Pub Date : 2023-06-20DOI: 10.32457/ijmss.v10i2.2128
I. Molobe, V. Yesufu, I. Idigbe
Background: The paper explores the opinions of Nigerian youth regarding their reasons behind the use of tramadol for non-medical purposes and learns their preferences in choosing tramadol. Methods: We conducted In-depth Interviews (IDIs) and Focus Group Discussions (FGDs) among students in secondary schools, tertiary schools and out-of-school youths in Lagos, Ekiti, Edo and Delta states in Nigeria. A total of 20 IDIs and 6 FGDs were conducted among 92 Nigerian youths of age 15 – 25 years. Data was also complemented from school reports, participants’ feedback from youth drug abuse sensitization workshops and desk reviews. Data were analyzed using thematic analysis to describe emerging themes. Results: The sex distribution of the participants was 60.1% males and 39.1% females. The main findings for non-medical use of tramadol among the youths were; to enhance sexual excitement (prolong ejaculation), to feel less hungry (reduce the desire for and food) to sustain hard labor (reduce pain, withstand prolong manual labor). The respondents also revealed that tramadol in combination with other substances will give them a euphoric effect. However, many of youths are ignorant of the risk of the non-medical use of tramadol. Conclusion: Tramadol abuse has become widespread in the Nigerian environment among the youths. The findings from this study revealed that the choice of tramadol use for non-medical purposes is a result of different effects discovered in the use which could pose potential harm to the abuser. Therefore, public health approaches should be adopted in preventing the abuse of tramadol among the youth.
{"title":"The driving factors facilitating non-medical use of tramadol: a qualitative study of Nigerian youths","authors":"I. Molobe, V. Yesufu, I. Idigbe","doi":"10.32457/ijmss.v10i2.2128","DOIUrl":"https://doi.org/10.32457/ijmss.v10i2.2128","url":null,"abstract":"Background: The paper explores the opinions of Nigerian youth regarding their reasons behind the use of tramadol for non-medical purposes and learns their preferences in choosing tramadol. Methods: We conducted In-depth Interviews (IDIs) and Focus Group Discussions (FGDs) among students in secondary schools, tertiary schools and out-of-school youths in Lagos, Ekiti, Edo and Delta states in Nigeria. A total of 20 IDIs and 6 FGDs were conducted among 92 Nigerian youths of age 15 – 25 years. Data was also complemented from school reports, participants’ feedback from youth drug abuse sensitization workshops and desk reviews. Data were analyzed using thematic analysis to describe emerging themes. Results: The sex distribution of the participants was 60.1% males and 39.1% females. The main findings for non-medical use of tramadol among the youths were; to enhance sexual excitement (prolong ejaculation), to feel less hungry (reduce the desire for and food) to sustain hard labor (reduce pain, withstand prolong manual labor). The respondents also revealed that tramadol in combination with other substances will give them a euphoric effect. However, many of youths are ignorant of the risk of the non-medical use of tramadol. Conclusion: Tramadol abuse has become widespread in the Nigerian environment among the youths. The findings from this study revealed that the choice of tramadol use for non-medical purposes is a result of different effects discovered in the use which could pose potential harm to the abuser. Therefore, public health approaches should be adopted in preventing the abuse of tramadol among the youth.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"167 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80536355","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 : 2023-06-20DOI: 10.32457/ijmss.v10i2.2116
Jesús Nicolás Larco-Coloma, Diana Brigitte Ágreda-Saraguro, Cinthya Victoria Bailón-Pereira, Stephany Granja-Casanova, Eduardo Javier Eduardo Javier, Francisco Xavier Cevallos-Ariza
Preeclampsia represents one of the main causes of death in pregnancy, worldwide the WHO indicates that 20% of maternal deaths are caused by hypertensive problems. The problems that represent the highest risk index are hypertension and proteinuria, which are often generated from the 20th week of gestation, up to six weeks after delivery, values that generate a rapid increase of serious complications in preeclampsia including the death of the mother and fetus, However, if the gestational age of the fetus exceeds 36 weeks, the best treatment is the induction of labor, because it reduces the risk of complications, however if it is less than 33 weeks, expectant management including imaging, laboratory and welfare studies for the fetus should be initiated. Thus, it is of significant importance the study that provides the best prenatal control, diagnosis and adequate management of this disease, which are the most effective measures to reduce the mortality rate due to this cause. References
