Pub Date : 2023-06-22DOI: 10.18535/ijmsci/v10i6.01
Ruchika Kalra, Meenakshi Rajput, M. Gupta
Stroke leading to cognitive impairment and memory problems are frequent symptoms that have a substantial impact on the quality of life for survivors. Within a year of the stroke's start, dementia is quite likely to occur in stroke patients. The consequences of stroke on the brain are now being studied, especially in the early stages. It is possible to examine and distinguish between cognitive impairment and dementia after a stroke using a variety of neuropsychological tests. Methodology was to find the association between stroke and memory in young adults diagnosed with acute and chronic stroke. Neuropsychological assessments post stroke memory assessment and mini mental state examination was used with patients from age 18- 59 years; 2 groups each with 10 patients were assessed as a survey. Result came to be strong positive association between PSMA and MMSE in both acute and chronic stroke. The study concluded with memory deficit more in chronic stroke than acute stroke.
{"title":"Association of Stroke and Memory in Young Adults- A Survey","authors":"Ruchika Kalra, Meenakshi Rajput, M. Gupta","doi":"10.18535/ijmsci/v10i6.01","DOIUrl":"https://doi.org/10.18535/ijmsci/v10i6.01","url":null,"abstract":"Stroke leading to cognitive impairment and memory problems are frequent symptoms that have a substantial impact on the quality of life for survivors. Within a year of the stroke's start, dementia is quite likely to occur in stroke patients. The consequences of stroke on the brain are now being studied, especially in the early stages. It is possible to examine and distinguish between cognitive impairment and dementia after a stroke using a variety of neuropsychological tests. Methodology was to find the association between stroke and memory in young adults diagnosed with acute and chronic stroke. Neuropsychological assessments post stroke memory assessment and mini mental state examination was used with patients from age 18- 59 years; 2 groups each with 10 patients were assessed as a survey. Result came to be strong positive association between PSMA and MMSE in both acute and chronic stroke. The study concluded with memory deficit more in chronic stroke than acute stroke.","PeriodicalId":14151,"journal":{"name":"International Journal Of Medical Science And Clinical Invention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76226935","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 : 2023-05-29DOI: 10.18535/ijmsci/v10i5.011
Alessandro Oliveira de Moura, Fábio dos Santos Borges, Angelita Cristiane Ramos de Moura
Introduction: Endolaser or Endolift, is a technique that uses a laser beam with a wavelength between 980 and 1470nm emitted through an optical fiber inserted into the subcutaneous tissue in order to tone the skin through neocollagenesis and reduce fat subcutaneous. Objective: This study aimed to describe the clinical experience of the authors after four years using the endolaser technique treating different aesthetic disorders, and to this end, it was grouped data on the most treated disorders, personal protocols and treatment results. Methodology: An exploratory research was carried out, presented in a narrative review to show the action of Endolaser used in the treatment of aesthetic disorders. The review explored scientific articles published and available in the following databases: MEDLINE (System for Analysis and Retrieval of Online Medical Literature), PubMed (National Library of Medicine), SCIELO (Scientific Electronic Library Online) and LILACS (Latin American and of the Caribbean in Health Sciences). In addition, some clinical findings obtained through a retrospective analysis of medical records were added to describe the clinical experience of the authors in using Endolaser for treating aesthetic dysfunctions. Results: It was verified that the endolaser technique is extremely effective for reducing localized fat and skin retraction, and is characterized as an eligible procedure for face and neck, as well as for the body. Still, endolaser may be indicated for the treatment of several aesthetic disorders involving lipodystrophies and dermal disarrangement, in addition, associated with other therapeutic resources such as microfocused ultrasound, cryolipolysis, chemical peeling, intradermotherapy and others. The technique is safe and has minimal side effects. Conclusion: As a conclusion, the current popularization of Endolaser is justified by its extreme effectiveness and versatility, as well as its ease usability and minimal adverse effects, producing excellent aesthetic results in the short and medium term, and can also be used alone or associated with other therapeutic resources.
