Nsanowaji Isaac Meloh, O. Obia, Solomon M. Uvoh, Precious Ibiene Ekoriko, C. Charles
Background of the study: Weight control is increasingly becoming one of the most discussed topics amongst the youths due to adverse social and medical conditions associated with extremes body weight. Aim: The aim of the present study was to assess the gender variations in weight control behaviors amongst undergraduates in Port Harcourt, Rivers state, South-South, Nigeria. Materials and methods: The study involved 600 apparently healthy students (including 249 males and 351 females) who responded to an interviewer-administered questionnaire. Results: The results showed that the weight control strategies applied by undergraduates are typically aimed at either maintaining or reducing their present body weight. More of the males are satisfied with their weight and would engage in regular exercise to maintain it. Females had a high tendency to be dissatisfied with their body weight and shape and would associate their overweight with overfeeding. Although exercise was the most common weight control measure adopted by both male and female respondents, only 20.5% of them engaged in regular exercise. 51.4% of subjects did not consider applying any weight control measure necessary. Dietary restriction was more commonly adopted by females. The most commonly skipped meal by both male and female undergraduates was lunch. However, more females skipped dinner in other to lose weight. Conclusion: The present study suggests that body weight perception is a very important determinant of weight control behavior. Social acceptance is a common phenomenon amongst female undergraduates who are also more concerned about their body weight and shape.
{"title":"Assessment of Gender Variations in Weight Control Behaviours Amongst Undergraduates in Port Harcourt, Nigeria","authors":"Nsanowaji Isaac Meloh, O. Obia, Solomon M. Uvoh, Precious Ibiene Ekoriko, C. Charles","doi":"10.31254/jmr.2022.8407","DOIUrl":"https://doi.org/10.31254/jmr.2022.8407","url":null,"abstract":"Background of the study: Weight control is increasingly becoming one of the most discussed topics amongst the youths due to adverse social and medical conditions associated with extremes body weight. Aim: The aim of the present study was to assess the gender variations in weight control behaviors amongst undergraduates in Port Harcourt, Rivers state, South-South, Nigeria. Materials and methods: The study involved 600 apparently healthy students (including 249 males and 351 females) who responded to an interviewer-administered questionnaire. Results: The results showed that the weight control strategies applied by undergraduates are typically aimed at either maintaining or reducing their present body weight. More of the males are satisfied with their weight and would engage in regular exercise to maintain it. Females had a high tendency to be dissatisfied with their body weight and shape and would associate their overweight with overfeeding. Although exercise was the most common weight control measure adopted by both male and female respondents, only 20.5% of them engaged in regular exercise. 51.4% of subjects did not consider applying any weight control measure necessary. Dietary restriction was more commonly adopted by females. The most commonly skipped meal by both male and female undergraduates was lunch. However, more females skipped dinner in other to lose weight. Conclusion: The present study suggests that body weight perception is a very important determinant of weight control behavior. Social acceptance is a common phenomenon amongst female undergraduates who are also more concerned about their body weight and shape.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47819275","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}
J. Ayatollahi, S. Mousavi, A. Moein, Mahdie Hamidfar, S. Shahcheraghi
There are many evidences suggesting that the serum lactate dehydrogenase (LDH) levels reflect the extent of various pathophysiological processes. However, the current information about dynamic change of LDH in COVID-19 pneumonia has not been well investigated. This study aimed to evaluate the relationship between LDH level and clinical status of patients with COVID-19 in terms of disease severity in patients. This study included all COVID-19 patients admitted to the wards and ICU of Shahid Sadoughi Hospital in Yazd and the sampling method in this study is census. Patients' information will be extracted from their file and entered into a predefined checklist. This information was entered into SPSS.V21 software. Of 4346 patients whose LDH test is available, 2364 (54.4%) are male and 1982 (45.6%) are female. 487 (11.2%) of patients in intensive care unit and 3859 (88.8%) were hospitalized in other wards. The mean serum LDH level was significantly different between patients admitted to the intensive care unit and other wards of the hospital (pvalue <0.001). Increased LDH serum levels were associated with poor prognosis in patients with COVID-19.
