Pub Date : 2023-08-09DOI: 10.54905/disssi/v27i138/e331ms3168
Mostafa A Arafa, Karim H Farhat, Danny M Rabah, Alaa Mokhtar, Waleed Al-Taweel, Alanoud Abdullah Albukairi, Mohamed Fawzi Farahat, Horeya M Ismail
Objectives: To explore the relationship between prostate cancer (PCa) aggressiveness and the advanced age at diagnosis. Materials and methods: Men who had high Prostate-specific antigen (PSA) (>4ng/ml) were referred to the urology clinic for further evaluation by MRI, and those with positive findings were scheduled for a biopsy. Depending on its size, a systematic 12-core procedure was employed in each patient, following the extraction of 2-6 cores from the identified lesion. Non-significant prostate cancer had a Gleason score (GS) lower than 3 + 4, whereas significant PCa was categorized as having a GS of 3 + 4 or higher. Results: Out of all screened 6482 cases, 75 were diagnosed as clinically significant cancer (CSC) cases, and 21 were non-clinically significant. Age was significantly correlated with CSC in univariate analysis, where the percentage of CSC cases increased with increased age categories, and it was a significant independent predictor in all multivariate models. Its discriminative ability is high (AUC=0.75). The percentage of CSC cases (63.6%) is significantly higher in the smallest volume category (≤33 cc) in comparison to the 34-60 cc category (29.5%) and >60 cc category (31.8%). The interaction parameter, age-prostate volume, was a significant independent predictor of CSC, particularly for the smaller prostate volume (<33 cc). Conclusions: Age is considered a significant independent predictor of CSC, in general, and for older men in specific. The ability of prostate size to detect CSC becomes higher when interacting with age, particularly for small prostate size.
{"title":"Prostate cancer severity prediction in advanced age groups in low incidence region","authors":"Mostafa A Arafa, Karim H Farhat, Danny M Rabah, Alaa Mokhtar, Waleed Al-Taweel, Alanoud Abdullah Albukairi, Mohamed Fawzi Farahat, Horeya M Ismail","doi":"10.54905/disssi/v27i138/e331ms3168","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e331ms3168","url":null,"abstract":"Objectives: To explore the relationship between prostate cancer (PCa) aggressiveness and the advanced age at diagnosis. Materials and methods: Men who had high Prostate-specific antigen (PSA) (>4ng/ml) were referred to the urology clinic for further evaluation by MRI, and those with positive findings were scheduled for a biopsy. Depending on its size, a systematic 12-core procedure was employed in each patient, following the extraction of 2-6 cores from the identified lesion. Non-significant prostate cancer had a Gleason score (GS) lower than 3 + 4, whereas significant PCa was categorized as having a GS of 3 + 4 or higher. Results: Out of all screened 6482 cases, 75 were diagnosed as clinically significant cancer (CSC) cases, and 21 were non-clinically significant. Age was significantly correlated with CSC in univariate analysis, where the percentage of CSC cases increased with increased age categories, and it was a significant independent predictor in all multivariate models. Its discriminative ability is high (AUC=0.75). The percentage of CSC cases (63.6%) is significantly higher in the smallest volume category (≤33 cc) in comparison to the 34-60 cc category (29.5%) and >60 cc category (31.8%). The interaction parameter, age-prostate volume, was a significant independent predictor of CSC, particularly for the smaller prostate volume (<33 cc). Conclusions: Age is considered a significant independent predictor of CSC, in general, and for older men in specific. The ability of prostate size to detect CSC becomes higher when interacting with age, particularly for small prostate size.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135745930","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 : 2023-08-09DOI: 10.54905/disssi/v27i138/e334ms3180
Nouf Abdulaziz Alkalbi, Sami Abdo Radman Al-Dubai, Abdulhamid Awadh Alharbi, Maha Mubarak Almutairi, Zahrah Ibrahim Alsharif, Masheal Abdullah Abdulmaqsud, Arwa Atiah Almalki, Zeidan Abdu Zeidan
