Pub Date : 2024-04-03DOI: 10.36347/sasjm.2024.v10i04.001
Shahed Haider Chowdhury, Mahfuza Pathan, Khondoker Ehsanul Arefin, D. M. N. Huq
Background: Global pandemic has devastated almost every aspect of life. "Spatial distancing" involves creating and maintaining safe social distance, shifting the world away from public locations and toward isolation. Remote working has become a demand in these historically unique times, and technology is a need for human life as a link to the outside world. People use technology to interact, communicate, and complete activities. Online meetings, audio and video conferencing, and leisure activities like online gaming, blogging, and social networking have virtualized human interaction, leading to a rapid digitalization of human life. The increased usage of video display terminals (VDTs) predisposes to a range of problems. Digital eye strain (DES) or computer vision syndrome (CVS) refers to a group of health disorders that include not only visual issues but also musculoskeletal issues. Objective: The aim of this study is to determine the prevalence of CVS and to examine the use of digital screens, common symptoms, and related variables. The findings could in the future provide vital, detailed health information to all online users. Methods and Materials: A descriptive cross-sectional study was conducted from 1st July to 31st December, 2021. A total of 429 people participated in the study and majority of the participants were students and teachers involved in digital class rooms for academic purposes. A survey questionnaire was distributed on social media channels. Regular users of digital screens were provided with Google forms through social media. It includes both a questionnaire and an informed consent form. Results: Out of 429 participants in, 59.9% were females and 36.13% males. The maximum age group were from between 18-27, 58.9%, while the least were from 58 and above, 2%. The major digital screen platforms used by them were smartphone/tablet, 97.9%, television, 70.8% and computer laptop, 66.8%. The utilization of digital screens was categorized under ..........
{"title":"Prevalence and Effect of Computer Vision Syndrome during COVID-19: among Bangladeshi People","authors":"Shahed Haider Chowdhury, Mahfuza Pathan, Khondoker Ehsanul Arefin, D. M. N. Huq","doi":"10.36347/sasjm.2024.v10i04.001","DOIUrl":"https://doi.org/10.36347/sasjm.2024.v10i04.001","url":null,"abstract":"Background: Global pandemic has devastated almost every aspect of life. \"Spatial distancing\" involves creating and maintaining safe social distance, shifting the world away from public locations and toward isolation. Remote working has become a demand in these historically unique times, and technology is a need for human life as a link to the outside world. People use technology to interact, communicate, and complete activities. Online meetings, audio and video conferencing, and leisure activities like online gaming, blogging, and social networking have virtualized human interaction, leading to a rapid digitalization of human life. The increased usage of video display terminals (VDTs) predisposes to a range of problems. Digital eye strain (DES) or computer vision syndrome (CVS) refers to a group of health disorders that include not only visual issues but also musculoskeletal issues. Objective: The aim of this study is to determine the prevalence of CVS and to examine the use of digital screens, common symptoms, and related variables. The findings could in the future provide vital, detailed health information to all online users. Methods and Materials: A descriptive cross-sectional study was conducted from 1st July to 31st December, 2021. A total of 429 people participated in the study and majority of the participants were students and teachers involved in digital class rooms for academic purposes. A survey questionnaire was distributed on social media channels. Regular users of digital screens were provided with Google forms through social media. It includes both a questionnaire and an informed consent form. Results: Out of 429 participants in, 59.9% were females and 36.13% males. The maximum age group were from between 18-27, 58.9%, while the least were from 58 and above, 2%. The major digital screen platforms used by them were smartphone/tablet, 97.9%, television, 70.8% and computer laptop, 66.8%. The utilization of digital screens was categorized under ..........","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"94 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140748280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-15DOI: 10.36347/sasjm.2024.v10i03.010
S. Naimi, S. Faiz, Y. Bouktib, A. Elhejjami, B. Boutakioute, M. Idrissi, N. Cherif, I. Ganouni
We present the case of a 22-year-old patient, with congenital diaphragmatic hernia, diagnosed at an advanced stage due to an occlusive syndrome observed on the CT scan, revealing colonic distension upstream of a strangulated Bochdalek's diaphragmatic hernia. The patient underwent laparotomy, where the hernia was reduced, and the diaphragmatic rupture was closed. The purpose of this article is to highlight a rare cause of intestinal obstruction, which is strangulated diaphragmatic hernia, when the diagnosis and detection of complications are confirmed through CT scan, allowing for early management.
