Pub Date : 2023-09-01DOI: 10.3889/oamjms.2023.11572
Gede Mahardika Putra, Ketut Siki Kawiyana, Gede Eka Wiratnaya, Ketut Suyasa
BACKGROUND: Type 2 diabetes mellitus (DM) may increases the risk of osteoporosis due to impaired osteoblast and osteoclast function, which affects the morbidity and mortality rates of DM patients. Not many studies investigating the relationship of DM with osteoporosis. AIM: The purpose of this study was to evaluate the duration of DM, hemoglobin A1c (HbA1c), alkaline phosphatase (ALP), and C-reactive protein (CRP) levels as risk factors for osteoporosis. METHODS: Case control study was performed on a total of 44 samples that consist of ostoporosis group and non-osteoporosis group. Difference of HbA1c, ALP, and CRP between groups was evaluated using Chi-square test. RESULTS: Based on statistical analysis, we found that the duration of DM Type II ≥5 years (p = 0.002, odds ratio [OR] 11.08), HbA1c levels ≥7% (p = 0.027, OR 5.4), ALP ≥130 IU/L (p = 0.045, OR 5.2), and CRP ≥3 ng/dL (p = 0.033, OR 4.67) were significant risk factors for osteoporosis. Based on multivariate analysis with logistic regression, we found that risk factors for the duration of DM Type II ≥5 years had the greatest strength of association with osteoporosis. CONCLUSION: In DM patients, duration of DM ≥5 years, HbA1c levels ≥7%, ALP ≥130 IU/L, and CRP ≥3 ng/dL are predictor factors for osteoporosis that can be used in clinical practice. These risk factors can be used as evaluation parameters for DM patients who are suspected to have osteoporosis.
背景:2型糖尿病(DM)可能由于成骨细胞和破骨细胞功能受损而增加骨质疏松的风险，从而影响DM患者的发病率和死亡率。研究糖尿病与骨质疏松关系的研究并不多。目的:本研究的目的是评估糖尿病病程、糖化血红蛋白(HbA1c)、碱性磷酸酶(ALP)和c反应蛋白(CRP)水平作为骨质疏松症的危险因素。方法:选取骨质疏松组和非骨质疏松组共44例进行病例对照研究。各组间HbA1c、ALP、CRP差异采用卡方检验。结果:通过统计分析，我们发现糖尿病II型病程≥5年(p = 0.002，优势比[OR] 11.08)、HbA1c水平≥7% (p = 0.027, OR 5.4)、ALP≥130 IU/L (p = 0.045, OR 5.2)、CRP≥3 ng/dL (p = 0.033, OR 4.67)是骨质疏松的显著危险因素。基于logistic回归的多因素分析，我们发现II型糖尿病病程≥5年的危险因素与骨质疏松的相关性最强。结论:DM患者病程≥5年、HbA1c≥7%、ALP≥130 IU/L、CRP≥3ng /dL是骨质疏松的预测因素，可用于临床。这些危险因素可作为怀疑患有骨质疏松症的糖尿病患者的评价参数。
{"title":"Duration of Type 2 Diabetes Mellitus Over 5 Years, HbA1c Levels Over 7%, Alkaline Phospatase Over 130 IU/L, and C-Reactive Protein Over 3 mg/dL as Risk Factors for Osteoporosis in Type 2 DM Patients","authors":"Gede Mahardika Putra, Ketut Siki Kawiyana, Gede Eka Wiratnaya, Ketut Suyasa","doi":"10.3889/oamjms.2023.11572","DOIUrl":"https://doi.org/10.3889/oamjms.2023.11572","url":null,"abstract":"BACKGROUND: Type 2 diabetes mellitus (DM) may increases the risk of osteoporosis due to impaired osteoblast and osteoclast function, which affects the morbidity and mortality rates of DM patients. Not many studies investigating the relationship of DM with osteoporosis. AIM: The purpose of this study was to evaluate the duration of DM, hemoglobin A1c (HbA1c), alkaline phosphatase (ALP), and C-reactive protein (CRP) levels as risk factors for osteoporosis. METHODS: Case control study was performed on a total of 44 samples that consist of ostoporosis group and non-osteoporosis group. Difference of HbA1c, ALP, and CRP between groups was evaluated using Chi-square test. RESULTS: Based on statistical analysis, we found that the duration of DM Type II ≥5 years (p = 0.002, odds ratio [OR] 11.08), HbA1c levels ≥7% (p = 0.027, OR 5.4), ALP ≥130 IU/L (p = 0.045, OR 5.2), and CRP ≥3 ng/dL (p = 0.033, OR 4.67) were significant risk factors for osteoporosis. Based on multivariate analysis with logistic regression, we found that risk factors for the duration of DM Type II ≥5 years had the greatest strength of association with osteoporosis. CONCLUSION: In DM patients, duration of DM ≥5 years, HbA1c levels ≥7%, ALP ≥130 IU/L, and CRP ≥3 ng/dL are predictor factors for osteoporosis that can be used in clinical practice. These risk factors can be used as evaluation parameters for DM patients who are suspected to have osteoporosis.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135639392","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 : 2023-09-01DOI: 10.3889/oamjms.2023.10973
Musafaah Musafaah, N. Pujianti, M. Noor, Hadrianti Haji Darise Lasari, Siti Maulidah
