Qais M. Aljfout, H. Obaidat, R. Akayleh, Osama Olwan, Belal S. Kteshat, M. Hiari
Primary mucosal melanoma is an under diagnosed and rare tumor. Subglottic malignant melanoma is the least common of mucosal melanoma. This paper reports a case of a 60-year-old man who presented to the ENT clinic at King Hussein Medical Center in 2015 complaining of shortness of breath and stridor. Fibro optic endoscopic examination revealed a subglottic mass, microlaryngoscopy and biopsy with immunohistochemical staining revealed the diagnosis of malignant melanoma. The patient was treated by surgical excision followed by radiotherapy.
{"title":"Primary subglottic malignant melanoma: a case report from Jordan","authors":"Qais M. Aljfout, H. Obaidat, R. Akayleh, Osama Olwan, Belal S. Kteshat, M. Hiari","doi":"10.19082/7455","DOIUrl":"https://doi.org/10.19082/7455","url":null,"abstract":"Primary mucosal melanoma is an under diagnosed and rare tumor. Subglottic malignant melanoma is the least common of mucosal melanoma. This paper reports a case of a 60-year-old man who presented to the ENT clinic at King Hussein Medical Center in 2015 complaining of shortness of breath and stridor. Fibro optic endoscopic examination revealed a subglottic mass, microlaryngoscopy and biopsy with immunohistochemical staining revealed the diagnosis of malignant melanoma. The patient was treated by surgical excision followed by radiotherapy.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42463453","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}
Manaporn Chatchumni, Ampaporn Namvongprom, Henrik Eriksson, M. Mazaheri
Background: Nurses’ roles are an important aspect of their approaches to pain management and monitoring in the post-operative phase of recovery in a surgical ward. A barrier to successful pain mana ...
{"title":"Exploring the different management structures in nurses responses and treating of patients’ postoperative pain: A qualitative triangulation study","authors":"Manaporn Chatchumni, Ampaporn Namvongprom, Henrik Eriksson, M. Mazaheri","doi":"10.19082/7536","DOIUrl":"https://doi.org/10.19082/7536","url":null,"abstract":"Background: Nurses’ roles are an important aspect of their approaches to pain management and monitoring in the post-operative phase of recovery in a surgical ward. A barrier to successful pain mana ...","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47304820","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}
M. Tataranno, De Bernardo De Bernardo, D. Trevisanuto, D. Sordino, M. Riccitelli, G. Buonocore, S. Perrone
Introduction: Cord blood gas analysis reflects placental respiratory and metabolic function and is commonly used to assess fetal status at birth. Our aim was to identify the differences in blood gas parameters between the umbilical artery (UA) and umbilical vein (UV) in term and preterm infants. Methods: This was a prospective pilot study. Umbilical cord artery and UV samples were consecutively collected from 225 term and 57 preterm infants at the University Hospital of Padua and at the neonatal unit of Ruesch Hospital in Naples, Italy. Blood gas-analysis and glucose measurement were performed in all samples. Term infants were divided into adequate for gestational age (AGA) and small for gestational age (SGA) according to birth weight percentile. Data were analyzed using Pearson Product-Moment Correlation, independent-samples t-test, and paired-samples t-test. A p-value <0.05 was considered statistically significant. Results: The median gestational age of preterm and term newborns were 34 weeks (±2) and 39 weeks (±1) respectively. The pH, pO2, were lower and pCO2, HCO3 and base excess (BE) were higher in the UA compared with the UV, in both AGA and SGA term infants. In preterm infants, no statistically significant differences were found between the UA and UV regarding pH, while the pO2 was lower and pCO2 was higher in the UA than UV (respectively: 22.5 vs. 32.4 and 53.1 vs. 42.8; p<0.0001). In the UA, pO2, BE and potassium (K+) were lower (respectively: 22.5 vs. 25.1; -2.5 vs. -3.7; 4.8 vs. 5.8; p<0.001) while sodium (Na+) and calcium (Ca++) were higher in preterm than term newborns (respectively: 135.7 vs. 133.6; p<0.001; 1.4 vs. 1.3; p<0.001). Glycaemia was lower in the UA than in the UV in all newborns (respectively: 66 vs. 77 in AGA term newborns; 63 vs. 71 in SGA term newborns; 68 vs. 76 in preterm newborns; p<0.0001) and was related to venous glycaemia measured in the first hour of life (n= 282, r =0.60; p<0.001). Conclusions: Significant differences in blood gas parameters between the UA and UV in term and preterm newborns suggest the importance of the placental barrier and the need for accurate cord blood gas analysis interpretation at birth. UA and UV samples at birth are required to assess with higher accuracy the metabolic status of the newborn in utero. Further studies are needed to evaluate if cord glycemic values could be a noninvasive tool for prediction of glycaemia during the first hour of life.