{"title":"Evaluation of the relationship between lactate dehydrogenase level and clinical status of patients with COVID-19 in terms of disease severity in patients admitted to Shahid Sadoughi Hospital in Yazd","authors":"J. Ayatollahi, S. Mousavi, A. Moein, Mahdie Hamidfar, S. Shahcheraghi","doi":"10.31254/jmr.2022.8405","DOIUrl":"https://doi.org/10.31254/jmr.2022.8405","url":null,"abstract":"There are many evidences suggesting that the serum lactate dehydrogenase (LDH) levels reflect the extent of various pathophysiological processes. However, the current information about dynamic change of LDH in COVID-19 pneumonia has not been well investigated. This study aimed to evaluate the relationship between LDH level and clinical status of patients with COVID-19 in terms of disease severity in patients. This study included all COVID-19 patients admitted to the wards and ICU of Shahid Sadoughi Hospital in Yazd and the sampling method in this study is census. Patients' information will be extracted from their file and entered into a predefined checklist. This information was entered into SPSS.V21 software. Of 4346 patients whose LDH test is available, 2364 (54.4%) are male and 1982 (45.6%) are female. 487 (11.2%) of patients in intensive care unit and 3859 (88.8%) were hospitalized in other wards. The mean serum LDH level was significantly different between patients admitted to the intensive care unit and other wards of the hospital (pvalue <0.001). Increased LDH serum levels were associated with poor prognosis in patients with COVID-19.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42232232","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}
Manpreet Singh, A. Bhardwaj, Isha Goyal, Aarzoo Suman, Hardik Pahuja
Background: Tinnitus is phantom sound sensation in absence of external source of sound. A close association has been demonstrated between tinnitus and comorbid psychological disorders. In patients suffering from tinnitus a higher prevalence of anxiety and depression has been reported. Aims and Objectives: The aim of this study was to assess prevalence of depression and anxiety in patients suffering from tinnitus. Materials and Methods: It was cross sectional study conducted at a tertiary care hospital of Punjab. The study recruited 50 patients with history of tinnitus of time period more than twelve months of duration after taking written informed consent. The inclusion criteria was Patients over the age of 18, Patients having tinnitus for past 1 year duration. Patients with prior history of psychiatric illness were excluded. Depression was assessed by using Hamilton rating scale for depression(HRSD) and anxiety by Hamilton anxiety rating scale [18] (HAM-A). Appropiate statistical analysis was done. Results and Conclusion: Most of the study sample [27 (54%)] were in the age group of 41-50. Females outnumbered males. Majority of patients were suffering from tinnitus from last 1-5 years (33). Out of 50 subjects, depression was present in 43 patients and anxiety in 14 patients. There was strong correlation between female gender and depression and anxiety.