AIM: Banjar District is included in the top 3 of highest maternal mortality rates in South Kalimantan, Indonesia. The purpose of the study is to analyze the relationship between accessibility (distance, time, and transportation) with the incidence of maternal mortality in Banjar District. METHODS: The study is an observational analysis using a case–control approach with a retrospective. The population was mothers who gave birth in the Banjar district on January 2015−December 2018. Criteria for inclusion of cases are mothers who experience death during pregnancy, childbirth or within 42 days before the end of the pregnancy period recorded in 2015−2018 at the Health Office and births at health facilities in Banjar District, which is represented by the family who knows the best about the mother’s condition, while controls are respondents who do not died in the same year. Sample for case group is 25, by taking the comparison case: control 1:2, then, the sample size of the control group is 50. Statistical test uses Chi-square test. RESULTS: The results show that there is the relationship between transportation (p = 0.034) and distance (p = 0.035) with the incidence of maternal mortality with Odds ratio (OR) 3.58 and 3.27. However, there is no relationship between time (p = 0.118) with the mortality of maternal. CONCLUSION: Increasing the accessibility of health services can reduce maternal mortality, one of which is the provision of transportation to bring mothers closer to health facilities.
{"title":"Relationship Geographical Access and Maternal Mortality: Spatial Analysis","authors":"Musafaah Musafaah, N. Pujianti, M. Noor, Hadrianti Haji Darise Lasari, Siti Maulidah","doi":"10.3889/oamjms.2023.10973","DOIUrl":"https://doi.org/10.3889/oamjms.2023.10973","url":null,"abstract":"AIM: Banjar District is included in the top 3 of highest maternal mortality rates in South Kalimantan, Indonesia. The purpose of the study is to analyze the relationship between accessibility (distance, time, and transportation) with the incidence of maternal mortality in Banjar District. METHODS: The study is an observational analysis using a case–control approach with a retrospective. The population was mothers who gave birth in the Banjar district on January 2015−December 2018. Criteria for inclusion of cases are mothers who experience death during pregnancy, childbirth or within 42 days before the end of the pregnancy period recorded in 2015−2018 at the Health Office and births at health facilities in Banjar District, which is represented by the family who knows the best about the mother’s condition, while controls are respondents who do not died in the same year. Sample for case group is 25, by taking the comparison case: control 1:2, then, the sample size of the control group is 50. Statistical test uses Chi-square test. RESULTS: The results show that there is the relationship between transportation (p = 0.034) and distance (p = 0.035) with the incidence of maternal mortality with Odds ratio (OR) 3.58 and 3.27. However, there is no relationship between time (p = 0.118) with the mortality of maternal. CONCLUSION: Increasing the accessibility of health services can reduce maternal mortality, one of which is the provision of transportation to bring mothers closer to health facilities.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"212 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345254","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: The high mortality rate of patients with chronic kidney disease undergoing hemodialysis (CKD-HD) is influenced by the high number of cardiovascular-induced death and blood pressure variability (BPV). AIM: The aim of this study is to understand the association between frailty status and intradialytic BPV. METHODS: This is a cross-sectional study examining patients with CKD who underwent hemodialysis (HD) at Dr. Cipto Mangunkusumo National General Hospital from August to September 2022. BPV was calculated using the average real variability method and frailty status was assessed based on Frailty Index 40 Item. The association between frailty and systolic BPV was analyzed using the Chi-Square test, followed by logistic regression analysis to exclude the influence of the confounding variable. RESULTS: Out of 88 subjects recruited, 28.4% (95% CI: 18.98–37.82) were considered frail, 55.7% (95% CI: 45.32–66.08) were pre-frail, and 15.9% (95% CI: 8.26–23.54) were robust. The mean intradialytic BPV was 10.11 (8.60–13.35). It was found that the trend increased along with the rising frailty status, and the mean difference of intradialytic systolic BPV based on the results of Kruskal–Wallis testing had statistical significance. The result of the multivariate analysis revealed an increase in BPV prevalence in patients with pre-frailty (adjusted PR = 1.606, 95% CI: 0.681–3.787) and frailty (adjusted PR = 1.886 (95% CI: 0.783–4.545). CONCLUSION: Statistically, there is no association between frailty status and intradialytic BPV. However, clinically, a dose-response association was observed, indicating that the higher the frailty status, the higher the prevalence ratio for the occurrence of high BPV.
