Journal of Medicine and Life最新文献

{"title":"2024 Aspen Healthcare & Quality of Life Seminar: forging a blueprint for Romania's healthcare transformation.","authors":"Teodor Blidaru, Carmen-Mihaela Bardoș, Iulia Arif-Perca, Sebastian Bereș, Ioana Bianchi, Adrian Brîndușan, Anca Bundoi, Codruț Codreanu, Ovidiu-Simion Cotoi, Adrian-Marius Dobre, Loredana Drăgoi, Paul Dudău, Florentina Furtunescu, Andreea Grigore, Thomas Hofmarcher, Anca Ifrim, Grațiela Iordache, Attila László, Delia Lupescu, Cristina Maxim, Larisa Mezinu-Bălan, Richard Mihalache, Vlad Nerău, Bogdan Pană, Cătălin Radu, Raluca Sîmbotin, Iulia Stoea, Ștefan Strilciuc, George Ștefan, Oana Talpoș, Iulian Trandafir, Mircea Vâlceanu, Laurențiu Dașcă","doi":"10.25122/jml-2024-1006","DOIUrl":"10.25122/jml-2024-1006","url":null,"abstract":"","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"17 4","pages":"381-386"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reasons for academic cheating in a cohort of nursing students in Saudi Arabia: a cross-sectional study.","authors":"Jazi Shaydied Alotaibi, Abdullah Alotaibi, Sharifa Alasiry, Bader Alrasheadi, Wdad Alanazy, Sameer Alkubati, Jordan Llego","doi":"10.25122/jml-2023-0517","DOIUrl":"10.25122/jml-2023-0517","url":null,"abstract":"<p><p>This cross-sectional study investigated the reasons behind academic cheating in a cohort of nursing students in Saudi Arabia. The study involved 482 nursing students from two government universities in Riyadh. We used a newly developed self-reported questionnaire called the Reasons for Cheating Scale (RCS) to collect data. The highest-scoring reasons for academic cheating in the study population included the desire to obtain high grades, encouragement from friends to cheat, and the perception that exams were too difficult. Male students scored significantly higher than female students for reasons such as not understanding the course material, unclear test questions and instructions, pressure from families to excel, difficulty of the course material, and ignorance of effective study methods (<i>P</i> < 0.05). Age also had a role, as students aged 15-20 years had significantly higher scores for the item \"Exams are too hard\", whereas those aged ≥25 years had higher scores for \"Difficulty of the course material\" (<i>P</i> < 0.05). Additionally, students in the preparatory year had significantly higher scores than those in other years for reasons such as difficult exams, unclear test questions and instructions, fear of failing, difficulty of the course material, and the desire to please their families (<i>P</i> < 0.05). Overall, the desire to obtain high grades emerged as the main reason for academic cheating in our cohort of nursing students in Saudi Arabia. The findings suggest that sociodemographic characteristics, including sex, age, and academic year, should be considered when addressing the issue of cheating among nursing students.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"17 4","pages":"418-425"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Normative data of corneal diameter and palpebral fissure height in a large cohort of South Indian children.","authors":"Naveen Kumar Challa, Deepthi Jagadeeswaran, Saif Hasan Alrasheed, Abd Elaziz Mohamed Elmadina, Waleed Alghamdi","doi":"10.25122/jml-2023-0535","DOIUrl":"10.25122/jml-2023-0535","url":null,"abstract":"<p><p>The purpose of this study was to establish the normative data of horizontal visible iris diameter (HVID), vertical visible iris diameter (VVID), and palpebral fissure height (PFH) in a cohort of South Indian children. The study included 1,234 children from six schools of different regions of Tamil Nadu state, India. HVID, VVID, and PFH were measured using a simple millimeter ruler by three optometrists. Based on their age, the children were divided into three groups: preprimary school children (4-5 years), primary school children (6-10 years), and high school children (11-15 years). Mean age was 4.49 ± 0.50 years, 8.00 ± 1.41 years, and 12.87 ± 1.42 years in the three groups, respectively. Mean HVID was 10.45 mm, 10.54 mm, and 10.73 mm, respectively. Mean VVID was 9.18 mm, 9.32 mm, and 9.57 mm, respectively. Similarly, mean PFH was 8.15 mm, 8.30 mm, and 8.52 mm, respectively. There was a significant difference in HVID, VVID, and PFH among the three age groups (<i>P</i> ≤ 0.001), as well as among male and female children in the 6-10 years age group (<i>P</i> ≤ 0.05) but not in the other groups. Intraclass correlation coefficient values (0.78-0.95) show good agreement among the three optometrists for all parameters. The normal range of HVID, VVID, and PFH presented in the current study can help practitioners in the diagnosis of corneal disorders, serve as a basis for the design of contact lenses, and enable accurate intraocular lens power calculations for South Indian children.