Pub Date : 2023-07-22DOI: 10.24018/ejmed.2023.5.4.1795
Bosun Tijani, Temi Filani, Olatunji Oluyide, A. Odis, E. Ezike, A. Adewemimo, Asuku Benjamin, I. Joseph, Maissa Sagar, T. Akinreni
COVID-19 vaccination was identified as a major effort to curb the global challenge of this highly infectious disease. However, the coverage rate is an essential factor that decides successful vaccination. As vaccines are being distributed around the world, there is a debate on their acceptability, accessibility, and barriers to receiving them despite the availability of the vaccine. This study was conducted to assess the uptake of the COVID-19 vaccination, and its determinants among internet users in Nigeria. An online survey was conducted between February and April 2022 using a semi-structured questionnaire. It was set up using Google Forms and data were collected via online method. Relevant data collected were analyzed using STATA version 14. A total of 378 respondents participated in the study, with a mean age of 32 years (± 8.50) years. Majority of the respondents are young adults between the age range of 25-35 years. 74.9% of the respondents are Christians. All the respondents have heard of the COVID-19 vaccine while about one-third of them had taken the COVID-19 vaccine (62.2%). The uptake of the vaccine had a significant positive association with the level of education and level of monthly income (p =0.004 and 0.002 respectively) aORs =0.386, 95% (CI=0.184-0.810). Two out of three Nigerian respondents had taken the coronavirus vaccine. However, the long distance to get to vaccination centers was the leading barrier to vaccine uptake. Hence, this calls for key stakeholders to ensure that COVID-19 vaccination centers are close to residents in Nigeria and for leaders at all levels to be involved in public education based on sound evidence and the discouragement of the spread of conspiracy theories to eliminate the negative associated factors will reduce vaccine hesitancy and thereby increase COVID-19 vaccination uptake in Nigeria.
COVID-19疫苗接种被确定为遏制这一高度传染性疾病的全球挑战的一项重大努力。然而，覆盖率是决定疫苗接种成功与否的重要因素。随着疫苗在世界各地分发，人们对疫苗的可接受性、可获得性以及尽管有疫苗可获得，但仍存在接受疫苗的障碍进行了辩论。本研究旨在评估尼日利亚互联网用户接种COVID-19疫苗的情况及其决定因素。一项在线调查于2022年2月至4月进行，采用半结构化问卷。本研究采用谷歌表格建立，数据采集采用在线方式。收集的相关数据使用STATA version 14进行分析。共有378名受访者参与研究，平均年龄32岁(±8.50)岁。大多数受访者是年龄在25-35岁之间的年轻人。74.9%的受访者是基督徒。所有受访者都听说过新冠病毒疫苗，约三分之一(62.2%)的人接种过新冠病毒疫苗。疫苗接种率与受教育程度、月收入水平呈显著正相关(p =0.004、0.002)，or分别为0.386、95% (CI=0.184 ~ 0.810)。三分之二的尼日利亚受访者接种了冠状病毒疫苗。然而，到达疫苗接种中心的距离太远是疫苗接种的主要障碍。因此，这要求主要利益攸关方确保COVID-19疫苗接种中心靠近尼日利亚居民，并要求各级领导人参与基于可靠证据的公共教育，阻止阴谋论的传播，消除负面相关因素，将减少疫苗犹豫，从而提高尼日利亚的COVID-19疫苗接种率。
{"title":"COVID-19 Vaccine Uptake and its Determinants: Findings From A Web-Based Survey in Nigeria","authors":"Bosun Tijani, Temi Filani, Olatunji Oluyide, A. Odis, E. Ezike, A. Adewemimo, Asuku Benjamin, I. Joseph, Maissa Sagar, T. Akinreni","doi":"10.24018/ejmed.2023.5.4.1795","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1795","url":null,"abstract":"\u0000COVID-19 vaccination was identified as a major effort to curb the global challenge of this highly infectious disease. However, the coverage rate is an essential factor that decides successful vaccination. As vaccines are being distributed around the world, there is a debate on their acceptability, accessibility, and barriers to receiving them despite the availability of the vaccine. This study was conducted to assess the uptake of the COVID-19 vaccination, and its determinants among internet users in Nigeria. An online survey was conducted between February and April 2022 using a semi-structured questionnaire. It was set up using Google Forms and data were collected via online method. Relevant data collected were analyzed using STATA version 14. A total of 378 respondents participated in the study, with a mean age of 32 years (± 8.50) years. Majority of the respondents are young adults between the age range of 25-35 years. 74.9% of the respondents are Christians. All the respondents have heard of the COVID-19 vaccine while about one-third of them had taken the COVID-19 vaccine (62.2%). The uptake of the vaccine had a significant positive association with the level of education and level of monthly income (p =0.004 and 0.002 respectively) aORs =0.386, 95% (CI=0.184-0.810). Two out of three Nigerian respondents had taken the coronavirus vaccine. However, the long distance to get to vaccination centers was the leading barrier to vaccine uptake. Hence, this calls for key stakeholders to ensure that COVID-19 vaccination centers are close to residents in Nigeria and for leaders at all levels to be involved in public education based on sound evidence and the discouragement of the spread of conspiracy theories to eliminate the negative associated factors will reduce vaccine hesitancy and thereby increase COVID-19 vaccination uptake in Nigeria.\u0000","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130194412","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 : 2023-07-22DOI: 10.24018/ejmed.2023.5.4.1852
