Pub Date : 2023-09-30DOI: 10.54905/disssi.v27i139.e342ms3081
Yong Ying Nyia, Mohammad Arshad Ikram, Thinesh Varan Subramaniam, Navodith Chrishmal Fernando, Mugtadi Osman, Jia Sheng Lam, Zhi How Ng
Background: Intertrochanteric fractures are amongst the most common hip fractures in older adults and are most commonly caused by low-energy trauma. This study aims to identify the causes, demographic information, and presence of comorbidities among patients admitted with intertrochanteric hip fractures at a state hospital in Malaysia. Methods: Patients with intertrochanteric fractures presenting to Hospital Tuanku Ja’afar Seremban, Malaysia, from January 2019 to December 2021 were identified from a retrospective trauma database. Patient data were analyzed using IBM SPSS version 28 for logistic regression. Statistical significance was set at p<0.05. Results: A total of 306 patients were included in this study. The mean age of patients was 69.9 ± 16.4 years, with 51.6% female. 78.8% (n= 241/306) of patients had comorbidities. Most fractures were caused by a same-level fall (67.3%) at the patient’s accommodation. 258 patients underwent surgical management, 17 developed postoperative complications, and had underlying comorbidities. Conclusion: Intertrochanteric fractures are most commonly seen in females and the elderly population. Early screening of comorbidities and implementing fall prevention strategies may help reduce fracture incidence.
{"title":"Epidemiology of intertrochanteric hip fractures at a state hospital in Malaysia","authors":"Yong Ying Nyia, Mohammad Arshad Ikram, Thinesh Varan Subramaniam, Navodith Chrishmal Fernando, Mugtadi Osman, Jia Sheng Lam, Zhi How Ng","doi":"10.54905/disssi.v27i139.e342ms3081","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e342ms3081","url":null,"abstract":"Background: Intertrochanteric fractures are amongst the most common hip fractures in older adults and are most commonly caused by low-energy trauma. This study aims to identify the causes, demographic information, and presence of comorbidities among patients admitted with intertrochanteric hip fractures at a state hospital in Malaysia. Methods: Patients with intertrochanteric fractures presenting to Hospital Tuanku Ja’afar Seremban, Malaysia, from January 2019 to December 2021 were identified from a retrospective trauma database. Patient data were analyzed using IBM SPSS version 28 for logistic regression. Statistical significance was set at p<0.05. Results: A total of 306 patients were included in this study. The mean age of patients was 69.9 ± 16.4 years, with 51.6% female. 78.8% (n= 241/306) of patients had comorbidities. Most fractures were caused by a same-level fall (67.3%) at the patient’s accommodation. 258 patients underwent surgical management, 17 developed postoperative complications, and had underlying comorbidities. Conclusion: Intertrochanteric fractures are most commonly seen in females and the elderly population. Early screening of comorbidities and implementing fall prevention strategies may help reduce fracture incidence.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135081519","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 : 2023-09-30DOI: 10.54905/disssi.v27i139.e345ms3179
Imad Khojah, Anas Alyazidi, Saeed Alhudaifi, Mohammed Alsubaie, Maha Alghamdi, Ahmed Allabban, Safinaz Alshiakh
Objective: Emergency department (ED) facilities across the globe consider the delivery of high-quality, timely patient care is their main concern. Mistakes and malpractices could occur in poorly planned and unorganized ED facilities. Countries with Muslim majorities experience major shifts in ED patterns and social habits during the month of Ramadan. Our aim is to analyze the changes in flow patterns during three different periods and exploit ED triage and characteristics data, as well as the streaming of the time and date of all visits. Methods: A three-year retrospective study was conducted after retrieving and analyzing the emergency department health information system records at a tertiary care center that is publicly operated, funded, and owned, and that serves the entire community. Following the application of the inclusion and exclusion criteria, a thorough review of the study included a total of 33,142 patients. Results: A total of 11,106 visits were included throughout the month of Ramadan in the three-year interval. A deep decrease was noted during the periods of 6:59 PM and 7:59 PM, which represented a period of Iftar (breakfast) during Ramadan, with an average of 81 and 77 visits, followed by a significant increase in the period from 8:59 PM. Conclusion: Ramadan is characterized by a variety of practices and societal norms. It has a profound Influence on the healthcare system, particularly evident in the increased utilization of ED visits. Redistributing resources and human power is highly recommended to adapt to such changes.