{"title":"Case Report: The Diaphragmatic Hernia: A Rare Cause of Intestinal Obstruction","authors":"S. Naimi, S. Faiz, Y. Bouktib, A. Elhejjami, B. Boutakioute, M. Idrissi, N. Cherif, I. Ganouni","doi":"10.36347/sasjm.2024.v10i03.010","DOIUrl":"https://doi.org/10.36347/sasjm.2024.v10i03.010","url":null,"abstract":"We present the case of a 22-year-old patient, with congenital diaphragmatic hernia, diagnosed at an advanced stage due to an occlusive syndrome observed on the CT scan, revealing colonic distension upstream of a strangulated Bochdalek's diaphragmatic hernia. The patient underwent laparotomy, where the hernia was reduced, and the diaphragmatic rupture was closed. The purpose of this article is to highlight a rare cause of intestinal obstruction, which is strangulated diaphragmatic hernia, when the diagnosis and detection of complications are confirmed through CT scan, allowing for early management.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"19 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140240279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-14DOI: 10.36347/sasjm.2024.v10i03.009
I. Koti, C. Jioua, A. Benhamdane, R. Chaibi, S. Hdiye, T. Addajou, S. Mrabti, F. Rouibaa, H. Seddik
Hepatocellular carcinoma (HCC) stands as one of the most prevalent malignant tumors [1], and is the cause of over one million deaths annually worldwide [2]. While surgical resection remains the preferred treatment for early-stage hepatocellular carcinoma (HCC) in well-compensated cirrhosis patients, thermal ablation techniques offer a credible non-surgical option. Their minimal invasiveness, high tolerability, safety, established efficacy in local disease control, virtually unlimited repeatability, and cost-effectiveness render them valuable alternatives. Microwave ablation (MWA) of HCC appears to be a safe and effective treatment. Here we report a case of 53-year-old male, followed for hepatitis C complicated by compensated cirrhosis, During the follow up, Laboratory tests found liver function tests were eleveted, α-fetoprotein (AFP) was normal. Abdominal ultrasound showed a focal hepatic mass straddling segments VI and VIII, rounded, well-limited, with heterogeneous hyperechoic echostructure, and splenomegaly. Contrast-enhanced abdominal computed tomography showed a chronic liver desease with a focal lesion straddling segments VI and VIII, oval, tissue-like, hypodense in the center, measuring 50x41mm, with signs of early arterial enhancement consistent with HCC characteristics and signs of portal hypertension and a multicystic kidney. Hepatic MRI revealed a chronic liver disease straddling segments VII and VIII of a hepatic lesion measuring 23x 22mm classified as Li-RADS 4 with signs of portal hypertension and splenomegaly. Based on these results, the patient was diagnosed as HCC with well compensated cirrhosis, and in view of the fact that he had only a single lesion and was in functional grade A of Child-Pugh classification and staged as BCLC-A in the Barcelona Clinic Liver Cancer (BCLC) staging system, the patient benefited from microwave ablation for his HCC, with good clinical, biological and radiological evolution. Microwave Ablation (MWA) emerges ..........
