Objective: When we say staple food, cereals & pulses come to our mind. The concept of food security that encompasses 3As & 1U is not to be thought of without cereals & pulses. These are Availability, Accessibility, Affordability and Utilization. This holds good for pulses as well. The current article deals with homoeopathic medicines made from pulses [1, 17]. Before going to therapeutics, the production, consumption & export of pulses in India has also been discussed from the past till date. The role of green revolution in decreasing the production & consumption has also been discussed. All these processes are essential part of the process of nutrition [14]. As pulses are a part of our life, some of the basics on pulses have also been discussed in a paragraph. Since eating pulses is an integral part of our life, Homoeopathy also has made pulses an integral part of its therapeutics. The medicines prepared from pulses have been used by Homoeopathic practitioners since the advent of 19th century after it was introduced to the world by Dr. Samuel Hahnemann in 1790 [18].
{"title":"Magic of Dals or Pulses in Homoeopathy","authors":"Tridibesh Tripathy, Shankar Das, Dharmendra Pratap Singh, Umakant Prusty, Madan Mohan Mishra, Jeevan Krushna Pattanaik, Pramod Bihary Pradhan, Anil Dubey, Anjani Kumar, Sanskriti Tripathy, Anjali Tripathy, Rakesh Dwivedi, Mohini Gautam","doi":"10.36348/sjm.2023.v08i09.005","DOIUrl":"https://doi.org/10.36348/sjm.2023.v08i09.005","url":null,"abstract":"Objective: When we say staple food, cereals & pulses come to our mind. The concept of food security that encompasses 3As & 1U is not to be thought of without cereals & pulses. These are Availability, Accessibility, Affordability and Utilization. This holds good for pulses as well. The current article deals with homoeopathic medicines made from pulses [1, 17]. Before going to therapeutics, the production, consumption & export of pulses in India has also been discussed from the past till date. The role of green revolution in decreasing the production & consumption has also been discussed. All these processes are essential part of the process of nutrition [14]. As pulses are a part of our life, some of the basics on pulses have also been discussed in a paragraph. Since eating pulses is an integral part of our life, Homoeopathy also has made pulses an integral part of its therapeutics. The medicines prepared from pulses have been used by Homoeopathic practitioners since the advent of 19th century after it was introduced to the world by Dr. Samuel Hahnemann in 1790 [18].","PeriodicalId":21442,"journal":{"name":"Saudi Journal of Medicine & Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135787440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Over 50% of young people between the ages of 15 and 24 are affected by HIV. This state of affairs is destroying youth, threatening the country's future and jeopardizing national development. The aim of this study is to assess the knowledge, attitudes and behaviour of young people in the city of Isangi with regard to HIV/AIDS. Materials and Methods: To collect the data, this descriptive cross-sectional study used a questionnaire administered to a non-probability convenience sample of 70 young people aged 16 to 20. The descriptive analysis enabled us to compare our results with previous work. Results: We observed that the average age of our respondents was 18, with a sex ratio of 1.4 in favor of males. 95% of young people had already heard of AIDS. Over 65% of subjects have acceptable knowledge of the risk of contracting HIV, the route of transmission and condom use. Prevention of mother-to-child transmission and voluntary testing were recognized. 70% of young people agreed to take care of a PLHIV in their family while keeping his or her serostatus secret (75.7%). For 40% of subjects, it is not normal for a woman to refuse to have sex with her unfaithful partner; she can demand a condom. Conclusion: To reduce HIV transmission among young people, an information and education program is needed.
{"title":"Evaluation of Young People's Knowledge, Attitudes and Behaviour Regarding HIV/AIDS in Isangi, DR Congo","authors":"Ependja Towaka Antoine, Isetcha Boluwa Faustin, Bofando Gelonza Michel, Mose Kiditcho Michel, Lyoma Ikembe Pascal, Botokomoy Mpasi Olivier, Lokondaita Baruti Pierre","doi":"10.36348/sjm.2023.v08i09.004","DOIUrl":"https://doi.org/10.36348/sjm.2023.v08i09.004","url":null,"abstract":"Background: Over 50% of young people between the ages of 15 and 24 are affected by HIV. This state of affairs is destroying youth, threatening the country's future and jeopardizing national development. The aim of this study is to assess the knowledge, attitudes and behaviour of young people in the city of Isangi with regard to HIV/AIDS. Materials and Methods: To collect the data, this descriptive cross-sectional study used a questionnaire administered to a non-probability convenience sample of 70 young people aged 16 to 20. The descriptive analysis enabled us to compare our results with previous work. Results: We observed that the average age of our respondents was 18, with a sex ratio of 1.4 in favor of males. 95% of young people had already heard of AIDS. Over 65% of subjects have acceptable knowledge of the risk of contracting HIV, the route of transmission and condom use. Prevention of mother-to-child transmission and voluntary testing were recognized. 70% of young people agreed to take care of a PLHIV in their family while keeping his or her serostatus secret (75.7%). For 40% of subjects, it is not normal for a woman to refuse to have sex with her unfaithful partner; she can demand a condom. Conclusion: To reduce HIV transmission among young people, an information and education program is needed.","PeriodicalId":21442,"journal":{"name":"Saudi Journal of Medicine & Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136025017","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 : 2023-09-03DOI: 10.36348/sjm.2023.v08i09.003
Fente, A. E, Aduema, W, Oranu, E, O. B, Bunu, M. E.