{"title":"Flow pattern of Emergency Department visits during Ramadan: A single-center experience for 3 years in Muslim-Majority Country","authors":"Imad Khojah, Anas Alyazidi, Saeed Alhudaifi, Mohammed Alsubaie, Maha Alghamdi, Ahmed Allabban, Safinaz Alshiakh","doi":"10.54905/disssi.v27i139.e345ms3179","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e345ms3179","url":null,"abstract":"Objective: Emergency department (ED) facilities across the globe consider the delivery of high-quality, timely patient care is their main concern. Mistakes and malpractices could occur in poorly planned and unorganized ED facilities. Countries with Muslim majorities experience major shifts in ED patterns and social habits during the month of Ramadan. Our aim is to analyze the changes in flow patterns during three different periods and exploit ED triage and characteristics data, as well as the streaming of the time and date of all visits. Methods: A three-year retrospective study was conducted after retrieving and analyzing the emergency department health information system records at a tertiary care center that is publicly operated, funded, and owned, and that serves the entire community. Following the application of the inclusion and exclusion criteria, a thorough review of the study included a total of 33,142 patients. Results: A total of 11,106 visits were included throughout the month of Ramadan in the three-year interval. A deep decrease was noted during the periods of 6:59 PM and 7:59 PM, which represented a period of Iftar (breakfast) during Ramadan, with an average of 81 and 77 visits, followed by a significant increase in the period from 8:59 PM. Conclusion: Ramadan is characterized by a variety of practices and societal norms. It has a profound Influence on the healthcare system, particularly evident in the increased utilization of ED visits. Redistributing resources and human power is highly recommended to adapt to such changes.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082177","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 : 2023-09-30DOI: 10.54905/disssi.v27i139.e351ms3220
Mehdi Bazi Alahri, Amir Sam Kianimoghadam, Maryam Khesali, Maryam Bakhtiari, Samira Farahani Alavi
Background: Considering the crisis of the coronavirus in the world and the confusion and mental distress that arose for people in different societies, it seems necessary to find protective factors against depression and anxiety caused by this epidemic. This study aims to find the relationship between resilience, spiritual well-being, and coping with depression and anxiety. Methods: Using the available sampling method, a descriptive survey design was employed to select 900 adults from the general population of Tehran. They received questions to answer the questions of the hospital anxiety scale, 9-question patient health questionnaire, brief resilience scale, Holahan and Moss coping scale, and Grech and Hamby spiritual well-being scale. The data were analyzed using Pearson correlation and multiple linear regression methods. Results: The results indicated the prediction of anxiety and depression through resilience (sig = 0.000) and spiritual well-being (sig = 0.002), as well as a strong negative correlation between depression and spiritual well-being (-0.492). Conclusion: Study findings suggest empowering individuals regarding spiritual well-being, raising religious awareness, and fostering a connection with a higher power can enhance resilience. This empowerment can help individuals withstand critical situations such as the coronavirus pandemic and mental injuries and disorders. Furthermore, increased resilience is associated with reduced anxiety and depression, promoting overall well-being and self-fulfillment.
