Sylvia Wei Wei Kong, Jade Lene Yong, Sabrina Pei Yee Cheong, Edmund Liang Chai Ong
Background: During the coronavirus disease 2019 (COVID-19) pandemic, most in-person classes in Newcastle University Medicine Malaysia (NUMed) were replaced with e-learning. Our study aims to explore students’ e-learning experiences and its perceived benefits and challenges during the pandemic. Methods: 285 students recruited via convenience sampling participated in this cross-sectional study. Participants completed a self-administered online questionnaire on sociodemographic factors and experiences with e-learning. Descriptive statistics and Spearman’s correlation tests were used to analyze the data. Results: Most students used laptops (n=275, 96.5%) for e-learning and owned at least two electronic devices (n=245, 86%). Over half our students (n=148, 51.9%) reported no change to theoretical knowledge, while about three-quarters (n=213, 74.7%) perceived practical skills to have worsened. Students preferred paper-based exams (n=170, 59.6%) and objectively formatted online exams (n=193, 67.7%). Since transitioning to e-learning, the majority of students (n=207, 72.6%) reported difficulties studying online and were unsatisfied with their academic performance (n=166, 58.2%). Students preferred e-learning due to the lower risk of contracting COVID-19 (n=256, 89.8%), the convenience of online classes (n=244, 85.6%) and flexible schedules (n=219, 76.8%). However, the lack of patient contact (n=236, 82.8%), lecturer and peer interaction (n=234, 82.1%), and unreliable internet (n=201, 70.5%) made e-learning challenging. Students’ experiences were generally affected by multiple factors encompassing personal, lecturer, and environmental aspects. Conclusion: E-learning during the COVID-19 pandemic has negatively impacted students’ practical skills and performance satisfaction. Therefore, the university should look towards addressing e-learning constraints and providing adequate support to improve students’ educational experiences in the ongoing pandemic.
{"title":"Student Perspectives on E-Learning in a Malaysian Medical College One Year into the COVID-19 Pandemic: A Cross-Sectional Study","authors":"Sylvia Wei Wei Kong, Jade Lene Yong, Sabrina Pei Yee Cheong, Edmund Liang Chai Ong","doi":"10.5195/ijms.2023.1484","DOIUrl":"https://doi.org/10.5195/ijms.2023.1484","url":null,"abstract":"Background: During the coronavirus disease 2019 (COVID-19) pandemic, most in-person classes in Newcastle University Medicine Malaysia (NUMed) were replaced with e-learning. Our study aims to explore students’ e-learning experiences and its perceived benefits and challenges during the pandemic. Methods: 285 students recruited via convenience sampling participated in this cross-sectional study. Participants completed a self-administered online questionnaire on sociodemographic factors and experiences with e-learning. Descriptive statistics and Spearman’s correlation tests were used to analyze the data. Results: Most students used laptops (n=275, 96.5%) for e-learning and owned at least two electronic devices (n=245, 86%). Over half our students (n=148, 51.9%) reported no change to theoretical knowledge, while about three-quarters (n=213, 74.7%) perceived practical skills to have worsened. Students preferred paper-based exams (n=170, 59.6%) and objectively formatted online exams (n=193, 67.7%). Since transitioning to e-learning, the majority of students (n=207, 72.6%) reported difficulties studying online and were unsatisfied with their academic performance (n=166, 58.2%). Students preferred e-learning due to the lower risk of contracting COVID-19 (n=256, 89.8%), the convenience of online classes (n=244, 85.6%) and flexible schedules (n=219, 76.8%). However, the lack of patient contact (n=236, 82.8%), lecturer and peer interaction (n=234, 82.1%), and unreliable internet (n=201, 70.5%) made e-learning challenging. Students’ experiences were generally affected by multiple factors encompassing personal, lecturer, and environmental aspects. Conclusion: E-learning during the COVID-19 pandemic has negatively impacted students’ practical skills and performance satisfaction. Therefore, the university should look towards addressing e-learning constraints and providing adequate support to improve students’ educational experiences in the ongoing pandemic.","PeriodicalId":73459,"journal":{"name":"International journal of medical students","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134972897","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}
Kamran Abbasi, Parveen Ali, Virginia Barbour, Kirsten Bibbins-Domingo, Marcel GM Olde Rikkert, Peng Gong, Andy Haines, Ira Helfand, Richard Horton, Robert Mash, Arun Mitra, Carlos Monteiro, Elena N. Naumova, Eric J. Rubin, Tilman Ruff, Peush Sahni, James Tumwine, Paul Yonga, Chris Zielinski