{"title":"The Association between Frailty Status and Blood Pressure Variability in Chronic Kidney Disease Patients Undergoing Hemodialysis","authors":"Ariani Intan Wardani, Aida Lydia, Kuntjoro Harimurti, Ikhwan Rinaldi, Pringgodigdo Nugroho, Arif Mansjoer, Sukamto Koesnoe, Hamzah Shatri","doi":"10.3889/oamjms.2023.11746","DOIUrl":"https://doi.org/10.3889/oamjms.2023.11746","url":null,"abstract":"BACKGROUND: The high mortality rate of patients with chronic kidney disease undergoing hemodialysis (CKD-HD) is influenced by the high number of cardiovascular-induced death and blood pressure variability (BPV). AIM: The aim of this study is to understand the association between frailty status and intradialytic BPV. METHODS: This is a cross-sectional study examining patients with CKD who underwent hemodialysis (HD) at Dr. Cipto Mangunkusumo National General Hospital from August to September 2022. BPV was calculated using the average real variability method and frailty status was assessed based on Frailty Index 40 Item. The association between frailty and systolic BPV was analyzed using the Chi-Square test, followed by logistic regression analysis to exclude the influence of the confounding variable. RESULTS: Out of 88 subjects recruited, 28.4% (95% CI: 18.98–37.82) were considered frail, 55.7% (95% CI: 45.32–66.08) were pre-frail, and 15.9% (95% CI: 8.26–23.54) were robust. The mean intradialytic BPV was 10.11 (8.60–13.35). It was found that the trend increased along with the rising frailty status, and the mean difference of intradialytic systolic BPV based on the results of Kruskal–Wallis testing had statistical significance. The result of the multivariate analysis revealed an increase in BPV prevalence in patients with pre-frailty (adjusted PR = 1.606, 95% CI: 0.681–3.787) and frailty (adjusted PR = 1.886 (95% CI: 0.783–4.545). CONCLUSION: Statistically, there is no association between frailty status and intradialytic BPV. However, clinically, a dose-response association was observed, indicating that the higher the frailty status, the higher the prevalence ratio for the occurrence of high BPV.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"193 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135597975","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 : 2023-08-10DOI: 10.3889/oamjms.2023.11748
Amal I. Hassanain, Dina Abu Zeid, Reham F. Fahmy, Hend H. Mostafa, Maysa S. Nassar, Mona A. Elabd, Saneya A. Wahba
BACKGROUND: COVID-19 is a public health crisis of worldwide fear which under strategies of isolation, alterations to lifestyle behaviors were typically inevitable. These included extreme changes in hygiene practices, dietary habits, and physical activity. AIM: The present study aimed to assess how mothers managed their children at home during COVID-19 lockdown as regards health practices such as, hand washing, eating behaviors, and their daily lifestyles such as physical activity, screen time, and sleep. METHODS: Mothers of children aged <18 years were enrolled in the study. Online survey was conducted through Google form May 17, 2020, to the June 01, 2020. A specific questionnaire was prepared to fulfill the objective of the study. RESULTS: Mothers of 83.6% of children succeeded in establishing a good behavior of hand washing using soap and water when their hands are visibly dirty versus 62.8% doing the same when their hands are not visibly dirty. Father’s occupation could have significant association with hand washing. During lockdown, 74.4% of mothers stopped buying prepared foods from outside and 88% of them were keen to prepare healthy meals for their children, dietary supplements were used by 41.6% of participant mothers; meanwhile, the percentage was 38.8% by their children. Mothers succeeded in limiting screen time of their children (43.2%), and 32% of them succeeded in setting a specific time for going bed. CONCLUSION: COVID-19 pandemic has brought intense changes to health behaviors of children regarding hand washing, eating habits, sleep, and physical activity.
