S. Bhat, M. Bhat, Adil Ahmad, M. Ahmed, Syed Javaid Qadri
Background: Benign Prostatic Hyperplasia (BPH) is one of the most common urological diseases seen in aging men. Surgical treatment is recommended for patients unresponsive to medical therapy or those who have developed BPH-related complications. Enucleation procedure distinguished itself as a successful treatment option in large BPH patients, mimics open prostate enucleation, characterized by good surgical efficiency, reduced complications, faster postoperative recovery, similar prostatic tissue ablation capabilities and satisfactory follow-up results compared with the open technique. Objectives: To assess the safety and efficacy of transurethral enucleation of prostate. Methods: Patients aged above 45 years with symptoms of bladder outlet obstruction due to BPH, with maximal urinary flow rate (Qmax) of <15 ml/s, failure to relieve symptoms by medications or acute urinary retention failing at least one trial without catheter or recurrent gross hematuria due to prostatomegaly or upper urinary tract changes due to bladder outlet obstruction due to BPH and patient willing to undergo Transurethral Resection of the Prostate (TUEP) were included in this study. Results: In our study patients aged between 55-90 years were enrolled. Most common presenting complaints were frequency and acute urinary retention. Mean preoperative prostate size was 102.9 ± 10.90g with a range of 84-126 g. Mean operative time was 86.71 ± 5.24 minutes. The mean postoperative ID catheter was 2.1+1.63 days. Postoperative uroflowmetry and International Prostate Symptom Score (IPSS) improved significantly. Conclusion: TUEP represents a promising endoscopic approach in large Benign Prostate Enlargement (BPE) cases, mimics conventional open method of enucleation of the prostate while having all the advantages of a minimally invasive surgery.
{"title":"Efficacy and Safety of Transurethral Enucleation of Prostate","authors":"S. Bhat, M. Bhat, Adil Ahmad, M. Ahmed, Syed Javaid Qadri","doi":"10.52916/jmrs224092","DOIUrl":"https://doi.org/10.52916/jmrs224092","url":null,"abstract":"Background: Benign Prostatic Hyperplasia (BPH) is one of the most common urological diseases seen in aging men. Surgical treatment is recommended for patients unresponsive to medical therapy or those who have developed BPH-related complications. Enucleation procedure distinguished itself as a successful treatment option in large BPH patients, mimics open prostate enucleation, characterized by good surgical efficiency, reduced complications, faster postoperative recovery, similar prostatic tissue ablation capabilities and satisfactory follow-up results compared with the open technique. Objectives: To assess the safety and efficacy of transurethral enucleation of prostate. Methods: Patients aged above 45 years with symptoms of bladder outlet obstruction due to BPH, with maximal urinary flow rate (Qmax) of <15 ml/s, failure to relieve symptoms by medications or acute urinary retention failing at least one trial without catheter or recurrent gross hematuria due to prostatomegaly or upper urinary tract changes due to bladder outlet obstruction due to BPH and patient willing to undergo Transurethral Resection of the Prostate (TUEP) were included in this study. Results: In our study patients aged between 55-90 years were enrolled. Most common presenting complaints were frequency and acute urinary retention. Mean preoperative prostate size was 102.9 ± 10.90g with a range of 84-126 g. Mean operative time was 86.71 ± 5.24 minutes. The mean postoperative ID catheter was 2.1+1.63 days. Postoperative uroflowmetry and International Prostate Symptom Score (IPSS) improved significantly. Conclusion: TUEP represents a promising endoscopic approach in large Benign Prostate Enlargement (BPE) cases, mimics conventional open method of enucleation of the prostate while having all the advantages of a minimally invasive surgery.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42327185","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}
Acute renal failure in cancer patients may be due to the existence of tumor cell lysis, in which large amounts of potassium, phosphate, and nucleic acids are released into the bloodstream and cause a cancerous emergency [1]. In addition, it causes metabolic abnormalities that lead to the formation of calcium phosphate, which precipitates into the tissues and some into the kidneys. Metabolic abnormalities increase levels of uric acid, which precipitates in the kidneys. Both situations can lead to End-Stage Renal Failure (ESRF) [2]. The medical solution at this stage is for patients on dialysis or solid organ kidney transplantation.