{"title":"Reducing the Risks of Nuclear War—the Role of Health Professionals","authors":"Kamran Abbasi, Parveen Ali, Virginia Barbour, Kirsten Bibbins-Domingo, Marcel GM Olde Rikkert, Peng Gong, Andy Haines, Ira Helfand, Richard Horton, Robert Mash, Arun Mitra, Carlos Monteiro, Elena N. Naumova, Eric J. Rubin, Tilman Ruff, Peush Sahni, James Tumwine, Paul Yonga, Chris Zielinski","doi":"10.5195/ijms.2023.2179","DOIUrl":"https://doi.org/10.5195/ijms.2023.2179","url":null,"abstract":"","PeriodicalId":73459,"journal":{"name":"International journal of medical students","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135519372","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}
Jesper Ke, Ellen Zhang, Kate Lee, Hueyjong Shih, Chin Hur
This piece provides a personal perspective of the bias that affects Asian-American medical students in the United States in the clinical wards. In the evolving landscape of medical education, discussions about race, professionalism, and structural change have come to the forefront, especially with regards to patient interactions. However, less has been discussed about bias that may be perpetuated within a clinical team: between medical students, residents, and faculty physicians. This piece builds on these personal experiences to highlight some steps that can range from the individual to institutional level to address some of these biases, especially as it pertains to Asian-American Medical Students. Overall, this piece shares perspectives that draw strongly on personal experiences in the hopes of creating change for both colleagues and aspiring physicians across the medical spectrum.
{"title":"Addressing Bias among Medical Care Teams on the Wards: A Perspective from Asian Medical Students in the United States","authors":"Jesper Ke, Ellen Zhang, Kate Lee, Hueyjong Shih, Chin Hur","doi":"10.5195/ijms.2023.1645","DOIUrl":"https://doi.org/10.5195/ijms.2023.1645","url":null,"abstract":"This piece provides a personal perspective of the bias that affects Asian-American medical students in the United States in the clinical wards. In the evolving landscape of medical education, discussions about race, professionalism, and structural change have come to the forefront, especially with regards to patient interactions. However, less has been discussed about bias that may be perpetuated within a clinical team: between medical students, residents, and faculty physicians. This piece builds on these personal experiences to highlight some steps that can range from the individual to institutional level to address some of these biases, especially as it pertains to Asian-American Medical Students. Overall, this piece shares perspectives that draw strongly on personal experiences in the hopes of creating change for both colleagues and aspiring physicians across the medical spectrum.","PeriodicalId":73459,"journal":{"name":"International journal of medical students","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135519373","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}
Seon Hayles, Kelsey Williams, Nidhi Thomas, Jabari Morgan, Donna Braham, Maxine Gossell Williams, Jonathan D. Ho
Background: Pseudo-chilblains have been associated with COVID-19. Many reports, however, lack confirmation of COVID-19 infection. While likely associated, all chilblains/chilblain-like lesions during this time should not be assumed to be COVID-19 related. This study examines the characteristics of adults with pseudo-chilblains and confirmed COVID-19. Methods: A systematic review of PubMed/MEDLINE database was performed using the PRISMA guidelines. Adults (>18 years) with confirmed COVID-19 were included. De-identified registries were excluded to avoid duplication. We extracted study design, age, sex, race, geographic location, relationship of COVID-19 diagnosis to chilblains onset, confirmatory testing, hospitalization status, anatomical location, cold/damp exposure, presence/absence/description of pseudo-chilblains symptoms, presence/absence of biopsies/histopathologic findings, tissue IHC/PCR, presence/absence/details of extracutaneous COVID-19 disease, pre-existing chilblains, treatment and resolution timeline. The search was completed in July 2022. Results: We identified 13 studies (29 patients). In COVID-19-infected adults, pseudo-chilblains were reported primarily from North America and Europe, occurring in both sexes over a wide age-range, affected well and ill patients, favored the hands and feet and could be symptomatic or asymptomatic. Most patients had extracutaneous symptoms. Resolution time ranged from <1 week to >50 days. There was marked variation in treatment strategies and appearance of pseudo-chilblains relative to entire disease course. Biopsies were infrequently performed but findings similar to classical chilblains were described. Conclusions: Many patients reported as pseudo-chilblains of COVID-19 lack confirmed infection. Infection confirmation, photographic documentation and histopathology are critical to establish homogeneity in reported pseudo-chilblains during this global pandemic. Further work clarifying the relationship of acral eruptions and COVID-19 is necessary.
