International Journal of Innovative Research in Medical Science最新文献

{"title":"Clinical Variations Between Different Forms of Achalasia","authors":"A. S. Sánchez Terán, Catalina Naranjo Pardo, Omar Varela Barraza, Tatiana Prado Salcedo, Michelle Macías Grajeda","doi":"10.23958/ijirms/vol08-i07/1715","DOIUrl":"https://doi.org/10.23958/ijirms/vol08-i07/1715","url":null,"abstract":"Background: Esophageal achalasia is a motility disorder characterized by a lack of esophageal peristalsis and failure of the lower esophageal sphincter (LES) to relax. Patients typically present dysphagia for both solids and liquids, regurgitation, retrosternal chest pain, cough, aspiration, weight loss and heartburn, which affect their quality of life. Objective: To determine whether the High-resolution manometry (HRM) achalasia subtypes could be differentiated based on symptoms or radiographic findings. Methods: A cross-sectional study design was used, and data collected from 60 patients between 18 and 65 years and a diagnosis of achalasia using HRM over a period of ten years. The symptom assessment was done in a clinical interview using three international questionnaires for esophageal symptoms. Results: The mean symptom duration for the 3 groups was 25.03 ± 24.88 months, type I 25 ± 22.76 months and type II 24.98 ± 27.32 months, type III had a median of 27 (18-36) months. The mean esophageal diameter of patients with achalasia was 4.87 ± 1.48 cm. Type I had the greatest dilation (5.37 ± 1.7 cm) when compared to type II (4.46 ± 1.03 cm) and to type III 2.75 (2-3.5) cm. The mean esophageal length of all achalasia patients was different among the groups; type I 24.19 ± 2.96 cm and type II 22.96 ± 2.23 cm, type III had a median of 20.63 (20.13-18.13) cm. Conclusions: Despite the difference in degree of dilation between the subtypes, symptom duration does not appear to be correlated to the pattern of the achalasia.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"172 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79513907","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":"Patient Safety Policies and Practices among Selected Middle East Countries: Are We Walking on the Right Path? By Madani (2023)","authors":"Mohammed D Alharbi","doi":"10.23958/ijirms/vol08-i07/1712","DOIUrl":"https://doi.org/10.23958/ijirms/vol08-i07/1712","url":null,"abstract":"Human errors have always been a primary topic of discussion in complex systems, especially in the healthcare industry due to the adverse ramifications not only on the patient but also on the involved healthcare practitioner through cultural blame. Concisely, medical errors have adverse effects on patient safety policy and treatment quality, and it also exacerbates financial hardship. As a result, individuals continue to be wounded and receive substandard care. However, this situation is entirely avoidable if healthcare organizations have access to and are aware of accurate healthcare data. Therefore, this backdrop predicates the need for the promulgation of public safety policies and practices, primarily in Middle East Countries where human error has been prevalent.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88574296","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":"A Vermiform Appendix Herniation Presenting in an Inguinal Hernia: A Case Report from Saudi Arabia","authors":"Ayed Almutairi, Shoag Albugami, Fatmah Alrawaji","doi":"10.23958/ijirms/vol08-i07/1700","DOIUrl":"https://doi.org/10.23958/ijirms/vol08-i07/1700","url":null,"abstract":"We present a case of a 20-year-old Saudi male, who presented to the emergency room because of swelling in the right inguinal area for 3 days after getting upper respiratory tract infection, US was done in the ER and showed uncomplicated right inguinal hernia. The patient was referred to General surgery clinic. Vital signs on the clinic were normal. Abdominal examination revealed soft and lax with right reducible inguinal hernia. Preoperative laboratory test came out within the normal ranges. A routine open right inguinal hernia repair with mesh was done, incidental finding of tubular structure inferio-lateral to the hernia sac and adherent to it was identified, diagnostic laparoscopy was done which showed appendix protruding through the internal inguinal ring and laparoscopic appendectomy done. Histopathology of the hernia sac and content was appendix consistent with Amynda’s hernia","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88165372","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":"24-Hour Ultramarathon and the Status of Thyroid Hormones: Case Report","authors":"Ksenija Bubnjević, D. Grujičić, Roman M. Romanov, V. Miletić, Boris Glavač","doi":"10.23958/ijirms/vol08-i07/1710","DOIUrl":"https://doi.org/10.23958/ijirms/vol08-i07/1710","url":null,"abstract":"Introduction: Thyroid hormones play a very significant role in metabolism, so any impairment of their levels may bring about a chronic disease of the thyroid gland. A question asked is whether continuous long-distance running can affect changes in TSH and T4 values in a person with Hypothyroidism. This Case report aims to explore the influence of high-intensity running (confirmed by the control of the CK) on the status of thyroid hormones. Case report: The female subject in this case report in an ultramarathon runner (40 years old) who has a diagnosis of the Hashimoto tyroiditis. From October to June 2022, she trained for the competition in running for 24 hours. To determine the status of thyroid hormones, some biochemical measurements of urine and blood were performed immediately before and after the race (competition). The imbalance of TSH hormone values was identified a day before (5.390U/ml) and a day after (5.700 U/ml) the race, while blood parameters increased after the race for AST (148 U/L), CK (2265 U/L) and CRP (7.51 mg/L). Conclusion: Analysis of the results of this case report showed that there were no significant changes in the TSH hormone after running for 24 hours.