{"title":"Health Practices, Nutrition, and Other Aspects of Lifestyles of Children Less Than 18 Years during COVID-19 Pandemic in Egypt: Role of Mothers","authors":"Amal I. Hassanain, Dina Abu Zeid, Reham F. Fahmy, Hend H. Mostafa, Maysa S. Nassar, Mona A. Elabd, Saneya A. Wahba","doi":"10.3889/oamjms.2023.11748","DOIUrl":"https://doi.org/10.3889/oamjms.2023.11748","url":null,"abstract":"BACKGROUND: COVID-19 is a public health crisis of worldwide fear which under strategies of isolation, alterations to lifestyle behaviors were typically inevitable. These included extreme changes in hygiene practices, dietary habits, and physical activity. AIM: The present study aimed to assess how mothers managed their children at home during COVID-19 lockdown as regards health practices such as, hand washing, eating behaviors, and their daily lifestyles such as physical activity, screen time, and sleep. METHODS: Mothers of children aged <18 years were enrolled in the study. Online survey was conducted through Google form May 17, 2020, to the June 01, 2020. A specific questionnaire was prepared to fulfill the objective of the study. RESULTS: Mothers of 83.6% of children succeeded in establishing a good behavior of hand washing using soap and water when their hands are visibly dirty versus 62.8% doing the same when their hands are not visibly dirty. Father’s occupation could have significant association with hand washing. During lockdown, 74.4% of mothers stopped buying prepared foods from outside and 88% of them were keen to prepare healthy meals for their children, dietary supplements were used by 41.6% of participant mothers; meanwhile, the percentage was 38.8% by their children. Mothers succeeded in limiting screen time of their children (43.2%), and 32% of them succeeded in setting a specific time for going bed. CONCLUSION: COVID-19 pandemic has brought intense changes to health behaviors of children regarding hand washing, eating habits, sleep, and physical activity.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135598368","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 : 2023-08-10DOI: 10.3889/oamjms.2023.11705
Labib Elsebaey, Weam Dowidar, Bader Alahmed, Ahmed Mohamed Elmarakby
AIM: The main objective of this study was to assess the micro-tensile bond strength (µTBS) of a free bisphenol-a-diglycidyl-ether-dimethacrylate (Bis-GMA) resin composite restorative material compared to a Bis-GMA-containing resin composite following the application of a hydrophobic coating (heliobond). MATERIALS AND METHODS: A flat occlusal dentin surface was exposed in a total of eighty extracted teeth that were removed for periodontal reasons. Teeth were divided into two main equal groups according to the type of applied filling materials: BIS-GMA-free versus BIS-GMA-containing resin composite (n = 40). Each main group was subdivided into two equal subgroups (n = 20) according to the application of Heliobond (hydrophobic resin coating). Heliobond has been applied after adhesive application and before resin composite application. The first group was restored by a Free Bis-GMA Resin Composite (Admira, Voco, Germany); the second group was restored by a Bis- GMA-containing resin composite (Grandio, Voco, Germany). Each tested restorative material was applied and cured according to the manufacturer’s instructions. RESULTS: Regardless of different composite and adhesive types, there was a statistically significant difference (p < 0.05) among all subgroups. Specimens with Heliobond recorded a higher µTBS mean value (30.46 ± 6.7 megapaskal [MPa]) than groups without Heliobond, which recorded µTBS mean value (23.95 ± 9.02 MPa). CONCLUSION: Application of an extra hydrophobic layer coating (Heliobond) has improved the performance of the µTBS of the adhesive systems utilized with the new BIS-GMA-free versus BIS-GMA-containing composite resin
