Pub Date : 2024-02-10DOI: 10.36347/sjams.2024.v12i02.008
K. N. Prasad, Mr M Puttaswamy, Maheshwari M
Introduction: Street vendors are important informal self-employment group in the community and their health, nutritional and security status are affected because of weather conditions, pollution in urban area, mental stress and working hours. There is a lack of studies on health profile in street vendors in big cities. This study was conducted with as objective to know the socio demographic profile, health status in relation to their working pattern and habits among the street vendors. Material and Methods: This is a cross sectional and descriptive study. The data was collected by direct interviewing the subjects in their own language at their workplace in Bangalore city using pre tested semi open ended questionnaire. Sample size was determined based on the pilot study. The data included socio demographic, type of business, earning, working years, preexisting health status, body weight and height, habits etc. Subjects who were doing service or selling on mobile carts but not at fixed point and street vendors serving ready to eat foods were excluded. Body Mass Index was estimated as anthropometric nutritional status assessment. Data was analysed in SPSS software version. Results: The study subjects were 275 in the age group of 20 to 70 years and males accounted for 62.5 percentage. The proportion of subjects in the age of 41 years and above was 52.3%. Majority did not have formal schooling and common business was fruits and vegetables selling. Their working hours varying from 4 to 10, and doing business since 2 to 30 years with median of 20 years. The habit of smoking, tobacco chewing and alcohol was present in 30.2%, 14.5% and 14.2% the total. Overweight and obesity accounted for 78.9 % among the total where 19.8% and 25.2% were obese in males and females. The overall prevalence of Hypertension, Diabetes Mellitus and other conditions were 30.5%, 23.6% and 7.2% irrespective of their age, sex, type of business, working hours and habits. The prevalence ........
{"title":"Profile of Health Status in Relation to Working Pattern and Habits among Street Vendors in Bangalore City","authors":"K. N. Prasad, Mr M Puttaswamy, Maheshwari M","doi":"10.36347/sjams.2024.v12i02.008","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.008","url":null,"abstract":"Introduction: Street vendors are important informal self-employment group in the community and their health, nutritional and security status are affected because of weather conditions, pollution in urban area, mental stress and working hours. There is a lack of studies on health profile in street vendors in big cities. This study was conducted with as objective to know the socio demographic profile, health status in relation to their working pattern and habits among the street vendors. Material and Methods: This is a cross sectional and descriptive study. The data was collected by direct interviewing the subjects in their own language at their workplace in Bangalore city using pre tested semi open ended questionnaire. Sample size was determined based on the pilot study. The data included socio demographic, type of business, earning, working years, preexisting health status, body weight and height, habits etc. Subjects who were doing service or selling on mobile carts but not at fixed point and street vendors serving ready to eat foods were excluded. Body Mass Index was estimated as anthropometric nutritional status assessment. Data was analysed in SPSS software version. Results: The study subjects were 275 in the age group of 20 to 70 years and males accounted for 62.5 percentage. The proportion of subjects in the age of 41 years and above was 52.3%. Majority did not have formal schooling and common business was fruits and vegetables selling. Their working hours varying from 4 to 10, and doing business since 2 to 30 years with median of 20 years. The habit of smoking, tobacco chewing and alcohol was present in 30.2%, 14.5% and 14.2% the total. Overweight and obesity accounted for 78.9 % among the total where 19.8% and 25.2% were obese in males and females. The overall prevalence of Hypertension, Diabetes Mellitus and other conditions were 30.5%, 23.6% and 7.2% irrespective of their age, sex, type of business, working hours and habits. The prevalence ........","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139787295","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 : 2024-02-08DOI: 10.36347/sjams.2024.v12i02.007
SM. Shahidul Islam, Hui Hui Li, Sabina Yasmin, Mohammad Shajib Sheik
Background: Common medical problems include low back discomfort and sciatica. This shift will result in fewer hours worked and less strain on the national economy. Before beginning treatment, these individuals need to undergo a thorough medical evaluation. This is more likely to develop if inadequate medical or surgical treatment is provided. Examining whether or how acupuncture may enhance conventional PLID treatment is the goal of this study. Methods: This inquiry took place at SUOXI Healthcare Limited in Shantinagar, Dhaka, Bangladesh. A 33-year-old young male patient has been complaining of lower back discomfort for the last five years. It had been five years since he had found relief from the pain in his lower back, but now he was pain-free. Results: The results of the follow-up study were excellent. The patient's lower back pain, which he had been suffering for five years, was no longer present. Conclusion: Patients with PLID may benefit from acupuncture, according to this research.
