Pub Date : 2024-05-10DOI: 10.9734/jammr/2024/v36i55442
H. Benjelloun, A. Rattal, Afaf Amir, H. Harraz, N. Zaghba, K. Chaanoun, N. Yassine
Introduction: Microscopic polyangiitis is a systemic necrotising vasculitis that predominantly affects small-calibre vessels. It may be associated with systemic lupus erythematosus (SLE) as part of an overlap syndrome, but there are very few reports of this in the literature. Case Report: We report the case of a 19-year-old patient admitted with moderate haemoptysis, epistaxis and petechial purpura revealing intra-alveolar haemorrhage with a strongly positive P-ANCA. In addition, blood tests for antinuclear antibodies and rheumatoid factor were positive, with renal involvement suggesting associated lupus as part of an overlap syndrome. Progression was good with corticoide and immunosuppressant treatment. Conclusion: The clinical presentation of overlap syndrome is rare and severe, with a dual immunological profile of antinuclear antibodies and neutrophil cytoplasm.
{"title":"Overlap Syndrome: Systemic Lupus Erythematosus and ANCA Vasculitis in a Case Report","authors":"H. Benjelloun, A. Rattal, Afaf Amir, H. Harraz, N. Zaghba, K. Chaanoun, N. Yassine","doi":"10.9734/jammr/2024/v36i55442","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i55442","url":null,"abstract":"Introduction: Microscopic polyangiitis is a systemic necrotising vasculitis that predominantly affects small-calibre vessels. It may be associated with systemic lupus erythematosus (SLE) as part of an overlap syndrome, but there are very few reports of this in the literature. \u0000Case Report: We report the case of a 19-year-old patient admitted with moderate haemoptysis, epistaxis and petechial purpura revealing intra-alveolar haemorrhage with a strongly positive P-ANCA. In addition, blood tests for antinuclear antibodies and rheumatoid factor were positive, with renal involvement suggesting associated lupus as part of an overlap syndrome. Progression was good with corticoide and immunosuppressant treatment. \u0000Conclusion: The clinical presentation of overlap syndrome is rare and severe, with a dual immunological profile of antinuclear antibodies and neutrophil cytoplasm.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140990384","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 : 2024-05-08DOI: 10.9734/jammr/2024/v36i55441
L. Ciampo, I. Ciampo
Adolescence is a phase of great physical, emotional and social transformations that human beings go through in the transition from childhood to adulthood. During this period, bodily changes and the maturation of emotions occur, which can cause difficulties in understanding on the part of adolescents. Body image, which is constructed at this stage of life, is one of the most worrying elements among adolescents, who try to follow the standards spread among their peers. This article presents some aspects of the evolution of adolescents, the influences on the formation of their body image and practices of modifying their appearance (tattoos and piercings), as well as suggestions so that those responsible for adolescents' health care can understand these conditions and act effectively in welcoming and guiding these individuals.