脐带血气分析反映胎盘的呼吸和代谢功能，通常用于评估胎儿出生时的状态。我们的目的是确定在足月和早产儿脐带动脉(UA)和脐带静脉(UV)之间的血气参数的差异。方法:前瞻性先导研究。从意大利帕多瓦大学医院和那不勒斯Ruesch医院新生儿病房的225名足月婴儿和57名早产儿中连续采集脐带动脉和紫外线样本。所有样品均进行血气分析和血糖测定。按出生体重百分位数将足月婴儿分为足胎龄儿(AGA)和小胎龄儿(SGA)。数据分析采用Pearson积差相关、独立样本t检验和配对样本t检验。p值<0.05认为有统计学意义。结果:早产儿和足月新生儿中位胎龄分别为34周(±2)和39周(±1)。与UV相比，AGA和SGA足月婴儿UA的pH、pO2较低，pCO2、HCO3和碱过量(BE)较高。在早产儿中，UA和UV在pH方面无统计学差异，而UA的pO2低于UV, pCO2高于UV(分别为22.5 vs. 32.4和53.1 vs. 42.8;p < 0.0001)。在UA中，pO2、BE和钾(K+)较低(分别为22.5 vs. 25.1;-2.5 vs. -3.7;4.8 vs. 5.8;p<0.001)，而钠(Na+)和钙(Ca++)在早产儿中高于足月新生儿(分别为135.7比133.6;p < 0.001;1.4 vs. 1.3;p < 0.001)。在所有新生儿中，UA组的血糖均低于UV组(分别为66比77;SGA足月新生儿63 vs 71;早产儿68比76;P <0.0001)，且与出生后1小时静脉血糖相关(n= 282, r =0.60;p < 0.001)。结论:足月新生儿和早产儿UA和UV血气参数差异显著，提示胎盘屏障的重要性和出生时准确的脐带血气分析解释的必要性。出生时的UA和UV样本需要更准确地评估新生儿在子宫内的代谢状态。需要进一步的研究来评估脐带血糖值是否可以作为预测生命最初一小时血糖的无创工具。
{"title":"Differences between umbilical blood gas in term and preterm newborns","authors":"M. Tataranno, De Bernardo De Bernardo, D. Trevisanuto, D. Sordino, M. Riccitelli, G. Buonocore, S. Perrone","doi":"10.19082/7529","DOIUrl":"https://doi.org/10.19082/7529","url":null,"abstract":"Introduction: Cord blood gas analysis reflects placental respiratory and metabolic function and is commonly used to assess fetal status at birth. Our aim was to identify the differences in blood gas parameters between the umbilical artery (UA) and umbilical vein (UV) in term and preterm infants. Methods: This was a prospective pilot study. Umbilical cord artery and UV samples were consecutively collected from 225 term and 57 preterm infants at the University Hospital of Padua and at the neonatal unit of Ruesch Hospital in Naples, Italy. Blood gas-analysis and glucose measurement were performed in all samples. Term infants were divided into adequate for gestational age (AGA) and small for gestational age (SGA) according to birth weight percentile. Data were analyzed using Pearson Product-Moment Correlation, independent-samples t-test, and paired-samples t-test. A p-value <0.05 was considered statistically significant. Results: The median gestational age of preterm and term newborns were 34 weeks (±2) and 39 weeks (±1) respectively. The pH, pO2, were lower and pCO2, HCO3 and base excess (BE) were higher in the UA compared with the UV, in both AGA and SGA term infants. In preterm infants, no statistically significant differences were found between the UA and UV regarding pH, while the pO2 was lower and pCO2 was higher in the UA than UV (respectively: 22.5 vs. 32.4 and 53.1 vs. 42.8; p<0.0001). In the UA, pO2, BE and potassium (K+) were lower (respectively: 22.5 vs. 25.1; -2.5 vs. -3.7; 4.8 vs. 5.8; p<0.001) while sodium (Na+) and calcium (Ca++) were higher in preterm than term newborns (respectively: 135.7 vs. 133.6; p<0.001; 1.4 vs. 1.3; p<0.001). Glycaemia was lower in the UA than in the UV in all newborns (respectively: 66 vs. 77 in AGA term newborns; 63 vs. 71 in SGA term newborns; 68 vs. 76 in preterm newborns; p<0.0001) and was related to venous glycaemia measured in the first hour of life (n= 282, r =0.60; p<0.001). Conclusions: Significant differences in blood gas parameters between the UA and UV in term and preterm newborns suggest the importance of the placental barrier and the need for accurate cord blood gas analysis interpretation at birth. UA and UV samples at birth are required to assess with higher accuracy the metabolic status of the newborn in utero. Further studies are needed to evaluate if cord glycemic values could be a noninvasive tool for prediction of glycaemia during the first hour of life.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45664489","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}
Khalil Kimiafar, Alireza Banaye Yazdipour, Benyamin Hoseini, M. Sarbaz
