Nabiha Mustafa, A. Khakwani, Mohammad Raza Khan, Areebah Qadir, Subhan Shah, S. Siddiqui, Babar Mirza, Memoona Khan, M. Anwar, Usman A Khan
Purpose: Scurvy is a disease that has ancient relevance but is a rare occurrence in the present times, due to the advancements in studies and convenient access to professional nutritionists and other services that provide guidance and plans to fulfil all nutritional requirements. In this case report, the authors present the case of a 68 year old male who was diagnosed with scurvy. The diagnosis and treatment of this disease has seen to be greatly delayed due to the infrequency of the cases reported, causing serious consequences for the patient. Scurvy presents with a variety of symptoms affecting the skin and soft tissues such as perifollicular hemorrhages, petechiae, bruising, and arthalgrias. Methodology: The patient was prescribed 250 mg vitamin C supplements (also called Ascorbic acid) 3 times a day and was monitored after 2 weeks to note signs of improvements. Physical examination included observing petechial haemorrhages and bruises. Blood test should be recommended to assess vitamin C levels in blood after the prescribed duration of time. Findings: The signs and symptoms were resolved after regular intake of ascorbic acid supplements for 2 weeks. Recommendation: The findings signifies the need for consideration of scurvy as a possible diagnosis for petechial rash and easy bruising along with other differentials even during the modern era.
{"title":"Scurvy in United States in 2022 – A Rare Nutritional Deficiency which may have been forgotten in the Developed Countries","authors":"Nabiha Mustafa, A. Khakwani, Mohammad Raza Khan, Areebah Qadir, Subhan Shah, S. Siddiqui, Babar Mirza, Memoona Khan, M. Anwar, Usman A Khan","doi":"10.47672/ajhmn.1235","DOIUrl":"https://doi.org/10.47672/ajhmn.1235","url":null,"abstract":"Purpose: Scurvy is a disease that has ancient relevance but is a rare occurrence in the present times, due to the advancements in studies and convenient access to professional nutritionists and other services that provide guidance and plans to fulfil all nutritional requirements. In this case report, the authors present the case of a 68 year old male who was diagnosed with scurvy. The diagnosis and treatment of this disease has seen to be greatly delayed due to the infrequency of the cases reported, causing serious consequences for the patient. Scurvy presents with a variety of symptoms affecting the skin and soft tissues such as perifollicular hemorrhages, petechiae, bruising, and arthalgrias. \u0000Methodology: The patient was prescribed 250 mg vitamin C supplements (also called Ascorbic acid) 3 times a day and was monitored after 2 weeks to note signs of improvements. Physical examination included observing petechial haemorrhages and bruises. Blood test should be recommended to assess vitamin C levels in blood after the prescribed duration of time. \u0000Findings: The signs and symptoms were resolved after regular intake of ascorbic acid supplements for 2 weeks. \u0000Recommendation: The findings signifies the need for consideration of scurvy as a possible diagnosis for petechial rash and easy bruising along with other differentials even during the modern era.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74097057","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}
M. K. Khan, Asiya Hassan, M. Hanif, Gohar Alam, L. Ali, Mohammad Naveed, I. Ullah
Purpose: The study aimed to assess the outcome and safety of PCCL in the pediatric population coming with bladder stones in developing countries. Methodology: Patients of pediatric age with vesical calculus were evaluated for PCCL. Department of Peads Urology Institute of Kidney Diseases Thirty participants were included in the single center study, with enrollment beginning in January 2000 and ending in August 2021. General anesthesia was used for the operation. Following a cystoscopy examination, a suprapubic puncture was performed, and the urethral tract was dilated to a maximum of 26 Fr. Pneumatic lithotripsy was used to break up the stone. A nephroscope was used to see where it was lodged so it could be removed. A percutaneous urethral catheter was inserted was taken out after 48 postoperative hours. Findings: The patients' median age was 4.1 (1-10). Patients tended to be men. The typical size of a gem was 10.1 millimeters. The average operational time to successfully remove the stones was just 30 minutes. Hematuria, infection, and mild mucosal damage were the only serious complications seen during or after surgery, and all were treated conservatively. Ammonium acid urate comprised the bulk of the stones and the nucleus in 26 cases (86%). Percutaneous suprapubic lithotripsy is a tested and reliable method with a high success rate for treating bladder stones in children. The procedure is short and has few adverse effects.
