M. F. Mohd Shukri, Salziyan Badrin, A. Abdul Kadir, Nor Asmah Hasan, Thung Senk Chung
Pregnancy in patients with end-stage renal disease (ESRD) is considered a very high-risk and is not recommended as it might cause fatal consequences for both the mother and the fetus. Even though chronic kidney disease affects the physiological components of fertility, decreasing the possibility of spontaneous conceptions, unwanted pregnancies still happen, and a small percentage of women with ESRD become pregnant. All women with kidney disease should have access to specialists in renal disease and pregnancy who can support, care for, and monitor them during their pregnancy. We reported a case of a 37-year-old primigravida who has ESRD on hemodialysis. The pregnancy journey was uneasy, but eventually she successfully passed through it. The most challenging issues to treat and manage throughout this pregnancy are anemia, the risks of eclampsia, and uncontrolled hypertension. The management of this patient requires multidisciplinary and shared care monitoring by the nephrologist, obstetrician, and primary care doctor.
{"title":"The pregnancy journey of a patient with end-stage renal disease on hemodialysis: A case study","authors":"M. F. Mohd Shukri, Salziyan Badrin, A. Abdul Kadir, Nor Asmah Hasan, Thung Senk Chung","doi":"10.29333/ejgm/14352","DOIUrl":"https://doi.org/10.29333/ejgm/14352","url":null,"abstract":"Pregnancy in patients with end-stage renal disease (ESRD) is considered a very high-risk and is not recommended as it might cause fatal consequences for both the mother and the fetus. Even though chronic kidney disease affects the physiological components of fertility, decreasing the possibility of spontaneous conceptions, unwanted pregnancies still happen, and a small percentage of women with ESRD become pregnant. All women with kidney disease should have access to specialists in renal disease and pregnancy who can support, care for, and monitor them during their pregnancy. We reported a case of a 37-year-old primigravida who has ESRD on hemodialysis. The pregnancy journey was uneasy, but eventually she successfully passed through it. The most challenging issues to treat and manage throughout this pregnancy are anemia, the risks of eclampsia, and uncontrolled hypertension. The management of this patient requires multidisciplinary and shared care monitoring by the nephrologist, obstetrician, and primary care doctor.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140244326","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}
Wan Bazilah Wan Mohamad Sobri, N. Naing, N. Wan-Arfah, Sarimah Abdullah, Vetriselvan Subramaniyan, Ling Shing Wong, S. Selvaraj
The purpose of our study was to ascertain the frequency of excessive daytime sleepiness (EDS) amongst medical students as well as the contributing variables. In Kelantan, Malaysia, at the School of Medical Sciences of Universiti Sains Malaysia, a cross-sectional research study was carried out. The Epworth drowsiness scale was used to gauge the degree of daytime drowsiness, and the depression, anxiety, and stress scale was used to gauge the degree of depression, anxiety, and stress. The related factors of EDS were analyzed using ordinal logistic regression. 311 individuals, or 84.5% of the total, submitted the questionnaire out of 368. 42.7% of people had EDS (95% CI: 0.52, 0.70). The associated factors of EDS included year of study (adjusted odds ratio [AOR]=0.55 [95% confidence interval [CI]: 0.33, 0.91]), race (Chinese) (AOR=0.58 [95% CI: 0.32, 0.97]), anxiety level (mild) (AOR=2.68 [95% CI: 1.26, 5.68]), anxiety level (moderate) (AOR=3.70 [95% CI: 1.76, 7.75]), anxiety level (severe) (AOR=4.76 [95% CI: 1.06, 21.42]), stress level (mild) (AOR=3.37 [95% CI: 1.47, 7.30]) and stress level (moderate) (AOR=5.42 [95% CI: 2.05, 14.35]). As for conclusion, associated factors such as year of study, race, anxiety and stress level were significantly found to be associated with EDS among medical students.