{"title":"The protective factor of depression and anxiety in the general population in the postcoronavirus era: coping, spiritual well-being & resilience","authors":"Mehdi Bazi Alahri, Amir Sam Kianimoghadam, Maryam Khesali, Maryam Bakhtiari, Samira Farahani Alavi","doi":"10.54905/disssi.v27i139.e351ms3220","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e351ms3220","url":null,"abstract":"Background: Considering the crisis of the coronavirus in the world and the confusion and mental distress that arose for people in different societies, it seems necessary to find protective factors against depression and anxiety caused by this epidemic. This study aims to find the relationship between resilience, spiritual well-being, and coping with depression and anxiety. Methods: Using the available sampling method, a descriptive survey design was employed to select 900 adults from the general population of Tehran. They received questions to answer the questions of the hospital anxiety scale, 9-question patient health questionnaire, brief resilience scale, Holahan and Moss coping scale, and Grech and Hamby spiritual well-being scale. The data were analyzed using Pearson correlation and multiple linear regression methods. Results: The results indicated the prediction of anxiety and depression through resilience (sig = 0.000) and spiritual well-being (sig = 0.002), as well as a strong negative correlation between depression and spiritual well-being (-0.492). Conclusion: Study findings suggest empowering individuals regarding spiritual well-being, raising religious awareness, and fostering a connection with a higher power can enhance resilience. This empowerment can help individuals withstand critical situations such as the coronavirus pandemic and mental injuries and disorders. Furthermore, increased resilience is associated with reduced anxiety and depression, promoting overall well-being and self-fulfillment.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082338","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 : 2023-09-30DOI: 10.54905/disssi.v27i139.e353ms3204
Amir Mahdi Katani, Abbas Masjedi Arani, Reza Hajmanouchehri, Banafsheh Mohajerin
Introduction: Psychologically-driven manifestations, including psychosomatic symptoms, are common in MS patients. Aims: The present study aimed to examine and develop the efficacy of the Unified Transdiagnostic Protocol (UTP) in psychologically driven and, more specifically, the psychosomatic symptoms of MS patients . Methods: The present randomized clinical trial was conducted at the Brain and Neurology Clinic of Mohebe Mehr Hospital, Tehran, Iran, in 2022. In total, 43 MS patients were entered into the study and randomly assigned to two groups: intervention (n=21) and control (n=22). We implemented UTP in 12 weekly online sessions (each session took 60 minutes). Fatigue Severity Scale (FSS), Pittsburgh Sleep Quality Index (PSQI), and Larson Sexual Satisfaction Questionnaire (LSSQ) were used to assess psychosomatic symptoms. Results: Based on multivariate tests, there was a significant difference between different stages of the study, as well as the interaction effect between groups in terms of fatigue, desire to have sex, sexual attitude, sex life quality, sexual compatibility, and sleep quality (P<0.001). Moreover, there was a considerable difference in the changes in psychological symptom scores in UTP groups compared to control groups during the measurement stages (P<0.001). The stability of the treatment effects has been confirmed over time (P<0.001). Conclusion: As evidenced by the obtained results, UTP had stable effects on the treatment of psychosomatic symptoms. These include fatigue, desire to have sex, sexual attitude, sex life quality, sexual compatibility, and sleep quality, in MS patients.
