Pub Date : 2024-04-17DOI: 10.23958/ijirms/vol09-i04/1837
Pinaki Wani
Introduction: Sleep plays a crucial role in maintaining cognitive function and overall well-being, particularly among medical and paramedical students who face unique stressors impacting their sleep patterns and academic performance. Understanding the sleep quality of these students is essential for addressing potential issues and promoting their overall health and academic success. Aim: This study aimed to comprehensively evaluate the sleep quality of undergraduate medical and physiotherapy students from an urban tertiary health care center using the Pittsburgh Sleep Quality Index (PSQI). Methodology: A total of 294 students participated in the study, including 226 MBBS and 68 Physiotherapy students, all of whom were females. The PSQI was utilized to assess various components of sleep quality among the participants. Data analysis involved examining sleep latency, duration, efficiency, disturbances, daytime dysfunction, and overall sleep quality. Comparative studies worldwide were also referenced to contextualize the findings. Results: The study revealed that 31.3% of participants experienced poor sleep quality, with 34.51% of MBBS and 21% of Physiotherapy students exhibiting significant sleep disturbances. Gender-wise, 30 male MBBS students, 48 female MBBS students, and 14 female physiotherapy students experienced poor sleep quality. Analysis of PSQI components highlighted varying sleep patterns among students, emphasizing challenges such as sleep latency, duration, efficiency, disturbances, and daytime dysfunction. Comparative studies conducted worldwide supported the high prevalence rates of poor sleep quality among medical students. Contributing factors identified included academic stress, disrupted learning styles, and increased exam pressures. Conclusion: The findings underscore the critical need for interventions to address sleep quality issues among medical and paramedical students, with the goal of enhancing their well-being and academic performance. Further research is recommended to explore additional factors influencing sleep quality in this demographic, paving the way for more targeted interventions and support systems. Recognizing the significance of sleep quality in student populations is paramount for fostering their holistic development and success in academic pursuits.
{"title":"Quantity and Quality of Sleep among Medical and Paramedical Students: A Comprehensive Study and Analysis","authors":"Pinaki Wani","doi":"10.23958/ijirms/vol09-i04/1837","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i04/1837","url":null,"abstract":"Introduction: Sleep plays a crucial role in maintaining cognitive function and overall well-being, particularly among medical and paramedical students who face unique stressors impacting their sleep patterns and academic performance. Understanding the sleep quality of these students is essential for addressing potential issues and promoting their overall health and academic success. Aim: This study aimed to comprehensively evaluate the sleep quality of undergraduate medical and physiotherapy students from an urban tertiary health care center using the Pittsburgh Sleep Quality Index (PSQI). Methodology: A total of 294 students participated in the study, including 226 MBBS and 68 Physiotherapy students, all of whom were females. The PSQI was utilized to assess various components of sleep quality among the participants. Data analysis involved examining sleep latency, duration, efficiency, disturbances, daytime dysfunction, and overall sleep quality. Comparative studies worldwide were also referenced to contextualize the findings. Results: The study revealed that 31.3% of participants experienced poor sleep quality, with 34.51% of MBBS and 21% of Physiotherapy students exhibiting significant sleep disturbances. Gender-wise, 30 male MBBS students, 48 female MBBS students, and 14 female physiotherapy students experienced poor sleep quality. Analysis of PSQI components highlighted varying sleep patterns among students, emphasizing challenges such as sleep latency, duration, efficiency, disturbances, and daytime dysfunction. Comparative studies conducted worldwide supported the high prevalence rates of poor sleep quality among medical students. Contributing factors identified included academic stress, disrupted learning styles, and increased exam pressures. Conclusion: The findings underscore the critical need for interventions to address sleep quality issues among medical and paramedical students, with the goal of enhancing their well-being and academic performance. Further research is recommended to explore additional factors influencing sleep quality in this demographic, paving the way for more targeted interventions and support systems. Recognizing the significance of sleep quality in student populations is paramount for fostering their holistic development and success in academic pursuits.","PeriodicalId":503777,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":" 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140691651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-07DOI: 10.23958/ijirms/vol09-i04/1856
Jafrin Sadiq Abdul Razack, Sahil Asgar Ali, Syeda Juveria Hussaini, Saud Khaled Aldoseri, Harshavardhan Rajagopal, Antony Calvin Ossanam, Ibtisam Akram, Viorica Khalili
A 76-year-old female presented with acute confusion and delirium of 3 days duration. The patient was admitted to the ICU in a state of acute confusion. History taken from the patient’s daughter revealed that the patient had nausea, vomiting, diarrhea, and fever two days before admission. Blood tests and imaging were ordered, and after reviewing the results, a diagnosis of osmotic demyelination syndrome (ODS) was made.