{"title":"A Case Study on Prolapsed Lumbar Intervertebral Disease (PLID) of Acupuncture Treatment in Bangladesh","authors":"SM. Shahidul Islam, Hui Hui Li, Sabina Yasmin, Mohammad Shajib Sheik","doi":"10.36347/sjams.2024.v12i02.007","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.007","url":null,"abstract":"Background: Common medical problems include low back discomfort and sciatica. This shift will result in fewer hours worked and less strain on the national economy. Before beginning treatment, these individuals need to undergo a thorough medical evaluation. This is more likely to develop if inadequate medical or surgical treatment is provided. Examining whether or how acupuncture may enhance conventional PLID treatment is the goal of this study. Methods: This inquiry took place at SUOXI Healthcare Limited in Shantinagar, Dhaka, Bangladesh. A 33-year-old young male patient has been complaining of lower back discomfort for the last five years. It had been five years since he had found relief from the pain in his lower back, but now he was pain-free. Results: The results of the follow-up study were excellent. The patient's lower back pain, which he had been suffering for five years, was no longer present. Conclusion: Patients with PLID may benefit from acupuncture, according to this research.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139853058","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 : 2024-02-08DOI: 10.36347/sjams.2024.v12i02.007
SM. Shahidul Islam, Hui Hui Li, Sabina Yasmin, Mohammad Shajib Sheik
Background: Common medical problems include low back discomfort and sciatica. This shift will result in fewer hours worked and less strain on the national economy. Before beginning treatment, these individuals need to undergo a thorough medical evaluation. This is more likely to develop if inadequate medical or surgical treatment is provided. Examining whether or how acupuncture may enhance conventional PLID treatment is the goal of this study. Methods: This inquiry took place at SUOXI Healthcare Limited in Shantinagar, Dhaka, Bangladesh. A 33-year-old young male patient has been complaining of lower back discomfort for the last five years. It had been five years since he had found relief from the pain in his lower back, but now he was pain-free. Results: The results of the follow-up study were excellent. The patient's lower back pain, which he had been suffering for five years, was no longer present. Conclusion: Patients with PLID may benefit from acupuncture, according to this research.
{"title":"A Case Study on Prolapsed Lumbar Intervertebral Disease (PLID) of Acupuncture Treatment in Bangladesh","authors":"SM. Shahidul Islam, Hui Hui Li, Sabina Yasmin, Mohammad Shajib Sheik","doi":"10.36347/sjams.2024.v12i02.007","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.007","url":null,"abstract":"Background: Common medical problems include low back discomfort and sciatica. This shift will result in fewer hours worked and less strain on the national economy. Before beginning treatment, these individuals need to undergo a thorough medical evaluation. This is more likely to develop if inadequate medical or surgical treatment is provided. Examining whether or how acupuncture may enhance conventional PLID treatment is the goal of this study. Methods: This inquiry took place at SUOXI Healthcare Limited in Shantinagar, Dhaka, Bangladesh. A 33-year-old young male patient has been complaining of lower back discomfort for the last five years. It had been five years since he had found relief from the pain in his lower back, but now he was pain-free. Results: The results of the follow-up study were excellent. The patient's lower back pain, which he had been suffering for five years, was no longer present. Conclusion: Patients with PLID may benefit from acupuncture, according to this research.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139793036","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 : 2024-02-07DOI: 10.36347/sjams.2024.v12i02.006
Jakaria Kabir, Md. Abdul Alim, Beauty Choudhury, Md. Liaquat Ali, Jannatul Ferdoush Jublee, Rasha Nazia Zishan, Makshoda Begum
Introduction: The application of Propofol combined with Remifentanil and Laryngeal Mask Airway (LMA) in laparoscopic ovarian cystectomy represents a significant advancement in the field of anesthetic techniques for minimally invasive gynecological surgeries. Aim of the study: The aim of this study was to evaluate the application of propofol combined with remifentanil and LMA in laparoscopic ovarian cystectomy. Methods: This cross-sectional study at North Bengal Medical Colleges and Bogura Medical College, Bangladesh from January 2015 - December 2018, included 120 female patients undergoing laparoscopic ovarian cystectomy. They were split into two groups of 60: Group A received remifentanil with propofol, and Group B received fentanyl with propofol for anesthesia, with LMA used in all cases. Result: There were no statistically significant difference (p>0.05) between the study groups in demographic characteristics. ASA grades I-III distributed comparably (p-values 0.6035 to 0.8529). Group-A had a shorter surgical time and less blood loss compared to Group-B. Hospital stay was shorter for Group-A than Group-B. Notably, Group-A showed significantly (p≤0.05) better anesthesia induction and recovery times, and higher OAAS scores, indicating quicker recovery. Group-A also reported significantly (p≤0.05) lower VAS scores for pain at various post-operation intervals, suggesting better pain management. Complications like nausea, pruritus, vomiting, and abdominal pain were slightly higher in Group-B, except for sore throat, which was equal in both groups. Conclusion: The use of propofol combined with remifentanil and Laryngeal Mask Airway for laparoscopic ovarian cystectomy has better anesthetic management, quicker recovery, more effective pain control, and fewer complications.
