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Academic Medical Career versus Private Medical Practice: A Guide to the Right Decision! 学术医学生涯与私人行医:正确决策指南》!
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-01-09 DOI: 10.1055/s-0043-1778046
Samir Kahwash
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引用次数: 0
Expecting the Unexpected: Schistosomial Appendicitis in Nonendemic Area 意料之外:非流行区的血吸虫性阑尾炎
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-01-09 DOI: 10.1055/s-0043-1777860
Abdul Rasak Aravessery, Maroof Raza, Mohammad Azfar
Abstract Background  Schistosomiasis is a granulomatous disease prevalent in tropical and subtropical areas. Appendicitis secondary to schistosomiasis is a rarely encountered presentation, even in endemic areas. Most acute intestinal schistosomiasis presents with abdominal pain and bloody diarrhea. Other atypical clinical presentations include intestinal obstruction, peritonitis, and acute appendicitis. Case Description  We report a case of a 37-year-old male from the Philippines who presented with the clinical picture of acute appendicitis and was treated with laparoscopic appendectomy. Pathological study revealed calcified Schistosomia japonicum's egg in a background of acute inflammation. Conclusion  Worldwide increase in immigration and tourism resulted in an increased number of schistosomiasis in nonendemic areas. Considering this, we are faced with the uncommon etiology of acute appendicitis.
摘要 背景 血吸虫病是一种流行于热带和亚热带地区的肉芽肿性疾病。即使在血吸虫病流行地区,继发于血吸虫病的阑尾炎也很少见。大多数急性肠血吸虫病表现为腹痛和血性腹泻。其他非典型临床表现包括肠梗阻、腹膜炎和急性阑尾炎。病例描述 我们报告了一例来自菲律宾的 37 岁男性病例,他的临床表现为急性阑尾炎,并接受了腹腔镜阑尾切除术治疗。病理研究显示,在急性炎症的背景下,日本血吸虫卵钙化。结论 全球移民和旅游业的增长导致非流行地区的血吸虫病数量增加。有鉴于此,我们不得不面对急性阑尾炎这一并不常见的病因。
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引用次数: 0
Causes of Original Kidney Disease among Libyan Kidney Transplant Recipients 利比亚肾移植受者原发性肾病的原因
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-12-13 DOI: 10.1055/s-0043-1777427
Jamila S. Elamouri, Ahmed A. Algeblawi
Abstract Introduction  End-stage renal disease (ESRD) has become a significant problem in the North African region. There are few references about the primary causes of ESRD in kidney transplant (KT) recipients. The aim of this study was to determine the causes of the original kidney disease in KT recipients in Tripoli Central Hospital, Tripoli, Libya. Methods  This is a hospital-based, retrospective descriptive study. It includes all KT recipients who were followed up in the outpatient clinic, at the Libyan National General Authority for Organ, Tissue, and Cell Transplantation and nephrology clinic in Tripoli Central Hospital during 2021, Tripoli, Libya. Results  Data on 360 KT recipients were retrieved. Sixty-eight percent of the of the patients were males: 31.1% of all enrolled individuals were between 31 and 40 years. Patient mean age was 36.66 ± 11.86 years. The most common validated cause for ESRD was unknown (55.3%), followed by chronic glomerulonephritis (CGN; 15%), diabetes mellitus and systemic hypertension each equally (10.3%), congenital abnormalities (3.6%), polycystic kidney disease (3.3%), and nephrolithiasis (1.9%). Conclusion  Original cause of kidney disease in most recipients was undetermined, possibly due to limited diagnostic tools or delayed presentation. However, CGN is a main known cause.
