{"title":"Retroperitoneal mature teratoma in 3 months old male infant: A case report","authors":"Chaithanya Pulivarthi, Revat Meshram, Amar Taksande","doi":"10.54905/disssi/v27i138/e316ms3139","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e316ms3139","url":null,"abstract":"A Mature teratoma is a tumour consisting of various tissues and is generally a benign tumor. A 3 months old male infant presented with a history of distension of the abdomen, urinary dribbling, and trouble passing the stool for one month before admission. On general examination, the abdomen was soft. Laboratory investigations were performed, and a contrast-enhanced computerized tomography (CECT) abdomen revealed a retroperitoneal mass (suspected Teratoma) with bilateral hydronephrosis. The next day the patient was operated on by performing laparotomy with the removal of the tumor. The patient also had one undescended testis and umbilical hernia, which were taken care of. The patient was kept under observation and was discharged after six days. Diet was advised, and cefixime syrup was given for one week. Follow-up was recommended after one week from the date of discharge.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135002743","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}
Medical SciencePub Date : 2023-08-01DOI: 10.54905/disssi/v27i138/e315ms3131
Radha Manish Nangliya, Manali A Boob, Pratik Phansopkar, Kamya Somaiya
{"title":"Optimizing cardiac therapeutic intervention strategies for patients undergoing Coronary Artery Bypass Graft (CABG) surgery towards recovery and quality of life enhancement: A case study","authors":"Radha Manish Nangliya, Manali A Boob, Pratik Phansopkar, Kamya Somaiya","doi":"10.54905/disssi/v27i138/e315ms3131","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e315ms3131","url":null,"abstract":"Coronary artery bypass grafting (CABG) is a standard type of surgery to treat coronary heart disease. Although restoring the circulation of blood is the main goal of CABG, an effective rehabilitation program is also crucial to the procedure's success. In this instance, elective CABG was performed on a 59-year-old male patient with severe coronary artery disease. The sufferer's postoperative care included a sophisticated intervention that included regular physical activity, dietary modifications, and psychological counselling. The rehabilitative approach included health education, sequential mobilization, a monitored exercise program, dietary counselling, guidance to quitting smoking, and stress management techniques. A framework of evaluation is necessary for the patient's progress to be based on objective measures such as functional status, quality of life, etc. The significance of a well-planned and comprehensive rehabilitation program for CABG patients' postoperative treatment is highlighted by this case study. It highlights the need of using a multidisciplinary team to provide holistic treatment that is taken into account.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135002745","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 of maternal health problems and adverse birth outcome in Jeddah, Saudi Arabia","authors":"Fathi El-Gamal, Siham LAL Mohammad, Nawras Ahmed, Banan Julaidan, Randa Alsibyani, Assmaa Shaker","doi":"10.54905/disssi/v27i138/e323ms3144","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e323ms3144","url":null,"abstract":"The aim of this study was to assess the prevalence of pregnancy related maternal complications and birth outcome among women in Jeddah city Saudi Arabia. This was a cross section study where convenient samples of females were approached via online electronic platform using a questionnaire. The questionnaire assessed data regarding the participants’ socio-demographic and personal characteristics, reported maternal complications and adverse birth outcomes during pregnancy. The chi square test of significance and principal component factor analysis were used. Level of significance was 0.05. This study comprised 301 women with mean age of 32.71 years (SD: 10.285). The self-reported maternal health problems according to order of frequency were miscarriage (46.2%); caesarian section (30.6%); still birth 27.9%; Hypertension (25.1%); Gestational diabetes (18.3%); vaginal bleeding (13.3%); puerperal sepsis (10.3%); premature labor (9.3%); polyhydramnios (9%); and pre-eclampsia (3.3%). Adverse birth outcome was LBW (12.6%), and macrosomia (9.6%). Older age, smoking, and obesity of the pregnant mother, and family history of diabetes mellitus (DM) and gestational DM (GDM) were significantly associated with adverse pregnancy outcome. Further investigations are needed to assess factors associated with these high frequency levels of maternal health complications. Furthermore, these findings have preventive and clinical implications concerning pregnant women with a history of smoking habit and hypertension.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135002738","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}
Medical SciencePub Date : 2023-08-01DOI: 10.54905/disssi/v27i138/e324ms3156