{"title":"The Efficacy and Safety of Percutaneous Cystolithotripsy for Vesical Calculus in Children: A Single-Center Study","authors":"M. K. Khan, Asiya Hassan, M. Hanif, Gohar Alam, L. Ali, Mohammad Naveed, I. Ullah","doi":"10.47672/ajhmn.1234","DOIUrl":"https://doi.org/10.47672/ajhmn.1234","url":null,"abstract":"Purpose: The study aimed to assess the outcome and safety of PCCL in the pediatric population coming with bladder stones in developing countries. \u0000Methodology: Patients of pediatric age with vesical calculus were evaluated for PCCL. Department of Peads Urology Institute of Kidney Diseases Thirty participants were included in the single center study, with enrollment beginning in January 2000 and ending in August 2021. General anesthesia was used for the operation. Following a cystoscopy examination, a suprapubic puncture was performed, and the urethral tract was dilated to a maximum of 26 Fr. Pneumatic lithotripsy was used to break up the stone. A nephroscope was used to see where it was lodged so it could be removed. A percutaneous urethral catheter was inserted was taken out after 48 postoperative hours. \u0000Findings: The patients' median age was 4.1 (1-10). Patients tended to be men. The typical size of a gem was 10.1 millimeters. The average operational time to successfully remove the stones was just 30 minutes. Hematuria, infection, and mild mucosal damage were the only serious complications seen during or after surgery, and all were treated conservatively. Ammonium acid urate comprised the bulk of the stones and the nucleus in 26 cases (86%). Percutaneous suprapubic lithotripsy is a tested and reliable method with a high success rate for treating bladder stones in children. The procedure is short and has few adverse effects.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88028494","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}
Mohammed Hemairi, Saleh Abdulkareem Al Harazi, Saleh Marzek Al Yazidi, Daifullah Oleyan Mirbad Al Malawi, Ahmed Hamdi Mohammed Al Amary, Mustafa Saad Al Malawi, I. Hakami
Purpose: Nursing is a stressful occupation, it had been theorized that work motivation influences the degree of job stress. However, there is lack of research about the relationship between motivation and stress in health organizations. Therefore, the current study aims to explore the impact of organization motivation on work stress among nurses working in a public hospital in the Kingdom of Saudi Arabia Methodology: Through a cross-sectional study, all nurses in Al-Leith hospital which is a semi-urban general public hospital were invited to be included in the study. They had been requested to a predesigned valid self-administered questionnaire including demographic variables, Motivation at work questionnaire (MWQ) and Workplace Stress Scale. SPSS ver 26 was used for data entry and statistical analysis; Pearson correlation coefficient was used and statistical significance was set at P-value <0.05. Findings: Out of all interviewed nurses (n=204), non-Saudis formed 78.9% and the majority were female (86.8%), and two thirds had bachelor qualification (66.2%). The overall mean scores for the domains of the organization motivation were highest in shared values (Total mean±SD; 3.8±0.85) and intrinsic job motivation (Total mean±SD; 3.8±0.79), while the lowest was on influence on work (Total mean±SD; 3.3±0.94). The total work stress score accounted for 2.7±0.73. The correlation matrix displayed showed that the work stress showed significantly negative correlation with all domains of the work motivation p<0.05. Recommendations: Work motivation, through its all domains, is inversely correlated with work stress. Stakeholders and policy makers of health organizations should take these findings in account when planning for improving occupational environment for nurses.
目的:护理是一种压力较大的职业，工作动机会影响工作压力的程度。然而，在卫生机构中，缺乏关于动机和压力之间关系的研究。因此，本研究旨在探讨组织动机对沙特阿拉伯王国公立医院护士工作压力的影响。方法:通过横断面研究，邀请半城市综合性公立医院Al-Leith医院的所有护士参与研究。他们被要求填写一份预先设计的有效的自我管理问卷，包括人口统计变量、工作动机问卷和工作压力量表。采用SPSS ver 26进行数据录入和统计分析;采用Pearson相关系数，p值<0.05，差异有统计学意义。结果:在所有受访护士(n=204)中，非沙特人占78.9%，大多数为女性(86.8%)，三分之二具有学士学位(66.2%)。组织动机各领域的总体平均得分在共享价值方面最高(Total mean±SD;3.8±0.85)和内在工作动机(Total mean±SD;3.8±0.79)，对工作的影响最低(Total mean±SD;3.3±0.94)。工作压力总分为2.7±0.73分。所示的相关矩阵显示，工作压力与工作动机各领域呈显著负相关，p<0.05。建议:在所有领域，工作动机与工作压力呈负相关。卫生组织的利益相关者和决策者在规划改善护士职业环境时应考虑到这些发现。
{"title":"The Effect of Work Motivation Model on Nurse’s Stress in Leith General Hospital, Kingdom of Saudi Arabia","authors":"Mohammed Hemairi, Saleh Abdulkareem Al Harazi, Saleh Marzek Al Yazidi, Daifullah Oleyan Mirbad Al Malawi, Ahmed Hamdi Mohammed Al Amary, Mustafa Saad Al Malawi, I. Hakami","doi":"10.47672/ajhmn.1231","DOIUrl":"https://doi.org/10.47672/ajhmn.1231","url":null,"abstract":"Purpose: Nursing is a stressful occupation, it had been theorized that work motivation influences the degree of job stress. However, there is lack of research about the relationship between motivation and stress in health organizations. Therefore, the current study aims to explore the impact of organization motivation on work stress among nurses working in a public hospital in the Kingdom of Saudi Arabia \u0000Methodology: Through a cross-sectional study, all nurses in Al-Leith hospital which is a semi-urban general public hospital were invited to be included in the study. They had been requested to a predesigned valid self-administered questionnaire including demographic variables, Motivation at work questionnaire (MWQ) and Workplace Stress Scale. SPSS ver 26 was used for data entry and statistical analysis; Pearson correlation coefficient was used and statistical significance was set at P-value <0.05. \u0000Findings: Out of all interviewed nurses (n=204), non-Saudis formed 78.9% and the majority were female (86.8%), and two thirds had bachelor qualification (66.2%). The overall mean scores for the domains of the organization motivation were highest in shared values (Total mean±SD; 3.8±0.85) and intrinsic job motivation (Total mean±SD; 3.8±0.79), while the lowest was on influence on work (Total mean±SD; 3.3±0.94). The total work stress score accounted for 2.7±0.73. The correlation matrix displayed showed that the work stress showed significantly negative correlation with all domains of the work motivation p<0.05. \u0000Recommendations: Work motivation, through its all domains, is inversely correlated with work stress. Stakeholders and policy makers of health organizations should take these findings in account when planning for improving occupational environment for nurses.