Jihad Echnin, Nassima Daite, Abdelkedouss Laaidi, S. Hilmani, K. Ibahioin, A. Naja, A. Lakhdar
Background: Endoscopic third ventriculostomy (ETV) is a valuable treatment for obstructive hydrocephalus, but it is not without complications. We present a rare case of acute subdural hematoma following ETV and provide a literature review on the subject. Case Description: A 23-year-old patient underwent ETV in 2016 for hydrocephalus, resulting in symptom improvement. Four years later, the patient experienced a recurrence of symptoms and underwent a second ETV. Meningitis developed, causing a decline in neurological status. Imaging revealed a calcified mesencephalic lesion, tri-ventricular hydrocephalus, and an acute right parieto-temporo-occipital subdural hematoma. Surgical evacuation and external ventricular drainage were performed, followed by CSF sterilization and a self-adjusting valve placement. Conclusion: Excessive CSF loss during ETV may contribute to subdural hematoma. ETV remains the preferred treatment for non-communicating hydrocephalus, and enhanced training and experience can reduce complication rates.
{"title":"Unusual Case of Acute Subdural Hematoma after Endoscopic Third Ventriculostomy: A Case Report and Comprehensive Literature Review","authors":"Jihad Echnin, Nassima Daite, Abdelkedouss Laaidi, S. Hilmani, K. Ibahioin, A. Naja, A. Lakhdar","doi":"10.24018/ejmed.2023.5.4.1852","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1852","url":null,"abstract":"Background: Endoscopic third ventriculostomy (ETV) is a valuable treatment for obstructive hydrocephalus, but it is not without complications. We present a rare case of acute subdural hematoma following ETV and provide a literature review on the subject. \u0000Case Description: A 23-year-old patient underwent ETV in 2016 for hydrocephalus, resulting in symptom improvement. Four years later, the patient experienced a recurrence of symptoms and underwent a second ETV. Meningitis developed, causing a decline in neurological status. Imaging revealed a calcified mesencephalic lesion, tri-ventricular hydrocephalus, and an acute right parieto-temporo-occipital subdural hematoma. Surgical evacuation and external ventricular drainage were performed, followed by CSF sterilization and a self-adjusting valve placement. \u0000Conclusion: Excessive CSF loss during ETV may contribute to subdural hematoma. ETV remains the preferred treatment for non-communicating hydrocephalus, and enhanced training and experience can reduce complication rates.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"62 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131663209","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 : 2023-07-22DOI: 10.24018/ejmed.2023.5.4.1416
Young Eun Jun, Yun Do Jung, Leekyeong Kang, Kyu Nam Kim
Poland syndrome is a rare congenital disease characterized by various degrees of chest wall defects, such as deficits in the small thoracic muscle and defects in the neuromuscular region of the small thoracic muscle. In addition, this condition may present with loss or weak development of the papilla and breasts and can be accompanied by brachydactyly, syndactyly, and limb defects in the hands and feet on the same side. Poland syndrome also may cause various deformities in the heart, lungs, and kidneys. These lung deformities can produce hypoventilation and hypoxia as the function of the respiratory muscle decreases, leading to increased pulmonary complications postoperatively. Since these patients also have an increased risk of malignant hyperthermia, careful attention is required in the selection of drugs for inducing general anesthesia. We would like to report an experience of general anesthesia for breast reconstruction in a 20-year-old female patient with Poland syndrome.