{"title":"The Changing Body: Importance of Adequate Adolescent Development","authors":"L. Ciampo, I. Ciampo","doi":"10.9734/jammr/2024/v36i55441","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i55441","url":null,"abstract":"Adolescence is a phase of great physical, emotional and social transformations that human beings go through in the transition from childhood to adulthood. During this period, bodily changes and the maturation of emotions occur, which can cause difficulties in understanding on the part of adolescents. Body image, which is constructed at this stage of life, is one of the most worrying elements among adolescents, who try to follow the standards spread among their peers. This article presents some aspects of the evolution of adolescents, the influences on the formation of their body image and practices of modifying their appearance (tattoos and piercings), as well as suggestions so that those responsible for adolescents' health care can understand these conditions and act effectively in welcoming and guiding these individuals.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140997640","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 : 2024-03-05DOI: 10.9734/jammr/2024/v36i35392
Marcelo Fernandes de Castro, Yasmin Maria Tatico Chami, Jasiel de Oliveira, C. Perozini, W. Sendyk, Cristiane Yumi Koga-Ito, Debora Pallos, Marcia Hiromi Tanaka
Purpose: To assess the levels of hydrogen peroxide (H2O2) in crevicular fluid samples collected from patients with periodontal disease (PD) and periodontally healthy individuals. Methods: Crevicular fluid samples were collected from three diseased sites in 20 PD patients and from three healthy sites in 11 periodontally healthy patients (control). Plaque indices, probing depths, clinical attachment levels, and bleeding on probing were measured. Subsequently, the collected samples were categorized into three groups: a gingivitis group (n=8), a periodontitis group (n=12), and a control group (n=11). The quantification of H2O2 content within these samples was analyzed using an H2O2/peroxidase test kit. Results: Higher levels of H2O2 were found in the periodontitis group compared to group control and gingivitis (p<0.0001). Furthermore, the gingivitis group also shown elevated H2O2 levels compared to the control group (p<0.0001). Conclusions: The findings suggest that the severity of periodontal disease could be associated with elevated levels of H2O2 in gingival crevicular fluid. Hydrogen peroxide may potentially serve as a biomarker for disease progression or for products aimed at enhancing H2O2 release in periodontal treatment. However, further investigations with larger sample sizes and longitudinal designs are necessary to corroborate and expand upon these preliminary observations.
{"title":"Comparative Evaluation of Hydrogen Peroxide Levels in Patients with Periodontal Disease and Healthy Individuals–Pilot Study","authors":"Marcelo Fernandes de Castro, Yasmin Maria Tatico Chami, Jasiel de Oliveira, C. Perozini, W. Sendyk, Cristiane Yumi Koga-Ito, Debora Pallos, Marcia Hiromi Tanaka","doi":"10.9734/jammr/2024/v36i35392","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i35392","url":null,"abstract":"Purpose: To assess the levels of hydrogen peroxide (H2O2) in crevicular fluid samples collected from patients with periodontal disease (PD) and periodontally healthy individuals. \u0000Methods: Crevicular fluid samples were collected from three diseased sites in 20 PD patients and from three healthy sites in 11 periodontally healthy patients (control). Plaque indices, probing depths, clinical attachment levels, and bleeding on probing were measured. Subsequently, the collected samples were categorized into three groups: a gingivitis group (n=8), a periodontitis group (n=12), and a control group (n=11). The quantification of H2O2 content within these samples was analyzed using an H2O2/peroxidase test kit. \u0000Results: Higher levels of H2O2 were found in the periodontitis group compared to group control and gingivitis (p<0.0001). Furthermore, the gingivitis group also shown elevated H2O2 levels compared to the control group (p<0.0001). \u0000Conclusions: The findings suggest that the severity of periodontal disease could be associated with elevated levels of H2O2 in gingival crevicular fluid. Hydrogen peroxide may potentially serve as a biomarker for disease progression or for products aimed at enhancing H2O2 release in periodontal treatment. However, further investigations with larger sample sizes and longitudinal designs are necessary to corroborate and expand upon these preliminary observations.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"123 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140079006","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 : 2024-03-04DOI: 10.9734/jammr/2024/v36i35388
Imad Taleb, Saad Mohammed Amine, Choukri Elmhadi, R. Tanz, Hassan Errihani
Background: The patient had a CAF (complete atrial fibrillation) as a comorbidity. Objective: The most common sites of colon cancer metastasis are the regional lymph nodes, liver, lung, bone and brain. The patient was 65 years old and had CAF as a comorbidity. She was consulted for a recent dyspnea evolving in a context of altered general state without any digestive sign. A thoracic scan showed a medial mass measuring 53*56*60mm. The lung biopsy revealed a muscular adenocarcinoma of colorectal origin with immunohistochemical expression of cytokeratin 7 (CK7), 20 and cytokeratin (CK) AE1/AE3, CDX2.The Pet Scan confirmed the existence of a hypermetabolic left anterosuperior medial mass in addition to a focal digestive hypermetabolism of the right colonic wall. A colonoscopy was performed and showed a tumor process in the right colon with a histological and immunohistochemical profile compatible with that of the mediastinal metastasis. The tumor was MSS (microsatellite stable), RAS (rat sarcoma) and BRAF(v-raf murine sarcoma viral oncogene homolog B1)wild type. The patient received a 3-month folfox-panitimumab combination with good tolerance and a partial response of about 50% on the metastasis. Conclusions: This case report provide a highly unusual instance of colon adenocarcinoma with extensive mediastinal lymph nodes metastasis.