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"17 4","pages":"406-411"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The perceptions of medical students of online teaching during the COVID-19 pandemic: a national survey from Jordan.","authors":"Montaha Al-Iede, Jumana Albaramki, Ayah Alsoudi, Ruqaya Al-Ani, Faiha A Al-Akhras, Rana Al Najada, Sondos Al-Najjar, Rawan Al-Sallal, Al-Motasem Yousef, Shereen Aleidi, Basim Alqutawneh","doi":"10.25122/jml-2023-0116","DOIUrl":"10.25122/jml-2023-0116","url":null,"abstract":"<p><p>In response to the COVID-19 pandemic, Jordan declared a state of emergency on 19 March 2020, implementing a 10-week curfew and closing all educational institutions. Consequently, online learning commenced to ensure educational continuity amid the pandemic. The aim of this study was to assess medical students' perception of online teaching during this period in a limited-resource setting and to identify associated challenges. A cross-sectional survey was conducted involving 393 undergraduate medical students in their 4^th, 5^th, and 6^th year from six universities across Jordan. The self-administered online survey included four categories, exploring the satisfaction of medical students and challenges they faced during online education, and was distributed on Facebook and WhatsApp. A total of 393 students completed the survey, 264 (62.6%) of which were female. The majority of respondents were from Jordan University and in their 4^th year. Regarding online teaching, 218 (55.5%) expressed satisfaction; however, an equivalent percentage disagreed that online methods could replace traditional teaching. Notably, 238 (86%) believed that their confidence in new clinical skills acquired through online education was adversely affected. The study highlights the need for targeted interventions to improve the effectiveness of online education, especially in developing essential clinical skills.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"17 4","pages":"412-417"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Myocarditis in Erdheim-Chester disease.","authors":"Josef Finsterer","doi":"10.25122/jml-2024-0180","DOIUrl":"10.25122/jml-2024-0180","url":null,"abstract":"","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"17 4","pages":"457-458"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of salivary biomarkers in the diagnosis of periodontal status and coronary heart disease.","authors":"Zina Ali Daily, Batool Hassan Al-Ghurabi","doi":"10.25122/jml-2023-0264","DOIUrl":"10.25122/jml-2023-0264","url":null,"abstract":"<p><p>Inflammatory illnesses, such as periodontitis and atherosclerotic coronary heart disease (ASCHD), trigger the production of pro-inflammatory mediators. The aim of this study was to assess the accuracy of using salivary interleukin-1β (IL-1β), interleukin-18 (IL-18), and gasdermin D (GSDMD) in discerning patients with periodontitis with and without ASCHD from healthy individuals, and to assess their correlation with clinical periodontal parameters and low-density lipoprotein (LDL) levels. The study involved 120 participants: 30 were healthy subjects (control group, C), 30 had generalized periodontitis (group P), 30 had ASCHD and clinically healthy periodontium (group AS-C), and 30 had ASCHD and generalized periodontitis (group AS-P). Saliva and blood samples were collected, and periodontal characteristics such as plaque index, bleeding on probing, probing pocket depth, and clinical attachment loss were examined. IL-1β, IL-18, and GSDMD levels from saliva were determined using ELISA. LDL levels were determined from the blood samples. Groups P, AS-C, and AS-P had higher levels of salivary IL-1β, IL-18, and GSDMD than group C. The receiver operating characteristic (ROC) curves of all biomarkers showed high diagnostic accuracy, with a significant positive correlation with the clinical parameters and LDL levels. The observed correlations between the studied pro-inflammatory mediators and disease severity suggest that these biomarkers could serve as indicators of disease progression in conditions such as periodontitis and ASCHD.