{"title":"Clinical Case of a Combination of Endocrine, Metabolic, and Mental Pathologies: Hypopituitarism Associated with Organic Personality Disorder","authors":"B. Marzoog","doi":"10.2174/0250688204666230417092226","DOIUrl":"https://doi.org/10.2174/0250688204666230417092226","url":null,"abstract":"\u0000\u0000Psychiatric disorders are difficult to assess, diagnose, and treat in most cases. The present case describes an extremely rare psychological disorder in combination with metabolic and endocrine insufficiency.\u0000\u0000\u0000\u0000The condition of a 7-year-old child with inherited psychopathology from his father was found to be aggravated by his mother's alcoholism. The child was delivered in emergency from a primigravida/primipara mother due to preeclampsia and premature membrane rupture. The examinations involved clinical signs and symptoms and instrumental and laboratory findings. All laboratory results were compared with the normal range of the local laboratory. The results of the examination showed pronounced impairment in learning and controlling behavior, and communication, as well as moderate impairment in orientation.\u0000\u0000\u0000\u0000The future consequences and complications are poorly understood. Management guidelines for such complicated cases are underdeveloped.\u0000\u0000\u0000\u0000The child was managed by diet correction, potassium iodide and hormone replacement therapy, calcium supplement, nootropics with 2 courses per year, examination by a urologist and pediatric endocrinologist 2 times a year, and hospitalization after 6 months of treatment.\u0000","PeriodicalId":110816,"journal":{"name":"New Emirates Medical Journal","volume":"172 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122192910","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}
Sabah Alarnaout, M. Tabbal, Suha Muhi Alwan, Ramakrishna Boddapati, Afshin Iranpour
{"title":"Laparoscopic Removal of a Giant Gallstone in UAE: A Case Report","authors":"Sabah Alarnaout, M. Tabbal, Suha Muhi Alwan, Ramakrishna Boddapati, Afshin Iranpour","doi":"10.2174/0250688204666230417083610","DOIUrl":"https://doi.org/10.2174/0250688204666230417083610","url":null,"abstract":"\u0000\u0000Diseases of the gallbladder (GB) are a common occurrence, and gallstones are the most common biliary pathology. Lately, the incidence of gallstone disease has been on the rise in the United Arab Emirates (UAE).\u0000\u0000\u0000\u0000We present a case report of a 52 years old female who presented with severe upper abdominal pain. The clinical examination and ultrasound imaging were consistent with the calculus of the gallbladder with acute cholecystitis without obstruction. Laparoscopic cholecystectomy (LC) was performed to remove a gallstone of 6.8 cm in size. This was performed uneventfully.\u0000\u0000\u0000\u0000The prevalence of gallstones ranges from 0.1% to 50.5 % worldwide. Gallstones more than 5 cm in diameter are not seen often. LC is quite challenging in such cases. This case report is being presented due to the limited availability of literature on the Laparoscopic removal of giant gallstones in the UAE.\u0000\u0000\u0000\u0000Our aim here is to convey that LC can be considered the first choice vis-a-vis open method even in giant gallstone cases in the presence of trained personnel and equipped settings. The epigastric port can be extended for extracting the gallbladder specimen. Open cholecystectomy is a safe method if clear delineation of anatomy is not possible.\u0000","PeriodicalId":110816,"journal":{"name":"New Emirates Medical Journal","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123693105","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}
Essam I Hassan, Amr A. Arafat, Saeed Alahmadi, Asad Roomi, Adam I Adam
{"title":"Large right ventricular hemangioma presented as acute pulmonary embolism at two weeks post-COVID19 vaccination; A case report","authors":"Essam I Hassan, Amr A. Arafat, Saeed Alahmadi, Asad Roomi, Adam I Adam","doi":"10.2174/0250688204666230412085052","DOIUrl":"https://doi.org/10.2174/0250688204666230412085052","url":null,"abstract":"\u0000\u0000Right ventricular hemangioma is very rare. Corona Virus disease (COVID-19) and vaccination were documented to cause diverse thromboembolic phenomena.\u0000\u0000\u0000\u0000We report a large right ventricular hemangioma presented as acute pulmonary embolism two weeks after COVID-19 vaccination associated with acute kidney injury and significantly elevated Interleukin-6 (IL-6). There was no thrombocytopenia; therefore, the diagnosis of vaccine-induced immune thrombotic thrombocytopenia (VIIT) was deemed unlikely. The patient underwent emergency cardiac surgery. The mass was excised through a right atriotomy, and tricuspid annuloplasty was done. IL-6 normalized after six days with resolution of acute kidney injury.\u0000\u0000\u0000\u0000Pulmonary embolism is a rare presentation of the right ventricular hemangioma, and COVID-19 vaccination could play a role in this presentation. Cardiac hemangioma could be associated with high IL-6 that resolves with excision.\u0000","PeriodicalId":110816,"journal":{"name":"New Emirates Medical Journal","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126646534","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}
