[Objective] To investigate the correlation between serum levels of homocysteine (Hcy) and cystatin C (CysC), a sensitive marker of renal function, in patients with H-type hypertension. [Methods] A total of 857 patients with essential hypertension without moderate to severe renal impairment (estimated glomerular filtration rate ≥ 60 ml/(min-1.73 m2) by Modification of Diet in Renal Disease equation) visited the Seventh Affiliated Hospital of Sun Yat-sen University from May 2018 to May 2020 were selected as the research subjects. The observation group (n = 635) consisted of patients with H-type hypertension (essential hypertension with Hcy ≥ 10 mmol/l) and the control group (n = 222) consisted of patients with non-H-type hypertension (essential hypertension with Hcy < 10 mmol/l). Multivariate logistic regression analysis, curve fitting, and threshold analysis were used to evaluate the correlation between elevated CysC and serum Hcy levels. [Results]CysC in observation group was significantly higher than that in control group (0.96 ± 0.160 vs 0.84 ± 0.13 mmol/l; p < 0.001). Multivariate logistic regression analysis, curve fitting, and threshold analysis showed that there was a significant difference in the risk of CysC elevation between Hcy levels at 10-25 mmol/L and Hcy levels below 10 mmol/L; there was no significant difference in the risk of CysC elevation between Hcy levels above 25 mmol/L and Hcy levels below 10 mmol/L. The inflection point of Hcy was 15.23 mmol/L, and when Hcy was < 15.23 mmol/L, the probability of CysC elevation increased by 27% for each 1 mmol/L increase in Hcy (OR 1.27, 95% Cl: 1.12, 1.44; P = 0.0002). When Hcy was > 15.23 mmol/l, the probability of CysC elevation was reduced by 4% for each 1 mmol/l increase in Hcy (OR 0.96, 95% Cl: 0.92, 1.01; P = 0.1085). [Conclusions] The risk of CysC in patients with H-type hypertension is higher than that in patients with non-H-type hypertension when Hcy is between 10-25 mmol/L; and the probability of cystatin C elevation is the highest when Hcy is at 15.23 mmol/L.
{"title":"Correlation between Serum Homocysteine Level and Cystatin C Elevation in Patients with H-type Hypertension","authors":"P. Xiao, Kai-Huang Chen, Y. Zhu","doi":"10.6913/mrhk.040207","DOIUrl":"https://doi.org/10.6913/mrhk.040207","url":null,"abstract":"[Objective] To investigate the correlation between serum levels of homocysteine (Hcy) and cystatin C (CysC), a sensitive marker of renal function, in patients with H-type hypertension. [Methods] A total of 857 patients with essential hypertension without moderate to severe renal impairment (estimated glomerular filtration rate ≥ 60 ml/(min-1.73 m2) by Modification of Diet in Renal Disease equation) visited the Seventh Affiliated Hospital of Sun Yat-sen University from May 2018 to May 2020 were selected as the research subjects. The observation group (n = 635) consisted of patients with H-type hypertension (essential hypertension with Hcy ≥ 10 mmol/l) and the control group (n = 222) consisted of patients with non-H-type hypertension (essential hypertension with Hcy < 10 mmol/l). Multivariate logistic regression analysis, curve fitting, and threshold analysis were used to evaluate the correlation between elevated CysC and serum Hcy levels. [Results]CysC in observation group was significantly higher than that in control group (0.96 ± 0.160 vs 0.84 ± 0.13 mmol/l; p < 0.001). Multivariate logistic regression analysis, curve fitting, and threshold analysis showed that there was a significant difference in the risk of CysC elevation between Hcy levels at 10-25 mmol/L and Hcy levels below 10 mmol/L; there was no significant difference in the risk of CysC elevation between Hcy levels above 25 mmol/L and Hcy levels below 10 mmol/L. The inflection point of Hcy was 15.23 mmol/L, and when Hcy was < 15.23 mmol/L, the probability of CysC elevation increased by 27% for each 1 mmol/L increase in Hcy (OR 1.27, 95% Cl: 1.12, 1.44; P = 0.0002). When Hcy was > 15.23 mmol/l, the probability of CysC elevation was reduced by 4% for each 1 mmol/l increase in Hcy (OR 0.96, 95% Cl: 0.92, 1.01; P = 0.1085). [Conclusions] The risk of CysC in patients with H-type hypertension is higher than that in patients with non-H-type hypertension when Hcy is between 10-25 mmol/L; and the probability of cystatin C elevation is the highest when Hcy is at 15.23 mmol/L.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":"09 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86622161","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}
Cervical cancer is one of the most common malignant tumors in women; hence the world has been working to improve the effective screening and prevention of cervical cancer. Colposcopy plays a central role in cervical cancer prevention, but its accuracy and reproducibility are still limited. The use of deep learning in the field of medical images allows more researchers as well as to explore the application of deep learning in colposcopy image-assisted diagnosis. In this paper, we summarize the research status of this field and propose the current shortcomings and improvement directions this research field.