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"17 4","pages":"442-448"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severity of premenstrual symptoms among women with musculoskeletal pain: relation to vitamin D, calcium, and psychological symptoms.","authors":"Khalid Abdul-Razzak, Eman Alshdaifat, Amer Sindiani, Mohammad Alkhatatbeh","doi":"10.25122/jml-2023-0050","DOIUrl":"10.25122/jml-2023-0050","url":null,"abstract":"<p><p>Premenstrual syndrome (PMS) has various symptoms that occur during the luteal phase of the menstrual cycle and subside after menstruation. Anxiety and depression are prevalent in women with PMS and may exacerbate the severity of PMS. Vitamin D and calcium deficiency may have a role in developing anxiety, depression, and musculoskeletal pain (MSP). The aim of this study was to evaluate selected premenstrual symptoms in relation to serum vitamin D levels, daily calcium consumption, and psychological symptoms among women with MSP. The study population consisted of 108 women with MSP and 108 healthy controls. Information about premenstrual symptoms and calcium consumption were collected. Psychological symptoms were assessed using the Hospital Anxiety and Depression Scale (HADS). Vitamin D was determined by electrochemiluminescence immunoassay. Women with MSP had lower serum vitamin D levels, lower daily calcium consumption, higher HADS scores for anxiety and depression, and higher frequency of severe premenstrual symptoms including fatigue, headache, irritability, mood swings, anxiety, depression, and social withdrawal compared to controls (<i>P</i> < 0.01). Abnormal HADS scores for anxiety and depression were associated with increased severity of premenstrual symptoms (<i>P</i> < 0.05). Deficient vitamin D and calcium consumption were associated with abnormal HADS scores for anxiety and depression (<i>P</i> < 0.05) and with increased severity of premenstrual headache, irritability, anxiety, and depression (<i>P</i> < 0.05). Low calcium consumption was associated with increased severity of premenstrual irritability, anxiety, depression, and social withdrawal (<i>P</i> < 0.05). The results suggest that vitamin D deficiency, low calcium consumption, psychological symptoms, and MSP could be interrelated and implicated in the etiology severe premenstrual symptoms. Further studies are necessary to assess whether vitamin D and calcium supplements can relieve MSP and premenstrual symptoms.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"17 4","pages":"397-405"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A 5-year evaluation of quality of life, pelvic discomfort, and sexual function following posterior pericervical repair.","authors":"Zinat Ghanbari, Parivash Jelodarian, Fatemeh Hosseini Salkisari, Samira Sohbati, Tahereh Eftekhar, Reihane Sadat Hosseini, Zahra Nezami, Maryam Deldar Pesikhani","doi":"10.25122/jml-2023-0321","DOIUrl":"10.25122/jml-2023-0321","url":null,"abstract":"<p><p>The aim of this study was to evaluate the quality of life, pelvic discomfort, and sexual function of patients who underwent posterior pericervical repair or level I to III surgical procedures for pelvic organ prolapse (POP) after 5 years of follow-up. This retrospective cohort study enrolled 107 women with POP who were referred to the Imam Khomeini Hospital Complex, an academic center affiliated with the Tehran University of Medical Sciences, Tehran, Iran, from 2014 to 2021. The patients underwent transvaginal surgery using native tissue, in which the rectovaginal fascia was attached to the pericervical ring. The Pelvic Floor Distress Inventory-20 (PFDI-20) and Lower Urinary Tract Symptoms Module (ICIQ-FLUTSsex) questionnaires were completed by each patient before and 5 years after surgery. Of the 107 patients, only 78 completed the 5-year follow-up. The mean PFDI-20 scores before, 12 months, and 5 years after surgery were 141.87 ± 34.48, 100.87 ± 26.48, and 37.49 ± 56.39, respectively, indicating a significant improvement in the patients' symptoms after surgery (<i>P</i> < 0.001). The total mean score of ICIQ-FLUTSsex was 3.67 ± 3.63 (range, 0-10). In total, 22 (28.2%) women had an ICIQ-FLUTSsex score of 0, indicating no problems. The attachment of the rectovaginal fascia to the pericervical rings can be an effective surgical technique for correcting posterior vaginal wall prolapses, without significant morbidity. The PFDI-20 score improved significantly from before surgery to 12 months and 5 years after surgery.