{"title":"Anesthetic Management of a Patient with Poland’s syndrome: A Case Report","authors":"Young Eun Jun, Yun Do Jung, Leekyeong Kang, Kyu Nam Kim","doi":"10.24018/ejmed.2023.5.4.1416","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1416","url":null,"abstract":"Poland syndrome is a rare congenital disease characterized by various degrees of chest wall defects, such as deficits in the small thoracic muscle and defects in the neuromuscular region of the small thoracic muscle. In addition, this condition may present with loss or weak development of the papilla and breasts and can be accompanied by brachydactyly, syndactyly, and limb defects in the hands and feet on the same side. Poland syndrome also may cause various deformities in the heart, lungs, and kidneys. These lung deformities can produce hypoventilation and hypoxia as the function of the respiratory muscle decreases, leading to increased pulmonary complications postoperatively. Since these patients also have an increased risk of malignant hyperthermia, careful attention is required in the selection of drugs for inducing general anesthesia. We would like to report an experience of general anesthesia for breast reconstruction in a 20-year-old female patient with Poland syndrome.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126659592","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 : 2023-07-15DOI: 10.24018/ejmed.2023.5.4.1715
Summra Sadiq, A. Manzoor, Warda Riaz, Huma Ashraf, Hamza Attiq
Erythrocytosis, also known as polycythemia is commonly defined as increase in red blood cells (RBCs) or hemoglobin concentration in the body. Polycythemia can cause blood clots and increases the risk of life threatening thromboembolic complications such as, pulmonary embolism, stroke, deep vein thrombosis (DVT), and heart attack. PTE is frequently seen among renal transplant recipients with an incidence of 10-15%, however, higher prevalence has been recorded in other communities worldwide. Risk factors associated with PTE development include male gender, renal artery stenosis, retained native kidney, hypertension, hydronephrosis, and diabetes. Role of sex hormones, smoking, polycystic kidney disease, inhibition of renin -angiotensin aldosterone system, and excessive use of immunosuppressive medications, mainly containing mycophenolic acid derivate, have been well documented. Onset of erythrocytosis is usually seen by 8 to 24 months in well- functioning grafts. In some patients it resolves spontaneously, whereas in others, can persist for more than two years. Common clinical symptoms associated with PTE are headache, vision problem, lethargy, dizziness, plethora, and increased risk of thromboembolic phenomena, including deep venous thrombosis (DVT), stroke, myocardial infarction (MI), though some patients remained asymptomatic. To study this a retrospective single-center study was conducted at Pakistan Kidney and Liver Institute & Research Centre. Our study showed that out of a total population of 80 recipients, 31.2% of patients (n=25) developed PTE while 68.8% of patients (n=55) did not develop PTE. We also found that in 60% of the patients (n=15), polycythemia resolved within 6 months. It was also found that male gender was at increased risk of erythrocytosis, indicating strong association (p=0.02). Our study did not show any co-relationship between PTE and other predisposing factors as previously reported. A larger trial with prospective analysis is needed to find any significant association.
{"title":"Prevalence of Erythrocytosis and Associated Clinical Manifestations in Renal Transplant Recipients","authors":"Summra Sadiq, A. Manzoor, Warda Riaz, Huma Ashraf, Hamza Attiq","doi":"10.24018/ejmed.2023.5.4.1715","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1715","url":null,"abstract":"\u0000Erythrocytosis, also known as polycythemia is commonly defined as increase in red blood cells (RBCs) or hemoglobin concentration in the body. Polycythemia can cause blood clots and increases the risk of life threatening thromboembolic complications such as, pulmonary embolism, stroke, deep vein thrombosis (DVT), and heart attack. PTE is frequently seen among renal transplant recipients with an incidence of 10-15%, however, higher prevalence has been recorded in other communities worldwide. Risk factors associated with PTE development include male gender, renal artery stenosis, retained native kidney, hypertension, hydronephrosis, and diabetes. Role of sex hormones, smoking, polycystic kidney disease, inhibition of renin -angiotensin aldosterone system, and excessive use of immunosuppressive medications, mainly containing mycophenolic acid derivate, have been well documented. Onset of erythrocytosis is usually seen by 8 to 24 months in well- functioning grafts. In some patients it resolves spontaneously, whereas in others, can persist for more than two years. Common clinical symptoms associated with PTE are headache, vision problem, lethargy, dizziness, plethora, and increased risk of thromboembolic phenomena, including deep venous thrombosis (DVT), stroke, myocardial infarction (MI), though some patients remained asymptomatic. To study this a retrospective single-center study was conducted at Pakistan Kidney and Liver Institute & Research Centre. Our study showed that out of a total population of 80 recipients, 31.2% of patients (n=25) developed PTE while 68.8% of patients (n=55) did not develop PTE. We also found that in 60% of the patients (n=15), polycythemia resolved within 6 months. It was also found that male gender was at increased risk of erythrocytosis, indicating strong association (p=0.02). Our study did not show any co-relationship between PTE and other predisposing factors as previously reported. A larger trial with prospective analysis is needed to find any significant association.\u0000","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124386645","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 : 2023-07-13DOI: 10.24018/ejmed.2023.5.4.1826