Background: Body mass index and comorbidities determine surgical indications for bariatric surgery. The study aimed to evaluate health-related quality of life (QoL) in patients following laparoscopic sleeve gastrectomy to determine their perceptions of the surgical outcome and identify potential QoL-related factors. Patients and Methods: This cross-sectional study, conducted at King Fahad Hospital, Al-Madina, comprised 383 patients aged ≥18 years who had undergone bariatric surgery ≥3 months earlier. Sociodemographic and surgical complication data were collected using the Short Form Health Survey (SF-36)-QoL. Results: “Social functioning” had the highest mean (78.7 ± 19), followed by “role limitations due to physical health” and “pain” (76.8 ± 36.4 and 76.2 ± 25.3, respectively). One -third of the patients had diabetes mellitus, and two-thirds had hypertension. Older age, higher educational level, marriage, shorter post-operative period, and absence of complications were associated with higher scores in the “role limitations due to emotional issues” domain. Younger age, higher income, a more extended post-operative period, and being single were associated with higher scores in the “physical functioning” domain. Conclusion: Age, educational level, income, marital status, history of chronic disease, time since surgery, and complications were associated with QoL. Physical health functioning, emotional issues, energy/fatigue, and general health all had high QoL scores. Gastroesophageal reflux disease, gallbladder stones, and malnutrition were common complications post-operatively
{"title":"Quality of life in patients who underwent bariatric surgery at a tertiary hospital in Madina, Saudi Arabia: A cross-sectional study","authors":"Nouf Abdulaziz Alkalbi, Sami Abdo Radman Al-Dubai, Abdulhamid Awadh Alharbi, Maha Mubarak Almutairi, Zahrah Ibrahim Alsharif, Masheal Abdullah Abdulmaqsud, Arwa Atiah Almalki, Zeidan Abdu Zeidan","doi":"10.54905/disssi/v27i138/e334ms3180","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e334ms3180","url":null,"abstract":"Background: Body mass index and comorbidities determine surgical indications for bariatric surgery. The study aimed to evaluate health-related quality of life (QoL) in patients following laparoscopic sleeve gastrectomy to determine their perceptions of the surgical outcome and identify potential QoL-related factors. Patients and Methods: This cross-sectional study, conducted at King Fahad Hospital, Al-Madina, comprised 383 patients aged ≥18 years who had undergone bariatric surgery ≥3 months earlier. Sociodemographic and surgical complication data were collected using the Short Form Health Survey (SF-36)-QoL. Results: “Social functioning” had the highest mean (78.7 ± 19), followed by “role limitations due to physical health” and “pain” (76.8 ± 36.4 and 76.2 ± 25.3, respectively). One -third of the patients had diabetes mellitus, and two-thirds had hypertension. Older age, higher educational level, marriage, shorter post-operative period, and absence of complications were associated with higher scores in the “role limitations due to emotional issues” domain. Younger age, higher income, a more extended post-operative period, and being single were associated with higher scores in the “physical functioning” domain. Conclusion: Age, educational level, income, marital status, history of chronic disease, time since surgery, and complications were associated with QoL. Physical health functioning, emotional issues, energy/fatigue, and general health all had high QoL scores. Gastroesophageal reflux disease, gallbladder stones, and malnutrition were common complications post-operatively","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135745929","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 : 2023-08-06DOI: 10.54905/disssi/v27i138/e327ms3065
Wan Mohd Nazlee Wan Zainon, Mohd Albaihaqi Ahmad Lotopi, Nur Syuhada Roslan, Norazlina Mat Nawi, Arsalan Humayun, Mohamad Arif Awang Nawi
Introduction : Erectile dysfunction (ED) is a common complication in men with type 2 diabetes mellitus and can significantly impact their quality of life and relationships. However, the prevalence of erectile dysfunction is usually underestimated in developing countries due to social stigma, lack of awareness, limited access to healthcare, and underdiagnosis. This study aims to identify the risk factors associated with ED in type 2 male diabetics. Methodology: A retrospective study was conducted at the Hospital Universiti Sains Malaysia involving T2DM male patients who also experienced ED. The patient's medical records were reviewed to identify potential risk factors for ED by using Structural Equation Modelling (SEM), including direct and indirect effects. The best SEM model was identified based on goodness-of-fit measures. The models were created and analyzed using IBM SPSS Amos 20 software. Results : The results of our study showed that the final model had a good fit, and only three independent predictors, including old age, FBS, and TC, had a direct statistically significant effect on erectile dysfunction among T2DM patients in our study population. Other variables, such as BMI, HBA1C count, antidepressant status, and smoking status, did not significantly affect. The goodness of fit statistics, such as GFI, NFI, CFI, TLI, and RMSEA values, indicate a good model fit. Conclusion : Our findings suggest that early detection and management of these risk factors could help prevent or reduce the risk of ED in T2DM patients. Comprehensive care of T2DM patients is essential to prevent or reduce the risk of ED.