导言：在腹腔镜卵巢囊肿切除术中应用异丙酚联合瑞芬太尼和喉罩气道（LMA）是微创妇科手术麻醉技术领域的一大进步。研究目的本研究旨在评估异丙酚联合瑞芬太尼和 LMA 在腹腔镜卵巢囊肿切除术中的应用。研究方法这项横断面研究于 2015 年 1 月至 2018 年 12 月在孟加拉国北孟加拉医学院和博古拉医学院进行，纳入了 120 名接受腹腔镜卵巢囊肿切除术的女性患者。她们被分为两组，每组 60 人：A 组接受瑞芬太尼联合异丙酚麻醉，B 组接受芬太尼联合异丙酚麻醉，所有病例均使用 LMA。结果研究组之间的人口统计学特征差异无统计学意义（P>0.05）。ASA I-III 级分布相当（P 值为 0.6035 至 0.8529）。与 B 组相比，A 组手术时间更短，失血量更少。与 B 组相比，A 组的住院时间更短。值得注意的是，A 组的麻醉诱导和恢复时间明显更短（P≤0.05），OAAS 评分更高，表明恢复更快。A 组在术后不同时间段的疼痛 VAS 评分也明显较低（P≤0.05），表明疼痛控制较好。除咽喉痛两组相同外，恶心、瘙痒、呕吐和腹痛等并发症在 B 组略高。结论使用异丙酚联合瑞芬太尼和喉罩气道进行腹腔镜卵巢囊肿切除术的麻醉管理效果更好，恢复更快，疼痛控制更有效，并发症更少。
{"title":"The Application of Propofol Combined with Remifentanil and LMA in Laparoscopic Ovarian Cystectomy","authors":"Jakaria Kabir, Md. Abdul Alim, Beauty Choudhury, Md. Liaquat Ali, Jannatul Ferdoush Jublee, Rasha Nazia Zishan, Makshoda Begum","doi":"10.36347/sjams.2024.v12i02.006","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.006","url":null,"abstract":"Introduction: The application of Propofol combined with Remifentanil and Laryngeal Mask Airway (LMA) in laparoscopic ovarian cystectomy represents a significant advancement in the field of anesthetic techniques for minimally invasive gynecological surgeries. Aim of the study: The aim of this study was to evaluate the application of propofol combined with remifentanil and LMA in laparoscopic ovarian cystectomy. Methods: This cross-sectional study at North Bengal Medical Colleges and Bogura Medical College, Bangladesh from January 2015 - December 2018, included 120 female patients undergoing laparoscopic ovarian cystectomy. They were split into two groups of 60: Group A received remifentanil with propofol, and Group B received fentanyl with propofol for anesthesia, with LMA used in all cases. Result: There were no statistically significant difference (p>0.05) between the study groups in demographic characteristics. ASA grades I-III distributed comparably (p-values 0.6035 to 0.8529). Group-A had a shorter surgical time and less blood loss compared to Group-B. Hospital stay was shorter for Group-A than Group-B. Notably, Group-A showed significantly (p≤0.05) better anesthesia induction and recovery times, and higher OAAS scores, indicating quicker recovery. Group-A also reported significantly (p≤0.05) lower VAS scores for pain at various post-operation intervals, suggesting better pain management. Complications like nausea, pruritus, vomiting, and abdominal pain were slightly higher in Group-B, except for sore throat, which was equal in both groups. Conclusion: The use of propofol combined with remifentanil and Laryngeal Mask Airway for laparoscopic ovarian cystectomy has better anesthetic management, quicker recovery, more effective pain control, and fewer complications.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139796415","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 : 2024-02-07DOI: 10.36347/sjams.2024.v12i02.006
Jakaria Kabir, Md. Abdul Alim, Beauty Choudhury, Md. Liaquat Ali, Jannatul Ferdoush Jublee, Rasha Nazia Zishan, Makshoda Begum
Introduction: The application of Propofol combined with Remifentanil and Laryngeal Mask Airway (LMA) in laparoscopic ovarian cystectomy represents a significant advancement in the field of anesthetic techniques for minimally invasive gynecological surgeries. Aim of the study: The aim of this study was to evaluate the application of propofol combined with remifentanil and LMA in laparoscopic ovarian cystectomy. Methods: This cross-sectional study at North Bengal Medical Colleges and Bogura Medical College, Bangladesh from January 2015 - December 2018, included 120 female patients undergoing laparoscopic ovarian cystectomy. They were split into two groups of 60: Group