{"title":"From Hyponatremia to Osmotic Demyelination: A Clinical Odyssey and Lessons Learned","authors":"Jafrin Sadiq Abdul Razack, Sahil Asgar Ali, Syeda Juveria Hussaini, Saud Khaled Aldoseri, Harshavardhan Rajagopal, Antony Calvin Ossanam, Ibtisam Akram, Viorica Khalili","doi":"10.23958/ijirms/vol09-i04/1856","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i04/1856","url":null,"abstract":"A 76-year-old female presented with acute confusion and delirium of 3 days duration. The patient was admitted to the ICU in a state of acute confusion. History taken from the patient’s daughter revealed that the patient had nausea, vomiting, diarrhea, and fever two days before admission. Blood tests and imaging were ordered, and after reviewing the results, a diagnosis of osmotic demyelination syndrome (ODS) was made.","PeriodicalId":503777,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"11 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140732734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-07DOI: 10.23958/ijirms/vol09-i04/1858
Hadeel Zaidan Khlaif Almamoori, Vahid Changizi, Fahimeh Zeinalkhani, Ahmed Faaz Nasser
Background: While the diagnosis of traumatic brain injury (TBI) is a clinical decision, neuroimaging remains vital for guiding management on the basis of identification of intracranial pathologic conditions. CT is the mainstay of imaging of acute TBI for both initial triage and follow-up, as it is fast and accurate in detecting both primary and secondary injuries that require neurosurgical intervention, also has a limited resolution capacity in detecting non-hemorrhagic lesions and those lesions located in the posterior fossa. MRI is more sensitive for the detection of certain intracranial injuries (e.g., axonal injuries) and blood products 24-48 hours after injury, but it has limitations (e.g., speed, accessibility, sensitivity to motion, and cost). The evidence primarily supports the use of MRI when CT findings are normal and there are persistent unexplained neurologic findings or at sub-acute and chronic periods. Radiologists should understand the role and optimal imaging modality to a conventional MRI protocol with minimum sequences that reduces study time in order to be able to complete examination fast with patient. The use of examination CT and a combination of MRI protocols consisting of T1, T2, FALIR and T2* in emergency department to help with the good diagnosis of brain trauma classification treatment planning and assessing response to treatment. Objective: The role of helical CT scan and MRI T2 star weighted image to classification brain injury. Method: This project is based on cross-sectional design. The population of this study were100 patients the population of this study were patients with brain trauma that have been indicated for CT and MRI test in emergency department period of sampling which was during September 2023 to February 2024. Epidemiological data were collected at admission: age, sex, TBI mechanism, presence of m TBI, moderate and severe extra-cranial injury, post-resuscitation level of consciousness expressed by GCS and its motor subscale, and pupil examination. Findings from the admission CT scan were recorded following the Traumatic Coma Data Bank classification and MRI had been done through 72h week and 2week depending on stability of patients. questionnaire was designed and copied by the researcher. Examination had done on CT scan (Philips Multiva System 64 slice) in a supine position using a standard brain protocol, as part of the initial clinical assessment, according to the Scandinavian Guidelines for Head Injury Management. MRI examinations was performed using MRI 1. 5 T scanner (Philips MULTIVA systems) using a phase array head coil at the radiology department. The data had encoded and then entered into the statistical program (SSPS version 26). Results: A total 100 were patients with brain trauma that have been indicated for CT and MRI investigated in emergency department radiographically. The age of each study samples was normally distributed and ranged from 6 to 60, 7 to 55, and 10 to 60 years with a mean