{"title":"Colon Cancer with Mediastinal Metastasis","authors":"Imad Taleb, Saad Mohammed Amine, Choukri Elmhadi, R. Tanz, Hassan Errihani","doi":"10.9734/jammr/2024/v36i35388","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i35388","url":null,"abstract":"Background: The patient had a CAF (complete atrial fibrillation) as a comorbidity. \u0000Objective: The most common sites of colon cancer metastasis are the regional lymph nodes, liver, lung, bone and brain. \u0000The patient was 65 years old and had CAF as a comorbidity. She was consulted for a recent dyspnea evolving in a context of altered general state without any digestive sign. A thoracic scan showed a medial mass measuring 53*56*60mm. The lung biopsy revealed a muscular adenocarcinoma of colorectal origin with immunohistochemical expression of cytokeratin 7 (CK7), 20 and cytokeratin (CK) AE1/AE3, CDX2.The Pet Scan confirmed the existence of a hypermetabolic left anterosuperior medial mass in addition to a focal digestive hypermetabolism of the right colonic wall. \u0000A colonoscopy was performed and showed a tumor process in the right colon with a histological and immunohistochemical profile compatible with that of the mediastinal metastasis. The tumor was MSS (microsatellite stable), RAS (rat sarcoma) and BRAF(v-raf murine sarcoma viral oncogene homolog B1)wild type. The patient received a 3-month folfox-panitimumab combination with good tolerance and a partial response of about 50% on the metastasis. \u0000Conclusions: This case report provide a highly unusual instance of colon adenocarcinoma with extensive mediastinal lymph nodes metastasis.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"69 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140080220","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 : 2024-03-01DOI: 10.9734/jammr/2024/v36i35386
Ma. Theresa Salinda, Glenda T. Moraño, Reggie Mae D. Jasmin, Wilfredo D. Quijencio, Jr., Myracle Isip-de Torres, Jacqueline Joy S. Paez, Gian Carlo P. De Jesus, Orlane Marybhell D. Dimaunahan, Daryl Jake S. Fornolles, Jennifer C. Padual, E. C. Mirafuentes
Background: Nursing serve as frontline in the delivery of care. Health care services focus on the complexity of cultural diversity to meet the multicultural clients therefore it necessary to have cultural competency in providing quality care from diverse background. Nurses must have that confidence in performing their duties, this includes plan of care that appropriate base on their patient beliefs or practices. Nurses with transcultural competency can overcome any challenges in serving the patient. Cultural skills showcase competency. In contrast, Nurses with low cultural competency tend to be avoidant to the patient in clinical assessment due to barriers like communication, lack of awareness and sensitivity in patient beliefs and practices. Purpose: The objective of this study is to investigate nurses in providing culturally congruent care for the patient with diverse background. Tailored with cultural competency in understanding patient situation in rendering services. Methods: The study utilize method by Walker and Avant in studying literature of different concepts of nurses pertaining to their nursing competency. The process of concept analysis as follows [1] selection of concept [2] establishing the purpose [3] concept confirmation [4] identification of concept attributes [5] presentation of model case [6] provide constructing borderline, and other cases [7] identification of antecedent and consequences [8] Identification of empirical references. [1]. Results: The research shows that nurses adhere responsibilities in providing care. It highlights knowledge and skills in the improvement of cross cultural health care. The use of concept such as cultural health, cultural education and cultural care serve as foundation in the concept of culturally competency. Nurses’ attributes such as cultural awareness, cultural knowledge and cultural communication skills in providing quality of care to the patient sharing common goals and creating meaningful partnership in health the care plan. Conclusion: Cultural competence is an ability that is being developed gradually and that those who have already gained more experiences have been proven to be more aware and culturally competent than those with only some to little experiences.