{"title":"Prevalence and factors associated with excessive daytime sleepiness among Malaysian medical students","authors":"Wan Bazilah Wan Mohamad Sobri, N. Naing, N. Wan-Arfah, Sarimah Abdullah, Vetriselvan Subramaniyan, Ling Shing Wong, S. Selvaraj","doi":"10.29333/ejgm/14198","DOIUrl":"https://doi.org/10.29333/ejgm/14198","url":null,"abstract":"The purpose of our study was to ascertain the frequency of excessive daytime sleepiness (EDS) amongst medical students as well as the contributing variables. In Kelantan, Malaysia, at the School of Medical Sciences of Universiti Sains Malaysia, a cross-sectional research study was carried out. The Epworth drowsiness scale was used to gauge the degree of daytime drowsiness, and the depression, anxiety, and stress scale was used to gauge the degree of depression, anxiety, and stress. The related factors of EDS were analyzed using ordinal logistic regression. 311 individuals, or 84.5% of the total, submitted the questionnaire out of 368. 42.7% of people had EDS (95% CI: 0.52, 0.70). The associated factors of EDS included year of study (adjusted odds ratio [AOR]=0.55 [95% confidence interval [CI]: 0.33, 0.91]), race (Chinese) (AOR=0.58 [95% CI: 0.32, 0.97]), anxiety level (mild) (AOR=2.68 [95% CI: 1.26, 5.68]), anxiety level (moderate) (AOR=3.70 [95% CI: 1.76, 7.75]), anxiety level (severe) (AOR=4.76 [95% CI: 1.06, 21.42]), stress level (mild) (AOR=3.37 [95% CI: 1.47, 7.30]) and stress level (moderate) (AOR=5.42 [95% CI: 2.05, 14.35]). As for conclusion, associated factors such as year of study, race, anxiety and stress level were significantly found to be associated with EDS among medical students.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140084389","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}
S. Elsawy, Khadiga Salama Mohamed, Eman M Moazen, S. F. Kotb, Amira Mohammad Elsadek Ateya Elsayed, Fatma Gamal Elsayed, E. Mohammed, R. M. Ghaly, E. Mokhtar, Marwa A Elsaid, R. H. Bahi
Aim: To evaluate the relationships between sputum and bronchoalveolar lavage (BAL) cellular and bacterial findings and severity of exacerbation of chronic obstructive pulmonary disease (ECOPD). Patients & methods: A cross-section study was conducted on 307 patients with ECOPD. They underwent sputum and BAL inflammatory cell count and bacterial culture. Results: Patients with severe ECOPD have significantly higher neutrophils percentage (neut.%), lower lymphocytes percentage (lymph.%), lower eosinophils percentage (eosin.%) and higher neutrophil/lymphocyte ratio (NLR) as compared to patients with mild ECOPD. It was also shown that patients with severe ECOPD had significantly higher BAL neut.%, lower lymph.%, lower eosin.%, and higher NLR as compared to the other two subgroups. Also, patients with severe ECOPD have significantly higher frequency of cases with monomicrobial (71.30% vs. 36.10%) and polymicrobial (21.25% vs. 2.10%) growths in comparison to patients with mild ECOPD. Conclusions: Cellular and bacterial findings in sputum and BAL are related to severity of ECOPD.
