Abstract Introduction Diabetes is a major global health problem, among the top causes of death worldwide. Diabetic foot infection (DFI) is associated with an increased risk of amputation by 155 times and a mortality rate of 57% at 5 years. This study aims to characterize DFI epidemiology in a local hospital and analyze local microbiological patterns and antibiotic susceptibility testing. Patients and Methods This is a retrospective review of Al Jala hospital Benghazi/Libya medical records. Eligible patients were included, if they had DFI with confirmed tissue/pus samples collections was submitted to the hospital laboratory for microbiology and Antibiotics susceptibility analysis. Results Out of 126 patients, 77 (61.1%) were men, and 49 (38.9%) were women. The mean age was 55.4 years. Incision drainage with debridement was the most common surgical procedure (77.1%). 38.88% of growth was polymicrobial. Gram-negative rods were isolated in 70.9%, and gram-positive cocci in 27.4%. The most commonly isolated bacteria were Pseudomonas aeruginosa (15.9%) and Proteus sps. (14.2%), Staphylococcus aureus (11.3%), and Escherichia coli (10.2%). Methicillin-resistant Staphylococcus aureus (MRSA) constitutes 30% of isolated S. aureus . The most common effective antibiotic for P. aeruginosa was imipenem (90%), for S. aureus was linezolid (100%), and for MRSA was linezolid, vancomycin (100%), and ciprofloxacin 88.8%. Sixty-four percent of total bacterial isolates were MDROs (gram-positive isolates 65.3%, gram-negative isolates 63.6%). Conclusions The emergence of antibiotic-resistant bacteria is a global health concern. This study attempts to evaluate the local microbiology and antimicrobial susceptibility to tailor the treatment choice for better patient outcomes.
{"title":"Diabetic Foot Infection Characteristics and Antibiotics Susceptibility Patterns in a Regional Hospital in Libya","authors":"Wail A. Eldukali, Mohamed A. Boshaalla","doi":"10.1055/s-0042-1755437","DOIUrl":"https://doi.org/10.1055/s-0042-1755437","url":null,"abstract":"Abstract Introduction Diabetes is a major global health problem, among the top causes of death worldwide. Diabetic foot infection (DFI) is associated with an increased risk of amputation by 155 times and a mortality rate of 57% at 5 years. This study aims to characterize DFI epidemiology in a local hospital and analyze local microbiological patterns and antibiotic susceptibility testing. Patients and Methods This is a retrospective review of Al Jala hospital Benghazi/Libya medical records. Eligible patients were included, if they had DFI with confirmed tissue/pus samples collections was submitted to the hospital laboratory for microbiology and Antibiotics susceptibility analysis. Results Out of 126 patients, 77 (61.1%) were men, and 49 (38.9%) were women. The mean age was 55.4 years. Incision drainage with debridement was the most common surgical procedure (77.1%). 38.88% of growth was polymicrobial. Gram-negative rods were isolated in 70.9%, and gram-positive cocci in 27.4%. The most commonly isolated bacteria were Pseudomonas aeruginosa (15.9%) and Proteus sps. (14.2%), Staphylococcus aureus (11.3%), and Escherichia coli (10.2%). Methicillin-resistant Staphylococcus aureus (MRSA) constitutes 30% of isolated S. aureus . The most common effective antibiotic for P. aeruginosa was imipenem (90%), for S. aureus was linezolid (100%), and for MRSA was linezolid, vancomycin (100%), and ciprofloxacin 88.8%. Sixty-four percent of total bacterial isolates were MDROs (gram-positive isolates 65.3%, gram-negative isolates 63.6%). Conclusions The emergence of antibiotic-resistant bacteria is a global health concern. This study attempts to evaluate the local microbiology and antimicrobial susceptibility to tailor the treatment choice for better patient outcomes.","PeriodicalId":13067,"journal":{"name":"Ibnosina Journal of Medicine and Biomedical Sciences","volume":"139 ","pages":"094 - 100"},"PeriodicalIF":0.2,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41272090","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}
Muhammad Masoud Alam, Mohammad Tariq, L. N. R. Bondugulapati, M. A. Pasha, J. Bashir, Usman Hassan, Tufail Ahmad Awan