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"17 4","pages":"392-396"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neuro-pediatric emergencies: clinical profile and outcomes.","authors":"Imad Khojah, Osama Muthaffar, Hassan Alalawi, Anas Alyazidi, Maha Alghamdi, Ohud Alharbi, Latifa Almuharib, Mayar Salem","doi":"10.25122/jml-2023-0476","DOIUrl":"10.25122/jml-2023-0476","url":null,"abstract":"<p><p>Pediatric neurological emergencies are a significant concern, often leading to high rates of admission to pediatric intensive care units and increased mortality rates. In Saudi Arabia, the emergency department (ED) is the main entry point for most patients in the healthcare system. This study aimed to provide a comprehensive overview of pediatric neurology visits to the ED, analyzing patient demographics, clinical presentations, and outcomes. The retrospective study was conducted at a large tertiary care center and examined 960 pediatric patients with neurological emergencies out of 24,088 pediatric ED visits. The study population consisted mainly of male participants (56.5%) and 43.5% female participants, with a mean age of 5.29 ± 4.19 years. School-age children (6-12 years) represented the largest population group (29.1%), and over a third of patients were triaged as 'resuscitation' (<i>n</i> = 332, 34.6%). Seizures (<i>n</i> = 317, 33.0%) and postictal states (<i>n</i> = 187, 19.5%) were the most common reasons for seeking emergency care, accounting for over half of all cases. There were statistically significant differences in provisional diagnosis and chief complaints across different age groups (<i>P</i> >0.001 and <i>P</i> <0.001, respectively). The most common outcome was discharge (<i>n</i> = 558; 58.1%), and the mean length of stay was 10.56 ± 20.33 hours. Neuro-emergencies in pediatrics are a concern and a leading cause of mortality, morbidities, and increased hospital visits. The observed variations in presentation and outcomes across age groups further emphasize the importance of tailored approaches.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"17 4","pages":"432-441"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The magnitude of influence of personal and professional factors on the career choices of medical students.","authors":"Emad Salawati, Ranya Ghamri, Ashraf Amir, Mohammed Alsubaie, Renad Abualsaud, Sarah Bahowarth, Lina Abdulrahman, Anas Alyazidi","doi":"10.25122/jml-2023-0453","DOIUrl":"10.25122/jml-2023-0453","url":null,"abstract":"<p><p>Medical students face uncertainty in choosing their future careers, which is influenced by personal and professional factors and can have a direct impact on the healthcare system and society. In this study, we aimed to analyze the magnitude of influence of personal and professional factors on students' choices of a future specialty, among medical students in Saudi Arabia and other Arab countries. This cross-sectional exploratory study used cluster sampling and collected demographic data, influencing factors, preferred specialty, and engagement level, using a 20-item questionnaire. The study included 1,105 students, of which 60.5% were women. Income was the most influential factor for both sexes (68.5%) and was statistically significant for men (<i>P</i> < 0.0001), with personal experience and type of patients served being more important for women. Many students (42.6%) were undecided about their future specialty. However, general surgery was the most preferred specialty, followed by internal medicine (10.9%) and obstetrics and gynecology (5.5%). Women had a significantly higher mean personal score than men, indicating a preference for surgery (3.07 ± 2.2 vs. 2.78 ± 2.1; <i>P</i> = 0.029). In this study, we found that income significantly influenced medical students' choices of specialty, with surgery being the most common, and that many students are undecided about their specialty, needing career counseling and mentoring programs.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"17 4","pages":"449-456"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}