{"title":"Influence of Heliobond on Microtensile Bond Strength of a New BIS-GMA Free Versus BIS-GMA Containing Composite Resin Restoration","authors":"Labib Elsebaey, Weam Dowidar, Bader Alahmed, Ahmed Mohamed Elmarakby","doi":"10.3889/oamjms.2023.11705","DOIUrl":"https://doi.org/10.3889/oamjms.2023.11705","url":null,"abstract":"AIM: The main objective of this study was to assess the micro-tensile bond strength (µTBS) of a free bisphenol-a-diglycidyl-ether-dimethacrylate (Bis-GMA) resin composite restorative material compared to a Bis-GMA-containing resin composite following the application of a hydrophobic coating (heliobond). MATERIALS AND METHODS: A flat occlusal dentin surface was exposed in a total of eighty extracted teeth that were removed for periodontal reasons. Teeth were divided into two main equal groups according to the type of applied filling materials: BIS-GMA-free versus BIS-GMA-containing resin composite (n = 40). Each main group was subdivided into two equal subgroups (n = 20) according to the application of Heliobond (hydrophobic resin coating). Heliobond has been applied after adhesive application and before resin composite application. The first group was restored by a Free Bis-GMA Resin Composite (Admira, Voco, Germany); the second group was restored by a Bis- GMA-containing resin composite (Grandio, Voco, Germany). Each tested restorative material was applied and cured according to the manufacturer’s instructions. RESULTS: Regardless of different composite and adhesive types, there was a statistically significant difference (p < 0.05) among all subgroups. Specimens with Heliobond recorded a higher µTBS mean value (30.46 ± 6.7 megapaskal [MPa]) than groups without Heliobond, which recorded µTBS mean value (23.95 ± 9.02 MPa). CONCLUSION: Application of an extra hydrophobic layer coating (Heliobond) has improved the performance of the µTBS of the adhesive systems utilized with the new BIS-GMA-free versus BIS-GMA-containing composite resin","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135597820","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 : 2023-08-04DOI: 10.3889/oamjms.2023.11735
Khalid M. Alhusayni, Abdulmajeed M. Aljuaid, Abdulaziz M. Alkhammash, Shahad A. Alzahrani, Abeer K. Alorabi, Yasmin B. Alotaibi, Nidaa T. Alhumaidi, Waad K. Alharbi, Ghaliah A. Harbi, Ibrahim Alzahrani
There is a new class of antihyperglycemic medications called glucagon-like peptide-1 receptor agonists (GLP-1RAs). They work by increasing the effects of insulin on peripheral tissues, decreasing the liver’s glucose production, improving satiety through central nervous system action, as well as encouraging appropriate pancreatic cell production and (glucagon) suppression. GLP-1 agonists are a group of drugs used to manage type 2 diabetes mellitus and promote weight reduction. However, they cause several unfavorable side effects such as diarrhea, constipation, nausea, and vomiting, as expected. After extensive research, several clinical studies have found them to be safe for the heart and kidneys. Moreover, patients with a history of pancreatitis are advised to avoid GLP-1RA-based treatments, even though there is insufficient information to determine whether there is a causal relationship.