{"title":"Research Progression of Colposcopy Image-assisted Diagnosis Based on Deep Learning","authors":"Yehong Huang","doi":"10.6913/mrhk.040202","DOIUrl":"https://doi.org/10.6913/mrhk.040202","url":null,"abstract":"Cervical cancer is one of the most common malignant tumors in women; hence the world has been working to improve the effective screening and prevention of cervical cancer. Colposcopy plays a central role in cervical cancer prevention, but its accuracy and reproducibility are still limited. The use of deep learning in the field of medical images allows more researchers as well as to explore the application of deep learning in colposcopy image-assisted diagnosis. In this paper, we summarize the research status of this field and propose the current shortcomings and improvement directions this research field.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87367266","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] This study aimed to investigate current issues, root causes, and improvement measures of the main diagnostic codes on the homepage of a hospital's inpatient medical records, and to improve the accuracy of the hospital's main diagnostic codes.[Methods]A retrospective analysis was carried out on the homepage data of inpatient medical records in a hospital. After implementing the quality control of medical record coding, we compared and analyzed 1000 medical records before the intervention (March 1 to June 30, 2020) and 1000 medical records after the intervention (March 1 to June 30, 2021). The accuracy of the homepage data of the medical records was compared and the quality control efficacy after the intervention was evaluated.[Results] Following the intervention, the number of major diagnostic errors on the homepage of medical records decreased by 84% (from 38 cases per 1000 to 6 cases per 1000, p<0.05). Among them, the main diagnosis error was reduced from 6 cases to 1 case, the main diagnosis selection error was reduced from 5 cases to 2 cases, the ambiguous (QY) medical records were reduced from 19 cases to 2 cases, and the medical records with codes not merged were reduced from 9 cases to 1 case. According to the analysis of influencing factors, after the intervention measures were taken, the filling errors by physicians decreased from 17 cases to 2 cases, the errors by coders decreased from 12 cases to 2 cases, and the errors from information management decreased from 9 cases to 2 cases.[Conclusions] After the intervention, the number of errors in filling by physicians, coding by coders, and information management on the homepage of medical records decreased significantly. In addition, the accuracy of the main diagnostic codes on the homepage has been greatly improved, which helps ensure the reliability of information statistics and effectively improves the quality and safety of medical care.