{"title":"Prevalence of anxiety and depression in patients with tinnitus","authors":"Manpreet Singh, A. Bhardwaj, Isha Goyal, Aarzoo Suman, Hardik Pahuja","doi":"10.31254/jmr.2022.8406","DOIUrl":"https://doi.org/10.31254/jmr.2022.8406","url":null,"abstract":"Background: Tinnitus is phantom sound sensation in absence of external source of sound. A close association has been demonstrated between tinnitus and comorbid psychological disorders. In patients suffering from tinnitus a higher prevalence of anxiety and depression has been reported. Aims and Objectives: The aim of this study was to assess prevalence of depression and anxiety in patients suffering from tinnitus. Materials and Methods: It was cross sectional study conducted at a tertiary care hospital of Punjab. The study recruited 50 patients with history of tinnitus of time period more than twelve months of duration after taking written informed consent. The inclusion criteria was Patients over the age of 18, Patients having tinnitus for past 1 year duration. Patients with prior history of psychiatric illness were excluded. Depression was assessed by using Hamilton rating scale for depression(HRSD) and anxiety by Hamilton anxiety rating scale [18] (HAM-A). Appropiate statistical analysis was done. Results and Conclusion: Most of the study sample [27 (54%)] were in the age group of 41-50. Females outnumbered males. Majority of patients were suffering from tinnitus from last 1-5 years (33). Out of 50 subjects, depression was present in 43 patients and anxiety in 14 patients. There was strong correlation between female gender and depression and anxiety.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48344372","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}
Abdominal pregnancy is a rare event and occurs in approximately 1 percent of extra-uterine pregnancies. Its frequency is estimated at 1 per 10,000 live births. It is associated with a high fetal mortality rate (40-95%) and significant maternal mortality. The association of uterine malformation and ectopic pregnancy type cornuale is described in the literature, but the abdominal type appears to be exceptional. The authors describe a case of abdominal pregnancy associated with uterine malformation type unicornus uterus class II of ASRM (unicornuate uterus with a rudimentary controlateral uterus), of which the diagnosis was made when a complication occured.
{"title":"Abdominal pregnancy on uterine malformation type Unicornus uterus class II of ASRM about a clinical case at the Maternity ward of the General Hospital of Kinshasa, The Democratic Republic of Congo","authors":"John Mufuansoni, G. Luyeye, J. Elongi","doi":"10.31254/jmr.2022.8401","DOIUrl":"https://doi.org/10.31254/jmr.2022.8401","url":null,"abstract":"Abdominal pregnancy is a rare event and occurs in approximately 1 percent of extra-uterine pregnancies. Its frequency is estimated at 1 per 10,000 live births. It is associated with a high fetal mortality rate (40-95%) and significant maternal mortality. The association of uterine malformation and ectopic pregnancy type cornuale is described in the literature, but the abdominal type appears to be exceptional. The authors describe a case of abdominal pregnancy associated with uterine malformation type unicornus uterus class II of ASRM (unicornuate uterus with a rudimentary controlateral uterus), of which the diagnosis was made when a complication occured.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46830587","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}
Soheila Azimi Abarghouei, Zohre Akhondimeybodi, J. Ayatollahi, Mohammad Sharif Yazdi, S. Mousavi, F. Najjar, Sara Jambersang, Samaneh Mazidi Sharafabadi, Mahdie Hamidfar, S. Shahcheraghi
COVID-19 disease is spreading rapidly around the world and its control requires proper diagnosis of infected people. RTPCR is the primary method of laboratory diagnosis of COVID-19, but is associated with false-positive cases. Therefore, the aim of this study was to evaluate the diagnostic value of laboratory tests (CRP, WBC and ESR) in the diagnosis of COVID-19. In a cross-sectional and descriptive-analytical study, the file of 200 patients with COVID-19 admitted to Shahid Sadoughi Hospital in Yazd in 2020-2021was evaluated and the results of laboratory tests (CRP, WBC and ESR) were recorded. Considering RT-PCR and lung CT scan as the gold standard, the sensitivity and specificity of each test were determined. Data were analyzed using SPSS software. The frequency of positive findings of CT scan, RT-PCR and gold standard in the studied patients were 83.5%, 50% and 91%, respectively. The mean WBC of patients was 109 2.17 and the ESR was 43.79 mm / h. CRP test was also positive in 71.3% of patients. The sensitivity and specificity of WBC, ESR and CRP in the detection of COVID-19 were 31.5%, 62.4% and 73.1%, respectively, and their specificity was 63.6%, 22.2% and 42.1%, respectively. The frequency of CRP, WBC and ESR findings was not significantly different from the gold standard findings in the studied patients (P> 0.05). CRP test is more sensitive than ESR and WBC in diagnosing COVID-19 and can be used in screening patients.
