Pub Date : 2024-01-18DOI: 10.23958/ijirms/vol09-i01/1804
Mourad Abdelbaki, Dr N. Khellafi
Hydatidosis or hydatid cyst is a Cosmopolitan Zoonosis, due to accidental tissue development in humans of the Taenia Echinococcus granulosus larva, an adult parasite of the small intestine of dogs. Very widespread in Mediterranean countries, where it is generally maintained through a domestic cycle involving dogs and sheep. Algeria is a country with high endemicity, and parasitosis constitutes a major health problem. Pericardial localization without cardiac involvement is extremely rare. We report the observation of isolated intrapericardial hydatidosis revealed by tamponade.
{"title":"Pericardial Hydatidosis Revealed by Tamponade, A Case Report","authors":"Mourad Abdelbaki, Dr N. Khellafi","doi":"10.23958/ijirms/vol09-i01/1804","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i01/1804","url":null,"abstract":"Hydatidosis or hydatid cyst is a Cosmopolitan Zoonosis, due to accidental tissue development in humans of the Taenia Echinococcus granulosus larva, an adult parasite of the small intestine of dogs.\u0000Very widespread in Mediterranean countries, where it is generally maintained through a domestic cycle involving dogs and sheep. Algeria is a country with high endemicity, and parasitosis constitutes a major health problem.\u0000Pericardial localization without cardiac involvement is extremely rare.\u0000We report the observation of isolated intrapericardial hydatidosis revealed by tamponade.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"107 49","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139614593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-16DOI: 10.23958/ijirms/vol09-i01/1803
Mourad Abdelbaki, M. Touati
This case report details a rare instance of an 8-year-old boy with a large sinus of Valsalva rupture in the right ventricle, who underwent successful percutaneous closure. The rarity of this condition in pediatric patients, coupled with the innovative approach to treatment, makes this a significant contribution to pediatric cardiology. The success of procedure highlights the potential of minimally invasive techniques in the management of complex cardiac abnormalities in children.
{"title":"Percutaneous Closure of Sinus of Valsalva Rupture into the Right Ventricule in a Pediatric Patient: A Case Report","authors":"Mourad Abdelbaki, M. Touati","doi":"10.23958/ijirms/vol09-i01/1803","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i01/1803","url":null,"abstract":"This case report details a rare instance of an 8-year-old boy with a large sinus of Valsalva rupture in the right ventricle, who underwent successful percutaneous closure. The rarity of this condition in pediatric patients, coupled with the innovative approach to treatment, makes this a significant contribution to pediatric cardiology. The success of procedure highlights the potential of minimally invasive techniques in the management of complex cardiac abnormalities in children.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139620318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-15DOI: 10.23958/ijirms/vol09-i01/1813
Jafrin Sadiq Abdul Razack, Wasif Afzal khan, Ahammed Hifz Arif, Abdullah Mohammed Saibo, J. Muttappallymyalil, Watson Arul Singh
Objective: The objective of this study was to determine the prevalence of sports-related injuries among athletes in Ajman, UAE, and to determine possible risk factors associated with these sports injuries. Methods: This study adopted a cross-sectional study format in which we surveyed 100 athletes attending a medical university in Ajman, UAE. The subjects of this study were all over the age of 18 and reported practicing the sport or exercise more than twice a week, consistently. An interviewer-administered questionnaire was administered, which inquired about the subjects' socio-demographic characteristics, details of sports activity, type of injury, and factors associated with a sports-related injury. The results were expressed in frequencies and percentages, wherever applicable. The association between dependent and independent variables was tested by performing a chi-square test as well as binary logistic regression for significant chi-square values. This study’s significance level was set at p ≤ 0.05. Results: Among the participants engaged in football, 20 (44.4%) were identified as having sustained injuries, marking football as the sport with the highest incidence of sports-related injuries. Cricket and weight-lifting emerged as the most injury-prone sports, with 60% (6 & 3, respectively) of participants in these activities reporting injuries. The most frequently self-reported type of injury was sprains, accounting for 47.8% (33 respondents), followed by bruises at 33.33% (23 respondents). Among the participants, 59.2% (N = 58) reported experiencing no sports-related injuries, while 40.8% (N = 40) did encounter a sports injury in the last 12 months. When examining the specific injury sites, the lower limb was the most common, with 51% of participants experiencing injuries in this area (N = 20). The upper limb followed closely, where 