{"title":"Endolaser Treatment of Aesthetic Disorders: Clinical Experience of 4 Years","authors":"Alessandro Oliveira de Moura, Fábio dos Santos Borges, Angelita Cristiane Ramos de Moura","doi":"10.18535/ijmsci/v10i5.011","DOIUrl":"https://doi.org/10.18535/ijmsci/v10i5.011","url":null,"abstract":"Introduction: Endolaser or Endolift, is a technique that uses a laser beam with a wavelength between 980 and 1470nm emitted through an optical fiber inserted into the subcutaneous tissue in order to tone the skin through neocollagenesis and reduce fat subcutaneous.\u0000Objective: This study aimed to describe the clinical experience of the authors after four years using the endolaser technique treating different aesthetic disorders, and to this end, it was grouped data on the most treated disorders, personal protocols and treatment results.\u0000Methodology: An exploratory research was carried out, presented in a narrative review to show the action of Endolaser used in the treatment of aesthetic disorders. The review explored scientific articles published and available in the following databases: MEDLINE (System for Analysis and Retrieval of Online Medical Literature), PubMed (National Library of Medicine), SCIELO (Scientific Electronic Library Online) and LILACS (Latin American and of the Caribbean in Health Sciences). In addition, some clinical findings obtained through a retrospective analysis of medical records were added to describe the clinical experience of the authors in using Endolaser for treating aesthetic dysfunctions.\u0000Results: It was verified that the endolaser technique is extremely effective for reducing localized fat and skin retraction, and is characterized as an eligible procedure for face and neck, as well as for the body. Still, endolaser may be indicated for the treatment of several aesthetic disorders involving lipodystrophies and dermal disarrangement, in addition, associated with other therapeutic resources such as microfocused ultrasound, cryolipolysis, chemical peeling, intradermotherapy and others. The technique is safe and has minimal side effects.\u0000Conclusion: As a conclusion, the current popularization of Endolaser is justified by its extreme effectiveness and versatility, as well as its ease usability and minimal adverse effects, producing excellent aesthetic results in the short and medium term, and can also be used alone or associated with other therapeutic resources.","PeriodicalId":14151,"journal":{"name":"International Journal Of Medical Science And Clinical Invention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77756801","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 : 2023-05-25DOI: 10.18535/ijmsci/v10i4.010
Dr. Annarita Piccinato, Dr. Antonio Barberi
Summary This study examined We discuss about the case of a professional athlete with an acute lesion of the proximal plantar fascia after injections with corticosteroids; and the subsequent treatment with mesenchymal cells derived from adipose tissue. Is also discussed.
{"title":"Traumatic Subcutaneous Rupture of the Plantar Fascia after Steroid Injections in 22-Year-Old Olympic Athlete. Implantation of Mesenchymal Cells Taken From Adipose Tissue over the Fascia at Rupture Insertion (Adipose Tissue-Derived Mesenchymal Stem Cells Admscs)","authors":"Dr. Annarita Piccinato, Dr. Antonio Barberi","doi":"10.18535/ijmsci/v10i4.010","DOIUrl":"https://doi.org/10.18535/ijmsci/v10i4.010","url":null,"abstract":"Summary\u0000This study examined We discuss about the case of a professional athlete with an acute lesion of the proximal plantar fascia after injections with corticosteroids; and the subsequent treatment with mesenchymal cells derived from adipose tissue. Is also discussed.","PeriodicalId":14151,"journal":{"name":"International Journal Of Medical Science And Clinical Invention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75530466","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 : 2023-05-22DOI: 10.18535/ijmsci/v10i5.09
A. Mackay, N. M. Harris
Urodynamics comprises urine flow testing, ultrasound estimation of post-void residual, and Cystometry with filling and voiding phases [1]. Cystometry is the concurrent pressure measurement from the bladder and an abdominal control site, with parallel urine flow measurement. Using conventional water filled catheters, pressures are referenced to atmospheric pressure and the physical height of the external pressure transducer. Cystometry facilitates assessment of detrusor strength, and weakness or obstruction in the tract below. Video Urodynamics (VUDS) adds fluoroscopy to these physiological measurements, and allows differential diagnosis of pathology in Stress Urinary Incontinence (SUI) as well as surveillance of upper tract integrity [2]. A cysto-urethrogram is a non-invasive alternative to VUDS, allowing the whole urinary tract to be visualised during micturition. [3] It sacrifices pressure data, but can include a measurement of flow rate [4]