{"title":"Evaluation of Brain Injury Classifications Accuracy by Using CT scan and T2 - Star Weighted Image MRI in the Emergency Department","authors":"Hadeel Zaidan Khlaif Almamoori, Vahid Changizi, Fahimeh Zeinalkhani, Ahmed Faaz Nasser","doi":"10.23958/ijirms/vol09-i04/1858","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i04/1858","url":null,"abstract":"Background: While the diagnosis of traumatic brain injury (TBI) is a clinical decision, neuroimaging remains vital for guiding management on the basis of identification of intracranial pathologic conditions. CT is the mainstay of imaging of acute TBI for both initial triage and follow-up, as it is fast and accurate in detecting both primary and secondary injuries that require neurosurgical intervention, also has a limited resolution capacity in detecting non-hemorrhagic lesions and those lesions located in the posterior fossa. MRI is more sensitive for the detection of certain intracranial injuries (e.g., axonal injuries) and blood products 24-48 hours after injury, but it has limitations (e.g., speed, accessibility, sensitivity to motion, and cost). The evidence primarily supports the use of MRI when CT findings are normal and there are persistent unexplained neurologic findings or at sub-acute and chronic periods. Radiologists should understand the role and optimal imaging modality to a conventional MRI protocol with minimum sequences that reduces study time in order to be able to complete examination fast with patient. The use of examination CT and a combination of MRI protocols consisting of T1, T2, FALIR and T2* in emergency department to help with the good diagnosis of brain trauma classification treatment planning and assessing response to treatment. Objective: The role of helical CT scan and MRI T2 star weighted image to classification brain injury. Method: This project is based on cross-sectional design. The population of this study were100 patients the population of this study were patients with brain trauma that have been indicated for CT and MRI test in emergency department period of sampling which was during September 2023 to February 2024. Epidemiological data were collected at admission: age, sex, TBI mechanism, presence of m TBI, moderate and severe extra-cranial injury, post-resuscitation level of consciousness expressed by GCS and its motor subscale, and pupil examination. Findings from the admission CT scan were recorded following the Traumatic Coma Data Bank classification and MRI had been done through 72h week and 2week depending on stability of patients. questionnaire was designed and copied by the researcher. Examination had done on CT scan (Philips Multiva System 64 slice) in a supine position using a standard brain protocol, as part of the initial clinical assessment, according to the Scandinavian Guidelines for Head Injury Management. MRI examinations was performed using MRI 1. 5 T scanner (Philips MULTIVA systems) using a phase array head coil at the radiology department. The data had encoded and then entered into the statistical program (SSPS version 26). Results: A total 100 were patients with brain trauma that have been indicated for CT and MRI investigated in emergency department radiographically. The age of each study samples was normally distributed and ranged from 6 to 60, 7 to 55, and 10 to 60 years with a mean ","PeriodicalId":503777,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"30 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140733197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.23958/ijirms/vol09-i04/1854
João Páscoa Pinheiro, Lurdes Rovisco Branquinho, Joana Pinheiro, Susana Ramos
Background: Degenerative meniscus is a common condition, and the current therapeutic approaches lack consistency, leading to uncertain outcomes. The aim is to establish a standardized approach for the conservative management of degenerative meniscus, informed by evidence-based practices and expert input from professionals in related areas. Methods: The rehabilitation program was developed through a multidisciplinary approach. A systematic review of the existing literature on degenerative meniscus treatments was conducted to identify evidence-based practices. Additionally, experienced professionals from Rehabilitation Medicine, Orthopaedics, and Physiotherapy were consulted to provide their insights and expertise. Consensus meetings were held to integrate these diverse perspectives into a comprehensive rehabilitation program. Results: The resulting rehabilitation program for degenerative meniscus offers a structured and evidence-based approach. It includes a combination of exercises, physical modalities, and lifestyle modifications tailored to the individual patient's needs. Key components of the program focus on muscles strengthening, improving joint stability, and reducing pain and inflammation. The program also emphasizes patient education to promote long-term self-management. Conclusions: By bringing together experts from various healthcare disciplines and incorporating evidence-based strategies, this rehabilitation program addresses the current lack of coherence and heterogeneity in degenerative meniscus treatment. It provides a standardized and functional approach to conservative management. The program's emphasis on individualized care and patient education may lead to better treatment adherence and outcomes. Furthermore, collaboration among healthcare professionals ensures a well-rounded and comprehensive approach to addressing the multifaceted nature of degenerative meniscus.