{"title":"Approach of Preeclampsia without Signs of Severity","authors":"Jesús Nicolás Larco-Coloma, Diana Brigitte Ágreda-Saraguro, Cinthya Victoria Bailón-Pereira, Stephany Granja-Casanova, Eduardo Javier Eduardo Javier, Francisco Xavier Cevallos-Ariza","doi":"10.32457/ijmss.v10i2.2116","DOIUrl":"https://doi.org/10.32457/ijmss.v10i2.2116","url":null,"abstract":"Preeclampsia represents one of the main causes of death in pregnancy, worldwide the WHO indicates that 20% of maternal deaths are caused by hypertensive problems. The problems that represent the highest risk index are hypertension and proteinuria, which are often generated from the 20th week of gestation, up to six weeks after delivery, values that generate a rapid increase of serious complications in preeclampsia including the death of the mother and fetus, However, if the gestational age of the fetus exceeds 36 weeks, the best treatment is the induction of labor, because it reduces the risk of complications, however if it is less than 33 weeks, expectant management including imaging, laboratory and welfare studies for the fetus should be initiated. Thus, it is of significant importance the study that provides the best prenatal control, diagnosis and adequate management of this disease, which are the most effective measures to reduce the mortality rate due to this cause.\u0000\u0000References","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90484433","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 : 2023-06-20DOI: 10.32457/ijmss.v10i2.2156
Rodrigo González Insfrán, Raúl Tornaco, Alberto Lezcano Machi, Enrique Pérez Girala, Carlos Mena Canata
La rinosinusitis fúngica invasiva aguda es una entidad infecciosa poco frecuente, con alta mortalidad (50-80%), caracterizada por angioinvasión primaria, trombosis, isquemia y necrosis. Puede deberse a hongos Zygomycetes (como el Mucor) y Aspergillus. Se ve en pacientes con inmunocompromiso como diabéticos mal controlados, neoplasias hematológicas, régimen quimioterápico, síndrome de inmunodeficiencia adquirida y trasplantados. Se presenta un caso de Mucormicosis RinoOrbito-Cerebral en una paciente con antecedente de Síndrome de Dificultad Respiratoria Severa por el Nuevo Coronavirus y posteriormente se revisa la literatura pertinente.
{"title":"Rhino-Orbito-Cerebral Mucormycosis associated with COVID-19. Case report and literature review","authors":"Rodrigo González Insfrán, Raúl Tornaco, Alberto Lezcano Machi, Enrique Pérez Girala, Carlos Mena Canata","doi":"10.32457/ijmss.v10i2.2156","DOIUrl":"https://doi.org/10.32457/ijmss.v10i2.2156","url":null,"abstract":"La rinosinusitis fúngica invasiva aguda es una entidad infecciosa poco frecuente, con alta mortalidad (50-80%), caracterizada por angioinvasión primaria, trombosis, isquemia y necrosis. Puede deberse a hongos Zygomycetes (como el Mucor) y Aspergillus. Se ve en pacientes con inmunocompromiso como diabéticos mal controlados, neoplasias hematológicas, régimen quimioterápico, síndrome de inmunodeficiencia adquirida y trasplantados. Se presenta un caso de Mucormicosis RinoOrbito-Cerebral en una paciente con antecedente de Síndrome de Dificultad Respiratoria Severa por el Nuevo Coronavirus y posteriormente se revisa la literatura pertinente.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"6 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72557438","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 : 2023-06-20DOI: 10.32457/ijmss.v10i2.2190
Diego Tene, J. Robalino, A. Pedreáñez