{"title":"A Mathematical Simulation of the Influence a CMG Catheter’s Frequency Response on Urodynamic Diagnosis","authors":"A. Mackay, N. M. Harris","doi":"10.18535/ijmsci/v10i5.09","DOIUrl":"https://doi.org/10.18535/ijmsci/v10i5.09","url":null,"abstract":"Urodynamics comprises urine flow testing, ultrasound estimation of post-void residual, and Cystometry with filling and voiding phases [1]. Cystometry is the concurrent pressure measurement from the bladder and an abdominal control site, with parallel urine flow measurement. Using conventional water filled catheters, pressures are referenced to atmospheric pressure and the physical height of the external pressure transducer. Cystometry facilitates assessment of detrusor strength, and weakness or obstruction in the tract below. \u0000Video Urodynamics (VUDS) adds fluoroscopy to these physiological measurements, and allows differential diagnosis of pathology in Stress Urinary Incontinence (SUI) as well as surveillance of upper tract integrity [2]. A cysto-urethrogram is a non-invasive alternative to VUDS, allowing the whole urinary tract to be visualised during micturition. [3] It sacrifices pressure data, but can include a measurement of flow rate [4]","PeriodicalId":14151,"journal":{"name":"International Journal Of Medical Science And Clinical Invention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85568636","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 : 2023-05-19DOI: 10.18535/ijmsci/v10i5.08
Safa Gaffer Hassan Obaid, Rawan Abdelrazig Mohamed, Rayan Abd Alazeem Abd Albagi, Razan, Abdalrahiem AbdallaTendil, S. Babiker, T. Alabid, Maye M. Merghani, Nihad alsadig Babiker
Background: Menopause is a natural stage in life and part of the aging process. it marks when a woman’s period stops as her ovaries stop producing eggs. Many changes take place in the physiological parameters some of which are known to enhance the risk of vascular-related diseases such as stroke and ischemic heart disease. This study aimed to estimate the platelets count, PT, APTT, fibrinogen level D-dimer, and protein C level among Healthy Menopausal Sudanese Women. Material and methods: This was a case-control study conducted at the laboratory of the national university at Khartoum state during the period of December 2022 to April 2023. Apparently, healthy menopausal women who lost their menstrual period for more than one year were included as a case group, and apparently healthy women during the reproductive period were included as a control group. The platelets were counted by using Automated Hematology Analyzer, Sysmex KX 21N (series SN B 2010), PT, APTT by coagulometer (Automated Bio Bas), Fibrinogen level by using the coagulometer (Automated Bio Bas) by BioMed-Fibrinogen kite BioMed-Fibrinogen kite, I chroma was used for the D-dimer, protein C was measured by using (URIT 660 AESKULISA Protein C and S Microplate read. Results: In the case group the means of platelets count, PT, APTT, Fibrinogen, D-dimer, and Protein C were; (251.3±38.2), (16.9±2.1), (32.9±7.7), (381.0±269.1) (0.59±0.17) and (89.9±16.3) respectively. while in the control group, the means of platelets count, PT, INR, APTT, Fibrinogen, D-dimer, and Protein C were; (291.8±73.5), (13.5±1.5), (31.3±2.7), (212.5±77.3) (0.33±0.12) and (82.2±14.2) also respectively. when comparing the parameters means between the case and control group the results revealed; there was a significant decrease in platelets counts (p. v = 0.001), a significant increase in PT and fibrinogen levels (p. v = 0.000), and insignificant differences for the APTT, D-dimer, and protein C (p. v > 0.05). In addition to that, there was a negative correlation between the parameters and the age and the A menorrhea (p. v > 0.05) Conclusion: In the Sudanese menopausal women, there was a significant decrease in platelets counts, and a significant increase in PT and fibrinogen levels, with insignificant differences for the APTT, D-dimer, and protein C when compared between the case and control group, in addition, the parameters had a negative correlation with the age and the A menorrhea.