Abstract Introduction Adrenal insufficiency can happen because of decreased cortisol production as a result of negative feedback on the hypothalamic–pituitary–adrenal axis, caused by excess exogenous glucocorticoids (GC). The most common cause of adrenal insufficiency is, in fact, abrupt stoppage of exogenous GC. Patients with adrenal insufficiency are at risk of developing life-threatening adrenal crisis if GC is reduced or stopped abruptly, or if GC dose is not increased during periods of increased stress. The adrenal crises should be preventable with education of patients and healthcare professionals (HCPs) about “sick-day” rules, the importance of “steroid cards,” and the utility of parenteral steroids. Methods This study was aimed at assessing the knowledge of sick-day rules in patients on long-term GC as well as HCPs. Patients aged above 18 years on long-term GC presenting to the endocrinology clinic over 6 weeks were included after audit-committee approval. Results We assessed 18 consecutive patients in total, 61% (11/18) of whom said that they have received information about sick-day rules from an HCP. Only 38% (7/18) had access to emergency hydrocortisone-kit. We assessed 36 HCPs. Thirty-six (13/36) percent were aware of steroid emergency card and 50% (18/36) HCPs exhibited awareness regarding steroid dose during acute event and 27% of (10/36) HCPs were aware of accessible hospital intranet resources. Conclusion This study revealed significant lack of awareness of sick-day rules among patients and HCPs alike. Majority of patients failed to carry steroid emergency card or medic alert bracelet and majority of HCPs and patients lacked knowledge of sick-day rules.
{"title":"Assessing the Knowledge of Sick-Day Rules Among Patients on Long-Term Glucocorticoids and Healthcare Professionals in a UK District General Hospital","authors":"Muhammad Masoud Alam, Mohammad Tariq, L. N. R. Bondugulapati, M. A. Pasha, J. Bashir, Usman Hassan, Tufail Ahmad Awan","doi":"10.1055/s-0042-1750181","DOIUrl":"https://doi.org/10.1055/s-0042-1750181","url":null,"abstract":"Abstract Introduction Adrenal insufficiency can happen because of decreased cortisol production as a result of negative feedback on the hypothalamic–pituitary–adrenal axis, caused by excess exogenous glucocorticoids (GC). The most common cause of adrenal insufficiency is, in fact, abrupt stoppage of exogenous GC. Patients with adrenal insufficiency are at risk of developing life-threatening adrenal crisis if GC is reduced or stopped abruptly, or if GC dose is not increased during periods of increased stress. The adrenal crises should be preventable with education of patients and healthcare professionals (HCPs) about “sick-day” rules, the importance of “steroid cards,” and the utility of parenteral steroids. Methods This study was aimed at assessing the knowledge of sick-day rules in patients on long-term GC as well as HCPs. Patients aged above 18 years on long-term GC presenting to the endocrinology clinic over 6 weeks were included after audit-committee approval. Results We assessed 18 consecutive patients in total, 61% (11/18) of whom said that they have received information about sick-day rules from an HCP. Only 38% (7/18) had access to emergency hydrocortisone-kit. We assessed 36 HCPs. Thirty-six (13/36) percent were aware of steroid emergency card and 50% (18/36) HCPs exhibited awareness regarding steroid dose during acute event and 27% of (10/36) HCPs were aware of accessible hospital intranet resources. Conclusion This study revealed significant lack of awareness of sick-day rules among patients and HCPs alike. Majority of patients failed to carry steroid emergency card or medic alert bracelet and majority of HCPs and patients lacked knowledge of sick-day rules.","PeriodicalId":13067,"journal":{"name":"Ibnosina Journal of Medicine and Biomedical Sciences","volume":"15 1","pages":"033 - 036"},"PeriodicalIF":0.2,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44298958","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}
Seham Shaboun, L. Salama, Rima Salama, Fatma Abdrabba, Fawzia Shabon
Abstract Introduction Complementary and alternative medicine (CAM) is a growing branch of medicine that can improve the quality of life of many people. This study aimed to assess comparatively the knowledge, attitude, and use of CAM among graduation year pharmacy and medicine students at the University of Benghazi, Libya. Method A cross-sectional survey was conducted among graduation year pharmacy and medicine students at the University of Benghazi for 4 months. The study tool was a self-administered online questionnaire and consisted of four main sections: demographic data, use, knowledge, and attitude toward CAM. Results Most of the study respondents were females, and most were from Benghazi city. CAM use among pharmacy students was significantly higher ( p -value= 0.001), with ruguia being the most commonly used modality (52.5%), followed by cupping-Al hijama and herbal medicine. Minor ailments and acute illnesses were the main medical conditions treated with CAM, and the unnecessary physician intervention was the top reason for practicing CAM among students. CAM knowledge and attitude were significantly higher among pharmacy students ( p -value= 0.000 and 0.001, respectively). Conclusion CAM was commonly practiced among the study participants. Their overall knowledge of CAM was limited, whereas their attitude toward it was positive, with pharmacy students having a better degree of both.
