Pub Date : 2023-10-31DOI: 10.54905/disssi.v27i140.e362ms3235
Mohammed A Alghamdi
Osteomas are true benign bone-forming neoplasms. Their occurrence in the skull is relatively rare. They arise primarily in the Sino nasal area. And to a lesser extent, in the temporal bone. Mastoid osteoma presents as a slow-growing, usually asymptomatic mass. Patients sometimes complain of tenderness or occasional pain; some seek medical assistance because of cosmetic effects. Management includes watchful waiting and surgical removal. Surgery of mastoid osteoma carries a low risk of complication but must proceed with CT scan images to evaluate the extent and relation to vital structures. Osteoma may be in tight proximity to the sigmoid sinus, facial nerve, the base of the skull, or the semicircular canal. In this case, we report on the presentation and management of a twenty-seven-year-old patient with a giant mastoid osteoma.
{"title":"A rare case of a giant mastoid osteoma","authors":"Mohammed A Alghamdi","doi":"10.54905/disssi.v27i140.e362ms3235","DOIUrl":"https://doi.org/10.54905/disssi.v27i140.e362ms3235","url":null,"abstract":"Osteomas are true benign bone-forming neoplasms. Their occurrence in the skull is relatively rare. They arise primarily in the Sino nasal area. And to a lesser extent, in the temporal bone. Mastoid osteoma presents as a slow-growing, usually asymptomatic mass. Patients sometimes complain of tenderness or occasional pain; some seek medical assistance because of cosmetic effects. Management includes watchful waiting and surgical removal. Surgery of mastoid osteoma carries a low risk of complication but must proceed with CT scan images to evaluate the extent and relation to vital structures. Osteoma may be in tight proximity to the sigmoid sinus, facial nerve, the base of the skull, or the semicircular canal. In this case, we report on the presentation and management of a twenty-seven-year-old patient with a giant mastoid osteoma.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139309256","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.e349ms3209
Gholamreza Khataminia, Sadegh Kord, Nastaran Ranjbari
Background: Congenital nasolacrimal duct obstruction (CNLDO) is one of the leading causes of epiphora in infants, in which antibiotics are usually used as a conservative therapy in the first year. Objectives: This study aimed to evaluate the conjunctival bacterial flora in fellow eyes of patients 1-5 years old with unilateral NLDO and its changes after successful probing surgery. Methods: This prospective case-control study was conducted on children between 1-5 years old with unilateral NLDO with successful probing surgery in 2021. Before probing procedure and postoperative sampling from the conjunctiva of the eyes continued weekly until the colony count became negative or normal. Positive culture (clinically significant growths), colony count, and detected bacteria types reported. Results: The positive culture of conjunctival bacteria was observed in 71 (73.96%) in the case group and 35 eyes (36.46%) in the control group (P<0.0001). Most bacterial species in the case and control groups were gram-positive (75.61% and 82.86%, respectively; P=0.181). The most common isolated microorganisms in both groups were Staphylococcus epidermidis (54.95% and 51.43%) and Staphylococcus aureus (16.9% and 21.43%). The mean normalization time of bacterial culture was 1.92±0.54 weeks (between 1-3 weeks). The time for normalization of cultured bacteria was significantly related to the initial colony count≥1000 and the presence of a silicone tube (P<0.0001). Conclusions: Present study shows that gram-positive organisms with the predominance of Staphylococcus spp. were the significant conjunctival bacterial flora in pediatrics with NLDO. These findings could be helpful for management and appropriate antibiotic selection for treating of NLDO in our region.