{"title":"Evaluation of diagnostic value of laboratory tests (CRP, WBC and ESR) in patients with COVID-19 in Shahid Sadoughi Hospital, Yazd","authors":"Soheila Azimi Abarghouei, Zohre Akhondimeybodi, J. Ayatollahi, Mohammad Sharif Yazdi, S. Mousavi, F. Najjar, Sara Jambersang, Samaneh Mazidi Sharafabadi, Mahdie Hamidfar, S. Shahcheraghi","doi":"10.31254/jmr.2022.8403","DOIUrl":"https://doi.org/10.31254/jmr.2022.8403","url":null,"abstract":"COVID-19 disease is spreading rapidly around the world and its control requires proper diagnosis of infected people. RTPCR is the primary method of laboratory diagnosis of COVID-19, but is associated with false-positive cases. Therefore, the aim of this study was to evaluate the diagnostic value of laboratory tests (CRP, WBC and ESR) in the diagnosis of COVID-19. In a cross-sectional and descriptive-analytical study, the file of 200 patients with COVID-19 admitted to Shahid Sadoughi Hospital in Yazd in 2020-2021was evaluated and the results of laboratory tests (CRP, WBC and ESR) were recorded. Considering RT-PCR and lung CT scan as the gold standard, the sensitivity and specificity of each test were determined. Data were analyzed using SPSS software. The frequency of positive findings of CT scan, RT-PCR and gold standard in the studied patients were 83.5%, 50% and 91%, respectively. The mean WBC of patients was 109 2.17 and the ESR was 43.79 mm / h. CRP test was also positive in 71.3% of patients. The sensitivity and specificity of WBC, ESR and CRP in the detection of COVID-19 were 31.5%, 62.4% and 73.1%, respectively, and their specificity was 63.6%, 22.2% and 42.1%, respectively. The frequency of CRP, WBC and ESR findings was not significantly different from the gold standard findings in the studied patients (P> 0.05). CRP test is more sensitive than ESR and WBC in diagnosing COVID-19 and can be used in screening patients.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49500901","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}
[Objective] Sudden cardiac death (SCD) caused by unexpected cardiovascular arrest remains a major public health threat globally. Cardiopulmonary resuscitation (CPR) is a basic but critical first aid skill to rescue patients with sudden cardiac arrest. This study aimed to ascertain whether the mind mapping technique, a note-taking and graphic thinking tool, could improve the learning of CPR among medical interns. [Methods] A total of 79 medical interns rotating in the emergency department in our center were selected as research participants. They were randomly divided into the control group (n=40) and the experimental group (n=39). The control group was trained with traditional PowerPoint (PPT) slide courseware combined with practical operations, while the experimental group was trained with mind mapping technique on the basis of traditional PPT courseware combined with practical operations. The theoretical test, operational assessment, and the survey regarding the satisfaction with the training were conducted between the two groups of interns after training. [Results] Although the interns in both groups mastered the CPR technique successfully with theoretical and operational assessment scores >90 (out of 100), the experimental group performed significantly better in both theoretical tests (score: 96.13±2.47 vs 93.71±4.48, p=0.0041) and operational assessment (score: 94.82±3.22 vs 91.32±3.46, p<0.0001). Moreover, all interns (100%) in the experimental group were satisfied with the CPR training experience, while only 75% of the interns in the control group were satisfied with the training. [Conclusions] Mind maps as a supplementary teaching tool could facilitate CPR learning for medical interns and improve their learning interest.