{"title":"Risk factors of erectile dysfunction among type 2 diabetes mellitus patients: A retrospective real-world study in the Hospital Universiti Sains Malaysia","authors":"Wan Mohd Nazlee Wan Zainon, Mohd Albaihaqi Ahmad Lotopi, Nur Syuhada Roslan, Norazlina Mat Nawi, Arsalan Humayun, Mohamad Arif Awang Nawi","doi":"10.54905/disssi/v27i138/e327ms3065","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e327ms3065","url":null,"abstract":"Introduction : Erectile dysfunction (ED) is a common complication in men with type 2 diabetes mellitus and can significantly impact their quality of life and relationships. However, the prevalence of erectile dysfunction is usually underestimated in developing countries due to social stigma, lack of awareness, limited access to healthcare, and underdiagnosis. This study aims to identify the risk factors associated with ED in type 2 male diabetics. Methodology: A retrospective study was conducted at the Hospital Universiti Sains Malaysia involving T2DM male patients who also experienced ED. The patient's medical records were reviewed to identify potential risk factors for ED by using Structural Equation Modelling (SEM), including direct and indirect effects. The best SEM model was identified based on goodness-of-fit measures. The models were created and analyzed using IBM SPSS Amos 20 software. Results : The results of our study showed that the final model had a good fit, and only three independent predictors, including old age, FBS, and TC, had a direct statistically significant effect on erectile dysfunction among T2DM patients in our study population. Other variables, such as BMI, HBA1C count, antidepressant status, and smoking status, did not significantly affect. The goodness of fit statistics, such as GFI, NFI, CFI, TLI, and RMSEA values, indicate a good model fit. Conclusion : Our findings suggest that early detection and management of these risk factors could help prevent or reduce the risk of ED in T2DM patients. Comprehensive care of T2DM patients is essential to prevent or reduce the risk of ED.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136044024","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 : 2023-08-03DOI: 10.54905/disssi/v27i138/e320ms3052
Hala Gasim Elssied, Renad Alsaedi, Rawabi Alharbi, Rahaf Almughathawi, Lama Alraddadi, Amirah Alzughaibi
Background: Rational use of drugs require that patient receive medicine appropriate to their clinical needs in a dose that meets their own individual requirements for an adequate period at the lowest cost to them and their community. In the real world, prescribing patterns do not always conform to these ideals and what prevails instead is inappropriate, irrational prescribing. Aims: This study aims to estimate the prevalence of self-medication practices and rational drug use among undergraduate University students in Madinah city, in order to update the information in this region. Methods: The study adopted a cross sectional study conducted on undergraduate medical students, as the sample size calculated using the Epi Info program accordingly the study population was (357) students in Madinah city in a period from (September 2022 to September 2023). A questionnaire was passed on digitally. Results: The practices of the participants towards experience any side effects while taking medication (28.9%) abandon the medication, while (28.2%) consult to physician, (19.6%) consult to the pharmacist, (13.2%) discontinue the course of the medication and start a new one with the same affect, (6.2%) consult to the family, 3.9% do nothing. Conclusions: The understanding, perspective, and behaviors of self-medication and drugs among medical students are substantially low with increasing use of self-prescribed medications, and antibiotics.