{"title":"Pseudo-Chilblains in Adult Patients with Confirmed COVID-19: A Systematic Review","authors":"Seon Hayles, Kelsey Williams, Nidhi Thomas, Jabari Morgan, Donna Braham, Maxine Gossell Williams, Jonathan D. Ho","doi":"10.5195/ijms.2023.1648","DOIUrl":"https://doi.org/10.5195/ijms.2023.1648","url":null,"abstract":"Background: Pseudo-chilblains have been associated with COVID-19. Many reports, however, lack confirmation of COVID-19 infection. While likely associated, all chilblains/chilblain-like lesions during this time should not be assumed to be COVID-19 related. This study examines the characteristics of adults with pseudo-chilblains and confirmed COVID-19. Methods: A systematic review of PubMed/MEDLINE database was performed using the PRISMA guidelines. Adults (>18 years) with confirmed COVID-19 were included. De-identified registries were excluded to avoid duplication. We extracted study design, age, sex, race, geographic location, relationship of COVID-19 diagnosis to chilblains onset, confirmatory testing, hospitalization status, anatomical location, cold/damp exposure, presence/absence/description of pseudo-chilblains symptoms, presence/absence of biopsies/histopathologic findings, tissue IHC/PCR, presence/absence/details of extracutaneous COVID-19 disease, pre-existing chilblains, treatment and resolution timeline. The search was completed in July 2022. Results: We identified 13 studies (29 patients). In COVID-19-infected adults, pseudo-chilblains were reported primarily from North America and Europe, occurring in both sexes over a wide age-range, affected well and ill patients, favored the hands and feet and could be symptomatic or asymptomatic. Most patients had extracutaneous symptoms. Resolution time ranged from <1 week to >50 days. There was marked variation in treatment strategies and appearance of pseudo-chilblains relative to entire disease course. Biopsies were infrequently performed but findings similar to classical chilblains were described. Conclusions: Many patients reported as pseudo-chilblains of COVID-19 lack confirmed infection. Infection confirmation, photographic documentation and histopathology are critical to establish homogeneity in reported pseudo-chilblains during this global pandemic. Further work clarifying the relationship of acral eruptions and COVID-19 is necessary.","PeriodicalId":73459,"journal":{"name":"International journal of medical students","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136214595","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}
This systematic literature review examines the relationship between psoriasis and pregnancy to elucidate possible new routes of treatment. Findings from this review help reduce the gap in the literature on the topic as well as educate physicians and pregnant women with psoriasis on how psoriasis may present along the course of pregnancy and thereafter. Searches were primarily conducted in three databases: PubMed, Scopus, and Embase. Articles considered for inclusion in this literature review focused on the presentation of psoriasis during pregnancy. The literature sample obtained consisted of 14 peer-reviewed articles published from 2012-2022. As codes were identified, a master code list was developed. Second cycle coding involved categorizing of the data allowing for codes to combine and emerge as themes. Five themes were identified through categorical analysis: immunology, general sex hormones, estrogen, progesterone, and the HLA-Cw6 allele. Collectively, these findings elucidate the individual nature of psoriasis and identify progesterone as a possible non-teratogenic therapy. Primarily, the presence of the HLA-Cw6 allele in a woman’s genome along with the individual variation of estrogen receptors reinforces the researcher’s recommendation of genetic testing following a psoriasis diagnosis. This genetic testing may allow patients and physicians to best understand what to expect of psoriasis during pregnancy as well as help determine the most efficacious treatment course to follow for therapy.