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90315815","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}
Georges Tibi, Bonareri Regina, Winstone Okumu, Kainde Musyoka, Candy Anyango, Ben Mutiria
Purpose: The objective was to determine the social-economic factors influencing blended learning among students in Kenya Medical Training College Methodology: A cross-sectional descriptive study was done. In the KMTC campuses the average student population is thirty thousand (30,000). The research used simple random sampling in the selected campuses. The sample size was 384. Primary data was collected using questionnaires and Quantitative data was analyzed using descriptive statistics whereas qualitative data was analyzed using content analysis. Qualitative data was transformed into themes and analyzed with the helped of SPSS version 25. Collected data was edited, sorted, cleaned and coded for data analysis. Findings: The study concluded that Proficiency in the use of a learning device and cost are major challenges that hinder success of blended learning. Most respondents feel that blended learning is expensive. The study also concluded that students have devices that they can use for online learning and that students can access the college e-learning platform on season basis, Unique contribution to Theory, Practice and Policy: The study recommends that the institutions should Strengthening of campus internet services to support E learning. The study further recommended that the policy on delivery of learning instructions and materials should be reviewed to reflect the changing times. Further, policy makers need to consider the characteristics of the learners and trainers so as to reduce the barriers to successful implementation of blended learning by applying different strategies to each category of adopters.
{"title":"SOCIAL-ECONOMIC FACTORS INFLUENCING BLENDED LEARNING AMONG STUDENTS IN KENYA MEDICAL TRAINING COLLEGE","authors":"Georges Tibi, Bonareri Regina, Winstone Okumu, Kainde Musyoka, Candy Anyango, Ben Mutiria","doi":"10.47672/ajhmn.1229","DOIUrl":"https://doi.org/10.47672/ajhmn.1229","url":null,"abstract":"Purpose: The objective was to determine the social-economic factors influencing blended learning among students in Kenya Medical Training College \u0000Methodology: A cross-sectional descriptive study was done. In the KMTC campuses the average student population is thirty thousand (30,000). The research used simple random sampling in the selected campuses. The sample size was 384. Primary data was collected using questionnaires and Quantitative data was analyzed using descriptive statistics whereas qualitative data was analyzed using content analysis. Qualitative data was transformed into themes and analyzed with the helped of SPSS version 25. Collected data was edited, sorted, cleaned and coded for data analysis. \u0000Findings: The study concluded that Proficiency in the use of a learning device and cost are major challenges that hinder success of blended learning. Most respondents feel that blended learning is expensive. The study also concluded that students have devices that they can use for online learning and that students can access the college e-learning platform on season basis, \u0000Unique contribution to Theory, Practice and Policy: The study recommends that the institutions should Strengthening of campus internet services to support E learning. The study further recommended that the policy on delivery of learning instructions and materials should be reviewed to reflect the changing times. Further, policy makers need to consider the characteristics of the learners and trainers so as to reduce the barriers to successful implementation of blended learning by applying different strategies to each category of adopters.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"124 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73980020","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}
M. Nabi, Erum Habib, Rubina Ahmed, Muhammad Yaseen, N. Ali, Shah Abdur Rahim
Introduction: Changes in posture, blood physiology, weight increase, changes in musculotendinous strength, and joints and ligaments laxity are only some of the physical changes that occur during pregnancy. According to several studies, pregnancy-related back discomfort affects 25% to 75% of women. The primary goal of this research is to provide a comprehensive picture of women's musculoskeletal issues during pregnancy and identify the most prevalent triggers of pregnancy-related musculoskeletal discomfort. Methodology: From Jan 2019 to Jan 2020, the Department of Orthopedic Surgery Territory Care Hospital performed this investigation. In this research, 92 women were enrolled after the IRB (Institutional Review Board) of the Territory Care Hospital approved the study's ethical standards. This research monitored patients throughout their pregnancies to see if they had any musculoskeletal issues. Pregnant women between the ages of 18 