Van Hung Dung, Ho Khanh Duc, Tran Do Anh Vu, Pham Thanh Binh, Nguyen Doan Thai Hung, Chau Chi Linh, Le Hoang Van, Hoang Nien Nham, Nguyen Hoang Huy, Nguyen Minh Trung, MS Minh Chau Van Nguyen
{"title":"Combined cardiac surgery and extra-anatomic ascendant aorto-bifemoral bypass: Short-term results","authors":"Van Hung Dung, Ho Khanh Duc, Tran Do Anh Vu, Pham Thanh Binh, Nguyen Doan Thai Hung, Chau Chi Linh, Le Hoang Van, Hoang Nien Nham, Nguyen Hoang Huy, Nguyen Minh Trung, MS Minh Chau Van Nguyen","doi":"10.54905/disssi/v27i138/e324ms3156","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e324ms3156","url":null,"abstract":"Background: Valvular or coronary artery disease associated with aortoiliac vascular disease is uncommon but very severe. We report the short-term results of 4 cases of single-stage surgery performed cardiac surgery and extra-anatomic ascendant aorta-bifemoral shunt. Methods: Retrospectively describe 4 cases of cardiac surgery combined with single-stage ascendant aorta-bifemoral artery bypass. Results: 1 case of valve replacement and 3 cases of coronary artery bypass without extracorporeal circulation accompanied by ascending aorta-bifemoral artery bypasses through the anterior peritoneal tunnel. Dacron Y-grafts with size 14/7 mm are used. Before surgery, all 4 were in Leriche’s classification stage 4 and TASC II grades D. Contrast angiography showed complete occlusion of the aorta-pelvis (just below the renal artery). There were no deaths or complications in the postoperative period. Follow-up up to 6 months and CT scan showed good patency of bypass, all the patient had no longer of pain in lower extremities and walking normally. Conclusion: Extra-anatomic ascendant aorta-bifemoral artery bypass is an effective, easy-to-implement, and safe solution in cases requiring cardiac surgery at the same time as an acute iliac aortic disease.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135002741","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}
Medical SciencePub Date : 2023-08-01DOI: 10.54905/disssi/v27i138/e322ms3143
Elaf A Rehan, Radwa S Emara, Geraldine M Ahmed
{"title":"In-vitro comparison of TruNatomy and XP-endo Shaper on amount of dentin removal: A micro-computed tomography study","authors":"Elaf A Rehan, Radwa S Emara, Geraldine M Ahmed","doi":"10.54905/disssi/v27i138/e322ms3143","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e322ms3143","url":null,"abstract":"Objective: To use micro-computed tomography to assess the effectiveness of the TruNatomy versus the XP-endo Shaper for removing dentin from single-rooted permanent teeth with straight root canals. Materials and Methods: Ninety-eight extracted human single-root teeth were collected and divided into two equal groups: TruNatomy and XP-endo Shaper (XPS). Root canal instrumentation was done for each system. Pre-and post-instrumentation images were scanned by using Skyscan 1172 micro-CT scanner at a resolution of 13.73 µm to measure dentin removal, differences in dentin thickness, and percent change in root canal volume. The data were analyzed using SPSS. Results: The TruNatomy group and XP-endo Shaper had no significant difference regarding the amount of removed dentin. Conclusion: There was no significant difference in post-instrumentation canal volume and dentine removal between TruNatomy and XP-endo Shaper. Thus, both file systems are equally recommended for clinical use as a practice of minimally invasive endodontics.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135002747","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}
Medical SciencePub Date : 2023-08-01DOI: 10.54905/disssi/v27i138/e325ms3142
Jui Jadhav, Shrilekh Mankhair
{"title":"Extrapyramidal syndrome - anaesthetist’s challenge: A case report","authors":"Jui Jadhav, Shrilekh Mankhair","doi":"10.54905/disssi/v27i138/e325ms3142","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e325ms3142","url":null,"abstract":"Extrapyramidal syndrome (EPS) is the condition commonly referred to as drug induced movement disorders, due to the side effects of drugs which the patients experience from dopamine receptor antagonists. The symptoms of EPS are debilitating, which interfere with the social functioning and communication, motor tasks and activities of daily living. This ultimately is associated with poor quality of life which may result in multiple hospital visits. This case is of a 28 years old female patient who was the known case of EPS and epilepsy and was on medications of antipsychotic drug Olanzapine, dopamine receptor agonist levodopa (100mg) plus carbidopa (25mg) and anti-epileptic drug levetiracetam who presented with an abscess in left loin region for 5 days which was insidious in onset and then gradually increased in size. It was associated with pain. This case study discusses how the patient with EPS with decreased swallowing reflexes, poor nutritional status and condition requiring surgery poses challenges to the anaesthesiologists in the peri operative period.