Hypertension and diabetes are two of the main risk factors for the development of cardiovascular disease, and both pathologies overlap significantly in their pathophysiological mechanisms. The aim of this study was to determine the concentration of inflammatory markers and endothelial dysfunction in patients with hypertension and type 2 diabetes mellitus, to compare with healthy individuals, and to determine whether the coexistence of both pathologies has a different effect on the behavior of these markers. A descriptive, correlational, cross-sectional research was carried out from July 2022 to February 2023. A total of 120 individuals were selected for this study (30 controls, 30 with type 2 diabetes mellitus, 30 with hypertension and 30 with diabetes plus hypertension). Each subject had a fasting blood sample drawn for determination of total cholesterol, triglycerides, HDL cholesterol, LDL cholesterol, ultrasensitive C-reactive protein (hs-CRP), glycosylated hemoglobin, sICAM-1, sE-selectin, IL-6 and TNF-α. A significant increase in the concentration of sICAM-1, sE-selectin, IL-6 and TNF-α was found in diabetic, hypertensive and diabetic patients with hypertension when compared to controls (p<0.0001). The coexistence of diabetes and hypertension did not represent a significant elevation in the concentration of markers of endothelial dysfunction and inflammation. In conclusion, our results suggest endothelial activation as well as an inflammatory state in patients with diabetes and hypertension, indicated by elevated levels of circulating adhesion molecules and proinflammatory cytokines. The simultaneous presence of diabetes and hypertension did not have an additive effect on the levels of these molecules.
{"title":"Inflammatory and endothelial dysfunction markers in hypertensive patients with type 2 diabetes mellitus","authors":"Diego Tene, J. Robalino, A. Pedreáñez","doi":"10.32457/ijmss.v10i2.2190","DOIUrl":"https://doi.org/10.32457/ijmss.v10i2.2190","url":null,"abstract":"Hypertension and diabetes are two of the main risk factors for the development of cardiovascular disease, and both pathologies overlap significantly in their pathophysiological mechanisms. The aim of this study was to determine the concentration of inflammatory markers and endothelial dysfunction in patients with hypertension and type 2 diabetes mellitus, to compare with healthy individuals, and to determine whether the coexistence of both pathologies has a different effect on the behavior of these markers. A descriptive, correlational, cross-sectional research was carried out from July 2022 to February 2023. A total of 120 individuals were selected for this study (30 controls, 30 with type 2 diabetes mellitus, 30 with hypertension and 30 with diabetes plus hypertension). Each subject had a fasting blood sample drawn for determination of total cholesterol, triglycerides, HDL cholesterol, LDL cholesterol, ultrasensitive C-reactive protein (hs-CRP), glycosylated hemoglobin, sICAM-1, sE-selectin, IL-6 and TNF-α. A significant increase in the concentration of sICAM-1, sE-selectin, IL-6 and TNF-α was found in diabetic, hypertensive and diabetic patients with hypertension when compared to controls (p<0.0001). The coexistence of diabetes and hypertension did not represent a significant elevation in the concentration of markers of endothelial dysfunction and inflammation. In conclusion, our results suggest endothelial activation as well as an inflammatory state in patients with diabetes and hypertension, indicated by elevated levels of circulating adhesion molecules and proinflammatory cytokines. The simultaneous presence of diabetes and hypertension did not have an additive effect on the levels of these molecules.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81835460","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 : 2023-06-02DOI: 10.32457/ijmss.v10i1.2065
R. C. Cruz Abascal, José Ignacio Ramírez Gómez, Carlos Genaro Gutiérrez Gutiérrez, Lisbel Pérez Delgado
Introduction: Cardiovascular dysfunction is the first cause of death in patients with chronic kidney disease. Methods: Observational, longitudinal and prospective study, which included 58 patients with functioning renal transplant who were studied different echocardiographic variables, before and six months after the closure of the arteriovenous fistula. Results: The average age was 46.62 years and the most frequent was male 30 (51.72%). The flow of angioaccesses at the wrist level was demonstrated in 28 patients (45.9%) with evidence of regression of mean pulmonary artery pressure from 25.56 to 19.58 mmHg (p=0.002), more connoted for those of intermediate flow; 14. Also, the area of tricuspid insufficiency was greater for that group; from 3.15 to 1.96 cm2 (p=0.001). The pattern of mild dysfunction was observed in 38 patients (62.3%) prior to closure. Subsequent to this 27; (51.9%), exhibited minimal valvular insufficiency and 9 individuals (14.9%) did not show any degree of valvular dysfunction. Conclusions: Closure of the arteriovenous fistula in patients with functioning renal transplantation contributed to decrease the risk of pulmonary hypertension and progression of tricuspid valve dysfunction.
