman, E. O. Balogun, M. N. Shuaibu, Junaidu Kabir","doi":"10.24018/ejmed.2023.5.4.1796","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1796","url":null,"abstract":"microbiota is involved in their vector competence and may help in developing novel disease control tools. Pseudomonas aeruginosa is reported to be ubiquitous in the natural environment, humans, and animals. It has been used for biocontrol in plants.\u0000Methods: Twenty-five live tsetse flies, collected from Yankari Game Reserve, Nigeria, were dissected under sterile conditions. The midgut was incubated successively in standard culture media. Suspected isolates were then subjected to biochemical tests. The 16S rRNA gene sequence was used to confirm the genotype. The positive isolate was also tested for susceptibility to 17 antimicrobials.\u0000Results: Eight (32%) of the 25 flies tested were positive for P. aeruginosa. They were positive for oxidase, catalase, citrate, and motility tests and negative for urease, indole, Methyl Red tests. Analysis of 16S rRNA gene confirmed the identity of the isolate, and the phylogenetic relationship with other strains was established. The isolate was sensitive to fluoroquinolones and intermediate to chloramphenicol. Drug resistance was observed against aminoglycosides, penicillin, erythromycin, clindamycin and imipenem\u0000Conclusion: The presence of P. aeruginosa in tsetse gut contributes to the repertoire of cultivable tsetse gut bacteria. It is crucial to investigate whether it could play a role in modulating the fly vector’s competence.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116620536","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 : 2023-08-31DOI: 10.24018/ejmed.2023.5.4.1785
K. Guettabi, Jihad Echnin, Abdelkoudouss Laaidi, S. Hilmani, K. Ibahioin, Abdessamad Naja, A. Lakhdar
Background: Chordoma is a rare malignant tumor that accounts for 1-4% of primary malignant bone tumors arising primarily in the axial skeleton and primarily affects adults. It seems to have difficulty with diagnosis and treatment. Case description: A 63-year-old man with a history of diabetes treated with oral antidiabetic medication and hypertension. Presented with two years of bilateral decrease in visual acuity. Neurological examination revealed left ptosis, divergent strabismus, and higher cerebral function disorders. Brain MRI revealed a sellar and suprasellar lesion evokes a sellar meningioma, macro adenoma. Hormonal laboratory tests revealed that the prolactin level was elevated to 140ng/ml without any other hormonal disorder. The patient underwent partial surgical resection of the lesion through endoscopic endonasal. Histopathological examination revealed a chondroid chordoma. Postoperatively the patient had no endocrinological or neurological complications, but he kept the starbism and the ptosis in the left eye. Conclusion: In the context of progressive ophthalmological signs by a sellar and suprasellar lesion, the differential diagnosis should include chordoma along with meningioma, macro adenoma and metastasis. Complete and early surgical removal is the first line treatment.
{"title":"Chordoma of the Sellar Region Mimicking Meningioma: A Literature Review and Illustrative Case","authors":"K. Guettabi, Jihad Echnin, Abdelkoudouss Laaidi, S. Hilmani, K. Ibahioin, Abdessamad Naja, A. Lakhdar","doi":"10.24018/ejmed.2023.5.4.1785","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1785","url":null,"abstract":"Background: Chordoma is a rare malignant tumor that accounts for 1-4% of primary malignant bone tumors arising primarily in the axial skeleton and primarily affects adults. It seems to have difficulty with diagnosis and treatment.\u0000Case description: A 63-year-old man with a history of diabetes treated with oral antidiabetic medication and hypertension. Presented with two years of bilateral decrease in visual acuity. Neurological examination revealed left ptosis, divergent strabismus, and higher cerebral function disorders. Brain MRI revealed a sellar and suprasellar lesion evokes a sellar meningioma, macro adenoma. Hormonal laboratory tests revealed that the prolactin level was elevated to 140ng/ml without any other hormonal disorder. The patient underwent partial surgical resection of the lesion through endoscopic endonasal. Histopathological examination revealed a chondroid chordoma.\u0000Postoperatively the patient had no endocrinological or neurological complications, but he kept the starbism and the ptosis in the left eye.\u0000Conclusion: In the context of progressive ophthalmological signs by a sellar and suprasellar lesion, the differential diagnosis should include chordoma along with meningioma, macro adenoma and metastasis.\u0000Complete and early surgical removal is the first line treatment.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"200 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121843274","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 : 2023-08-30DOI: 10.24018/ejmed.2023.5.4.1829
Adebimpe Olamide Bello, A. Ogunsemoyin, Joseph Irewole Fatukasi, Lawal Olawale Oyeneyin, Babatola Bakare, S. Osho, Samuel Olayode Oyamakinde, Matthew Adeniran Adeyemo