35% of participants reported injuries (N = 14). A smaller proportion experienced injuries in the head (7%, N = 3), chest (4%, N = 2), and groin (3%, N = 1). Gender was identified as the sole significant risk factor (P = 0.02), as revealed by simple binary logistic regression analysis. The findings indicated that male respondents were 2.9 times more likely to sustain sports-related injuries than their female counterparts (95% CI: 1.1- 7.2). Conclusions: Within the last 12 months, 40.8% (N=40) of participants were identified as having experienced an injury, and approximately 70.4% (N=69) reported a history of sports-related injuries. Our investigation underscores that organized sports activities are primarily associated with injuries to the lower limbs, specifically the legs, with 51% (N=20) of participants attributing their injuries to this region. This correlation is likely influenced by the prevalence of football (soccer) participation, which demands extensive use of the lower limbs. The most commonly reported injury was a sprain, noted by 47.8% (N=47) of participants. Notably, the only factor exhibiting a statis
{"title":"Ajman's Youth in Sport: Unraveling Injury Trends and Factors","authors":"Jafrin Sadiq Abdul Razack, Wasif Afzal khan, Ahammed Hifz Arif, Abdullah Mohammed Saibo, J. Muttappallymyalil, Watson Arul Singh","doi":"10.23958/ijirms/vol09-i01/1813","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i01/1813","url":null,"abstract":"Objective: The objective of this study was to determine the prevalence of sports-related injuries among athletes in Ajman, UAE, and to determine possible risk factors associated with these sports injuries. Methods: This study adopted a cross-sectional study format in which we surveyed 100 athletes attending a medical university in Ajman, UAE. The subjects of this study were all over the age of 18 and reported practicing the sport or exercise more than twice a week, consistently. An interviewer-administered questionnaire was administered, which inquired about the subjects' socio-demographic characteristics, details of sports activity, type of injury, and factors associated with a sports-related injury. The results were expressed in frequencies and percentages, wherever applicable. The association between dependent and independent variables was tested by performing a chi-square test as well as binary logistic regression for significant chi-square values. This study’s significance level was set at p ≤ 0.05. Results: Among the participants engaged in football, 20 (44.4%) were identified as having sustained injuries, marking football as the sport with the highest incidence of sports-related injuries. Cricket and weight-lifting emerged as the most injury-prone sports, with 60% (6 & 3, respectively) of participants in these activities reporting injuries. The most frequently self-reported type of injury was sprains, accounting for 47.8% (33 respondents), followed by bruises at 33.33% (23 respondents). Among the participants, 59.2% (N = 58) reported experiencing no sports-related injuries, while 40.8% (N = 40) did encounter a sports injury in the last 12 months. When examining the specific injury sites, the lower limb was the most common, with 51% of participants experiencing injuries in this area (N = 20). The upper limb followed closely, where 35% of participants reported injuries (N = 14). A smaller proportion experienced injuries in the head (7%, N = 3), chest (4%, N = 2), and groin (3%, N = 1). Gender was identified as the sole significant risk factor (P = 0.02), as revealed by simple binary logistic regression analysis. The findings indicated that male respondents were 2.9 times more likely to sustain sports-related injuries than their female counterparts (95% CI: 1.1- 7.2). Conclusions: Within the last 12 months, 40.8% (N=40) of participants were identified as having experienced an injury, and approximately 70.4% (N=69) reported a history of sports-related injuries. Our investigation underscores that organized sports activities are primarily associated with injuries to the lower limbs, specifically the legs, with 51% (N=20) of participants attributing their injuries to this region. This correlation is likely influenced by the prevalence of football (soccer) participation, which demands extensive use of the lower limbs. The most commonly reported injury was a sprain, noted by 47.8% (N=47) of participants. Notably, the only factor exhibiting a statis","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":" 68","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139621351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-11DOI: 10.23958/ijirms/vol09-i01/1805
Mourad Abdelbaki, Benalikhoudja H., Boudiaf Eh
Mitral valve replacement after mitral stenosis is directly related to rheumatic fever, which is very common in our country. The development of PAH is the most frequent evolutionary course of MR. This is a retrospective study of 55 patients with severe PAH. The aim of our study is to demonstrate that severe pulmonary hypertension is not a contraindication to mitral valve replacement, and that long-term results are good.