and 45 who had a term pregnancy (37-42 weeks) were included in the research. The authors didn't include women with any history of rheumatoid arthritis, osteoarthritis, or SLE, a systemic autoimmune disease. Findings: Participants in the research were 32.18 years old on average with a standard deviation of 7.82 years. Moreover, half of the participants were college graduates, 71. (76.44%) while pregnant, participants gained an average weight of 14.70 and 7.82 kg. Only four (4 %) of these women engaged in aerobic activity. Most study participants reported musculoskeletal complaints at night with 75 reporting nighttime symptoms (85%). There were 82 (90%) people with low back pain, 10 (10%) participants with arthralgia, 35 (40%) participants with arthritis, and 32 (35%) participants with neck pain in the study. Pregnancy-related musculoskeletal issues substantially drain the health care system's budget. Arthritis and neck discomfort is among the most prevalent musculoskeletal complaints. Pregnancy-related weight gain and inactivity exacerbate these issues. The findings of this research need to be validated in more extensive trials.
{"title":"Musculoskeletal Disorders in Pakistani Women during Pregnancy: A Population Base Study","authors":"M. Nabi, Erum Habib, Rubina Ahmed, Muhammad Yaseen, N. Ali, Shah Abdur Rahim","doi":"10.47672/ajhmn.1202","DOIUrl":"https://doi.org/10.47672/ajhmn.1202","url":null,"abstract":"Introduction: Changes in posture, blood physiology, weight increase, changes in musculotendinous strength, and joints and ligaments laxity are only some of the physical changes that occur during pregnancy. According to several studies, pregnancy-related back discomfort affects 25% to 75% of women. The primary goal of this research is to provide a comprehensive picture of women's musculoskeletal issues during pregnancy and identify the most prevalent triggers of pregnancy-related musculoskeletal discomfort. \u0000Methodology: From Jan 2019 to Jan 2020, the Department of Orthopedic Surgery Territory Care Hospital performed this investigation. In this research, 92 women were enrolled after the IRB (Institutional Review Board) of the Territory Care Hospital approved the study's ethical standards. This research monitored patients throughout their pregnancies to see if they had any musculoskeletal issues. Pregnant women between the ages of 18 and 45 who had a term pregnancy (37-42 weeks) were included in the research. The authors didn't include women with any history of rheumatoid arthritis, osteoarthritis, or SLE, a systemic autoimmune disease. \u0000Findings: Participants in the research were 32.18 years old on average with a standard deviation of 7.82 years. Moreover, half of the participants were college graduates, 71. (76.44%) while pregnant, participants gained an average weight of 14.70 and 7.82 kg. Only four (4 %) of these women engaged in aerobic activity. Most study participants reported musculoskeletal complaints at night with 75 reporting nighttime symptoms (85%). There were 82 (90%) people with low back pain, 10 (10%) participants with arthralgia, 35 (40%) participants with arthritis, and 32 (35%) participants with neck pain in the study. Pregnancy-related musculoskeletal issues substantially drain the health care system's budget. Arthritis and neck discomfort is among the most prevalent musculoskeletal complaints. Pregnancy-related weight gain and inactivity exacerbate these issues. The findings of this research need to be validated in more extensive trials.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"94 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87509949","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}
Obene Tonye Adaiyi, Abhulimen Victor , Echem Richard
Purpose: Gunshot wounds to the extremities are a major cause of death and disability. The Red Cross Wound Score (RCWS) is a simple classification system that is thought to fairly assess severity of injury, influence surgical management and a good predictor of outcome in gunshot wounds. This study aims to evaluate the correlation between the Red Cross Wound Score RCWS and initial response to management. Methodology: This was a prospective study recruiting all consenting patients who suffered gunshot wounds to any extremity and presented at the University of Port Harcourt Teaching Hospital (UPTH). The study was conducted over a 12-month period between October 2018 and September 2019. Data on demographics, anatomical region of the body involved, type of gun time between injury and hospital presentation were obtained using a proforma. Analysis of extracted data was done by the aid of SPSS for Windows version 20. Findings: A total of 106 wounds from 82 patients were analyzed; seventy males (85.4%) and 12 females. AK 47 rifles and locally fabricated pistols were the wounding weapons in 32.9% and the left leg (28.3%) was the most injured extremity. Fifty-two wounds (49%) were grade 3, 44 (41.5%) wounds grade 2 and 10 wounds (9.4%) grade 1. There was a positive association between RCWS grade 3 wounds and limb length discrepancy and joint stiffness. Vascular injuries were seen in 6 patients (0.07%). Wound infection (46.2%), joint stiffness (41.5%) and shortening (34%) were the common complications in the study. The study showed that young adult males suffered more gunshot wounds than females. Most of the wounds were RCWS grade 3 and there was a positive association between RCWS grade 3 wounds and limb length discrepancy and joint stiffness. Patients with longer mean presentation time had a higher infection rate. Recommendations: The Red Cross wound classification should be adopted as a useful scoring system. Also, patients with gunshot injuries should present earlier to the hospital to reduce complications.