{"title":"Development and implementation of an instrument to assess privacy challenges of a web-based liver transplantation registry","authors":"Khalil Kimiafar, Alireza Banaye Yazdipour, Benyamin Hoseini, M. Sarbaz","doi":"10.19082/7441","DOIUrl":"https://doi.org/10.19082/7441","url":null,"abstract":"","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42312683","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}
Hematuria is one of the most important clinical manifestations, dating back in antiquity to more than a thousand years ago. In this paper, we tried to give a brief history of hematuria in Persian medicine and compare its similarities with Modern medicine. The importance of this issue is to give a better cognition of hematuria in the Persian medicine viewpoint in comparison with Modern medicine and also to understand the antiquity of hematuria, using simple and accessible therapies, provide a background for further studies in this field, and ultimately help improve Modern medicine in order to have a better treatment package, along with managing the costs.
{"title":"An early description of Hematuria in Medieval Persia: a letter to the editor","authors":"A. Aminian, E. Zaboli, S. Yousefi","doi":"10.19082/7564","DOIUrl":"https://doi.org/10.19082/7564","url":null,"abstract":"Hematuria is one of the most important clinical manifestations, dating back in antiquity to more than a thousand years ago. In this paper, we tried to give a brief history of hematuria in Persian medicine and compare its similarities with Modern medicine. The importance of this issue is to give a better cognition of hematuria in the Persian medicine viewpoint in comparison with Modern medicine and also to understand the antiquity of hematuria, using simple and accessible therapies, provide a background for further studies in this field, and ultimately help improve Modern medicine in order to have a better treatment package, along with managing the costs.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42213568","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 and aim: Ceftriaxone is a third generation Cephalosporin and is often used to treat infections of the upper gastrointestinal tract and urinary tract infections. Due to some reported side effects of these drugs, such as urinary stone formation which may be related to hypercalciuria, this study aimed to determine the effect of ceftriaxone in the treatment of urinary tract infection with urinary stone formation. Methods: This cross-sectional study was carried out on 120 children from the age of 2 months to 14 years with febrile infections admitted to the Children's Hospital of Bandar Abbas in 2016. Patients were randomly allocated to two groups: The first group received a dose of ceftriaxone 100-50 mg/kg every 12 hours (depending on severity) and in the second group, ampicillin 50 mg/kg every 6 hours and cefotaxime 50 mg/kg every 8 hours were administered. For evaluation of hypercalciuria calcium to creatinine ratio (ca/cr) in random urine was used. Hypercalciuria was defined as Ca/Cr>0.6 in infants<1 years old and Ca/Cr>0.2 in infants>1 year old. Data was analyzed by IBM-SPSS version 21 through descriptive statistics, Chi-square, Fisher's exact test, independent samples t-test, and paired samples t-test. P-value less than 0.05 was considered significant. Results: A total of 120 children were enrolled in the study (78 in the ceftriaxone group vs. 42 in the ampicillin and ceftriaxone group). Both groups were similar in terms of age, gender, creatinine ratio and pre-treatment Ca/Cr ratio, but the difference between the groups was compared after treatment (0.339±0.204 in the ceftriaxone group and 0.236±0.159 in ampicillin and cefotaxime group) (p=0.005). The prevalence of hypercalciuria in the group receiving ceftriaxone, 15 (19.2%) and in the group receiving Ampicillin 2 (4.8%) (p<0.03). Conclusion: According to the information obtained from this study, we found out that ceftriaxone can increase the risk of hypercalciuria. Further studies with different populations could help to raise awareness of this issue.