{"title":"Cancer in Kidney Transplant Recipients: Latest Findings","authors":"F. Tewes","doi":"10.52916/jmrs224091","DOIUrl":"https://doi.org/10.52916/jmrs224091","url":null,"abstract":"Acute renal failure in cancer patients may be due to the existence of tumor cell lysis, in which large amounts of potassium, phosphate, and nucleic acids are released into the bloodstream and cause a cancerous emergency [1]. In addition, it causes metabolic abnormalities that lead to the formation of calcium phosphate, which precipitates into the tissues and some into the kidneys. Metabolic abnormalities increase levels of uric acid, which precipitates in the kidneys. Both situations can lead to End-Stage Renal Failure (ESRF) [2]. The medical solution at this stage is for patients on dialysis or solid organ kidney transplantation.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49337280","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}
FJ Buils Vilalta, J. Cano, R. P. Butillé, J. Menéndez, M. García, G. Renau, N. Lobo, S. Haupt, A. S. Marín
Pancreatic Pseudocyst (PP) is a local complication due to rupture of the pancreatic duct in acute or chronic pancreatitis, trauma or obstruction of the pancreatic duct. Acute forms usually resolve spontaneously in more than 40% of cases and chronic forms usually do not disappear and are at higher risk of complications. They can be drained by surgical, laparoscopic, percutaneous and endoscopic methods. Percutaneous drainage may lead to an external pancreatic fistula and is not preferred Endoscopic internal drainage of pseudocysts has been shown to be effective and is less invasive compared to open surgery . We present a 70 year old male with a history of several episodes of acute pancreatitis with subsequent residual pseudocyst. Initially, an EUS-FNA/ERCP is performed with aspiration of the pseudocyst. Due to the subsequent recurrence months later, it was decided to consider a laparoscopic approach, to solve the recurrence, performing a laparoscopic cystogastrostomy. Postoperative period was uneventful and was discharged on the seventh post-intervention day.
{"title":"Laparoscopic Approach to Pancreatic Pseudocyst: A Case Report","authors":"FJ Buils Vilalta, J. Cano, R. P. Butillé, J. Menéndez, M. García, G. Renau, N. Lobo, S. Haupt, A. S. Marín","doi":"10.52916/jmrs224090","DOIUrl":"https://doi.org/10.52916/jmrs224090","url":null,"abstract":"Pancreatic Pseudocyst (PP) is a local complication due to rupture of the pancreatic duct in acute or chronic pancreatitis, trauma or obstruction of the pancreatic duct. Acute forms usually resolve spontaneously in more than 40% of cases and chronic forms usually do not disappear and are at higher risk of complications. They can be drained by surgical, laparoscopic, percutaneous and endoscopic methods. Percutaneous drainage may lead to an external pancreatic fistula and is not preferred Endoscopic internal drainage of pseudocysts has been shown to be effective and is less invasive compared to open surgery . We present a 70 year old male with a history of several episodes of acute pancreatitis with subsequent residual pseudocyst. Initially, an EUS-FNA/ERCP is performed with aspiration of the pseudocyst. Due to the subsequent recurrence months later, it was decided to consider a laparoscopic approach, to solve the recurrence, performing a laparoscopic cystogastrostomy. Postoperative period was uneventful and was discharged on the seventh post-intervention day.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47311147","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}
G. A. Lokossou, Pierre B Adjevi, Omar AK Maladé, Syeda Baneen Fatima, Muhammad Ayub Mansoor
Breastfeeding is associated with long-term well-being including low risks for infectious diseases and non-infectious diseases such as asthma, cancer, autoimmune diseases and obesity during childhood. However, very few studies assessed the real-impact of different methods of breastfeeding on infant morbidity in low-income countries such as Benin. Our study aimed to evaluate the dynamic change of immune components and the impact on infant morbidity among Beninese children population. Seventy-six children and their mothers were enrolled in colostrum, transitional and mature milk groups at the District Hospital of Comè in Bénin. Breast milk samples were collected one-time from mothers to assess total IgA, IgG and IgM and leukocytes by using spectrophotometry and level of microscopy, respectively. Mean or proportion comparisons were appreciated using a Mann-Whitney or Fisher’s exact tests, when appropriate. Forty (54.63%), six (7.89%) and thirty (39.47%) mother-infant pairs were enrolled in colostrum, transitional and mature milk groups respectively. The total number of leucocytes and antibodies were different in colostrum, transitional and mature milk. The prevalence of breastfeeding was 90.79% (n=69) in the population with 69.74% (n=53) of exclusive breastfed. Forty-five infants (84.91%) among exclusively breastfed infants were healthy whereas 4 (25%) among mixed breastfed infants and 4 (57.14%) among formula group were healthy (p=0.001). The total leucocytes count and IgA, IgG and IgM concentration decreases from colostrum through transition milk to mature milk. Our data showed a prevalence of exclusive breastfeeding which is associated to a positive clinical outcome on infant’s health. We have also confirmed decrease of antibodies and leucocytes during the maturation of breast milk.