{"title":"Knowledge, attitude and practices of self-medication and rational drug use habits among medical students in Madinah city","authors":"Hala Gasim Elssied, Renad Alsaedi, Rawabi Alharbi, Rahaf Almughathawi, Lama Alraddadi, Amirah Alzughaibi","doi":"10.54905/disssi/v27i138/e320ms3052","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e320ms3052","url":null,"abstract":"Background: Rational use of drugs require that patient receive medicine appropriate to their clinical needs in a dose that meets their own individual requirements for an adequate period at the lowest cost to them and their community. In the real world, prescribing patterns do not always conform to these ideals and what prevails instead is inappropriate, irrational prescribing. Aims: This study aims to estimate the prevalence of self-medication practices and rational drug use among undergraduate University students in Madinah city, in order to update the information in this region. Methods: The study adopted a cross sectional study conducted on undergraduate medical students, as the sample size calculated using the Epi Info program accordingly the study population was (357) students in Madinah city in a period from (September 2022 to September 2023). A questionnaire was passed on digitally. Results: The practices of the participants towards experience any side effects while taking medication (28.9%) abandon the medication, while (28.2%) consult to physician, (19.6%) consult to the pharmacist, (13.2%) discontinue the course of the medication and start a new one with the same affect, (6.2%) consult to the family, 3.9% do nothing. Conclusions: The understanding, perspective, and behaviors of self-medication and drugs among medical students are substantially low with increasing use of self-prescribed medications, and antibiotics.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136381224","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: Acute pancreatitis is a common disease with raising incidence and is potentially a life-threatening condition. Many patients with alcohol related pancreatitis were misdiagnosed as gallstone related pancreatitis. Early identification of such aetiology of pancreatitis was essential for prevention of unnecessary interventional procedure (like ERCP), which was less useful in pancreatitis patients of alcoholic origin. So, this study was under taken with aim to find out cause of acute pancreatitis by using pancreatic enzymes and Lipase: Amylase ratio. Additionally, the study aimed to assess the predictive value of these markers in determining the severity of pancreatitis. Material and methods: Present observational study was done at Medical Gastroenterology Department at Acharya Vinoba Bhave Rural Hospital, Wardha, India over 1 year period. Total 84 acute pancreatitis patients, who satisfied inclusion and exclusion criteria were selected and assessed for serum Amylase & Lipase and Lipase: Amylase ratio. Results: In current study, average patients age was 41.1 ± 12.7 years, where majority of patients were males (82%) and all alcoholic pancreatitis patients were also male (p<0.05). Most common etiology for acute pancreatitis was alcohol i.e., 48.8% followed by idiopathic cause around 31%, gall stone disease (16.7%), and others. There were non-significantly lower levels of serum lipase, serum amylase and serum lipase/amylase ratio among alcoholic pancreatitis and severe pancreatitis patients compared to their counterpart (p>0.05). Conclusion: Pancreatitis enzymes and Lipase: Amylase ratio was not much effective in predicting etiology and severity in patients of acute pancreatitis.
{"title":"Forecasting Severities and Etiology of Acute Pancreatitis by Using Pancreatic Enzymes and Lipase: Amylase Ratio","authors":"Kamlesh Taori, Vijendra Kirnake, Parmeshwar Junare, Ravi Daswani, Anusha Gupta, Sagar Bothra, Nikhil Pantbalekundri, Sourya Acharya","doi":"10.54905/disssi/v27i138/e326ms3151","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e326ms3151","url":null,"abstract":"Background: Acute pancreatitis is a common disease with raising incidence and is potentially a life-threatening condition. Many patients with alcohol related pancreatitis were misdiagnosed as gallstone related pancreatitis. Early identification of such aetiology of pancreatitis was essential for prevention of unnecessary interventional procedure (like ERCP), which was less useful in pancreatitis patients of alcoholic origin. So, this study was under taken with aim to find out cause of acute pancreatitis by using pancreatic enzymes and Lipase: Amylase ratio. Additionally, the study aimed to assess the predictive value of these markers in determining the severity of pancreatitis. Material and methods: Present observational study was done at Medical Gastroenterology Department at Acharya Vinoba Bhave Rural Hospital, Wardha, India over 1 year period. Total 84 acute pancreatitis patients, who satisfied inclusion and exclusion criteria were selected and assessed for serum Amylase & Lipase and Lipase: Amylase ratio. Results: In current study, average patients age was 41.1 ± 12.7 years, where majority of patients were males (82%) and all alcoholic pancreatitis patients were also male (p<0.05). Most common etiology for acute pancreatitis was alcohol i.e., 48.8% followed by idiopathic cause around 31%, gall stone disease (16.7%), and others. There were non-significantly lower levels of serum lipase, serum amylase and serum lipase/amylase ratio among alcoholic pancreatitis and severe pancreatitis patients compared to their counterpart (p>0.05). Conclusion: Pancreatitis enzymes and Lipase: Amylase ratio was not much effective in predicting etiology and severity in patients of acute pancreatitis.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135002739","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 : 2023-08-01DOI: 10.54905/disssi/v27i138/e321ms3107
Amal Shaji, Adarsh KM, Amita Digambar Dabholkar
Background: A computer-assisted bolus tracking system that initiates diagnostic scans prompted by contrast enhancement was recently developed. Using low-dose scans, this technology allows the scans to start, either manually or automatically, when the contrast enhancement rises to a predefined threshold (ROI). We aimed to compare the automatic bolus tracking and manual bolus tracking triphasic contrast enhancement in the abdomen. Materials and Methods: To compare automatic bolus tracking and manual bolus tracking method for contrast enhancement in the Hounsfield Unit of abdominal vessels and measure the delay in contrast enhancement in automatic and manual bolus tracking methods. The studies were conducted in the Department of Radio-diagnosis. 72 participants were included in the study that underwent triphasic CECT abdomen. Results: The Thoracic Aorta (HU) and Abdominal Aorta (HU) of the two groups differ significantly (P value 0.001). There is a substantial difference between the two groups in Hepatic Artery (HU) and Delay Time (S) (P value 0.001). Conclusion: This study revealed that automatic bolus tracking was the most beneficial approach in triphasic CECT Abdomen when compared to manual bolus tracking.