{"title":"Relation between airway cellular and bacterial findings and severity of COPD exacerbations: A multicentric study","authors":"S. Elsawy, Khadiga Salama Mohamed, Eman M Moazen, S. F. Kotb, Amira Mohammad Elsadek Ateya Elsayed, Fatma Gamal Elsayed, E. Mohammed, R. M. Ghaly, E. Mokhtar, Marwa A Elsaid, R. H. Bahi","doi":"10.29333/ejgm/14200","DOIUrl":"https://doi.org/10.29333/ejgm/14200","url":null,"abstract":"Aim: To evaluate the relationships between sputum and bronchoalveolar lavage (BAL) cellular and bacterial findings and severity of exacerbation of chronic obstructive pulmonary disease (ECOPD).\u0000Patients & methods: A cross-section study was conducted on 307 patients with ECOPD. They underwent sputum and BAL inflammatory cell count and bacterial culture.\u0000Results: Patients with severe ECOPD have significantly higher neutrophils percentage (neut.%), lower lymphocytes percentage (lymph.%), lower eosinophils percentage (eosin.%) and higher neutrophil/lymphocyte ratio (NLR) as compared to patients with mild ECOPD. It was also shown that patients with severe ECOPD had significantly higher BAL neut.%, lower lymph.%, lower eosin.%, and higher NLR as compared to the other two subgroups. Also, patients with severe ECOPD have significantly higher frequency of cases with monomicrobial (71.30% vs. 36.10%) and polymicrobial (21.25% vs. 2.10%) growths in comparison to patients with mild ECOPD.\u0000Conclusions: Cellular and bacterial findings in sputum and BAL are related to severity of ECOPD.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140089752","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}
Alexander Mayer, Adam Kučera, O. Dobrovanov, I. Brychta, Márian Vidiščák
Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. Its prevalence in the general population is 0.9-3.0%. Among the malignant neoplasms of MD, carcinoids and gastrointestinal stromal tumors are predominant. Adenocarcinomas account for less than 6.0% of all associated malignancies. We present a rare clinical case of a 67-year-old patient with gastric-type adenocarcinoma in MD, with metastatic foci in both lobes of the liver at diagnosis. This case demonstrates the diagnostic and therapeutic procedures that led to correct diagnosis and satisfactory treatment outcomes. This case emphasized the importance of using all the possibilities in the diagnosis and treatment and the necessity of cooperation with other experts in properly managing this disease. We also expressed an opinion about considering prophylactic resection of an intraoperatively discovered MD.
{"title":"Adenocarcinoma in Meckel’s diverticulum: A rare case report","authors":"Alexander Mayer, Adam Kučera, O. Dobrovanov, I. Brychta, Márian Vidiščák","doi":"10.29333/ejgm/14199","DOIUrl":"https://doi.org/10.29333/ejgm/14199","url":null,"abstract":"Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. Its prevalence in the general population is 0.9-3.0%. Among the malignant neoplasms of MD, carcinoids and gastrointestinal stromal tumors are predominant. Adenocarcinomas account for less than 6.0% of all associated malignancies. We present a rare clinical case of a 67-year-old patient with gastric-type adenocarcinoma in MD, with metastatic foci in both lobes of the liver at diagnosis. This case demonstrates the diagnostic and therapeutic procedures that led to correct diagnosis and satisfactory treatment outcomes. This case emphasized the importance of using all the possibilities in the diagnosis and treatment and the necessity of cooperation with other experts in properly managing this disease. We also expressed an opinion about considering prophylactic resection of an intraoperatively discovered MD.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140089904","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}
Aims: This systematic review aims to assess the prominence of medical informatics and biophysics in European medical schools, recognizing the growing importance of technology in healthcare. Methodology: A comprehensive search of Medline and PubMed databases was conducted by employing MeSH terms and relevant keywords following PRISMA guidelines. Results: The review reveals limited body of research on this topic, with 41 relevant studies identified. These studies underscore the value of medical informatics and biophysics in medical education. They emphasize the necessity of certification and reveal variations in curricula and training across European nations. Scientific novelty: This study contributes to existing literature by highlighting the scarcity of research on subject. Conclusions: The findings emphasize the significance of incorporating medical informatics and biophysics into medical education across European nations. Standardization, international guidelines, and accreditation procedures are imperative to ensure the competence of healthcare professionals in utilizing technology and information systems effectively.
