Medical Science最新文献_第5页

Effectiveness of Unified Transdiagnostic Protocol in psychosomatic symptoms in patients with Multiple Sclerosis: A randomized controlled trial 统一跨诊断方案对多发性硬化症心身症状的疗效:一项随机对照试验

Medical Science Pub Date : 2023-09-30 DOI: 10.54905/disssi.v27i139.e353ms3204

Amir Mahdi Katani, Abbas Masjedi Arani, Reza Hajmanouchehri, Banafsheh Mohajerin

{"title":"Effectiveness of Unified Transdiagnostic Protocol in psychosomatic symptoms in patients with Multiple Sclerosis: A randomized controlled trial","authors":"Amir Mahdi Katani, Abbas Masjedi Arani, Reza Hajmanouchehri, Banafsheh Mohajerin","doi":"10.54905/disssi.v27i139.e353ms3204","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e353ms3204","url":null,"abstract":"Introduction: Psychologically-driven manifestations, including psychosomatic symptoms, are common in MS patients. Aims: The present study aimed to examine and develop the efficacy of the Unified Transdiagnostic Protocol (UTP) in psychologically driven and, more specifically, the psychosomatic symptoms of MS patients . Methods: The present randomized clinical trial was conducted at the Brain and Neurology Clinic of Mohebe Mehr Hospital, Tehran, Iran, in 2022. In total, 43 MS patients were entered into the study and randomly assigned to two groups: intervention (n=21) and control (n=22). We implemented UTP in 12 weekly online sessions (each session took 60 minutes). Fatigue Severity Scale (FSS), Pittsburgh Sleep Quality Index (PSQI), and Larson Sexual Satisfaction Questionnaire (LSSQ) were used to assess psychosomatic symptoms. Results: Based on multivariate tests, there was a significant difference between different stages of the study, as well as the interaction effect between groups in terms of fatigue, desire to have sex, sexual attitude, sex life quality, sexual compatibility, and sleep quality (P<0.001). Moreover, there was a considerable difference in the changes in psychological symptom scores in UTP groups compared to control groups during the measurement stages (P<0.001). The stability of the treatment effects has been confirmed over time (P<0.001). Conclusion: As evidenced by the obtained results, UTP had stable effects on the treatment of psychosomatic symptoms. These include fatigue, desire to have sex, sexual attitude, sex life quality, sexual compatibility, and sleep quality, in MS patients.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082527","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}

引用次数: 0

The impact of vaccination status on the severity of pain syndrome in COVID-19 patients of Al-Rayan Colleges, Al Madinah 疫苗接种状况对麦地那Al- rayan学院COVID-19患者疼痛综合征严重程度的影响

Medical Science Pub Date : 2023-09-30 DOI: 10.54905/disssi.v27i139.e344ms3198

Sally Elnawasany, Leen Alsarani, Taif Al hazmi, Rawshan Alyoubi, Ghufran Nasib

{"title":"The impact of vaccination status on the severity of pain syndrome in COVID-19 patients of Al-Rayan Colleges, Al Madinah","authors":"Sally Elnawasany, Leen Alsarani, Taif Al hazmi, Rawshan Alyoubi, Ghufran Nasib","doi":"10.54905/disssi.v27i139.e344ms3198","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e344ms3198","url":null,"abstract":"COVID‐19 has a wide range of clinical features, of which pain syndrome is commonly met. Vaccination of COVID-19 reduced symptomatic infections and/or high viral load infection. The aim of this study is to compare the severity of pain syndrome among COVID-19 immunized and non-immunized patients in Al-Rayan Colleges, Al-Madinah. A retrospective cross-sectional observational study was carried out on 304 COVID-19 patients of age ranging from 18-65 years in AL-Rayan Colleges, AL-Madinah, KSA, between September 2021 to April 2023. An electronic questionnaire with 20 items was introduced to the participants of the study after filling in written consent. According to vaccine status, the participants of the study were divided into 5 groups; unvaccinated, partially vaccinated (≥ 14 d ays after dose 1 or < 14 days after dose2), Fully vaccinated (≥ 14 days after dose 2), 3rd dose vaccinated and 4th dose vaccinated. Pain syndrome symptoms were observed in all vaccinated and non-vaccinated participants with insignificant differences (P>0.05). Severe pain was highly observed in non-vaccinated participants (40.2%). While it was not detected (0%) in the 4th dose vaccinated group. It was (29.7%), (38.7%) and (39.1%) in partially vaccinated, fully vaccinated, and 3rd dose vaccine groups, respectively. In conclusion, pain syndrome was detected in all COVID-19 patients, while pain severity significantly increased in non-vaccinated patients and was absent in patients who had received the 4th dose of the vaccine.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135081398","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}