{"title":"Effectiveness of Unified Transdiagnostic Protocol in psychosomatic symptoms in patients with Multiple Sclerosis: A randomized controlled trial","authors":"Amir Mahdi Katani, Abbas Masjedi Arani, Reza Hajmanouchehri, Banafsheh Mohajerin","doi":"10.54905/disssi.v27i139.e353ms3204","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e353ms3204","url":null,"abstract":"Introduction: Psychologically-driven manifestations, including psychosomatic symptoms, are common in MS patients. Aims: The present study aimed to examine and develop the efficacy of the Unified Transdiagnostic Protocol (UTP) in psychologically driven and, more specifically, the psychosomatic symptoms of MS patients . Methods: The present randomized clinical trial was conducted at the Brain and Neurology Clinic of Mohebe Mehr Hospital, Tehran, Iran, in 2022. In total, 43 MS patients were entered into the study and randomly assigned to two groups: intervention (n=21) and control (n=22). We implemented UTP in 12 weekly online sessions (each session took 60 minutes). Fatigue Severity Scale (FSS), Pittsburgh Sleep Quality Index (PSQI), and Larson Sexual Satisfaction Questionnaire (LSSQ) were used to assess psychosomatic symptoms. Results: Based on multivariate tests, there was a significant difference between different stages of the study, as well as the interaction effect between groups in terms of fatigue, desire to have sex, sexual attitude, sex life quality, sexual compatibility, and sleep quality (P<0.001). Moreover, there was a considerable difference in the changes in psychological symptom scores in UTP groups compared to control groups during the measurement stages (P<0.001). The stability of the treatment effects has been confirmed over time (P<0.001). Conclusion: As evidenced by the obtained results, UTP had stable effects on the treatment of psychosomatic symptoms. These include fatigue, desire to have sex, sexual attitude, sex life quality, sexual compatibility, and sleep quality, in MS patients.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082527","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 : 2023-09-30DOI: 10.54905/disssi.v27i139.e344ms3198
Sally Elnawasany, Leen Alsarani, Taif Al hazmi, Rawshan Alyoubi, Ghufran Nasib
COVID‐19 has a wide range of clinical features, of which pain syndrome is commonly met. Vaccination of COVID-19 reduced symptomatic infections and/or high viral load infection. The aim of this study is to compare the severity of pain syndrome among COVID-19 immunized and non-immunized patients in Al-Rayan Colleges, Al-Madinah. A retrospective cross-sectional observational study was carried out on 304 COVID-19 patients of age ranging from 18-65 years in AL-Rayan Colleges, AL-Madinah, KSA, between September 2021 to April 2023. An electronic questionnaire with 20 items was introduced to the participants of the study after filling in written consent. According to vaccine status, the participants of the study were divided into 5 groups; unvaccinated, partially vaccinated (≥ 14 d ays after dose 1 or < 14 days after dose2), Fully vaccinated (≥ 14 days after dose 2), 3rd dose vaccinated and 4th dose vaccinated. Pain syndrome symptoms were observed in all vaccinated and non-vaccinated participants with insignificant differences (P>0.05). Severe pain was highly observed in non-vaccinated participants (40.2%). While it was not detected (0%) in the 4th dose vaccinated group. It was (29.7%), (38.7%) and (39.1%) in partially vaccinated, fully vaccinated, and 3rd dose vaccine groups, respectively. In conclusion, pain syndrome was detected in all COVID-19 patients, while pain severity significantly increased in non-vaccinated patients and was absent in patients who had received the 4th dose of the vaccine.
{"title":"The impact of vaccination status on the severity of pain syndrome in COVID-19 patients of Al-Rayan Colleges, Al Madinah","authors":"Sally Elnawasany, Leen Alsarani, Taif Al hazmi, Rawshan Alyoubi, Ghufran Nasib","doi":"10.54905/disssi.v27i139.e344ms3198","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e344ms3198","url":null,"abstract":"COVID‐19 has a wide range of clinical features, of which pain syndrome is commonly met. Vaccination of COVID-19 reduced symptomatic infections and/or high viral load infection. The aim of this study is to compare the severity of pain syndrome among COVID-19 immunized and non-immunized patients in Al-Rayan Colleges, Al-Madinah. A retrospective cross-sectional observational study was carried out on 304 COVID-19 patients of age ranging from 18-65 years in AL-Rayan Colleges, AL-Madinah, KSA, between September 2021 to April 2023. An electronic questionnaire with 20 items was introduced to the participants of the study after filling in written consent. According to vaccine status, the participants of the study were divided into 5 groups; unvaccinated, partially vaccinated (≥ 14 d ays after dose 1 or < 14 days after dose2), Fully vaccinated (≥ 14 days after dose 2), 3rd dose vaccinated and 4th dose vaccinated. Pain syndrome symptoms were observed in all vaccinated and non-vaccinated participants with insignificant differences (P>0.05). Severe pain was highly observed in non-vaccinated participants (40.2%). While it was not detected (0%) in the 4th dose vaccinated group. It was (29.7%), (38.7%) and (39.1%) in partially vaccinated, fully vaccinated, and 3rd dose vaccine groups, respectively. In conclusion, pain syndrome was detected in all COVID-19 patients, while pain severity significantly increased in non-vaccinated patients and was absent in patients who had received the 4th dose of the vaccine.