{"title":"Maternal Breastfeeding Methods, Breastmilk-Derived Antibodies and Cells Concentrations and Their Impact on Infant Morbidity: Results from a Prospective Cohort in Southern Benin","authors":"G. A. Lokossou, Pierre B Adjevi, Omar AK Maladé, Syeda Baneen Fatima, Muhammad Ayub Mansoor","doi":"10.52916/jmrs224088","DOIUrl":"https://doi.org/10.52916/jmrs224088","url":null,"abstract":"Breastfeeding is associated with long-term well-being including low risks for infectious diseases and non-infectious diseases such as asthma, cancer, autoimmune diseases and obesity during childhood. However, very few studies assessed the real-impact of different methods of breastfeeding on infant morbidity in low-income countries such as Benin. Our study aimed to evaluate the dynamic change of immune components and the impact on infant morbidity among Beninese children population. Seventy-six children and their mothers were enrolled in colostrum, transitional and mature milk groups at the District Hospital of Comè in Bénin. Breast milk samples were collected one-time from mothers to assess total IgA, IgG and IgM and leukocytes by using spectrophotometry and level of microscopy, respectively. Mean or proportion comparisons were appreciated using a Mann-Whitney or Fisher’s exact tests, when appropriate. Forty (54.63%), six (7.89%) and thirty (39.47%) mother-infant pairs were enrolled in colostrum, transitional and mature milk groups respectively. The total number of leucocytes and antibodies were different in colostrum, transitional and mature milk. The prevalence of breastfeeding was 90.79% (n=69) in the population with 69.74% (n=53) of exclusive breastfed. Forty-five infants (84.91%) among exclusively breastfed infants were healthy whereas 4 (25%) among mixed breastfed infants and 4 (57.14%) among formula group were healthy (p=0.001). The total leucocytes count and IgA, IgG and IgM concentration decreases from colostrum through transition milk to mature milk. Our data showed a prevalence of exclusive breastfeeding which is associated to a positive clinical outcome on infant’s health. We have also confirmed decrease of antibodies and leucocytes during the maturation of breast milk.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42116825","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}
Artificial intelligence (AI) has the potential to speed up the exponential growth of cutting-edge technology, much way the Internet did. Due to intense competition from the private sector, governments, and businesspeople around the world, the Internet has already reached its peak as an exponential technology. In contrast, artificial intelligence is still in its infancy, and people all over the world are unsure of how it will impact their lives in the future. Artificial intelligence, is a field of technology that enables robots and computer programmes to mimic human intellect by teaching a predetermined set of software rules to learn by repetitive learning from experience and slowly moving toward maximum performance. Although this intelligence is still developing, it has already demonstrated five different levels of independence. Utilized initially to resolve issues. Next, think about solutions. Third, respond to inquiries. Fourth, use data analytics to generate forecasts. Fifth, make tactical recommendations. Massive data sets and "iterative algorithms," which use lookup tables and other data structures like stacks and queues to solve issues, make all of this possible. Iteration is a strategy where software rules are regularly adjusted to patterns in the data for a certain number of iterations. The artificial intelligence continuously makes small, incremental improvements that result in exponential growth, which enables the computer to become incredibly proficient at whatever it is trained to do. For each round of data processing, the artificial intelligence tests and measures its performance to develop new expertise. In order to address complicated