Patrick Kwame Akwaboah, M. Owusu
Objectives: Screening has become a key component in the fight against the rising burden of Non-Communicable Diseases (NCDs). This study assessed the rate of screening for NCD risk factors among residents in a per-urban community. Setting: The study was carried out in the Upper Denkyira East Municipality of Ghana. Methods: A descriptive cross-sectional survey was carried out among adults aged 18 to 60 years using a convenience sampling technique. Information on socio-demographic characteristics and screening for NCD risk factors were obtained using a pretested questionnaire. The Statistical Package for Social Sciences (SPSS) version 25 was used to analyze the results. Data analysis was done by descriptive statistics. Results: A total of 136 respondents participated in the study. The mean age of respondents was 31.18±6.47, with most respondents being female (63.2%). Of the 136 respondents, 16.9% had a history of raised blood pressure, and 5.9% had a history of raised blood glucose levels. The analysis indicates that there was high screening for blood pressure (70.6%), blood glucose (64.0%), and body mass index (51.5%). There was however low screening for kidney function (27.9%) and blood cholesterol/lipids (35.3%). Conclusion: There is high screening for blood glucose, blood pressure, and body mass index, but low screening for kidney function and blood cholesterol/lipids. This can significantly affect Ghana’s healthcare system due to the growing burden of NCDs. Efforts aimed at encouraging and improving access to screening for NCD metabolic risk factors are key to achieving SGD 3.4.
{"title":"Do People Screen for Non-Communicable Diseases? A Cross-Sectional Survey in a Peri-Urban Community in Ghana","authors":"Patrick Kwame Akwaboah, M. Owusu","doi":"10.24018/ejmed.2023.5.4.1826","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1826","url":null,"abstract":"\u0000Objectives: Screening has become a key component in the fight against the rising burden of Non-Communicable Diseases (NCDs). This study assessed the rate of screening for NCD risk factors among residents in a per-urban community.\u0000\u0000\u0000Setting: The study was carried out in the Upper Denkyira East Municipality of Ghana.\u0000\u0000\u0000Methods: A descriptive cross-sectional survey was carried out among adults aged 18 to 60 years using a convenience sampling technique. Information on socio-demographic characteristics and screening for NCD risk factors were obtained using a pretested questionnaire. The Statistical Package for Social Sciences (SPSS) version 25 was used to analyze the results. Data analysis was done by descriptive statistics.\u0000\u0000\u0000Results: A total of 136 respondents participated in the study. The mean age of respondents was 31.18±6.47, with most respondents being female (63.2%). Of the 136 respondents, 16.9% had a history of raised blood pressure, and 5.9% had a history of raised blood glucose levels. The analysis indicates that there was high screening for blood pressure (70.6%), blood glucose (64.0%), and body mass index (51.5%). There was however low screening for kidney function (27.9%) and blood cholesterol/lipids (35.3%).\u0000\u0000\u0000Conclusion: There is high screening for blood glucose, blood pressure, and body mass index, but low screening for kidney function and blood cholesterol/lipids. This can significantly affect Ghana’s healthcare system due to the growing burden of NCDs. Efforts aimed at encouraging and improving access to screening for NCD metabolic risk factors are key to achieving SGD 3.4.\u0000","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"263 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114166256","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 : 2023-07-13DOI: 10.24018/ejmed.2023.5.4.1788
A. Tall, P. G. Sow, Yaye Aida Ndiaye, A. Ndiaye, B. Guèye, D. Dia, O. Kâ
Objectives: The objective of this study was to analyse the determinants of maternal mortality in the gynaecology-obstetrics department of the Tambacounda Regional Hospital Centre (RHC). Methodology: This was a retrospective, descriptive and analytical study of all obstetric admissions. A questionnaire was used to collect the data, which were then entered and analysed using Epi info 7.2.2.6 software. Results: Forty-one cases of maternal death were found, representing 6.3% of cases. Direct obstetrical causes represented most causes of death, i.e., 70.7% of cases and were dominated by haemorrhage (26.8%). Indirect obstetric causes were dominated by severe anaemia, accounting for 24.4% of cases and representing the second most common cause of maternal death in our study. Multivariate analysis using the logistic regression model identified two factors statistically associated with maternal deaths. These were the number of antenatal visits made, ANC (OR = 0.70 [0.52 - 0.96]; p = 0.0253) and admission to intensive care (OR = 12.03 [5.31- 27.25]; p = 0.0000). Conclusion: Maternal mortality in the Tambacounda region remains high although efforts have been made to reduce it. Different risk factors associated with maternal mortality were identified in our study. It is therefore necessary that actions be taken by acting on these different factors in order to reduce maternal mortality.