背景：护理工作是提供护理服务的第一线。医疗保健服务注重文化多样性的复杂性，以满足多元文化客户的需求，因此有必要具备文化能力，为来自不同背景的客户提供优质护理服务。护士在履行职责时必须有信心，这包括根据病人的信仰或习俗制定适当的护理计划。具备跨文化能力的护士可以克服在为病人服务过程中遇到的任何挑战。文化技能彰显能力。相反，文化胜任能力低的护士在临床评估中往往会因沟通障碍、缺乏对病人信仰和习俗的认识和敏感性而回避病人。方法：本研究采用沃克-阿瓦德（Walker and Avra）的研究方法：本研究采用 Walker 和 Avant 的方法，研究与护士护理能力相关的不同概念的文献。 概念分析过程如下[1] 选择概念[2] 确定目的[3] 概念确认[4] 识别概念属性[5] 呈现示范案例[6] 提供构建边界和其他案例[7] 识别前因后果[8] 识别经验参考。[1].结果：研究表明，护士在提供护理服务时坚持责任。它强调了改善跨文化保健的知识和技能。文化健康、文化教育和文化护理等概念的使用是文化胜任能力概念的基础。护士的文化意识、文化知识和文化沟通技能等特质在为病人提供优质护理的过程中与病人分享共同的目标，并在护理计划中建立有意义的伙伴关系：文化胜任能力是一种逐步培养的能力，事实证明，那些已经积累了较多经验的人比那些只有一些或很少经验的人更有文化意识和文化胜任能力。
{"title":"A Concept Analysis in Cultural Competency among Nurses Based on Walker and Avant Method","authors":"Ma. Theresa Salinda, Glenda T. Moraño, Reggie Mae D. Jasmin, Wilfredo D. Quijencio, Jr., Myracle Isip-de Torres, Jacqueline Joy S. Paez, Gian Carlo P. De Jesus, Orlane Marybhell D. Dimaunahan, Daryl Jake S. Fornolles, Jennifer C. Padual, E. C. Mirafuentes","doi":"10.9734/jammr/2024/v36i35386","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i35386","url":null,"abstract":"Background: Nursing serve as frontline in the delivery of care. Health care services focus on the complexity of cultural diversity to meet the multicultural clients therefore it necessary to have cultural competency in providing quality care from diverse background. Nurses must have that confidence in performing their duties, this includes plan of care that appropriate base on their patient beliefs or practices. Nurses with transcultural competency can overcome any challenges in serving the patient. Cultural skills showcase competency. In contrast, Nurses with low cultural competency tend to be avoidant to the patient in clinical assessment due to barriers like communication, lack of awareness and sensitivity in patient beliefs and practices.\u0000Purpose: The objective of this study is to investigate nurses in providing culturally congruent care for the patient with diverse background. Tailored with cultural competency in understanding patient situation in rendering services.\u0000Methods: The study utilize method by Walker and Avant in studying literature of different concepts of nurses pertaining to their nursing competency. The process of concept analysis as follows [1] selection of concept [2] establishing the purpose [3] concept confirmation [4] identification of concept attributes [5] presentation of model case [6] provide constructing borderline, and other cases [7] identification of antecedent and consequences [8] Identification of empirical references. [1].\u0000Results: The research shows that nurses adhere responsibilities in providing care. It highlights knowledge and skills in the improvement of cross cultural health care. The use of concept such as cultural health, cultural education and cultural care serve as foundation in the concept of culturally competency. Nurses’ attributes such as cultural awareness, cultural knowledge and cultural communication skills in providing quality of care to the patient sharing common goals and creating meaningful partnership in health the care plan.\u0000Conclusion: Cultural competence is an ability that is being developed gradually and that those who have already gained more experiences have been proven to be more aware and culturally competent than those with only some to little experiences.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"121 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140088173","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 : 2024-03-01DOI: 10.9734/jammr/2024/v36i35387
Andréa Juliana Luz Perdigão, Fabio Ricardo Loureiro Sato, Marília Coelho Oliveira Dutra Leal, R. G. Teixeira, C. Jodas
The mandibular temporomandibular joint (TMJ) is two diarthrodial ginglymus joints joined by a single bone, the mandible. Multiple approaches to TMJ are described in the literature due to the complexity of their exposure without damaging the noble structures in the region (facial nerve, temporal artery, and parotid gland) and causing aesthetic damage. This article will present a case report of a 21-year-old female patient. The post-auricular approach removed loose anchors in the right TMJ due to a fistula in the pre-auricular approach region. The post-auricular approach efficiently exposed TMJ and the healing, presenting superior aesthetic results compared to other TMJ approaches.