背景:更年期是生命中的一个自然阶段，也是衰老过程的一部分。它标志着女性的月经停止，因为她的卵巢停止排卵。生理参数发生了许多变化，其中一些已知会增加血管相关疾病(如中风和缺血性心脏病)的风险。本研究旨在评估健康的苏丹绝经妇女的血小板计数、PT、APTT、纤维蛋白原水平d -二聚体和蛋白C水平。材料和方法:这是一项病例对照研究，于2022年12月至2023年4月期间在喀土穆州国立大学实验室进行。显然，健康的绝经期妇女失去月经期超过一年被纳入病例组，而健康的育龄妇女被纳入对照组。血小板计数采用自动血液学分析仪Sysmex KX 21N (SN B系列2010)，凝血仪(Automated Bio Bas)检测PT、APTT，凝血仪(Automated Bio Bas)检测纤维蛋白原水平(BioMed-Fibrinogen kite)检测纤维蛋白原水平，d-二聚体采用I色度，蛋白C检测采用(URIT 660 AESKULISA protein C和S Microplate read检测。结果:病例组患者血小板计数、PT、APTT、纤维蛋白原、d -二聚体、蛋白C均值均为;(251.3±38.2),(16.9±2.1),(32.9±7.7),(381.0±269.1)(0.59±0.17)和(89.9±16.3)。对照组患者血小板计数、PT、INR、APTT、纤维蛋白原、d -二聚体、蛋白C均值分别为;(291.8±73.5),(13.5±1.5),(31.3±2.7),(212.5±77.3)(0.33±0.12)和(82.2±14.2)也分别。在比较病例组与对照组的参数均值时，结果显示;血小板计数显著降低(p. v = 0.001)， PT和纤维蛋白原水平显著升高(p. v = 0.000)， APTT、d -二聚体和蛋白C差异不显著(p. v = 0.05)。结论:苏丹绝经妇女血小板计数明显下降，PT、纤维蛋白原水平明显升高，APTT、d -二聚体、蛋白C与对照组比较差异不显著，且参数与年龄、a型痛经呈负相关(p. v . > 0.05)。
{"title":"The Coagulation Parameters Among Healthy Menopausal Sudanese Women","authors":"Safa Gaffer Hassan Obaid, Rawan Abdelrazig Mohamed, Rayan Abd Alazeem Abd Albagi, Razan, Abdalrahiem AbdallaTendil, S. Babiker, T. Alabid, Maye M. Merghani, Nihad alsadig Babiker","doi":"10.18535/ijmsci/v10i5.08","DOIUrl":"https://doi.org/10.18535/ijmsci/v10i5.08","url":null,"abstract":"Background:\u0000Menopause is a natural stage in life and part of the aging process. it marks when a woman’s period stops as her ovaries stop producing eggs. Many changes take place in the physiological parameters some of which are known to enhance the risk of vascular-related diseases such as stroke and ischemic heart disease. This study aimed to estimate the platelets count, PT, APTT, fibrinogen level D-dimer, and protein C level among Healthy Menopausal Sudanese Women.\u0000Material and methods:\u0000This was a case-control study conducted at the laboratory of the national university at Khartoum state during the period of December 2022 to April 2023. Apparently, healthy menopausal women who lost their menstrual period for more than one year were included as a case group, and apparently healthy women during the reproductive period were included as a control group. The platelets were counted by using Automated Hematology Analyzer, Sysmex KX 21N (series SN B 2010), PT, APTT by coagulometer (Automated Bio Bas), Fibrinogen level by using the coagulometer (Automated Bio Bas) by BioMed-Fibrinogen kite BioMed-Fibrinogen kite, I chroma was used for the D-dimer, protein C was measured by using (URIT 660 AESKULISA Protein C and S Microplate read.