{"title":"Determinants of Maternal Mortality at The Tambacounda Regional Hospital Centre","authors":"A. Tall, P. G. Sow, Yaye Aida Ndiaye, A. Ndiaye, B. Guèye, D. Dia, O. Kâ","doi":"10.24018/ejmed.2023.5.4.1788","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1788","url":null,"abstract":"\u0000Objectives: The objective of this study was to analyse the determinants of maternal mortality in the gynaecology-obstetrics department of the Tambacounda Regional Hospital Centre (RHC).\u0000\u0000\u0000Methodology: This was a retrospective, descriptive and analytical study of all obstetric admissions. A questionnaire was used to collect the data, which were then entered and analysed using Epi info 7.2.2.6 software.\u0000\u0000\u0000Results: Forty-one cases of maternal death were found, representing 6.3% of cases. Direct obstetrical causes represented most causes of death, i.e., 70.7% of cases and were dominated by haemorrhage (26.8%). Indirect obstetric causes were dominated by severe anaemia, accounting for 24.4% of cases and representing the second most common cause of maternal death in our study. Multivariate analysis using the logistic regression model identified two factors statistically associated with maternal deaths. These were the number of antenatal visits made, ANC (OR = 0.70 [0.52 - 0.96]; p = 0.0253) and admission to intensive care (OR = 12.03 [5.31- 27.25]; p = 0.0000).\u0000\u0000\u0000Conclusion: Maternal mortality in the Tambacounda region remains high although efforts have been made to reduce it. Different risk factors associated with maternal mortality were identified in our study. It is therefore necessary that actions be taken by acting on these different factors in order to reduce maternal mortality. \u0000","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115777495","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 : 2023-07-13DOI: 10.24018/ejmed.2023.5.4.1781
Mtalai Naoual, Hamdani Hind, Chahir Roukaya, Daghouj Ghizlane, El Maaloum Loubna, Allali Bouchra, El Kettani Asmaa
Tolosa-Hunt Syndrome is a rare condition with an undetermined etiology that manifests clinically as unilateral orbital pain and ophthalmoplegia. We report the case of a 48-year-old female who developed acute eight upper lid ptosis within 2 days, which was preceded by retro-orbital pain without other neurological deficits. Unilateral 3d, 4th and 6th cranial nerves palsy were observed. An emergent brain magnetic resonance image (MRI) revealed a cavernous sinus asymmetry, with an oblong, well-defined thickening of the right cavernous sinus. The MRI revealed no signs of cavernous thrombosis nor intracranial lesion. THS was diagnosed, and corticosteroid treatment was initiated, with complete improvement in symptoms. A non-specific inflammation of the cavernous sinus causes the Tolosa-Hunt syndrome. Diplopia and ptosis can occur as a result of nerve paralysis. THS management is challenging and should be multidisciplinary, involving ophthalmologists, neurologists, and neuroradiologists. It is characterized by rapid response to treatment with steroids.