{"title":"Medical informatics and biophysics in medical universities of European countries: A systematic review and meta-analysis","authors":"Y. Tsekhmister","doi":"10.29333/ejgm/14197","DOIUrl":"https://doi.org/10.29333/ejgm/14197","url":null,"abstract":"Aims: This systematic review aims to assess the prominence of medical informatics and biophysics in European medical schools, recognizing the growing importance of technology in healthcare.\u0000Methodology: A comprehensive search of Medline and PubMed databases was conducted by employing MeSH terms and relevant keywords following PRISMA guidelines.\u0000Results: The review reveals limited body of research on this topic, with 41 relevant studies identified. These studies underscore the value of medical informatics and biophysics in medical education. They emphasize the necessity of certification and reveal variations in curricula and training across European nations.\u0000Scientific novelty: This study contributes to existing literature by highlighting the scarcity of research on subject.\u0000Conclusions: The findings emphasize the significance of incorporating medical informatics and biophysics into medical education across European nations. Standardization, international guidelines, and accreditation procedures are imperative to ensure the competence of healthcare professionals in utilizing technology and information systems effectively.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140087287","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}
Francisco J Prados-Barbero, Eleuterio A. Sánchez-Romero, Juan Nicolás Cuenca-Zaldívar, Francisco Selva-Sarzo
The anterior cruciate ligament (ACL) injury stands as a significant concern in judo, necessitating preventive measures. The primary injury mechanism involves knee collapse in valgus, often linked to deficiencies in core strength, neuromuscular control, external rotators, hip abductors, and limitations in ankle and hip mobility. Sex-wise, the injury is more prevalent in women across various sports. Therefore, in the present study we observed this possible intersexual disparity in the difference of movement patterns among elite judokas according to their sex, in order to identify those athletes with a higher risk of ACL injury. Notably, there were no discernible differences between sexes in the single leg squat test. Both men and women exhibited compromised neuromuscular control in the non-dominant leg. While ankle dorsiflexion and hip external rotation showed no gender disparities, differences in internal rotation were noted. This particular movement restriction may elevate the risk of ACL injury.
{"title":"Differences in movement patterns related to anterior cruciate ligament injury risk in elite judokas according to sex: A cross-sectional clinical approach study","authors":"Francisco J Prados-Barbero, Eleuterio A. Sánchez-Romero, Juan Nicolás Cuenca-Zaldívar, Francisco Selva-Sarzo","doi":"10.29333/ejgm/14285","DOIUrl":"https://doi.org/10.29333/ejgm/14285","url":null,"abstract":"The anterior cruciate ligament (ACL) injury stands as a significant concern in judo, necessitating preventive measures. The primary injury mechanism involves knee collapse in valgus, often linked to deficiencies in core strength, neuromuscular control, external rotators, hip abductors, and limitations in ankle and hip mobility. Sex-wise, the injury is more prevalent in women across various sports. Therefore, in the present study we observed this possible intersexual disparity in the difference of movement patterns among elite judokas according to their sex, in order to identify those athletes with a higher risk of ACL injury. Notably, there were no discernible differences between sexes in the single leg squat test. Both men and women exhibited compromised neuromuscular control in the non-dominant leg. While ankle dorsiflexion and hip external rotation showed no gender disparities, differences in internal rotation were noted. This particular movement restriction may elevate the risk of ACL injury.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140088362","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}
Saif M Dmour, S. Saghir, Saqr Abushattal, H. Qaralleh, Sulaiman M Alnaimat, A. Al-Jaafreh, Eid M Alsbou, Mahfoudh AM Abdulghani, I. Almajali
Artemisia herba-alba (AHA), known as sheeh in Jordan, is recommended by regional traditional healers for the treatment of a variety of diseases. AHA has been used in folk medicine to treat colds, coughing, bronchitis, intestinal disturbances, diarrhea, neuralgias, arterial hypertension, and diabetes. The objectives of the current study were to identify the chemical compositions of the essential oil extracted from dried leaf powder of AHA cultivated in Jordan and investigate its antibacterial and antioxidant activities. The essential oil was isolated using hydro distillation, and the identification of artemisia herba-alba essential oil (AHEO) composition was performed using validated gas chromatography-mass spectrometry (GC-MS). The antibacterial activity of AHEO was assessed against escherichia coli, pseudomonas aeruginosa, klebsiella pneumonia, and staphylococcus aureus and two clinical isolates (methicillin-resistant staphylococcus aureus and methicillin-resistant staphylococcus epidermidis [MRSE]) using a disc diffusion method, minimum inhibitory concentration (MIC), and minimum bactericidal concentration (MBC) values, using the micro-dilution broth method. Additionally, antioxidant activities were determined using DPPH and ABTS radical scavenging assays. The results revealed that the yield of AHEO was 4.41% v/w, with nearly 22 identified compounds, constituting approximately 96.80% of the total mass of essential oils. Monoterpenoids was the major compounds (71.90%), with alpha pinene being the major component, accounting for 17.20% of the composition. The total phenolic and flavonoid contents were 43.97 mg GAE/g and 30.11 mg CE/g, respectively. The antibacterial activity of AHEO against MRSE exhibited the highest inhibitory effect, while E.coli showed the highest MBC value. Furthermore, AHEO demonstrated significant antioxidant activity (IC50= 64.57 and 34.01 for DPPH and ABTS, respectively). The results indicate that AHEO possess good antioxidant and antibacterial properties, suggesting that they may be used as a supplementary food and antimicrobial agent.