{"title":"Conservative Treatment of Degenerative Meniscus: Building Consensus for the Development of a Rehabilitation Program","authors":"João Páscoa Pinheiro, Lurdes Rovisco Branquinho, Joana Pinheiro, Susana Ramos","doi":"10.23958/ijirms/vol09-i04/1854","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i04/1854","url":null,"abstract":"Background: Degenerative meniscus is a common condition, and the current therapeutic approaches lack consistency, leading to uncertain outcomes. The aim is to establish a standardized approach for the conservative management of degenerative meniscus, informed by evidence-based practices and expert input from professionals in related areas. Methods: The rehabilitation program was developed through a multidisciplinary approach. A systematic review of the existing literature on degenerative meniscus treatments was conducted to identify evidence-based practices. Additionally, experienced professionals from Rehabilitation Medicine, Orthopaedics, and Physiotherapy were consulted to provide their insights and expertise. Consensus meetings were held to integrate these diverse perspectives into a comprehensive rehabilitation program. Results: The resulting rehabilitation program for degenerative meniscus offers a structured and evidence-based approach. It includes a combination of exercises, physical modalities, and lifestyle modifications tailored to the individual patient's needs. Key components of the program focus on muscles strengthening, improving joint stability, and reducing pain and inflammation. The program also emphasizes patient education to promote long-term self-management. Conclusions: By bringing together experts from various healthcare disciplines and incorporating evidence-based strategies, this rehabilitation program addresses the current lack of coherence and heterogeneity in degenerative meniscus treatment. It provides a standardized and functional approach to conservative management. The program's emphasis on individualized care and patient education may lead to better treatment adherence and outcomes. Furthermore, collaboration among healthcare professionals ensures a well-rounded and comprehensive approach to addressing the multifaceted nature of degenerative meniscus.","PeriodicalId":503777,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"112 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140755953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.23958/ijirms/vol09-i04/1844
Dr Shaini Suraj, Dr Pradeep Patil, Deepa Sangolkar, Nayna Rane
The first description of ulcerative colitis (UC) dates back to 1859. It is one of the two main types of inflammatory bowel disease. This disease affects the colonic mucosal layer where inflammation causes superficial damage. In the latter part of the 18th century, only the symptoms were recognized but little was known about its cause and treatment. But in 19th century with diagnostic advances, it was known that the disease caused ulcerations in mucosal lining which led to effectiveness in treatment. The early 20th century saw an expansion in understanding of UC and it was differentiated from other gastrointestinal diseases. There was better awareness about the disease pathophysiology and role of immune system. A surge in genetic research and gut microbiome provided the needed information about the causes of the disease. With all this knowledge, there is a definite improvement in quality of life of Ulcerative Colitis patients. This article summarizes the advances in knowledge about ulcerative colitis and its prevalence.