{"title":"Ptosis Revealing A Tolosa Hunt Syndrome: A Case Report","authors":"Mtalai Naoual, Hamdani Hind, Chahir Roukaya, Daghouj Ghizlane, El Maaloum Loubna, Allali Bouchra, El Kettani Asmaa","doi":"10.24018/ejmed.2023.5.4.1781","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1781","url":null,"abstract":"\u0000Tolosa-Hunt Syndrome is a rare condition with an undetermined etiology that manifests clinically as unilateral orbital pain and ophthalmoplegia. We report the case of a 48-year-old female who developed acute eight upper lid ptosis within 2 days, which was preceded by retro-orbital pain without other neurological deficits. Unilateral 3d, 4th and 6th cranial nerves palsy were observed. An emergent brain magnetic resonance image (MRI) revealed a cavernous sinus asymmetry, with an oblong, well-defined thickening of the right cavernous sinus. The MRI revealed no signs of cavernous thrombosis nor intracranial lesion. THS was diagnosed, and corticosteroid treatment was initiated, with complete improvement in symptoms. A non-specific inflammation of the cavernous sinus causes the Tolosa-Hunt syndrome. Diplopia and ptosis can occur as a result of nerve paralysis. THS management is challenging and should be multidisciplinary, involving ophthalmologists, neurologists, and neuroradiologists. It is characterized by rapid response to treatment with steroids.\u0000","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134291154","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}
Knowing that unwanted pregnancies can constitute an obstacle to the normal course of studies and that contraception is a means that can facilitate the avoidance of unplanned pregnancy, we initiated this study with the aim of determining the prevalence of sexuality and the contraceptives ‘use amongst female students. A self-administered questionnaire was submitted to 94 female students out of a total of 823. At the end of the survey, the following results were obtained: The average age of the students is 22.1 with the standard deviation of 4.1; 100% have information on contraceptive methods, the main source of information is the radio (37%) but the information received on campus about contraceptive methods represents 26%. 67% of female students have a favorable opinion of contraception; 53% female students are currently using contraceptive methods [reflecting an active sexuality] against 47% who do not use any and 31% have opted for modern contraceptive methods. 100% are self-supported regarding the acquisition of contraceptives. Therefore, the study recommends the integration of sexual and reproductive education programs, and provide spaces for exchange to improve knowledge in the field of sexuality and contraception.
{"title":"Prevalence of Sexuality and The Use of Contraceptives among Female Students: Specific Case of the Adventist University of Goma","authors":"Affable Izandengera Abintegenke, Concordance Anajibu Maliyetu, Emmanuel Salama Serugendo","doi":"10.24018/ejmed.2023.5.4.1716","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1716","url":null,"abstract":"Knowing that unwanted pregnancies can constitute an obstacle to the normal course of studies and that contraception is a means that can facilitate the avoidance of unplanned pregnancy, we initiated this study with the aim of determining the prevalence of sexuality and the contraceptives ‘use amongst female students. A self-administered questionnaire was submitted to 94 female students out of a total of 823. At the end of the survey, the following results were obtained: The average age of the students is 22.1 with the standard deviation of 4.1; 100% have information on contraceptive methods, the main source of information is the radio (37%) but the information received on campus about contraceptive methods represents 26%. 67% of female students have a favorable opinion of contraception; 53% female students are currently using contraceptive methods [reflecting an active sexuality] against 47% who do not use any and 31% have opted for modern contraceptive methods. 100% are self-supported regarding the acquisition of contraceptives. Therefore, the study recommends the integration of sexual and reproductive education programs, and provide spaces for exchange to improve knowledge in the field of sexuality and contraception.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124884943","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 : 2023-07-11DOI: 10.24018/ejmed.2023.5.4.1755
Md Sazzad Hosen Romel, Rezowana Afrin
Deficiencies of electrolytes (hypokalemia and hypomagnesemia) are of clinical importance in hospitalized patients. Hypomagnesemia is often associated with hypokalemia and concomitant hypomagnesemia potentiates hypokalemia and makes it difficult to treat with potassium replacement alone. Therefore, the aim of this study was to evaluate the frequency of hypomagnesemia in hypokalemic patients admitted in a tertiary care hospital. Total 75 patients with admission hypokalemia (serum potassium <3.5 mmol/l) were approached for inclusion in the study. Overall frequency of hypomagnesemia (serum Mg2+ level <0.66 mmol/L) were present in 58.7% (n=44) patients. A positive correlation was observed between serum level of potassium and magnesium in our study population. (Pearson’s correlation co-efficient, r=0.801, P <0.001). However, before any final comment further multicenter study is recommended.