{"title":"Factors Affecting the Accuracy of Coding Selection of Major Diagnoses on the Homepage of Medical Records","authors":"X. Ye, Li Ma, Yutao Qiu, Jipeng Yang","doi":"10.6913/mrhk.040209","DOIUrl":"https://doi.org/10.6913/mrhk.040209","url":null,"abstract":"[Objective] This study aimed to investigate current issues, root causes, and improvement measures of the main diagnostic codes on the homepage of a hospital's inpatient medical records, and to improve the accuracy of the hospital's main diagnostic codes.[Methods]A retrospective analysis was carried out on the homepage data of inpatient medical records in a hospital. After implementing the quality control of medical record coding, we compared and analyzed 1000 medical records before the intervention (March 1 to June 30, 2020) and 1000 medical records after the intervention (March 1 to June 30, 2021). The accuracy of the homepage data of the medical records was compared and the quality control efficacy after the intervention was evaluated.[Results] Following the intervention, the number of major diagnostic errors on the homepage of medical records decreased by 84% (from 38 cases per 1000 to 6 cases per 1000, p<0.05). Among them, the main diagnosis error was reduced from 6 cases to 1 case, the main diagnosis selection error was reduced from 5 cases to 2 cases, the ambiguous (QY) medical records were reduced from 19 cases to 2 cases, and the medical records with codes not merged were reduced from 9 cases to 1 case. According to the analysis of influencing factors, after the intervention measures were taken, the filling errors by physicians decreased from 17 cases to 2 cases, the errors by coders decreased from 12 cases to 2 cases, and the errors from information management decreased from 9 cases to 2 cases.[Conclusions] After the intervention, the number of errors in filling by physicians, coding by coders, and information management on the homepage of medical records decreased significantly. In addition, the accuracy of the main diagnostic codes on the homepage has been greatly improved, which helps ensure the reliability of information statistics and effectively improves the quality and safety of medical care.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75941339","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] Junior nurses’ perceived risk level may affect their career satisfaction and performances. This study sought to investigate the current situation of risk perception level of junior nurses with undergraduate degrees and to determine its influencing factors, with the aim to provide a reference for nursing managers to carry out targeted training and education for junior nurses. [Methods] A total of 484 junior nurses with undergraduate degrees from five tertiary hospitals in Guangdong Province were selected by the convenience sampling method as the research participants. The general information questionnaire, risk perception questionnaire and the Chinese version of the Positive and Negative Affect Schedule (PANAS) scale were used for the survey. [Results] The enrolled junior nurses scored 85.84±13.56 (Full score was 100) on the risk perception survey. Working years, positive and negative affect, gender, and personality characteristics were the main influencing factors for junior nurses’ risk perception levels (P<0.05). [Conclusions] Junior nurses' risk perception was at a moderate and acceptable level. However, their risk perception was higher in dimensions such as physical function, occupational exposure, and time. Therefore, nursing managers should pay attention to high-risk perception items, and targeted measures should be taken according to different characteristics of nurses to improve their ability to correctly recognize risks and eliminate negative emotions in order to improve the quality of nursing services.
{"title":"A Survey on Junior Nurses’ Risk Perception Level and Its Influencing Factors","authors":"Lei Peng, Ling Jin, Xin-Li Ma","doi":"10.6913/mrhk.040203","DOIUrl":"https://doi.org/10.6913/mrhk.040203","url":null,"abstract":"[Objective] Junior nurses’ perceived risk level may affect their career satisfaction and performances. This study sought to investigate the current situation of risk perception level of junior nurses with undergraduate degrees and to determine its influencing factors, with the aim to provide a reference for nursing managers to carry out targeted training and education for junior nurses. [Methods] A total of 484 junior nurses with undergraduate degrees from five tertiary hospitals in Guangdong Province were selected by the convenience sampling method as the research participants. The general information questionnaire, risk perception questionnaire and the Chinese version of the Positive and Negative Affect Schedule (PANAS) scale were used for the survey. [Results] The enrolled junior nurses scored 85.84±13.56 (Full score was 100) on the risk perception survey. Working years, positive and negative affect, gender, and personality characteristics were the main influencing factors for junior nurses’ risk perception levels (P<0.05). [Conclusions] Junior nurses' risk perception was at a moderate and acceptable level. However, their risk perception was higher in dimensions such as physical function, occupational exposure, and time. Therefore, nursing managers should pay attention to high-risk perception items, and targeted measures should be taken according to different characteristics of nurses to improve their ability to correctly recognize risks and eliminate negative emotions in order to improve the quality of nursing services.