{"title":"Conjunctival bacterial flora in fellow eyes of patients less than 5 y/o with unilateral nasolacrimal obstruction and its changes after successful probing surgery","authors":"Gholamreza Khataminia, Sadegh Kord, Nastaran Ranjbari","doi":"10.54905/disssi.v27i139.e349ms3209","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e349ms3209","url":null,"abstract":"Background: Congenital nasolacrimal duct obstruction (CNLDO) is one of the leading causes of epiphora in infants, in which antibiotics are usually used as a conservative therapy in the first year. Objectives: This study aimed to evaluate the conjunctival bacterial flora in fellow eyes of patients 1-5 years old with unilateral NLDO and its changes after successful probing surgery. Methods: This prospective case-control study was conducted on children between 1-5 years old with unilateral NLDO with successful probing surgery in 2021. Before probing procedure and postoperative sampling from the conjunctiva of the eyes continued weekly until the colony count became negative or normal. Positive culture (clinically significant growths), colony count, and detected bacteria types reported. Results: The positive culture of conjunctival bacteria was observed in 71 (73.96%) in the case group and 35 eyes (36.46%) in the control group (P<0.0001). Most bacterial species in the case and control groups were gram-positive (75.61% and 82.86%, respectively; P=0.181). The most common isolated microorganisms in both groups were Staphylococcus epidermidis (54.95% and 51.43%) and Staphylococcus aureus (16.9% and 21.43%). The mean normalization time of bacterial culture was 1.92±0.54 weeks (between 1-3 weeks). The time for normalization of cultured bacteria was significantly related to the initial colony count≥1000 and the presence of a silicone tube (P<0.0001). Conclusions: Present study shows that gram-positive organisms with the predominance of Staphylococcus spp. were the significant conjunctival bacterial flora in pediatrics with NLDO. These findings could be helpful for management and appropriate antibiotic selection for treating of NLDO in our region.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Coronavirus is highly contagious with no known effective treatment yet. However, being well-informed about the disease and how it spreads and adopting preventative measures can stop or slow its transmission. Objectives: This study examines school students' knowledge, attitudes, and behaviors about COVID-19 in Riyadh. Method: Students aged 12 to 18 participated in this cross-sectional study from different schools in Riyadh from April to June 2022. The data was collected through an online survey using a pre-validated Arabic questionnaire. Results: Among 253 students, 91.3% showed a high level of knowledge about the transmission of COVID-19. Furthermore, students reported that fever 94.5%, loss of taste and smell 92.5%, and headache 87.7% were the top three common symptoms. The older versus younger OR=0.306, 95%CI: (0.092-1.024), p<0.05, and secondary school students versus intermediate school students OR=0.243, 95%CI: (0.072-0.819) p<0.02 predicted the high knowledge score. 69.2% of students favor informing the health authorities when they have symptoms, and 71.9% agreed to be isolated if they contacted an infected person. The female students were keener than male students to practice the preventive measures (P-value <0.0001). Social media was the primary source of information. Conclusion: Most participants were well-informed, held rational attitudes, and took preventive measures against COVID-19. Respondents learned about COVID-19 via social media, demonstrating its positive influence on public health awareness. Our study may not reflect Riyadh schoolchildren's COVID-19 knowledge, attitudes, and preventative behaviors. It provides essential information to assist health organizations in creating and implementing preventive initiatives.
{"title":"Knowledge, attitudes and preventive behaviors toward COVID-19 among school students in Riyadh, Saudi Arabia","authors":"Sulaiman Abdullah Alshammari, Dimah Khalid Alaraifi, Fatimah Abdulrahman Albassam, Shahad Awadh Alzahrani, Layan Hassan AlWatban, Rawan Mohammed Alharbi, Marwah Jassim Alkhalil","doi":"10.54905/disssi.v27i139.e343ms3167","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e343ms3167","url":null,"abstract":"Background: Coronavirus is highly contagious with no known effective treatment yet. However, being well-informed about the disease and how it spreads and adopting preventative measures can stop or slow its transmission. Objectives: This study examines school students' knowledge, attitudes, and behaviors about COVID-19 in Riyadh. Method: Students aged 12 to 18 participated in this cross-sectional study from different schools in Riyadh from April to June 2022. The data was collected through an online survey using a pre-validated Arabic questionnaire. Results: Among 253 students, 91.3% showed a high level of knowledge about the transmission of COVID-19. Furthermore, students reported that fever 94.5%, loss of taste and smell 92.5%, and headache 87.7% were the top three common symptoms. The older versus younger OR=0.306, 95%CI: (0.092-1.024), p<0.05, and secondary school students versus intermediate school students OR=0.243, 95%CI: (0.072-0.819) p<0.02 predicted the high knowledge score. 69.2% of students favor informing the health authorities when they have symptoms, and 71.9% agreed to be isolated if they contacted an infected person. The female students were keener than male students to practice the preventive measures (P-value <0.0001). Social media was the primary source of information. Conclusion: Most participants were well-informed, held rational attitudes, and took preventive measures against COVID-19. Respondents learned about COVID-19 via social media, demonstrating its positive influence on public health awareness. Our study may not reflect Riyadh schoolchildren's COVID-19 knowledge, attitudes, and preventative behaviors. It provides essential information to assist health organizations in creating and implementing preventive initiatives.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082172","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}
Carcinoma of tongue cases is increasing in number day by day. An earlier diagnosis improves a person's chance of surviving five years after being diagnosed with tongue carcinoma. The primary therapeutic option for tongue squamous cell carcinoma is surgery. When evaluating the treatment plan, it is essential to consider the potential effects of such treatments on speech, swallowing, and cosmetic outcomes to get the first-rate loco-regional control rate. Following primary tumor removal, reconstruction should be done expeditiously. The degree of the residual tumor and the type of tongue replacement used to determine how severe the functional impairment will be. In this case series, we attempt to present our institutional data of 142 retrospective cases to highlight various commonly used flaps for tongue reconstruction based on the size of the defect.