目的:四肢枪伤是造成死亡和残疾的一个主要原因。红十字伤口评分(RCWS)是一种简单的分类系统，可以公平地评估损伤的严重程度，影响手术治疗，并能很好地预测枪伤的预后。本研究旨在评估红十字伤口评分(RCWS)与患者对治疗的初步反应之间的相关性。方法:这是一项前瞻性研究，招募了所有在哈科特港大学教学医院(UPTH)接受过枪伤的患者。该研究在2018年10月至2019年9月的12个月期间进行。使用形式表格获得了人口统计数据、受伤者的解剖区域、枪伤类型和入院时间等数据。采用SPSS for Windows version 20软件对提取的数据进行分析。结果:分析82例患者106处伤口;男性70例(85.4%)，女性12例。AK - 47步枪和本地制造的手枪是32.9%的受伤武器，左腿(28.3%)是受伤最严重的肢体。3级52例(49%)，2级44例(41.5%)，1级10例(9.4%)。RCWS 3级伤口与肢体长度差异和关节刚度呈正相关。血管损伤6例(0.07%)。伤口感染(46.2%)、关节僵硬(41.5%)和关节缩短(34%)是本研究中常见的并发症。研究表明，年轻的成年男性比女性遭受更多的枪伤。大多数伤口为RCWS 3级，RCWS 3级伤口与肢体长度差异和关节刚度呈正相关。平均就诊时间越长，感染率越高。建议:应采用红十字伤口分类作为一种有用的评分系统。此外，枪伤患者应尽早到医院就诊，以减少并发症。
{"title":"Evaluation of Gunshot Wounds to the Extremities: Correlation of Red Cross Wound Score and Initial Response to Management","authors":"Obene Tonye Adaiyi, Abhulimen Victor , Echem Richard ","doi":"10.47672/ajhmn.1191","DOIUrl":"https://doi.org/10.47672/ajhmn.1191","url":null,"abstract":"Purpose: Gunshot wounds to the extremities are a major cause of death and disability. The Red Cross Wound Score (RCWS) is a simple classification system that is thought to fairly assess severity of injury, influence surgical management and a good predictor of outcome in gunshot wounds. This study aims to evaluate the correlation between the Red Cross Wound Score RCWS and initial response to management. \u0000Methodology: This was a prospective study recruiting all consenting patients who suffered gunshot wounds to any extremity and presented at the University of Port Harcourt Teaching Hospital (UPTH). The study was conducted over a 12-month period between October 2018 and September 2019. Data on demographics, anatomical region of the body involved, type of gun time between injury and hospital presentation were obtained using a proforma. Analysis of extracted data was done by the aid of SPSS for Windows version 20. \u0000Findings: A total of 106 wounds from 82 patients were analyzed; seventy males (85.4%) and 12 females. AK 47 rifles and locally fabricated pistols were the wounding weapons in 32.9% and the left leg (28.3%) was the most injured extremity. Fifty-two wounds (49%) were grade 3, 44 (41.5%) wounds grade 2 and 10 wounds (9.4%) grade 1. There was a positive association between RCWS grade 3 wounds and limb length discrepancy and joint stiffness. Vascular injuries were seen in 6 patients (0.07%). Wound infection (46.2%), joint stiffness (41.5%) and shortening (34%) were the common complications in the study. The study showed that young adult males suffered more gunshot wounds than females. Most of the wounds were RCWS grade 3 and there was a positive association between RCWS grade 3 wounds and limb length discrepancy and joint stiffness. Patients with longer mean presentation time had a higher infection rate. \u0000Recommendations: The Red Cross wound classification should be adopted as a useful scoring system. Also, patients with gunshot injuries should present earlier to the hospital to reduce complications.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74828878","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}
Majed Nawar Almutairi, Khalid Adbulkareem Alotaibi, Wael Ramadan Al Anazi, Abdulaziz Saleh Alrshaid, Mohammed Obaid Alshammari, Abdulaziz Ahmed Q Alanazi, Abrahim Abrahim, M. Alfahad, K. Alghamdi, Turki Khalaf Alonazi, Mohammed Hassan Alsomali
Purpose: The objective of the current study was to investigate the role of respiratory therapy in increasing compliance to medication among asthma patients in Saudi Arabia. Compliance to medication has positive impacts on the health outcomes of patients with respiratory diseases. Methodology: The population of the current study included 1,500 respiratory therapists in the country of which 38 were selected using simple random sampling to participate in an online survey. The study adopted descriptive research design to investigate the methods preferred as intervention to increase compliance to medication. Findings: According to the findings, most of the respiratory therapists preferred to tailor their care to the needs of the patients. A significant difference was observed between the methods used by respiratory therapists at rural and urban settings. Recommendation: Healthcare professionals should apply respiratory therapy to increase the compliance to severe asthma patients to medication based on the needs of the patients.