{"title":"Knowledge, Attitude, and Use of Complementary and Alternative Medicine among Final-Year Pharmacy and Medical Students in Benghazi, Libya","authors":"Seham Shaboun, L. Salama, Rima Salama, Fatma Abdrabba, Fawzia Shabon","doi":"10.1055/s-0042-1750084","DOIUrl":"https://doi.org/10.1055/s-0042-1750084","url":null,"abstract":"Abstract Introduction Complementary and alternative medicine (CAM) is a growing branch of medicine that can improve the quality of life of many people. This study aimed to assess comparatively the knowledge, attitude, and use of CAM among graduation year pharmacy and medicine students at the University of Benghazi, Libya. Method A cross-sectional survey was conducted among graduation year pharmacy and medicine students at the University of Benghazi for 4 months. The study tool was a self-administered online questionnaire and consisted of four main sections: demographic data, use, knowledge, and attitude toward CAM. Results Most of the study respondents were females, and most were from Benghazi city. CAM use among pharmacy students was significantly higher ( p -value= 0.001), with ruguia being the most commonly used modality (52.5%), followed by cupping-Al hijama and herbal medicine. Minor ailments and acute illnesses were the main medical conditions treated with CAM, and the unnecessary physician intervention was the top reason for practicing CAM among students. CAM knowledge and attitude were significantly higher among pharmacy students ( p -value= 0.000 and 0.001, respectively). Conclusion CAM was commonly practiced among the study participants. Their overall knowledge of CAM was limited, whereas their attitude toward it was positive, with pharmacy students having a better degree of both.","PeriodicalId":13067,"journal":{"name":"Ibnosina Journal of Medicine and Biomedical Sciences","volume":"15 1","pages":"020 - 028"},"PeriodicalIF":0.2,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48761442","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}
Cancer mortality has significantly decreased due to screening, early detection, improved diagnostics, treatments, and supportive care.1 Worldwide, an estimated 28.4 million new cancer cases are projected to occur in 2040.2 Cancer survival in the United Kingdom has doubled in the past 40 years from 24 to 50%.3 By 2040, we expect around 26 million cancer survivors in the United States of America.4 The total global cancer survivor population, including Asia, could be over several million. Undoubtedly, every healthcare provider will encounter a cancer survivor in their practice. The care of cancer survivors is often uncoordinated, incomplete, and tends to be fragmentary. Significant improvements in cancer survivor care are necessary in most parts of the developing world by implementing the core essentials of cancer survivorship care, such as ASCO, ESMO, National Academies of Sciences, Engineering and Medicine, and National Cancer Survivorship Resource Center (The Survivorship Center).5–7 We summarize this topic through a set of questions and answers. The core essentials of cancer survivorship care will be outlined, and finally, we will discuss a few methods of its implementation in our region.