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80018059","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] Polycystic ovary syndrome (PCOS), a common female health condition caused by a hormonal imbalance due to the ovaries producing excess male hormones, is also considered a chronic endocrine-metabolic syndrome. According to the traditional Chinese medicine (TCM) theory, multiple factors including insufficiency of kidney and liver as well as phlegm dampness may result in PCOS. This study aimed to investigate the distribution pattern of TCM syndrome types in patients with PCOS, and to determine the glucose metabolism status among these patients. [Methods] A total of 60 patients diagnosed with PCOS in our center were enrolled in this study. These patients were classified into three groups based on their TCM syndrome types, including phlegm dampness syndrome, liver stagnation syndrome, and kidney insufficiency syndrome. A uniformly formulated basic information sheet was collected, and all of them underwent glucose tolerance test (OGTT). The correlations of body mass index (BMI), waist to hip ratio (WHR), and glucose metabolism in patients with different syndromes were compared. [Results] The patients with phlegm dampness syndrome type (n=32) were the most among these 60 patients with PCOS, accounting for 53.33%, followed by liver stagnation syndrome (n=18; 30%) and kidney insufficiency syndrome (n=10; 16.67%). The BMI and WHR of patients with phlegm dampness syndrome were higher than those with liver stagnation syndrome and kidney insufficiency syndrome (P<0.01). There was no significant difference in the incidence of abnormal glucose metabolism (IFG/IGT/diabetes) among the three groups (P>0.05). [Conclusions] The main TCM syndrome type in patients with PCOS is phlegm dampness syndrome, which was linked to obesity and abdominal obesity.
{"title":"Correlates of Traditional Chinese Medicine Syndrome Types in Polycystic Ovary Syndrome","authors":"Tingwei Wang, Jie Zhong, L. Zong","doi":"10.6913/mrhk.040204","DOIUrl":"https://doi.org/10.6913/mrhk.040204","url":null,"abstract":"[Objective] Polycystic ovary syndrome (PCOS), a common female health condition caused by a hormonal imbalance due to the ovaries producing excess male hormones, is also considered a chronic endocrine-metabolic syndrome. According to the traditional Chinese medicine (TCM) theory, multiple factors including insufficiency of kidney and liver as well as phlegm dampness may result in PCOS. This study aimed to investigate the distribution pattern of TCM syndrome types in patients with PCOS, and to determine the glucose metabolism status among these patients. [Methods] A total of 60 patients diagnosed with PCOS in our center were enrolled in this study. These patients were classified into three groups based on their TCM syndrome types, including phlegm dampness syndrome, liver stagnation syndrome, and kidney insufficiency syndrome. A uniformly formulated basic information sheet was collected, and all of them underwent glucose tolerance test (OGTT). The correlations of body mass index (BMI), waist to hip ratio (WHR), and glucose metabolism in patients with different syndromes were compared. [Results] The patients with phlegm dampness syndrome type (n=32) were the most among these 60 patients with PCOS, accounting for 53.33%, followed by liver stagnation syndrome (n=18; 30%) and kidney insufficiency syndrome (n=10; 16.67%). The BMI and WHR of patients with phlegm dampness syndrome were higher than those with liver stagnation syndrome and kidney insufficiency syndrome (P<0.01). There was no significant difference in the incidence of abnormal glucose metabolism (IFG/IGT/diabetes) among the three groups (P>0.05). [Conclusions] The main TCM syndrome type in patients with PCOS is phlegm dampness syndrome, which was linked to obesity and abdominal obesity.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86468888","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}
Claire Françoise Bitchong Ekono, Thérèse Azoumbou Mefant, Ange-Fidèle Moadoume Nanga, H. B. M. Ngahane
Introduction: Dyspnea is a subjective feeling of discomfort. It can be acute or chronic onset. Our objective was to determine the frequency and etiologies of dyspnea in adults at the medical and surgical emergencies of the Douala General Hospital. Methods: This was a retrospective study conducted from January 1, 2018 to February 28, 2020. Patients over the age of 18 who came to consult for dyspnea were enrolled. Sociodemographic and clinical data were collected and analyzed using SPSS version 25 software. Results: Of the 565 files collected, 55.93% were women. The mean age was 47.66 ± 17.87 years. The frequency of dyspnea was 4.18%. Married people represented 53.63% of the workforce. History of high blood pressure (39.14%), chronic kidney disease (26.70%) and HIV infection (12.21%) were the most common. Acute dyspnea accounted for 89.56% of cases. The etiologies were dominated by: cardiovascular conditions (24.43%), non-tumor bronchopulmonary and pleural pathologies (20.88%), tumoral conditions (10.27%). The most common cardiac and pulmonary causes were acute pulmonary edema (78.26%), lower respiratory infections (52.54%) and exacerbations of asthma (23.73%). Conclusion: Dyspnea represents 4.18% of admissions to the medicosurgical emergency department of the Douala General Hospital. Etiologies are dominated by cardiac and lower respiratory causes.