{"title":"Comparative study of automatic bolus tracking and manual bolus tracking in triphasic Computed Tomography of the abdomen","authors":"Amal Shaji, Adarsh KM, Amita Digambar Dabholkar","doi":"10.54905/disssi/v27i138/e321ms3107","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e321ms3107","url":null,"abstract":"Background: A computer-assisted bolus tracking system that initiates diagnostic scans prompted by contrast enhancement was recently developed. Using low-dose scans, this technology allows the scans to start, either manually or automatically, when the contrast enhancement rises to a predefined threshold (ROI). We aimed to compare the automatic bolus tracking and manual bolus tracking triphasic contrast enhancement in the abdomen. Materials and Methods: To compare automatic bolus tracking and manual bolus tracking method for contrast enhancement in the Hounsfield Unit of abdominal vessels and measure the delay in contrast enhancement in automatic and manual bolus tracking methods. The studies were conducted in the Department of Radio-diagnosis. 72 participants were included in the study that underwent triphasic CECT abdomen. Results: The Thoracic Aorta (HU) and Abdominal Aorta (HU) of the two groups differ significantly (P value 0.001). There is a substantial difference between the two groups in Hepatic Artery (HU) and Delay Time (S) (P value 0.001). Conclusion: This study revealed that automatic bolus tracking was the most beneficial approach in triphasic CECT Abdomen when compared to manual bolus tracking.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135002744","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 : 2023-08-01DOI: 10.54905/disssi/v27i138/e318ms3169
Raghad Majed Hariri, Khulood Waleed Melebari, Aljoharah Abdullah Alqahtani, Bushra Ahmed Shaikh, Rasha Ibrahim Kutbi, Mayyas Abdulaziz Alnajmi, Yazan Hussain Shahat, Osama Abdullah Abdulrahman, Mokhtar Mahfouz Shatla
Background and aim: Complementary and Alternative Medicine (CAM) is commonly practiced, and Makkah city being a religious site has more diversity and access to it, which should be addressed and measured. The objective of this study is to assess knowledge, attitude, and practice of various CAM practices in the population of Makkah city, Saudi Arabia. Methods: A web-based cross sectional descriptive study was conducted using a previously validated questionnaire which was translated in Arabic and thereafter distributed via electronic links to the target population. Results: A total of 437 responses were collected fulfilling the inclusion criteria. The participants were ranged from 18 to more than 50 years old, 89.2% of them were females and 95.4% were Saudi. A total of 347 participants had knowledge about CAM and it was observed to be higher among females 80.5% compared to the males 70.2%. 67.5% of the participants reported using CAM and the most reported source of knowledge was family/friends (62.5%), followed by social media (52.2%). 42.9% agreed that CAM is better than conventional medicine for treatment, and 42.8% concurred that it’s safe to use without consulting a medical practitioner. 82.4% think CAM is effective for treatment, and 67.5% regard CAM as safe for use. Conclusion: CAM is widely favored by the citizens of Makkah, Saudi Arabia. Its high prevalence and increased use indicate the need for credible sources to ensure accurate and safe utilization among the citizens.