A received remifentanil with propofol, and Group B received fentanyl with propofol for anesthesia, with LMA used in all cases. Result: There were no statistically significant difference (p>0.05) between the study groups in demographic characteristics. ASA grades I-III distributed comparably (p-values 0.6035 to 0.8529). Group-A had a shorter surgical time and less blood loss compared to Group-B. Hospital stay was shorter for Group-A than Group-B. Notably, Group-A showed significantly (p≤0.05) better anesthesia induction and recovery times, and higher OAAS scores, indicating quicker recovery. Group-A also reported significantly (p≤0.05) lower VAS scores for pain at various post-operation intervals, suggesting better pain management. Complications like nausea, pruritus, vomiting, and abdominal pain were slightly higher in Group-B, except for sore throat, which was equal in both groups. Conclusion: The use of propofol combined with remifentanil and Laryngeal Mask Airway for laparoscopic ovarian cystectomy has better anesthetic management, quicker recovery, more effective pain control, and fewer complications.
导言：在腹腔镜卵巢囊肿切除术中应用异丙酚联合瑞芬太尼和喉罩气道（LMA）是微创妇科手术麻醉技术领域的一大进步。研究目的本研究旨在评估异丙酚联合瑞芬太尼和 LMA 在腹腔镜卵巢囊肿切除术中的应用。研究方法这项横断面研究于 2015 年 1 月至 2018 年 12 月在孟加拉国北孟加拉医学院和博古拉医学院进行，纳入了 120 名接受腹腔镜卵巢囊肿切除术的女性患者。她们被分为两组，每组 60 人：A 组接受瑞芬太尼联合异丙酚麻醉，B 组接受芬太尼联合异丙酚麻醉，所有病例均使用 LMA。结果研究组之间的人口统计学特征差异无统计学意义（P>0.05）。ASA I-III 级分布相当（P 值为 0.6035 至 0.8529）。与 B 组相比，A 组手术时间更短，失血量更少。与 B 组相比，A 组的住院时间更短。值得注意的是，A 组的麻醉诱导和恢复时间明显更短（P≤0.05），OAAS 评分更高，表明恢复更快。A 组在术后不同时间段的疼痛 VAS 评分也明显较低（P≤0.05），表明疼痛控制较好。除咽喉痛两组相同外，恶心、瘙痒、呕吐和腹痛等并发症在 B 组略高。结论使用异丙酚联合瑞芬太尼和喉罩气道进行腹腔镜卵巢囊肿切除术的麻醉管理效果更好，恢复更快，疼痛控制更有效，并发症更少。
{"title":"The Application of Propofol Combined with Remifentanil and LMA in Laparoscopic Ovarian Cystectomy","authors":"Jakaria Kabir, Md. Abdul Alim, Beauty Choudhury, Md. Liaquat Ali, Jannatul Ferdoush Jublee, Rasha Nazia Zishan, Makshoda Begum","doi":"10.36347/sjams.2024.v12i02.006","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.006","url":null,"abstract":"Introduction: The application of Propofol combined with Remifentanil and Laryngeal Mask Airway (LMA) in laparoscopic ovarian cystectomy represents a significant advancement in the field of anesthetic techniques for minimally invasive gynecological surgeries. Aim of the study: The aim of this study was to evaluate the application of propofol combined with remifentanil and LMA in laparoscopic ovarian cystectomy. Methods: This cross-sectional study at North Bengal Medical Colleges and Bogura Medical College, Bangladesh from January 2015 - December 2018, included 120 female patients undergoing laparoscopic ovarian cystectomy. They were split into two groups of 60: Group A received remifentanil with propofol, and Group B received fentanyl with propofol for anesthesia, with LMA used in all cases. Result: There were no statistically significant difference (p>0.05) between the study groups in demographic characteristics. ASA grades I-III distributed comparably (p-values 0.6035 to 0.8529). Group-A had a shorter surgical time and less blood loss compared to Group-B. Hospital stay was shorter for Group-A than Group-B. Notably, Group-A showed significantly (p≤0.05) better anesthesia induction and recovery times, and higher OAAS scores, indicating quicker recovery. Group-A also reported significantly (p≤0.05) lower VAS scores for pain at various post-operation intervals, suggesting better pain management. Complications like nausea, pruritus, vomiting, and abdominal pain were slightly higher in Group-B, except for sore throat, which was equal in both groups. Conclusion: The use of propofol combined with remifentanil and Laryngeal Mask Airway for laparoscopic ovarian cystectomy has better anesthetic management, quicker recovery, more effective pain control, and fewer complications.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139856442","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 : 2024-02-06DOI: 10.36347/sjams.2024.v12i02.005