problems, artificial intelligence aims to create computer systems that can mimic human behavior and exhibit human-like thought processes [1]. Artificial intelligence technology is being developed to give individualized medication in the field of healthcare. By 2030, six different artificial intelligence sectors will have considerably improved healthcare delivery through the utilization of larger, more accessible data sets. The first is machine learning. This area of artificial intelligence learns automatically and produces improved results based on identifying patterns in the data, gaining new insights, and enhancing the outcomes of whatever activity the system is intended to accomplish. It does this without being trained to learn a particular topic. Here are several instances of machine learning in the healthcare industry. The first is the IBM Watson Genomics, which aids in rapid disease diagnosis and identification by fusing cognitive computing with genome-based tumour sequencing. Second, a project called Nave Bayes allows for the prediction of diabetes years before an official diagnosis, before it results in harm to the kidneys, the heart, and the nerves. Third, employing two machine learning approaches termed classification and clustering to analyse the Indian Liver Patient Data (ILPD) set in orde
人工智能(AI)有可能加速尖端技术的指数级增长，就像互联网一样。由于来自世界各地的私营部门、政府和商人的激烈竞争，互联网已经达到了它作为指数技术的顶峰。相比之下，人工智能仍处于起步阶段，全世界的人们都不确定它将如何影响他们未来的生活。人工智能是一个技术领域，它使机器人和计算机程序能够模仿人类的智力，方法是教一套预先确定的软件规则，让它们通过从经验中反复学习，慢慢地向最佳表现靠拢。虽然这种智能仍在发展中，但它已经表现出了五个不同程度的独立性。最初用于解决问题。接下来，想想解决方案。第三，回应询问。第四，使用数据分析生成预测。第五，提出战术建议。大量的数据集和“迭代算法”，使用查找表和其他数据结构，如堆栈和队列来解决问题，使这一切成为可能。迭代是一种策略，其中软件规则在一定次数的迭代中定期调整为数据中的模式。人工智能不断地进行微小的、渐进式的改进，从而导致指数级增长，这使得计算机在训练它做的任何事情上都变得非常精通。对于每一轮数据处理，人工智能都会测试和衡量其性能，以开发新的专业知识。为了解决复杂的问题，人工智能旨在创造能够模仿人类行为并表现出类似人类思维过程的计算机系统。人们正在开发人工智能技术，以在医疗保健领域提供个性化药物。到2030年，六个不同的人工智能部门将通过利用更大、更容易获取的数据集，大大改善医疗保健服务。第一个是机器学习。人工智能的这一领域自动学习，并基于识别数据中的模式、获得新的见解以及增强系统打算完成的任何活动的结果来产生改进的结果。它不需要训练来学习特定的主题。以下是医疗保健行业中机器学习的几个例子。第一个是IBM沃森基因组学，它通过融合认知计算和基于基因组的肿瘤测序，帮助快速诊断和识别疾病。其次，一个名为“自然贝叶斯”的项目允许在正式诊断前几年预测糖尿病，在糖尿病对肾脏、心脏和神经造成伤害之前。第三，采用分类和聚类两种机器学习方法来分析印度肝脏患者数据(ILPD)集，以便在这个调节新陈代谢的器官易患慢性肝炎、肝癌和肝硬化之前预测肝脏疾病。第二，深度学习。深度学习利用人工智能从数据处理中学习，就像机器学习一样。另一方面，深度学习利用模拟人脑功能的合成神经网络来分析数据，识别数据之间的关系，并提供基于正强化和负强化的输出。例如，在磁共振成像(MRI)和计算机断层扫描(CT)领域，深度学习有助于图像识别和目标检测的过程。用于早期识别阿尔茨海默氏症、糖尿病视网膜病变和乳腺结节超声检测的深度学习算法是这项尖端技术在现实世界中的三个应用。深度学习的未来发展将在病理学和放射学图像方面取得相当大的进步。第三，神经网络。由于计算机的学习过程类似于人脑中的神经元网络，人工智能系统现在可以接受大量的数据集，在数据中找到模式，并对所处理信息的查询做出响应。让我们来看看现在适用于医疗保健部门的几个应用程序示例。根据约翰霍普金斯大学的研究，手术失误是医疗事故索赔的主要原因，因为仅在美国，由于外科医生的人为失误，每年就会发生4000多起。神经网络可以在机器人辅助手术中用于建模和计划手术过程，评估外科医生的能力，并简化手术活动。一项针对379名骨科患者的研究发现，使用神经网络的机器人手术比单个外科医生进行的手术并发症少五倍。 神经网络的另一个应用是可视化诊断，哈佛大学的研究人员通过将大猩猩的图像插入x射线向医生证明了这一点。在看过这些图像的放射科医生中，83%的人认不出大猩猩。休斯顿医学研究所(Houston Medical Research Institute)创建了一个乳腺癌早期检测项目，该项目能够以99%的准确率分析乳房x光照片，提供的诊断信息比人类的bbb快30倍。认知计算是第四个。旨在复制人和机器交互的方式，展示计算机在处理文本、语音或图像分析等具有挑战性的任务时如何像人脑一样运作。已经分析了大量的患者数据，到目前为止，大多数研究都集中在癌症、糖尿病和心血管疾病上。b谷歌、IBM、Facebook和苹果等公司都对这项工作表现出了兴趣。认知计算是2020年人工智能市场的最大组成部分，占总规模的39%。由于对个性化医疗数据的需求不断增长，医院占认知计算终端用户市场的42%。2014年，IBM投资了超过10亿美元用于开发WATSON分析平台生态系统，并与致力于为医疗保健业务创建各种基于云和应用程序的系统的初创公司合作，因为它预测了该领域对认知计算的需求。自然语言处理(NLP)是第五个。人工智能的这一领域使计算机能够理解和分析口语。这种预处理的初始阶段是将数据划分为更易于管理的语义单元，这只是为了使NLP系统更容易理解信息。由于NLP，临床试验开发在医疗保健领域正经历着指数级的扩张。首先，NLP使用语音到文本的听写和结构化数据输入在护理点提取临床数据，减少了人工评估复杂临床文书工作的需要。其次，使用NLP技术，医疗保健专业人员可以自动检查大量非结构化的临床和患者数据，以选择最合适的患者进行临床试验，这可能会改善患者的健康状况。计算机视觉排名第六。计算机视觉是人工智能的重要组成部分，它使用视觉数据作为输入，连续处理照片和视频，以便比手动完成同样的工作更快、更高质量地获得更好的结果。简而言之，医生现在可以更快、更早地诊断出癌症、糖尿病和心血管疾病等疾病。以下是计算机视觉技术取得显著进步的一些实际应用示例。乳房x光照片是由视觉系统分析的，目的是在早期发现乳腺癌。自动细胞计数是另一个来自现实世界的例子，它极大地减少了人为错误，并引起了对结果准确性的担忧，因为它们可能因审查员的经验和专注程度而有很大差异。计算机视觉在现实世界中的第三个应用是由人工智能实现的快速无痛的早期肿瘤检测。毫无疑问，计算机视觉具有不可估量的潜力，可以显著增强医疗保健的交付方式。除了视觉数据分析，临床医生还可以使用这项技术来加强他们的培训和技能发展。目前，Gramener是为医疗机构和研究机构提供计算机视觉解决方案的顶级公司。使用命令式而不是函数式编程语言是创建人工智能软件的关键困难之一。随着人工智能开始呈指数级增长，使用命令式编程语言的开发人员必须假设机器是愚蠢的，并提供详细的指令，这些指令容易受到高水平的维护和人为错误的影响。在拥有数十万行代码的软件中，人为错误检测是具有挑战性的。因此，大量的后续维护可能会变得非常昂贵，从而维持研究和开发的高支出。因此，软件开发人员对医疗保健的不合理的高成本做出了贡献。另一方面，函数式编程语言要求开发人员像计算机是数学家一样使用他们解决问题的能力。因此，与程序执行相同操作所需的代码行数相比，数学函数要短几个数量级。在拥有数十万行代码的软件中，人为错误检测是具有挑战性的。 因此，大量的后续维护可能会变得非常昂贵，维持高支出
