Sidhi Laksono, A. S. Prawara, Hillary Kusharsamita
Cardiac computed tomography (CT) is an imaging modality that can visualize the anatomy of the heart and its surroundings. The technological advancement in cardiac CT gave better accuracy with lower radiation than earlier models. Its entire procedure took a relatively short time and minimal contact. Cardiac CT is an important imaging modality in clinical practice during emergencies and non-emergency settings and in planning comprehensive management of cardiac patients. Cardiac CT is useful in emergency settings, acting as a triple rule-out imaging modality. Cardiac CT in non-emergency settings can determine coronary artery calcium (CAC) score and detect left atrial appendage (LAA) thrombus before cardioversion. Furthermore, cardiac CT is now more commonly used as a modality in planning comprehensive management of cardiac patients’ especially coronary CT angiography (CCTA) in planning for cardiac intervention. This imaging modality becomes more relevant to use in clinical practice during the pandemic due to less contact with the patient needed during the procedure, and physicians may get used to cardiac CT. This article aims to explain the advantages of CCTA in emergency and non-emergency settings and discuss its limitation so that we can make the best use of it. This writing is a literature review. The literature search using PubMed and Google Scholar.
{"title":"Cardiac computed tomography and its use in clinical practice: a review","authors":"Sidhi Laksono, A. S. Prawara, Hillary Kusharsamita","doi":"10.53986/ibjm.2023.0022","DOIUrl":"https://doi.org/10.53986/ibjm.2023.0022","url":null,"abstract":"Cardiac computed tomography (CT) is an imaging modality that can visualize the anatomy of the heart and its surroundings. The technological advancement in cardiac CT gave better accuracy with lower radiation than earlier models. Its entire procedure took a relatively short time and minimal contact. Cardiac CT is an important imaging modality in clinical practice during emergencies and non-emergency settings and in planning comprehensive management of cardiac patients. Cardiac CT is useful in emergency settings, acting as a triple rule-out imaging modality. Cardiac CT in non-emergency settings can determine coronary artery calcium (CAC) score and detect left atrial appendage (LAA) thrombus before cardioversion. Furthermore, cardiac CT is now more commonly used as a modality in planning comprehensive management of cardiac patients’ especially coronary CT angiography (CCTA) in planning for cardiac intervention. This imaging modality becomes more relevant to use in clinical practice during the pandemic due to less contact with the patient needed during the procedure, and physicians may get used to cardiac CT. This article aims to explain the advantages of CCTA in emergency and non-emergency settings and discuss its limitation so that we can make the best use of it. This writing is a literature review. The literature search using PubMed and Google Scholar.","PeriodicalId":13190,"journal":{"name":"Iberoamerican Journal of Medicine","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83688440","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. Sırıken, A. Ertekin, Bengü Depboylu, A. G. Pekcan, E. Zafer, H. Öztürk
Introduction: This study aimed to determine pregnant women's nutritional status and habits in the middle and low-income groups and the level of compliance with the Mediterranean diet. The Mediterranean diet supports healthy fetal growth and development by providing sufficient nutrients for pregnant women and protecting against the development of obstetrical pathologies. Materials and Methods: One hundred and thirty-two pregnant women aged 17-45 were included. The demographic characteristics and anthropometric measurements, systolic blood pressure, fasting, and postprandial blood glucose values were noted.24-hour recall was determined and The Mediterranean Diet Quality Index (MDQI) developed by Gerber et al. was used to assess nutritional status. Nutritional habits and food attitude changes during gestation were recorded. Results: Overall, 15.2% of the pregnant women had good, 54.5% had medium-good, and %29.5 had medium-poor adherence to MDQI. The dietary macronutrient intakes were close to the daily dietary recommended intakes (DRI); however, micronutrient intakes were below the recommendations. Pre-pregnancy mean BMI was found to be 26.4 kg/m2. Conclusions: According to the mean pre-pregnant BMI, the pregnant women were overweight, and their adherence to the Mediterranean diet needed to be improved. General measures should be taken to improve pregnant women's diets and micronutrient intakes, even in the Mediterranean countries where this diet is the daily nutrition habit of local inhabitant pregnant women.