{"title":"History and Prevalence of Ulcerative Colitis: A Review","authors":"Dr Shaini Suraj, Dr Pradeep Patil, Deepa Sangolkar, Nayna Rane","doi":"10.23958/ijirms/vol09-i04/1844","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i04/1844","url":null,"abstract":"The first description of ulcerative colitis (UC) dates back to 1859. It is one of the two main types of inflammatory bowel disease. This disease affects the colonic mucosal layer where inflammation causes superficial damage. In the latter part of the 18th century, only the symptoms were recognized but little was known about its cause and treatment. But in 19th century with diagnostic advances, it was known that the disease caused ulcerations in mucosal lining which led to effectiveness in treatment. The early 20th century saw an expansion in understanding of UC and it was differentiated from other gastrointestinal diseases. There was better awareness about the disease pathophysiology and role of immune system. A surge in genetic research and gut microbiome provided the needed information about the causes of the disease. With all this knowledge, there is a definite improvement in quality of life of Ulcerative Colitis patients. This article summarizes the advances in knowledge about ulcerative colitis and its prevalence.","PeriodicalId":503777,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"270 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140782921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.23958/ijirms/vol09-i04/1859
Ricardo Pereira, Mónica Côrte-Real, Hugo Jorge Casimiro, Joana Carreira, Francisco Morgado, Rita Gonçalves Pereira
Pseudomyxoma peritonei is characterized by diffuse mucinous ascites and mucinous implants on the peritoneal surfaces. The authors report a case of a 73-year-old man with complaints of abdominal distention, nausea, fatigue, and asthenia for the past two months. The patient underwent diagnostic laparoscopy, and histological examination revealed pseudomyxoma peritonei secondary to low-grade mucinous carcinoma with intestinal differentiation. The patient was referred to Oncology for hyperthermic intraperitoneal chemotherapy along with complete cytoreduction surgery.
{"title":"Pseudomyxoma Peritonei: A Case Report of a 73-Year-Old Male Presenting with Abdominal Distension","authors":"Ricardo Pereira, Mónica Côrte-Real, Hugo Jorge Casimiro, Joana Carreira, Francisco Morgado, Rita Gonçalves Pereira","doi":"10.23958/ijirms/vol09-i04/1859","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i04/1859","url":null,"abstract":"Pseudomyxoma peritonei is characterized by diffuse mucinous ascites and mucinous implants on the peritoneal surfaces. The authors report a case of a 73-year-old man with complaints of abdominal distention, nausea, fatigue, and asthenia for the past two months. The patient underwent diagnostic laparoscopy, and histological examination revealed pseudomyxoma peritonei secondary to low-grade mucinous carcinoma with intestinal differentiation. The patient was referred to Oncology for hyperthermic intraperitoneal chemotherapy along with complete cytoreduction surgery.","PeriodicalId":503777,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"1009 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.23958/ijirms/vol09-i04/1860
Mazin Al-rudaini, Hajer Al Farsi, Zainab Anwar, Aisha Alwahshi, Raheel Al Hinai, Sanam Anwar
Background: There is a lack of studies related to the prevalence of gastroesophageal reflux disease (GERD) symptoms in Oman. The presence of the risk factors like consumption of caffeine-containing drinks, energy drinks, bad eating habits that contribute to the development of GERD were reported to be at a higher rate among medical students. This study was conducted to calculate the prevalence of GERD-related symptoms and the risk factors among medical students at the College of Medicine and Health Science, National University, Oman. Materials and methods: A questionnaire was circulated among the students of different study years which was based on the GERD Q-validated questionnaire. Additional questions were included regarding the presence of some of the risk factors of GERD. Results: Around 10.3% of the participants (43 out of 417) have satisfied the criteria of GERD Q with a statistically significant association (p>0.05) between high scoring GERD symptoms and body mass index (BMI), smoking, and the consumption of energy drinks. The most common symptoms reported were abdominal pain (59.7%), nausea (55.4%), burning sensation (47%), and regurgitation (45.6%). Conclusions: Due to the lifestyle of medical students and the high level of risk factors involved in the student's daily life; the possibility of developing GERD symptoms is high. Further confirmation of diagnosis by endoscopy will be needed.