引用次数: 0

COVID-19 vaccine and menstruation cycle changes COVID-19疫苗与月经周期变化

Medical Science Pub Date : 2023-09-30 DOI: 10.54905/disssi.v27i139.e357ms3215

Wesam Abd Saeed Al-Mekhalafy, Mufareh Asiri, Tahani Mahmood Thabit, Saad Alonze, Mona Abdulrahman Alhagbani

{"title":"COVID-19 vaccine and menstruation cycle changes","authors":"Wesam Abd Saeed Al-Mekhalafy, Mufareh Asiri, Tahani Mahmood Thabit, Saad Alonze, Mona Abdulrahman Alhagbani","doi":"10.54905/disssi.v27i139.e357ms3215","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e357ms3215","url":null,"abstract":"Background: Over 474 million cases and almost 6 million fatalities caused by COVID-19 have been reported globally. The case fatality rate was 0.5-2.8%, but it was 3.7-14.8% for people aged 80 to 89. Given how dangerous this infection is, prevention is essential. As a result, the number of COVID-19 cases significantly decreased (> 75% protection) when immunisations were introduced. On the other side, it has also been noted that individuals have sought treatment for severe respiratory, cardiovascular, neurological, and gynaecological symptoms. Method: A group from king saud medical city in the Kingdom of Saudi Arabia used a semi-structured questionnaire to perform an online cross-sectional survey on females in the reproductive age range (15-49 years) between Dec 2022 and Jul 2023. SPSS Statistics version 24.0 was used to analyse the data, which was then displayed as frequency and percentage. The link was tested using the chi-square method, and a p-value of 0.05 was deemed significant. Results: 46.5% of the individuals in our study were between the ages of 21 and 30, and 87.7% reported menarche between the ages of 11 and 15. 1474 (71%) of the participants reported changes to their menstrual cycle after COVID-19 vaccination. 320 (21.7%) reported changes after the first dosage, 831 (56.4%) after the second dose, and 12 (0.8%) after the booster, according to these statistically significant results (p value 0.002). Conclusion: Females of reproductive age, particularly those who received the new vaccines, reported menstruation irregularities following vaccination. Prospective investigations are required for comparable findings.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082167","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}

引用次数: 0

Histopathological study for the products of conception from a regional pathology laboratory in Southwestern Saudi Arabia: A 5-year retrospective study 来自沙特阿拉伯西南部地区病理学实验室的受孕产品的组织病理学研究:一项5年回顾性研究

Medical Science Pub Date : 2023-09-30 DOI: 10.54905/disssi.v27i139.e348ms3196

Omer Abdelbagi, Ibrahim Alshegifi, Norah Alameri, Mohamed Elhefny, Hamad Alshegifi, Sultan Zaydi, Abdulaziz Alsulbi, Asad Adam Abbas, Ashraf Ewis

引用次数: 0

Use of Behavioural Pain Scale in assessing pain during physical therapy procedures in sedated, mechanically ventilated patients in ICU: A cross-sectional observational study 使用行为疼痛量表评估ICU中镇静、机械通气患者物理治疗过程中的疼痛:一项横断面观察研究

Medical Science Pub Date : 2023-09-30 DOI: 10.54905/disssi.v27i139.e350ms3201

Saumi Sinha, Sheetal Malekar, Rakesh Kumar Sinha

{"title":"Use of Behavioural Pain Scale in assessing pain during physical therapy procedures in sedated, mechanically ventilated patients in ICU: A cross-sectional observational study","authors":"Saumi Sinha, Sheetal Malekar, Rakesh Kumar Sinha","doi":"10.54905/disssi.v27i139.e350ms3201","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e350ms3201","url":null,"abstract":"Background: Critically ill patients who are sedated and mechanically ventilated, experience significant pain during physical therapy procedures but cannot communicate effectively due to sedation. Identification and evaluation of pain with validated behavioral observation tools in patients unable to self-report pain improve quality of care by administration of appropriate analgesia or sedation during routine physical therapy care of ventilated patients. Aims and Objectives: This study aimed to assess pain in sedated, mechanically ventilated patients using the Behavioural Pain Scale (BPS) during physical therapy procedures like body positioning and tracheal suctioning. Materials and Methods: Following ethical approval, 50 adult patients, sedated and mechanically ventilated, admitted in the ICUs in a tertiary care teaching hospital were assessed for pain severity using BPS during routine physical therapy procedures. Patients ≥18 years of age, both male and female, with Glasgow Coma Scale of (GCS) < 10, were included in the study. Patients with Ramsay Sedation Scale (RSS) of 3, 4, and 5, mechanically ventilated for at least 48 hours, who were unable to verbalize, patients who were undergoing routine physical therapy that included body positioning and tracheal suctioning for removal of secretion were included. Patients below 18 years of age, able to verbalize pain, and GCS score of ≤ 3, were excluded from the study. Conclusion: BPS is recommended for better pain evaluation during physical therapy procedures in sedated, mechanically ventilated adult patients in the ICU.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082166","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}