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74680613","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":"Ultrasound-Guided Fascia Iliac Compartment Block Anesthesia for Analgesia in Elderly Hip Fractures","authors":"Niu Jing, He Quan-Jie, Yang Hai-Liang, Liu Huan, Yong-tao Zhang","doi":"10.23958/ijirms/vol08-i07/1696","DOIUrl":"https://doi.org/10.23958/ijirms/vol08-i07/1696","url":null,"abstract":"Objective: To investigate the effect of ultrasound-guided iliac fascia analgesia on hip fracture in senile patients. Methods: Preoperative and postoperative ultrasound-guided iliac fascia analgesia was performed in elderly patients with hip fracture. Results: The need for additional analgesics after implementation was recorded. Conclusion: Ultrasound-guided fascia iliac analgesia is feasible, safe and effective in elderly patients with hip fracture.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90164476","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":"Probability of Survival in Thoracic Trauma: Comparative Analysis of 100 Patients Attended in a Reference Hospital at Aracaju/SE","authors":"Hélder Gonçalves, M. Rezende, Isadora Urquieta, L. M. D. Trindade, F. L. D. Cabral","doi":"10.23958/ijirms/vol08-i06/1686","DOIUrl":"https://doi.org/10.23958/ijirms/vol08-i06/1686","url":null,"abstract":"Background: Trauma is an injury characterized by structural alterations or physiological imbalance, resulting from acute exposure to some form of energy. Annually, about 5.8 million people die from trauma in the world. In Brazil, around 484,917 people died from external causes in 2016. Among the types of trauma, thoracic trauma is an important cause of death, existing multiple pathologies and association with avoidable causes of death if there were adequate care. Trauma scores have been developed and revised over the years to predict the likelihood of survival for these patients and guide healthcare teams' strategies. Methods: observational, prospective, quantitative study of victims of thoracic trauma who were admitted to Hospital João Alves Filho in Sergipe, based on the collection of clinical and demographic data. Results: from the sample of 100 patients, the mean age was 39.32 years, with 85.0% being male. 53% were diagnosed with blunt trauma, of which 33% were victims of traffic accidents; 47% penetrating trauma, being 26% by cold weapons and 21% by firearms. The average survival of these patients was 93.2%. Concomitant lesions were observed in 62.0% of the cases, 45% in the extremities and 45% in the head and neck. Conclusion: the profile of trauma victims were men between 20 and 39 years old, due to blunt trauma caused by a car accident, with a high probability of survival and associated injuries in other body segments.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"285 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78112349","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":"Prevalence and Predictors of Depression Among Pregnant Women Attending Antenatal Clinic (ANC) in a Tertiary Health Facility in a District of West Gujarat: A Cross-Sectional Study","authors":"Dr. Nidhi Trivedi, Y. M, Dr.Viral Shah, Dr RohanKumar Gandhi, Dr. Naresh Makwana, Shaily Agrawal, Dipesh V. Parmar","doi":"10.23958/ijirms/vol08-i06/1695","DOIUrl":"https://doi.org/10.23958/ijirms/vol08-i06/1695","url":null,"abstract":"Background: Depression among pregnant women attending ANC is a prevalent and concerning issue with potential implications for maternal and fetal health outcomes. This study aims to contribute to the existing body of knowledge by examining the prevalence and predictors of depression among pregnant women in a district of West Gujarat. Methodology: The study was an Observational cross-sectional study conducted among pregnant women attending the ANC clinic of Tertiary Care Hospital, Western Gujarat during the period of Jan 2023 to May 2023. So, the Total sample of Pregnant Women was 266. Results: In the present study, the prevalence of depression was found to be 37%. Lack of partner or social support, history of abuse or domestic violence, previous history of psychiatric illness, poor marital relationship, stressful life events, a negative attitude towards the pregnancy, and lack of social support are some of the factors associated with antenatal depression. Women with a previous history of depression, Counterpart tobacco consumption status, and those who have experienced intimate partner violence are at higher risk of developing antenatal depression (P<0.05). Conclusion: Antenatal depression is a common mental health issue that can affect women during pregnancy. Early identification of pregnant women suffering from antenatal depression is important, and relevant support should be provided. Efforts are needed to strengthen or develop protocols for the early identification of pregnant women suffering from antenatal depression and provide relevant support","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89830455","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":"An Institutional Based Cross Sectional Analytical Study on Nutritional Determinants of Low Birth Weight","authors":"H. Patel, J. Mehta, B. Patel, Rohit V. Ram, M. Rathod","doi":"10.23958/ijirms/vol08-i06/1692","DOIUrl":"https://doi.org/10.23958/ijirms/vol08-i06/1692","url":null,"abstract":"Background: Maternal nutrition during pregnancy is a key factor influencing birth outcomes. Pregnant women are at increased risk of various nutritional deficiencies, particularly in developing countries. Besides, most LBW infants in these countries