背景与目的:头孢曲松是第三代头孢菌素类药物，常用于治疗上胃肠道感染和尿路感染。由于这些药物有一些报道的副作用，如可能与高钙尿有关的尿路结石形成，本研究旨在确定头孢曲松治疗尿路感染伴尿路结石形成的效果。方法:对2016年阿巴斯港儿童医院收治的120例2个月至14岁的发热性感染患儿进行横断面研究。患者被随机分为两组:第一组每12小时服用头孢曲松100-50 mg/kg(取决于严重程度)，第二组每6小时服用氨苄西林50 mg/kg，每8小时服用头孢噻肟50 mg/kg。采用随机尿液中钙与肌酐比值(ca/cr)评价高钙尿症。高钙尿症的定义是婴儿Ca/Cr为0.6，婴儿b1为0.2。采用IBM-SPSS version 21对数据进行描述性统计、卡方检验、Fisher精确检验、独立样本t检验、配对样本t检验等分析。p值小于0.05被认为是显著的。结果:共有120名儿童入组(头孢曲松组78名，氨苄西林和头孢曲松组42名)。两组患者年龄、性别、肌酐比值、治疗前Ca/Cr比值相近，治疗后比较两组差异(头孢曲松组0.339±0.204，氨苄西林加头孢噻肟组0.236±0.159)(p=0.005)。头孢曲松组和氨苄西林组高钙尿的发生率分别为15.2%(19.2%)和4.8% (p<0.03)。结论:根据本研究获得的信息，我们发现头孢曲松可增加高钙尿的风险。针对不同人群的进一步研究有助于提高对这一问题的认识。
{"title":"Comparison of prevalence of hypercalciuria after intravenous injection of ceftriaxone versus ampicillin and cefotaxime in children with febrile infection","authors":"Maryam Esteghamati, N. Parvar, K. Ghasemi","doi":"10.19082/7450","DOIUrl":"https://doi.org/10.19082/7450","url":null,"abstract":"Background and aim: Ceftriaxone is a third generation Cephalosporin and is often used to treat infections of the upper gastrointestinal tract and urinary tract infections. Due to some reported side effects of these drugs, such as urinary stone formation which may be related to hypercalciuria, this study aimed to determine the effect of ceftriaxone in the treatment of urinary tract infection with urinary stone formation. Methods: This cross-sectional study was carried out on 120 children from the age of 2 months to 14 years with febrile infections admitted to the Children's Hospital of Bandar Abbas in 2016. Patients were randomly allocated to two groups: The first group received a dose of ceftriaxone 100-50 mg/kg every 12 hours (depending on severity) and in the second group, ampicillin 50 mg/kg every 6 hours and cefotaxime 50 mg/kg every 8 hours were administered. For evaluation of hypercalciuria calcium to creatinine ratio (ca/cr) in random urine was used. Hypercalciuria was defined as Ca/Cr>0.6 in infants<1 years old and Ca/Cr>0.2 in infants>1 year old. Data was analyzed by IBM-SPSS version 21 through descriptive statistics, Chi-square, Fisher's exact test, independent samples t-test, and paired samples t-test. P-value less than 0.05 was considered significant. Results: A total of 120 children were enrolled in the study (78 in the ceftriaxone group vs. 42 in the ampicillin and ceftriaxone group). Both groups were similar in terms of age, gender, creatinine ratio and pre-treatment Ca/Cr ratio, but the difference between the groups was compared after treatment (0.339±0.204 in the ceftriaxone group and 0.236±0.159 in ampicillin and cefotaxime group) (p=0.005). The prevalence of hypercalciuria in the group receiving ceftriaxone, 15 (19.2%) and in the group receiving Ampicillin 2 (4.8%) (p<0.03). Conclusion: According to the information obtained from this study, we found out that ceftriaxone can increase the risk of hypercalciuria. Further studies with different populations could help to raise awareness of this issue.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46024053","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: Personality factors have always been considered to play an important role in the etiology of substance-related disorders. Psychopathologic factors underlying an individual's personality structure have a major role in his or her tendency to use substances. This comorbidity can have an adverse effect on seeking and complying with treatment. Objective: This review provides the comorbidity of personality disorders and substance use disorders (SUD). Methods: In this report which was conducted in 2016, authors gathered data from different journals issued in print or electronic versions. These journals were indexed in Web of Science (Thomson Reuters), PubMed, Scopus, Google Scholar, ProQuest, Science Direct, Scientific Information Database (SID) and Magiran. A comprehensive search was done using keywords “Comorbidity”, “Personality disorders” and “Substance use disorders”. The research investigated in this review was conducted from January 1995 to 2016. Results: Comorbidity of borderline personality disorder, antisocial personality and diagnostic and therapeutic considerations are the most well-known problems in personality disorder. In dealing with these patients special attention should be paid to their safety, suicidal and homicidal thoughts Conclusion: It should be noted that an early diagnosis of comorbid personality disorder would lead to an adjusted expectancy from treatment, and adoption of long-term treatments for these patients