{"title":"Various flap reconstruction options for tongue defect in oral squamous cell carcinoma","authors":"Sanjana Narendra Wadewale, Nitin Bhola, Anchal Agarwal","doi":"10.54905/disssi.v27i139.e359ms3153","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e359ms3153","url":null,"abstract":"Carcinoma of tongue cases is increasing in number day by day. An earlier diagnosis improves a person's chance of surviving five years after being diagnosed with tongue carcinoma. The primary therapeutic option for tongue squamous cell carcinoma is surgery. When evaluating the treatment plan, it is essential to consider the potential effects of such treatments on speech, swallowing, and cosmetic outcomes to get the first-rate loco-regional control rate. Following primary tumor removal, reconstruction should be done expeditiously. The degree of the residual tumor and the type of tongue replacement used to determine how severe the functional impairment will be. In this case series, we attempt to present our institutional data of 142 retrospective cases to highlight various commonly used flaps for tongue reconstruction based on the size of the defect.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082357","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: Dependent Personality Disorder (DPD) is the most prevalent personality disorder, which is associated with several negative consequences. Objectives: The current study aimed to investigate the effect of ICBT on DPD and compare it with face-to-face CBT in a sample of DPD patients. Method: The participants were adults with DPD recruited from various counseling and psychological clinics in Tehran, Iran. They were randomly assigned to receive face-to-face CBT ( n = 20) or ICBT ( n = 20). Depression-Anxiety-Stress Scale-21 (DASS-21) and Interpersonal Problems Questionnaire (IIP-32) were completed at pre-and post-treatment. Result: Analysis of Covariance (ANCOVA) showed that the face-to-face CBT group had significantly lower interpersonal problem scores than the ICBT group (F=23.81, p<0.05). However, no significant difference was observed between the face-to-face CBT and ICBT groups in anxiety (F=3.68, p<0.05) and depression (F=1.70, p<0.05). Conclusion: The findings support the effects of both ICBT and face-to-face CBT in treating patients with DPD. While both ICBT and face-to-face CBT demonstrated favorable outcomes, our study suggests an advantage of face-to-face CBT in addressing interpersonal problems among these patients. Further research is needed to investigate the long-term effects of ICBT to enhance traditional approaches for DPD.
{"title":"Effect of Internet-based versus face-to-face Cognitive Behavioral Therapy for Dependent Personality Disorder: A randomized clinical trial","authors":"Nazanin Ahangari, Saina Fatollahzadeh, Hoda Doos Ali Vand, Jafar Sarani Yaztappeh","doi":"10.54905/disssi.v27i139.e354ms3223","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e354ms3223","url":null,"abstract":"Background: Dependent Personality Disorder (DPD) is the most prevalent personality disorder, which is associated with several negative consequences. Objectives: The current study aimed to investigate the effect of ICBT on DPD and compare it with face-to-face CBT in a sample of DPD patients. Method: The participants were adults with DPD recruited from various counseling and psychological clinics in Tehran, Iran. They were randomly assigned to receive face-to-face CBT ( n = 20) or ICBT ( n = 20). Depression-Anxiety-Stress Scale-21 (DASS-21) and Interpersonal Problems Questionnaire (IIP-32) were completed at pre-and post-treatment. Result: Analysis of Covariance (ANCOVA) showed that the face-to-face CBT group had significantly lower interpersonal problem scores than the ICBT group (F=23.81, p<0.05). However, no significant difference was observed between the face-to-face CBT and ICBT groups in anxiety (F=3.68, p<0.05) and depression (F=1.70, p<0.05). Conclusion: The findings support the effects of both ICBT and face-to-face CBT in treating patients with DPD. While both ICBT and face-to-face CBT demonstrated favorable outcomes, our study suggests an advantage of face-to-face CBT in addressing interpersonal problems among these patients. Further research is needed to investigate the long-term effects of ICBT to enhance traditional approaches for DPD.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135081394","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.e347ms3056
Liudmyla F Kaskova, Valentyna А Honcharenko, Тetiana S Kitsak
The study aimed was to study the state of periodontal tissues in 18 somatically healthy children and 109 children with type 1 diabetes, taking into account the duration and severity of the underlying disease. The examination results showed that changes in periodontal tissues are more pronounced in children with somatic pathology than in children without concomitant pathology. We have established that with a duration of diabetes more than five years, the papillary-marginal index was probably higher than in children with a duration of diabetes less than five years. The dependence of periodontal tissues on the level of glycemic control was monitored. In children with an optimal level of glycemic control, a soft degree of chronic catarrhal gingivitis was found, suboptimal - mild and moderate, and in children with a high level of glycemic control, a soft, moderate and severe course of HCG was detected. The number of sextants with bleeding also depended on the duration and severity of the course main disease.