Andrea Villarreal-Juris, Jhonatan Redroban-Lara, Josueph Ávila-Mora, Karolina Alcívar-Mendoza, Jennifer Bernal-Vesga, Gema Plaza-Vélez
Background: In Ecuador, the number of patients who have suffered gunshot wounds has increased remarkably, mainly due to the increase of terrorist groups. Clinical Case: 17-year-old male, arriving with pain, coldness, and paleness of the right lower limb after a gunshot wound to the right upper limb and right hemithorax. Exploratory laparotomy was performed after CT angiography revealed the presence of a hyperdense image in the right common iliac artery. In the trans operative study, after arteriotomy, a firearm projectile was identified in the lumen of the artery. Thrombectomy and primary repair were performed. Conclusion: Guidelines for the management of this type of patient are lacking. Treatment options and surgical decision must be made individually according to the site of the gunshot, severity of the injury and clinical status of the patient.
{"title":"Right Common Iliac Artery Gunshot Projectile Embolism","authors":"Andrea Villarreal-Juris, Jhonatan Redroban-Lara, Josueph Ávila-Mora, Karolina Alcívar-Mendoza, Jennifer Bernal-Vesga, Gema Plaza-Vélez","doi":"10.36347/sjams.2024.v12i02.005","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.005","url":null,"abstract":"Background: In Ecuador, the number of patients who have suffered gunshot wounds has increased remarkably, mainly due to the increase of terrorist groups. Clinical Case: 17-year-old male, arriving with pain, coldness, and paleness of the right lower limb after a gunshot wound to the right upper limb and right hemithorax. Exploratory laparotomy was performed after CT angiography revealed the presence of a hyperdense image in the right common iliac artery. In the trans operative study, after arteriotomy, a firearm projectile was identified in the lumen of the artery. Thrombectomy and primary repair were performed. Conclusion: Guidelines for the management of this type of patient are lacking. Treatment options and surgical decision must be made individually according to the site of the gunshot, severity of the injury and clinical status of the patient.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139861839","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 : 2024-02-06DOI: 10.36347/sjams.2024.v12i02.005
Andrea Villarreal-Juris, Jhonatan Redroban-Lara, Josueph Ávila-Mora, Karolina Alcívar-Mendoza, Jennifer Bernal-Vesga, Gema Plaza-Vélez
Background: In Ecuador, the number of patients who have suffered gunshot wounds has increased remarkably, mainly due to the increase of terrorist groups. Clinical Case: 17-year-old male, arriving with pain, coldness, and paleness of the right lower limb after a gunshot wound to the right upper limb and right hemithorax. Exploratory laparotomy was performed after CT angiography revealed the presence of a hyperdense image in the right common iliac artery. In the trans operative study, after arteriotomy, a firearm projectile was identified in the lumen of the artery. Thrombectomy and primary repair were performed. Conclusion: Guidelines for the management of this type of patient are lacking. Treatment options and surgical decision must be made individually according to the site of the gunshot, severity of the injury and clinical status of the patient.