{"title":"Symptoms and Risk Factors of Gastroesophageal Reflux Disease Among Medical Students in Oman","authors":"Mazin Al-rudaini, Hajer Al Farsi, Zainab Anwar, Aisha Alwahshi, Raheel Al Hinai, Sanam Anwar","doi":"10.23958/ijirms/vol09-i04/1860","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i04/1860","url":null,"abstract":"Background: There is a lack of studies related to the prevalence of gastroesophageal reflux disease (GERD) symptoms in Oman. The presence of the risk factors like consumption of caffeine-containing drinks, energy drinks, bad eating habits that contribute to the development of GERD were reported to be at a higher rate among medical students. This study was conducted to calculate the prevalence of GERD-related symptoms and the risk factors among medical students at the College of Medicine and Health Science, National University, Oman. Materials and methods: A questionnaire was circulated among the students of different study years which was based on the GERD Q-validated questionnaire. Additional questions were included regarding the presence of some of the risk factors of GERD. Results: Around 10.3% of the participants (43 out of 417) have satisfied the criteria of GERD Q with a statistically significant association (p>0.05) between high scoring GERD symptoms and body mass index (BMI), smoking, and the consumption of energy drinks. The most common symptoms reported were abdominal pain (59.7%), nausea (55.4%), burning sensation (47%), and regurgitation (45.6%). Conclusions: Due to the lifestyle of medical students and the high level of risk factors involved in the student's daily life; the possibility of developing GERD symptoms is high. Further confirmation of diagnosis by endoscopy will be needed.","PeriodicalId":503777,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"1173 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.23958/ijirms/vol09-i04/1851
Jyoti Verma, Dr. Upendra Upendra, Dr. Indrajeet Singh, Dr. Tejaswani Tejaswani, Sumit sahu Sahu
About 1.0 to 2.5 individuals per 100000 have essential thrombocytosis every year. The prevalence was seen mostly in females and was reported to be 38 to 57 per 100000 between 2008 and 2010. The incidence increases with age and most of the patients presents in age group of 50 and 60. A middle-aged male patient came with the complain of dragging sensation due to massive splenomegaly without any constitutional symptoms except that there was acute onset of altered sensorium since 1 day. Ultrasound was suggestive of massive splenomegaly with splenic abscess. Later he was diagnosed to be the case of hematological disorder i.e Myeloproliferative disorder.
{"title":"A Patient with Altered Sensorium and Splenic Abscess Diagnosed to Be a Case of Myeloproliferative Disease: A Case Report","authors":"Jyoti Verma, Dr. Upendra Upendra, Dr. Indrajeet Singh, Dr. Tejaswani Tejaswani, Sumit sahu Sahu","doi":"10.23958/ijirms/vol09-i04/1851","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i04/1851","url":null,"abstract":"About 1.0 to 2.5 individuals per 100000 have essential thrombocytosis every year. The prevalence was seen mostly in females and was reported to be 38 to 57 per 100000 between 2008 and 2010. The incidence increases with age and most of the patients presents in age group of 50 and 60. A middle-aged male patient came with the complain of dragging sensation due to massive splenomegaly without any constitutional symptoms except that there was acute onset of altered sensorium since 1 day. Ultrasound was suggestive of massive splenomegaly with splenic abscess. Later he was diagnosed to be the case of hematological disorder i.e Myeloproliferative disorder.","PeriodicalId":503777,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"82 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140767555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-15DOI: 10.23958/ijirms/vol09-i02/1827
Gonzales Marcelino, Casto Navia, Carlos Tamayo, Martin Villarroel, Aida Bairam, Lida Sanchez, C. Arias-Reyes, Jorge Soliz
Chronic obstructive pulmonary disease (COPD) and asthma are major contributors to mortality resulting from respiratory diseases among sea-level populations. In high altitude environments, located between 2500 and 3600 meters, where oxygen availability decreases (hypoxia), pulmonary edema has been identified as the main cause of mortality among transient visitors to such high regions. However, despite the existence of physiological adaptations among permanent residents of high altitudes (characterized by increased ventilation, increased red blood cell counts, vasodilation, and an increased muscle contraction pump), extensive research on fatal respiratory diseases that prevalence in this demographic remains low. In this research effort, we analyzed 1,214 mortality records from 2017 in La Paz, Bolivia (located at 3,600 meters). Our results indicate that pneumonia is the leading cause of death in these high-altitude Bolivian cities. This is in stark contrast to pneumonia's position as the fourth leading cause of death at sea level, accentuating the distinctive health challenges faced by populations residing at high altitudes.