肝细胞癌（HCC）是最常见的恶性肿瘤之一[1]，每年导致全球超过 100 万人死亡[2]。虽然手术切除仍是肝硬化患者早期肝细胞癌（HCC）的首选治疗方法，但热消融技术提供了一种可靠的非手术疗法。热消融技术具有微创、耐受性高、安全、局部疾病控制疗效确切、可重复性几乎不受限制以及成本效益高等优点，因此是非常有价值的替代疗法。微波消融（MWA）似乎是一种安全有效的治疗方法。我们在此报告了一例 53 岁的男性患者，他因丙型肝炎并发代偿性肝硬化而接受随访，在随访期间，实验室检查发现肝功能检查无异常，α-胎儿蛋白（AFP）正常。腹部超声波检查显示，横跨第六和第八节段的局灶性肝包块，圆形，局限性好，伴有异质高回声回声结构，脾脏肿大。对比增强腹部计算机断层扫描显示，该病例为慢性肝病，病灶横跨第 VI 和第 VIII 节段，呈椭圆形，组织样，中心密度低，大小为 50x41mm，有符合 HCC 特征的早期动脉强化迹象，以及门脉高压和多囊肾的迹象。肝脏磁共振成像显示慢性肝病横跨第七和第八节段，肝脏病灶大小为 23x22mm ，被归类为 Li-RADS 4 级，并伴有门脉高压和脾脏肿大的迹象。鉴于患者仅有一个病灶，且在Child-Pugh分级中属于功能性A级，在巴塞罗那临床肝癌（BCLC）分期系统中属于BCLC-A级，因此患者接受了肝癌微波消融术，并取得了良好的临床、生物学和放射学进展。微波消融术（MWA）出现 ..........
{"title":"Microwave Ablation in the Thermal Treatment of Hepactocellular Carcinoma: Case Report","authors":"I. Koti, C. Jioua, A. Benhamdane, R. Chaibi, S. Hdiye, T. Addajou, S. Mrabti, F. Rouibaa, H. Seddik","doi":"10.36347/sasjm.2024.v10i03.009","DOIUrl":"https://doi.org/10.36347/sasjm.2024.v10i03.009","url":null,"abstract":"Hepatocellular carcinoma (HCC) stands as one of the most prevalent malignant tumors [1], and is the cause of over one million deaths annually worldwide [2]. While surgical resection remains the preferred treatment for early-stage hepatocellular carcinoma (HCC) in well-compensated cirrhosis patients, thermal ablation techniques offer a credible non-surgical option. Their minimal invasiveness, high tolerability, safety, established efficacy in local disease control, virtually unlimited repeatability, and cost-effectiveness render them valuable alternatives. Microwave ablation (MWA) of HCC appears to be a safe and effective treatment. Here we report a case of 53-year-old male, followed for hepatitis C complicated by compensated cirrhosis, During the follow up, Laboratory tests found liver function tests were eleveted, α-fetoprotein (AFP) was normal. Abdominal ultrasound showed a focal hepatic mass straddling segments VI and VIII, rounded, well-limited, with heterogeneous hyperechoic echostructure, and splenomegaly. Contrast-enhanced abdominal computed tomography showed a chronic liver desease with a focal lesion straddling segments VI and VIII, oval, tissue-like, hypodense in the center, measuring 50x41mm, with signs of early arterial enhancement consistent with HCC characteristics and signs of portal hypertension and a multicystic kidney. Hepatic MRI revealed a chronic liver disease straddling segments VII and VIII of a hepatic lesion measuring 23x 22mm classified as Li-RADS 4 with signs of portal hypertension and splenomegaly. Based on these results, the patient was diagnosed as HCC with well compensated cirrhosis, and in view of the fact that he had only a single lesion and was in functional grade A of Child-Pugh classification and staged as BCLC-A in the Barcelona Clinic Liver Cancer (BCLC) staging system, the patient benefited from microwave ablation for his HCC, with good clinical, biological and radiological evolution. Microwave Ablation (MWA) emerges ..........","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"4 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140241886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-09DOI: 10.36347/sasjm.2024.v10i03.008
Hind Berrami, Z. Serhier, M. B. Othmani
Objectives: Information and communication technologies have significantly improved the quality of healthcare information management and operations. Hospital information systems (HIS) have become popular and used by most healthcare facilities, both public and private hospitals and clinics. For the best implementation of the health information system, it is necessary to know the reasons leading to failure or success. Objectives is to determine the main reasons for success and failure through a systematic review to help underdeveloped countries like Morocco, which is starting to implement the HIS. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was adhered during the conduct of this systematic review. This systematic review was based on the PubMed database, the Google Scholar search engine Scopus, and science Direct over a considered period of 10 years from 2013 to June 2023. We have included articles dealing with either success factors or failure factors following the implementation of a hospital information system that were published between 2013 and 2023. Results: 28 studies were selected to highlight 8 factors likely to cause success, the most important of which were organizational and behavioral factors containing sub-factors, and 6 factors likely to cause HIS failure, the most important of which was the technical factor. Conclusion: These factors must be considered by the personnel in charge of implementing new information systems to increase the chances of success and to minimize the reasons that can lead to the failure of these systems.