\u0000Results: \u0000In the case group the means of platelets count, PT, APTT, Fibrinogen, D-dimer, and Protein C were; (251.3±38.2), (16.9±2.1), (32.9±7.7), (381.0±269.1) (0.59±0.17) and (89.9±16.3) respectively. while in the control group, the means of platelets count, PT, INR, APTT, Fibrinogen, D-dimer, and Protein C were; (291.8±73.5), (13.5±1.5), (31.3±2.7), (212.5±77.3) (0.33±0.12) and (82.2±14.2) also respectively. when comparing the parameters means between the case and control group the results revealed; there was a significant decrease in platelets counts (p. v = 0.001), a significant increase in PT and fibrinogen levels (p. v = 0.000), and insignificant differences for the APTT, D-dimer, and protein C (p. v > 0.05). In addition to that, there was a negative correlation between the parameters and the age and the A menorrhea (p. v > 0.05) \u0000Conclusion: \u0000In the Sudanese menopausal women, there was a significant decrease in platelets counts, and a significant increase in PT and fibrinogen levels, with insignificant differences for the APTT, D-dimer, and protein C when compared between the case and control group, in addition, the parameters had a negative correlation with the age and the A menorrhea.","PeriodicalId":14151,"journal":{"name":"International Journal Of Medical Science And Clinical Invention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78068371","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 : 2023-05-15DOI: 10.18535/ijmsci/v10i5.07
J. Inklebarger, Syed Kz
Intra-articular fluoroscopically-guided facet joint (FJ) blocks are performed with diagnostic-therapeutic aims, whereas the main focus of ultrasound guided peri-facet joint blocks (USG-PFJB) is pain relief. USG-PFJB will therefore typically utilize higher injection volumes to potentially offer injection spread to other pain-generating structures. This study explores the potential role of USG-PFJBs in the outpatient management of chronic low back pain with our without leg symptoms in patients with MRI-confirmed mild to severe lower lumbar FJ arthrosis. USG-PFJBs were performed on 19 patients, (4 male and 15 females, mean age 55) at the L4/5 and/or L5/S1 segments at paraspinal points of palpable focal pain. All procedures were performed by the same clinician. One patient was lost to follow up and telephone reviews at 2-6 months on the remaining 18 patients, noted that 59.73% experienced significant & sustained pain relief. In conclusion, lower lumbar segment USG-PFJBs appear to be effective treatment option in patients with mild to severe MRI-confirmed FJ degeneration and palpable paraspinal lower back pain and with or without lower limb pain.