are full-term newborns with intrauterine growth restriction due to maternal malnutrition and poor gestational weight gain. Objective: To study distribution of new-borns’ according to nutritional determinants of mothers’ and its association with low birth weight. Methods: An institutional based cross-sectional analytical study. New-borns delivered at study institute were considered as study participants. Estimated final sample size was 500. Sampling was done by Systemic random sampling method. Guardians (mothers) were face-to-face interviewed and also recorded data were collected from the case file and Mother and Child Protection (MCP) Card. Results: Majority newborns belonged to lower middle 194 (38.8%) and middle class164 (32.8%), More than two third (68.2%) newborns belonged to mothers who had pre pregnancy weight ≥45 kg, 86.4% from mothers whose height were ≥145 cm, 84.2% from mothers whose BMI ≥18.5 kg/m2, 65.6% newborns belonged to mothers whose weight gain were ≥ 9 kg, 18.2% from mothers who consume meals <3 times in a day, 82.8% from mothers who were anaemic, 85.2% and 79.4% taken regular IFA and calcium tablets respectively. Newborns belonged to mothers who were provided health education, supplementary nutrition, maternity benefits were 89%, 32%, 36.4% respectively. The odds of having LBW was significantly higher in lower and middle socioeconomic class, mothers with height <145 cm, BMI less than 18.5 kg/m2, weight gain less than 9 kg, consume <3 meals in a day and not received supplementary nutrition at anganvadi. Conclusion: The present study revealed that lower and middle socio-economic class, mothers with height <145 cm, BMI <18.5 kg/m2, <9 kg weight gain, consume <3 meals in a day and not received supplementary nutrition at anganvadi were statistically significant risk factors that associated for delivering LBW newborns.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85012305","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":"Desmoid Tumor About 3 Cases and Revue of Literature","authors":"O. Elatiqi, I. Zinedine, O. Aitbenlassal, L. Idelkhir, M. Elamrani, Y. Benchamkha","doi":"10.23958/ijirms/vol08-i06/1684","DOIUrl":"https://doi.org/10.23958/ijirms/vol08-i06/1684","url":null,"abstract":"Desmoid tumors or aggressive fibromatosis are rare, recurrent, non-metastasizing tumors, developing from muscle fascias and aponeuroses, before surgery was the main treatment, with the latest recommendations and in view of the high risk of recurrence, the treatment consists of close monitoring, surgery is indicated if there are complications related to the location of the lesion.\u0000We report three observations of three young patients with desmoid tumors, one in abdominal location measuring 20/15cm in diameter invading the muscular wall and the peritoneum, the second at the level of the lower limb in the posterior face of the thigh and the right buttock measuring 30cm/10cm in diameter and the third one is abdominal too measuring about 20cm/15cm of diameter invading the peritoneum in a patient operated for rectal adenocarcinoma with familial adenomatous polyposis. The reason for consultation in the 3 patients was pain.\u0000After multidisciplinary consultations (surgeons, oncologist and radiotherapists) it was decided to perform surgical excision of the tumors, the follow-up is estimated at 25 months for the first abdominal location, 10 months for the location in the lower limb and 2 months for the third case, without noticing any recurrence, no adjuvant treatment was offered to the patients only close surveillance.\u0000Surgery for desmoid tumors is a double-edged sword given the high risk of recurrence which can only be decided after multidisciplinary consultations.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78902534","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 Prevalence of Transfusion-Transmitted Infections and Their Associated Risk Factors Among Transfusion-Dependent Beta-Thalassemia Major Patients Registered in a Tertiary Care Hospital in Jamnagar, Gujarat","authors":"Alpesh J. Parmar, V. Shah, H. Patel, B. Patel","doi":"10.23958/ijirms/vol08-i06/1685","DOIUrl":"https://doi.org/10.23958/ijirms/vol08-i06/1685","url":null,"abstract":"Background: Thalassemia is an inherited disease. Thalassemia major patients are transfusion-dependent and are very much prone to transfusion-transmitted viral infections. So, this study was conducted to determine the prevalence and various determinants, contributing in blood transfusion transmitted infection among them. Methodology: A 12-month longitudinal research on thalassemia major patients who met the inclusion criteria and were registered in the thalassemia ward of a tertiary care institution was undertaken from December 2021 to November 2022. Information regarding Transfusion transmitted infection was collected. Result: This study was applied to a total of 222 thalassemia major patients. The prevalence of Hepatitis C infection found to be 51 (22.97%) followed by HIV 5 (2.25%) and hepatitis B infection was found in one patient (0.45%). When various parameters were compared to Transfusion transmitted infection, only history of splenectomy and place of diagnoses were shown to be substantially related to the TTIs (p < 0.05), whereas all other factors were statistically insignificant (p > 0.05). Conclusion: Our findings reveled that HCV is the most common TTI among thalassemia major patients followed by HIV and HBV. Patients who were splenectomized and diagnosed from private hospital were more prone to Transfusion transmitted infection.","PeriodicalId":14008,"journal":{"name":"International Journal of Innovative Research in Medical Science","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80166053","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}