{"title":"Reasons for the Success or Failure of a Hospital Information System: A Systematic Review","authors":"Hind Berrami, Z. Serhier, M. B. Othmani","doi":"10.36347/sasjm.2024.v10i03.008","DOIUrl":"https://doi.org/10.36347/sasjm.2024.v10i03.008","url":null,"abstract":"Objectives: Information and communication technologies have significantly improved the quality of healthcare information management and operations. Hospital information systems (HIS) have become popular and used by most healthcare facilities, both public and private hospitals and clinics. For the best implementation of the health information system, it is necessary to know the reasons leading to failure or success. Objectives is to determine the main reasons for success and failure through a systematic review to help underdeveloped countries like Morocco, which is starting to implement the HIS. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was adhered during the conduct of this systematic review. This systematic review was based on the PubMed database, the Google Scholar search engine Scopus, and science Direct over a considered period of 10 years from 2013 to June 2023. We have included articles dealing with either success factors or failure factors following the implementation of a hospital information system that were published between 2013 and 2023. Results: 28 studies were selected to highlight 8 factors likely to cause success, the most important of which were organizational and behavioral factors containing sub-factors, and 6 factors likely to cause HIS failure, the most important of which was the technical factor. Conclusion: These factors must be considered by the personnel in charge of implementing new information systems to increase the chances of success and to minimize the reasons that can lead to the failure of these systems.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"167 S353","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140256576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-07DOI: 10.36347/sasjm.2024.v10i03.007
Dounia Rajih, Hajar El Marmouk, F. Lairani, O. Nacir, A. A. Errami, S. Oubaha, Z. Samlani, K. Krati
Chilaiditi syndrome is a radiological manifestation of a large bowel interposition between the liver and right hemidiaphragm that associated with gastrointestinal symptoms, We report a case of 50-year-old woman with no particular pathological history who presented to the emergency room with a presentation of pyloric stenosis, The presence of Chilaiditi signs can be caused by an abnormality of either liver, colon or right hemidiaphragm that leads to sub-diaphragmatic space enlargement or intestinal hypermobility. Computed tomography imaging is the best diagnostic modality. Conservative treatment is the first line in management.
