European Journal of Medical and Health Sciences最新文献

{"title":"Factors Related to Early Versus Late Hospital Arrival in Acute Ischemic Stroke","authors":"M. Mojtahed, S. Esmaeili, Sepideh Allahdadian, S. Chaibakhsh, Ali Mojtahed, Samaneh Tanhapour Khotbehsara, Sina Eskandari Delfan, Mahya Naderkhani, Z. Mirzaasgari","doi":"10.24018/ejmed.2023.5.4.1753","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1753","url":null,"abstract":"\u0000Background: The onset-to-arrival time affects the decision of intravenous thrombolysis therapy which is associated with stroke’s prognosis. This study aimed to evaluate factor associated with early and late arrival of patients with Acute Ischemic Stroke and the effect on patients’ outcomes.\u0000\u0000\u0000Materials and Methods: Patients confirmed with acute ischemic stroke in central stroke centers were included in a prospective study. The patients were grouped into early arrivers (less than 4.5 hours) and late arrivers (at and after 4.5 hours). Patients’ data were obtained from the stroke registry system.\u0000\u0000\u0000Results: In Summary, Higher initial NIHSS, less than 15 km from the hospital, a history of CVA, Diabetes, Abnormal blood pressure, EMS transportation, Atrial fibrillation, and current use of anticoagulants, Not using opium, and not smoking was significantly associated with early arrival time. Normal blood pressure AF was a negative and significant (p-value=0.001, Odds ratio: 0.38) predictor of the late arrival. Normal blood pressure was a positive and significant (p-value<0.001, Odds ratio: 4.762) predictor of the late arrival.\u0000\u0000\u0000Conclusion: Some baseline factors are associated with the onset-arrival time of patients with ischemic stroke.\u0000","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127951543","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":"Differences in Cell Death and BMP-2 Expression in Core Biopsy Specimens of Malignant Bone Tumors Given Hydrogen Peroxide Compared to Liquid Nitrogen","authors":"A. K. Arnaya, Ketut Suyasa, I. Gede, Eka Wiratnaya, I. Wayan, Juli Sumadi, I. K. S. Consultant, I. consultant, I. Consultant","doi":"10.24018/ejmed.2023.5.4.1840","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1840","url":null,"abstract":"\u0000Introduction: Malignant bone tumors have a global prevalence of 1% of the overall malignancy case, with a very low 5-year survival rate and high local recurrence. The limb-salvage surgery with bone recycling is widely developed in the management of malignant bone tumors. Hydrogen peroxide and liquid nitrogen are bone recycling mediator agents destroying the malignant tumor cells while preserving healthy bones as much as possible. The purpose of this study was to compare the effectiveness of hydrogen peroxide and liquid nitrogen with the number of tumor cell deaths using the Huvos score and BMP-2 expression in malignant bone tumors. \u0000\u0000\u0000Materials and Method: In vitro experimental research was performed on 30 core needle biopsy samples of bone malignant tumors divided into 2 groups of hydrogen peroxide and liquid nitrogen. The parameters measured are Huvos score and BMP-2 level. \u0000\u0000\u0000Results: Based on this study, the characteristics of malignant bone tumors were dominated by primary tumors (83.9%), in female patients (53.3%) with an average age of 30 years. Liquid nitrogen gave better results than hydrogen peroxide, marked by a lower Huvos score (average 12.13 vs. 18.87, p=0.033) and a higher BMP-2 (average 39.53 ± 26.59 vs. 63.87 ± 27.61, p=0.020). \u0000\u0000\u0000Conclusion: Liquid nitrogen is an effective bone recycling agent for the management of malignant bone tumors.\u0000","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114226342","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":"Biomarkers in Progressive Multiple Sclerosis: An Updated Review","authors":"S. Esmaeili, A. Zabeti","doi":"10.24018/ejmed.2023.5.4.1760","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1760","url":null,"abstract":"\u0000\u0000\u0000Multiple sclerosis (MS) may begin with a relapsing-remitting course followed by insidious disability worsening independent of clinically apparent relapses. Sometimes the progression is subtle and cannot be detected with routine clinical and imaging assessments. In this review, we focus on emerging biomarkers that can be representatives of MS progression. Early detection of MS progression will result in choosing the appropriate treatments which would result in better long-term outcomes.