{"title":"Use of Post-Auricular Approach to Removal Anchors after Discopexy – Clinical Case Report","authors":"Andréa Juliana Luz Perdigão, Fabio Ricardo Loureiro Sato, Marília Coelho Oliveira Dutra Leal, R. G. Teixeira, C. Jodas","doi":"10.9734/jammr/2024/v36i35387","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i35387","url":null,"abstract":"The mandibular temporomandibular joint (TMJ) is two diarthrodial ginglymus joints joined by a single bone, the mandible. Multiple approaches to TMJ are described in the literature due to the complexity of their exposure without damaging the noble structures in the region (facial nerve, temporal artery, and parotid gland) and causing aesthetic damage. This article will present a case report of a 21-year-old female patient. The post-auricular approach removed loose anchors in the right TMJ due to a fistula in the pre-auricular approach region. The post-auricular approach efficiently exposed TMJ and the healing, presenting superior aesthetic results compared to other TMJ approaches.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"103 31","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140088870","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 : 2024-03-01DOI: 10.9734/jammr/2024/v36i35385
J. Azike, O. O. Enwere
Students have preferences in the way they internalize information. The VARK – an acronym for Visual, Aural, Read/Write and Kinesthetic questionnaire, tests students choices for preferred mode of internalizing information. The VARK questionnaire were administered to 400 level and 600 level medical students, a total of 123 of them participated in the study. Majority of them 89.4% preferred the multimodal mode of information reception while 10.56% were unimodal. A further analysis of the multimodals showed that females generally were quadmodal in their preferred sensory reception while the males were mainly trimodal. Overall, as regards individual VARK component, Kinesthetic was more common (29.8%) among males (31.6%) while Read/write was more common among the females (29.6%).
{"title":"The Preferred Learning Styles of Clinical Medical Students at the Imo State University, Orlu, South East Nigeria","authors":"J. Azike, O. O. Enwere","doi":"10.9734/jammr/2024/v36i35385","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i35385","url":null,"abstract":"Students have preferences in the way they internalize information. The VARK – an acronym for Visual, Aural, Read/Write and Kinesthetic questionnaire, tests students choices for preferred mode of internalizing information. The VARK questionnaire were administered to 400 level and 600 level medical students, a total of 123 of them participated in the study. Majority of them 89.4% preferred the multimodal mode of information reception while 10.56% were unimodal. A further analysis of the multimodals showed that females generally were quadmodal in their preferred sensory reception while the males were mainly trimodal. \u0000Overall, as regards individual VARK component, Kinesthetic was more common (29.8%) among males (31.6%) while Read/write was more common among the females (29.6%).","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"1 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140091026","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 : 2024-03-01DOI: 10.9734/jammr/2024/v36i35384
Rayane Toledo Simas, Laura Ferreira Moreira dos Santos, Bráulio Roberto Gonçalves Marinho Couto, François Dantas, Victor Kelles Tupy da Fonseca, Jarbas Carvalhaes, J. Raso, Fernando Luiz Rolemberg Dantas
Aims: The American Cancer Society,s estimates for brain and spinal cord tumors in the United States for 2023, include both adults and children,25,400 malignant tumors will be diagnosed. The objective of this study was to analyze the epidemiological profile, risk factors for complications and death in the in-hospital postoperative period, in addition to describing the histological type of intracranial tumors most frequently operated on in a private Brazilian institution. Study Design: Retrospective cohort study. Place and Duration of Study: Biocor Instituto/Rede D’Or, from 2018 to 2021 Methodology: Data were collected from the medical records of patients who underwent surgery for intracranial tumors. The variables analyzed in this study were demographic characteristics (age, sex, and comorbidities), histological types of primary and secondary neoplasms, anatomical location of the lesions, neurological deficits at admission and post-surgical treatment (at discharge), whether the surgery was urgent or elective, whether it was a reoperation, and whether there were deaths or complications during hospitalization. Results: Of 242 patients, 11 patients were excluded, and 231 patients were included in the analysis. The most common histological type was meningioma, accounting for 28% of cases. The histological type most associated with the risk of death was hemangioblastoma; however, it was also the histological type that presented the lowest incidence of cases. 39 patients (17%) had some complication in the in-hospital postoperative period, and 14 patients (6%) died. Conclusions: Meningiomas constituted the majority of cases, accounting for 28% of the sample. The rate of complications and mortality was higher when compared to data from the international literature because this series analyzed brain metastases together with the excision of primary tumors. Concerning in-hospital deaths, hemangioblastoma emerged as the histological type most associated with the risk of death. It is noteworthy, however, that hemangioblastoma also exhibited the lowest incidence among the various histological types.
{"title":"Epidemiological Profile of Adult Patients with Surgically Treated Intracranial Neoplasms","authors":"Rayane Toledo Simas, Laura Ferreira Moreira dos Santos, Bráulio Roberto Gonçalves Marinho Couto, François Dantas, Victor Kelles Tupy da Fonseca, Jarbas Carvalhaes, J. Raso, Fernando Luiz Rolemberg Dantas","doi":"10.9734/jammr/2024/v36i35384","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i35384","url":null,"abstract":"Aims: The American Cancer Society,s estimates for brain and spinal cord tumors in the United States for 2023, include both adults and children,25,400 malignant tumors will be diagnosed. The objective of this study was to analyze the epidemiological profile, risk factors for complications and death in the in-hospital postoperative period, in addition to describing the histological type of intracranial tumors most frequently operated on in a private Brazilian institution. \u0000Study Design: Retrospective cohort study. \u0000Place and Duration of Study: Biocor Instituto/Rede D’Or, from 2018 to 2021 \u0000Methodology: Data were collected from the medical records of patients who underwent surgery for intracranial tumors. The variables analyzed in this study were demographic characteristics (age, sex, and comorbidities), histological types of primary and secondary neoplasms, anatomical location of the lesions, neurological deficits at admission and post-surgical treatment (at discharge), whether the surgery was urgent or elective, whether it was a reoperation, and whether there were deaths or complications during hospitalization. \u0000Results: Of 242 patients, 11 patients were excluded, and 231 patients were included in the analysis. The most common histological type was meningioma, accounting for 28% of cases. The histological type most associated with the risk of death was hemangioblastoma; however, it was also the histological type that presented the lowest incidence of cases. 39 patients (17%) had some complication in the in-hospital postoperative period, and 14 patients (6%) died. \u0000Conclusions: Meningiomas constituted the majority of cases, accounting for 28% of the sample. The rate of complications and mortality was higher when compared to data from the international literature because this series analyzed brain metastases together with the excision of primary tumors. Concerning in-hospital deaths, hemangioblastoma emerged as the histological type most associated with the risk of death. It is noteworthy, however, that hemangioblastoma also exhibited the lowest incidence among the various histological types.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"66 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140085217","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: 10.9734/jammr/2024/v36i25370
Syed Farhanuddin, Ahmed Hussain Suhag, Habib-ur-Rahman Chohan, Kiran Waheed, J. Warsi, Bilal Atique Arain, Syed Zain Ul Abdeen