{"title":"Ultrasound-Guided Lumbar Peri-Facet Joint Blocks: A Therapuetuic Approach to Chronic Lower Back and Referred Leg Pain Management","authors":"J. Inklebarger, Syed Kz","doi":"10.18535/ijmsci/v10i5.07","DOIUrl":"https://doi.org/10.18535/ijmsci/v10i5.07","url":null,"abstract":"Intra-articular fluoroscopically-guided facet joint (FJ) blocks are performed with diagnostic-therapeutic aims, whereas the main focus of ultrasound guided peri-facet joint blocks (USG-PFJB) is pain relief. USG-PFJB will therefore typically utilize higher injection volumes to potentially offer injection spread to other pain-generating structures. This study explores the potential role of USG-PFJBs in the outpatient management of chronic low back pain with our without leg symptoms in patients with MRI-confirmed mild to severe lower lumbar FJ arthrosis. USG-PFJBs were performed on 19 patients, (4 male and 15 females, mean age 55) at the L4/5 and/or L5/S1 segments at paraspinal points of palpable focal pain. All procedures were performed by the same clinician. One patient was lost to follow up and telephone reviews at 2-6 months on the remaining 18 patients, noted that 59.73% experienced significant & sustained pain relief. In conclusion, lower lumbar segment USG-PFJBs appear to be effective treatment option in patients with mild to severe MRI-confirmed FJ degeneration and palpable paraspinal lower back pain and with or without lower limb pain.","PeriodicalId":14151,"journal":{"name":"International Journal Of Medical Science And Clinical Invention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81885208","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 : 2023-05-11DOI: 10.18535/ijmsci/v10i5.05
Marco Umberto Scaramozzino, Sapone Giovanni, Levi Guido, Plastina Romeo Ubaldo
Introduction: The presence of free air within the mediastinum, that is not associated with trauma, is known as spontaneous pneumomediastinum [1]. The disease was originally described by Rene Laennec in 1819. The word spontaneous was introduced by Hamman later in 1939.The condition can result from an injury that leads to air leakage into the mediastinum from the lung . Spontaneous indicates that it is encountered in patients with underlying lung diseases or without any medically relevant conditions as compared to that secondary pneumothorax that results from trauma [2]. The pathophysiological mechanisms underlying pneumomediastinum are six: 1) Direct mechanism 2) Hamman-Macklin mechanism 3) Subfascial route (secondary to pneumothorax or chest wall injury) 4) Subserosal route:
{"title":"A Rare Case of Mild Spontaneous Pneumomediastinum Associated with Asthma Exacerbation.","authors":"Marco Umberto Scaramozzino, Sapone Giovanni, Levi Guido, Plastina Romeo Ubaldo","doi":"10.18535/ijmsci/v10i5.05","DOIUrl":"https://doi.org/10.18535/ijmsci/v10i5.05","url":null,"abstract":"Introduction: The presence of free air within the mediastinum, that is not associated with trauma, is known as spontaneous pneumomediastinum [1]. The disease was originally described by Rene Laennec in 1819. The word spontaneous was introduced by Hamman later in 1939.The condition can result from an injury that leads to air leakage into the mediastinum from the lung . Spontaneous indicates that it is encountered in patients with underlying lung diseases or without any medically relevant conditions as compared to that secondary pneumothorax that results from trauma [2]. The pathophysiological mechanisms underlying pneumomediastinum are six: 1) Direct mechanism 2) Hamman-Macklin mechanism 3) Subfascial route (secondary to pneumothorax or chest wall injury) 4) Subserosal route:","PeriodicalId":14151,"journal":{"name":"International Journal Of Medical Science And Clinical Invention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135526177","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 : 2023-04-26DOI: 10.18535/ijmsci/v10i4.07
Marco Umberto Scaramozzino, Dr. Levi Guido, Dr. Sapone Giovanni, Plastina Romeo Ubaldo, Dr.sa Nucara Mariacarmela
The study is an independent retrospective cohort study, the data used were collected after obtaining informed consent from patients and were conducted anonymously online. The study was conducted on a heterogeneous population of patients with chronic obstructive respiratory disease (200 survey responses) who were attending the outpatient pneumology clinic "La Madonnina" based in Reggio Calabria, Italy from May 2021 until May 2022. The survey included ten multiple-choice questions with a single answer allowed and in some questions also the possibility of writing comments, carried out through the Survey Monkey digital platform. The objectives of the study are: 1. To identify the prevalence of symptoms perceived by patients with chronic obstructive pulmonary disease (COPD and asthma), 2. The role of the Respiratory Medicine Specialist and General Practitioner in the management of these diseases. 3. The emerging figure of self-management of these diseases is indirectly indicative of a high degree of depression in the population with these diseases, which is still poorly known and addressed by Italian general practitioners. The extrapolated data from the online survey, indicate that there is to date a prevalence of Asthma versus COPD, confirming that the prevalent common symptom is dyspnea, also clarifies that the management of the diagnostic and therapeutic pathway of chronic respiratory diseases is of specialist relevance; the prescribed therapies act mainly on the symptom dyspnea (25.36%).