{"title":"Status of Cancer Survivorship Care: Should We Not Improve?","authors":"R. A. Singarachari","doi":"10.1055/s-0042-1755131","DOIUrl":"https://doi.org/10.1055/s-0042-1755131","url":null,"abstract":"Cancer mortality has significantly decreased due to screening, early detection, improved diagnostics, treatments, and supportive care.1 Worldwide, an estimated 28.4 million new cancer cases are projected to occur in 2040.2 Cancer survival in the United Kingdom has doubled in the past 40 years from 24 to 50%.3 By 2040, we expect around 26 million cancer survivors in the United States of America.4 The total global cancer survivor population, including Asia, could be over several million. Undoubtedly, every healthcare provider will encounter a cancer survivor in their practice. The care of cancer survivors is often uncoordinated, incomplete, and tends to be fragmentary. Significant improvements in cancer survivor care are necessary in most parts of the developing world by implementing the core essentials of cancer survivorship care, such as ASCO, ESMO, National Academies of Sciences, Engineering and Medicine, and National Cancer Survivorship Resource Center (The Survivorship Center).5–7 We summarize this topic through a set of questions and answers. The core essentials of cancer survivorship care will be outlined, and finally, we will discuss a few methods of its implementation in our region.","PeriodicalId":13067,"journal":{"name":"Ibnosina Journal of Medicine and Biomedical Sciences","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44898153","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 The number of older people is growing in the Middle East and Africa (MEA). We aimed to explore the attitudes of MEA's physicians toward the care of the elderly and nursing homes. Methods We surveyed 137 doctors practicing in the MEA region in 2017 using an online questionnaire that included attitude scales of geriatrics and nursing homes. Results Most respondents were senior (47.1%) or in middle grades (35.3%), in public facilities (77.4%), and practiced internal medicine and subspecialties. More respondents (86%) agreed with what was perceived as the most exciting and entertaining qualities of most older people in their accounts of their past experiences. Also, 69.0% of respondents disagreed that older people need/demand no more attention or love than younger people. At the same time, 43.6% of respondents were neutral on the question relating to older people's power in business and politics. Positive attitudes, that is, older people's willingness to continue working for as long as possible, and that wisdom with age scored 61.5% was supported by 85.1 and 61.5% of the respondents, respectively.On the other hand, 53.7% of respondents agreed that older people could not adjust and change with changing circumstances, 70.9% disagreed that older people make neighborhoods less favorable. However, only 15.5% disagreed with the statement that older people cannot adjust and change with changing circumstances. Nearly two-thirds thought nursing homes were not well developed (63.0%) in the MEA region. Also, 59.8% said that the expected reimbursement is low, 57.7% were concerned about complicated medical problems, and 57.3% highlighted the deficits in training. There was low satisfaction with providing nursing home care despite agreeing that they may feel professionally satisfied providing nursing home care (49.5%). The respondents were neutral (47.3%) or somewhat agreed (42.9%) about enjoying nursing home care. Conclusion There is a suboptimal attitude of practicing physicians to geriatrics that needs improvements.
{"title":"Perceptions of Geriatric Medicine and Care of the Elderly: An Exploratory Survey of Physicians from the Middle East and Africa","authors":"S. Beshyah, K. Hafidh, H. Abdulrahman, S. Hammami","doi":"10.1055/s-0042-1748777","DOIUrl":"https://doi.org/10.1055/s-0042-1748777","url":null,"abstract":"\u0000 Background The number of older people is growing in the Middle East and Africa (MEA). We aimed to explore the attitudes of MEA's physicians toward the care of the elderly and nursing homes.\u0000 Methods We surveyed 137 doctors practicing in the MEA region in 2017 using an online questionnaire that included attitude scales of geriatrics and nursing homes.\u0000 Results Most respondents were senior (47.1%) or in middle grades (35.3%), in public facilities (77.4%), and practiced internal medicine and subspecialties. More respondents (86%) agreed with what was perceived as the most exciting and entertaining qualities of most older people in their accounts of their past experiences. Also, 69.0% of respondents disagreed that older people need/demand no more attention or love than younger people. At the same time, 43.6% of respondents were neutral on the question relating to older people's power in business and politics. Positive attitudes, that is, older people's willingness to continue working for as long as possible, and that wisdom with age scored 61.5% was supported by 85.1 and 61.5% of the respondents, respectively.On the other hand, 53.7% of respondents agreed that older people could not adjust and change with changing circumstances, 70.9% disagreed that older people make neighborhoods less favorable. However, only 15.5% disagreed with the statement that older people cannot adjust and change with changing circumstances. Nearly two-thirds thought nursing homes were not well developed (63.0%) in the MEA region. Also, 59.8% said that the expected reimbursement is low, 57.7% were concerned about complicated medical problems, and 57.3% highlighted the deficits in training. There was low satisfaction with providing nursing home care despite agreeing that they may feel professionally satisfied providing nursing home care (49.5%). The respondents were neutral (47.3%) or somewhat agreed (42.9%) about enjoying nursing home care.