{"title":"Arteriovenous fistula, pulmonary hypertension, and tricuspid dysfunction in renal transplant recipients. A possible solution","authors":"R. C. Cruz Abascal, José Ignacio Ramírez Gómez, Carlos Genaro Gutiérrez Gutiérrez, Lisbel Pérez Delgado","doi":"10.32457/ijmss.v10i1.2065","DOIUrl":"https://doi.org/10.32457/ijmss.v10i1.2065","url":null,"abstract":"Introduction: Cardiovascular dysfunction is the first cause of death in patients with chronic kidney disease.\u0000Methods: Observational, longitudinal and prospective study, which included 58 patients with functioning renal transplant who were studied different echocardiographic variables, before and six months after the closure of the arteriovenous fistula.\u0000Results: The average age was 46.62 years and the most frequent was male 30 (51.72%). The flow of angioaccesses at the wrist level was demonstrated in 28 patients (45.9%) with evidence of regression of mean pulmonary artery pressure from 25.56 to 19.58 mmHg (p=0.002), more connoted for those of intermediate flow; 14. Also, the area of tricuspid insufficiency was greater for that group; from 3.15 to 1.96 cm2 (p=0.001). The pattern of mild dysfunction was observed in 38 patients (62.3%) prior to closure. Subsequent to this 27; (51.9%), exhibited minimal valvular insufficiency and 9 individuals (14.9%) did not show any degree of valvular dysfunction.\u0000Conclusions: Closure of the arteriovenous fistula in patients with functioning renal transplantation contributed to decrease the risk of pulmonary hypertension and progression of tricuspid valve dysfunction.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78213315","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 : 2023-06-02DOI: 10.32457/ijmss.v10i1.2074
Mercedes Soledad Corona Fonseca, Ada Sánchez Lozano, Ernesto Castro López, Luis Alberto Corona Martínez
The occurrence of complications affects the evolution and darkens the prognosis of patients with spontaneous subarachnoid hemorrhage. The objective was to determine the incidence of neurological and non-neurological complications in a series of patients with spontaneous subarachnoid hemorrhage. An observational, descriptive-correlational and retrospective study of 96 patients with spontaneous subarachnoid hemorrhage between 2016 and 2021 was carried out. The frequency of different neurological and non-neurological complications was determined, as well as the relationship between the presence of neurological complications and other variables through analysis. bivariate (Odds Ratio and its confidence interval). Among the results it is found that 53% of the patients presented some type of neurological complication, which prevailed in those 60 years of age or older (62% vs 45%), in aneurysmal etiology (54% vs 27%) and when the diagnosis was made. in the first 48 hours of the onset of symptoms (56% vs 43%). The frequency of complicated patients increased from grade I to grade V on the Hunt and Hess scale (OR 30.6[8.2;113]), the same as on the Fisher scale (OR 11.6[3 ,1;43,2]). The most frequent neurological complication was intracranial hypertension (39%), while the non-neurological one was pneumonia (24%). It is concluded that the series of patients was characterized by a high frequency of neurological complications, among which intracranial hypertension predominated. An evident relationship was demonstrated between the worst grades on the Hunt and Hess and Fisher imaging scales, obtained in the patient's assessment on admission, and the higher incidence of neurological complications.