Contraception usage continues to be an important public health intervention that is hindered in the majority of low- and middle-income nations, including Nigeria, for a variety of reasons. This research aims at determining the contraceptive usage and related factors in Nembe, Bayelsa State. A descriptive survey design was employed to determine usage of contraception and its related factors among women of child bearing age in the local government area.Result showed that out of the total number of respondents (n = 398), 152(38.2%) have used modern contraceptive methods while 246(61.8%) have not. Among the respondents, only 76(19.1%) are currently using modern contraceptives while majority of the participants 322(80.9%) are currently not using any form of contraceptive. 42(10.6%) currently use male condom, 18(4.5%) use oral pills, 8(2.0%) use implants, 7(1.8%) use injectables, 1(0.3%) use IUD while 322(80.9%) use none. 50(12.6%) always use contraceptives, 8(2.0%) occasional use, 18(4.5%) rarely use while 322(80.9%) use none; 57(14.3%) used contraceptives to prevent pregnancy, 32(8.0%) use it to prevent sexually transmitted disease and pregnancy, 14(3.5%) to prevent sexually transmitted disease, 13(3.3%) to ensure child spacing while 282(70.9%) did not state any reason for not using. Binary logistic regression shows that the lower the knowledge of contraceptives, the less likely females of childbearing age will utilize modern contraceptives in Nembe, Bayelsa State and there was a statistically significant relationship between knowledge and usage of modern contraceptives (P = <0.001) at 95% Confidence Interval.The poor use of contraceptives is worrisome and there is therefore urgent need to design and significantly increase social and behavioral modification interventions and strengthen systems to encourage the usage of contraceptives for an improved maternal and child health outcomes amongst other benefits.
{"title":"Contraceptive Use and Its Associated Factors among Women of Reproductive Age in Opu-Nembe, Bayelsa State","authors":"Fente, A. E, Aduema, W, Oranu, E, O. B, Bunu, M. E.","doi":"10.36348/sjm.2023.v08i09.003","DOIUrl":"https://doi.org/10.36348/sjm.2023.v08i09.003","url":null,"abstract":"Contraception usage continues to be an important public health intervention that is hindered in the majority of low- and middle-income nations, including Nigeria, for a variety of reasons. This research aims at determining the contraceptive usage and related factors in Nembe, Bayelsa State. A descriptive survey design was employed to determine usage of contraception and its related factors among women of child bearing age in the local government area.Result showed that out of the total number of respondents (n = 398), 152(38.2%) have used modern contraceptive methods while 246(61.8%) have not. Among the respondents, only 76(19.1%) are currently using modern contraceptives while majority of the participants 322(80.9%) are currently not using any form of contraceptive. 42(10.6%) currently use male condom, 18(4.5%) use oral pills, 8(2.0%) use implants, 7(1.8%) use injectables, 1(0.3%) use IUD while 322(80.9%) use none. 50(12.6%) always use contraceptives, 8(2.0%) occasional use, 18(4.5%) rarely use while 322(80.9%) use none; 57(14.3%) used contraceptives to prevent pregnancy, 32(8.0%) use it to prevent sexually transmitted disease and pregnancy, 14(3.5%) to prevent sexually transmitted disease, 13(3.3%) to ensure child spacing while 282(70.9%) did not state any reason for not using. Binary logistic regression shows that the lower the knowledge of contraceptives, the less likely females of childbearing age will utilize modern contraceptives in Nembe, Bayelsa State and there was a statistically significant relationship between knowledge and usage of modern contraceptives (P = <0.001) at 95% Confidence Interval.The poor use of contraceptives is worrisome and there is therefore urgent need to design and significantly increase social and behavioral modification interventions and strengthen systems to encourage the usage of contraceptives for an improved maternal and child health outcomes amongst other benefits.","PeriodicalId":21442,"journal":{"name":"Saudi Journal of Medicine & Medical Sciences","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73454988","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 : 2023-09-03DOI: 10.36348/sjm.2023.v08i09.002