\u0000\u0000\u0000","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133483134","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":"The Psychological Impact and Associated Factors of the COVID-19 Pandemic on Health Care Providers at Chainama Psychiatry Hospital, Lusaka, Zambia","authors":"E. Musonda, P. Petlovanyi, A. Tsarkov, Crecious Phiri, Gabriel Mpundu, Erick Musala Kunda, Rhoda Kunda, Fabian Lungu, Nathan Kamanga","doi":"10.24018/ejmed.2023.5.4.1771","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.4.1771","url":null,"abstract":"Introduction:  The COVID-19 pandemic has had serious psychological consequences for healthcare providers at a higher risk of exposure to heavy workloads and a high-risk environment. Healthcare providers on the front lines, involved in diagnosing, treating, and caring for patients with COVID-19, were particularly vulnerable to developing psychological distress and other mental health symptoms, including emotional disturbance. \u0000Objective:  In response to this critical situation, this study aims to assess the psychological impact of COVID-19 and associated factors on healthcare providers at Chainama Hills College Hospital (CHCH) in Lusaka, Zambia. The findings of this study may inform interventions and support programs to mitigate the psychological impact of COVID-19 on healthcare providers and improve their overall well-being. \u0000Method:  A descriptive cross-sectional study design was conducted in a hospital setting using a self-administered questionnaire survey between August 1st and 10th, 2021. A total of 194 healthcare providers were selected using a simple random sampling technique. The survey used the Depression, Anxiety, and Stress Scale (DASS-21) to assess the psychological well-being of the participants. \u0000Results:  Our study findings indicate that healthcare providers are experiencing a high level of stress due to the COVID-19 pandemic, with a Stress score of 92.0, which is considered significant under the circumstances. Additionally, the healthcare providers exhibited mild levels of depression and anxiety, with DASS-21 scores of 13.0 and 12, respectively. These findings were at a 0.05 level of significance. \u0000Conclusion: The COVID-19 pandemic has highlighted the critical importance of prioritizing the well-being of healthcare providers. With the heightened demands and stressors associated with caring for patients during a pandemic, we must prioritize the mental and physical health needs of healthcare providers. Providing adequate support, resources, and attention to the well-being of healthcare providers can help to prevent burnout, reduce turnover, and improve patient outcomes. By recognizing the importance of caring for our healthcare providers, we can help to ensure the delivery of high-quality healthcare services during such challenging times. \u0000 ","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128299859","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":"https://universepg.com/journal-details/ejmhs/outcome-of-early-versus-delay-hip-spica-casting-for-children-with-femoral-shaft-fractures","authors":"","doi":"10.34104/ejmhs.023.080085","DOIUrl":"https://doi.org/10.34104/ejmhs.023.080085","url":null,"abstract":"Femoral shaft fractures are among the most prevalent fractures of the lower extremities in children. Although many approaches and options are available for their treatment, the most appropriate treatment option for school going children is still debatable. In this study 34 children with femoral fractures were recruited between Jan. 2018 and Jan 2019 at the Nangarhar university and public health Hospital. which is divided into two groups: (Group-A) immediate reduction with hip Spica consists 22 children and (Group -B) treatment consist of skin traction for 2-3 weeks precede with hip Spica casting consists 12 children and we studied gender distribution, fracture side, site and type of the fracture, also we note complications include; initial shortening, axial, sagittal and rotational alignment and hospital stay. All patients were under observation for a period of 3 months after removal of Spica cast. The study found that boys were more affected than girls, which the middle third of the femoral shaft was the most common site fracture (58.92%), that the spiral fracture was the most common type of femoral shaft fracture (43.18%), as well as that side way alignment was observed more than other kinds of complications in both treatment modalities; for immediate Spica, four children (18.18%) and three cases (25%).Conclusions: There was minimal difference between early and delayed Spica in terms of treatment complications and functional result. However, early Spica greatly reduced hospitalization time and treatment costs while producing equivalent results as delayed Spica use.