背景:人格因素一直被认为在物质相关障碍的病因学中起着重要作用。一个人的人格结构背后的精神病理因素在他或她使用药物的倾向中起着重要作用。这种合并症可能对寻求和遵守治疗产生不利影响。目的:综述人格障碍与物质使用障碍(SUD)的合并症。方法:本报告于2016年完成，作者收集了不同期刊的印刷版或电子版的数据。这些期刊被Web of Science (Thomson Reuters)、PubMed、Scopus、b谷歌Scholar、ProQuest、Science Direct、Scientific Information Database (SID)和Magiran检索。使用关键词“共病”、“人格障碍”和“物质使用障碍”进行全面搜索。本综述调查的研究时间为1995年1月至2016年1月。结果:边缘型人格障碍的合并症、反社会人格以及诊断和治疗注意事项是人格障碍中最常见的问题。结论:对共病型人格障碍的早期诊断会导致患者对治疗的期望有所调整，并对其采取长期治疗
{"title":"Personality disorders and substance use disorders: a narrative review","authors":"F. Faridhosseini, A. Saghebi, Mansoureh Mirzadeh","doi":"10.19082/7558","DOIUrl":"https://doi.org/10.19082/7558","url":null,"abstract":"Background: Personality factors have always been considered to play an important role in the etiology of substance-related disorders. Psychopathologic factors underlying an individual's personality structure have a major role in his or her tendency to use substances. This comorbidity can have an adverse effect on seeking and complying with treatment. Objective: This review provides the comorbidity of personality disorders and substance use disorders (SUD). Methods: In this report which was conducted in 2016, authors gathered data from different journals issued in print or electronic versions. These journals were indexed in Web of Science (Thomson Reuters), PubMed, Scopus, Google Scholar, ProQuest, Science Direct, Scientific Information Database (SID) and Magiran. A comprehensive search was done using keywords “Comorbidity”, “Personality disorders” and “Substance use disorders”. The research investigated in this review was conducted from January 1995 to 2016. Results: Comorbidity of borderline personality disorder, antisocial personality and diagnostic and therapeutic considerations are the most well-known problems in personality disorder. In dealing with these patients special attention should be paid to their safety, suicidal and homicidal thoughts Conclusion: It should be noted that an early diagnosis of comorbid personality disorder would lead to an adjusted expectancy from treatment, and adoption of long-term treatments for these patients","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45322512","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}
Maryam Mohammad Ibrahim, S. A. Awar, N. Nayeri, M. Al-Jefout, F. Ranjbar, Z. Moghadam
Background: Bearing a child is one of the most important motivations for human beings with regard to the continuation of life. People's perception of infertility is contingent upon various diverse cultural factors. Objective: This study aims to explore the perceptions of infertility in infertile women in the United Arab Emirates. Methods: This qualitative study was carried out on fourteen infertile women who were referred to medicine and health science clinical services, in Al Ain, in the United Arab Emirates. Data were collected through semistructured interviews. After the interviews were recorded, the data were analyzed using conventional content analysis method. Results: After analyzing the data, four themes including “fulfillment of dreams about being pregnant”, “marital instability”, “loss of self-esteem” and “spirituality is the way for reaching calmness” were extracted. Conclusion: The findings of this study showed that infertile women face many problems that affect their feelings and relationships in everyday life. It is thus recommended that counseling and midwifery centers be established in all infertility clinics, and experienced midwives who are familiar with reproductive health concepts guide and support infertile women as well as respond to their questions.