{"title":"Increasing the Compliance of Severe Asthma Patients with Respiratory Therapy","authors":"Majed Nawar Almutairi, Khalid Adbulkareem Alotaibi, Wael Ramadan Al Anazi, Abdulaziz Saleh Alrshaid, Mohammed Obaid Alshammari, Abdulaziz Ahmed Q Alanazi, Abrahim Abrahim, M. Alfahad, K. Alghamdi, Turki Khalaf Alonazi, Mohammed Hassan Alsomali","doi":"10.47672/ajhmn.1176","DOIUrl":"https://doi.org/10.47672/ajhmn.1176","url":null,"abstract":"Purpose: The objective of the current study was to investigate the role of respiratory therapy in increasing compliance to medication among asthma patients in Saudi Arabia. Compliance to medication has positive impacts on the health outcomes of patients with respiratory diseases. \u0000Methodology: The population of the current study included 1,500 respiratory therapists in the country of which 38 were selected using simple random sampling to participate in an online survey. The study adopted descriptive research design to investigate the methods preferred as intervention to increase compliance to medication. \u0000Findings: According to the findings, most of the respiratory therapists preferred to tailor their care to the needs of the patients. A significant difference was observed between the methods used by respiratory therapists at rural and urban settings. \u0000Recommendation: Healthcare professionals should apply respiratory therapy to increase the compliance to severe asthma patients to medication based on the needs of the patients.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87825117","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}
Purpose: Testicular cancer is rare with increasing incidence worldwide. Testicular cancer can mimic many other diseases leading to delay in diagnosis. Delays in diagnosis and management of testicular cancer are associated with advanced stage, increased morbidity and poor prognosis. This case report aims to highlight a case of testicular cancer who presented with metastasis due to delays in testicular cancer diagnosis and ways to improve diagnosis. Methodology: The study focused on a 17-year-old boy presented with severe intermittent abdominal pain for a month. He was reviewed by the general physicians, internists, haematologists, radiologists, general surgeons and urologists. He was given several diagnoses before he was correctly diagnosed as advanced right testicular cancer. It took a total of 31 days in a tertiary institution to reach this diagnosis. Findings: The boy had a radical right inguinal orchidectomy. He had 4 courses of bleomycin, etoposide and cisplatin chemotherapy. He made remarkable recovery after treatment. A follow up was recommended closely with abdominal CT, and serum tumour markers (reverted to normal after treatment). Recommendations: Prompt diagnosis of testicular cancer can reduce treatment delays. Physician education, adequate patient evaluation, investigations, and a high index of suspicion would aid diagnosis. Health awareness campaign, testicular self-examination, and good health insurance schemes would reduce patient-related factors which result in delays. Reduction in diagnostic delay is expected to improve outcome and reduce cost of management of the disease.