{"title":"Mediterranean Diet Quality Index (MDQI) of the pregnant women","authors":"F. Sırıken, A. Ertekin, Bengü Depboylu, A. G. Pekcan, E. Zafer, H. Öztürk","doi":"10.53986/ibjm.2023.0021","DOIUrl":"https://doi.org/10.53986/ibjm.2023.0021","url":null,"abstract":"Introduction: This study aimed to determine pregnant women's nutritional status and habits in the middle and low-income groups and the level of compliance with the Mediterranean diet. The Mediterranean diet supports healthy fetal growth and development by providing sufficient nutrients for pregnant women and protecting against the development of obstetrical pathologies. Materials and Methods: One hundred and thirty-two pregnant women aged 17-45 were included. The demographic characteristics and anthropometric measurements, systolic blood pressure, fasting, and postprandial blood glucose values were noted.24-hour recall was determined and The Mediterranean Diet Quality Index (MDQI) developed by Gerber et al. was used to assess nutritional status. Nutritional habits and food attitude changes during gestation were recorded. Results: Overall, 15.2% of the pregnant women had good, 54.5% had medium-good, and %29.5 had medium-poor adherence to MDQI. The dietary macronutrient intakes were close to the daily dietary recommended intakes (DRI); however, micronutrient intakes were below the recommendations. Pre-pregnancy mean BMI was found to be 26.4 kg/m2. Conclusions: According to the mean pre-pregnant BMI, the pregnant women were overweight, and their adherence to the Mediterranean diet needed to be improved. General measures should be taken to improve pregnant women's diets and micronutrient intakes, even in the Mediterranean countries where this diet is the daily nutrition habit of local inhabitant pregnant women.","PeriodicalId":13190,"journal":{"name":"Iberoamerican Journal of Medicine","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75014064","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}
Fethiye Akgül, A. Şahin, Yeliz Çiçek, E. Gürbüz, Mehmet Çelik, Yusuf Arslan, Ömer Karaşahin, M. Ceylan
Introduction: Changes in the immune system during pregnancy have been associated with reactivation of the hepatitis B virus in women chronic hepatitis B infection not receiving antiviral therapy. The aim of this study is to examine the development of intrapartum and postpartum hepatitis B reactivation in pregnant patients not being treated for chronic hepatitis B. Material and Methods: Pregnant women diagnosed with chronic hepatitis B and not receiving treatment between 2017 and 2022 in five centres in the east and southeast Turkey included in this study. In order to evaluate biochemical and viral reactivation from intrapartum and postpartum periods, patients with data for at least two periods were included in the study. Results: Evaluations were made on 171 pregnant women diagnosed with chronic hepatitis B. Reactivation occurred in 43 (25.2%) patients, in the postpartum period in 14 (32.35%) and in the intrapartum period in 29 (67.44%). Reactivation occurred most often in the 3rd trimester (n: 13, 30.2%). A significant increase was observed in the alanine aminotransferase levels of the patients with reactivation in the first trimester compared to 6 months prepartum and in the second trimester compared to the first trimester (p=0.038, p=0.039, respectively). The prepartum HBV DNA level (cut-off point =192 IU/ml) of patients with HBeAg negativity was found to have diagnostic power for reactivation of 0.684 (95% CI: 0.575-0.792, p=0.002) with 65.9% sensitivity and 68.6% specificity. Viral reactivation was observed in the first trimester in one patient and hepatitis B surface antibody was seen in the postpartum period. Conclusions: Asymptomatic viral reactivation occurred at the high rate of 25.1% in this series. To be able to identify reactivation as early as possible, pregnant patients should be followed up closely in the intrapartum and postpartum periods.
{"title":"Intrapartum and Postpartum Reactivation of Hepatitis B in Pregnant Patients: a multicentre study","authors":"Fethiye Akgül, A. Şahin, Yeliz Çiçek, E. Gürbüz, Mehmet Çelik, Yusuf Arslan, Ömer Karaşahin, M. Ceylan","doi":"10.53986/ibjm.2023.0020","DOIUrl":"https://doi.org/10.53986/ibjm.2023.0020","url":null,"abstract":"Introduction: Changes in the immune system during pregnancy have been associated with reactivation of the hepatitis B virus in women chronic hepatitis B infection not receiving antiviral therapy. The aim of this study is to examine the development of intrapartum and postpartum hepatitis B reactivation in pregnant patients not being treated for chronic hepatitis B. Material and Methods: Pregnant women diagnosed with chronic hepatitis B and not receiving treatment between 2017 and 2022 in five centres in the east and southeast Turkey included in this study. In order to evaluate biochemical and viral reactivation from intrapartum and postpartum periods, patients with data for at least two periods were included in the study. Results: Evaluations were made on 171 pregnant women diagnosed with chronic hepatitis B. Reactivation occurred in 43 (25.2%) patients, in the postpartum period in 14 (32.35%) and in the intrapartum period in 29 (67.44%). Reactivation occurred most often in the 3rd trimester (n: 13, 30.2%). A significant increase was observed in the alanine aminotransferase levels of the patients with reactivation in the first trimester compared to 6 months prepartum and in the second trimester compared to the first trimester (p=0.038, p=0.039, respectively). The prepartum HBV DNA level (cut-off point =192 IU/ml) of patients with HBeAg negativity was found to have diagnostic power for reactivation of 0.684 (95% CI: 0.575-0.792, p=0.002) with 65.9% sensitivity and 68.6% specificity. Viral reactivation was observed in the first trimester in one patient and hepatitis B surface antibody was seen in the postpartum period. Conclusions: Asymptomatic viral reactivation occurred at the high rate of 25.1% in this series. To be able to identify reactivation as early as possible, pregnant patients should be followed up closely in the intrapartum and postpartum periods.","PeriodicalId":13190,"journal":{"name":"Iberoamerican Journal of Medicine","volume":"149 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77525181","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}