{"title":"Postoperative Results of Mitral Valve Replacement in Patients with Severe Pulmonary Arterial Hypertension (≥ 50mmhg)","authors":"Mourad Abdelbaki, Benalikhoudja H., Boudiaf Eh","doi":"10.23958/ijirms/vol09-i01/1805","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i01/1805","url":null,"abstract":"Mitral valve replacement after mitral stenosis is directly related to rheumatic fever, which is very common in our country. The development of PAH is the most frequent evolutionary course of MR. This is a retrospective study of 55 patients with severe PAH. The aim of our study is to demonstrate that severe pulmonary hypertension is not a contraindication to mitral valve replacement, and that long-term results are good.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":" 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139625878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-10DOI: 10.23958/ijirms/vol09-i01/1802
Mourad Abdelbaki, A. Boureghda, N. Hanifi
Physiological left ventricular hypertrophy is the result of the left ventricle having to function harder due to intense physical exercise. After exercise is stopped, this modest and reversible hypertrophy persists. Studying these structural alterations is now feasible because to cardiac echodoppler. Distinguishing this adaptive hypertrophy from the pathogenic hypertrophic cardiomyopathy might be challenging at times. We examined 212 athletes who competed and a group of hypertrophic cardiomyopathy patients who had asymmetric septal hypertrophy that was confirmed. The findings demonstrated that there is a boundary between pathological and normal hypertrophy. This zone contained four athletes, one of whom had hypertrophic cardiomyopathy. Numerous variables led to the diagnosis, including the patient's history, electrical anomalies, septal thickness, and a diastolic diameter of less than 45 mm. Deconditioning further supported the diagnosis.
{"title":"Comparative Research Between Sportsman's Heart and Hypertrophic Cardiomyopathy","authors":"Mourad Abdelbaki, A. Boureghda, N. Hanifi","doi":"10.23958/ijirms/vol09-i01/1802","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i01/1802","url":null,"abstract":"Physiological left ventricular hypertrophy is the result of the left ventricle having to function harder due to intense physical exercise. After exercise is stopped, this modest and reversible hypertrophy persists.\u0000Studying these structural alterations is now feasible because to cardiac echodoppler.\u0000Distinguishing this adaptive hypertrophy from the pathogenic hypertrophic cardiomyopathy might be challenging at times.\u0000We examined 212 athletes who competed and a group of hypertrophic cardiomyopathy patients who had asymmetric septal hypertrophy that was confirmed.\u0000The findings demonstrated that there is a boundary between pathological and normal hypertrophy.\u0000This zone contained four athletes, one of whom had hypertrophic cardiomyopathy.\u0000Numerous variables led to the diagnosis, including the patient's history, electrical anomalies, septal thickness, and a diastolic diameter of less than 45 mm. Deconditioning further supported the diagnosis.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139627397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-10DOI: 10.23958/ijirms/vol09-i01/1792
Rabiya Siraj, Mahum Zaidi, Jawaid Iqbal, Ramsha Fatima, Bisma Ali
Background and Objective: Hysterosalpingography (HSG) is an invasive fluoroscopic investigation for infertility or recurrent spontaneous abortions. HSG is considered to be a cardinal diagnostic tool for proper assessment of uterine morphology and tubal patency. Due to its invasive mode of evaluation, it is considered to be a stressful and painful procedure. The updated researches show very scarce data regarding this maneuver. In this study, our aim was to investigate women's experience of HSG in terms of anxiety and pain using Beck's Anxiety Inventory (BAI) score and visual analogue scale (VAS) score respectively. Material and Methods: A cross-sectional prospective study was conducted in the X-Ray department of radiology of a tertiary care hospital in Karachi in 1 year period from 19-11-21 till 19-11-22. The data was collected from patients after taking a verbal consent and evaluating patients during the HSG procedure over a specified period. The sample size for the study was calculated to be 240 patients. The level of anxiety and pain of patients was judged on the basis of Beck Anxiety Inventory score (BAI) and Visual Analogue Score (VAS) respectively. Frequencies and percentages were computed for qualitative variables. Quantitative variables were presented as mean ± SD like age. Effect modifier like age was controlled through stratification. P-value of ≤0.05 was considered as significant. Results: The level of anxiety of patients was judged on the basis of Beck Anxiety Inventory score. 42.1% patients (n= 86) had nominal anxiety pre procedure, 45.6% patients (n=93) had mild anxiety. Moderate anxiety was noted in 6.4% of patients (n=13) while 5.9% (n=12) patients had severe anxiety. As per our results, patients who had nominal anxiety pre procedure, 83% of them suffered from mild pain and 17% of the patients suffered moderate pain and 0% had severe pain. Those who presented with mild anxiety experienced mild pain in 23% cases, moderate pain in 76% cases and none experienced severe pain. Patients with moderate and severe anxiety suffered severe pain in all (100%) cases. Conclusion: Anxiety has a crucial role in determining the pain score of the patient and with timely assessment of anxiety score; its management can reduce patient’s fear and sufferings. This study will serve as a basis of awareness and modification in pain and stress management for many invasive procedures done in diagnostic radiology.