Background: It is an established fact that obstetric patients withpreeclampsia do have increased optic nerve diameter compared with normotensive patients. Ultrasonography is increasingly advocated as a valuable screening tool for evaluating the optic nerve diameter as a surrogate marker for raised intracranial pressure due to its noninvasive nature, low cost, portability, dynamic real-time assessment and rapid performance. Thisstudy aims to compare the ultrasonographic measurement of optic nerve diameter between two groups of preeclamptic and normotensive pregnant women. Methodology: This cross-sectional descriptive study was carried out at the Department of Radiology, University of Medical Sciences Teaching Hospital Complex, (UNIMEDTHC), Ondo State, Nigeria. It consisted of 90 preeclamptic (study) and 90 normotensives (control) aged-matched pregnant women. The optic nerve diameters were measured by the radiologistusing a high frequency linear ultrasound probe (7.5–12 MHz).Results: The optic nerve diameter as measured by ocular ultrasound scan was statistically significantly higher (p-value of <0.05) in preeclamptic patients compared to normotensives with a mean of 6.22 ± 0.83 mm versus 4.50 ± 0.69 mm, respectively. Conclusion: Ocular ultrasound scan for measurement of optic nerve diameter is a reliable screening tool for assessing raised intracranial pressure in preeclamptic patients when compared to normotensive ones. Therefore, it is recommended that performing non-invasive ocular ultrasound scans be advocated for all pregnant women with or at risk of preeclampsia.
{"title":"Comparative Analysis of Optic Nerve Diameter Using Ultrasonography Between Normotensives and Preeclamptic Patients at University of Medical Sciences Teaching Hospital, Ondo, Nigeria","authors":"Adebimpe Olamide Bello, A. Ogunsemoyin, Joseph Irewole Fatukasi, Lawal Olawale Oyeneyin, Babatola Bakare, S. Osho, Samuel Olayode Oyamakinde, Matthew Adeniran Adeyemo","doi":"10.24018/ejmed.2023.5.4.1829","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1829","url":null,"abstract":"Background: It is an established fact that obstetric patients withpreeclampsia do have increased optic nerve diameter compared with normotensive patients. Ultrasonography is increasingly advocated as a valuable screening tool for evaluating the optic nerve diameter as a surrogate marker for raised intracranial pressure due to its noninvasive nature, low cost, portability, dynamic real-time assessment and rapid performance. Thisstudy aims to compare the ultrasonographic measurement of optic nerve diameter between two groups of preeclamptic and normotensive pregnant women.\u0000Methodology: This cross-sectional descriptive study was carried out at the Department of Radiology, University of Medical Sciences Teaching Hospital Complex, (UNIMEDTHC), Ondo State, Nigeria. It consisted of 90 preeclamptic (study) and 90 normotensives (control) aged-matched pregnant women. The optic nerve diameters were measured by the radiologistusing a high frequency linear ultrasound probe (7.5–12 MHz).Results: The optic nerve diameter as measured by ocular ultrasound scan was statistically significantly higher (p-value of <0.05) in preeclamptic patients compared to normotensives with a mean of 6.22 ± 0.83 mm versus 4.50 ± 0.69 mm, respectively.\u0000Conclusion: Ocular ultrasound scan for measurement of optic nerve diameter is a reliable screening tool for assessing raised intracranial pressure in preeclamptic patients when compared to normotensive ones. Therefore, it is recommended that performing non-invasive ocular ultrasound scans be advocated for all pregnant women with or at risk of preeclampsia.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126684535","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 : 2023-08-22DOI: 10.24018/ejmed.2023.5.4.1870
Mamta Singh
Background: Total abdominal hysterectomy is most common performed gynaecological operation. There is no standard recommendation or guidelines regarding management of vaginal cuff. This study aimed to determine the advantages and disadvantages of vaginal transection versus vaginal entry technique following elective abdominal hysterectomies for benign lesions. Methodology: This is a comparative study involving 180 women undergoing elective hysterectomy in Sparsh hospital, from 10 Jan 2015 to 10 Jan 2020. Patient was randomized to either transactional vaginal or vagina entry technique of cuff closure. In this, we compare Operating time, length of hospital stays, estimated blood loss, post operative discharge. Vaginal length, vaginal cuff infection and granulation after 6 weeks follow up time. A prospective study on all hysterectomies performed by the single senior surgeon at Sparsh hospital in order to eliminate possible differences in surgical techniques and abilities. Result: We found in this study that operating time, blood loss, post operative discharge from vault is less in transection technique of vaginal cuff closure in comparison to vaginal entry technique. Febrile complain is more in vaginal entry cuff group patients. Hospital stay is long in vaginal entry technique patients. There is no difference in post operative vaginal length in both the techniques. Transection technique is easy to perform. Conclusion: Transection cuff closure technique is better than vaginal entry technique.