{"title":"The state of the periodontal tissue in children with insulin dependent diabetes mellitus","authors":"Liudmyla F Kaskova, Valentyna А Honcharenko, Тetiana S Kitsak","doi":"10.54905/disssi.v27i139.e347ms3056","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e347ms3056","url":null,"abstract":"The study aimed was to study the state of periodontal tissues in 18 somatically healthy children and 109 children with type 1 diabetes, taking into account the duration and severity of the underlying disease. The examination results showed that changes in periodontal tissues are more pronounced in children with somatic pathology than in children without concomitant pathology. We have established that with a duration of diabetes more than five years, the papillary-marginal index was probably higher than in children with a duration of diabetes less than five years. The dependence of periodontal tissues on the level of glycemic control was monitored. In children with an optimal level of glycemic control, a soft degree of chronic catarrhal gingivitis was found, suboptimal - mild and moderate, and in children with a high level of glycemic control, a soft, moderate and severe course of HCG was detected. The number of sextants with bleeding also depended on the duration and severity of the course main disease.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135081685","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.e356ms3127
Arsalan Humayun, Mohamad Arif Bin Awang Nawi, Muhamad Ilyas Sidiqui
Introduction: Pandemics and other public health crises have impacted the lives of millions of individuals worldwide, affecting their mental well-being in various ways. During such crises, young adults and professionals are particularly vulnerable to mental health challenges. This study's main objective was to destigmatize mental illness and assess the burden of stress, anxiety, depression, and suicidal behavior among medical and dental students. Additionally, the study aimed at coping strategies for both individuals with psychiatric illnesses and those without. Method: This cross-sectional study aimed to assess depression and poor mental health symptoms among university students at Liaquat University of Medical & Health Sciences in Jamshoro, Pakistan. Purposive sampling was employed to promote honest reporting by the students, and strict anonymity was ensured throughout the study. Data collection occurred in the final quarter of 2022. Results: The results from this study show that females, students aged 18-25, and single students faced higher risks of mental health issues. Undergraduate students and middle-class students were also more affected. Logistic regression analysis indicated that marital status, socioeconomic status, and living in urban or rural areas without family support were significant predictors of mental health problems among students. Conclusions: Students' mental health has been notably impacted by the COVID-19 pandemic. Researchers should consider social impacts on mental health. Urgent actions should include the implementation of telemedicine and the establishment of counseling units staffed by qualified experts. Policymakers need to adopt a holistic approach that integrates mental health support when planning for future epidemics.
{"title":"Breaking the stigma: Determining factors affecting the mental health of students after COVID-19 pandemic","authors":"Arsalan Humayun, Mohamad Arif Bin Awang Nawi, Muhamad Ilyas Sidiqui","doi":"10.54905/disssi.v27i139.e356ms3127","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e356ms3127","url":null,"abstract":"Introduction: Pandemics and other public health crises have impacted the lives of millions of individuals worldwide, affecting their mental well-being in various ways. During such crises, young adults and professionals are particularly vulnerable to mental health challenges. This study's main objective was to destigmatize mental illness and assess the burden of stress, anxiety, depression, and suicidal behavior among medical and dental students. Additionally, the study aimed at coping strategies for both individuals with psychiatric illnesses and those without. Method: This cross-sectional study aimed to assess depression and poor mental health symptoms among university students at Liaquat University of Medical & Health Sciences in Jamshoro, Pakistan. Purposive sampling was employed to promote honest reporting by the students, and strict anonymity was ensured throughout the study. Data collection occurred in the final quarter of 2022. Results: The results from this study show that females, students aged 18-25, and single students faced higher risks of mental health issues. Undergraduate students and middle-class students were also more affected. Logistic regression analysis indicated that marital status, socioeconomic status, and living in urban or rural areas without family support were significant predictors of mental health problems among students. Conclusions: Students' mental health has been notably impacted by the COVID-19 pandemic. Researchers should consider social impacts on mental health. Urgent actions should include the implementation of telemedicine and the establishment of counseling units staffed by qualified experts. Policymakers need to adopt a holistic approach that integrates mental health support when planning for future epidemics.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082176","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.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":null,"pages":null},"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":null,"pages":null},"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.
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