{"title":"The Consequences of Preprocedural Anxiety Level on Post Procedural Pain in Women Experienced During Hysterosalpingography","authors":"Rabiya Siraj, Mahum Zaidi, Jawaid Iqbal, Ramsha Fatima, Bisma Ali","doi":"10.23958/ijirms/vol09-i01/1792","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i01/1792","url":null,"abstract":"Background and Objective: Hysterosalpingography (HSG) is an invasive fluoroscopic investigation for infertility or recurrent spontaneous abortions. HSG is considered to be a cardinal diagnostic tool for proper assessment of uterine morphology and tubal patency. Due to its invasive mode of evaluation, it is considered to be a stressful and painful procedure. The updated researches show very scarce data regarding this maneuver. In this study, our aim was to investigate women's experience of HSG in terms of anxiety and pain using Beck's Anxiety Inventory (BAI) score and visual analogue scale (VAS) score respectively. Material and Methods: A cross-sectional prospective study was conducted in the X-Ray department of radiology of a tertiary care hospital in Karachi in 1 year period from 19-11-21 till 19-11-22. The data was collected from patients after taking a verbal consent and evaluating patients during the HSG procedure over a specified period. The sample size for the study was calculated to be 240 patients. The level of anxiety and pain of patients was judged on the basis of Beck Anxiety Inventory score (BAI) and Visual Analogue Score (VAS) respectively. Frequencies and percentages were computed for qualitative variables. Quantitative variables were presented as mean ± SD like age. Effect modifier like age was controlled through stratification. P-value of ≤0.05 was considered as significant. Results: The level of anxiety of patients was judged on the basis of Beck Anxiety Inventory score. 42.1% patients (n= 86) had nominal anxiety pre procedure, 45.6% patients (n=93) had mild anxiety. Moderate anxiety was noted in 6.4% of patients (n=13) while 5.9% (n=12) patients had severe anxiety. As per our results, patients who had nominal anxiety pre procedure, 83% of them suffered from mild pain and 17% of the patients suffered moderate pain and 0% had severe pain. Those who presented with mild anxiety experienced mild pain in 23% cases, moderate pain in 76% cases and none experienced severe pain. Patients with moderate and severe anxiety suffered severe pain in all (100%) cases. Conclusion: Anxiety has a crucial role in determining the pain score of the patient and with timely assessment of anxiety score; its management can reduce patient’s fear and sufferings. This study will serve as a basis of awareness and modification in pain and stress management for many invasive procedures done in diagnostic radiology.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139628064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-06DOI: 10.23958/ijirms/vol09-i01/1757
Basim A. A. Alhijaj, Farah H. Tayeh, Hasnaa Atwan Almatooq
Background thalassemia and sickle cell diseases are highly prevent in our locality and in Basrah governorate, Basrah center for pediatric hereditary blood disease is one of biggest center in Iraq with large cohort of heterogenous patient groups registered, services, patient demography and attitudes all were preliminary expressed in this study in a descriptive way Method cross sectional descriptive study expressed general data and data from direct inquiry of selected sample regarding their QOL, satisfaction and complications Results Basrah center involve patient most of them are of SCD and thalassemia, sample selected showed that family breakage or social breakage was not evident in (79.5%).a general QOL scoring most of the studied sample specified fair score in (63.4%), ( 82.20%) were generally satisfied regarding their general health, 95.50% were showed collective fair and satisfied score in regard of acceptance of their general appearance, (27.7%) did agreed that physical pain is effecting their life,(24.1%) were dissatisfied regarding general health system while 58% showed collective of fair and satisfied score,(63.4%),(61.6 %) were satisfied regarding medical staff management were 34.8% showed dissatisfaction, accessibility to medical service was dissatisfied in (42.9 %) most of this response (79.7%) was from rural living candidates. This research conclusion Patient attitude regarding their life, disease impact and medical service are general good and recommend more interest is to be paid for the patient qualified medical services and social support and showed a limitation of being non comparative, descriptive approach need to be corresponded later with a more analytic data.