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135002742","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":"Coping with the COVID-19 pandemic: Anxiety, depression and stress: Results from a cross-sectional survey","authors":"Wafaa Aqeeli, Abeer Qadah, Waad Zamzami, Yosra Alhindi, Arwa Fairaq, Sahar Elashmony","doi":"10.54905/disssi/v27i138/e319ms3171","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e319ms3171","url":null,"abstract":"Introduction: The global burden of coronavirus disease (COVID-19) has affected mental health in many people, including anxiety, depression, and stress. Methods: Google online survey was posted about the COVID-19 experience on anexiety, stress and depression assessment. Results: A total of 306 responses were obtained. Around (76,8%) of the respondents were female, (73.9%) were with undergraduate education, and (29.4%) were from Makkah. Conclusion: Our study, which was conducted after the pandemic had settled down and the lockdown had been lifted, showed that anxiety, depression, and stress were at mild to moderate levels. From our results we advice to apply psychological protocols and help that can enhance any mental health defect related the COVID-19 pandemic.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135002746","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":"Peutz-Jeghers Syndrome, A Rare Polyposis Syndrome: A Case Report","authors":"Kamlesh Taori, Vijendra Kirnake, Saurabh Mukewar, Sourya Acharya, Sunil Kumar, Anamika Giri, Shubham Nimkar","doi":"10.54905/disssi/v27i138/e328ms2745","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e328ms2745","url":null,"abstract":"Peutz-Jeghers Syndrome (PJS) is an uncommon familial disorder that leads to the development of gastrointestinal and extragastrointestinal hamartomatous polyps, mucocutaneous pigmentation with an increased risk of malignancy. This polyposis syndrome is associated with variable clinical course with significant mortality & morbidity and is known to cause complications like intussusception, obstruction, anemia, and bleeding. Here, we report a case of a 21 years old young female suffering from PJS to increase awareness amongst clinicians regarding this rare syndrome. She presented to us with complaints of pain in the epigastrium and left hypochondrium, constipation and malena. She had hyperpigmented mucocutaneous macules of brownish-black colour on the buccal mucosa and lips and also had numerous sessile-pedunculated polyps in stomach, duodenum, jejunum and colon. She was decided to undergo double-balloon enteroscopy and polypectomy (more than 35 polyps were removed). After an interval of 4 weeks, colonoscopic polypectomy was also done. There was a history of jejuno-jejunal intussusception for which resection and anastomosis of proximal jejunal was done in past. Hence, it is advisable for young cases having a presentation of intestinal obstruction, intussusception or malena, in presence of mucosal pigmentation and other pathognomonic signs of PJS, to screen for PJS. In case of PJS, a surgical emergency like intussusception may be present which if missed may turn into bowel ischemia which may have a grave sequel. In PJS, early intervention (polypectomy) preferably by double-balloon enteroscopy method is important to prevent morbidity and mortality caused by PJS. Follow-up of gastrointestinal polyps and regular lifelong screening for malignancy is recommended in PJS.","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135002740","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}
Medical SciencePub Date : 2023-08-01DOI: 10.54905/disssi/v27i138/e317ms3137
Leena E Azhar, Amal H Alghamdi
{"title":"Patterns of risky driving behaviors among Preventive Medicine Residents in the Kingdom of Saudi Arabia, 2023","authors":"Leena E Azhar, Amal H Alghamdi","doi":"10.54905/disssi/v27i138/e317ms3137","DOIUrl":"https://doi.org/10.54905/disssi/v27i138/e317ms3137","url":null,"abstract":"Introduction: Risky driving behavior is a significant public health problem that is responsible for the majority of fatal traffic accidents. This study evaluated the prevalence of risky driving behaviors among Preventive Medicine Residents across Saudi Arabia. Subjects and Methods: A cross-sectional study targeted a sample of 276 preventive medicine residents of all 10 programs in Saudi Arabia cities. A self-reported","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135002748","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}
Medical SciencePub Date : 2023-07-27DOI: 10.54905/disssi/v27i137/e312ms2982
Iram Saifi, Roohi G Gupta, S. Kashikar, Gopidi Nidhi Reddy, Vadlamudi Nagendra
{"title":"Early antenatal sonographic assessment of Type III Congenital Pulmonary Airway Malformation","authors":"Iram Saifi, Roohi G Gupta, S. Kashikar, Gopidi Nidhi Reddy, Vadlamudi Nagendra","doi":"10.54905/disssi/v27i137/e312ms2982","DOIUrl":"https://doi.org/10.54905/disssi/v27i137/e312ms2982","url":null,"abstract":"","PeriodicalId":18393,"journal":{"name":"Medical Science","volume":"61 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78675226","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}