{"title":"Artificial Intelligence in the American Healthcare Industry: Looking Forward to 2030","authors":"F. Tewes","doi":"10.52916/jmrs224089","DOIUrl":"https://doi.org/10.52916/jmrs224089","url":null,"abstract":"Artificial intelligence (AI) has the potential to speed up the exponential growth of cutting-edge technology, much way the Internet did. Due to intense competition from the private sector, governments, and businesspeople around the world, the Internet has already reached its peak as an exponential technology. In contrast, artificial intelligence is still in its infancy, and people all over the world are unsure of how it will impact their lives in the future. Artificial intelligence, is a field of technology that enables robots and computer programmes to mimic human intellect by teaching a predetermined set of software rules to learn by repetitive learning from experience and slowly moving toward maximum performance. Although this intelligence is still developing, it has already demonstrated five different levels of independence. Utilized initially to resolve issues. Next, think about solutions. Third, respond to inquiries. Fourth, use data analytics to generate forecasts. Fifth, make tactical recommendations. Massive data sets and \"iterative algorithms,\" which use lookup tables and other data structures like stacks and queues to solve issues, make all of this possible. Iteration is a strategy where software rules are regularly adjusted to patterns in the data for a certain number of iterations. The artificial intelligence continuously makes small, incremental improvements that result in exponential growth, which enables the computer to become incredibly proficient at whatever it is trained to do. For each round of data processing, the artificial intelligence tests and measures its performance to develop new expertise. In order to address complicated problems, artificial intelligence aims to create computer systems that can mimic human behavior and exhibit human-like thought processes [1]. Artificial intelligence technology is being developed to give individualized medication in the field of healthcare. By 2030, six different artificial intelligence sectors will have considerably improved healthcare delivery through the utilization of larger, more accessible data sets. The first is machine learning. This area of artificial intelligence learns automatically and produces improved results based on identifying patterns in the data, gaining new insights, and enhancing the outcomes of whatever activity the system is intended to accomplish. It does this without being trained to learn a particular topic. Here are several instances of machine learning in the healthcare industry. The first is the IBM Watson Genomics, which aids in rapid disease diagnosis and identification by fusing cognitive computing with genome-based tumour sequencing. Second, a project called Nave Bayes allows for the prediction of diabetes years before an official diagnosis, before it results in harm to the kidneys, the heart, and the nerves. Third, employing two machine learning approaches termed classification and clustering to analyse the Indian Liver Patient Data (ILPD) set in orde","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45077068","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: In our study, we aimed to examine the relationship between trauma-related thoracic vertebral fractures and/or rib fractures location, age and gender. Methods: Between January 1, 2020 and December 31, 2020, 100 patients with trauma-related thoracic vertebral fracture and/or rib fracture were included in the study. Rib fractures and thoracic vertebral fractures were analyzed according to age, gender, level and fracture type. The correlation between rib and vertebral fractures was investigated. Results: 72% of the patients were male and 28% were female, mean age was 48.49 ± 