背景 地中海贫血和镰状细胞病在我们当地和巴士拉省的发病率很高，巴士拉小儿遗传性血液病中心是伊拉克最大的中心之一，拥有大量注册的异质患者群体，并提供各种服务、本研究以描述性的方式对患者的人口统计和态度进行了初步研究，研究方法为横断面描述性研究，对所选样本的 QOL、满意度和并发症方面的一般数据和数据进行了直接询问，结果显示，巴士拉中心涉及的患者大多数为 SCD 和地中海贫血患者，所选样本显示，家庭破裂或社会破裂在患者中并不明显（79.5%）。在一般 QOL 评分中，大多数研究样本（63.4%）的得分尚可，（82.20%）对自己的一般健康状况基本满意，95.50% 的样本对自己的一般外貌接受度显示为尚可和满意，（27.7%）同意身体疼痛影响了他们的生活，（24.1%）对总体卫生系统不满意，58%的人表示一般和满意，（63.4%）（61.6%）对医务人员的管理表示满意，34.8%的人表示不满意，（42.9%）对医疗服务的可及性表示不满意，其中大部分（79.7%）来自农村居民。这项研究的结论是，患者对其生活、疾病影响和医疗服务的态度总体良好，建议对患者的合格医疗服务和社会支持给予更多关注，但也显示出非比较性的局限性，描述性方法需要在以后与更多的分析数据相对应。
{"title":"Basra Center for Hereditary Pediatric Blood Diseases, Patient Characteristics and Attitudes","authors":"Basim A. A. Alhijaj, Farah H. Tayeh, Hasnaa Atwan Almatooq","doi":"10.23958/ijirms/vol09-i01/1757","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i01/1757","url":null,"abstract":"Background thalassemia and sickle cell diseases are highly prevent in our locality and in Basrah governorate, Basrah center for pediatric hereditary blood disease is one of biggest center in Iraq with large cohort of heterogenous patient groups registered, services, patient demography and attitudes all were preliminary expressed in this study in a descriptive way Method cross sectional descriptive study expressed general data and data from direct inquiry of selected sample regarding their QOL, satisfaction and complications Results Basrah center involve patient most of them are of SCD and thalassemia, sample selected showed that family breakage or social breakage was not evident in (79.5%).a general QOL scoring most of the studied sample specified fair score in (63.4%), ( 82.20%) were generally satisfied regarding their general health, 95.50% were showed collective fair and satisfied score in regard of acceptance of their general appearance, (27.7%) did agreed that physical pain is effecting their life,(24.1%) were dissatisfied regarding general health system while 58% showed collective of fair and satisfied score,(63.4%),(61.6 %) were satisfied regarding medical staff management were 34.8% showed dissatisfaction, accessibility to medical service was dissatisfied in (42.9 %) most of this response (79.7%) was from rural living candidates. This research conclusion Patient attitude regarding their life, disease impact and medical service are general good and recommend more interest is to be paid for the patient qualified medical services and social support and showed a limitation of being non comparative, descriptive approach need to be corresponded later with a more analytic data.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139629264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-04DOI: 10.23958/ijirms/vol09-i01/1754
Azhar Kareem Hasan Alhusseini, Dr Vahid Changizi, PhD, Dr Atheel Saad Al-Nasrawi, Dr Kholoud Morad Mohammed, MD
Background: MRI has a vital role in the assessment of brain neoplasm. Conventional MRI has limited specificity. The combination of MRI using diffusion-weighted imaging, perfusion-weighted imaging and magnetic resonance spectroscopy allows more accurate assessment of the tissue microenvironment. Objective: The role of diffusion-weighted Perfusion - Weighted Imaging, and Magnetic Resonance Spectroscopy techniques to evaluate the Accuracy of Brain Neoplasms Diagnosis. Method: This project is based on cross-sectional design. The population of this study were 80 patients with brain tumors that have been indicated for MRI test in the period of sampling which was during February 2023 to July 2023. The data-collecting technique was done by the researcher using a questionnaire, observation, and laboratory findings. The questionnaire was designed and copied by the researcher. MRI examinations was performed using MRI 1.5 