M. R. Chowdhury, Md. Jahidul Islam, Md. Aminul Alam, Nuzhat Nuery, Mohammed Kamruzzaman, Sayma Sadia
Background: An umbrella term encompassing diseases that damage the joints and/or connective tissue and cause chronic, frequently intermittent discomfort is rheumatism. Rheumatism is a general term that refers to at least 100 distinct diseases and disorders. Given the dearth of research on this subject, the study's goal was to investigate the range of rheumatic disease among patients presenting as outpatients in the Physical Medicine & Rehabilitation department of a tertiary level hospital. Objective: To evaluate the spectrum of rheumatic disease in a tertiary level hospital in Bangladesh. Materials and Methods: This cross-sectional study was carried out at the Physical Medicine and Rehabilitation department of the DMCH for six months. The study sought to enroll patients who had musculoskeletal problems or systemic symptoms that would indicate rheumatic illness. After meeting the requirements, patients were accepted. Each respondent provided written informed consent, and those who refused to engage in the study or undertake additional research were not included. By conducting a face-to-face interview with the respondents and utilizing a pre-tested semi-structured questionnaire, information about the respondents' socio-demographic characteristics, disease duration, clinical symptoms and signs, and investigations report was gathered. Data analysis was done in SPSS-16. Results: Mean age of respondents was 46.36±12.25 years (male= 50±11.68 years and female= 44.19±12.03 years [age range 21-70 years] with 35.7% male and 64.3% female. Around 54.17% of the cases presented with articular symptoms, 43.23% of the patients had degenerative and 10.94% had inflammatory joint diseases. Among the inflammatory arthritis, (38.09%) rheumatoid arthritis and (30.95%) Ankylosing spondylitis was most common whereas (28.92%) lumbar spondylosis and peripheral (28.31%) osteoarthrosis were predominating among non-inflammatory arthritis. Nonspecific back pain was the commonest (60.12%) of specific disorders included in soft tissue rheumatism, followed by (25.77%) adhesive capsulitis of shoulder. Conclusion: Articular disorders both non-inflammatory & Inflammatory, soft tissue rheumatism, disorder of bone and multi-system disorders; these four types of disorder were encountered in this tertiary care hospital.
{"title":"Spectrum of Rheumatic Disease in Physical Medicine and Rehabilitation Department in a Tertiary Level Hospital in Bangladesh","authors":"M. R. Chowdhury, Md. Jahidul Islam, Md. Aminul Alam, Nuzhat Nuery, Mohammed Kamruzzaman, Sayma Sadia","doi":"10.36348/sjm.2023.v08i09.002","DOIUrl":"https://doi.org/10.36348/sjm.2023.v08i09.002","url":null,"abstract":"Background: An umbrella term encompassing diseases that damage the joints and/or connective tissue and cause chronic, frequently intermittent discomfort is rheumatism. Rheumatism is a general term that refers to at least 100 distinct diseases and disorders. Given the dearth of research on this subject, the study's goal was to investigate the range of rheumatic disease among patients presenting as outpatients in the Physical Medicine & Rehabilitation department of a tertiary level hospital. Objective: To evaluate the spectrum of rheumatic disease in a tertiary level hospital in Bangladesh. Materials and Methods: This cross-sectional study was carried out at the Physical Medicine and Rehabilitation department of the DMCH for six months. The study sought to enroll patients who had musculoskeletal problems or systemic symptoms that would indicate rheumatic illness. After meeting the requirements, patients were accepted. Each respondent provided written informed consent, and those who refused to engage in the study or undertake additional research were not included. By conducting a face-to-face interview with the respondents and utilizing a pre-tested semi-structured questionnaire, information about the respondents' socio-demographic characteristics, disease duration, clinical symptoms and signs, and investigations report was gathered. Data analysis was done in SPSS-16. Results: Mean age of respondents was 46.36±12.25 years (male= 50±11.68 years and female= 44.19±12.03 years [age range 21-70 years] with 35.7% male and 64.3% female. Around 54.17% of the cases presented with articular symptoms, 43.23% of the patients had degenerative and 10.94% had inflammatory joint diseases. Among the inflammatory