{"title":"Pyloric Stenosis Syndrome Revealing Chilaiditi Syndrome","authors":"Dounia Rajih, Hajar El Marmouk, F. Lairani, O. Nacir, A. A. Errami, S. Oubaha, Z. Samlani, K. Krati","doi":"10.36347/sasjm.2024.v10i03.007","DOIUrl":"https://doi.org/10.36347/sasjm.2024.v10i03.007","url":null,"abstract":"Chilaiditi syndrome is a radiological manifestation of a large bowel interposition between the liver and right hemidiaphragm that associated with gastrointestinal symptoms, We report a case of 50-year-old woman with no particular pathological history who presented to the emergency room with a presentation of pyloric stenosis, The presence of Chilaiditi signs can be caused by an abnormality of either liver, colon or right hemidiaphragm that leads to sub-diaphragmatic space enlargement or intestinal hypermobility. Computed tomography imaging is the best diagnostic modality. Conservative treatment is the first line in management.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"20 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140259907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-07DOI: 10.36347/sasjm.2024.v10i03.006
S. Naimi, S. Faiz, Y. Bouktib, A. Elhejjami, B. Boutakioute, M. Idrissi, N. E. Ganouni
Corpus callosum infarction is uncommon mostly because of rich vascular supply and collateral circulations. It´s shares the same risk factors as other cerebral locations. MRI establishes the diagnosis of ischemic stroke of the corpus callosum, particularly through the diffusion-weighted sequence. Our article offers a thorough understanding of callosal infarction, aiding clinicians in early diagnosis, timely intervention, and substantially enhancing prognosis.
{"title":"Corpus Callosum Infarction: Case Report","authors":"S. Naimi, S. Faiz, Y. Bouktib, A. Elhejjami, B. Boutakioute, M. Idrissi, N. E. Ganouni","doi":"10.36347/sasjm.2024.v10i03.006","DOIUrl":"https://doi.org/10.36347/sasjm.2024.v10i03.006","url":null,"abstract":"Corpus callosum infarction is uncommon mostly because of rich vascular supply and collateral circulations. It´s shares the same risk factors as other cerebral locations. MRI establishes the diagnosis of ischemic stroke of the corpus callosum, particularly through the diffusion-weighted sequence. Our article offers a thorough understanding of callosal infarction, aiding clinicians in early diagnosis, timely intervention, and substantially enhancing prognosis.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"59 168","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-04DOI: 10.36347/sasjm.2024.v10i03.003
S. Naimi, S. Faiz, Y. Bouktib, A. Elhejjami, B. Boutakioute, M. Idrissi, N. E. Ganouni
Skeletal fluorosis is an uncommon toxic bone condition marked by the excessive buildup of fluoride in the skeletal structure. The disease manifests as an endemic issue in certain regions of the world and arises from prolonged ingestion or, rarely, inhalation of elevated levels of fluoride. Key imaging features include bilateral patchy bony sclerosis, enthesopathy, ligament, and periosteal bony proliferation, as well as ossification of spinal ligaments. Management of fluorosis generally focuses on symptom treatment.
{"title":"Case Report: Skeletal Fluorosis - An Uncommon Cause of Bone Densification","authors":"S. Naimi, S. Faiz, Y. Bouktib, A. Elhejjami, B. Boutakioute, M. Idrissi, N. E. Ganouni","doi":"10.36347/sasjm.2024.v10i03.003","DOIUrl":"https://doi.org/10.36347/sasjm.2024.v10i03.003","url":null,"abstract":"Skeletal fluorosis is an uncommon toxic bone condition marked by the excessive buildup of fluoride in the skeletal structure. The disease manifests as an endemic issue in certain regions of the world and arises from prolonged ingestion or, rarely, inhalation of elevated levels of fluoride. Key imaging features include bilateral patchy bony sclerosis, enthesopathy, ligament, and periosteal bony proliferation, as well as ossification of spinal ligaments. Management of fluorosis generally focuses on symptom treatment.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"24 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140265975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-04DOI: 10.36347/sasjm.2024.v10i03.005
B. Carole, D. Daouda, Harouna Siradji, Tabakh Houria, Siwane Abdellatif, K. Omar, Touil Najwa, Chikhaoui Nabil
Moya-Moya disease is a rare chronic cerebral vascular disease (arteriopathy), which can affect both children and adults and gives rise to severe clinical manifestations of ischemic or hemorrhagic origin. This angiogenic disease is an intrinsic primary pathological process, characterized by a narrowing of the distal internal carotid artery that extends to the proximal segments of the middle and anterior cerebral arteries, inducing the formation of replacement vessels that give a characteristic appearance on angiography forming a smoke cloud: Moya Moya network. The involvement of the posterior circulation is very rare. Its etiology is still poorly understood and represents 10 to 15% of the causes of strokes, with 2 age peaks where it is more frequent: children around 5 years and adults around 40 years. Its evolution can be slow with intermittent symptoms or fulminant with a rapid neurological decline. Imaging is the reference examination in the diagnosis of Moya-Moya. MRI (Magnetic Resonance Imaging) has an important and growing role in the management of the disease. We report a case of a 48 year old patient with diabetes and hypertension, hospitalized for a deep left hematoma.