{"title":"Right Common Iliac Artery Gunshot Projectile Embolism","authors":"Andrea Villarreal-Juris, Jhonatan Redroban-Lara, Josueph Ávila-Mora, Karolina Alcívar-Mendoza, Jennifer Bernal-Vesga, Gema Plaza-Vélez","doi":"10.36347/sjams.2024.v12i02.005","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.005","url":null,"abstract":"Background: In Ecuador, the number of patients who have suffered gunshot wounds has increased remarkably, mainly due to the increase of terrorist groups. Clinical Case: 17-year-old male, arriving with pain, coldness, and paleness of the right lower limb after a gunshot wound to the right upper limb and right hemithorax. Exploratory laparotomy was performed after CT angiography revealed the presence of a hyperdense image in the right common iliac artery. In the trans operative study, after arteriotomy, a firearm projectile was identified in the lumen of the artery. Thrombectomy and primary repair were performed. Conclusion: Guidelines for the management of this type of patient are lacking. Treatment options and surgical decision must be made individually according to the site of the gunshot, severity of the injury and clinical status of the patient.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139801898","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 : 2024-02-01DOI: 10.36347/sjams.2024v12i02.004
Md. Shaidur Rahman, Mahbubul Hoque, Md. Atiqul Islam, Maliha Alam Simi, Sabikun Naher Urmy, Tasnuva Khan, Habiba Khatun, Moshrefa Newaz
Background: Over the last 10-15 years, dengue fever (DF) and dengue hemorrhagic fever (DHF) have become the leading causes of hospitalization and death among both children and adult. Carica papaya leaves juice is said to be increase platelet count and improve haematocrit. Objective: This study aimed to determine the effect of Carica papaya leaf juice on plasma leakage and platelet count in child patients with DF and DHF. Methods: This randomized controlled trial was conducted among 77 children with DF and DHF. Patients were purposively selected from the inpatient department of Dhaka Shishu hospital from July 2018 to December 2019. Patients were randomly allocated in group A and group B. Group A patients received standard treatment along with a bottle containing C. papaya leaves juice 10 ml single morning dose 15 minutes after breakfast for three consecutive days and group B patients received only standard management as per the National Guideline for Clinical Management of Dengue Syndrome, 2018. Three patients in group A and two patients in group B dropped out from the study. Results: There was no significant difference between the groups regarding age, sex, mean duration, type and severity of fever between the groups (p>.05). In group A, the mean platelet count increased from 105000.00/ mL to 152428.57/mL after 48 hours and it reached to 212228.57/mL at 72hrs. In group B, the mean platelet count initially decreased from 129485.71/ mL to 91114.28/mL after 48 hours and then it increased to 96142.85/mL at 72 hours. There was highly significant statistical difference between group A and group B at 48 hours and at 72 hours regarding mean platelet count as p<.001. Haematocrit values become significantly normal in group A then group B by 72 hours and p˂.05. There was highly significant statistical difference between group A and group B regarding mean hospital stay as p<.001. Conclusion: Administration of Carica papaya leaf juice increase platelet count, maintain .......
{"title":"Effect of Carica Papaya Leaves Juice on Plasma Leakage and Platelet Count among Children with Dengue Fever and Dengue Haemorrhagic Fever","authors":"Md. Shaidur Rahman, Mahbubul Hoque, Md. Atiqul Islam, Maliha Alam Simi, Sabikun Naher Urmy, Tasnuva Khan, Habiba Khatun, Moshrefa Newaz","doi":"10.36347/sjams.2024v12i02.004","DOIUrl":"https://doi.org/10.36347/sjams.2024v12i02.004","url":null,"abstract":"Background: Over the last 10-15 years, dengue fever (DF) and dengue hemorrhagic fever (DHF) have become the leading causes of hospitalization and death among both children and adult. Carica papaya leaves juice is said to be increase platelet count and improve haematocrit. Objective: This study aimed to determine the effect of Carica papaya leaf juice on plasma leakage and platelet count in child patients with DF and DHF. Methods: This randomized controlled trial was conducted among 77 children with DF and DHF. Patients were purposively selected from the inpatient department of Dhaka Shishu hospital from July 2018 to December 2019. Patients were randomly allocated in group A and group B. Group A patients received standard treatment along with a bottle containing C. papaya leaves juice 10 ml single morning dose 15 minutes after breakfast for three consecutive days and group B patients received only standard management as per the National Guideline for Clinical Management of Dengue Syndrome, 2018. Three patients in group A and two patients in group B dropped out from the study. Results: There was no significant difference between the groups regarding age, sex, mean duration, type and severity of fever between the groups (p>.05). In group A, the mean platelet count increased