arthritis, (38.09%) rheumatoid arthritis and (30.95%) Ankylosing spondylitis was most common whereas (28.92%) lumbar spondylosis and peripheral (28.31%) osteoarthrosis were predominating among non-inflammatory arthritis. Nonspecific back pain was the commonest (60.12%) of specific disorders included in soft tissue rheumatism, followed by (25.77%) adhesive capsulitis of shoulder. Conclusion: Articular disorders both non-inflammatory & Inflammatory, soft tissue rheumatism, disorder of bone and multi-system disorders; these four types of disorder were encountered in this tertiary care hospital.","PeriodicalId":21442,"journal":{"name":"Saudi Journal of Medicine & Medical Sciences","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84889687","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 : 2023-09-02DOI: 10.36348/sjm.2023.v08i09.001
M. Borahma, Emna Benour, F. Chabib, A. Irambona, I. Benelbarhdadi, F. Ajana
Introduction: The incidence of pancreatic cancer has increased in recent years. Pancreatic cancer accounts for 2.9% of all cancers in our registry. Biliary drainage is frequently required and is mainly indicated in cases of cholangitis and/or hyperbilirubinemia. Our work aimed to evaluate the efficacy of endoscopic biliary drainage in pancreatic adenocarcinoma. Materials and Methods: A cross-sectional study was conducted between May 2019 and October2021 and included all patients with pancreatic adenocarcinoma, who underwent endoscopic biliary drainage. Results: Forty-five patients were enrolled, including 23 males and 22 females with a sex ratio of 1.04. The average age was 61 ± 10.9 years. Seven patients (16%) had a history of diabetes, 7 patients (16%) had a history of smoking, 4 patients (9%) had a history of alcoholism, 27 patients had no history. All patients were presented with cholestatic jaundice and 17 patients (37.7%) with abdominal pain. After morphological evaluation, only 11% of our patients had a resect able tumor and 89% of the patients had an unresectable tumor. Thirty-eight patients (84%) had a metallic biliary stent and seven patients (16%) had a plastic biliary stent. Biliary drainage associated with antibiotic therapy allowed controlling cholangitis in 98% of cases, only one patient (2%) died after drainage from sepsis. The average total bilirubin level before biliary drainage was 19.7 mg/dl and 4.8 mg/dl 2 weeks after drainage (P = 0.51), representing a decrease of 76%. Conclusion: Endoscopic biliary drainage is the gold standard for relieving the obstruction in pancreatic adenocarcinoma. Most of our patients (89%) had an unresectable pancreatic tumor. Drainage was ensured respectively by the metallic stent and plastic stent in 84% and 16% of patients and provided very sufficient biliary drainage with a decrease of 76% of bilirubinemia at 2 weeks post drainage.
{"title":"Efficacy of Endoscopic Biliary Drainage in Pancreatic Adenocarcinoma","authors":"M. Borahma, Emna Benour, F. Chabib, A. Irambona, I. Benelbarhdadi, F. Ajana","doi":"10.36348/sjm.2023.v08i09.001","DOIUrl":"https://doi.org/10.36348/sjm.2023.v08i09.001","url":null,"abstract":"Introduction: The incidence of pancreatic cancer has increased in recent years. Pancreatic cancer accounts for 2.9% of all cancers in our registry. Biliary drainage is frequently required and is mainly indicated in cases of cholangitis and/or hyperbilirubinemia. Our work aimed to evaluate the efficacy of endoscopic biliary drainage in pancreatic adenocarcinoma. Materials and Methods: A cross-sectional study was conducted between May 2019 and October2021 and included all patients with pancreatic adenocarcinoma, who underwent endoscopic biliary drainage. Results: Forty-five patients were enrolled, including 23 males and 22 females with a sex ratio of 1.04. The average age was 61 ± 10.9 years. Seven patients (16%) had a history of diabetes, 7 patients (16%) had a history of smoking, 4 patients (9%) had a history of alcoholism, 27 patients had no history. All patients were presented with cholestatic jaundice and 17 patients (37.7%) with abdominal pain. After morphological evaluation, only 11% of our patients had a resect able tumor and 89% of the patients had an unresectable tumor. Thirty-eight patients (84%) had a metallic biliary stent and seven patients (16%) had a plastic biliary stent. Biliary drainage associated with antibiotic therapy allowed controlling cholangitis in 98% of cases, only one patient (2%) died after drainage