引用次数: 0

A rare case report on Intraductal papilloma of nipple in a young female – radiographical and histopathological correlation 年轻女性乳头导管内乳头状瘤罕见病例报告——影像学与组织病理学的相关性

Medical Science Pub Date : 2023-09-30 DOI: 10.54905/disssi.v27i139.e355ms3133

Lekha Priya M, Murugan G

引用次数: 0

A case of Non immune hydrops fetalis incidentally found on routine obstetric sonography 在常规产科超声检查中偶然发现的非免疫性积水胎儿1例

Medical Science Pub Date : 2023-09-30 DOI: 10.54905/disssi.v27i139.e346ms3087

Asokan Aradhana Shanmughan, Shalmol Thomas M, Murugan G

{"title":"A case of Non immune hydrops fetalis incidentally found on routine obstetric sonography","authors":"Asokan Aradhana Shanmughan, Shalmol Thomas M, Murugan G","doi":"10.54905/disssi.v27i139.e346ms3087","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e346ms3087","url":null,"abstract":"Non-immune hydrops fetalis is a severe condition that is uncommon and usually associated with a poor prognosis. It is characterized by abnormal accumulation of fluid in two or more fetal body compartments, along with generalized soft tissue edema. Before 1968, hydrops fetalis was secondary to maternal-fetal Rh incompatibility, but today most cases are non-immune origin due to the widespread use of Rhesus-D-alloimmunisation. A long list of aetiologies is found with non-immune hydrops fetalis, which varies from genetic abnormalities to cardiac conditions, infections, hematological and autoimmune causes, each with the potential to affect the fetus severely. We report a case of 24-year-old female, Gravida 2 para 1, who presented to our hospital for a regular antenatal check-up at 28 weeks of gestation for fetal well-being. Routine antenatal ultrasound findings revealed gross ascites with abdominal wall edema, mild pleural effusion, pericardial effusion, and generalized fetal edema. The first baby is alive and healthy, delivered at 39 weeks. History of previous pregnancy and previous studies exclude the causes of immune hydrops fetalis, making this case most likely suggestive of the non-immune type.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082178","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}

引用次数: 0

Investigating doctors implementation of ACC/AHA blood cholesterol treatment recommendations at a tertiary hospital in Northern Saudi Arabia 在沙特阿拉伯北部的一家三级医院调查医生执行ACC/AHA血液胆固醇治疗建议的情况

Medical Science Pub Date : 2023-09-30 DOI: 10.54905/disssi.v27i139.e358ms3228

Alaa H Falemban, Radhi M Alanazi, Safaa M Alsanosi, Halah T Albar, Asim M Alshanberi, Yosra Z Alhindi

{"title":"Investigating doctors implementation of ACC/AHA blood cholesterol treatment recommendations at a tertiary hospital in Northern Saudi Arabia","authors":"Alaa H Falemban, Radhi M Alanazi, Safaa M Alsanosi, Halah T Albar, Asim M Alshanberi, Yosra Z Alhindi","doi":"10.54905/disssi.v27i139.e358ms3228","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e358ms3228","url":null,"abstract":"Background: The 2018 American College of Cardiology (ACC) and American Heart Association (AHA) updated data on blood cholesterol treatment guidelines showed a significant shift in treating atherosclerotic cardiovascular disease (ASCVD). In 2018, recommendations were adopted to increase the number of persons using statin therapy. Still, real-world observations of how treatment use has changed, especially in Saudi Arabia, have yet to be limited in the literature. Doctors' implementation of ACC/AHA 2018 recommendations regarding prescribing medications has yet to be studied in Saudi Arabia. Aim: To examine doctors' implementation of ACC/AHA 2018 cholesterol recommendations in managing acute atherosclerotic cardiovascular disease patients. Results: Almost 47% of the patients were managed according to the 2018 ACC/AHA recommendations. However, 53% of patients did not take statins. Doctors adhered to the recommendations when working with patients with myocardial issues, in contrast to other events. Of the non-adherent patients, 40% refused the treatment because of their beliefs or fear of the side effects. Conclusion: Our primary analysis concluded that statin recommendations were not given to more than half of the patients with acute atherosclerotic diseases; moreover, some did not receive any statin therapy.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082518","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}