{"title":"Plan for Protecting Our Children from Diethylene glycol/Ethylene glycol-associated Acute Kidney Injury","authors":"Tungki Pratama Umar","doi":"10.53986/ibjm.2023.0017","DOIUrl":"https://doi.org/10.53986/ibjm.2023.0017","url":null,"abstract":"","PeriodicalId":13190,"journal":{"name":"Iberoamerican Journal of Medicine","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79868396","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}
Anna S. Sukhotko, Serghei Covantsev, Maria V. Kovaleva
{"title":"Tissue engineering in breast reconstruction: a look into the future","authors":"Anna S. Sukhotko, Serghei Covantsev, Maria V. Kovaleva","doi":"10.53986/ibjm.2023.0016","DOIUrl":"https://doi.org/10.53986/ibjm.2023.0016","url":null,"abstract":"","PeriodicalId":13190,"journal":{"name":"Iberoamerican Journal of Medicine","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135812933","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}
G. Oliván-Gonzalvo, Ana Cristina Lázaro-Trémul, Javier Ortego-Fernández de Retana, Miguel Angel Trigo-Cebrian
{"title":"Solitary cutaneous mastocytoma in a 3-month-old infant","authors":"G. Oliván-Gonzalvo, Ana Cristina Lázaro-Trémul, Javier Ortego-Fernández de Retana, Miguel Angel Trigo-Cebrian","doi":"10.53986/ibjm.2023.0015","DOIUrl":"https://doi.org/10.53986/ibjm.2023.0015","url":null,"abstract":"","PeriodicalId":13190,"journal":{"name":"Iberoamerican Journal of Medicine","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75574880","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}
Ahmed Samaouel Chehad, N. Boutrid, Hadjer Khouidmi, H. Rahmoune
Cutaneous leishmaniasis (CL) is the most common form of leishmaniasis. It is characterized by nodulo-ulcerative skin lesions and occasionally nodular, papular/plaque, and/or impetiginous lesions on exposed parts of the body. However, other atypical lesions of CL have been reported worldwide such as lupoid, eczematous, erysipeloid, verrucous, dry, zosteriform, paronychial, sporotrichoid, chancriform, annular and erythematous volcanic ulcers. These non-specific lesions often make the diagnosis challenging due to the large number of differential diagnoses and may lead to a delay in the implementation of CL therapy and therefore a higher risk of lifelong scars and major quality of life issues and stigma. We report a case of an 11-year-old immunocompetent albino child boy that presented with 3 years’ history of persistent multiple asymptomatic, small ulcers and cribriform scars of the forehead. Diagnosis of CL was confirmed by detecting Leishmania parasites in tissue specimens, and treatment by antimony drugs resulted in healing of lesion within one month. This is a novel case of a rare, atypical form of CL, which resulted in delayed diagnosis and management. Clinicians, especially those practicing in CL endemic areas like the Americas and the Mediterranean basin, should consider systematically the diagnosis of CL in front of long-lasting and/or non-specific lesions.
{"title":"Cutaneous leishmaniasis in an albino child: a peculiar presentation","authors":"Ahmed Samaouel Chehad, N. Boutrid, Hadjer Khouidmi, H. Rahmoune","doi":"10.53986/ibjm.2023.0013","DOIUrl":"https://doi.org/10.53986/ibjm.2023.0013","url":null,"abstract":"Cutaneous leishmaniasis (CL) is the most common form of leishmaniasis. It is characterized by nodulo-ulcerative skin lesions and occasionally nodular, papular/plaque, and/or impetiginous lesions on exposed parts of the body. However, other atypical lesions of CL have been reported worldwide such as lupoid, eczematous, erysipeloid, verrucous, dry, zosteriform, paronychial, sporotrichoid, chancriform, annular and erythematous volcanic ulcers. These non-specific lesions often make the diagnosis challenging due to the large number of differential diagnoses and may lead to a delay in the implementation of CL therapy and therefore a higher risk of lifelong scars and major quality of life issues and stigma. We report a case of an 11-year-old immunocompetent albino child boy that presented with 3 years’ history of persistent multiple asymptomatic, small ulcers and cribriform scars of the forehead. Diagnosis of CL was confirmed by detecting Leishmania parasites in tissue specimens, and treatment by antimony drugs resulted in healing of lesion within one month. This is a novel case of a rare, atypical form of CL, which resulted in delayed diagnosis and management. Clinicians, especially those practicing in CL endemic areas like the Americas and the Mediterranean basin, should consider systematically the diagnosis of CL in front of long-lasting and/or non-specific lesions.","PeriodicalId":13190,"journal":{"name":"Iberoamerican Journal of Medicine","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76462880","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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