{"title":"The Management And Evaluation of the Diagnostic-Therapeutic Pathway of Patients with Chronic Obstructive Diseases: A Retrospective Survey of the Italian Population","authors":"Marco Umberto Scaramozzino, Dr. Levi Guido, Dr. Sapone Giovanni, Plastina Romeo Ubaldo, Dr.sa Nucara Mariacarmela","doi":"10.18535/ijmsci/v10i4.07","DOIUrl":"https://doi.org/10.18535/ijmsci/v10i4.07","url":null,"abstract":"The study is an independent retrospective cohort study, the data used were collected after obtaining informed consent from patients and were conducted anonymously online. The study was conducted on a heterogeneous population of patients with chronic obstructive respiratory disease (200 survey responses) who were attending the outpatient pneumology clinic \"La Madonnina\" based in Reggio Calabria, Italy from May 2021 until May 2022. The survey included ten multiple-choice questions with a single answer allowed and in some questions also the possibility of writing comments, carried out through the Survey Monkey digital platform. The objectives of the study are: 1. To identify the prevalence of symptoms perceived by patients with chronic obstructive pulmonary disease (COPD and asthma), 2. The role of the Respiratory Medicine Specialist and General Practitioner in the management of these diseases. 3. The emerging figure of self-management of these diseases is indirectly indicative of a high degree of depression in the population with these diseases, which is still poorly known and addressed by Italian general practitioners. The extrapolated data from the online survey, indicate that there is to date a prevalence of Asthma versus COPD, confirming that the prevalent common symptom is dyspnea, also clarifies that the management of the diagnostic and therapeutic pathway of chronic respiratory diseases is of specialist relevance; the prescribed therapies act mainly on the symptom dyspnea (25.36%).","PeriodicalId":14151,"journal":{"name":"International Journal Of Medical Science And Clinical Invention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135017430","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 : 2023-04-25DOI: 10.18535/ijmsci/v10i4.06
Marco Umberto Scaramozzino, Sapone Giovanni, Ubaldo Romeo Plastina, Guido Levi.
Physicians use auscultation as a standard method of thoracic examination: it is simple, reliable, non-invasive, and widely accepted. Artificial intelligence (AI) is the new frontier of thoracic examination as it makes it possible to integrate all available data (clinical, instrumental, laboratory, functional), allowing for objective assessments, precise diagnoses, and even the phenotypical characterization of lung diseases. Increasing the sensitivity and specificity of examinations helps provide tailored diagnostic and therapeutic indications, which also take into account the patient's clinical history and comorbidities.
Several clinical studies, mainly conducted in children, have shown a good concordance between traditional and AI-assisted auscultation in detecting fibrotic diseases. On the other hand, the use of AI for the diagnosis of obstructive pulmonary disease is still debated as it gave inconsistent results when detecting certain types of lung noises, such as wet and dry crackles. Therefore, the application of AI in clinical practice needs further investigation.
In the case we present, data integration allowed us to make the right diagnosis, avoid invasive procedures, and reduce the costs for the national health system; we show that integrating technologies can improve the diagnosis of restrictive lung disease. Randomized controlled trials will be needed to confirm the conclusions of this preliminary work.