并发症的发生影响自发性蛛网膜下腔出血患者病情的发展，使其预后恶化。目的是确定一系列自发性蛛网膜下腔出血患者的神经和非神经并发症的发生率。对2016年至2021年间96例自发性蛛网膜下腔出血患者进行了观察性、描述性相关和回顾性研究。通过分析，确定不同神经系统和非神经系统并发症的发生频率，以及神经系统并发症的发生与其他变量的关系。双变量(优势比及其置信区间)。结果发现，53%的患者出现某种类型的神经系统并发症，主要见于60岁及以上的患者(62%对45%)、动脉瘤病因(54%对27%)和诊断时。在症状出现的前48小时内(56%对43%)。Hunt and Hess评分从I级上升到V级(OR为30.6[8.2;113])，Fisher评分的OR为11.6[3,1;43,2])。最常见的神经系统并发症是颅内高压(39%)，而非神经系统并发症是肺炎(24%)。结论:该系列患者的特点是神经系统并发症发生率高，其中以颅内高压为主。在患者入院时的评估中获得的Hunt, Hess和Fisher成像量表的最差评分与神经系统并发症的高发生率之间存在明显的关系。
{"title":"Incidence of complications in patients with spontaneous subarachnoid hemorrhage","authors":"Mercedes Soledad Corona Fonseca, Ada Sánchez Lozano, Ernesto Castro López, Luis Alberto Corona Martínez","doi":"10.32457/ijmss.v10i1.2074","DOIUrl":"https://doi.org/10.32457/ijmss.v10i1.2074","url":null,"abstract":"The occurrence of complications affects the evolution and darkens the prognosis of patients with spontaneous subarachnoid hemorrhage. The objective was to determine the incidence of neurological and non-neurological complications in a series of patients with spontaneous subarachnoid hemorrhage. An observational, descriptive-correlational and retrospective study of 96 patients with spontaneous subarachnoid hemorrhage between 2016 and 2021 was carried out. The frequency of different neurological and non-neurological complications was determined, as well as the relationship between the presence of neurological complications and other variables through analysis. bivariate (Odds Ratio and its confidence interval). Among the results it is found that 53% of the patients presented some type of neurological complication, which prevailed in those 60 years of age or older (62% vs 45%), in aneurysmal etiology (54% vs 27%) and when the diagnosis was made. in the first 48 hours of the onset of symptoms (56% vs 43%). The frequency of complicated patients increased from grade I to grade V on the Hunt and Hess scale (OR 30.6[8.2;113]), the same as on the Fisher scale (OR 11.6[3 ,1;43,2]). The most frequent neurological complication was intracranial hypertension (39%), while the non-neurological one was pneumonia (24%). It is concluded that the series of patients was characterized by a high frequency of neurological complications, among which intracranial hypertension predominated. An evident relationship was demonstrated between the worst grades on the Hunt and Hess and Fisher imaging scales, obtained in the patient's assessment on admission, and the higher incidence of neurological complications.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87864857","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 : 2023-06-02DOI: 10.32457/ijmss.v10i1.2150
Iván Suazo Galdames
This editorial reflects on the emergence of artificial intelligence and how it is applied in the field of health. AI is a technology that mimics the functioning of the human brain and uses algorithms, machine learning, pattern recognition and cognitive computing to process large amounts of data and extract useful insights. AI can improve health and well-being of people in various areas of medicine, such as medical image analysis, diagnosis, treatment, genetics, pregnancy and smart prosthetics. These applications can help medical professionals make better clinical decisions, accelerate research and development of new drugs, personalize patient care and reduce costs and human errors. AI can also empower users to access relevant information about their health and actively participate in their care. However, AI also poses ethical, legal and social challenges that must be addressed with responsibility and transparency.