摘要 引言 终末期肾病(ESRD)已成为北非地区的一个重大问题。有关肾移植(KT)受者出现终末期肾病的主要原因的参考文献很少。本研究旨在确定利比亚的黎波里市的黎波里中心医院肾移植受者原发性肾病的病因。方法 这是一项基于医院的回顾性描述性研究。研究对象包括 2021 年期间在利比亚的黎波里国家器官、组织和细胞移植总局门诊部和的黎波里中心医院肾科门诊部接受随访的所有 KT 受者。结果 检索到 360 名 KT 受体的数据。68%的患者为男性:31.1%的患者年龄在31至40岁之间。患者平均年龄为 36.66 ± 11.86 岁。ESRD最常见的验证病因是不明原因(55.3%),其次是慢性肾小球肾炎(CGN;15%)、糖尿病和全身性高血压各占一半(10.3%)、先天性异常(3.6%)、多囊肾(3.3%)和肾结石(1.9%)。结论 大多数受者肾脏疾病的原发病因未确定,这可能是由于诊断工具有限或出现延迟所致。然而,CGN 是已知的主要病因。
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引用次数: 0
IJMBS at the End of 2023: An Impact Factor and a New Platform 2023年底的IJMBS:一个影响因素和一个新平台
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-11-01 DOI: 10.1055/s-0043-1776129
Salem A. Beshyah, Elmahdi A. Elkhammas
Welcome to the fourth issue of volume 15 of the Ibnosina Journal of Medicine and Biomedical Sciences. The issue has a variety of articles, including five original articles, a case report, a personal paper, and a correspondence. In a systematic review of experimental models, Nur Nadhirah Suhaimi and colleagues examine the association between phytoestrogen consumption and female reproductive health. Hussain Alsaffar et al evaluate the medical students' attitudes toward and awareness of teaching and participation in formal clinical teaching in Iraq, while Seham Eshrif et al portray the profile of neuromuscular disorders in the neurology clinic of Tripoli Children Hospital, Tripoli, Libya. Also, Tanzeel Ur Rehman considers the immune system's responsiveness to nanomedicine during coronavirus infections through a literature review and bibliometric analysis. Finally, Maria E.M. Mariano et al assess the nursing students' learning style preferences.
欢迎阅读《伊布诺西纳医学和生物医学科学杂志》第15卷第4期。本期文章种类繁多,包括5篇原创文章、1篇个案报告、1篇个人论文和1篇书信。Nur Nadhirah Suhaimi及其同事对实验模型进行了系统回顾,研究了植物雌激素摄入与女性生殖健康之间的关系。Hussain Alsaffar等人评估了伊拉克医学生对教学的态度和意识以及对正式临床教学的参与,而Seham Eshrif等人则描述了利比亚的黎波里的黎波里儿童医院神经内科神经肌肉疾病的概况。此外,Tanzeel Ur Rehman通过文献综述和文献计量学分析,考虑了冠状病毒感染期间免疫系统对纳米药物的反应。最后,Maria E.M. Mariano等人评估了护生的学习风格偏好。
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引用次数: 0
Management of Sigmoid Volvulus: A Literature Review 乙状结肠扭转的治疗:文献综述
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-11-01 DOI: 10.1055/s-0043-1776142
Sabri Selcuk Atamanalp, Esra Disci, Rifat Peksoz, Refik Selim Atamanalp, Cansu Tatar Atamanalp
Abstract Sigmoid volvulus (SV) is a rare form of intestinal obstruction in which the sigmoid colon twists around its own base. Endoscopic detorsion is the primary treatment in uncomplicated patients, while urgent surgery is required in the cases with bowel perforation, peritonitis, and unsuccessful endoscopic detorsion. In surgery, the gangrenous sigmoid colon is managed by resection, whereas sigmoid detorsion alone or with an additional recurrence-reducing procedure is applied in patients with viable bowel. However, the risk of recurrence following endoscopic or operative detorsion alone is as high as 90% with a risk of mortality up to 35%. To prevent or reduce SV recurrence, some selected cases require emergent or elective recurrence-preventive management including sigmoidopexy, mesopexy, mesoplasty, extraperitonealization, sigmoidectomy, and endoscopic percutaneous sigmoidopexy. However, the indications, techniques, and results of the above-mentioned procedures are controversial. In this review, the treatment options of SV and patient selection criteria for recurrence-preventive treatments are discussed.
摘要乙状结肠扭转(SV)是一种罕见的肠梗阻形式,其中乙状结肠围绕其自身的底部扭曲。内镜下扭转是无并发症患者的主要治疗方法,而出现肠穿孔、腹膜炎和内镜下扭转不成功的病例则需要紧急手术。在外科手术中,乙状结肠坏疽是通过切除来治疗的,而乙状结肠单独扭曲或附加的减少复发的手术则适用于有活肠的患者。然而,仅内窥镜或手术扭曲后的复发风险高达90%,死亡率风险高达35%。为了预防或减少SV复发,一些选定的病例需要紧急或选择性的预防复发治疗,包括乙状结肠固定术、介系膜固定术、介系膜成形术、腹膜外术、乙状结肠切除术和内镜下经皮乙状结肠固定术。然而,上述手术的适应症、技术和结果是有争议的。在这篇综述中,讨论了SV的治疗方案和预防复发治疗的患者选择标准。
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引用次数: 0
Assessment of Learning Style Preferences of Saudi Nursing Students 沙特护生学习风格偏好评估
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-30 DOI: 10.1055/s-0043-1776016
Maria E.M. Mariano, Alexander Woodman, Yaser AlNaam, Lamiaa H. Al-Jamea, Rehab Y. Al-Ansari, Jenifer V. Quiambao
Abstract Objective In line with global trends, growing number of educational institutions in Saudi Arabia are developing their curricula based on the feedback and suggestions from their students to help improve the quality of teaching. This study aims to assess the differences in learning style preferences among female nursing students of Saudi Arabia. Methods This cross-sectional study included 124 female nursing students who were asked to answer the culturally adapted Arabic version of visual, aural/auditory, read/write, and kinesthetic (VARK) survey. Data were analyzed with SPSS, version 23. The Wilks' lambda or multivariate analysis (MANOVA) was used to determine the relationship between the participants' learning preferences, sociodemographic characteristics, and year of study. Results Nursing students who had visual learning preferences had a significantly different learning style as compared to those who preferred aural and kinesthetic learning (p < 0.001). On the contrary, there was not enough evidence to conclude that the same was true for students who preferred to read/write. Conclusions Further research is required to explore the relationship between learning style preferences and learning outcomes with the inclusion of a larger sample size and representatives of two genders, males and females. The findings of the current research provide the foundation for adaptive learning by identifying the individual preferences in learning among the nursing students.