T scanner (Philips MULTIVA systems) using a phase array 6 channels head coil at the radiology department. The data had encoded and then entered into the statistical program (SSPS version 26). Results: A total 80 of six equally collected group samples were investigated radiographically for brain (8, 9, 17, 31, 7, and 8 patients) respectively after the inclusion and exclusion criteria. The age of each study sample was normally distributed and ranged from 10 to 86 years without significant differences between them (P-value= 0.16). One patient out of 80 was diagnosed incorrectly when using MRS sequence. Therefore, the achieved total accuracy, sensitivity and specificity are 97.61%, 100% and 87.5% respectively. The achieved p-value among study’s groups is 0.6. Although it is highly significant and accurate in the MRS procedure, additionally, the p-value when implementing the three independent sample ANOVA-test between the Choline, creatine and NAA is high significant with p value choline being 0.0001 and p-value for NAA being 0.0024 which means that there are highly significant differences between tissue brain groups. 80 patients were diagnosed correctly when using combining diffusion, perfusion and MRS sequence. Therefore, the achieved total accuracy, sensitivity and specificity are 100%, 100% and 98.9% respectively. Additionally, the achieved p-value of overall diagnosing result is 0.75 which confirms that no patients failed to diagnose by combining DWI, PWI and MRS than separate protocol. Conclusion: In this study we found that it is possible to diagnose brain malignancies with a greater level of sensitivity and accuracy by combining perfusion, diffusion-weighted imaging (DWI), and magnetic resonance spectroscopy (MRS). It has been found that using the CBF and CBV parameters for diagnosing brain lesions is more effective than using the MTT and TTP parameters. The NAA and Choline parameters are superior to the Creatinine parameter in terms of their ability to accurately diagnose brain lesions. The combination of DWI, MRS, and MRP predicted 100
{"title":"The Evaluation of Integrated Perfusion - Weighted Imaging Diffusion and Magnetic Resonance Spectroscopy Methods Accuracy for Brain Neoplasms Diagnosis Compared to Pathology Findings","authors":"Azhar Kareem Hasan Alhusseini, Dr Vahid Changizi, PhD, Dr Atheel Saad Al-Nasrawi, Dr Kholoud Morad Mohammed, MD","doi":"10.23958/ijirms/vol09-i01/1754","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i01/1754","url":null,"abstract":"Background: MRI has a vital role in the assessment of brain neoplasm. Conventional MRI has limited specificity. The combination of MRI using diffusion-weighted imaging, perfusion-weighted imaging and magnetic resonance spectroscopy allows more accurate assessment of the tissue microenvironment. Objective: The role of diffusion-weighted Perfusion - Weighted Imaging, and Magnetic Resonance Spectroscopy techniques to evaluate the Accuracy of Brain Neoplasms Diagnosis. Method: This project is based on cross-sectional design. The population of this study were 80 patients with brain tumors that have been indicated for MRI test in the period of sampling which was during February 2023 to July 2023. The data-collecting technique was done by the researcher using a questionnaire, observation, and laboratory findings. The questionnaire was designed and copied by the researcher. MRI examinations was performed using MRI 1.5 T scanner (Philips MULTIVA systems) using a phase array 6 channels head coil at the radiology department. The data had encoded and then entered into the statistical program (SSPS version 26). Results: A total 80 of six equally collected group samples were investigated radiographically for