{"title":"Moya-Moya Disease a Case Report and Literature Review","authors":"B. Carole, D. Daouda, Harouna Siradji, Tabakh Houria, Siwane Abdellatif, K. Omar, Touil Najwa, Chikhaoui Nabil","doi":"10.36347/sasjm.2024.v10i03.005","DOIUrl":"https://doi.org/10.36347/sasjm.2024.v10i03.005","url":null,"abstract":"Moya-Moya disease is a rare chronic cerebral vascular disease (arteriopathy), which can affect both children and adults and gives rise to severe clinical manifestations of ischemic or hemorrhagic origin. This angiogenic disease is an intrinsic primary pathological process, characterized by a narrowing of the distal internal carotid artery that extends to the proximal segments of the middle and anterior cerebral arteries, inducing the formation of replacement vessels that give a characteristic appearance on angiography forming a smoke cloud: Moya Moya network. The involvement of the posterior circulation is very rare. Its etiology is still poorly understood and represents 10 to 15% of the causes of strokes, with 2 age peaks where it is more frequent: children around 5 years and adults around 40 years. Its evolution can be slow with intermittent symptoms or fulminant with a rapid neurological decline. Imaging is the reference examination in the diagnosis of Moya-Moya. MRI (Magnetic Resonance Imaging) has an important and growing role in the management of the disease. We report a case of a 48 year old patient with diabetes and hypertension, hospitalized for a deep left hematoma.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"28 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140266607","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: For the majority of renal injuries, non-operative management is the standard of care with nephrectomy reserved for those with severe trauma. The aim of our study is to assess the characteristics of perinephric hematoma and other prognostic factors of surgical intervention for high grade renal trauma independent of AAST OIS. Materials and Methods: A total of 119 patients with high grade renal trauma from January 2005 to September 2021 were identified for analysis. Hospital records and diagnostic imaging were reviewed to identify the need for surgical intervention, including total and partial nephrectomy. Factors examined include patient age, gender, ISS (Injury severity score), AAST-OIS, laceration location, length and number, perinephric hematoma characteristics, intravascular contrast extravasation and devitalised segment status. Descriptive statistics and binary logistic regression were performed as appropriate. Results: Mean patient age was 31, 39 and mean ISS was 22, 80. A total of 24 surgical intervention were required (20%) including partial and total nephrectomy. On univariate analysis, hypotension on admission, hematoma diameter, degree of devitalised fragment superior of 25% and AAST OIS grade were associated with the need of surgical intervention. On multivariate analysis, only hypotension on admission (p: 0,029), hematoma diameter greater than 3,5 cm (p:0,021) and AAST-OIS grade (p: 0,010) remained independently associated with surgical intervention. Conclusions: Perinephric hematoma size remains among prognostic factors for surgical intervention that allow better stratification of renal lesions and its study allows a better management of high-grade renal trauma.