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"165 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122990573","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":"Impact of Stigma and Level of Education on Adherence to Treatment with Both TB and HIV/AIDS in Tertiary Care Teaching Hospital, Andhra Pradesh: A Retrospective Observational Study","authors":"Niharika Appalarouthu, Abhigna Sirivella, Siva Venkata Surya Othuri","doi":"10.24018/ejmed.2023.5.3.1693","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.3.1693","url":null,"abstract":"Objectives of our study are stigma constitutes a significant influence on medication adherence to treatment with both TB and HIV/AIDS. Due to this the immune system may collapse in the subjects. This study aims to assess the influence of social stigma on the medication adherence to both TB and HIV and also to know the subjects knowledge about disease.\u0000Methodology of the study was influence of social stigma on medication adherence was considered based on the data collection form which contain questions about the subjects medication taking behavior and the stigma that they have faced and also about the knowledge they have on the disease. The obtained data was analyzed using chi-square. This study was done at ART center, Government General Hospital Guntur for a duration of 6 months.\u0000The results obtained in project examines the medication adherence of stigmatized and non- stigmatized patients. We used the chi square test to analyze the data collected throughout the study and found a p value of >0.05, indicating that there is no relationship between stigma and medication adherence in the subjects.\u0000Purpose of the study was to compare the medication adherence of patients with stigma and no stigma. The data that was collected is analyzed using chi- square and revealed that there is no correlation between stigma and subject medication adherence, implying that stigma is not a factor influencing subject medication adherence.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128066083","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":"Male Nipple Leiomyoma: A Rare Case Report and Review of Literature","authors":"Fang Shen, A. Haddad, J. James","doi":"10.24018/ejmed.2023.5.3.1832","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.3.1832","url":null,"abstract":"\u0000Leiomyomas are benign smooth-muscle tumours and their cutaneous forms are rare clinical entities with subtypes including pilar leiomyoma, angioleiomyoma, and genital leiomyoma. Nipple leiomyomas, arising from the mammillary muscle cells of the nipple, are the least common type of genital leiomyoma. We present herein a case of male nipple leiomyoma with a detailed analysis of histologic features and review of literature.\u0000","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121721907","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":"Prenatal Screening of Cytogenetic Anomalies -A Ten Year Retrospective Study on 1510 Cases","authors":"S. Mešanović, M. Perić, Aneta Vareškić","doi":"10.24018/ejmed.2023.5.3.1804","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.3.1804","url":null,"abstract":"Introduction: Prenatal diagnostic is a diagnostic method which is used to prove the presence of chromosome changes, a large number of metabolic disorders and other morphological fetus abnormalities. Prenatal genetic testing mostly refers to the molecular genetic and cytogenetic methods used during pregnancy to diagnose genetic fetal conditions.\u0000Aim: To investigate the existence and incidence of cytogenetics abnormalities in fetuses.\u0000Material and Methods: The retrospective research is based on cytogenetic analysis of the 1510 amniotic fluid samples collected from pregnant women sent to the cytogenetic laboratory from January, 2012 to December, 2022.\u0000Results: The karyotype without visible structural and numerical changes was detected in 96.8% (1462/1510) cases. The fetal karyotype was abnormal in 3.2 % (48/1510) of the cases. Trisomy 21 was the most frequent chromosome aberration detected in 1.12% (17/1510) cases followed by pericentric inversion 9 (10/1510; 0.66%) and trisomy 18 (4/1510; 0.26%). Mosaics were detected in five cases (5/1510; 0.33%). Comparing the prevalence of chromosome abnormalities according to maternal age, we come to know the prevalence of chromosome aberrations in the group of females above age 35 (26/790; 17.2/1000) is higher than in the group of females under age 25 (7/95; 4.63/1000), but not significantly different (P= 0.09).\u0000Conclusion: Conventional cytogenetics maintains its role as a powerful diagnostic tool in detecting chromosomal changes during prenatal screening.","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117354843","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":"Determinants of early Post-natal Blood Pressure among Term Healthy Babies Seen in A Tertiary Hospital in Southwest Nigeria","authors":"E. Ogundare, A. Taiwo, J. Okeniyi","doi":"10.24018/ejmed.2023.5.3.1752","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.3.1752","url":null,"abstract":"\u0000Background: Neonatal blood pressure varies considerably in the early days of life. To correctly interpret blood pressure measurements or predict the expected blood pressure of a newborn, the factors that influence neonatal blood pressure must be taken into consideration.