{"title":"Exploring the Relationship between Psoriasis and Pregnancy: A Systematic Literature Review","authors":"Pratiksha Patra","doi":"10.5195/ijms.2023.1714","DOIUrl":"https://doi.org/10.5195/ijms.2023.1714","url":null,"abstract":"This systematic literature review examines the relationship between psoriasis and pregnancy to elucidate possible new routes of treatment. Findings from this review help reduce the gap in the literature on the topic as well as educate physicians and pregnant women with psoriasis on how psoriasis may present along the course of pregnancy and thereafter. Searches were primarily conducted in three databases: PubMed, Scopus, and Embase. Articles considered for inclusion in this literature review focused on the presentation of psoriasis during pregnancy. The literature sample obtained consisted of 14 peer-reviewed articles published from 2012-2022. As codes were identified, a master code list was developed. Second cycle coding involved categorizing of the data allowing for codes to combine and emerge as themes. Five themes were identified through categorical analysis: immunology, general sex hormones, estrogen, progesterone, and the HLA-Cw6 allele. Collectively, these findings elucidate the individual nature of psoriasis and identify progesterone as a possible non-teratogenic therapy. Primarily, the presence of the HLA-Cw6 allele in a woman’s genome along with the individual variation of estrogen receptors reinforces the researcher’s recommendation of genetic testing following a psoriasis diagnosis. This genetic testing may allow patients and physicians to best understand what to expect of psoriasis during pregnancy as well as help determine the most efficacious treatment course to follow for therapy.","PeriodicalId":73459,"journal":{"name":"International journal of medical students","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79693304","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}
Ghazal Becker, Alexis M. Stoner, Emily K. Ranta, Riddhi Shah, Victoria Reyes, H. Sutphin, El Instituto, Tecnológico de, Santo Domingo, Dominican Republic
Background: The COVID-19 pandemic affected medical students in several ways in 2021 and 2022. In continuation of a previous study, this study sought to determine how the changing nature of the pandemic affected medical students’ knowledge, experiences, perspectives on the policies and resources in 2022 compared to 2021. Methods: A qualitative study was conducted via open-ended journaling in 2021 and 2022. Participants were recruited from medical students in the U.S. as well as in Central America and the Caribbean, who were enrolled in a “Global Seminar for Health and Environment”. Results: A total of 142 and 72 responses were obtained in 2021 and 2022 respectively. Regarding the COVID-19 policies, U.S. students were thankful for vaccinations and approved of initiatives in their regions in 2021. Later, they were equally divided regarding region-specific pandemic policies. International students mainly approved of the policies in both years. Students consistently noted negative mental health impacts and difficulty with social limitations. U.S. students noted decreased academic opportunities in both years while international students noted family concerns in 2021. U.S. students held negative views about social media due to fearmongering in 2021 and politicization in 2022. International students held neutral and/or positive views about social media. U.S. students relied on the CDC as a source of information while international students utilized the WHO. Conclusion: U.S. students had a more negative outlook as the pandemic progressed. It is difficult to draw comparisons within the international cohort due to limited responses obtained in 2022