\u0000 Conclusion There is a suboptimal attitude of practicing physicians to geriatrics that needs improvements.","PeriodicalId":13067,"journal":{"name":"Ibnosina Journal of Medicine and Biomedical Sciences","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42850566","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 Many pharmacological and nonpharmacological methods have been investigated along with advances in pain treatment. One of these nonpharmacological methods is the use of vapocoolant spray. Objective This study aimedto demonstrate the effectiveness of vapocoolant spray to reduce pain during intramuscular (IM) injection. Patients and Methods The study included ≥18 years old patients admitted to the emergency department who were asked to undergo IM injection. Patients were randomly divided into two groups as vapocoolant spray and control group. Demographic data, injection side, and visual analog scale (VAS) of the patients were recorded. Results Mean VAS values during IM injection were significantly lower in patients treated with vapocoolant spray compared with the control group. The severity of pain during IM injection was lower in the vapocoolant spray group as both moderate pain (VAS > 3 cm) and severe pain (VAS > 5.4 cm) compared with the control group. Conclusion Vapocoolant spray to be applied before IM injection is effective in reducing pain caused by the injection.
{"title":"Vapocoolant Spray for Pain Control in Intramuscular Injection Applications: A Prospective, Randomized Controlled Trial","authors":"C. Bedel, F. Selvi, Mehmet Akçimen","doi":"10.1055/s-0042-1748778","DOIUrl":"https://doi.org/10.1055/s-0042-1748778","url":null,"abstract":"\u0000 Background Many pharmacological and nonpharmacological methods have been investigated along with advances in pain treatment. One of these nonpharmacological methods is the use of vapocoolant spray.\u0000 Objective This study aimedto demonstrate the effectiveness of vapocoolant spray to reduce pain during intramuscular (IM) injection.\u0000 Patients and Methods The study included ≥18 years old patients admitted to the emergency department who were asked to undergo IM injection. Patients were randomly divided into two groups as vapocoolant spray and control group. Demographic data, injection side, and visual analog scale (VAS) of the patients were recorded.\u0000 Results Mean VAS values during IM injection were significantly lower in patients treated with vapocoolant spray compared with the control group. The severity of pain during IM injection was lower in the vapocoolant spray group as both moderate pain (VAS > 3 cm) and severe pain (VAS > 5.4 cm) compared with the control group.\u0000 Conclusion Vapocoolant spray to be applied before IM injection is effective in reducing pain caused by the injection.","PeriodicalId":13067,"journal":{"name":"Ibnosina Journal of Medicine and Biomedical Sciences","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46284727","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}
Yaqoob Hassan, A. Rather, A. Bashir, I. Wani, Humayoon Rasool
Background Large renal pelvic stones can be effectively managed with laparoscopic pyelolithotomy. The aim of this study was to compare the surgical outcomes of laparoscopic pyelolithotomy versus open surgery for the treatment of large renal pelvic stones. Materials and Methods This prospective comparative study was performed at the Sher-i-Kashmir Institute of Medical Sciences Medical College and Hospital over a period of 8 years. Using computer-generated random numbers, the patients were randomized into two groups: group A received laparoscopic pyelolithotomy, while group B had open pyelolithotomy. The data was collected and analyzed using SPSS software 22. Results Among 74 patients who met the inclusion criteria, the mean age was 39.18 years with 66.21% being males and a male:female ratio of 1.96. Forty-one (55.41%) patients had open surgery and 33 (44.59%) had laparoscopic pyelolithotomy. The difference in mean operative time of laparoscopy (117.66 minutes) and open (78.13 minutes) surgery was statistically significant (p = 0.05). The mean blood loss was significantly lower in the laparoscopic pyelolithotomy group (62.12 mL) than in the open group (92.07 mL) (p = 0.009). The difference in mean hospital stay between the open and laparoscopic groups was significant (p = 0.02). In both laparoscopy and open surgery, we observed a 100% stone-free rate at the end of 1 month. None of our patients expired during the study period. Conclusion Laparoscopic pyelolithotomy is a promising alternative to traditional open and other endourological techniques, with encouraging results. Despite its technical difficulty, it yields high stone-free rates and low postoperative morbidity.