【摘要】目的与全球趋势一致,沙特阿拉伯越来越多的教育机构正在根据学生的反馈和建议开发课程,以帮助提高教学质量。本研究旨在评估沙特阿拉伯女护生学习风格偏好的差异。方法对124名女护生进行横断面研究,要求她们回答文化适应阿拉伯语版本的视觉、听觉、读写和动觉(VARK)调查。数据分析采用SPSS,版本23。使用Wilks’lambda或多元分析(MANOVA)来确定参与者的学习偏好、社会人口统计学特征和学习年份之间的关系。结果视觉学习偏好护生的学习风格与听觉和动觉学习偏好护生的学习风格有显著差异(p <0.001)。相反,没有足够的证据表明那些喜欢读/写的学生也是如此。结论学习风格偏好与学习效果之间的关系有待进一步研究,需要纳入更大的样本量,并纳入男性和女性两种性别的代表。本研究结果可为护生的适应性学习提供基础。
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引用次数: 0
The Third Drawer 第三个抽屉
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-10 DOI: 10.1055/s-0043-1775842
Samir Kahwash
The chairman finally arrived and sat down after flashing smiles at members of the medical staff in attendance. It was obvious he subscribed to the notion that leaders should never apologize for being late to a meeting with subordinates. My first meeting as an attending physician at an academic medical department was about to start. Agenda items had been distributed in a one-page written memo the day before (email was not widely available yet). The list was long, but I remember being impressed by how fast we sailed through it. Only later did I discover the secret of efficient meetings, that is, the 90/10 rule, which states that 90% of agenda items—especially thorny issues—are already discussed and decided prior to the meeting, and the remaining 10% revolves around polishing these decisions and getting a seal of approval.
主席终于来了,对在场的医务人员微微一笑,坐了下来。很明显,他赞同这样一种观点,即领导者永远不应该为与下属开会迟到而道歉。我作为主治医师在学术医学部门的第一次会议即将开始。议程项目在前一天以一页纸的书面备忘录形式分发(电子邮件还没有广泛使用)。名单很长,但我记得我们很快就完成了,这给我留下了深刻的印象。直到后来,我才发现了高效会议的秘密,那就是90/10法则。该法则指出,90%的议程项目——尤其是棘手的问题——在会议之前就已经讨论并决定了,剩下的10%围绕着完善这些决定并获得批准而展开。
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引用次数: 0
Profile of Neuromuscular Disorders: Neurology Clinic, Tripoli Children Hospital 神经肌肉疾病简介:的黎波里儿童医院神经病学诊所
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-10 DOI: 10.1055/s-0043-1772820
Seham Eshrif, Suhaylah Alghareeri, Fatma BenAmer, Sondos Elsheikh
Abstract Background Neuromuscular disorders (NMDs) are any diseases affecting the lower motor neuron (anterior horn cell, peripheral nerve, and neuromuscular junction) or muscle, all of which are components of motor unit. The aim of this study was to describe the clinical, demographic, and genetic profile of children diagnosed with different NMDs. Materials and Methods Descriptive case series study where clinical records for children with neuromuscular disorders (NMDs) how presented to the outpatient Neurology Clinic at Tripoli Children Hospital in the period from January 2015 to the date of data collection May 2023 have been reviewed to obtain the relevant information which include demographic data, parental consanguinity, family history of affected other members, diagnostic groups within NMDs used were spinal muscular atrophy (SMA) and its subtypes, Duchenne muscular dystrophy (DMD), limb girdle muscular dystrophy (LGMD) and any other NMDs, genetic testing results, ambulatory state at the time of data collection, age at death if occurred, mode of treatment (steroid for patients with diagnosis of DMD, oral Risdiplam/IV Zolgensma/intrathecal Spinraza for patients with SMA) and Genetic testing results and the eligibility to spesfic exon skipping therapy for DMD patients. Results The study revealed 53 patients with NMDs, which represent 3.8% of all neurological disorders. Of these, 32 (60.4%) were males and 21 (39.6%) were females. Patient ages ranged between 2 months and 20 years (mean = 10 years). SMA and DMD are more common than the other disorders. 77.4% of patients were have positive consanguinity and 66% are have family history. 54.7% of patients still have ability to walk independently. Four (7.5%) patients were died three of them were have diagnosis of SMA type 1 and they died before age of 18 months and the fourth who has diagnosis of SMA type 3 was die at age of 12 years. Conclusion Although neuromuscular disorders are rare as individual disease entities, as a group they are not. The retrospective study presented here could form the backbone of a future Libyan neuromuscular registry, which is necessary with many novel NMD therapies in pipeline.