{"title":"The Safety and Efficacy of Glucagon-Like Peptide-1 Receptor Agonist Drugs: A Comprehensive Literature Review","authors":"Khalid M. Alhusayni, Abdulmajeed M. Aljuaid, Abdulaziz M. Alkhammash, Shahad A. Alzahrani, Abeer K. Alorabi, Yasmin B. Alotaibi, Nidaa T. Alhumaidi, Waad K. Alharbi, Ghaliah A. Harbi, Ibrahim Alzahrani","doi":"10.3889/oamjms.2023.11735","DOIUrl":"https://doi.org/10.3889/oamjms.2023.11735","url":null,"abstract":"There is a new class of antihyperglycemic medications called glucagon-like peptide-1 receptor agonists (GLP-1RAs). They work by increasing the effects of insulin on peripheral tissues, decreasing the liver’s glucose production, improving satiety through central nervous system action, as well as encouraging appropriate pancreatic cell production and (glucagon) suppression. GLP-1 agonists are a group of drugs used to manage type 2 diabetes mellitus and promote weight reduction. However, they cause several unfavorable side effects such as diarrhea, constipation, nausea, and vomiting, as expected. After extensive research, several clinical studies have found them to be safe for the heart and kidneys. Moreover, patients with a history of pancreatitis are advised to avoid GLP-1RA-based treatments, even though there is insufficient information to determine whether there is a causal relationship.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"217 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136162664","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 : 2023-07-29DOI: 10.3889/oamjms.2023.11498
Abdullah Mohammad Alzahrani, Abdulrahman Bayazeed, Alhussain Alzahrani, Faisal Alkahtani, Sultan Alam, Abdulaziz Suwaidi, Saeed Al Zahrani
BACKGROUND: Anxiety disorders are among the most common psychiatric illnesses, resulting in considerable functional impairment and distress. The stressful nature and complex work demands of studying and practicing paramedics make them more prone to psychiatric illnesses, one of which is anxiety. AIM: This study aims to determine the prevalence of anxiety among paramedic students in Saudi Arabia. METHODS: A cross-sectional study was conducted among paramedic students in the 3rd and 4th year of the Emergency Medical Services of the College of Applied Medical Sciences at all King Saud bin Abdulaziz University for Health Science branches in Jeddah, Riyadh, and Al-Ahsa’a, Saudi Arabia. We obtained the data from our sample size during May 2020. The study utilized the General Anxiety Disorder-7 (GAD-7) test to screen for anxiety and assess its severity in paramedic students. RESULTS: There were 181 participants, of which 133 (73.5%) were male students. Most participants reported being unmarried, 99.4%. Regarding the GAD-7 test, 32.6% had no anxiety, whereas the most had mild anxiety, 43.1%, and 14.9% had moderate anxiety, with the fewest, 9.4% having severe anxiety. CONCLUSION: Significant anxiety level was reported among the students, and most showed excessive worrying and nervousness, which affected them academically and occupationally. More research is required to assess the prevalence of anxiety among paramedic practitioners. Addressing the impact of anxiety on students at an earlier stage can improve their academic and work performance.
{"title":"Prevalence of Anxiety among Paramedic Students in Saudi Arabia","authors":"Abdullah Mohammad Alzahrani, Abdulrahman Bayazeed, Alhussain Alzahrani, Faisal Alkahtani, Sultan Alam, Abdulaziz Suwaidi, Saeed Al Zahrani","doi":"10.3889/oamjms.2023.11498","DOIUrl":"https://doi.org/10.3889/oamjms.2023.11498","url":null,"abstract":"BACKGROUND: Anxiety disorders are among the most common psychiatric illnesses, resulting in considerable functional impairment and distress. The stressful nature and complex work demands of studying and practicing paramedics make them more prone to psychiatric illnesses, one of which is anxiety. AIM: This study aims to determine the prevalence of anxiety among paramedic students in Saudi Arabia. METHODS: A cross-sectional study was conducted among paramedic students in the 3rd and 4th year of the Emergency Medical Services of the College of Applied Medical Sciences at all King Saud bin Abdulaziz University for Health Science branches in Jeddah, Riyadh, and Al-Ahsa’a, Saudi Arabia. We obtained the data from our sample size during May 2020. The study utilized the General Anxiety Disorder-7 (GAD-7) test to screen for anxiety and assess its severity in paramedic students. RESULTS: There were 181 participants, of which 133 (73.5%) were male students. Most participants reported being unmarried, 99.4%. Regarding the GAD-7 test, 32.6% had no anxiety, whereas the most had mild anxiety, 43.1%, and 14.9% had moderate anxiety, with the fewest, 9.4% having severe anxiety. CONCLUSION: Significant anxiety level was reported among the students, and most showed excessive worrying and nervousness, which affected them academically and occupationally. More research is required to assess the prevalence of anxiety among paramedic practitioners. Addressing the impact of anxiety on students at an earlier stage can improve their academic and work performance.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134919055","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}
AIM: The main target of this study was to investigate the safety and efficacy and the benefits of the use of local anesthesia during septal and bilateral turbinate surgery. METHODS: This prospective, randomized control study was conducted on 140 patients between the ages of 17 and 65, though the period from march 2021 to November 2022, who were booked for septal and bilateral turbinate surgery who were randomly allocated into two groups study group (1) involving 35 patients (42 males and 28 females with mean age 34.3 ± 11.9 years old) who were received local anesthesia with deep sedation and control group (2) involving 35 patients (52 males and 18 females with mean age 33.3 ± 11.4) who were received general anesthesia from march 2021 to November 2022. RESULTS: Local anesthesia with sedation group showed a significantly less Total operation time (33.3 ± 2.62 min), real surgical time (23.64 ± 2.70 min), intraoperative blood loss (33.9 ± 2.3 mL), hospital stay duration (7.1 ± 0.7), post-operative pain (8.6%), post-operative nasal packing (8.6%), patient satisfaction (9.3 ± 0.7), and total hospital cost (17.14 ± 1.25 $), with no significant deference regarding to nausea and vomiting (5.7%), Compared to the other control group. CONCLUSION: Septoplasty with bilateral turbinate surgery under local anesthesia with deep sedation is easy, safe, reliable, and costless that to be done under general anesthesia.