from sepsis. The average total bilirubin level before biliary drainage was 19.7 mg/dl and 4.8 mg/dl 2 weeks after drainage (P = 0.51), representing a decrease of 76%. Conclusion: Endoscopic biliary drainage is the gold standard for relieving the obstruction in pancreatic adenocarcinoma. Most of our patients (89%) had an unresectable pancreatic tumor. Drainage was ensured respectively by the metallic stent and plastic stent in 84% and 16% of patients and provided very sufficient biliary drainage with a decrease of 76% of bilirubinemia at 2 weeks post drainage.","PeriodicalId":21442,"journal":{"name":"Saudi Journal of Medicine & Medical Sciences","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90562258","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: Worldwide, diabetes mellitus (DM) is a leading cause of death and disability. Iron overload is increasingly being connected to insulin resistance in patients with type 2 diabetes mellitus (T2DM). Free iron causes the assembly of reactive oxygen species that invariably steer the body’s homeostasis toward oxidative stress-mediated diabetic complications. We have very limited research-based data regarding the total iron binding capacities in type 2 diabetes mellitus patients. Aim of the study: The aim of the study was to compare the total iron binding capacities (TIBC) between type 2 diabetes mellitus patients and healthy individuals. Methods: This cross-sectional study was conducted in the Department of Biochemistry, Dhaka Medical College (DMC), Dhaka, Bangladesh from July 2015 to June 2016. In total 100 participants were enrolled in 2 groups as the study subjects. In group A, in total 50 diagnosed patients with type 2 diabetes mellitus (T2DM) were included. On the other hand, in group B, 50 age and sex-matched healthy individuals were included. Properly written consent was taken from all the participants before data collection. All the demographic and clinical information of the participants was recorded. All data were processed, analyzed and disseminated by using MS Excel and SPSS version 23.0 program as per necessity. Results: In this study, the mean serum iron in group A and group B were 112.7 μg/dl and 87.6 μg/dl respectively. The mean serum ferritin concentration in group A and group B were 199.3 μg/dl and 107.0 μg/dl respectively. There was a statistically significant increase in serum iron and serum ferritin concentrations in group A compared to group B. Both serum ferritin and serum iron levels showed strong positive correlations with HbA1C ((r=0.724, p<0.001, r=0.724, p<0.001) and FPG (r=0.724, p<0.001, r= 0.724, p<0.001). The mean TIBC level was found 184 μg/dl in group A and 318.8 μg/dl in group B. In analyzing the total iron binding capacities (TIBC) between the groups we observe that the TIBC (µg/dl) levels in group A and group B were 184.0±79.5 and 318.8 ± 14.0 µg/dl respectively. The TIBC levels were significantly lower in group A than in group B (<0.001). Conclusion: The total iron binding capacity level is significantly lower in type 2 diabetes mellitus (T2DM) patients than that in healthy individuals. Routine screening for iron status along with glycemic control in diabetic patients might help prevent complications in such patients.
{"title":"Comparison of Total Iron Binding Capacities between Type 2 Diabetes Mellitus Patients and Healthy Individuals","authors":"N. Zerin, Iftekhar Hossain Chowdhury, Sharmin Sultana, Arbin Siddiquea, Poly Rani Debnath","doi":"10.36348/sjm.2023.v08i08.009","DOIUrl":"https://doi.org/10.36348/sjm.2023.v08i08.009","url":null,"abstract":"Background: Worldwide, diabetes mellitus (DM) is a leading cause of death and disability. Iron overload is increasingly being connected to insulin resistance in patients with type 2 diabetes mellitus (T2DM). Free iron causes the assembly of reactive oxygen species that invariably steer the body’s homeostasis toward oxidative stress-mediated diabetic complications. We have very limited research-based data regarding the total iron binding capacities in type 2 diabetes mellitus patients. Aim of the study: The aim of the study was to compare the total iron binding capacities (TIBC) between type 2 diabetes mellitus patients and healthy individuals. Methods: This cross-sectional study was conducted in the Department of Biochemistry, Dhaka Medical College (DMC), Dhaka, Bangladesh from July 2015 to June 2016. In total 100 participants were enrolled in 2 groups