{"title":"Comparative Study of Laparoscopic and Open Pyelolithotomy in the Management of Large Renal Pelvic Stones","authors":"Yaqoob Hassan, A. Rather, A. Bashir, I. Wani, Humayoon Rasool","doi":"10.1055/s-0042-1749143","DOIUrl":"https://doi.org/10.1055/s-0042-1749143","url":null,"abstract":"\u0000 Background Large renal pelvic stones can be effectively managed with laparoscopic pyelolithotomy. The aim of this study was to compare the surgical outcomes of laparoscopic pyelolithotomy versus open surgery for the treatment of large renal pelvic stones.\u0000 Materials and Methods This prospective comparative study was performed at the Sher-i-Kashmir Institute of Medical Sciences Medical College and Hospital over a period of 8 years. Using computer-generated random numbers, the patients were randomized into two groups: group A received laparoscopic pyelolithotomy, while group B had open pyelolithotomy. The data was collected and analyzed using SPSS software 22.\u0000 Results Among 74 patients who met the inclusion criteria, the mean age was 39.18 years with 66.21% being males and a male:female ratio of 1.96. Forty-one (55.41%) patients had open surgery and 33 (44.59%) had laparoscopic pyelolithotomy. The difference in mean operative time of laparoscopy (117.66 minutes) and open (78.13 minutes) surgery was statistically significant (p = 0.05). The mean blood loss was significantly lower in the laparoscopic pyelolithotomy group (62.12 mL) than in the open group (92.07 mL) (p = 0.009). The difference in mean hospital stay between the open and laparoscopic groups was significant (p = 0.02). In both laparoscopy and open surgery, we observed a 100% stone-free rate at the end of 1 month. None of our patients expired during the study period.\u0000 Conclusion Laparoscopic pyelolithotomy is a promising alternative to traditional open and other endourological techniques, with encouraging results. Despite its technical difficulty, it yields high stone-free rates and low postoperative morbidity.","PeriodicalId":13067,"journal":{"name":"Ibnosina Journal of Medicine and Biomedical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41973963","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 is not enough; we must apply. Willing is not enough; we must do.” Goethe The world’s population is aging rapidly, in absolute numbers and percentages, relative to the younger population.1 In 2018, for the first time in history, persons aged 65 years or over worldwide outnumbered children under age 5. In the current issue of this journal, Beshyah et al2 examined physicians’ perceptions of geriatric medicine in the Middle East and North Africa (MENA) region. The authors surveyed 137 doctors practicing in the MENA region in 2017 using an online questionnaire that included attitude scales of geriatrics and nursing homes. The article is a commendable attempt that highlights the need for additional representative surveys that will have implications for policymakers and universities. That are ultimately responsible for advancing the specialty of geriatrics and gerontology across the comprehensive health care team. The countries in the MENA region are the cradles of civilization and urban culture. Significant demographic changes are affecting the MENA region. The percentage of older persons in the MENA region is expected to increase with improving health care delivery in the area. Presently, Lebanon and Tunisia have the highest percentage of older people (65þ ) (7.3 and 7%, respectively). By 2050, the percentage of older persons will exceed 20% in 6 out of the 22 MENA countries. It will range between 12 and 19% in nine others.3 Therefore, the region will develop rapidly aging populations within the next few decades. Countries with lower economic development and access to adequate health care than more developed countries will be hard-pressed to meet the challenges of more numbers of older people, especially as traditional family support systems for older persons are breaking down. Policymakers in the Middle East need to invest in formal old-age support systems to meet these challenges in the coming decades.4–7 MENA countries have made significant strides in the welfare of their older populations over the past decade. However, the achievements have significantly varied depending on their economic development, resources, and commitment. Theyare affected by the degree of aging in each country. The authors of the survey paper addressed a critical issue that reveals the gaps in training in the aging field.2 However, the sample size was small, and as such, we cannot generalize to the MENA region. In addition, it would have been helpful to know from which countries the physicians were located and their specialties. While aging has long been a problem in wealthier countries, it has only recently become a problem in some Arab countries. For example, in all Arab countries, there is a dearth of geriatric medicine specialization and education. When available, nursing homes are ill-equipped to care for senior citizens.4–6 Due to a lack of adequate geriatric services, elderly persons in the Gulf Cooperation Council countries are typically treated by general i