{"title":"Testicular Cancer - The Great Masquerader","authors":"Abhulimen Victor, Danagogo Okigbeye","doi":"10.47672/ajhmn.1164","DOIUrl":"https://doi.org/10.47672/ajhmn.1164","url":null,"abstract":"Purpose: Testicular cancer is rare with increasing incidence worldwide. Testicular cancer can mimic many other diseases leading to delay in diagnosis. Delays in diagnosis and management of testicular cancer are associated with advanced stage, increased morbidity and poor prognosis. This case report aims to highlight a case of testicular cancer who presented with metastasis due to delays in testicular cancer diagnosis and ways to improve diagnosis. \u0000Methodology: The study focused on a 17-year-old boy presented with severe intermittent abdominal pain for a month. He was reviewed by the general physicians, internists, haematologists, radiologists, general surgeons and urologists. He was given several diagnoses before he was correctly diagnosed as advanced right testicular cancer. It took a total of 31 days in a tertiary institution to reach this diagnosis. \u0000Findings: The boy had a radical right inguinal orchidectomy. He had 4 courses of bleomycin, etoposide and cisplatin chemotherapy. He made remarkable recovery after treatment. A follow up was recommended closely with abdominal CT, and serum tumour markers (reverted to normal after treatment). \u0000Recommendations: Prompt diagnosis of testicular cancer can reduce treatment delays. Physician education, adequate patient evaluation, investigations, and a high index of suspicion would aid diagnosis. Health awareness campaign, testicular self-examination, and good health insurance schemes would reduce patient-related factors which result in delays. Reduction in diagnostic delay is expected to improve outcome and reduce cost of management of the disease.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90580093","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}
A. Magdy, M. Maher, Shady Ezaldin, Eslam Elhossieny, B. Zarif
Purpose: Telemedicine is representing the future of medical services. It shows many advantages and promising opportunities. It has been tried in different medical specialties. The COVID-19 pandemic has enhanced the establishment of telemedicine services worldwide. Low and middle income countries such as Egypt are still new to these technologies. The purpose of this study is to provide a snapshot data on the current situation in Egypt and assess its transition towards more integrated telemedicine services from the physicians' perspective. Methodology: This is a cross sectional survey through Online and offline questionnaire filled out by cardiologists selected randomly from different institutions in Egypt asking about their experience on the telemedicine (TM) services in Egypt. The data was validated by two authors separately. Findings: A total of 66 cardiology physicians have fully responded to the questionnaire on telemedicine in Egypt. Of the responding doctors, 57.6% said TM helped with emergent situations while 66.7% of them said lack of integrated assessment tools is a challenge hindering the transition towards TM in Egypt. The vast majority of doctors (95.5%) believe that the COVID-19 pandemic increased the usage of TM. Many physicians (77.3%) thought there should be guidelines and protocols to guide the online consultation process. Despite the fact this snapshot data has revealed that the Egyptian experience in TM service is far from the standard, it has showed that collaborative effort from all the stakeholders is mandatory. The COVID- 19 pandemic has enhanced the transition process, but some obstacles are still needed to overcome. Recommendations: Further research on the TM in Egypt is required to provide clearer insights on the situation. New strategies to be developed by the Egyptian government and the leading medical institutions are needed. Appropriate training and payment to the health care providers for the medical services are needed. Finally, working on the internet infrastructure and public health awareness and usage of medical applications are key elements in developing the TM service.
{"title":"The Egyptian Transition towards Telemedicine during the COVID-19 Pandemic: Cross-Sectional Survey","authors":"A. Magdy, M. Maher, Shady Ezaldin, Eslam Elhossieny, B. Zarif","doi":"10.47672/ajhmn.1158","DOIUrl":"https://doi.org/10.47672/ajhmn.1158","url":null,"abstract":"Purpose: Telemedicine is representing the future of medical services. It shows many advantages and promising opportunities. It has been tried in different medical specialties. The COVID-19 pandemic has enhanced the establishment of telemedicine services worldwide. Low and middle income countries such as Egypt are still new to these technologies. The purpose of this study is to provide a snapshot data on the current situation in Egypt and assess its transition towards more integrated telemedicine services from the physicians' perspective. \u0000Methodology: This is a cross sectional survey through Online and offline questionnaire filled out by cardiologists selected randomly from different institutions in Egypt asking about their experience on the telemedicine (TM) services in Egypt. The data was validated by two authors separately. \u0000Findings: A total of 66 cardiology physicians have fully responded to the questionnaire on telemedicine in Egypt. Of the responding doctors, 57.6% said TM helped with emergent situations while 66.7% of them said lack of integrated assessment tools is a challenge hindering the transition towards TM in Egypt. The vast majority of doctors (95.5%) believe that the COVID-19 pandemic increased the usage of TM. Many physicians (77.3%) thought there should be guidelines and protocols to guide the online consultation process. Despite the fact this snapshot data has revealed that the Egyptian experience in TM service is far from the standard, it has showed that collaborative effort from all the stakeholders is mandatory. The COVID- 19 pandemic has enhanced the transition process, but some obstacles are still needed to overcome. \u0000Recommendations: Further research on the TM in Egypt is required to provide clearer insights on the situation. New strategies to be developed by the Egyptian government and the leading medical institutions are needed. Appropriate training and payment to the health care providers for the medical services are needed. Finally, working on the internet infrastructure and public health awareness and usage of medical applications are key elements in developing the TM service.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"191 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77757548","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}