{"title":"Elevated Left Ventricular Filling Pressure as an Early Predictor of Progression of White-coat Hypertension to Sustained Hypertension","authors":"","doi":"10.2174/0250688204666230410085702","DOIUrl":"https://doi.org/10.2174/0250688204666230410085702","url":null,"abstract":"\u0000\u0000White-coat hypertension is commonly observed in subjects presenting with elevated office blood pressure measurements. Although white-coat hypertension does not require medication long-term, studies have observed progression to sustained hypertension in about 30% of individuals. Left ventricular diastolic abnormalities have been described in some individuals with white-coat hypertension and early hypertension. Objective: The present study is a prospective study of follow-up of individuals with white-coat hypertension and the correlation of left ventricular diastolic parameters as determinants of the development of sustained hypertension.\u0000\u0000\u0000\u0000Individuals diagnosed to have white-coat hypertension based on elevated office blood pressure measurements and normal ambulatory blood pressure measurements were included in the study and were evaluated by echocardiography for left ventricular diastolic function and filling pressures (E/A ratio, E wave deceleration time, E/E’ ratio). They were followed up for 1-year to assess for the development of sustained hypertension and to correlate with the initial echocardiographic parameters.\u0000\u0000\u0000\u0000A total number of 32 individuals with white coat hypertension were followed up for 1 year period. Moreover, 25 (78.12%) subjects remained to be normotensive and 7 (21.88%) subjects developed sustained hypertension. There was no significant correlation between E/A, and E wave deceleration time in all the subjects. E/E’ ratio had a positive correlation (R-value 0.77) in subjects who developed sustained hypertension over a 1-year follow-up.\u0000\u0000\u0000\u0000Echocardiographic evaluation of left ventricular filling pressure by E/E’ ratio can be considered as an early predictor for the development of sustained hypertension in white-coat hypertension in a long-term follow-up.\u0000","PeriodicalId":110816,"journal":{"name":"New Emirates Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128977678","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}
Rawan A Alghamdi, Hussain M. Alqattan, Amr A. Arafat, M. Shalaby, Adam I. Adam
{"title":"Sternoclavicular Joint Osteomyelitis Post Implantable Cardioverter Defibrillator Insertion A case report","authors":"Rawan A Alghamdi, Hussain M. Alqattan, Amr A. Arafat, M. Shalaby, Adam I. Adam","doi":"10.2174/0250688204666230410090345","DOIUrl":"https://doi.org/10.2174/0250688204666230410090345","url":null,"abstract":"\u0000\u0000Implantable Cardioverter Defibrillator is a rare source of sternoclavicular joint (SCJ) infection. Management of SCJ infection is challenging because of the joint's proximity to major vascular structures.\u0000\u0000\u0000\u0000We presented a case of SCJ infection two years post implantable cardioverter-defibrillator insertion in a 70-year-old gentleman. We managed the patient successfully with minimal surgical debridement, followed by negative pressure suction and antibiotic therapy for eight weeks.\u0000\u0000\u0000\u0000Management of SCJ after implantable ICD is still challenging. Few cases reported the possibility of negative wound suction to manage this condition after wound debridement. Our case may support the conservative approach to managing SCJ infection.\u0000\u0000\u0000\u0000SCJ infection can occur for a long time following ICD insertion. Wound debridement followed by negative wound therapy could be beneficial in the management of this condition\u0000","PeriodicalId":110816,"journal":{"name":"New Emirates Medical Journal","volume":"127 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120975060","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}
{"title":"Examining the Extension of the Technology Acceptance Model (TAM) in\u0000Electronic Medical Records Among Community Pharmacists in Malaysia","authors":"Y. Iskandar, B. Tangiisuran, A. Mohamed Ariff","doi":"10.2174/04666230109154639","DOIUrl":"https://doi.org/10.2174/04666230109154639","url":null,"abstract":"\u0000\u0000Background: Electronic medical records (EMR) have been proven to reduce medical errors in drug distribution. However, EMR adoption is still relatively low among Malaysian community pharmacists.\u0000\u0000\u0000\u0000As a result, this study aims to see how community pharmacists in Malaysia use the EMR system. The factors influencing the community pharmacist's intent in adopting EMR will also be determined.\u0000\u0000\u0000\u0000The Technology Acceptance Model (TAM) and Extended TAM were utilized in this study to determine Malaysian community pharmacists' main intention for using EMR. The information was gathered by surveying 144 community pharmacists nationwide. The data was analyzed using SPSS and Smart PLS software.\u0000\u0000\u0000\u0000The study found a positively significant relationship between Perceived Usefulness (PU) and Behavioural Intention to Use (BIU).\u0000\u0000\u0000\u0000This study shows critical factors influencing the intention to use EMR among Malaysian community pharmacists. Hopefully, this study will better understand the importance of EMR in the healthcare industry.\u0000","PeriodicalId":110816,"journal":{"name":"New Emirates Medical Journal","volume":" 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113949239","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}