brain (8, 9, 17, 31, 7, and 8 patients) respectively after the inclusion and exclusion criteria. The age of each study sample was normally distributed and ranged from 10 to 86 years without significant differences between them (P-value= 0.16). One patient out of 80 was diagnosed incorrectly when using MRS sequence. Therefore, the achieved total accuracy, sensitivity and specificity are 97.61%, 100% and 87.5% respectively. The achieved p-value among study’s groups is 0.6. Although it is highly significant and accurate in the MRS procedure, additionally, the p-value when implementing the three independent sample ANOVA-test between the Choline, creatine and NAA is high significant with p value choline being 0.0001 and p-value for NAA being 0.0024 which means that there are highly significant differences between tissue brain groups. 80 patients were diagnosed correctly when using combining diffusion, perfusion and MRS sequence. Therefore, the achieved total accuracy, sensitivity and specificity are 100%, 100% and 98.9% respectively. Additionally, the achieved p-value of overall diagnosing result is 0.75 which confirms that no patients failed to diagnose by combining DWI, PWI and MRS than separate protocol. Conclusion: In this study we found that it is possible to diagnose brain malignancies with a greater level of sensitivity and accuracy by combining perfusion, diffusion-weighted imaging (DWI), and magnetic resonance spectroscopy (MRS). It has been found that using the CBF and CBV parameters for diagnosing brain lesions is more effective than using the MTT and TTP parameters. The NAA and Choline parameters are superior to the Creatinine parameter in terms of their ability to accurately diagnose brain lesions. The combination of DWI, MRS, and MRP predicted 100","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"7 s3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139630369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-16DOI: 10.23958/ijirms/vol08-i12/1795
Hanan Alrabiee, Falaa Alahmari, Amani Altowairqi
Background: Due to the existing shortage of surgeons as well as other conditions that limit access to affordable and quality surgical care, there is an increasing need to embrace alternative technologies, such as telesurgery, that provide the flexibility, reach and quality desired. Objective: To evaluate the role of telesurgery in improving efficiency and increasing access to delivery of quality surgical healthcare services, as well as to stimulate the adoption of telesurgery in increasing access to quality surgical healthcare services. Research Design and Methodology: The study employed a descriptive design and was qualitative in nature. This involved a review of 29 peer-reviewed literature published on various topics on telesurgery. Research Findings and Limitations: The study established that telesurgery can help deal with the shortage of surgeons, eliminate the geographical barriers that hinder access to healthcare, and also improve the time access to affordable and quality surgical care through enhanced surgical accuracy. The study is limited to the available number of relevant peer-reviewed scholarly articles on telesurgery. Discussion and Conclusion: The research indicated significant potential in enhancing access to affordable and quality surgical healthcare. However, challenges due to high initial costs of equipment and staff training, as well as lack of adequate legal support, limit the possible adoption of telesurgery. Therefore, to mitigate the slow uptake of telesurgery, there is a need to have goodwill from relevant policy developers so that they can create a favorable legal framework to accelerate the development and uptake of telesurgery.