摘要背景神经肌肉疾病(NMDs)是指影响下运动神经元(前角细胞、周围神经和神经肌肉连接处)或肌肉的疾病,它们都是运动单元的组成部分。本研究的目的是描述诊断为不同nmd的儿童的临床、人口统计学和遗传特征。材料和方法描述性病例系列研究,其中审查了2015年1月至2023年5月数据收集日期间在的黎波里儿童医院神经内科门诊就诊的神经肌肉疾病(nmd)儿童的临床记录,以获得相关信息,包括人口统计数据、父母亲属关系、受影响的其他成员的家族史、nmd的诊断组包括脊髓性肌萎缩症(SMA)及其亚型、杜氏肌营养不良症(DMD)、肢带性肌营养不良症(LGMD)和任何其他nmd、基因检测结果、数据收集时的活动状态、死亡年龄(如果发生)、治疗方式(诊断为DMD的患者使用类固醇、SMA患者口服Risdiplam/IV Zolgensma/鞘内Spinraza)和基因检测结果以及DMD患者特异性外显子跳过治疗的资格。结果研究发现53例nmd患者,占所有神经系统疾病的3.8%。其中男性32例(60.4%),女性21例(39.6%)。患者年龄在2个月至20岁之间(平均10岁)。SMA和DMD比其他疾病更常见。77.4%的患者有血缘关系,66%的患者有家族史。54.7%的患者仍能独立行走。死亡4例(7.5%),其中3例诊断为1型SMA,在18个月前死亡,4例诊断为3型SMA,在12岁时死亡。结论虽然神经肌肉疾病作为个体疾病是罕见的,但作为一个群体却不常见。本文提出的回顾性研究可以成为未来利比亚神经肌肉登记的基础,这对于许多新的NMD治疗方法是必要的。
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引用次数: 0
Responsiveness of the Immune System to Nanomedicine during Coronavirus Infections Literature Review and Bibliometric Analysis 冠状病毒感染期间免疫系统对纳米药物的反应性文献综述和文献计量分析
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-03 DOI: 10.1055/s-0043-1775843
Tanzeel Ur Rehman, Alexander Woodman, Mohammad Rasheed, Misbah Zahid
Abstract Aim Nanomedicine can play an important role in the various stages of prevention, diagnosis, treatment, vaccination, and research related to coronavirus disease 2019 (COVID-19). While nanomedicine is a powerful interdisciplinary means that offers various approaches in patient treatment, a number of factors should be critically studied to find approaches and mechanisms in the prevention, diagnosis, and treatment of this disease. This bibliometric analysis was designed to explore studies on the current knowledge of the structure, its mechanism of cell binding, and the therapeutic effect of nanomedicine on COVID-19. Methods The study data was searched from Web of Science Core Collection(WoSCC) between 2017 and 2021. Biblioshiny and VOSviewer were used to analyze and visualize patterns in scientific literature derived from WoS. Results The three clusters of keywords resulted relating to aim. Cluster 1 looking into epidemiological and public health studies on COVID-19. Cluster 2 included terms associated with virus transition, such as receptor binding, membrane glycoprotein, membrane fusion, and viral envelope proteins. Cluster 3 involved high-frequency keywords associated with nanomedicine, such as metal nanoparticles, drug delivery system doxorubicin, immunology, immune response, inflammation, and unclassified drug. Keywords such as “nanotechnology” and “gold nanoparticles” were at the center of COVID-19 related clusters, indicating the importance of these areas during the outbreak. Conclusions Understanding the advanced virology of coronaviruses and interfering with their spread through nanomedicine could significantly impact global health and economic stability. Continuous research is needed to accelerate the transfer of nanomedicine results into practice of treatment without risk of side effects.