{"title":"Prevalence and Etiologies of Dyspnea in Adults at the General Hospital of Douala, Cameroon","authors":"Claire Françoise Bitchong Ekono, Thérèse Azoumbou Mefant, Ange-Fidèle Moadoume Nanga, H. B. M. Ngahane","doi":"10.31254/jmr.2022.8305","DOIUrl":"https://doi.org/10.31254/jmr.2022.8305","url":null,"abstract":"Introduction: Dyspnea is a subjective feeling of discomfort. It can be acute or chronic onset. Our objective was to determine the frequency and etiologies of dyspnea in adults at the medical and surgical emergencies of the Douala General Hospital. Methods: This was a retrospective study conducted from January 1, 2018 to February 28, 2020. Patients over the age of 18 who came to consult for dyspnea were enrolled. Sociodemographic and clinical data were collected and analyzed using SPSS version 25 software. Results: Of the 565 files collected, 55.93% were women. The mean age was 47.66 ± 17.87 years. The frequency of dyspnea was 4.18%. Married people represented 53.63% of the workforce. History of high blood pressure (39.14%), chronic kidney disease (26.70%) and HIV infection (12.21%) were the most common. Acute dyspnea accounted for 89.56% of cases. The etiologies were dominated by: cardiovascular conditions (24.43%), non-tumor bronchopulmonary and pleural pathologies (20.88%), tumoral conditions (10.27%). The most common cardiac and pulmonary causes were acute pulmonary edema (78.26%), lower respiratory infections (52.54%) and exacerbations of asthma (23.73%). Conclusion: Dyspnea represents 4.18% of admissions to the medicosurgical emergency department of the Douala General Hospital. Etiologies are dominated by cardiac and lower respiratory causes.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42630965","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}
Hemant Mehta, P. Swapna, P. Jiandani, V. Nagvekar, G. Soni
COVID-19 illness is self-limiting illness in majority of patients, but some patients continue to have or develop new medical issues four weeks after suffering from the infection (proven or presumed), and have been labelled as Long Covid, which depicts the consequences of COVID-19.The duration of Long Covid beyond 4 weeks is unknown. We are reporting a case of a young female who presented with encephalopathy which was due to asymptomatic COVID-19 infection suffered in the past. Could this be a Long Covid syndrome? How was the diagnosis of Covid encephalopathy suspected and investigated, with its treatment and review of relevant literature is described
{"title":"The Long and Short of COVID-19","authors":"Hemant Mehta, P. Swapna, P. Jiandani, V. Nagvekar, G. Soni","doi":"10.31254/jmr.2022.8301","DOIUrl":"https://doi.org/10.31254/jmr.2022.8301","url":null,"abstract":"COVID-19 illness is self-limiting illness in majority of patients, but some patients continue to have or develop new medical issues four weeks after suffering from the infection (proven or presumed), and have been labelled as Long Covid, which depicts the consequences of COVID-19.The duration of Long Covid beyond 4 weeks is unknown. We are reporting a case of a young female who presented with encephalopathy which was due to asymptomatic COVID-19 infection suffered in the past. Could this be a Long Covid syndrome? How was the diagnosis of Covid encephalopathy suspected and investigated, with its treatment and review of relevant literature is described","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44087096","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, H. Mozafari, S. Mousavi, Mahdie Hamidfar, S. Shahcheraghi
Due to the fact that tuberculosis is one of the most important diseases in Iran and also due to the re-emergence of tuberculosis in the world, this disease has received more attention. This study was aimed to investigate epidemiological and clinical characteristics of pulmonary tuberculosis in elderly patients of Yazd city. After the laboratory diagnosis, the doctor visited the patients and after confirming the diagnosis, the patients were referred to a specialist to complete the file and receive anti-tuberculosis drugs. Necessary information including: history, history of risk factors, history of treatment, diagnostic radiography, drug resistance and results of pulmonary tuberculosis treatment were reviewed by referring to patients' files. Finally, statistical analysis was performed using SPSS (version 16). Most of the participants were 75 years old. Most of the participants were illiterate and housewives. Nearly 59% had no underlying disease. Diabetes was the most common underlying disease among individuals. The results showed that knowledge of personal health care was lower in people with lower levels of literacy, which further increases the incidence of this disease in this group.
