SAS Journal of Medicine最新文献

{"title":"Sate of Art of Stereotaxic Techniques for Recurrent Nasopharyngeal Carcinoma","authors":"Sophia Lebbar, M. Darfaoui, A. Omrani, M. Khouchani","doi":"10.36347/sasjm.2023.v09i07.007","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i07.007","url":null,"abstract":"Recurrent nasopharyngeal carcinoma (NPC) is a challenging condition to treat, requiring effective strategies due to its aggressiveness and resistance to conventional therapies. Stereotactic techniques, including stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT), have emerged as promising options for managing recurrent NPC. These techniques deliver highly precise radiation doses to the tumor while minimizing damage to surrounding healthy tissues, maximizing tumor control, and reducing side effects. This review explored the current evidence and clinical outcomes of stereotactic techniques in managing recurrent NPC. A systematic review was conducted using PubMed as the primary database, and 58 relevant articles were analyzed. The selected studies demonstrated the efficacy of stereotactic techniques, with high response rates and favorable local control and survival rates reported in various cohorts. However, the review also noted the potential risk of complications associated with stereotactic techniques, including late toxicities such as radionecrosis or hemorrhage. While the studies showed promising results, the level of evidence was primarily based on retrospective analyses and some pilot and prospective studies, highlighting the need for further validation and longer-term follow-up. More research is required to establish optimal protocols, minimize risks, and further understand the role of these techniques in improving patient outcomes.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114197921","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":"Characteristics and Risk Factors of Upper Gastrointestinal Bleeding in Patients on Antithrombotic Therapy: A Prospective Study","authors":"S. Rokhsi, T. Addajou, A. Benhamdane, S. Mrabti, S. Sentissi, R. Berraida, F. Rouibaa, A. Benkirane, H. Seddik","doi":"10.36347/sasjm.2023.v09i07.005","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i07.005","url":null,"abstract":"Study aims: Evaluate the effect of antithrombotic therapy use on endoscopic outcomes in patients admitted for upper gastrointestinal bleeding. Patients and Methods: This is a prospective monocentric cross-sectional study of 332 patients conducted between June2020 and August 2021.We considered as users of AT drugs all patients on antiplatelet agents (low-dose aspirin, thienopyrimidines) and/or anticoagulants (vitamin K antagonists, direct-acting anticoagulants, heparin). Results: The average age was 59+/−16.7 years. Our series was characterised by a clear male predominance of 77.1%.63 patients (19%) were taking AT drugs (41 antiplatelet, 39 anticoagulant). The two groups differed in age (68 vs 57; p<0.001), comorbidities (75.8% vs 16.7%; p<0.001), however there was no statistically significant difference in active bleeding at endoscopy (12.7%vs 16.8%; p=0.425), and the need for endoscopic haemostasis (7.9%vs 16%; p=0.1).In multivariate analysis and adjusting for age, sex, comorbidities, presence of active bleeding and use of antithrombotics, only the presence of active bleeding could predict the need for endoscopic haemostasis. Indeed, the presence of active bleeding at the time of endoscopy multiplies by 26 the risk of recourse to endoscopic haemostasis (OR: 26, CI: 12.9–62.15, p<0.001), whereas the use of AT drugs does not influence the need for endoscopic haemostasis (OR: 0.386, CI: 0.105- 1.42, p=0.154). Conclusions: Older patients using AT admitted for UGIB do not appear to have an increased risk of active bleeding at endoscopy or needing endoscopic haemostasis.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"217 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131495759","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":"Truncus Bicarotidus and Arteria Lusoria: A Rare Birth Defect","authors":"O. H. Marion, Akdi Khaoula, Boutakioute Badr, Ouali Idrissi Mariem, cherifidrissielganouni najat","doi":"10.36347/sasjm.2023.v09i07.004","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i07.004","url":null,"abstract":"We present the case of a 50-year-old woman who underwent a CT scan of the chest as part of a surveillance examination during which a congenital anomaly of the branches of the aortic arch was discovered. It was a bicarotid trunk associated with an aberrant right subclavian artery, with no other abnormal vascular arrangement. This rare type of anomaly is usually discovered in childhood or when symptoms appear. Our patient had no knowledge of an episode of dyspnea-type respiratory disorder or dysphagia-type digestive disorder. This anomaly had never been reported to him. Educating clinicians about this anomaly is important for cardiologists and interventional radiologists given the growing number of cases.