Ahmed Mumtaz, Jehanzeb Akram, Nauman Nazir, Abul Hasan, Ramsha Ali, Ayesha Basharat, Alizay Tauqeer, Jowaria Imtiaz Warraich, Bismah Imtiaz Warraich, T. Khan
Purpose: Rickets is one of the most common diseases of childhood and is more prevalent in the developing countries. It affects the rapid growth phase of the children. Rickets is affected by different factors which are understudied in Pakistan. This study aimed to identify the risk factors that lead to rickets in children under five years of age among diagnosed cases of the nutritional rickets. This may cause reduction in the incidence of the rickets by prevention of the factors that lead to rickets in the children. Methodology: This descriptive cross-sectional study was performed in the pediatric outpatients department of the Holy Family Hospital, Rawalpindi, Pakistan for 1 year from June 2021 to June 2022 on 132 diagnosed cases of the nutritional rickets. Patients were enrolled via non- probability convenient sampling technique and a set developed inclusion and exclusion criteria. Data was collected through self-structured questionnaire after taking informed consent. Data analysis was done through SPSS version 25. Findings: Nutritional rickets was more common among children who had, age range from 1 to 3 years group (64.39%), male gender (68.94%), lower socioeconomic status (55.30%), exclusive breastfeeding (70.45%), cow’s milk use (71.96%), no sunlight exposure (66.67%), shorter duration of sunlight exposure (57.58%) fully dressed during sunlight exposure (40.90%), no oil massage during sunlight exposure (63.30%), poor nutritional status (72.73%), and mothers with poor nutritional status (69.70%). In short, age group with range 1 to 3 years, male gender, lower socioeconomic status, exclusive breastfeeding, cow’s milk use, no sunlight exposure, shorter duration of sunlight exposure, fully dressed during sunlight exposure, no oil massage during sunlight exposure, child poor nutritional status, and mothers with poor nutritional status, all raise the of the nutritional rickets in children of under five years age. Recommendations: Supplements should be added in the diet of children during breastfeeding. Also, there should be adequate sunlight exposure of children. Finally, malnutrition of both children and mothers should be treated.
{"title":"Risk Factors of Nutritional Rickets among Children Under-five Years of Age","authors":"Ahmed Mumtaz, Jehanzeb Akram, Nauman Nazir, Abul Hasan, Ramsha Ali, Ayesha Basharat, Alizay Tauqeer, Jowaria Imtiaz Warraich, Bismah Imtiaz Warraich, T. Khan","doi":"10.47672/ajhmn.1157","DOIUrl":"https://doi.org/10.47672/ajhmn.1157","url":null,"abstract":"Purpose: Rickets is one of the most common diseases of childhood and is more prevalent in the developing countries. It affects the rapid growth phase of the children. Rickets is affected by different factors which are understudied in Pakistan. This study aimed to identify the risk factors that lead to rickets in children under five years of age among diagnosed cases of the nutritional rickets. This may cause reduction in the incidence of the rickets by prevention of the factors that lead to rickets in the children. \u0000Methodology: This descriptive cross-sectional study was performed in the pediatric outpatients department of the Holy Family Hospital, Rawalpindi, Pakistan for 1 year from June 2021 to June 2022 on 132 diagnosed cases of the nutritional rickets. Patients were enrolled via non- probability convenient sampling technique and a set developed inclusion and exclusion criteria. Data was collected through self-structured questionnaire after taking informed consent. Data analysis was done through SPSS version 25. \u0000Findings: Nutritional rickets was more common among children who had, age range from 1 to 3 years group (64.39%), male gender (68.94%), lower socioeconomic status (55.30%), exclusive breastfeeding (70.45%), cow’s milk use (71.96%), no sunlight exposure (66.67%), shorter duration of sunlight exposure (57.58%) fully dressed during sunlight exposure (40.90%), no oil massage during sunlight exposure (63.30%), poor nutritional status (72.73%), and mothers with poor nutritional status (69.70%). In short, age group with range 1 to 3 years, male gender, lower socioeconomic status, exclusive breastfeeding, cow’s milk use, no sunlight exposure, shorter duration of sunlight exposure, fully dressed during sunlight exposure, no oil massage during sunlight exposure, child poor nutritional status, and mothers with poor nutritional status, all raise the of the nutritional rickets in children of under five years age. \u0000Recommendations: Supplements should be added in the diet of children during breastfeeding. Also, there should be adequate sunlight exposure of children. Finally, malnutrition of both children and mothers should be treated.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89808669","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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