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"137 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135081398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Over 474 million cases and almost 6 million fatalities caused by COVID-19 have been reported globally. The case fatality rate was 0.5-2.8%, but it was 3.7-14.8% for people aged 80 to 89. Given how dangerous this infection is, prevention is essential. As a result, the number of COVID-19 cases significantly decreased (> 75% protection) when immunisations were introduced. On the other side, it has also been noted that individuals have sought treatment for severe respiratory, cardiovascular, neurological, and gynaecological symptoms. Method: A group from king saud medical city in the Kingdom of Saudi Arabia used a semi-structured questionnaire to perform an online cross-sectional survey on females in the reproductive age range (15-49 years) between Dec 2022 and Jul 2023. SPSS Statistics version 24.0 was used to analyse the data, which was then displayed as frequency and percentage. The link was tested using the chi-square method, and a p-value of 0.05 was deemed significant. Results: 46.5% of the individuals in our study were between the ages of 21 and 30, and 87.7% reported menarche between the ages of 11 and 15. 1474 (71%) of the participants reported changes to their menstrual cycle after COVID-19 vaccination. 320 (21.7%) reported changes after the first dosage, 831 (56.4%) after the second dose, and 12 (0.8%) after the booster, according to these statistically significant results (p value 0.002). Conclusion: Females of reproductive age, particularly those who received the new vaccines, reported menstruation irregularities following vaccination. Prospective investigations are required for comparable findings.
{"title":"COVID-19 vaccine and menstruation cycle changes","authors":"Wesam Abd Saeed Al-Mekhalafy, Mufareh Asiri, Tahani Mahmood Thabit, Saad Alonze, Mona Abdulrahman Alhagbani","doi":"10.54905/disssi.v27i139.e357ms3215","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e357ms3215","url":null,"abstract":"Background: Over 474 million cases and almost 6 million fatalities caused by COVID-19 have been reported globally. The case fatality rate was 0.5-2.8%, but it was 3.7-14.8% for people aged 80 to 89. Given how dangerous this infection is, prevention is essential. As a result, the number of COVID-19 cases significantly decreased (> 75% protection) when immunisations were introduced. On the other side, it has also been noted that individuals have sought treatment for severe respiratory, cardiovascular, neurological, and gynaecological symptoms. Method: A group from king saud medical city in the Kingdom of Saudi Arabia used a semi-structured questionnaire to perform an online cross-sectional survey on females in the reproductive age range (15-49 years) between Dec 2022 and Jul 2023. SPSS Statistics version 24.0 was used to analyse the data, which was then displayed as frequency and percentage. The link was tested using the chi-square method, and a p-value of 0.05 was deemed significant. Results: 46.5% of the individuals in our study were between the ages of 21 and 30, and 87.7% reported menarche between the ages of 11 and 15. 1474 (71%) of the participants reported changes to their menstrual cycle after COVID-19 vaccination. 320 (21.7%) reported changes after the first dosage, 831 (56.4%) after the second dose, and 12 (0.8%) after the booster, according to these statistically significant results (p value 0.002). Conclusion: Females of reproductive age, particularly those who received the new vaccines, reported menstruation irregularities following vaccination. Prospective investigations are required for comparable findings.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082167","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 : 2023-09-30DOI: 10.54905/disssi.v27i139.e348ms3196
Omer Abdelbagi, Ibrahim Alshegifi, Norah Alameri, Mohamed Elhefny, Hamad Alshegifi, Sultan Zaydi, Abdulaziz Alsulbi, Asad Adam Abbas, Ashraf Ewis