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"358 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130731159","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":"Iceberg Lettuce Reduces the Severity of Gastroesophageal Reflux Symptoms: Two Case Reports","authors":"Thomas J. Hurr","doi":"10.36347/sjmcr.2023.v11i07.012","DOIUrl":"https://doi.org/10.36347/sjmcr.2023.v11i07.012","url":null,"abstract":"Gastroesophageal reflux is a common disease and generally occurs when a portion of the contents of the stomach pass through the lower esophageal sphincter and into the esophagus and returns. If gastroesophageal reflux occurs regularly then symptoms of gastroesophageal reflux disease or GERD can develop. Typical gastroesophageal reflux symptoms (RS) are often defined as heartburn/discomfort or a feeling that stomach contents could reflux into the oesophagus. Gastroesophageal RS are commonly managed by making dietary and lifestyle changes but may also require the use of antacid tablets or proton pump inhibitors (PPIs). Two cases are presented where the effects of consuming iceberg lettuce (IL) on the severity of RS, classified as mild, medium or severe, are reported. It was found for both patients, IL consumed after a meal could resolve mild RS, resolve or reduce the severity of moderate RS, and reduce the severity of severe RS to mild or moderate symptoms, but not resolve them.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124508017","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":"Hairdressing Practices and Alopecia among Women Aged 15 to 45 in Bamako","authors":"Gassama Mamadou, Keïta Djeneba, Karabinta Yamoussa, C. Lamissa, T. Koureissi, Sissoko Madou, K. B, Kéita Alimata, Diarra Mariam, Konaté Mariam, S. Ousmane, Traoré Aboubacrine, Guindo Binta, Diakité Mamoudou, Thiam Hawa, Dicko Adama Aguissa, F. Ousmane","doi":"10.36347/sasjm.2023.v09i07.002","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i07.002","url":null,"abstract":"Introduction: Alopecia is the pathological loss of hair, a frequent sign in dermatology whose etiologies are multifactorial. Alopecia in women can lead to a loss of self-esteem leading to depression and thus alter the quality of life. Better knowledge of the etiologies will make it possible to prevent certain types of alopecia in women and to improve case management. The aim of this work is to study the causes of alopecia in women aged 15 to 45 in the dermatology department of the National Center for Support in the Fight against Disease (CNAM). Methods: This was a descriptive cross-sectional study from February 2018 to February 2019, all women aged 15 to 45 consulting in the service during the study period. Case definition: alopecia any patient between the ages of 15 and 45 consulting for localized or diffuse hair loss. Results: We recruited 102 cases of alopecia out of 7223 women, i.e. a prevalence of 1.41%. The 25-35 age group represented 39%, with an average age of 28. Married women numbered 48, or 47.06%. Civil servants accounted for 28.43%. 87.25% of cases resided in urban areas. The duration of disease progression ranged from 1-12 months for 48.04% to 1-3 years for 36.28% and more than 3 years for 15.68%. The styling practices found in our cases: weaving, straightening, additions, represented respectively (97.06%, 53.92%, 72.54%); braids with addition every 04 weeks was practiced by 30 of our cases. Potash was used by 72.54% of cases for straightening. Our patients straightened their hair at a periodic rate of 3 months for 31.51% of cases, a rate of 6 months for 26.03% of cases. Alopecia was frontal seat, Traumatic alopecia was found in 33.33% of subjects practicing straightening. Rural women suffered from inflammatory causes (P=0.00005). Close straightening sessions expose to the risk of traumatic alopecia (P=0.03). Conclusion: The etiologies of alopecia are dominated by traumatic causes. This underlines the harmful effect of certain styling practices in ...","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124264329","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":"Minimally Invasive Surgery in Total Hip Arthroplasty: Analysis of Clinical Results and Practical Implications","authors":"R. Alami, M. Jalal, Boufetal Mouncef, Bassir Rida Allah, M. Kharmaz, M. Lamrani, B. Salah","doi":"10.36347/sasjm.2023.v09i07.003","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i07.003","url":null,"abstract":"This study presents a comprehensive analysis of the clinical results and practical implications of minimally invasive surgery (MIS) in total hip arthroplasty (THA). The study aimed to evaluate the outcomes of MIS-THA compared to traditional open surgery, focusing on postoperative pain, functional improvement, complications, and patient satisfaction. A retrospective