电解质缺乏(低钾血症和低镁血症)在住院患者中具有重要的临床意义。低镁血症常伴有低钾血症，伴发的低镁血症加剧了低钾血症，使其难以单独用钾替代治疗。因此，本研究的目的是评估三级医院低钾患者低镁血症的频率。共有75例入院时低钾血症(血清钾<3.5 mmol/l)患者被纳入研究。58.7% (n=44)患者出现低镁血症(血清Mg2+水平<0.66 mmol/L)。在我们的研究人群中观察到钾和镁的血清水平呈正相关。(Pearson相关系数，r=0.801, P <0.001)。然而，在任何最终评论之前，建议进一步的多中心研究。
{"title":"Frequency of Hypomagnesemia in Patients with Hypokalemia Admitted in A Tertiary Care Hospital","authors":"Md Sazzad Hosen Romel, Rezowana Afrin","doi":"10.24018/ejmed.2023.5.4.1755","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1755","url":null,"abstract":"\u0000Deficiencies of electrolytes (hypokalemia and hypomagnesemia) are of clinical importance in hospitalized patients. Hypomagnesemia is often associated with hypokalemia and concomitant hypomagnesemia potentiates hypokalemia and makes it difficult to treat with potassium replacement alone. Therefore, the aim of this study was to evaluate the frequency of hypomagnesemia in hypokalemic patients admitted in a tertiary care hospital. Total 75 patients with admission hypokalemia (serum potassium <3.5 mmol/l) were approached for inclusion in the study. Overall frequency of hypomagnesemia (serum Mg2+ level <0.66 mmol/L) were present in 58.7% (n=44) patients. A positive correlation was observed between serum level of potassium and magnesium in our study population. (Pearson’s correlation co-efficient, r=0.801, P <0.001). However, before any final comment further multicenter study is recommended.\u0000","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"294 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117351726","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 : 2023-07-11DOI: 10.24018/ejmed.2023.5.4.1731
F. Konecný
Modeling cardiac contractility in pre-clinical catheterization laboratory settings remains an important task to collect results under controlled hemodynamic conditions, while providing an assessment of systolic and diastolic indices. Diligent hemodynamic monitoring with acute-based pressure-volume modeling uncovers early indicators of heart failure (HF). In this article, basic procedural assessments are outlined, while deeper dive into systolic index of contractility, the end systolic elastance is provided with references to older, while comparing it to novel approaches. Transient preload reduction using inferior vena cava occlusion (IVCO) is the current standardized maneuver used in hemodynamic protocols to provide an assessment of contractile responsiveness. In this article an example of standard measures from a single catheterization lab were depicted using tables and figures, giving background to transient preload reduction to assess the values of systolic cardiac contractility. Additionally, novel twists on other possible index(ices) coming from capturing ES point may well present future opportunities to collect systolic cardiac contractility. In this instance, both single beat systolic PPESPVR and IVCO using ES points present unique opportunities in this niche area of research. Final two sections of this article are dedicated to procedural steps and how to standardize execution of IVCO. Final section is reserved for analytical steps of how to visually compare systolic indices post-IVCO in case of linear and quadratic relationship.
{"title":"Systolic Indices of Cardiac Contractility: Modeling and Analysis using Pressure-Volume Loop","authors":"F. Konecný","doi":"10.24018/ejmed.2023.5.4.1731","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1731","url":null,"abstract":"Modeling cardiac contractility in pre-clinical catheterization laboratory settings remains an important task to collect results under controlled hemodynamic conditions, while providing an assessment of systolic and diastolic indices. Diligent hemodynamic monitoring with acute-based pressure-volume modeling uncovers early indicators of heart failure (HF). In this article, basic procedural assessments are outlined, while deeper dive into systolic index of contractility, the end systolic elastance is provided with references to older, while comparing it to novel approaches. Transient preload reduction using inferior vena cava occlusion (IVCO) is the current standardized maneuver used in hemodynamic protocols to provide an assessment of contractile responsiveness. In this article an example of standard measures from a single catheterization lab were depicted using tables and figures, giving background to transient preload reduction to assess the values of systolic cardiac contractility. Additionally, novel twists on other possible index(ices) coming from capturing ES point may well present future opportunities to collect systolic cardiac contractility. In this instance, both single beat systolic PPESPVR and IVCO using ES points present unique opportunities in this niche area of research. Final two sections of this article are dedicated to procedural steps and how to standardize execution of IVCO. Final section is reserved for analytical steps of how to visually compare systolic indices post-IVCO in case of linear and quadratic relationship.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116686384","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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