{"title":"Septoplasty and Bilateral Inferior Turbinate Surgery under Local Anesthesia with Deep Sedation versus General Anesthesia, A Retrospective Randomized Comparative Control Study","authors":"Randa Atwa Abdallah, Gehan Saied Shalaby, Mohamad Shams Eldin, Gamal Ejaimi, Abla Saab","doi":"10.3889/oamjms.2023.11738","DOIUrl":"https://doi.org/10.3889/oamjms.2023.11738","url":null,"abstract":"AIM: The main target of this study was to investigate the safety and efficacy and the benefits of the use of local anesthesia during septal and bilateral turbinate surgery. METHODS: This prospective, randomized control study was conducted on 140 patients between the ages of 17 and 65, though the period from march 2021 to November 2022, who were booked for septal and bilateral turbinate surgery who were randomly allocated into two groups study group (1) involving 35 patients (42 males and 28 females with mean age 34.3 ± 11.9 years old) who were received local anesthesia with deep sedation and control group (2) involving 35 patients (52 males and 18 females with mean age 33.3 ± 11.4) who were received general anesthesia from march 2021 to November 2022. RESULTS: Local anesthesia with sedation group showed a significantly less Total operation time (33.3 ± 2.62 min), real surgical time (23.64 ± 2.70 min), intraoperative blood loss (33.9 ± 2.3 mL), hospital stay duration (7.1 ± 0.7), post-operative pain (8.6%), post-operative nasal packing (8.6%), patient satisfaction (9.3 ± 0.7), and total hospital cost (17.14 ± 1.25 $), with no significant deference regarding to nausea and vomiting (5.7%), Compared to the other control group. CONCLUSION: Septoplasty with bilateral turbinate surgery under local anesthesia with deep sedation is easy, safe, reliable, and costless that to be done under general anesthesia.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135755491","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: Sensory stimulation can help individuals regain sensitivity by paying attention to sensory input and its relationship to the activity to be carried out. Sensory stimulation combined with functional exercise is the main determinant of functional improvement in stroke. The study of the intensity and duration of therapy has not been widely carried out. AIM: The purpose of this study was to evaluate the influence of sensorimotor stimulation given intensively to improve functional abilities in patients with stroke and to ensure that there was no deterioration in their medical condition as a result of initial therapy. MATERIALS AND METHODS: This research method uses a pre-experimental design with a one-group pre-posttest involving 30 patients meeting predefined inclusion criteria in a one-group pre- and post-test design. The program consists of 16 sessions of sensomotoric stimulation and functional activity training in the physiotherapy gymnasium and daily sessions of ADL at home over 6 weeks. The efficacy of the program was evaluated by a stroke rehabilitation assessment of movement and a functional independence measure. RESULTS: A significant difference was observed in both motor skill (p = 0.00) and functional ability (p = 0.00) obtained on the 6th week of assessment. In a comparison of the benefits of therapy in two gender groups (p = 0.96 and 0.20), age groups (p = 0.55 and 0.86), and stroke severity (p = 0.50 and 0.64). The result showed there is no significant difference in the benefits of therapy applied to all of these groups. CONCLUSION: Sensomotoric stimulation given from the 1st day of stroke and continued intensively has been found to have a better impact on motor skills and functional ability.