dietary deficiencies, which is defined by the WHO as low Haemoglobin levels and low red cell death due to a deficiency of iron in the body. This is especially true for lower socioeconomic groups because of cultural influences and a lack of resources. All genders and age groups are affected by iron deficiency anemia (IDA), which can cause microcytic and hypochromic disease with a range of clinical consequences. According to many recent studies, there may be a connection between blood types and IDA, with those who belong to blood groups O and B perhaps at higher risk of developing the anemia. Confirmation of these links and comprehension of the underlying mechanisms need more study. Materials and Methods: This was a cross-sectional study, conducted at the emergency department of Liaquat University Hospital from June to August 2022 that involved 400 patients who were divided into two groups: a control group comprising 285 patients who were not suffering from iron deficiency anaemia and a study group comprising 415 patients suffering from iron deficiency anemia excluding those with other diseases. A formal consent preceded comprehensive clinical examinations, including blood pressure, pulse rate, and oxygen saturation measurements. Blood group determination employed the glass slide agglutination method, distinguishing A, B, AB, and O groups. Haemoglobin levels were assessed using Sahli's hemoglobinometer, while the complete blood picture was obtained by the blood CP report of the hospital laboratory. Statistical analyses, including Fischer's exact test, were performed using GraphPad 9 prism. Specificity/sensitivity, likelihood ratios, and odds ratios were calculated for further analysis. Conclusion: This study shows a significant relationship between various blood groups and the prevalence of anaemia in the population.
饮食缺乏症，世界卫生组织将其定义为因体内缺铁导致的血红蛋白水平低和红细胞死亡。由于文化影响和资源匮乏，社会经济地位较低的群体尤其如此。所有性别和年龄组都会受到缺铁性贫血（IDA）的影响，缺铁性贫血可导致小红细胞和低色素性疾病，并造成一系列临床后果。根据最近的许多研究，血型与 IDA 之间可能存在联系，血型为 O 型和 B 型的人患贫血的风险可能更高。对这些联系的确认和对潜在机制的理解还需要更多的研究。材料和方法：这是一项横断面研究，于 2022 年 6 月至 8 月在利亚卡特大学医院急诊科进行，共有 400 名患者参与，分为两组：对照组（包括 285 名非缺铁性贫血患者）和研究组（包括 415 名缺铁性贫血患者，不包括患有其他疾病的患者）。在获得正式同意后进行全面的临床检查，包括测量血压、脉搏和血氧饱和度。血型测定采用玻璃片凝集法，可区分 A、B、AB 和 O 血型。血红蛋白水平使用 Sahli 血红蛋白仪进行评估，全血象则通过医院实验室的血液 CP 报告获得。使用 GraphPad 9 prism 进行统计分析，包括费舍尔精确检验。计算了特异性/敏感性、似然比和几率，以便进一步分析。结论这项研究表明，各种血型与人群中的贫血症患病率之间存在明显关系。
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Pub Date : 2024-02-15DOI: 10.9734/jammr/2024/v36i25370
Syed Farhanuddin, Ahmed Hussain Suhag, Habib-ur-Rahman Chohan, Kiran Waheed, J. Warsi, Bilal Atique Arain, Syed Zain Ul Abdeen
dietary deficiencies, which is defined by the WHO as low Haemoglobin levels and low red cell death due to a deficiency of iron in the body. This is especially true for lower socioeconomic groups because of cultural influences and a lack of resources. All genders and age groups are affected by iron deficiency anemia (IDA), which can cause microcytic and hypochromic disease with a range of clinical consequences. According to many recent studies, there may be a connection between blood types and IDA, with those who belong to blood groups O and B perhaps at higher risk of developing the anemia. Confirmation of these links and comprehension of the underlying mechanisms need more study. Materials and Methods: This was a cross-sectional study, conducted at the emergency department of Liaquat University Hospital from June to August 2022 that involved 400 patients who were divided into two groups: a control group comprising 285 patients who were not suffering from iron deficiency anaemia and a study group comprising 415 patients suffering from iron deficiency anemia excluding those with other diseases. A formal consent preceded comprehensive clinical examinations, including blood pressure, pulse rate, and oxygen saturation measurements. Blood group determination employed the glass slide agglutination method, distinguishing A, B, AB, and O groups. Haemoglobin levels were assessed using Sahli's hemoglobinometer, while the complete blood picture was obtained by the blood CP report of the hospital laboratory. Statistical analyses, including Fischer's exact test, were performed using GraphPad 9 prism. Specificity/sensitivity, likelihood ratios, and odds ratios were calculated for further analysis. Conclusion: This study shows a significant relationship between various blood groups and the prevalence of anaemia in the population.