{"title":"Public knowledge, attitude and practice of complementary and alternative medicine in Makkah city, Saudi Arabia","authors":"Raghad Majed Hariri, Khulood Waleed Melebari, Aljoharah Abdullah Alqahtani, Bushra Ahmed Shaikh, Rasha Ibrahim Kutbi, Mayyas Abdulaziz Alnajmi, Yazan Hussain Shahat, Osama Abdullah Abdulrahman, Mokhtar Mahfouz Shatla","doi":"10.54905/disssi/v27i138/e318ms3169","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e318ms3169","url":null,"abstract":"Background and aim: Complementary and Alternative Medicine (CAM) is commonly practiced, and Makkah city being a religious site has more diversity and access to it, which should be addressed and measured. The objective of this study is to assess knowledge, attitude, and practice of various CAM practices in the population of Makkah city, Saudi Arabia. Methods: A web-based cross sectional descriptive study was conducted using a previously validated questionnaire which was translated in Arabic and thereafter distributed via electronic links to the target population. Results: A total of 437 responses were collected fulfilling the inclusion criteria. The participants were ranged from 18 to more than 50 years old, 89.2% of them were females and 95.4% were Saudi. A total of 347 participants had knowledge about CAM and it was observed to be higher among females 80.5% compared to the males 70.2%. 67.5% of the participants reported using CAM and the most reported source of knowledge was family/friends (62.5%), followed by social media (52.2%). 42.9% agreed that CAM is better than conventional medicine for treatment, and 42.8% concurred that it’s safe to use without consulting a medical practitioner. 82.4% think CAM is effective for treatment, and 67.5% regard CAM as safe for use. Conclusion: CAM is widely favored by the citizens of Makkah, Saudi Arabia. Its high prevalence and increased use indicate the need for credible sources to ensure accurate and safe utilization among the citizens.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134950910","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}
A Mature teratoma is a tumour consisting of various tissues and is generally a benign tumor. A 3 months old male infant presented with a history of distension of the abdomen, urinary dribbling, and trouble passing the stool for one month before admission. On general examination, the abdomen was soft. Laboratory investigations were performed, and a contrast-enhanced computerized tomography (CECT) abdomen revealed a retroperitoneal mass (suspected Teratoma) with bilateral hydronephrosis. The next day the patient was operated on by performing laparotomy with the removal of the tumor. The patient also had one undescended testis and umbilical hernia, which were taken care of. The patient was kept under observation and was discharged after six days. Diet was advised, and cefixime syrup was given for one week. Follow-up was recommended after one week from the date of discharge.
{"title":"Retroperitoneal mature teratoma in 3 months old male infant: A case report","authors":"Chaithanya Pulivarthi, Revat Meshram, Amar Taksande","doi":"10.54905/disssi/v27i138/e316ms3139","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e316ms3139","url":null,"abstract":"A Mature teratoma is a tumour consisting of various tissues and is generally a benign tumor. A 3 months old male infant presented with a history of distension of the abdomen, urinary dribbling, and trouble passing the stool for one month before admission. On general examination, the abdomen was soft. Laboratory investigations were performed, and a contrast-enhanced computerized tomography (CECT) abdomen revealed a retroperitoneal mass (suspected Teratoma) with bilateral hydronephrosis. The next day the patient was operated on by performing laparotomy with the removal of the tumor. The patient also had one undescended testis and umbilical hernia, which were taken care of. The patient was kept under observation and was discharged after six days. Diet was advised, and cefixime syrup was given for one week. Follow-up was recommended after one week from the date of discharge.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135002743","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 : 2023-08-01DOI: 10.54905/disssi/v27i138/e315ms3131
Radha Manish Nangliya, Manali A Boob, Pratik Phansopkar, Kamya Somaiya
Coronary artery bypass grafting (CABG) is a standard type of surgery to treat coronary heart disease. Although restoring the circulation of blood is the main goal of CABG, an effective rehabilitation program is also crucial to the procedure's success. In this instance, elective CABG was performed on a 59-year-old male patient with severe coronary artery disease. The sufferer's postoperative care included a sophisticated intervention that included regular physical activity, dietary modifications, and psychological counselling. The rehabilitative approach included health education, sequential mobilization, a monitored exercise program, dietary counselling, guidance to quitting smoking, and stress management techniques. A framework of evaluation is necessary for the patient's progress to be based on objective measures such as functional status, quality of life, etc. The significance of a well-planned and comprehensive rehabilitation program for CABG patients' postoperative treatment is highlighted by this case study. It highlights the need of using a multidisciplinary team to provide holistic treatment that is taken into account.