{"title":"Evaluation of epidemiological and clinical characteristics of pulmonary tuberculosis in elderly patients of Yazd city","authors":"J. Ayatollahi, H. Mozafari, S. Mousavi, Mahdie Hamidfar, S. Shahcheraghi","doi":"10.31254/jmr.2022.8306","DOIUrl":"https://doi.org/10.31254/jmr.2022.8306","url":null,"abstract":"Due to the fact that tuberculosis is one of the most important diseases in Iran and also due to the re-emergence of tuberculosis in the world, this disease has received more attention. This study was aimed to investigate epidemiological and clinical characteristics of pulmonary tuberculosis in elderly patients of Yazd city. After the laboratory diagnosis, the doctor visited the patients and after confirming the diagnosis, the patients were referred to a specialist to complete the file and receive anti-tuberculosis drugs. Necessary information including: history, history of risk factors, history of treatment, diagnostic radiography, drug resistance and results of pulmonary tuberculosis treatment were reviewed by referring to patients' files. Finally, statistical analysis was performed using SPSS (version 16). Most of the participants were 75 years old. Most of the participants were illiterate and housewives. Nearly 59% had no underlying disease. Diabetes was the most common underlying disease among individuals. The results showed that knowledge of personal health care was lower in people with lower levels of literacy, which further increases the incidence of this disease in this group.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43836338","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. Shahcheraghi, Mahdie Hamidfar, Faezeh Heidari, Sajjad Shahmohammadi, S. Mousavi, Tahereh Fallah, Y. Yazdani
The coronavirus disease 19 (COVID-19) is a profoundly communicable and pathogenic viral disease brought about by intense respiratory disorder coronavirus 2, which made worldwide pandemic that drove a sensational loss of human existence around the world. Recently, instances of mucormycosis have been described in patients with Coronavirus. Routine laboratory tests especially biochemical and hematological are vital tests in terms of both finding and seriousness of Coronavirus. This study was intended to evaluate albumin, WBC, RBC, hemoglobin, platelet, MCV and MCH levels in COVID-19 patients suffering from mucormycosis. During this study, hospitalized COVID-19 patients with mucormycosis were investigated. Gender, age, hospitalization and recovery were patients recorded information. The laboratory parameters included albumin, WBC, RBC, hemoglobin, platelet, MCV and MCH levels. Finally, data was analyzed by SPSS. At present study, there was no significant difference between albumin, WBC, RBC, hemoglobin, platelet, MCV and MCH levels in COVID-19 patients suffering from mucormycosis levels based on gender, age, hospitalization and recovery parameters. According to results, it is essential to do more researches with a larger scale based on more parameters in patients with mucormycosis.