{"title":"Artificial Intelligence in Human Medicine","authors":"Iván Suazo Galdames","doi":"10.32457/ijmss.v10i1.2150","DOIUrl":"https://doi.org/10.32457/ijmss.v10i1.2150","url":null,"abstract":"This editorial reflects on the emergence of artificial intelligence and how it is applied in the field of health. AI is a technology that mimics the functioning of the human brain and uses algorithms, machine learning, pattern recognition and cognitive computing to process large amounts of data and extract useful insights. AI can improve health and well-being of people in various areas of medicine, such as medical image analysis, diagnosis, treatment, genetics, pregnancy and smart prosthetics. These applications can help medical professionals make better clinical decisions, accelerate research and development of new drugs, personalize patient care and reduce costs and human errors. AI can also empower users to access relevant information about their health and actively participate in their care. However, AI also poses ethical, legal and social challenges that must be addressed with responsibility and transparency.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73532656","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}
{"title":"volumen 10, número 1 2023","authors":"","doi":"10.32457/ijmss.v10i1","DOIUrl":"https://doi.org/10.32457/ijmss.v10i1","url":null,"abstract":"","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135270238","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}
Abstract Aim and Objectives The main aim of this study was to identify the evolving, early changes, premalignant and malignant lesions of larynx among smokers, and alcoholics by video laryngoscopy and to correlate the duration, frequency, and amount of smoking and alcohol with spectrum of symptoms presented and laryngeal morphology. Methods and Methodology This study was prospective study done on a total of 165 patients who attended the department of otorhinolaryngology, at a tertiary care center in South India with various ENT complaints. Patients who were above 18 years of age from both sexes and gave history of smoking and alcohol consumption were included in this study irrespective of their complaints. All these patients underwent video laryngoscopy, which helped in early diagnosing various laryngeal lesions and screening tool for development of laryngeal lesions. Following diagnosis, patients were treated accordingly with lifestyle modifications and abstinence from smoking and alcohol. The primary outcome measure is screening for laryngeal morphology and secondary outcome measures are identifiable laryngeal benign and malignant lesions among smokers and alcoholics who required appropriate treatment. Results There was a significant association between the type of lesion and age group, type of lesion and smoking, and type of lesion and alcohol when compared with nonsmokers and non-alcoholics. As the pack years and amount of alcohol consumption increased, there was a significant increase in the severity and association of lesions. Conclusion We were able to diagnose a large number of laryngeal lesions that helped in the early detection of premalignant and malignant lesions and their early treatment. The patients who were diagnosed with premalignant and malignant changes underwent microlaryngeal excision of the lesion and were in close follow-up to detect any recurrence.
{"title":"Video Laryngoscopy as a Screening Tool for Laryngeal Changes in Chronic Smokers and Alcoholics","authors":"P. S., G. K., N. B., Raghvi A., R. S","doi":"10.1055/s-0043-1761619","DOIUrl":"https://doi.org/10.1055/s-0043-1761619","url":null,"abstract":"Abstract Aim and Objectives The main aim of this study was to identify the evolving, early changes, premalignant and malignant lesions of larynx among smokers, and alcoholics by video laryngoscopy and to correlate the duration, frequency, and amount of smoking and alcohol with spectrum of symptoms presented and laryngeal morphology. Methods and Methodology This study was prospective study done on a total of 165 patients who attended the department of otorhinolaryngology, at a tertiary care center in South India with various ENT complaints. Patients who were above 18 years of age from both sexes and gave history of smoking and alcohol consumption were included in this study irrespective of their complaints. All these patients underwent video laryngoscopy, which helped in early diagnosing various laryngeal lesions and screening tool for development of laryngeal lesions. Following diagnosis, patients were treated accordingly with lifestyle modifications and abstinence from smoking and alcohol. The primary outcome measure is screening for laryngeal morphology and secondary outcome measures are identifiable laryngeal benign and malignant lesions among smokers and alcoholics who required appropriate treatment. Results There was a significant association between the type of lesion and age group, type of lesion and smoking, and type of lesion and alcohol when compared with nonsmokers and non-alcoholics. As the pack years and amount of alcohol consumption increased, there was a significant increase in the severity and association of lesions. Conclusion We were able to diagnose a large number of laryngeal lesions that helped in the early detection of premalignant and malignant lesions and their early treatment. The patients who were diagnosed with premalignant and malignant changes underwent microlaryngeal excision of the lesion and were in close follow-up to detect any recurrence.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90143740","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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