{"title":"Geriatrics and Care of the Elderly in the Middle East and Africa: Challenges and Opportunities!","authors":"A. Abyad","doi":"10.1055/s-0042-1748796","DOIUrl":"https://doi.org/10.1055/s-0042-1748796","url":null,"abstract":"“Knowing is not enough; we must apply. Willing is not enough; we must do.” Goethe The world’s population is aging rapidly, in absolute numbers and percentages, relative to the younger population.1 In 2018, for the first time in history, persons aged 65 years or over worldwide outnumbered children under age 5. In the current issue of this journal, Beshyah et al2 examined physicians’ perceptions of geriatric medicine in the Middle East and North Africa (MENA) region. The authors surveyed 137 doctors practicing in the MENA region in 2017 using an online questionnaire that included attitude scales of geriatrics and nursing homes. The article is a commendable attempt that highlights the need for additional representative surveys that will have implications for policymakers and universities. That are ultimately responsible for advancing the specialty of geriatrics and gerontology across the comprehensive health care team. The countries in the MENA region are the cradles of civilization and urban culture. Significant demographic changes are affecting the MENA region. The percentage of older persons in the MENA region is expected to increase with improving health care delivery in the area. Presently, Lebanon and Tunisia have the highest percentage of older people (65þ ) (7.3 and 7%, respectively). By 2050, the percentage of older persons will exceed 20% in 6 out of the 22 MENA countries. It will range between 12 and 19% in nine others.3 Therefore, the region will develop rapidly aging populations within the next few decades. Countries with lower economic development and access to adequate health care than more developed countries will be hard-pressed to meet the challenges of more numbers of older people, especially as traditional family support systems for older persons are breaking down. Policymakers in the Middle East need to invest in formal old-age support systems to meet these challenges in the coming decades.4–7 MENA countries have made significant strides in the welfare of their older populations over the past decade. However, the achievements have significantly varied depending on their economic development, resources, and commitment. Theyare affected by the degree of aging in each country. The authors of the survey paper addressed a critical issue that reveals the gaps in training in the aging field.2 However, the sample size was small, and as such, we cannot generalize to the MENA region. In addition, it would have been helpful to know from which countries the physicians were located and their specialties. While aging has long been a problem in wealthier countries, it has only recently become a problem in some Arab countries. For example, in all Arab countries, there is a dearth of geriatric medicine specialization and education. When available, nursing homes are ill-equipped to care for senior citizens.4–6 Due to a lack of adequate geriatric services, elderly persons in the Gulf Cooperation Council countries are typically treated by general i","PeriodicalId":13067,"journal":{"name":"Ibnosina Journal of Medicine and Biomedical Sciences","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45380106","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}
Owing to the rapid advancements in the field of medicine, it is a major challenge for the medical educators to prepare the medical students to be ready and competent in their future clinical practice. It is a must that the medical students should not only be knowledgeable and skilled but also acquire the trait of being a lifelong learner. The adoption of team-based learning is an effective teaching-learning strategy to prepare the medical students for all the above roles, as it envisages working in teams to resolve the clinical-practice-related issues. In conclusion, team-based learning is an effective teaching-learning method that advocates practical application of the learned knowledge and encourages teamwork for the resolution of medical problems. However, successful implementation of team-based learning in a medical college is dependent upon the support from administrators, faculty members, and active participation of the medical students.