18.83. Thoracic vertebral corpus fractures were detected most frequently in T8 in 22 patients and in T1 in at least 1 patient. Spinous process fracture was found to be highest in T2 with 9 patients, and 1 patient each in T5, T6, and T12. Transverse processes fracture was seen in T9 with a maximum of 5 patients. Rib fractures were observed more frequently on the right. Displaced rib fractures were most common in the 6th and 7th ribs, and non-displaced rib fractures were observed in the 5th ribs with 9 patients. Left rib fractures were most common in the 5th rib, with 6 displaced patients and 8 non-displaced patients. When the thoracic vertebral fractures and rib fractures were examined depending on the age variable, it was determined that the fractures in the T2 spinous, T3 spinous, T5 corpus and T8 vertebral corpus, and rib fractures in the right 4,6,8,10 and left 2 and 4 differ depending on the age variable (p<0.05). When thoracic vertebral fractures and rib fractures were analyzed depending on gender, a correlation was found between T7 vertebral body fractures and left 6th rib fractures (p<0.05). Conclusion: The coexistence of vertebral and rib fractures should be kept in mind in trauma patients, and plans for diagnosis and treatment should be made accordingly.
{"title":"Evaluation of Traumatic Vertebra and Rib Fractures","authors":"Ahmet Dumanlı, Suphi Aydın, Gülcan Gencer","doi":"10.52916/jmrs224086","DOIUrl":"https://doi.org/10.52916/jmrs224086","url":null,"abstract":"Background: In our study, we aimed to examine the relationship between trauma-related thoracic vertebral fractures and/or rib fractures location, age and gender. Methods: Between January 1, 2020 and December 31, 2020, 100 patients with trauma-related thoracic vertebral fracture and/or rib fracture were included in the study. Rib fractures and thoracic vertebral fractures were analyzed according to age, gender, level and fracture type. The correlation between rib and vertebral fractures was investigated. Results: 72% of the patients were male and 28% were female, mean age was 48.49 ± 18.83. Thoracic vertebral corpus fractures were detected most frequently in T8 in 22 patients and in T1 in at least 1 patient. Spinous process fracture was found to be highest in T2 with 9 patients, and 1 patient each in T5, T6, and T12. Transverse processes fracture was seen in T9 with a maximum of 5 patients. Rib fractures were observed more frequently on the right. Displaced rib fractures were most common in the 6th and 7th ribs, and non-displaced rib fractures were observed in the 5th ribs with 9 patients. Left rib fractures were most common in the 5th rib, with 6 displaced patients and 8 non-displaced patients. When the thoracic vertebral fractures and rib fractures were examined depending on the age variable, it was determined that the fractures in the T2 spinous, T3 spinous, T5 corpus and T8 vertebral corpus, and rib fractures in the right 4,6,8,10 and left 2 and 4 differ depending on the age variable (p<0.05). When thoracic vertebral fractures and rib fractures were analyzed depending on gender, a correlation was found between T7 vertebral body fractures and left 6th rib fractures (p<0.05). Conclusion: The coexistence of vertebral and rib fractures should be kept in mind in trauma patients, and plans for diagnosis and treatment should be made accordingly.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46813494","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}
I. Ali, R. Zainab, Khubab Khalid, Syeda Baneen Fatima, Muhammad Ayub Mansoor, Khansa Abro
Gossypiboma is also called as retained foreign body or surgical sponge a rare and serious complication following the major surgical intervention. It is commonly occurred after major abdomino-pelvic surgery and can cause significant morbidity and mortality. We present a case of large gossypiboma within the liver parenchyma in post-operative patient radiologically mimicking the hydatid cyst and its surgical findings.