{"title":"Albumin, WBC, RBC, Hemoglobin, Platelet, MCV and MCH levels in COVID-19 patients with Mucormycosis opportunistic infection","authors":"S. Shahcheraghi, Mahdie Hamidfar, Faezeh Heidari, Sajjad Shahmohammadi, S. Mousavi, Tahereh Fallah, Y. Yazdani","doi":"10.31254/jmr.2022.8308","DOIUrl":"https://doi.org/10.31254/jmr.2022.8308","url":null,"abstract":"The coronavirus disease 19 (COVID-19) is a profoundly communicable and pathogenic viral disease brought about by intense respiratory disorder coronavirus 2, which made worldwide pandemic that drove a sensational loss of human existence around the world. Recently, instances of mucormycosis have been described in patients with Coronavirus. Routine laboratory tests especially biochemical and hematological are vital tests in terms of both finding and seriousness of Coronavirus. This study was intended to evaluate albumin, WBC, RBC, hemoglobin, platelet, MCV and MCH levels in COVID-19 patients suffering from mucormycosis. During this study, hospitalized COVID-19 patients with mucormycosis were investigated. Gender, age, hospitalization and recovery were patients recorded information. The laboratory parameters included albumin, WBC, RBC, hemoglobin, platelet, MCV and MCH levels. Finally, data was analyzed by SPSS. At present study, there was no significant difference between albumin, WBC, RBC, hemoglobin, platelet, MCV and MCH levels in COVID-19 patients suffering from mucormycosis levels based on gender, age, hospitalization and recovery parameters. According to results, it is essential to do more researches with a larger scale based on more parameters in patients with mucormycosis.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43516698","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}
Mahdie Hamidfar, S. Shahcheraghi, Faezeh Heidari, Sajjad Shahmohammadi, J. Ayatollahi, Tahereh Fallah, Y. Yazdani, Mansoureh Mirhosaini
The new coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 is a risk factor for universal public health difficulties. Some COVID-19 patients have an increased risk of fungal infections particularly mucormycosis diseases. Current laboratory examinations especially mineral elements are very important tests in terms of both detection and severity of COVID-19. The aim of the present study was to evaluate Ca++, Na+ , Mg2+, K+ and P levels in the COVID-19 patients with mucormycosis. This study was done during 2021- 2022. All hospitalized COVID-19 (PCR positive test) patients with mucormycosis participated in the present study. Data included gender, age, hospitalization and recovery. The tested laboratory parameters included Ca++, Na+ , Mg2+, K+ and P rate. Finally, SPSS software analyzed the data. The results revealed that there was a statistically significant difference between the two groups admitted to the ward and ICU in terms of K+ . There was also a significant difference between recovery and K+ level. There was no significant difference in Ca++, Na+ , Mg2+ and P in terms of gender, age, hospitalization and recovery. According to the findings, K+ level should be checked as a key element in the COVID-19 patients with mucormycosis.
{"title":"Evaluation of Ca++, Na+, Mg2+, K+ and P levels in the 2019 novel coronavirus patients with mucormycosis","authors":"Mahdie Hamidfar, S. Shahcheraghi, Faezeh Heidari, Sajjad Shahmohammadi, J. Ayatollahi, Tahereh Fallah, Y. Yazdani, Mansoureh Mirhosaini","doi":"10.31254/jmr.2022.8304","DOIUrl":"https://doi.org/10.31254/jmr.2022.8304","url":null,"abstract":"The new coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 is a risk factor for universal public health difficulties. Some COVID-19 patients have an increased risk of fungal infections particularly mucormycosis diseases. Current laboratory examinations especially mineral elements are very important tests in terms of both detection and severity of COVID-19. The aim of the present study was to evaluate Ca++, Na+ , Mg2+, K+ and P levels in the COVID-19 patients with mucormycosis. This study was done during 2021- 2022. All hospitalized COVID-19 (PCR positive test) patients with mucormycosis participated in the present study. Data included gender, age, hospitalization and recovery. The tested laboratory parameters included Ca++, Na+ , Mg2+, K+ and P rate. Finally, SPSS software analyzed the data. The results revealed that there was a statistically significant difference between the two groups admitted to the ward and ICU in terms of K+ . There was also a significant difference between recovery and K+ level. There was no significant difference in Ca++, Na+ , Mg2+ and P in terms of gender, age, hospitalization and recovery. According to the findings, K+ level should be checked as a key element in the COVID-19 patients with mucormycosis.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42064747","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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