{"title":"Perceptions of Infertility among women in United Arab Emirates: a qualitative study","authors":"Maryam Mohammad Ibrahim, S. A. Awar, N. Nayeri, M. Al-Jefout, F. Ranjbar, Z. Moghadam","doi":"10.19082/7544","DOIUrl":"https://doi.org/10.19082/7544","url":null,"abstract":"Background: Bearing a child is one of the most important motivations for human beings with regard to the continuation of life. People's perception of infertility is contingent upon various diverse cultural factors. Objective: This study aims to explore the perceptions of infertility in infertile women in the United Arab Emirates. Methods: This qualitative study was carried out on fourteen infertile women who were referred to medicine and health science clinical services, in Al Ain, in the United Arab Emirates. Data were collected through semistructured interviews. After the interviews were recorded, the data were analyzed using conventional content analysis method. Results: After analyzing the data, four themes including “fulfillment of dreams about being pregnant”, “marital instability”, “loss of self-esteem” and “spirituality is the way for reaching calmness” were extracted. Conclusion: The findings of this study showed that infertile women face many problems that affect their feelings and relationships in everyday life. It is thus recommended that counseling and midwifery centers be established in all infertility clinics, and experienced midwives who are familiar with reproductive health concepts guide and support infertile women as well as respond to their questions.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41667166","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}
This is a letter to editor (LTE), and does not need / have an abstract.
这是一封给编辑的信(LTE)，不需要摘要。
{"title":"People’s dissatisfaction with the Urban Family Physician Program in Shiraz, Iran: a letter to the editor","authors":"B. Honarvar, K. Lankarani","doi":"10.19082/7460","DOIUrl":"https://doi.org/10.19082/7460","url":null,"abstract":"This is a letter to editor (LTE), and does not need / have an abstract.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43238659","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}
F. Almajid, Shumaila Tanveer, A. Al‐Amri, A. Alsayyah, Areej M. Al Nemer, H. Alghamdi
Introduction: Adenocarcinoma of the third part of the duodenum is a rare type of tumor that has challenges in its diagnosis and management. Segmental resection with pancreatic sparing is a safe and accepted choice for the surgical intervention of this type of cancer. Case Presentation: A 33-year-old male presented with a 3-week history of symptoms of gastric outlet obstruction with anemia and weight loss. Upon investigating the patient with computed tomography and esophagogastroduodenoscopy, he was found to have an adenocarcinoma that involved the third part of the duodenum. The patient underwent segmental resection of the third and fourth part of the duodenum with pancreatic sparing. He had a smooth postoperative course. The pathological evaluation shows a 3 cm moderately differentiated adenocarcinoma with free margins. Six out of thirteen lymph nodes were having metastasis. The patient developed a soft tissue recurrence 18 months after the operation. Take-away Lessons: Adenocarcinoma of the third part of the duodenum should be kept in mind in any patient presented with symptoms of gastric outlet obstruction. It can be managed safely with segmental resection avoiding the morbidity of resection of the pancreas.
{"title":"Small bowel adenocarcinoma in a young male: a case report","authors":"F. Almajid, Shumaila Tanveer, A. Al‐Amri, A. Alsayyah, Areej M. Al Nemer, H. Alghamdi","doi":"10.19082/7507","DOIUrl":"https://doi.org/10.19082/7507","url":null,"abstract":"Introduction: Adenocarcinoma of the third part of the duodenum is a rare type of tumor that has challenges in its diagnosis and management. Segmental resection with pancreatic sparing is a safe and accepted choice for the surgical intervention of this type of cancer. Case Presentation: A 33-year-old male presented with a 3-week history of symptoms of gastric outlet obstruction with anemia and weight loss. Upon investigating the patient with computed tomography and esophagogastroduodenoscopy, he was found to have an adenocarcinoma that involved the third part of the duodenum. The patient underwent segmental resection of the third and fourth part of the duodenum with pancreatic sparing. He had a smooth postoperative course. The pathological evaluation shows a 3 cm moderately differentiated adenocarcinoma with free margins. Six out of thirteen lymph nodes were having metastasis. The patient developed a soft tissue recurrence 18 months after the operation. Take-away Lessons: Adenocarcinoma of the third part of the duodenum should be kept in mind in any patient presented with symptoms of gastric outlet obstruction. It can be managed safely with segmental resection avoiding the morbidity of resection of the pancreas.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46774058","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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