{"title":"Biological activities and chemical composition of essential oil isolated from Artemisia herba-alba","authors":"Saif M Dmour, S. Saghir, Saqr Abushattal, H. Qaralleh, Sulaiman M Alnaimat, A. Al-Jaafreh, Eid M Alsbou, Mahfoudh AM Abdulghani, I. Almajali","doi":"10.29333/ejgm/14161","DOIUrl":"https://doi.org/10.29333/ejgm/14161","url":null,"abstract":"Artemisia herba-alba (AHA), known as sheeh in Jordan, is recommended by regional traditional healers for the treatment of a variety of diseases. AHA has been used in folk medicine to treat colds, coughing, bronchitis, intestinal disturbances, diarrhea, neuralgias, arterial hypertension, and diabetes. The objectives of the current study were to identify the chemical compositions of the essential oil extracted from dried leaf powder of AHA cultivated in Jordan and investigate its antibacterial and antioxidant activities. The essential oil was isolated using hydro distillation, and the identification of artemisia herba-alba essential oil (AHEO) composition was performed using validated gas chromatography-mass spectrometry (GC-MS). The antibacterial activity of AHEO was assessed against escherichia coli, pseudomonas aeruginosa, klebsiella pneumonia, and staphylococcus aureus and two clinical isolates (methicillin-resistant staphylococcus aureus and methicillin-resistant staphylococcus epidermidis [MRSE]) using a disc diffusion method, minimum inhibitory concentration (MIC), and minimum bactericidal concentration (MBC) values, using the micro-dilution broth method. Additionally, antioxidant activities were determined using DPPH and ABTS radical scavenging assays. The results revealed that the yield of AHEO was 4.41% v/w, with nearly 22 identified compounds, constituting approximately 96.80% of the total mass of essential oils. Monoterpenoids was the major compounds (71.90%), with alpha pinene being the major component, accounting for 17.20% of the composition. The total phenolic and flavonoid contents were 43.97 mg GAE/g and 30.11 mg CE/g, respectively. The antibacterial activity of AHEO against MRSE exhibited the highest inhibitory effect, while E.coli showed the highest MBC value. Furthermore, AHEO demonstrated significant antioxidant activity (IC50= 64.57 and 34.01 for DPPH and ABTS, respectively). The results indicate that AHEO possess good antioxidant and antibacterial properties, suggesting that they may be used as a supplementary food and antimicrobial agent.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139594435","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}
Feras A Al-Awad, Assim M. AlAbdulKader, Malak Al Shammari, S. Rohaiem, Khalid AlHarkan, A. Mohammedin, M. Alshurem, Dalal M AlBakr, Fatimah AlKhunaizi, Mohammed Almaslami, Ahmed AlNajidi
Purpose: This study aims to examine the level of knowledge about dementia among the public and explore differences in knowledge between sociodemographic groups. Materials & methods: This cross-sectional questionnaire-based study surveyed individuals living in the Eastern Province of Saudi Arabia. Dementia knowledge assessment scale (DKAS) was used to measure knowledge about dementia. Multiple regression was used to identify the significant predictors of higher levels of knowledge about dementia. Results: Among 1,030 participants, the mean DKAS score was 20.5 (standard deviation=10.3) out of 50. A higher level knowledge about dementia was significantly and positively associated with university education (β=2.42; p=0.010) and income higher (β=2.78; p=0.001). On the other hand, the total DKAS score was significantly and negatively associated with being male (β=-1.78; p=0.003), not knowing a person with dementia (PwD) (β=-.56; p<0.001), and not living with a PwD (β=-1.57; p=0.120). Conclusions: The level of knowledge about dementia is low among people living in Saudi Arabia’s Eastern Province. Enhancing the community’s knowledge and awareness about dementia and its related topics should be considered at the regional or national levels.