{"title":"Optimizing cardiac therapeutic intervention strategies for patients undergoing Coronary Artery Bypass Graft (CABG) surgery towards recovery and quality of life enhancement: A case study","authors":"Radha Manish Nangliya, Manali A Boob, Pratik Phansopkar, Kamya Somaiya","doi":"10.54905/disssi/v27i138/e315ms3131","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e315ms3131","url":null,"abstract":"Coronary artery bypass grafting (CABG) is a standard type of surgery to treat coronary heart disease. Although restoring the circulation of blood is the main goal of CABG, an effective rehabilitation program is also crucial to the procedure's success. In this instance, elective CABG was performed on a 59-year-old male patient with severe coronary artery disease. The sufferer's postoperative care included a sophisticated intervention that included regular physical activity, dietary modifications, and psychological counselling. The rehabilitative approach included health education, sequential mobilization, a monitored exercise program, dietary counselling, guidance to quitting smoking, and stress management techniques. A framework of evaluation is necessary for the patient's progress to be based on objective measures such as functional status, quality of life, etc. The significance of a well-planned and comprehensive rehabilitation program for CABG patients' postoperative treatment is highlighted by this case study. It highlights the need of using a multidisciplinary team to provide holistic treatment that is taken into account.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135002745","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}
The aim of this study was to assess the prevalence of pregnancy related maternal complications and birth outcome among women in Jeddah city Saudi Arabia. This was a cross section study where convenient samples of females were approached via online electronic platform using a questionnaire. The questionnaire assessed data regarding the participants’ socio-demographic and personal characteristics, reported maternal complications and adverse birth outcomes during pregnancy. The chi square test of significance and principal component factor analysis were used. Level of significance was 0.05. This study comprised 301 women with mean age of 32.71 years (SD: 10.285). The self-reported maternal health problems according to order of frequency were miscarriage (46.2%); caesarian section (30.6%); still birth 27.9%; Hypertension (25.1%); Gestational diabetes (18.3%); vaginal bleeding (13.3%); puerperal sepsis (10.3%); premature labor (9.3%); polyhydramnios (9%); and pre-eclampsia (3.3%). Adverse birth outcome was LBW (12.6%), and macrosomia (9.6%). Older age, smoking, and obesity of the pregnant mother, and family history of diabetes mellitus (DM) and gestational DM (GDM) were significantly associated with adverse pregnancy outcome. Further investigations are needed to assess factors associated with these high frequency levels of maternal health complications. Furthermore, these findings have preventive and clinical implications concerning pregnant women with a history of smoking habit and hypertension.
{"title":"Prevalence of maternal health problems and adverse birth outcome in Jeddah, Saudi Arabia","authors":"Fathi El-Gamal, Siham LAL Mohammad, Nawras Ahmed, Banan Julaidan, Randa Alsibyani, Assmaa Shaker","doi":"10.54905/disssi/v27i138/e323ms3144","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e323ms3144","url":null,"abstract":"The aim of this study was to assess the prevalence of pregnancy related maternal complications and birth outcome among women in Jeddah city Saudi Arabia. This was a cross section study where convenient samples of females were approached via online electronic platform using a questionnaire. The questionnaire assessed data regarding the participants’ socio-demographic and personal characteristics, reported maternal complications and adverse birth outcomes during pregnancy. The chi square test of significance and principal component factor analysis were used. Level of significance was 0.05. This study comprised 301 women with mean age of 32.71 years (SD: 10.285). The self-reported maternal health problems according to order of frequency were miscarriage (46.2%); caesarian section (30.6%); still birth 27.9%; Hypertension (25.1%); Gestational diabetes (18.3%); vaginal bleeding (13.3%); puerperal sepsis (10.3%); premature labor (9.3%); polyhydramnios (9%); and pre-eclampsia (3.3%). Adverse birth outcome was LBW (12.6%), and macrosomia (9.6%). Older age, smoking, and obesity of the pregnant mother, and family history of diabetes mellitus (DM) and gestational DM (GDM) were significantly associated with adverse pregnancy outcome. Further investigations are needed to assess factors associated with these high frequency levels of maternal health complications. Furthermore, these findings have preventive and clinical implications concerning pregnant women with a history of smoking habit and hypertension.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135002738","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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