{"title":"Impact of the COVID-19 Pandemic on Medical Students and Students’ Perspectives on COVID-19 Policies and Social Media in 2021 and 2022","authors":"Ghazal Becker, Alexis M. Stoner, Emily K. Ranta, Riddhi Shah, Victoria Reyes, H. Sutphin, El Instituto, Tecnológico de, Santo Domingo, Dominican Republic","doi":"10.5195/ijms.2023.2061","DOIUrl":"https://doi.org/10.5195/ijms.2023.2061","url":null,"abstract":"Background: The COVID-19 pandemic affected medical students in several ways in 2021 and 2022. In continuation of a previous study, this study sought to determine how the changing nature of the pandemic affected medical students’ knowledge, experiences, perspectives on the policies and resources in 2022 compared to 2021.\u0000Methods: A qualitative study was conducted via open-ended journaling in 2021 and 2022. Participants were recruited from medical students in the U.S. as well as in Central America and the Caribbean, who were enrolled in a “Global Seminar for Health and Environment”.\u0000Results: A total of 142 and 72 responses were obtained in 2021 and 2022 respectively. Regarding the COVID-19 policies, U.S. students were thankful for vaccinations and approved of initiatives in their regions in 2021. Later, they were equally divided regarding region-specific pandemic policies. International students mainly approved of the policies in both years. Students consistently noted negative mental health impacts and difficulty with social limitations. U.S. students noted decreased academic opportunities in both years while international students noted family concerns in 2021. U.S. students held negative views about social media due to fearmongering in 2021 and politicization in 2022. International students held neutral and/or positive views about social media. U.S. students relied on the CDC as a source of information while international students utilized the WHO.\u0000Conclusion: U.S. students had a more negative outlook as the pandemic progressed. It is difficult to draw comparisons within the international cohort due to limited responses obtained in 2022","PeriodicalId":73459,"journal":{"name":"International journal of medical students","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74326514","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}
Ata ul Haiy, Tehreem K. Ramay, Roshaan Haider, Amna Shamim, S. A. Kazmi, M. A. Aslam, Nasiha Khalid
Background: In cardiac anatomy, the term "dominance" refers to the supply of the posterior descending artery (PDA). Therefore, the PDA might arise from the left circumflex artery (LCX), the right coronary artery (RCA), or both, resulting in left dominant (LD), right dominant (RD), or co-dominant (CD) anatomy, respectively. Few studies have examined the relationship between coronary dominance and coronary artery disease (CAD) severity. CAD severity is defined as single, double, or triple vessel disease based on degree of stenosis. Our study intends to identify coronary dominance trends in Pakistan and show a correlation between coronary dominance and the severity of CAD. Methods: Between Jun 17, 2018 and August 4, 2018 data from coronary angiographies of 631 patients at a tertiary care hospital in Pakistan was collected. Patients were classified as LD, RD, or CD as reported in the results of coronary angiograms. We utilized a chi-square and multinomial logistic regression analyses to assess whether a correlation exists between coronary dominance and CAD severity. Results: Subjects were 78.9% RD, 10.5% LD, and 10.6% CD. A significant relation between dominance and severity of CAD was noted, ꭕ2(8, N=631) = 17.58, p=0.025. Individuals with right dominance had a greater chance of developing triple-vessel disease than single-vessel (p =0.025; OR = 0.451; 95% CI for OR: 0.224–0.906) and two-vessel disease (p = 0.029; OR = 0.471; 95% CI for OR: 0.239–0.926). Conclusion: In our study, right dominance has a positive correlation with severity of coronary artery disease.