{"title":"The Influence of Giving Sensomotoric Stimulation to Improve Functional Ability in Patients with Stroke","authors":"Dewi Suci Mahayati, Wina Widiatul Hikmah, Utami Gaswi, Vira Aisyah Mercury","doi":"10.3889/oamjms.2023.11656","DOIUrl":"https://doi.org/10.3889/oamjms.2023.11656","url":null,"abstract":"BACKGROUND: Sensory stimulation can help individuals regain sensitivity by paying attention to sensory input and its relationship to the activity to be carried out. Sensory stimulation combined with functional exercise is the main determinant of functional improvement in stroke. The study of the intensity and duration of therapy has not been widely carried out. AIM: The purpose of this study was to evaluate the influence of sensorimotor stimulation given intensively to improve functional abilities in patients with stroke and to ensure that there was no deterioration in their medical condition as a result of initial therapy. MATERIALS AND METHODS: This research method uses a pre-experimental design with a one-group pre-posttest involving 30 patients meeting predefined inclusion criteria in a one-group pre- and post-test design. The program consists of 16 sessions of sensomotoric stimulation and functional activity training in the physiotherapy gymnasium and daily sessions of ADL at home over 6 weeks. The efficacy of the program was evaluated by a stroke rehabilitation assessment of movement and a functional independence measure. RESULTS: A significant difference was observed in both motor skill (p = 0.00) and functional ability (p = 0.00) obtained on the 6th week of assessment. In a comparison of the benefits of therapy in two gender groups (p = 0.96 and 0.20), age groups (p = 0.55 and 0.86), and stroke severity (p = 0.50 and 0.64). The result showed there is no significant difference in the benefits of therapy applied to all of these groups. CONCLUSION: Sensomotoric stimulation given from the 1st day of stroke and continued intensively has been found to have a better impact on motor skills and functional ability.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139354887","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 : 2023-07-25DOI: 10.3889/oamjms.2023.11723
Chris Zielinski, Margaret Winker, Rakesh Aggarwal, Lorraine Ferris, Markus Heinemann, J. Lapeña, Jr, Sanjay Pai, Edsel Ing, Leslie Citrome, Murad Alam, Michael Voight, F. Habibzadeh
This statement revises our earlier “WAME Recommendations on ChatGPT and Chatbots in Relation to Scholarly Publications” (January 20, 2023). The revision reflects the proliferation of chatbots and their expanding use in scholarly publishing over the last few months, as well as emerging concerns regarding lack of authenticity of content when using chatbots. These recommendations are intended to inform editors and help them develop policies for the use of chatbots in papers published in their journals. They aim to help authors and reviewers understand how best to attribute the use of chatbots in their work and to address the need for all journal editors to have access to manuscript screening tools. In this rapidly evolving field, we will continue to modify these recommendations as the software and its applications develop.
{"title":"Generative AI, and Scholarly Manuscripts: WAME Recommendations on Chatbots and Generative Artificial Intelligence in Relation to Scholarly Publications","authors":"Chris Zielinski, Margaret Winker, Rakesh Aggarwal, Lorraine Ferris, Markus Heinemann, J. Lapeña, Jr, Sanjay Pai, Edsel Ing, Leslie Citrome, Murad Alam, Michael Voight, F. Habibzadeh","doi":"10.3889/oamjms.2023.11723","DOIUrl":"https://doi.org/10.3889/oamjms.2023.11723","url":null,"abstract":"This statement revises our earlier “WAME Recommendations on ChatGPT and Chatbots in Relation to Scholarly Publications” (January 20, 2023). The revision reflects the proliferation of chatbots and their expanding use in scholarly publishing over the last few months, as well as emerging concerns regarding lack of authenticity of content when using chatbots. These recommendations are intended to inform editors and help them develop policies for the use of chatbots in papers published in their journals. They aim to help authors and reviewers understand how best to attribute the use of chatbots in their work and to address the need for all journal editors to have access to manuscript screening tools. In this rapidly evolving field, we will continue to modify these recommendations as the software and its applications develop.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44584496","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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