摘要目的纳米医学可以在2019冠状病毒病(COVID-19)的预防、诊断、治疗、疫苗接种和研究的各个阶段发挥重要作用。虽然纳米医学是一种强大的跨学科手段,为患者治疗提供了各种方法,但应该对许多因素进行批判性研究,以找到预防、诊断和治疗这种疾病的方法和机制。本文献计量学分析旨在探讨纳米药物对COVID-19的结构、细胞结合机制和治疗效果的现有知识。方法检索Web of Science Core Collection(WoSCC) 2017 - 2021年的研究数据。使用Biblioshiny和VOSviewer对WoS衍生的科学文献中的模式进行分析和可视化。结果得到与目标相关的三组关键词。第1组研究COVID-19的流行病学和公共卫生研究。聚类2包括与病毒转移相关的术语,如受体结合、膜糖蛋白、膜融合和病毒包膜蛋白。聚类3涉及与纳米医学相关的高频关键词,如金属纳米颗粒、给药系统阿霉素、免疫学、免疫反应、炎症和未分类药物。“纳米技术”和“金纳米颗粒”等关键词处于新冠肺炎相关聚集性的中心,表明这些领域在疫情期间的重要性。结论了解冠状病毒的高级病毒学并通过纳米医学干预其传播将对全球健康和经济稳定产生重大影响。需要持续的研究来加速将纳米医学成果转化为无副作用风险的治疗实践。
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引用次数: 1
Association between Phytoestrogen Consumption and Female Reproductive Health: A Systematic Review of Experimental Models 植物雌激素摄入与女性生殖健康的关系:实验模型的系统综述
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-27 DOI: 10.1055/s-0043-1775583
Nur Nadhirah Suhaimi, Maisarah Nasution Waras, Nurhuda Mohamad Ansor
Abstract Phytoestrogens have been shown as promising therapeutic agents for the treatment of menopausal symptoms, osteoporosis, breast cancer, and cardiovascular diseases. However, due to its unique chemical structure, phytoestrogen may cause unintended estrogenic and/or antiestrogenic effects on the human body, especially with regard to female reproductive health and performance. Hence, this systematic review aims to provide a critical evaluation of in vitro and in vivo evidence from the literature regarding the adverse effects of phytoestrogens on female reproductive health. The literature search was performed on four electronic databases including Scopus, Science Direct, PubMed, and Google Scholar following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A total of 965 studies were screened but only 58 of them were found to be relevant and assessed for eligibility. Of these, 23 studies met the eligibility criteria while the remaining studies were excluded due to insufficiently described methods and lack of clear findings being reported. From the review, phytoestrogens may alter the development of reproductive organs, prolong the estrus cycle, induce the accumulation of fluid in the uterus, and inhibit ovulation. The concentration and exposure duration of phytoestrogens may have different effects on the reproductive organs. Thus, further studies are warranted on the toxicodynamic, toxicokinetic, mode of action, and mechanism of actions of phytoestrogens on the female reproductive system to establish recommendations regarding phytoestrogen supplement consumption for women.
植物雌激素已被证明是治疗更年期症状、骨质疏松症、乳腺癌和心血管疾病的有希望的治疗药物。然而,由于其独特的化学结构,植物雌激素可能对人体产生意想不到的雌激素和/或抗雌激素作用,特别是在女性生殖健康和性能方面。因此,本系统综述旨在对植物雌激素对女性生殖健康的不利影响的文献中体外和体内证据进行批判性评估。根据系统评价和meta分析的首选报告项目(PRISMA)指南,在Scopus、Science Direct、PubMed和Google Scholar等四个电子数据库中进行文献检索。总共筛选了965项研究,但其中只有58项研究被认为是相关的,并被评估为合格。其中23项研究符合入选标准,其余研究因方法描述不充分和缺乏明确结果报告而被排除。综上所述,植物雌激素可能改变生殖器官的发育,延长发情周期,诱导子宫积液,抑制排卵。植物雌激素的浓度和暴露时间可能对生殖器官有不同的影响。因此,有必要进一步研究植物雌激素对女性生殖系统的毒性动力学、毒性动力学、作用方式和作用机制,以确定女性补充植物雌激素的建议。
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引用次数: 0
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Ibnosina Journal of Medicine and Biomedical Sciences
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