{"title":"Pneumonia is the Leading Cause of Death from Respiratory Diseases at High Altitude In La Paz, Bolivia","authors":"Gonzales Marcelino, Casto Navia, Carlos Tamayo, Martin Villarroel, Aida Bairam, Lida Sanchez, C. Arias-Reyes, Jorge Soliz","doi":"10.23958/ijirms/vol09-i02/1827","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i02/1827","url":null,"abstract":"Chronic obstructive pulmonary disease (COPD) and asthma are major contributors to mortality resulting from respiratory diseases among sea-level populations. In high altitude environments, located between 2500 and 3600 meters, where oxygen availability decreases (hypoxia), pulmonary edema has been identified as the main cause of mortality among transient visitors to such high regions. However, despite the existence of physiological adaptations among permanent residents of high altitudes (characterized by increased ventilation, increased red blood cell counts, vasodilation, and an increased muscle contraction pump), extensive research on fatal respiratory diseases that prevalence in this demographic remains low. In this research effort, we analyzed 1,214 mortality records from 2017 in La Paz, Bolivia (located at 3,600 meters). Our results indicate that pneumonia is the leading cause of death in these high-altitude Bolivian cities. This is in stark contrast to pneumonia's position as the fourth leading cause of death at sea level, accentuating the distinctive health challenges faced by populations residing at high altitudes.","PeriodicalId":503777,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"21 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139962631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-15DOI: 10.23958/ijirms/vol09-i02/1828
E. Edafe, M. Akpa
Introduction: The majority of cases of stenosis or occlusion of central veins are the result of prolonged use of central catheters, neoplasms or traumas. Central vein occlusion is also common among patients with cardiac devices or chronic repeated thrombi. Central venous occlusion could be severe due to engorged neck veins, thrombosis, venous hypertension and edema of the extremities. The objective of this study is to discuss endovascular management of central venous occlusion in three Nigerian patients. Methods: This is a retrospective study of patients seen in cardiac catheterization laboratory and the Vascular C-Arm of the Bayelsa Specialist Hospital and Cardiocare Multispecialty Hospital over a period of 6 years from January 2018 to December 2023. The data were extrcated from the patients’ record and the data analyzed with SPSS version 25.0 for windos. Results: There were 31 patients in the 6-year of review. There were 19 males and 12 females. The average age of patients was 64.0 ± 9.8 years. The commonest symptoms were facial swelling, upper extremity swelling and pain. The commonest etiology was use of long indwelling venous catheters. Conclusion: Central vein stenosis and its risk factors are common in Nigeria. The endovascular treatment included use of balloon and stents.
{"title":"Central Venous Occlusion Management in Nigeria: Six Year Review of Our Experience","authors":"E. Edafe, M. Akpa","doi":"10.23958/ijirms/vol09-i02/1828","DOIUrl":"https://doi.org/10.23958/ijirms/vol09-i02/1828","url":null,"abstract":"Introduction: The majority of cases of stenosis or occlusion of central veins are the result of prolonged use of central catheters, neoplasms or traumas. Central vein occlusion is also common among patients with cardiac devices or chronic repeated thrombi. Central venous occlusion could be severe due to engorged neck veins, thrombosis, venous hypertension and edema of the extremities. The objective of this study is to discuss endovascular management of central venous occlusion in three Nigerian patients. Methods: This is a retrospective study of patients seen in cardiac catheterization laboratory and the Vascular C-Arm of the Bayelsa Specialist Hospital and Cardiocare Multispecialty Hospital over a period of 6 years from January 2018 to December 2023. The data were extrcated from the patients’ record and the data analyzed with SPSS version 25.0 for windos. Results: There were 31 patients in the 6-year of review. There were 19 males and 12 females. The average age of patients was 64.0 ± 9.8 years. The commonest symptoms were facial swelling, upper extremity swelling and pain. The commonest etiology was use of long indwelling venous catheters. Conclusion: Central vein stenosis and its risk factors are common in Nigeria. The endovascular treatment included use of balloon and stents.","PeriodicalId":503777,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"24 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139963220","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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