{"title":"Perinephric Hematoma Size can be a Strong Prognostic Factor of Need of Surgical Intervention in High Grade Renal Trauma","authors":"El-Ouardi Khalid, Mouslim Othmane, Lakmichi Mohamed Amine, Dahami Zakaria, Moudouni Mohamed Said, Sarf Ismail","doi":"10.36347/sasjm.2024.v10i03.004","DOIUrl":"https://doi.org/10.36347/sasjm.2024.v10i03.004","url":null,"abstract":"Background: For the majority of renal injuries, non-operative management is the standard of care with nephrectomy reserved for those with severe trauma. The aim of our study is to assess the characteristics of perinephric hematoma and other prognostic factors of surgical intervention for high grade renal trauma independent of AAST OIS. Materials and Methods: A total of 119 patients with high grade renal trauma from January 2005 to September 2021 were identified for analysis. Hospital records and diagnostic imaging were reviewed to identify the need for surgical intervention, including total and partial nephrectomy. Factors examined include patient age, gender, ISS (Injury severity score), AAST-OIS, laceration location, length and number, perinephric hematoma characteristics, intravascular contrast extravasation and devitalised segment status. Descriptive statistics and binary logistic regression were performed as appropriate. Results: Mean patient age was 31, 39 and mean ISS was 22, 80. A total of 24 surgical intervention were required (20%) including partial and total nephrectomy. On univariate analysis, hypotension on admission, hematoma diameter, degree of devitalised fragment superior of 25% and AAST OIS grade were associated with the need of surgical intervention. On multivariate analysis, only hypotension on admission (p: 0,029), hematoma diameter greater than 3,5 cm (p:0,021) and AAST-OIS grade (p: 0,010) remained independently associated with surgical intervention. Conclusions: Perinephric hematoma size remains among prognostic factors for surgical intervention that allow better stratification of renal lesions and its study allows a better management of high-grade renal trauma.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"38 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140265901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-20DOI: 10.36347/sasjm.2024.v10i02.014
Dr Laran Chetty
Background: A list of research priorities in occupational health (OH) physiotherapy was identified at a national OH Physiotherapy Conference in the United Kingdom (UK) in 2018. Objective: To update the current research priorities in OH physiotherapy by expert consensus at an OH physiotherapy virtual meeting in the UK. Materials and Methods: A nominal group technique was used as a consensus technique. Fifteen participants with relevant qualifications and experience in OH physiotherapy agreed to participate and were handed the original list of research priorities and asked to rank it in order of their current importance. The resultant scores gave an indication of the level of consensus within the expert group. Participants were also asked to suggest other research topics of important that were not previously identified. These new topics were not used in the ranking process. Results: Following the expert ranking process eight topics were identified as key priorities providing an indication of where research funding ought to be directed. The benefits of OH physiotherapy based on health outcomes and return of investment was identified as the most important research to be undertaken. Conclusion: This project confirms both current and new research priorities to highlight areas for investment and to grow the overall evidence base.
{"title":"An Evaluation of Research Priorities in Occupational Health Physiotherapy","authors":"Dr Laran Chetty","doi":"10.36347/sasjm.2024.v10i02.014","DOIUrl":"https://doi.org/10.36347/sasjm.2024.v10i02.014","url":null,"abstract":"Background: A list of research priorities in occupational health (OH) physiotherapy was identified at a national OH Physiotherapy Conference in the United Kingdom (UK) in 2018. Objective: To update the current research priorities in OH physiotherapy by expert consensus at an OH physiotherapy virtual meeting in the UK. Materials and Methods: A nominal group technique was used as a consensus technique. Fifteen participants with relevant qualifications and experience in OH physiotherapy agreed to participate and were handed the original list of research priorities and asked to rank it in order of their current importance. The resultant scores gave an indication of the level of consensus within the expert group. Participants were also asked to suggest other research topics of important that were not previously identified. These new topics were not used in the ranking process. Results: Following the expert ranking process eight topics were identified as key priorities providing an indication of where research funding ought to be directed. The benefits of OH physiotherapy based on health outcomes and return of investment was identified as the most important research to be undertaken. Conclusion: This project confirms both current and new research priorities to highlight areas for investment and to grow the overall evidence base.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"195 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140448422","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：