{"title":"Patterns of Coronary Artery Dominance and Association with Severity of Coronary Artery Disease at a Large Tertiary Care Hospital in Pakistan","authors":"Ata ul Haiy, Tehreem K. Ramay, Roshaan Haider, Amna Shamim, S. A. Kazmi, M. A. Aslam, Nasiha Khalid","doi":"10.5195/ijms.2023.1430","DOIUrl":"https://doi.org/10.5195/ijms.2023.1430","url":null,"abstract":"Background: In cardiac anatomy, the term \"dominance\" refers to the supply of the posterior descending artery (PDA). Therefore, the PDA might arise from the left circumflex artery (LCX), the right coronary artery (RCA), or both, resulting in left dominant (LD), right dominant (RD), or co-dominant (CD) anatomy, respectively. Few studies have examined the relationship between coronary dominance and coronary artery disease (CAD) severity. CAD severity is defined as single, double, or triple vessel disease based on degree of stenosis. Our study intends to identify coronary dominance trends in Pakistan and show a correlation between coronary dominance and the severity of CAD.\u0000Methods: Between Jun 17, 2018 and August 4, 2018 data from coronary angiographies of 631 patients at a tertiary care hospital in Pakistan was collected. Patients were classified as LD, RD, or CD as reported in the results of coronary angiograms. We utilized a chi-square and multinomial logistic regression analyses to assess whether a correlation exists between coronary dominance and CAD severity.\u0000Results: Subjects were 78.9% RD, 10.5% LD, and 10.6% CD. A significant relation between dominance and severity of CAD was noted, ꭕ2(8, N=631) = 17.58, p=0.025. Individuals with right dominance had a greater chance of developing triple-vessel disease than single-vessel (p =0.025; OR = 0.451; 95% CI for OR: 0.224–0.906) and two-vessel disease (p = 0.029; OR = 0.471; 95% CI for OR: 0.239–0.926).\u0000Conclusion: In our study, right dominance has a positive correlation with severity of coronary artery disease.","PeriodicalId":73459,"journal":{"name":"International journal of medical students","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87216465","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}
Background: A common peroneal nerve (CPN) injury located at the knee level, occurring as a consequence of hip surgery is described in the literature. However, there are only a few papers focusing on their surgical management, while there are no thoroughly analyzed cases following open reduction and internal fixation (ORIF) of the acetabular fracture. This paper aimed to describe such a case and discuss current trends in the surgical management of these patients. Case: A 32-year-old woman was admitted to our department due to left-sided CPN palsy. The patient was injured in a traffic accident eight months earlier, followed by left hip dislocation and acetabular fracture. Following the acetabular fracture ORIF, a CPN palsy developed. The electromyoneurography (EMNG) and ultrasound (US) indicated a nerve lesion at the knee level. The surgical treatment included external neurolysis, decompression, and complete nerve deliberation, with the preservation of all nerve branches. The patient reported immediate relief and completely recovered 8 months following the surgery (Medical Research Council (MRC) grade = 5, Visual Analogous Scale (VAS) = 0). Conclusion: The cause of CPN palsy following hip surgery may not always be located in the hip region. A detailed anamnesis, physical examination, and diagnostic evaluation are necessary for the proper surgical management of these patients. In addition to the EMNG, the US should be essential in preoperative planning and choosing the most effective surgical strategy.
{"title":"Peroneal Nerve Injury due to Hip Surgery Located at the Knee Level: A Case Report","authors":"Aleksa Mićić, Stefan Radojević, Lukas Rasulić","doi":"10.5195/ijms.2023.1956","DOIUrl":"https://doi.org/10.5195/ijms.2023.1956","url":null,"abstract":"Background: A common peroneal nerve (CPN) injury located at the knee level, occurring as a consequence of hip surgery is described in the literature. However, there are only a few papers focusing on their surgical management, while there are no thoroughly analyzed cases following open reduction and internal fixation (ORIF) of the acetabular fracture. This paper aimed to describe such a case and discuss current trends in the surgical management of these patients. Case: A 32-year-old woman was admitted to our department due to left-sided CPN palsy. The patient was injured in a traffic accident eight months earlier, followed by left hip dislocation and acetabular fracture. Following the acetabular fracture ORIF, a CPN palsy developed. The electromyoneurography (EMNG) and ultrasound (US) indicated a nerve lesion at the knee level. The surgical treatment included external neurolysis, decompression, and complete nerve deliberation, with the preservation of all nerve branches. The patient reported immediate relief and completely recovered 8 months following the surgery (Medical Research Council (MRC) grade = 5, Visual Analogous Scale (VAS) = 0). Conclusion: The cause of CPN palsy following hip surgery may not always be located in the hip region. A detailed anamnesis, physical examination, and diagnostic evaluation are necessary for the proper surgical management of these patients. In addition to the EMNG, the US should be essential in preoperative planning and choosing the most effective surgical strategy.","PeriodicalId":73459,"journal":{"name":"International journal of medical students","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016471","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}
Background: Guillain-Barre Syndrome (GBS) is a rare acute autoimmune polyneuropathy, usually preceded by infections. It can be difficult to diagnose, especially in patients with underlying neurological comorbidities. Case: A 54-year-old male, with a long history of a prolapsed intervertebral disc, presented with progressive and asymmetrical onset tetraparesthesia for 4 weeks, which was associated with progressive paraparesis for 2 weeks. The diagnosis of GBS was initially missed due to a lack of relevant history of prior infection, atypical presentation (asymmetrical limb weakness), and radiological evidence of spinal stenosis. Nerve conduction study, cerebrospinal fluid analysis, and antiganglioside antibodies later confirmed the diagnosis of GBS. The patient was started on intravenous immunoglobulin and achieved significant improvement. He was discharged a week later and transferred to a rehabilitation hospital. Conclusion: GBS should not be excluded prior to diagnostic tests and lab work in neurological patients. Physicians should avoid over-reliance on radiological findings to conclude a diagnosis. Comprehensive history and examinations to understand the development of patients' presentations should be prioritized when establishing a diagnosis.