饮食缺乏症，世界卫生组织将其定义为因体内缺铁导致的血红蛋白水平低和红细胞死亡。由于文化影响和资源匮乏，社会经济地位较低的群体尤其如此。所有性别和年龄组都会受到缺铁性贫血（IDA）的影响，缺铁性贫血可导致小红细胞和低色素性疾病，并造成一系列临床后果。根据最近的许多研究，血型与 IDA 之间可能存在联系，血型为 O 型和 B 型的人患贫血的风险可能更高。对这些联系的确认和对潜在机制的理解还需要更多的研究。材料和方法：这是一项横断面研究，于 2022 年 6 月至 8 月在利亚卡特大学医院急诊科进行，共有 400 名患者参与，分为两组：对照组（包括 285 名非缺铁性贫血患者）和研究组（包括 415 名缺铁性贫血患者，不包括患有其他疾病的患者）。在获得正式同意后进行全面的临床检查，包括测量血压、脉搏和血氧饱和度。血型测定采用玻璃片凝集法，可区分 A、B、AB 和 O 血型。血红蛋白水平使用 Sahli 血红蛋白仪进行评估，全血象则通过医院实验室的血液 CP 报告获得。使用 GraphPad 9 prism 进行统计分析，包括费舍尔精确检验。计算了特异性/敏感性、似然比和几率，以便进一步分析。结论这项研究表明，各种血型与人群中的贫血症患病率之间存在明显关系。
{"title":"Haematological Insight: An Epidemiological Study on Prevalence of Anaemia in Diverse Blood Groups within the Population of Hyderabad Sindh","authors":"Syed Farhanuddin, Ahmed Hussain Suhag, Habib-ur-Rahman Chohan, Kiran Waheed, J. Warsi, Bilal Atique Arain, Syed Zain Ul Abdeen","doi":"10.9734/jammr/2024/v36i25370","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i25370","url":null,"abstract":"dietary deficiencies, which is defined by the WHO as low Haemoglobin levels and low red cell death due to a deficiency of iron in the body. This is especially true for lower socioeconomic groups because of cultural influences and a lack of resources. All genders and age groups are affected by iron deficiency anemia (IDA), which can cause microcytic and hypochromic disease with a range of clinical consequences. According to many recent studies, there may be a connection between blood types and IDA, with those who belong to blood groups O and B perhaps at higher risk of developing the anemia. Confirmation of these links and comprehension of the underlying mechanisms need more study. \u0000Materials and Methods: This was a cross-sectional study, conducted at the emergency department of Liaquat University Hospital from June to August 2022 that involved 400 patients who were divided into two groups: a control group comprising 285 patients who were not suffering from iron deficiency anaemia and a study group comprising 415 patients suffering from iron deficiency anemia excluding those with other diseases. A formal consent preceded comprehensive clinical examinations, including blood pressure, pulse rate, and oxygen saturation measurements. Blood group determination employed the glass slide agglutination method, distinguishing A, B, AB, and O groups. Haemoglobin levels were assessed using Sahli's hemoglobinometer, while the complete blood picture was obtained by the blood CP report of the hospital laboratory. Statistical analyses, including Fischer's exact test, were performed using GraphPad 9 prism. Specificity/sensitivity, likelihood ratios, and odds ratios were calculated for further analysis. \u0000Conclusion: This study shows a significant relationship between various blood groups and the prevalence of anaemia in the population.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"10 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139774155","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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