{"title":"Mind Mapping as a New Strategy to Improve Cardiopulmonary Resuscitation Learning for Medical Interns","authors":"Chuyu Xie, Hujie Zhang, Fei Yu, Wenfeng Huang, Yaoliang Zhou, Zhifeng Mo, Xiaoxing Liao","doi":"10.6913/mrhk.040201","DOIUrl":"https://doi.org/10.6913/mrhk.040201","url":null,"abstract":"[Objective] Sudden cardiac death (SCD) caused by unexpected cardiovascular arrest remains a major public health threat globally. Cardiopulmonary resuscitation (CPR) is a basic but critical first aid skill to rescue patients with sudden cardiac arrest. This study aimed to ascertain whether the mind mapping technique, a note-taking and graphic thinking tool, could improve the learning of CPR among medical interns. [Methods] A total of 79 medical interns rotating in the emergency department in our center were selected as research participants. They were randomly divided into the control group (n=40) and the experimental group (n=39). The control group was trained with traditional PowerPoint (PPT) slide courseware combined with practical operations, while the experimental group was trained with mind mapping technique on the basis of traditional PPT courseware combined with practical operations. The theoretical test, operational assessment, and the survey regarding the satisfaction with the training were conducted between the two groups of interns after training. [Results] Although the interns in both groups mastered the CPR technique successfully with theoretical and operational assessment scores >90 (out of 100), the experimental group performed significantly better in both theoretical tests (score: 96.13±2.47 vs 93.71±4.48, p=0.0041) and operational assessment (score: 94.82±3.22 vs 91.32±3.46, p<0.0001). Moreover, all interns (100%) in the experimental group were satisfied with the CPR training experience, while only 75% of the interns in the control group were satisfied with the training. [Conclusions] Mind maps as a supplementary teaching tool could facilitate CPR learning for medical interns and improve their learning interest.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89571755","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}
Carbon dots (CDs) were synthesized via a simple method and applied in bioimaging. The CDs display excitation-independent fluorescence emission and exhibit upconversion PL, providing further tissue penetration and greater sensitivity as the effect of the autofluorescence of biological bodies is minimized and cellular imaging. This is the first time that excitation-independent carbon dots is prepared via a truly facile approach without the need of external heating or additional energy input. These results indicate that the CDs have excellent potential to be applied in biomedical and clinical analysis.
{"title":"Bioimaging Applications of Excitation-Independent Fluorescence Carbon Dots","authors":"Jianfang Zhang, Zhiming Luo, Chuyu Xie, Hujie Zhang","doi":"10.6913/mrhk.040206","DOIUrl":"https://doi.org/10.6913/mrhk.040206","url":null,"abstract":"Carbon dots (CDs) were synthesized via a simple method and applied in bioimaging. The CDs display excitation-independent fluorescence emission and exhibit upconversion PL, providing further tissue penetration and greater sensitivity as the effect of the autofluorescence of biological bodies is minimized and cellular imaging. This is the first time that excitation-independent carbon dots is prepared via a truly facile approach without the need of external heating or additional energy input. These results indicate that the CDs have excellent potential to be applied in biomedical and clinical analysis.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88664385","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}
Junhui Sun, Liqiang Zhou, Siyuan Huang, Zhaofeng Li, Yi Qin
Lumbar degenerative disease (LDD) refers to the normal strain of the body involving lumbar bone, ligament, intervertebral disc, thereby protruding lumbar intervertebral disc, slippage, spinal stenosis and other lesions. Lumbar fusion surgery has been proved to be an effective strategy for the treatment of LDD. At present, a variety of fusion methods such as anterior and posterior have been reported. This article aims to review and discuss the reported strategies of fusion surgery for LDD and related biomechanical studies and analyze the development and significance of the finite element method (FEM) in lumbar biomechanics. To investigate the influence of different surgical strategies on lumbar spine biomechanics from the perspective of biomechanics and to provide a reference for selecting clinical surgical strategies.