as the study subjects. In group A, in total 50 diagnosed patients with type 2 diabetes mellitus (T2DM) were included. On the other hand, in group B, 50 age and sex-matched healthy individuals were included. Properly written consent was taken from all the participants before data collection. All the demographic and clinical information of the participants was recorded. All data were processed, analyzed and disseminated by using MS Excel and SPSS version 23.0 program as per necessity. Results: In this study, the mean serum iron in group A and group B were 112.7 μg/dl and 87.6 μg/dl respectively. The mean serum ferritin concentration in group A and group B were 199.3 μg/dl and 107.0 μg/dl respectively. There was a statistically significant increase in serum iron and serum ferritin concentrations in group A compared to group B. Both serum ferritin and serum iron levels showed strong positive correlations with HbA1C ((r=0.724, p<0.001, r=0.724, p<0.001) and FPG (r=0.724, p<0.001, r= 0.724, p<0.001). The mean TIBC level was found 184 μg/dl in group A and 318.8 μg/dl in group B. In analyzing the total iron binding capacities (TIBC) between the groups we observe that the TIBC (µg/dl) levels in group A and group B were 184.0±79.5 and 318.8 ± 14.0 µg/dl respectively. The TIBC levels were significantly lower in group A than in group B (<0.001). Conclusion: The total iron binding capacity level is significantly lower in type 2 diabetes mellitus (T2DM) patients than that in healthy individuals. Routine screening for iron status along with glycemic control in diabetic patients might help prevent complications in such patients.","PeriodicalId":21442,"journal":{"name":"Saudi Journal of Medicine & Medical Sciences","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89622105","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 : 2023-08-23DOI: 10.36348/sjm.2023.v08i08.008
M. Acharki, Soumaya Jellal, M. Salihoun, N. Kabbaj
Background: Endoscopic ultrasound-guided biliary drainage (EUS-BD) is a relatively new therapeutic modality in the arsenal of endoscopists for attaining satisfactory biliary drainage when traditional ERC fails. The aim of our study is to describe the first Moroccan experience with EUS-BD in patients with malignant biliary obstruction after a failed or inaccessible ERCP. Methods: This is a retrospective study conducted at Ibn Sina Hospital, from Mars 2018 to July 2022, which include 27 patients with an inoperable or metastatic malignant biliary obstruction who underwent endoscopic ultrasonography-guided biliary drainage (EUS-BD) in case of endoscopic retrograde cholangiopancreatography (ERCP) failure. Results: From a total of 288 patients with malignant biliary obstruction,27 underwent EUS-BD (9,3%), 15 EUS-guided hepaticogastrostomy (55,5%) and 12 EUS-guided choledocoduodenostomy (44,4%) were performed. The mean age was 62.5 years (age range: 23-74 years), a male predominance of 59% was noted, cholestatic jaundice was present in 100% of patients and associated with pruritus in 92.59% of cases. The mean level of Total Bilirubin was 190 mg/l. The causes of biliary obstruction were: an inoperable pancreatic head mass in 13 patients(48,1%), a cholangiocarcinoma in 7 patients (25.9%), an ampullary mass in 4 patients(14,8%), a gallbladder cancer with hepatic and duodenal invasion in one patient (3,7%), a gastric antropyloric adenocarcinoma with pancreatic head invasion in one patient (3,7%) and Duodenal adenocarcinoma in one patient (3,7%).The leading causes of failed ERCP were secondary to tumor infiltration of the duodenal wall and critical duodenal stenosis in 11 cases (40,7%), in 9 cases due to a difficult cannulation (33.3%) and in 7 cases due to a failure to pass the stricture by ERCP (25.9%). In EUS-HG The technical and the clinical success rates were 86.6% (13/15) and 84.6% (11/13), respectively, the complication rate was 13.3% (2/15) including one case of stent migration complicated with bile leak and one case of cholangitis. In EUS-CD The technical and the clinical success rates were 91.6% (11/12) and 81.8% (9/11)), respectively, the complication rate was 16.6% (2/12) including two cases of cholangitis. The technical and the clinical success rates in all EUS-BD were 85.1% (24/27) and 83.3% (20/24), respectively. The complication rate was 14.8% (4/27). Conclusion: EUS-BD appears to be an effective and safe therapeutic option for biliary decompression in cases where ERCP fails.