{"title":"Knowledge levels and sociodemographic influences on dementia awareness in the Eastern Province of Saudi Arabia","authors":"Feras A Al-Awad, Assim M. AlAbdulKader, Malak Al Shammari, S. Rohaiem, Khalid AlHarkan, A. Mohammedin, M. Alshurem, Dalal M AlBakr, Fatimah AlKhunaizi, Mohammed Almaslami, Ahmed AlNajidi","doi":"10.29333/ejgm/14159","DOIUrl":"https://doi.org/10.29333/ejgm/14159","url":null,"abstract":"Purpose: This study aims to examine the level of knowledge about dementia among the public and explore differences in knowledge between sociodemographic groups.\u0000Materials & methods: This cross-sectional questionnaire-based study surveyed individuals living in the Eastern Province of Saudi Arabia. Dementia knowledge assessment scale (DKAS) was used to measure knowledge about dementia. Multiple regression was used to identify the significant predictors of higher levels of knowledge about dementia.\u0000Results: Among 1,030 participants, the mean DKAS score was 20.5 (standard deviation=10.3) out of 50. A higher level knowledge about dementia was significantly and positively associated with university education (β=2.42; p=0.010) and income higher (β=2.78; p=0.001). On the other hand, the total DKAS score was significantly and negatively associated with being male (β=-1.78; p=0.003), not knowing a person with dementia (PwD) (β=-.56; p<0.001), and not living with a PwD (β=-1.57; p=0.120).\u0000Conclusions: The level of knowledge about dementia is low among people living in Saudi Arabia’s Eastern Province. Enhancing the community’s knowledge and awareness about dementia and its related topics should be considered at the regional or national levels.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139595514","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}
Luis A Huarachi, Glenn Lozano-Zanelly, Julio Acosta, Carlos A Huarachi, Jeel Moya-Salazar
Introduction: In many regions of the world, healthcare is inequitable and limited, affecting poor populations who need greater health opportunities. Given that Peru’s comprehensive health insurance (SIS) seeks to enhance its coverage for the entire population, it is important to know if its coverage benefits the poorest populations. Objectives: To determine the allocation of SIS resources and care to the poorest quintile during 2018 and 2019 in Peru. Methods: We conducted a secondary analysis of data from five Peruvian technical institutions. In 39,8207 Peruvian households, we analyzed the per capita budget assigned to the population affiliated with SIS in microregions of quintile 1 and quintile 2 (poor), and quintile 4 and quintile 5 (non-poor), health coverage, and the level of poverty considering the human development index (HDI) and the regional competitiveness index (RCI). Results: The poorest regions are inversely correlated with HDI and RCI and have an average service of 25.0% affiliates. In poor areas, the allocated budget was lower (approximately $303,000 to $2.2 million), but the proportion of members requiring care was higher (>70.0%). The budget allocated to health was unfair (p<0.05) between poor areas (maximum resources from $96.28 to $108.14) and non-poor areas (maximum resources from $150.00 to $172.43). Low budget allocations and low household per capita income contributed to poverty in quintile 1 and quintile 2 (p<0.01). Conclusions: the poorest regions have greater inequity and the majority of affiliates do not use or do not have access to SIS services, but they have a greater need for health care. In addition, poor regions have a high amount of population without SIS coverage, and low allocated budgets, which affects competitiveness and regional development.