{"title":"Histopathological study for the products of conception from a regional pathology laboratory in Southwestern Saudi Arabia: A 5-year retrospective study","authors":"Omer Abdelbagi, Ibrahim Alshegifi, Norah Alameri, Mohamed Elhefny, Hamad Alshegifi, Sultan Zaydi, Abdulaziz Alsulbi, Asad Adam Abbas, Ashraf Ewis","doi":"10.54905/disssi.v27i139.e348ms3196","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e348ms3196","url":null,"abstract":"","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082514","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 : 2023-09-30DOI: 10.54905/disssi.v27i139.e350ms3201
Saumi Sinha, Sheetal Malekar, Rakesh Kumar Sinha
Background: Critically ill patients who are sedated and mechanically ventilated, experience significant pain during physical therapy procedures but cannot communicate effectively due to sedation. Identification and evaluation of pain with validated behavioral observation tools in patients unable to self-report pain improve quality of care by administration of appropriate analgesia or sedation during routine physical therapy care of ventilated patients. Aims and Objectives: This study aimed to assess pain in sedated, mechanically ventilated patients using the Behavioural Pain Scale (BPS) during physical therapy procedures like body positioning and tracheal suctioning. Materials and Methods: Following ethical approval, 50 adult patients, sedated and mechanically ventilated, admitted in the ICUs in a tertiary care teaching hospital were assessed for pain severity using BPS during routine physical therapy procedures. Patients ≥18 years of age, both male and female, with Glasgow Coma Scale of (GCS) < 10, were included in the study. Patients with Ramsay Sedation Scale (RSS) of 3, 4, and 5, mechanically ventilated for at least 48 hours, who were unable to verbalize, patients who were undergoing routine physical therapy that included body positioning and tracheal suctioning for removal of secretion were included. Patients below 18 years of age, able to verbalize pain, and GCS score of ≤ 3, were excluded from the study. Conclusion: BPS is recommended for better pain evaluation during physical therapy procedures in sedated, mechanically ventilated adult patients in the ICU.
{"title":"Use of Behavioural Pain Scale in assessing pain during physical therapy procedures in sedated, mechanically ventilated patients in ICU: A cross-sectional observational study","authors":"Saumi Sinha, Sheetal Malekar, Rakesh Kumar Sinha","doi":"10.54905/disssi.v27i139.e350ms3201","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e350ms3201","url":null,"abstract":"Background: Critically ill patients who are sedated and mechanically ventilated, experience significant pain during physical therapy procedures but cannot communicate effectively due to sedation. Identification and evaluation of pain with validated behavioral observation tools in patients unable to self-report pain improve quality of care by administration of appropriate analgesia or sedation during routine physical therapy care of ventilated patients. Aims and Objectives: This study aimed to assess pain in sedated, mechanically ventilated patients using the Behavioural Pain Scale (BPS) during physical therapy procedures like body positioning and tracheal suctioning. Materials and Methods: Following ethical approval, 50 adult patients, sedated and mechanically ventilated, admitted in the ICUs in a tertiary care teaching hospital were assessed for pain severity using BPS during routine physical therapy procedures. Patients ≥18 years of age, both male and female, with Glasgow Coma Scale of (GCS) < 10, were included in the study. Patients with Ramsay Sedation Scale (RSS) of 3, 4, and 5, mechanically ventilated for at least 48 hours, who were unable to verbalize, patients who were undergoing routine physical therapy that included body positioning and tracheal suctioning for removal of secretion were included. Patients below 18 years of age, able to verbalize pain, and GCS score of ≤ 3, were excluded from the study. Conclusion: BPS is recommended for better pain evaluation during physical therapy procedures in sedated, mechanically ventilated adult patients in the ICU.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082166","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 : 2023-09-30DOI: 10.54905/disssi.v27i139.e355ms3133
Lekha Priya M, Murugan G
Our purpose was to determine mammographic, and ultrasonographic features of breast papilloma and to correlate the features with histopathological findings. Intraductal papillary neoplasms of nipple includes a wide variety of spectrum ranges from benign intraductal papilloma occupying one end of spectrum and papillary carcinoma at the other end. They are broadly classified into central and peripheral types. Intraductal papilloma are usually located centrally or in the retro areolar region, when symptomatic, patient presents with bloody nipple discharge. These lesions were most commonly observed in perimenopausal patients. However, with more widespread use of ultrasound, solitary or multiple papilloma’s are being detected with increasing frequency at very young age in symptomatic or asymptomatic patients.