{"title":"Post-Cholecystectomy Gossypiboma Mimicking the Liver Hydatid Cyst","authors":"I. Ali, R. Zainab, Khubab Khalid, Syeda Baneen Fatima, Muhammad Ayub Mansoor, Khansa Abro","doi":"10.52916/jmrs224087","DOIUrl":"https://doi.org/10.52916/jmrs224087","url":null,"abstract":"Gossypiboma is also called as retained foreign body or surgical sponge a rare and serious complication following the major surgical intervention. It is commonly occurred after major abdomino-pelvic surgery and can cause significant morbidity and mortality. We present a case of large gossypiboma within the liver parenchyma in post-operative patient radiologically mimicking the hydatid cyst and its surgical findings.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48615860","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}
In July 2017, an Iraqi teenager girl suffered an acute burn on her right foot. She was in distress, in severe pain, with all stages of the burn. After the girl/her family's consent, I gave analgesia; utilized a mixed solution of olive oil and honey; dressed the burn; washed the oil mixture after one hour; encouraged the girl to walk with analgesi; ordered nutritional support; advised her to lift her burnt foot during rest. Two weeks later, this girl had an itching, so I applied cactus oil twice daily. After four weeks, the girl walked better, and the burn healed.
{"title":"Hazim Alhiti's Method for Local Burn Treatment","authors":"Hazim abdul rahman Alhiti","doi":"10.52916/jmrs22s205","DOIUrl":"https://doi.org/10.52916/jmrs22s205","url":null,"abstract":"In July 2017, an Iraqi teenager girl suffered an acute burn on her right foot. She was in distress, in severe pain, with all stages of the burn. After the girl/her family's consent, I gave analgesia; utilized a mixed solution of olive oil and honey; dressed the burn; washed the oil mixture after one hour; encouraged the girl to walk with analgesi; ordered nutritional support; advised her to lift her burnt foot during rest. Two weeks later, this girl had an itching, so I applied cactus oil twice daily. After four weeks, the girl walked better, and the burn healed.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44711393","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}
Aliya Ishaq, Muhammad jamshaid Khan, F. I. B. Juma, L. Itu, Sameera Naureen, Nisha Kunal, Yasir Aminabdellatif, A. Awa, Z. Abdulaziz
Background: Hematological malignancies present with gastrointestinal manifestations in the form of typhlitis, colitis and bowel perforation. Prompt diagnosis and appropriate treatment of these entities is essential because they are associated with high morbidity and mortality. Case report: We present a case report of a young female patient who was diagnosed with acute lymphoblastic leukemia and while being on induction chemotherapy started having fever, pneumonia, positive blood culture and was started for that on broad spectrum antibiotics after which she developed abdominal pain and loose motion and was found to have clostridial difficile a toxin positive in blood. Surgical consult was taken for non-settling abdominal pain. It was a challenging diagnosis as patient was having loose motion with positive clostridial difficile further more ct scan abdomen done with contrast showed only bowel thickening which was in favor of colitis along with ascites. She was initially managed conservatively and ascitic diagnostic tap also was done which showed serous fluid. However, her persistent abdominal pain which was not settling led her to go another ct scan abdomen after 3 days of initial ct scan and showed specks of free air around cecum based on which she was taken to operation theatre and was found to have big cecal perforation with fecal peritonitis, she ended up having right hemicolectomy and ileo transverse stoma formation. She had prolonged Intensive Care Unit (ICU) stay but eventually recovered fully and was shifted to general ward where after wound healing was taken over by hematology department for continuation of her chemotherapy. Final histopathology of right hemicolectomy specimen showed focal marked mucosal ulcerations/erosions with patchy submucosal neutrophilic abscesses with fibrinosuppurative necrosis, and marked serositis with dense acute (fibrinopurulent) inflammation, all bowel layers mucosa, sub mucosa, muscularis and serosa showed neutrophilic infiltrates, there was no evidence of pseudomembranous colitis, granuloma or malignancy. Conclusion: Patients on chemotherapy for hematological malignancies are neutropenic and are at high risk of bowel ischemia and perforation emanating to there primary disease, immunocompromised status and direct and indirect side effects of chemotherapeutic agents. A high index of suspicion is needed to diagnose these cases accurately and treat accordingly to prevent mortality.