from 105000.00/ mL to 152428.57/mL after 48 hours and it reached to 212228.57/mL at 72hrs. In group B, the mean platelet count initially decreased from 129485.71/ mL to 91114.28/mL after 48 hours and then it increased to 96142.85/mL at 72 hours. There was highly significant statistical difference between group A and group B at 48 hours and at 72 hours regarding mean platelet count as p<.001. Haematocrit values become significantly normal in group A then group B by 72 hours and p˂.05. There was highly significant statistical difference between group A and group B regarding mean hospital stay as p<.001. Conclusion: Administration of Carica papaya leaf juice increase platelet count, maintain .......","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139872093","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 : 2024-02-01DOI: 10.36347/sjams.2024.v12i02.001
Y. Boukhlifi, Mohammed Tetou, Larbi Hamedoun, Karim Blelhaj, M. Mrabti, Abdessamad Elbahri, N. Louardi, Mohammed Alami, Ahmed Ameur
Introduction: In Morocco, RTUP-m is considered the gold standard for the surgical treatment of prostate adenomas, recommended for prostates with a volume suitable for resection in less than 60 minutes. Additionally, the challenge arises when dealing with patients on antiplatelet or anticoagulant medications due to the associated risk of bleeding, hence the significance of RTUP-b. The objective of our study is to compare the functional outcomes and immediate postoperative complications between these two techniques and to identify predictive factors for complications. Methods: This is a prospective randomized study conducted between January 2022 and September 2022. The variables age, BMI, surgical indication, transrectal prostate volume, ASA classification (American Society of Anesthesiologists), previous pharmacological treatments, IPSS score, quality of life index (QLI), maximum flow rate (Qmax) and postoperative complications were collected. The Chi2 test and Student's t-test were used for statistical analysis. Results: Sixty-nine consecutive patients were included, 38 patients in the monopolar TURP group and 31 in the bipolar TURP group. Both groups were homogeneous in their baseline characteristics. The overall pre-surgical IPSS/QLI/Qmax score was 24,03/4,73/9,47. Functional results at 1st and 3rd month are shown in Table 1. For complications, see Table 2 and 3. These differences were not statistically significant (p = 0,427): the most frequent were hematuria (9,4%) and febrile urinary tract infections (9,4%). Only one patient presented hyponatremia due to glycocol reabsorption in the monopolar group. All complications were Clavien 1 or 2. We found no significant differences between the two groups with regard to complications or their predictive factors. Conclusion: Analysis of our data over the first three months reveals no differences between the two techniques in terms of functional results and postoperative complications, and there are no predictive .........
{"title":"Comparison of Bipolar and Monopolar Transurethral Resection of the Prostate, Functional Outcomes and Analysis of Factors Predictive of Complications: A Prospective Study","authors":"Y. Boukhlifi, Mohammed Tetou, Larbi Hamedoun, Karim Blelhaj, M. Mrabti, Abdessamad Elbahri, N. Louardi, Mohammed Alami, Ahmed Ameur","doi":"10.36347/sjams.2024.v12i02.001","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.001","url":null,"abstract":"Introduction: In Morocco, RTUP-m is considered the gold standard for the surgical treatment of prostate adenomas, recommended for prostates with a volume suitable for resection in less than 60 minutes. Additionally, the challenge arises when dealing with patients on antiplatelet or anticoagulant medications due to the associated risk of bleeding, hence the significance of RTUP-b. The objective of our study is to compare the functional outcomes and immediate postoperative complications between these two techniques and to identify predictive factors for complications. Methods: This is a prospective randomized study conducted between January 2022 and September 2022. The variables age, BMI, surgical indication, transrectal prostate volume, ASA classification (American Society of Anesthesiologists), previous pharmacological treatments, IPSS score, quality of life index (QLI), maximum flow rate (Qmax) and postoperative complications were collected. The Chi2 test and Student's t-test were used for statistical analysis. Results: Sixty-nine consecutive patients were included, 38 patients in the monopolar TURP group and 31 in the bipolar TURP group. Both groups were homogeneous in their baseline characteristics. The overall pre-surgical IPSS/QLI/Qmax score was 24,03/4,73/9,47. Functional results at 1st and 3rd month are shown in Table 1. For complications, see Table 2 and 3. These differences were not statistically significant (p = 0,427): the most frequent were hematuria (9,4%) and febrile urinary tract infections (9,4%). Only one patient presented hyponatremia due to glycocol reabsorption in the monopolar group. All complications were Clavien 1 or 2. We found no significant differences between the two groups with regard to complications or their predictive factors. Conclusion: Analysis of our data over the first three months reveals no differences between the two techniques in terms of functional results and postoperative complications, and there are no predictive .........","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139819476","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 : 2024-02-01DOI: 10.36347/sjams.2024.v12i02.002