引用次数: 0

The association between Oral Health and Depression among university students in Makkah city: A web-based survey study 麦加市大学生口腔健康与抑郁症的关系:一项基于网络的调查研究

Medical Science Pub Date : 2023-09-30 DOI: 10.54905/disssi.v27i139.e352ms3221

Abdullah Alutaibi, Salah Bakry, Saad Albagami, Moayad Hadi, Abdulrahman Aboalreesh, Ahmed Fudah, Majed Alqahtani, Sufana Alattas, Alawi Alaidarous, Alaa Aljohani, Saad Aljabri, Fasial Alotaibi, Mohamed A Elhefny

{"title":"The association between Oral Health and Depression among university students in Makkah city: A web-based survey study","authors":"Abdullah Alutaibi, Salah Bakry, Saad Albagami, Moayad Hadi, Abdulrahman Aboalreesh, Ahmed Fudah, Majed Alqahtani, Sufana Alattas, Alawi Alaidarous, Alaa Aljohani, Saad Aljabri, Fasial Alotaibi, Mohamed A Elhefny","doi":"10.54905/disssi.v27i139.e352ms3221","DOIUrl":"https://doi.org/10.54905/disssi.v27i139.e352ms3221","url":null,"abstract":"Background: Oral health encompasses a global health burden. Recently, a connection between oral health and depression was detected in many studies. Our study aimed to determine the association level between oral health and depression among university students in Makkah City. Methodology: A survey-based study was conducted via online social media channels utilizing two validated standardized tools: Oral Health Impact Profile-14 questionnaire and Patient Health Questionnaire (PHQ)-9. Results: 534 students were included in this survey; the Mean age was 21.3 with (SD=2.03) — most students aged 20 years old, 21.91%. Most participants had good levels of oral health, 94.19%, while most of the participants, on the other hand, had mild levels of depression, 38.58%. A statistically significant association was found between those with mild levels of depression and those with good levels of oral health (P-value, ˃ 0.001). Conclusion: This study demonstrated an association between oral health and depression among university students in Makkah City. More research is advised to support the results.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082525","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}

引用次数: 0

Burnout syndrome among forensic physicians in Saudi Arabia 沙特阿拉伯法医的职业倦怠综合症

Medical Science Pub Date : 2023-08-25 DOI: 10.54905/disssi/v27i138/e340ms3177

Mohammed S Alqhtany, Raneen N Abu Shanab, Sara O Aljohani, Waad A Alghamdi, Aseel S Mutawkkil, Mamdouh K Zaki, Ranya A Zahid

{"title":"Burnout syndrome among forensic physicians in Saudi Arabia","authors":"Mohammed S Alqhtany, Raneen N Abu Shanab, Sara O Aljohani, Waad A Alghamdi, Aseel S Mutawkkil, Mamdouh K Zaki, Ranya A Zahid","doi":"10.54905/disssi/v27i138/e340ms3177","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e340ms3177","url":null,"abstract":"Background/purpose: Working in a forensic medicine setting imposes a significant psychological burden on the employees due to work duties of devastating and unpredictable nature. The work nature puts forensic practitioners at substantial risk of developing burnout. This study investigated the extent of occupational burnout among forensic medicine physicians in Saudi Arabia and the different coping methods implemented. Methods: An observational cross-sectional study using a self-administered questionnaire was conducted on Saudi forensic medicine physicians across different centers. The questionnaire was divided into four sections: demographics, work characteristics, Oldenburg Burnout Inventory, and the brief-COPE Inventory. Results: 56.1% of participants experienced high burnout levels, whereas 26.3% and 17.5% scored medium and low levels of burnout, respectively. The increased number of cases acquired weekly and working hours per day were strong predictors of high burnout levels. The first choice to be considered by many forensic experts regarding coping with the number of stressful stimuli was taking a vacation. Conclusion: The study found a high prevalence of burnout among Saudi forensic practitioners, of which the majority exhibited high levels of burnout. The number of cases reflected a considerable impact on psychological well-being, making them more prone to score higher on burnout measures while having more work experience revealed better-coping abilities with time. Therefore, special efforts should be considered and applied to minimize burnout.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134930742","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}

引用次数: 0