\u0000\u0000\u0000This study aimed to identify the factors that influence blood pressure (BP) in the early neonatal period. \u0000\u0000\u0000Method: This is a sub-analysis of research work on the blood pressure pattern of asphyxiated neonates and apparently healthy neonates. It is a hospital-based observational study that was conducted at the Ekiti State University Teaching Hospital [EKSUTH], Ado-Ekiti, Nigeria. 12 blood pressure readings were taken serially from each baby in the first 24 hours after birth using oscillometric device. Relationships between blood pressure and physical parameters were established using regression analysis. Differences in blood pressure with respect to gender, gestational age, weight categorization, maturity for age, socio-economic status, and civil status were established using independent t-test and analysis of variance where appropriate. \u0000\u0000\u0000Result: 1476 blood pressure readings from 123 healthy newborns were analyzed. The mean (standard deviation) (SD) BP in mmHg on day 1 were 69.5 (6.5), 39.2 (5.1), and 49.3 (4.6) for Systolic blood pressure (SBP), Diastolic blood pressure (DBP) and Mean Arterial pressure (MAP) respectively. Systolic blood pressure showed a positive linear relationship with weight (R=0.488, P=0.000) and length (R =0.304, P= 0.001). There were also significant differences in the mean (SD) of SBP with respect to gender (P = 0.015), civil status (P = 0.023), and maternal hypertension (P = 0.043). DBP (P= 0.001) and MAP(P=0.001) also had significant differences with respect to Maternal hypertension. \u0000\u0000\u0000Conclusion: Systolic blood pressure correlated significantly with birth weight and length. Only maternal hypertension had a significant effect on diastolic blood pressure.\u0000","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"02 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129836160","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":"The Incidence of Palmaris Longus Muscle and Its Association with the Biodemographic Data of Medical and Allied Health Science Students","authors":"A. Oviosun, Jemima A. Chukwu, Ezinne C. Oviosun, K. Ogonnadi","doi":"10.24018/ejmed.2023.5.3.1575","DOIUrl":"https://doi.org/10.24018/ejmed.2023.5.3.1575","url":null,"abstract":"\u0000Background: The Palmaris longus (PL) muscle is one of the most anatomically variable muscles in the human body. The presence or absence of the muscle tendon is relevant information to hand and plastic surgeons. The muscle tendon can be harvested for reconstructive surgeries, tendon transfer and tendon surgeries, facial paralysis, repair ptosis, arthritis of the thumb and to repair oncologic defects of the head and neck. Therefore, this study aimed at identifying the incidence of PL and its association with the study participant’s age, gender and geo-political region of origin. \u0000\u0000\u0000Methods: This cross-sectional study was performed on students that were taught ‘muscles of the forearm’ during the 2021/2022 academic session of the Edo state university, Uzairue, Nigeria. Bio-demographic data was retrieved using a self-structured hard-copy questionnaire. Schaeffer’s, Thompson’s and Pushpakumar’s testing methods were used to assess the absence/presence of PL. Data was entered into Microsoft Office Excel 2019 and exported to IBM SPSS version 23 for analysis. Fisher’s and Pearson chi-square tests were used to determine association. Probability values < 0.05 were accepted as significant. \u0000\u0000\u0000Results: Of the 294 enrolled students taught the topic “muscle of the forearm” during the 2021/2022 academic session, 269 (91%) students willingly participated in this study. 155 were females (57.6%), and 114 were males (42.4%). Out of the 269 students assessed, 253 (94.1%) students had the PL tendon in both hands, nine (3.3%) students didn’t have the tendon in both hands, seven (2.6%) students didn’t have the tendon in either the left hand (2.2%) or the right hand (0.4%). While, gender was a significant predictor for left- and right-hand values of the absence or presence of PL muscle tendon (p < 0.05), age and geo-political zone of origin was not (p > 0.05).\u0000\u0000\u0000Conclusion: The Palmaris muscle varied in only 5.9% of our study population. It was found that the occurrence of PL is gender dependent but not dependent on age or the individual’s region of origin. The absence of the muscle was common in females and on the left hand.\u0000","PeriodicalId":113708,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"348 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133844310","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}