{"title":"Research progress of finite element analysis in lumbar fusion surgery for lumbar degenerative diseases","authors":"Junhui Sun, Liqiang Zhou, Siyuan Huang, Zhaofeng Li, Yi Qin","doi":"10.6913/mrhk.040210","DOIUrl":"https://doi.org/10.6913/mrhk.040210","url":null,"abstract":"Lumbar degenerative disease (LDD) refers to the normal strain of the body involving lumbar bone, ligament, intervertebral disc, thereby protruding lumbar intervertebral disc, slippage, spinal stenosis and other lesions. Lumbar fusion surgery has been proved to be an effective strategy for the treatment of LDD. At present, a variety of fusion methods such as anterior and posterior have been reported. This article aims to review and discuss the reported strategies of fusion surgery for LDD and related biomechanical studies and analyze the development and significance of the finite element method (FEM) in lumbar biomechanics. To investigate the influence of different surgical strategies on lumbar spine biomechanics from the perspective of biomechanics and to provide a reference for selecting clinical surgical strategies.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88150959","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}
Oblique vaginal septum syndrome (OVSS) is a rare congenital disorder characterized by uterus didelphys, hemivaginal septum, and unilateral renal agenesis. Its clinical characteristics vary among different patients. Herein we report a case of OVSS with difficulty in defecation as the initial symptom and diagnosed with ultrasound and laparoscopic exploration. This 13-year-old girl was admitted to our hospital with the complaint of difficulty in defecation for more than 1 month and difficulty in urination for 6 days. Her ultrasound test showed that the left kidney was not displayed, and the right kidney was compensatory enlargement. A giant cystic-solid mass (110 mm × 96 mm × 87 mm) was seen in the pelvic cavity. Under laparoscopy, a huge mass was seen in the abdominal cavity. The surface resembled the seromuscular layer of the uterus. A uterine organ was seen on both sides of the tumor, and both fallopian tubes and ovaries were connected. The size of the right uterus was about 3 cm × 2 cm. The right fallopian tube and ovary were normal in appearance. The left uterus was enlarged (about 6 cm x 5 cm). The left fallopian tube was enlarged and contained a large amount of brown blood stains, and blood stains were seen flowing out from the umbrella end. The hysteroscopic incision and repair surgery were then performed. Most patients with OVSS presented with dysmenorrhea, abdominal pain, pelvic mass, and foul mucopurulent discharge, while in this case, difficulty in defecation was the initial symptom. Thus, this case report provided evidence supporting the heterogeneity of this disorder.
阴道斜隔综合征(OVSS)是一种罕见的先天性疾病，其特征是子宫畸形、半阴道隔和单侧肾发育不全。不同患者的临床特征不同。在此，我们报告一例以排便困难为首发症状的OVSS，并通过超声和腹腔镜检查进行诊断。这名13岁的女孩以排便困难1个多月，排尿困难6天入住我院。超声检查显示左肾未见，右肾代偿性增大。盆腔见巨大囊性实性肿块(110 mm × 96 mm × 87 mm)。腹腔镜下发现腹腔内有一巨大肿块。表面类似于子宫的血清肌层。肿瘤两侧可见子宫器官，输卵管与卵巢相连。右侧子宫大小约3cm × 2cm。右输卵管和卵巢外观正常。左侧子宫增大(约6cm × 5cm)。左侧输卵管肿大，含有大量棕色血渍，可见血渍从伞端流出。随后行宫腔镜切开修复手术。大多数OVSS患者表现为痛经、腹痛、盆腔肿块和恶臭的粘液脓性分泌物，而本病例的首发症状为排便困难。因此，本病例报告提供了支持该疾病异质性的证据。
{"title":"A Case Report of Oblique Vaginal Septum Syndrome with Difficulty in Defecation as the Initial Symptom","authors":"Ting Wang, L. Zong, J. Zhong, K. Chen","doi":"10.6913/mrhk.040205","DOIUrl":"https://doi.org/10.6913/mrhk.040205","url":null,"abstract":"Oblique vaginal septum syndrome (OVSS) is a rare congenital disorder characterized by uterus didelphys, hemivaginal septum, and unilateral renal agenesis. Its clinical characteristics vary among different patients. Herein we report a case of OVSS with difficulty in defecation as the initial symptom and diagnosed with ultrasound and laparoscopic exploration. This 13-year-old girl was admitted to our hospital with the complaint of difficulty in defecation for more than 1 month and difficulty in urination for 6 days. Her ultrasound test showed that the left kidney was not displayed, and the right kidney was compensatory enlargement. A giant cystic-solid mass (110 mm × 96 mm × 87 mm) was seen in the pelvic cavity. Under laparoscopy, a huge mass was seen in the abdominal cavity. The surface resembled the seromuscular layer of the uterus. A uterine organ was seen on both sides of the tumor, and both fallopian tubes and ovaries were connected. The size of the right uterus was about 3 cm × 2 cm. The right fallopian tube and ovary were normal in appearance. The left uterus was enlarged (about 6 cm x 5 cm). The left fallopian tube was enlarged and contained a large amount of brown blood stains, and blood stains were seen flowing out from the umbrella end. The hysteroscopic incision and repair surgery were then performed. Most patients with OVSS presented with dysmenorrhea, abdominal pain, pelvic mass, and foul mucopurulent discharge, while in this case, difficulty in defecation was the initial symptom. Thus, this case report provided evidence supporting the heterogeneity of this disorder.