{"title":"Endoscopic Ultrasonography-Guided Biliary Drainage: Experience of a Moroccan Center","authors":"M. Acharki, Soumaya Jellal, M. Salihoun, N. Kabbaj","doi":"10.36348/sjm.2023.v08i08.008","DOIUrl":"https://doi.org/10.36348/sjm.2023.v08i08.008","url":null,"abstract":"Background: Endoscopic ultrasound-guided biliary drainage (EUS-BD) is a relatively new therapeutic modality in the arsenal of endoscopists for attaining satisfactory biliary drainage when traditional ERC fails. The aim of our study is to describe the first Moroccan experience with EUS-BD in patients with malignant biliary obstruction after a failed or inaccessible ERCP. Methods: This is a retrospective study conducted at Ibn Sina Hospital, from Mars 2018 to July 2022, which include 27 patients with an inoperable or metastatic malignant biliary obstruction who underwent endoscopic ultrasonography-guided biliary drainage (EUS-BD) in case of endoscopic retrograde cholangiopancreatography (ERCP) failure. Results: From a total of 288 patients with malignant biliary obstruction,27 underwent EUS-BD (9,3%), 15 EUS-guided hepaticogastrostomy (55,5%) and 12 EUS-guided choledocoduodenostomy (44,4%) were performed. The mean age was 62.5 years (age range: 23-74 years), a male predominance of 59% was noted, cholestatic jaundice was present in 100% of patients and associated with pruritus in 92.59% of cases. The mean level of Total Bilirubin was 190 mg/l. The causes of biliary obstruction were: an inoperable pancreatic head mass in 13 patients(48,1%), a cholangiocarcinoma in 7 patients (25.9%), an ampullary mass in 4 patients(14,8%), a gallbladder cancer with hepatic and duodenal invasion in one patient (3,7%), a gastric antropyloric adenocarcinoma with pancreatic head invasion in one patient (3,7%) and Duodenal adenocarcinoma in one patient (3,7%).The leading causes of failed ERCP were secondary to tumor infiltration of the duodenal wall and critical duodenal stenosis in 11 cases (40,7%), in 9 cases due to a difficult cannulation (33.3%) and in 7 cases due to a failure to pass the stricture by ERCP (25.9%). In EUS-HG The technical and the clinical success rates were 86.6% (13/15) and 84.6% (11/13), respectively, the complication rate was 13.3% (2/15) including one case of stent migration complicated with bile leak and one case of cholangitis. In EUS-CD The technical and the clinical success rates were 91.6% (11/12) and 81.8% (9/11)), respectively, the complication rate was 16.6% (2/12) including two cases of cholangitis. The technical and the clinical success rates in all EUS-BD were 85.1% (24/27) and 83.3% (20/24), respectively. The complication rate was 14.8% (4/27). Conclusion: EUS-BD appears to be an effective and safe therapeutic option for biliary decompression in cases where ERCP fails.","PeriodicalId":21442,"journal":{"name":"Saudi Journal of Medicine & Medical Sciences","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85941251","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 : 2023-08-22DOI: 10.36348/sjm.2023.v08i08.007
Most Amina Ferdos, Mohammad Tarequl Islam
Tuberculosis (TB) has been a significant public health burden in Bangladesh, and to address this issue, the country has implemented the Directly Observed Treatment Short-Course (DOTS) intervention since 1993. The government has partnered with non-governmental organizations (NGOs) to implement community-based TB control programs. Research has shown that this approach has led to significant success in TB control, including a high case detection rate (> 81%), successful TB treatment (95%), and reduced TB mortality (27/100,000 population) over the past two decades. However, there are still significant concerns regarding the control of people living with HIV-TB (PLHIV-TB), multidrug-resistant TB (MDR-TB), and latent TB infection (LTBI). Additionally, the COVID-19 pandemic has slowed down the progress of TB control efforts. Challenges such as inadequate linkages with local NGOs, social stigma, gender discrimination in TB diagnosis, inadequate human resources, and poverty factors further exacerbate the situation. This study calls for a paradigm shift in TB control intervention towards a rights-based and need-based approach, considering gender, ethnicity, elderly people, and children. By addressing these challenges and implementing a comprehensive approach to TB control, Bangladesh is expected to achieve its goal of ending TB by 2035.