Y. Boukhlifi, Larbi Hamedoun, Mohammed Tetou, Karim Blelhaj, M. Mrabti, Abdessamad Elbahri, N. Louardi, Mohammed Alami, Ahmed Ameur
Introduction: Lower calyceal stones always pose a problem of optimal management: the results of ESWL are insufficient, with the possibility of generating a large quantity of residual fragments and recourse to complementary treatments. The different anatomical varieties of the lower calcific group can vary the results of treatment at this site. The objective of the study is to analyze the influence of the anatomy of the lower calyceal group (LCG) on the results of ESWL. Materials: A prospective observational study involving 57 patients with LCG stones who were treated by ESWL in our department between January 2021 December 2022 according to the French recommendations of the AFU lithiasis committee. Unfavorable LCG anatomy was defined according to Sampaio's criteria: a length of the inferior stem caliceal lower >10 mm, a width<5 mm and an infundibulo-pelvic angle < 90º. Fragment-free rate was assessed 3 months after ESWL with tomography urography (CTU). Failure was considered as the existence of fragments ≥ 3mm, the need for ancillary procedures after ESWL (ureterscopy, RIRS, PCNL or new ESWL), complications and risk factors associated with the development of perirenal hematoma were analyzed. Results: The median age was 48,5 years (range: 22-68), with 66,66% of the participants being men (38 men and 19 women). Approximately 14,03 % (n=8) of the patients were taking antiplatelet/anticoagulant drugs, and 8,77 % (n= 5) had High blood pressure. The median size of the lithiasis was 10 mm (range: 5-20 mm), with favorable LCG anatomy observed in 45,61 % (n= 26/57) of patients, including 34,61 % (n= 9/26) who required ancillary procedures after ESWL, compared to 64,51% (n= 20/31) in patients with unfavorable anatomy (54,39 % = 31/57). The stone-free after ESWL for both groups combined was 54,38 % (n= 31/57). Auxiliary procedures included ureteroscopy or RIRS. Two perirenal hematomas were observed in patients on antiplatelet/anticoagulant therapy, with a favorable outcome. ...
{"title":"Analysis of the Results of Extracorporeal Lithotripsy (ECL) in the Treatment of Stones of the Inferior Calcific Group (ICG): Does Variability in Calicial Anatomy Influence Them?","authors":"Y. Boukhlifi, Larbi Hamedoun, Mohammed Tetou, Karim Blelhaj, M. Mrabti, Abdessamad Elbahri, N. Louardi, Mohammed Alami, Ahmed Ameur","doi":"10.36347/sjams.2024.v12i02.002","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.002","url":null,"abstract":"Introduction: Lower calyceal stones always pose a problem of optimal management: the results of ESWL are insufficient, with the possibility of generating a large quantity of residual fragments and recourse to complementary treatments. The different anatomical varieties of the lower calcific group can vary the results of treatment at this site. The objective of the study is to analyze the influence of the anatomy of the lower calyceal group (LCG) on the results of ESWL. Materials: A prospective observational study involving 57 patients with LCG stones who were treated by ESWL in our department between January 2021 December 2022 according to the French recommendations of the AFU lithiasis committee. Unfavorable LCG anatomy was defined according to Sampaio's criteria: a length of the inferior stem caliceal lower >10 mm, a width<5 mm and an infundibulo-pelvic angle < 90º. Fragment-free rate was assessed 3 months after ESWL with tomography urography (CTU). Failure was considered as the existence of fragments ≥ 3mm, the need for ancillary procedures after ESWL (ureterscopy, RIRS, PCNL or new ESWL), complications and risk factors associated with the development of perirenal hematoma were analyzed. Results: The median age was 48,5 years (range: 22-68), with 66,66% of the participants being men (38 men and 19 women). Approximately 14,03 % (n=8) of the patients were taking antiplatelet/anticoagulant drugs, and 8,77 % (n= 5) had High blood pressure. The median size of the lithiasis was 10 mm (range: 5-20 mm), with favorable LCG anatomy observed in 45,61 % (n= 26/57) of patients, including 34,61 % (n= 9/26) who required ancillary procedures after ESWL, compared to 64,51% (n= 20/31) in patients with unfavorable anatomy (54,39 % = 31/57). The stone-free after ESWL for both groups combined was 54,38 % (n= 31/57). Auxiliary procedures included ureteroscopy or RIRS. Two perirenal hematomas were observed in patients on antiplatelet/anticoagulant therapy, with a favorable outcome. ...","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139888507","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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