{"title":"Vaginal Transection Versus Vaginal Entry Cuff Closure Technique Following Elective Abdominal Hysterectomy for Benign Lesions - A Prospective Comparative Study","authors":"Mamta Singh","doi":"10.24018/ejmed.2023.5.4.1870","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1870","url":null,"abstract":"Background: Total abdominal hysterectomy is most common performed gynaecological operation. There is no standard recommendation or guidelines regarding management of vaginal cuff. This study aimed to determine the advantages and disadvantages of vaginal transection versus vaginal entry technique following elective abdominal hysterectomies for benign lesions.\u0000Methodology: This is a comparative study involving 180 women undergoing elective hysterectomy in Sparsh hospital, from 10 Jan 2015 to 10 Jan 2020. Patient was randomized to either transactional vaginal or vagina entry technique of cuff closure. In this, we compare Operating time, length of hospital stays, estimated blood loss, post operative discharge. Vaginal length, vaginal cuff infection and granulation after 6 weeks follow up time. A prospective study on all hysterectomies performed by the single senior surgeon at Sparsh hospital in order to eliminate possible differences in surgical techniques and abilities.\u0000Result: We found in this study that operating time, blood loss, post operative discharge from vault is less in transection technique of vaginal cuff closure in comparison to vaginal entry technique. Febrile complain is more in vaginal entry cuff group patients. Hospital stay is long in vaginal entry technique patients. There is no difference in post operative vaginal length in both the techniques. Transection technique is easy to perform. \u0000Conclusion: Transection cuff closure technique is better than vaginal entry technique.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126593898","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 : 2023-08-22DOI: 10.24018/ejmed.2023.5.4.1867
A. P. Fontes
Objective: To examine how the relationship between Mobility limitation is influenced by Contextual Factors in community-dwelling older adults. Design: This is a cross-sectional study. Participants: A total of 769 persons aged 65 years or above living in the community-dwelling of the Algarve region. Methods: We study eighteen categories of Personal and Environmental Factors agreement of the International Classification of Functioning (ICF) and their relationship with six categories of the Mobility domain. Multiple logistic regression was used in analyzing functional outcomes in the Mobility. Main Results: The proportion of older adults reporting disability in Mobility activities ranged from 17.4% (Moving Around Within the Home) and 53.2% (Using Private or Public Motorized Transportation). The Contextual Factors with a greater impact in explaining the limitations in Mobility outcomes were Assistance Activities of Daily Living (OR = 3.0 to OR = 11.9), JobWithout Qualification (OR=2.5 toOR=6.3), Inadequate Nr of Meals (OR = 2.6 to OR = 3.8) and Self-Rated Physical Health (OR = 2.1 to OR = 3.1). The variable sex contributed to explaining the results of the most difficult activities to perform as Moving Around Outside the Home, Climbing and Use of Transports. The contribution of age was observed only in the Use of Transports. Conclusions: Contextual Factors are important predictors of Mobility functioning, namely, those related to Behaviors and Health Events but also those related to Social and Cultural variables.