{"title":"Tuberculosis Burden in Bangladesh: Progressions and Challenges of Continuing Control Intervention","authors":"Most Amina Ferdos, Mohammad Tarequl Islam","doi":"10.36348/sjm.2023.v08i08.007","DOIUrl":"https://doi.org/10.36348/sjm.2023.v08i08.007","url":null,"abstract":"Tuberculosis (TB) has been a significant public health burden in Bangladesh, and to address this issue, the country has implemented the Directly Observed Treatment Short-Course (DOTS) intervention since 1993. The government has partnered with non-governmental organizations (NGOs) to implement community-based TB control programs. Research has shown that this approach has led to significant success in TB control, including a high case detection rate (> 81%), successful TB treatment (95%), and reduced TB mortality (27/100,000 population) over the past two decades. However, there are still significant concerns regarding the control of people living with HIV-TB (PLHIV-TB), multidrug-resistant TB (MDR-TB), and latent TB infection (LTBI). Additionally, the COVID-19 pandemic has slowed down the progress of TB control efforts. Challenges such as inadequate linkages with local NGOs, social stigma, gender discrimination in TB diagnosis, inadequate human resources, and poverty factors further exacerbate the situation. This study calls for a paradigm shift in TB control intervention towards a rights-based and need-based approach, considering gender, ethnicity, elderly people, and children. By addressing these challenges and implementing a comprehensive approach to TB control, Bangladesh is expected to achieve its goal of ending TB by 2035.","PeriodicalId":21442,"journal":{"name":"Saudi Journal of Medicine & Medical Sciences","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76091552","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 : 2023-08-18DOI: 10.36348/sjm.2023.v08i08.006
E. Youssef, Pr Mssrouri Rahal, Traoré Moustapha, J. Sabar, Pr Hamid Mohamed, Pr Mdgahri Jalid, Pr said Benamr
Acute intestinal intussusception is a rare condition in adults. In the majority of cases, it is secondary to a tumor, which can be benign or malignant. Intestinal intussusception caused by a lipoma is exceptionally rare. We report a case of ileocolic intussusception caused by an ileal lipoma.
{"title":"Ileocolic Intussusception on Ileal Lipoma: A Case Report and Literature Review","authors":"E. Youssef, Pr Mssrouri Rahal, Traoré Moustapha, J. Sabar, Pr Hamid Mohamed, Pr Mdgahri Jalid, Pr said Benamr","doi":"10.36348/sjm.2023.v08i08.006","DOIUrl":"https://doi.org/10.36348/sjm.2023.v08i08.006","url":null,"abstract":"Acute intestinal intussusception is a rare condition in adults. In the majority of cases, it is secondary to a tumor, which can be benign or malignant. Intestinal intussusception caused by a lipoma is exceptionally rare. We report a case of ileocolic intussusception caused by an ileal lipoma.","PeriodicalId":21442,"journal":{"name":"Saudi Journal of Medicine & Medical Sciences","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80066623","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: 10.36348/sjm.2023.v08i08.003
Drs J. Sabar, M. Traore, A. Settaf
Ectopic spleen is a condition in which the spleen does not sit in the left hypochondrium but has an atypical, often pelvic, location. We report the case of a 35-year-old patient suffering from chronic abdominal pain for 11 years associated with an episode of hematemesis, pollakiuria and dysuria, with anemia and notion of multiple transfusions. Abdominal ultrasound found an ectopic spleen in the pelvic position, enlarged in size, with multiple collateral venous circulations and extensive partial thrombosis of the splenic vein. A total splenectomy by midline laparotomy was performed. Perioperative exploration found a bulky pelvic spleen with a long and tortuous splenic pedicle, involuted in 3 turns without splenic infarction. When the splenic artery is clamped, the colonic and gastric varicose veins lose half their diameter, so the decision is made to perform total splenectomy. Post-splenectomy antibiotic prophylaxis and vaccination was administered. The follow-up was favorable, with a follow-up of 4 years. The patient was then lost sight of.
{"title":"Ectopic Spleen with Segmental Portal Hypertension, About a Case","authors":"Drs J. Sabar, M. Traore, A. Settaf","doi":"10.36348/sjm.2023.v08i08.003","DOIUrl":"https://doi.org/10.36348/sjm.2023.v08i08.003","url":null,"abstract":"Ectopic spleen is a condition in which the spleen does not sit in the left hypochondrium but has an atypical, often pelvic, location. We report the case of a 35-year-old patient suffering from chronic abdominal pain for 11 years associated with an episode of hematemesis, pollakiuria and dysuria, with anemia and notion of multiple transfusions. Abdominal ultrasound found an ectopic spleen in the pelvic position, enlarged in size, with multiple collateral venous circulations and extensive partial thrombosis of the splenic vein. A total splenectomy by midline laparotomy was performed. Perioperative exploration found a bulky pelvic spleen with a long and tortuous splenic pedicle, involuted in 3 turns without splenic infarction. When the splenic artery is clamped, the colonic and gastric varicose veins lose half their diameter, so the decision is made to perform total splenectomy. Post-splenectomy antibiotic prophylaxis and vaccination was administered. The follow-up was favorable, with a follow-up of 4 years. The patient was then lost sight of.","PeriodicalId":21442,"journal":{"name":"Saudi Journal of Medicine & Medical Sciences","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73611456","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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