{"title":"Telesurgery Robotics and Easy Access to Quality Healthcare Services","authors":"Hanan Alrabiee, Falaa Alahmari, Amani Altowairqi","doi":"10.23958/ijirms/vol08-i12/1795","DOIUrl":"https://doi.org/10.23958/ijirms/vol08-i12/1795","url":null,"abstract":"Background: Due to the existing shortage of surgeons as well as other conditions that limit access to affordable and quality surgical care, there is an increasing need to embrace alternative technologies, such as telesurgery, that provide the flexibility, reach and quality desired. Objective: To evaluate the role of telesurgery in improving efficiency and increasing access to delivery of quality surgical healthcare services, as well as to stimulate the adoption of telesurgery in increasing access to quality surgical healthcare services. Research Design and Methodology: The study employed a descriptive design and was qualitative in nature. This involved a review of 29 peer-reviewed literature published on various topics on telesurgery. Research Findings and Limitations: The study established that telesurgery can help deal with the shortage of surgeons, eliminate the geographical barriers that hinder access to healthcare, and also improve the time access to affordable and quality surgical care through enhanced surgical accuracy. The study is limited to the available number of relevant peer-reviewed scholarly articles on telesurgery. Discussion and Conclusion: The research indicated significant potential in enhancing access to affordable and quality surgical healthcare. However, challenges due to high initial costs of equipment and staff training, as well as lack of adequate legal support, limit the possible adoption of telesurgery. Therefore, to mitigate the slow uptake of telesurgery, there is a need to have goodwill from relevant policy developers so that they can create a favorable legal framework to accelerate the development and uptake of telesurgery.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138966884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-15DOI: 10.23958/ijirms/vol08-i12/1794
Chama Elmanjra, Houda Tadili, Ibtissam Bounouar, Naima El Azzam, O. Nacir, F. Lairani, Maryam Aboudourib, Adil Ait Errami, S. Oubaha, O. Hocar, Said Amal, Z. Samlani, K. Krati
Dystrophic epidermolysis bullosa (DEB) is a heterogeneous group of rare genodermatoses with multiple variants and multi-organ involvement, including digestive system with esophageal stenosis. We describe in this paper 3 unusual cases of hereditary epidermolysis bullosa revealed by dysphagia. The first one is a 77-year-old man admitted with chronic dysphagia, cutaneous erosions and a complete loss of fingers and toenails. Gastroscopy with skin biopsies and barium swallow confirmed a hereditary epidermolysis bullosa. He was treated by pneumatic dilatation. The second case is a 60-year-old female admitted because of dysphagia. She was on good condition but had lingual erosions and anonychia affecting fingernails and toenails, with esophageal stenosis. The skin biopsy confirmed the DEB. She was treated successfully with pneumatic dilatation. The third case is a 15-year-old male who was transferred to our department for management of esophageal stenosis. The physical examination showed malnutrition and dehydration with bullous lesions and anonychia. The diagnostic of DEB was confirmed and he was treated by pneumatic dilatation. Dysphagia can rarely reveal an esophageal stenosis complicating a DEB, and can be treated successfully by pneumatic dilatation.
{"title":"Esophageal Stenosis as a Rare Mode of Revelation of Hereditary Epidermolysis Bullosa: Report of Three Cases","authors":"Chama Elmanjra, Houda Tadili, Ibtissam Bounouar, Naima El Azzam, O. Nacir, F. Lairani, Maryam Aboudourib, Adil Ait Errami, S. Oubaha, O. Hocar, Said Amal, Z. Samlani, K. Krati","doi":"10.23958/ijirms/vol08-i12/1794","DOIUrl":"https://doi.org/10.23958/ijirms/vol08-i12/1794","url":null,"abstract":"Dystrophic epidermolysis bullosa (DEB) is a heterogeneous group of rare genodermatoses with multiple variants and multi-organ involvement, including digestive system with esophageal stenosis. We describe in this paper 3 unusual cases of hereditary epidermolysis bullosa revealed by dysphagia. The first one is a 77-year-old man admitted with chronic dysphagia, cutaneous erosions and a complete loss of fingers and toenails. Gastroscopy with skin biopsies and barium swallow confirmed a hereditary epidermolysis bullosa. He was treated by pneumatic dilatation. The second case is a 60-year-old female admitted because of dysphagia. She was on good condition but had lingual erosions and anonychia affecting fingernails and toenails, with esophageal stenosis. The skin biopsy confirmed the DEB. She was treated successfully with pneumatic dilatation. The third case is a 15-year-old male who was transferred to our department for management of esophageal stenosis. The physical examination showed malnutrition and dehydration with bullous lesions and anonychia. The diagnostic of DEB was confirmed and he was treated by pneumatic dilatation. Dysphagia can rarely reveal an esophageal stenosis complicating a DEB, and can be treated successfully by pneumatic dilatation.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"107 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138999627","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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