{"title":"The Relationship Between Contextual Factors and the Mobility Ability","authors":"A. P. Fontes","doi":"10.24018/ejmed.2023.5.4.1867","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1867","url":null,"abstract":"Objective: To examine how the relationship between Mobility limitation is influenced by Contextual Factors in community-dwelling older adults.\u0000Design: This is a cross-sectional study.\u0000Participants: A total of 769 persons aged 65 years or above living in the community-dwelling of the Algarve region.\u0000Methods: We study eighteen categories of Personal and Environmental Factors agreement of the International Classification of Functioning (ICF) and their relationship with six categories of the Mobility domain. Multiple logistic regression was used in analyzing functional outcomes in the Mobility.\u0000Main Results: The proportion of older adults reporting disability in Mobility activities ranged from 17.4% (Moving Around Within the Home) and 53.2% (Using Private or Public Motorized Transportation). The Contextual Factors with a greater impact in explaining the limitations in Mobility outcomes were Assistance Activities of Daily Living (OR = 3.0 to OR = 11.9), JobWithout Qualification (OR=2.5 toOR=6.3), Inadequate Nr of Meals (OR = 2.6 to OR = 3.8) and Self-Rated Physical Health (OR = 2.1 to OR = 3.1). The variable sex contributed to explaining the results of the most difficult activities to perform as Moving Around Outside the Home, Climbing and Use of Transports. The contribution of age was observed only in the Use of Transports.\u0000Conclusions: Contextual Factors are important predictors of Mobility functioning, namely, those related to Behaviors and Health Events but also those related to Social and Cultural variables.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131193094","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 : 2023-08-16DOI: 10.34104/ejmhs.023.0930100
Food dye is a synthetic chemical that restores natural color that is lost during processing and enhances the color, flavor, and taste of food. It mostly affects youngsters and produces a variety of health issues. This investigation was conducted to examine the deleterious effects of the unclassified dye "green leaf color" on the liver, kidney, and intestine tissues of a mouse model. Fifteen adult mice were separated into two groups: control and treatment. The treatment groups were fed standard poultry feed with dye in 20µl and 10µl (1.0mg/kg/bw and 2.0mg/kg/bw, respectively). At the conclusion of the 90 days experiment, animals were euthanized and sacrificed, and pieces of liver, kidneys, and intestine were collected and histologically processed for visualization under a light microscope. Feeding of green leaf color induced a range of histological changes in all treated mice compared with their control group. Results from the histopathological examination showed mainly vacuolization of renal tubules, raising space between the walls of Bowman’s capsule, shrinkage of glomeruli and glomerular necrosis, congestion of tubules, inflammatory cellular infiltration, dilation of tubular lumen, and hemorrhage in renal tissues. In the case of the liver, congestion of the central vein, vacuolization of hepatic cells, pyknotic nuclei, karyorrhexis, karyolysis, and inflammatory cellular infiltration were observed. Similarly, significant histopathological alterations were identified in the intestinal section including disrupted brush border, necrosis, vacuolization, swelling, uncontrolled cell proliferation, disrupted mucosa, and submucosa. Therefore, we strongly recommend here the ban of unclassified dye green leaf color to use as a color additive.
{"title":"Toxic Effect of Green Leaf Color as Food Dye on Liver, Kidney, and Intestinal Tissues in Animal Mice Model","authors":"","doi":"10.34104/ejmhs.023.0930100","DOIUrl":"https://doi.org/10.34104/ejmhs.023.0930100","url":null,"abstract":"Food dye is a synthetic chemical that restores natural color that is lost during processing and enhances the color, flavor, and taste of food. It mostly affects youngsters and produces a variety of health issues. This investigation was conducted to examine the deleterious effects of the unclassified dye \"green leaf color\" on the liver, kidney, and intestine tissues of a mouse model. Fifteen adult mice were separated into two groups: control and treatment. The treatment groups were fed standard poultry feed with dye in 20µl and 10µl (1.0mg/kg/bw and 2.0mg/kg/bw, respectively). At the conclusion of the 90 days experiment, animals were euthanized and sacrificed, and pieces of liver, kidneys, and intestine were collected and histologically processed for visualization under a light microscope. Feeding of green leaf color induced a range of histological changes in all treated mice compared with their control group. Results from the histopathological examination showed mainly vacuolization of renal tubules, raising space between the walls of Bowman’s capsule, shrinkage of glomeruli and glomerular necrosis, congestion of tubules, inflammatory cellular infiltration, dilation of tubular lumen, and hemorrhage in renal tissues. In the case of the liver, congestion of the central vein, vacuolization of hepatic cells, pyknotic nuclei, karyorrhexis, karyolysis, and inflammatory cellular infiltration were observed. Similarly, significant histopathological alterations were identified in the intestinal section including disrupted brush border, necrosis, vacuolization, swelling, uncontrolled cell proliferation, disrupted mucosa, and submucosa. Therefore, we strongly recommend here the ban of unclassified dye green leaf color to use as a color additive.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123806688","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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