{"title":"Guillain-Barre Syndrome Mimicked by Spinal Stenosis in A Case of Chronic Prolapsed Intervertebral Disc: A Case Report","authors":"Yi Xuan Lee","doi":"10.5195/ijms.2023.1603","DOIUrl":"https://doi.org/10.5195/ijms.2023.1603","url":null,"abstract":"Background: Guillain-Barre Syndrome (GBS) is a rare acute autoimmune polyneuropathy, usually preceded by infections. It can be difficult to diagnose, especially in patients with underlying neurological comorbidities.\u0000Case: A 54-year-old male, with a long history of a prolapsed intervertebral disc, presented with progressive and asymmetrical onset tetraparesthesia for 4 weeks, which was associated with progressive paraparesis for 2 weeks. The diagnosis of GBS was initially missed due to a lack of relevant history of prior infection, atypical presentation (asymmetrical limb weakness), and radiological evidence of spinal stenosis. Nerve conduction study, cerebrospinal fluid analysis, and antiganglioside antibodies later confirmed the diagnosis of GBS. The patient was started on intravenous immunoglobulin and achieved significant improvement. He was discharged a week later and transferred to a rehabilitation hospital.\u0000Conclusion: GBS should not be excluded prior to diagnostic tests and lab work in neurological patients. Physicians should avoid over-reliance on radiological findings to conclude a diagnosis. Comprehensive history and examinations to understand the development of patients' presentations should be prioritized when establishing a diagnosis.","PeriodicalId":73459,"journal":{"name":"International journal of medical students","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84478106","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}
R. Suteja, I. Adiputra, C. Purnamasidhi, K. Harmayani, N. Susilawathi, Jerry, P. Wulandari, I. Weisnawa, G. Purnama, D. Junior, D. Shanti
Impacting the community does not always mean creating exponential growth, it can also mean bringing small and sustainable changes to improve people’s quality of life. Living in a developing country, we had a first-hand experience of seeing life in underprivileged communities. This experience expanded our desire to serve communities around us. However, due to the emergence of COVID-19 in Indonesia, most of the plans to contribute to our community were halted. Strict outbreak control measures, which restricted people’s mobility, prohibited visits to these underprivileged communities.
{"title":"Inviting Environmental Awareness Through Small, Sustainable Acts: Medical Students Impacting the Community","authors":"R. Suteja, I. Adiputra, C. Purnamasidhi, K. Harmayani, N. Susilawathi, Jerry, P. Wulandari, I. Weisnawa, G. Purnama, D. Junior, D. Shanti","doi":"10.5195/ijms.2023.1706","DOIUrl":"https://doi.org/10.5195/ijms.2023.1706","url":null,"abstract":"Impacting the community does not always mean creating exponential growth, it can also mean bringing small and sustainable changes to improve people’s quality of life. Living in a developing country, we had a first-hand experience of seeing life in underprivileged communities. This experience expanded our desire to serve communities around us. However, due to the emergence of COVID-19 in Indonesia, most of the plans to contribute to our community were halted. Strict outbreak control measures, which restricted people’s mobility, prohibited visits to these underprivileged communities.","PeriodicalId":73459,"journal":{"name":"International journal of medical students","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87585785","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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