{"title":"A rare case report on Intraductal papilloma of nipple in a young female – radiographical and histopathological correlation","authors":"Lekha Priya M, Murugan G","doi":"10.54905/disssi.v27i139.e355ms3133","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e355ms3133","url":null,"abstract":"Our purpose was to determine mammographic, and ultrasonographic features of breast papilloma and to correlate the features with histopathological findings. Intraductal papillary neoplasms of nipple includes a wide variety of spectrum ranges from benign intraductal papilloma occupying one end of spectrum and papillary carcinoma at the other end. They are broadly classified into central and peripheral types. Intraductal papilloma are usually located centrally or in the retro areolar region, when symptomatic, patient presents with bloody nipple discharge. These lesions were most commonly observed in perimenopausal patients. However, with more widespread use of ultrasound, solitary or multiple papilloma’s are being detected with increasing frequency at very young age in symptomatic or asymptomatic patients.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082175","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 : 2023-09-30DOI: 10.54905/disssi.v27i139.e346ms3087
Asokan Aradhana Shanmughan, Shalmol Thomas M, Murugan G
Non-immune hydrops fetalis is a severe condition that is uncommon and usually associated with a poor prognosis. It is characterized by abnormal accumulation of fluid in two or more fetal body compartments, along with generalized soft tissue edema. Before 1968, hydrops fetalis was secondary to maternal-fetal Rh incompatibility, but today most cases are non-immune origin due to the widespread use of Rhesus-D-alloimmunisation. A long list of aetiologies is found with non-immune hydrops fetalis, which varies from genetic abnormalities to cardiac conditions, infections, hematological and autoimmune causes, each with the potential to affect the fetus severely. We report a case of 24-year-old female, Gravida 2 para 1, who presented to our hospital for a regular antenatal check-up at 28 weeks of gestation for fetal well-being. Routine antenatal ultrasound findings revealed gross ascites with abdominal wall edema, mild pleural effusion, pericardial effusion, and generalized fetal edema. The first baby is alive and healthy, delivered at 39 weeks. History of previous pregnancy and previous studies exclude the causes of immune hydrops fetalis, making this case most likely suggestive of the non-immune type.
{"title":"A case of Non immune hydrops fetalis incidentally found on routine obstetric sonography","authors":"Asokan Aradhana Shanmughan, Shalmol Thomas M, Murugan G","doi":"10.54905/disssi.v27i139.e346ms3087","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e346ms3087","url":null,"abstract":"Non-immune hydrops fetalis is a severe condition that is uncommon and usually associated with a poor prognosis. It is characterized by abnormal accumulation of fluid in two or more fetal body compartments, along with generalized soft tissue edema. Before 1968, hydrops fetalis was secondary to maternal-fetal Rh incompatibility, but today most cases are non-immune origin due to the widespread use of Rhesus-D-alloimmunisation. A long list of aetiologies is found with non-immune hydrops fetalis, which varies from genetic abnormalities to cardiac conditions, infections, hematological and autoimmune causes, each with the potential to affect the fetus severely. We report a case of 24-year-old female, Gravida 2 para 1, who presented to our hospital for a regular antenatal check-up at 28 weeks of gestation for fetal well-being. Routine antenatal ultrasound findings revealed gross ascites with abdominal wall edema, mild pleural effusion, pericardial effusion, and generalized fetal edema. The first baby is alive and healthy, delivered at 39 weeks. History of previous pregnancy and previous studies exclude the causes of immune hydrops fetalis, making this case most likely suggestive of the non-immune type.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082178","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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