{"title":"Team-Based Learning in Medical Colleges: Need, Scope, and the Potential Factors for Successful Implementation","authors":"S. Shrivastava, P. Shrivastava","doi":"10.1055/s-0042-1750083","DOIUrl":"https://doi.org/10.1055/s-0042-1750083","url":null,"abstract":"Owing to the rapid advancements in the field of medicine, it is a major challenge for the medical educators to prepare the medical students to be ready and competent in their future clinical practice. It is a must that the medical students should not only be knowledgeable and skilled but also acquire the trait of being a lifelong learner. The adoption of team-based learning is an effective teaching-learning strategy to prepare the medical students for all the above roles, as it envisages working in teams to resolve the clinical-practice-related issues. In conclusion, team-based learning is an effective teaching-learning method that advocates practical application of the learned knowledge and encourages teamwork for the resolution of medical problems. However, successful implementation of team-based learning in a medical college is dependent upon the support from administrators, faculty members, and active participation of the medical students.","PeriodicalId":13067,"journal":{"name":"Ibnosina Journal of Medicine and Biomedical Sciences","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42033741","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 Coronavirus disease 2019 (COVID-19) causes significant mortality and morbidity in severe patients. Objective In this study, we aimed to examine the relationship between COVID-19 disease severity and peripheral perfusion index (PPI). Patients and Methods This prospective observational study included COVID-19 patients admitted to the tertiary hospital emergency department. Basal clinical and demographic data of the patients and PPI values at the time of admission were recorded. The patients were categorized to severe and nonsevere groups according to clinical severity. The relationship between COVID-19 severity and PPI was examined in comparison with the control group. Results A total of 324 patients who met the inclusion criteria were analyzed. COVID-19 (+) was detected in 180 of these patients. Ninety-two of the COVID-19 (+) patients were in the severe group, and 88 of them were in the non severe group. Note that 164 COVID-19 (–) patients were in the control group. PPI average was found to be 1.44 ± 1.12 in the severe group, and 3.69 ± 2.51 in the nonsevere group. PPI average was found to be significantly lower in the severe group than the nonsevere group (p< 0.01) As for the nonsevere group and control group, PPI averages were found to be 3.69 ± 2.51 and3.54 ± 2.32, respectively, and a significant difference was determined between the two groups (p< 0.05). PPI COVID-19 severity predicting activity was calculated as area under the curve: 0.833, sensitivity:70.4%, andspecificity:71%(p = 0.025) at 2.2 cutoff value. Conclusion The results of our study showed that PPI is an easy-to-apply and useful parameter in the emergency department in determining the severity of COVID-19 patients.
{"title":"Can Peripheral Perfusion Index (PPI) Predict Disease Severity in COVID-19 Patients in the Emergency Department?","authors":"M. Korkut, C. Bedel, F. Selvi, Ökkeş Zortuk","doi":"10.1055/s-0042-1748776","DOIUrl":"https://doi.org/10.1055/s-0042-1748776","url":null,"abstract":"\u0000 Background Coronavirus disease 2019 (COVID-19) causes significant mortality and morbidity in severe patients.\u0000 Objective In this study, we aimed to examine the relationship between COVID-19 disease severity and peripheral perfusion index (PPI).\u0000 Patients and Methods This prospective observational study included COVID-19 patients admitted to the tertiary hospital emergency department. Basal clinical and demographic data of the patients and PPI values at the time of admission were recorded. The patients were categorized to severe and nonsevere groups according to clinical severity. The relationship between COVID-19 severity and PPI was examined in comparison with the control group.\u0000 Results A total of 324 patients who met the inclusion criteria were analyzed. COVID-19 (+) was detected in 180 of these patients. Ninety-two of the COVID-19 (+) patients were in the severe group, and 88 of them were in the non severe group. Note that 164 COVID-19 (–) patients were in the control group. PPI average was found to be 1.44 ± 1.12 in the severe group, and 3.69 ± 2.51 in the nonsevere group. PPI average was found to be significantly lower in the severe group than the nonsevere group (p< 0.01) As for the nonsevere group and control group, PPI averages were found to be 3.69 ± 2.51 and3.54 ± 2.32, respectively, and a significant difference was determined between the two groups (p< 0.05). PPI COVID-19 severity predicting activity was calculated as area under the curve: 0.833, sensitivity:70.4%, andspecificity:71%(p = 0.025) at 2.2 cutoff value.\u0000 Conclusion The results of our study showed that PPI is an easy-to-apply and useful parameter in the emergency department in determining the severity of COVID-19 patients.","PeriodicalId":13067,"journal":{"name":"Ibnosina Journal of Medicine and Biomedical Sciences","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44329340","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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