{"title":"Chest Examination with Wireless Technology in a Patient with Fibrotic Disease: A Pilot Case Report","authors":"Marco Umberto Scaramozzino, Sapone Giovanni, Ubaldo Romeo Plastina, Guido Levi.","doi":"10.18535/ijmsci/v10i4.06","DOIUrl":"https://doi.org/10.18535/ijmsci/v10i4.06","url":null,"abstract":"Physicians use auscultation as a standard method of thoracic examination: it is simple, reliable, non-invasive, and widely accepted. Artificial intelligence (AI) is the new frontier of thoracic examination as it makes it possible to integrate all available data (clinical, instrumental, laboratory, functional), allowing for objective assessments, precise diagnoses, and even the phenotypical characterization of lung diseases. Increasing the sensitivity and specificity of examinations helps provide tailored diagnostic and therapeutic indications, which also take into account the patient's clinical history and comorbidities.
 Several clinical studies, mainly conducted in children, have shown a good concordance between traditional and AI-assisted auscultation in detecting fibrotic diseases. On the other hand, the use of AI for the diagnosis of obstructive pulmonary disease is still debated as it gave inconsistent results when detecting certain types of lung noises, such as wet and dry crackles. Therefore, the application of AI in clinical practice needs further investigation.
 In the case we present, data integration allowed us to make the right diagnosis, avoid invasive procedures, and reduce the costs for the national health system; we show that integrating technologies can improve the diagnosis of restrictive lung disease. Randomized controlled trials will be needed to confirm the conclusions of this preliminary work.
","PeriodicalId":14151,"journal":{"name":"International Journal Of Medical Science And Clinical Invention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135223248","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 : 2022-11-15DOI: 10.18535/ijmsci/v9i11.04
Andhika Ardi Perdana, Zeita Fauzia, Reza Deni Rohmansyah, Ivo kristina Dalimunthe, Ryan Pramana Putra
Background: Bad obstetric history (BOH) a common complication pregnancy, defined as 3 consecutive pregnancy losses prior 20 weeks from last menstrual period. Case Presentation: A 33 years old woman, G4P1A3 hasn’t feel fetus movement since 2 weeks ago, didn’t experience blood coming out from her vagina or contraction on her stomach. Patient had miscarriage two times. In her first pregnancy, she experienced blood coming out of her vagina, bright red coloured. The ultrasound examination showed no vital signs in fetus and had to terminate her pregnancy with misoprostol. Conclusion: BOH affecting approximately 15% pregnancies. It is unknown whether miscarriage happened during pregnancy with a normal fetus or not. To diagnose recurrent miscarriage, several steps are taken, namely ensuring that all prerequisite conditions for pregnancy are met, ascertaining the type and cause of recurrent miscarriage, dealing with specific management, empirical therapy, and assisted reproductive technology.
{"title":"Predicting Factor of BOH: How to Diagnosed?","authors":"Andhika Ardi Perdana, Zeita Fauzia, Reza Deni Rohmansyah, Ivo kristina Dalimunthe, Ryan Pramana Putra","doi":"10.18535/ijmsci/v9i11.04","DOIUrl":"https://doi.org/10.18535/ijmsci/v9i11.04","url":null,"abstract":"Background: Bad obstetric history (BOH) a common complication pregnancy, defined as 3 consecutive pregnancy losses prior 20 weeks from last menstrual period.\u0000Case Presentation: A 33 years old woman, G4P1A3 hasn’t feel fetus movement since 2 weeks ago, didn’t experience blood coming out from her vagina or contraction on her stomach. Patient had miscarriage two times. In her first pregnancy, she experienced blood coming out of her vagina, bright red coloured. The ultrasound examination showed no vital signs in fetus and had to terminate her pregnancy with misoprostol.\u0000Conclusion: BOH affecting approximately 15% pregnancies. It is unknown whether miscarriage happened during pregnancy with a normal fetus or not. To diagnose recurrent miscarriage, several steps are taken, namely ensuring that all prerequisite conditions for pregnancy are met, ascertaining the type and cause of recurrent miscarriage, dealing with specific management, empirical therapy, and assisted reproductive technology.","PeriodicalId":14151,"journal":{"name":"International Journal Of Medical Science And Clinical Invention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84100834","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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