{"title":"Inequality in the distribution of resources and health care in the poverty quintiles: Evidence from Peruvian comprehensive health insurance 2018-2019","authors":"Luis A Huarachi, Glenn Lozano-Zanelly, Julio Acosta, Carlos A Huarachi, Jeel Moya-Salazar","doi":"10.29333/ejgm/14160","DOIUrl":"https://doi.org/10.29333/ejgm/14160","url":null,"abstract":"Introduction: In many regions of the world, healthcare is inequitable and limited, affecting poor populations who need greater health opportunities. Given that Peru’s comprehensive health insurance (SIS) seeks to enhance its coverage for the entire population, it is important to know if its coverage benefits the poorest populations.\u0000Objectives: To determine the allocation of SIS resources and care to the poorest quintile during 2018 and 2019 in Peru.\u0000Methods: We conducted a secondary analysis of data from five Peruvian technical institutions. In 39,8207 Peruvian households, we analyzed the per capita budget assigned to the population affiliated with SIS in microregions of quintile 1 and quintile 2 (poor), and quintile 4 and quintile 5 (non-poor), health coverage, and the level of poverty considering the human development index (HDI) and the regional competitiveness index (RCI).\u0000Results: The poorest regions are inversely correlated with HDI and RCI and have an average service of 25.0% affiliates. In poor areas, the allocated budget was lower (approximately $303,000 to $2.2 million), but the proportion of members requiring care was higher (>70.0%). The budget allocated to health was unfair (p<0.05) between poor areas (maximum resources from $96.28 to $108.14) and non-poor areas (maximum resources from $150.00 to $172.43). Low budget allocations and low household per capita income contributed to poverty in quintile 1 and quintile 2 (p<0.01).\u0000Conclusions: the poorest regions have greater inequity and the majority of affiliates do not use or do not have access to SIS services, but they have a greater need for health care. In addition, poor regions have a high amount of population without SIS coverage, and low allocated budgets, which affects competitiveness and regional development.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139594647","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}
R. Mihailov, A. Tatu, E. Niculeț, L. Rebegea, Corina Manole, Mihaela Craescu, Camelia Busila, Laura Iuliana Candussi, Valerii Lutenco, O. Mihailov, Monica Moraru, Marius Paduraru, F. Stănculea, Tiberiu-Ioan Mihalache
Breast cancer is the most prevalent form of malignancy among women worldwide. Breast cancer can emerge on the skin in two ways: directly, as skin metastases or a direct extension of the tumor; or indirectly, as a paraneoplastic disease. Breast cancer imaging is an essential part of breast cancer screening, diagnosis, preoperative/treatment assessment, and follow-up. The selection of optimal imaging modalities should be contingent upon the patient’s risk factors and breast density since breast cancer imaging necessitates a personalized approach rather than a universal solution. There are a lot of different skin conditions that point to breast cancer, either as a sign of recurring disease, undiagnosed breast cancer, or a condition that puts you at a higher risk of getting it. Even though reconstruction has been shown to improve quality of life for many women, there are still a lot of complicated factors that affect morbidity and results.
{"title":"A narrative review of cutaneous manifestations and imaging landmarks of breast cancer","authors":"R. Mihailov, A. Tatu, E. Niculeț, L. Rebegea, Corina Manole, Mihaela Craescu, Camelia Busila, Laura Iuliana Candussi, Valerii Lutenco, O. Mihailov, Monica Moraru, Marius Paduraru, F. Stănculea, Tiberiu-Ioan Mihalache","doi":"10.29333/ejgm/14117","DOIUrl":"https://doi.org/10.29333/ejgm/14117","url":null,"abstract":"Breast cancer is the most prevalent form of malignancy among women worldwide. Breast cancer can emerge on the skin in two ways: directly, as skin metastases or a direct extension of the tumor; or indirectly, as a paraneoplastic disease. Breast cancer imaging is an essential part of breast cancer screening, diagnosis, preoperative/treatment assessment, and follow-up. The selection of optimal imaging modalities should be contingent upon the patient’s risk factors and breast density since breast cancer imaging necessitates a personalized approach rather than a universal solution. There are a lot of different skin conditions that point to breast cancer, either as a sign of recurring disease, undiagnosed breast cancer, or a condition that puts you at a higher risk of getting it. Even though reconstruction has been shown to improve quality of life for many women, there are still a lot of complicated factors that affect morbidity and results.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139619355","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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