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90724931","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}
[Objective] In this study, we aimed to explore the effect of educational micro movies and practical experience (nurses as simulated patients) in improving the quality of peri-operative stretcher transportation service in the hospital. [Methods] From November to December 2021, 414 nurses from 18 departments of the Surgery Department of Guangzhou Women and Children's Medical Center participated in this practical study. Each nurse experienced the perioperative stretcher transportation service in the role of a patient, and experienced the whole process of being transferred from the ward to the operating room by the nursing staff, and then back to the original department. The whole process was recorded with photos and videos, and educational micro movies were made by department as a unit. [Results] Through this practice project, 17 disadvantageous factors (in 5 categories) affecting the quality of stretcher transportation service were summarized and 26 improvement measures were formulated. A total of 17 educational micro movies were released online by 18 departments; as of the end of December 2021, these movies have reached 113,994 views. 84.62% of nurses were satisfied or very satisfied with this practice project, and they believed that this new approach could help improve the quality of perioperative stretcher transportation service. [Conclusions] In this practical study, by allowing nurses to discover the deficiencies through fitting in patients’ role, the standard operation procedure (SOP) for peri-operative stretcher transportation service was revised and improved.
{"title":"New Strategies to Improve the Quality of Peri-operative Stretcher Transportation Service in the Hospital","authors":"Peilan Liu, Yan-Guang Lin, Li-li Shu, Meiying Zhang, Meng-meng Wang, Dongmei Wu, Juan Xiao","doi":"10.6913/mrhk.040208","DOIUrl":"https://doi.org/10.6913/mrhk.040208","url":null,"abstract":"[Objective] In this study, we aimed to explore the effect of educational micro movies and practical experience (nurses as simulated patients) in improving the quality of peri-operative stretcher transportation service in the hospital. [Methods] From November to December 2021, 414 nurses from 18 departments of the Surgery Department of Guangzhou Women and Children's Medical Center participated in this practical study. Each nurse experienced the perioperative stretcher transportation service in the role of a patient, and experienced the whole process of being transferred from the ward to the operating room by the nursing staff, and then back to the original department. The whole process was recorded with photos and videos, and educational micro movies were made by department as a unit. [Results] Through this practice project, 17 disadvantageous factors (in 5 categories) affecting the quality of stretcher transportation service were summarized and 26 improvement measures were formulated. A total of 17 educational micro movies were released online by 18 departments; as of the end of December 2021, these movies have reached 113,994 views. 84.62% of nurses were satisfied or very satisfied with this practice project, and they believed that this new approach could help improve the quality of perioperative stretcher transportation service. [Conclusions] In this practical study, by allowing nurses to discover the deficiencies through fitting in patients’ role, the standard operation procedure (SOP) for peri-operative stretcher transportation service was revised and improved.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79756739","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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