{"title":"Cecal Perforation: Gastrointestinal Menifestation of Acute Lymphoblastic Leukemia","authors":"Aliya Ishaq, Muhammad jamshaid Khan, F. I. B. Juma, L. Itu, Sameera Naureen, Nisha Kunal, Yasir Aminabdellatif, A. Awa, Z. Abdulaziz","doi":"10.52916/jmrs22s204","DOIUrl":"https://doi.org/10.52916/jmrs22s204","url":null,"abstract":"Background: Hematological malignancies present with gastrointestinal manifestations in the form of typhlitis, colitis and bowel perforation. Prompt diagnosis and appropriate treatment of these entities is essential because they are associated with high morbidity and mortality. Case report: We present a case report of a young female patient who was diagnosed with acute lymphoblastic leukemia and while being on induction chemotherapy started having fever, pneumonia, positive blood culture and was started for that on broad spectrum antibiotics after which she developed abdominal pain and loose motion and was found to have clostridial difficile a toxin positive in blood. Surgical consult was taken for non-settling abdominal pain. It was a challenging diagnosis as patient was having loose motion with positive clostridial difficile further more ct scan abdomen done with contrast showed only bowel thickening which was in favor of colitis along with ascites. She was initially managed conservatively and ascitic diagnostic tap also was done which showed serous fluid. However, her persistent abdominal pain which was not settling led her to go another ct scan abdomen after 3 days of initial ct scan and showed specks of free air around cecum based on which she was taken to operation theatre and was found to have big cecal perforation with fecal peritonitis, she ended up having right hemicolectomy and ileo transverse stoma formation. She had prolonged Intensive Care Unit (ICU) stay but eventually recovered fully and was shifted to general ward where after wound healing was taken over by hematology department for continuation of her chemotherapy. Final histopathology of right hemicolectomy specimen showed focal marked mucosal ulcerations/erosions with patchy submucosal neutrophilic abscesses with fibrinosuppurative necrosis, and marked serositis with dense acute (fibrinopurulent) inflammation, all bowel layers mucosa, sub mucosa, muscularis and serosa showed neutrophilic infiltrates, there was no evidence of pseudomembranous colitis, granuloma or malignancy. Conclusion: Patients on chemotherapy for hematological malignancies are neutropenic and are at high risk of bowel ischemia and perforation emanating to there primary disease, immunocompromised status and direct and indirect side effects of chemotherapeutic agents. A high index of suspicion is needed to diagnose these cases accurately and treat accordingly to prevent mortality.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48203186","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}
Aliya Ishaq, Yasir Amin Abdellatif, Syed Mohammed Javed, Nisha Kunal, Sameera Naureen, Muhammad jamshaid Khan, M. Ali, A. Awa, E. Ghazi, Z. Abdulaziz
Background: Primary thyroid lymphoma are seen occasionally accounting for 5% among thyroid tumors. Commonest of these lymphomas is diffuse large B cell type. Case report: A 66 years old female presented to our Department with rapidly enlarging thyroid mass having difficulty in swallowing as well as breathing. She underwent left hemithyroidectomy 30 years ago for a benign disease. Clinicallly it was a large mass 20 × 20 cm hard inconsistency and clinically attached to sternocleidomastoid muscles with no skin and lymph node involvement. Computed Tomography (CT) scan of neck with contrast showed large ill-defined mass noted arising from the right lobe of the thyroid gland encasing the common carotid with loss of fat planes between the mass and the right jugular vein, sternocleidomastoid, trachea, esophagus suggesting involvement. She underwent incisional biopsy of mass which showed Diffuse Large B Cell Lymphoma (DLBCL). Discussion: Most of thyroid lymphomas originate from B cells. Fine Needle Aspiration Cytology (FNAC) can diagnose 80-85% of cases but definitive diagnosis can be made by biopsy only. Surgery has a limited role in treatment and main modality is chemoradiotherapy. Conclusion: A rapidly enlarged thyroid swelling should be suspected of having lymphoma specially on the background of lymphocytic thyroiditis and multidisciplinary team approach should be used for management.
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