analysis was conducted on a cohort of 20 patients who underwent MIS-THA. The results showed significant improvements in postoperative pain levels and functional outcomes among patients who underwent MIS-THA. The MIS approach demonstrated reduced tissue trauma, shorter hospital stays, and faster recovery times compared to traditional open surgery. Complication rates were also found to be lower in the MIS-THA group. Additionally, patient satisfaction scores were higher in the MIS-THA group, highlighting the positive impact of this technique on patient experience. The findings of this study support the use of MIS in THA as a viable alternative to traditional open surgery. The benefits of MIS include reduced postoperative pain, improved functional outcomes, shorter hospitalization, and enhanced patient satisfaction. These results have important implications for clinical practice, as MIS-THA can contribute to improved patient outcomes and cost-effective healthcare delivery.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"351 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123387580","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":"Management of Female Sterility Due to Tubal Obstruction during Laparoscopic Surgery at the Nianankoro Fomba Hospital in Segou","authors":"D. I, B. B, F. D, S. B, K. M, Bakayoko, T. B, O. S, M. K, Yoroté, A, K. D, K. O, S. Y, S. D, S. I","doi":"10.36347/sasjm.2023.v09i06.034","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i06.034","url":null,"abstract":"This is a prospective cross-sectional study which took place at Segou Hospital from 15 January 2019 to 15 January 2022 on the management of female infertility by tubal obstruction in laparoscopic surgery at Segou Hospital on 14 cases. 42.9% were between 31 and 35 years of age. The mean age was 20.3 years, with extremes ranging from 20 to 41 years. Civil servants were the most represented, with 42.9% in our series, followed by shopkeepers with 21.4%. All our patients were married. 78.6% had primary infertility, 21.4% had secondary infertility. The average duration of infertility was 1.9 years, with extremes of 2 and 10 years. Obstetrical outcome after catheterisation was favourable in four (4) of our patients, i.e. 28.6% had a pregnancy after recanalisation compared with 71.4% without pregnancy. Conclusion: The advent of laparoscopic surgery in our country has made it possible to improve care for women suffering from female infertility.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129452921","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":"Cholestatic Jaundice during Epstein-Barr Virus Primary Infection: A Rare Manifestation","authors":"A. Touibi, R. Laroussi, I. Mouslim, S. Hdeyi, S. Berrag, Fouad Nejjari, T. Adioui, M. Tamzaourte","doi":"10.36347/sasjm.2023.v09i06.035","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i06.035","url":null,"abstract":"Infectious mononucleosis, induced by the Epstein-Barr virus (EBV), is a very frequent infection, affecting mostly young adults. Although liver damage is often mild and self-limiting, only a few cases of severe EBV-induced cholestatic hepatitis and jaundice have been reported in the literature. EBV infection should be considered as part of the differential diagnosis in patients with an obstructive pattern on liver function tests without evidence of biliary obstruction demonstrated on advanced imaging. The diagnosis is usually confirmed only by serology and the evolution is generally favorable. We report the observation of an 16 year old female with no particular medical history, who developed a febrile cholestatic jaundice without signs of hemolysis and without biliary obsruction on imagery.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130463297","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":"Orbito-Temporal Hamartoma in a Newborn","authors":"Tall Aichata, Bamenta Ibrahim, BA Kadiatou, Wangara Nana, Sissoko Modibo, S. Moro, Diallo Seydou, Mariko Brehima, Toure Ousmane, Saye Gounon, T. Ibrahima, S. Kolé, Sylla Fatoum","doi":"10.36347/sasjm.2023.v09i06.033","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i06.033","url":null,"abstract":"We report the case of a male newborn, eleven days old, born in a context of dystocic delivery, but without notion of resuscitation or oxygen therapy. He was referred for protrusion of the left eyeball observed at birth. The right eye examination was normal. In the left eye we found a congenital, axile, irreducible and inflammatory grade III proptosis with corneal dystrophy. The fundus was inaccessible. A computed tomography performed showed a sphenoid heterogeneous expansive process with left temporo-orbital extension with locoregional invasion. The child was referred to the pediatric neurosurgery department where the total tumor extraction was performed and the analysis of the surgical specimen revealed an orbito-temporal hamartoma.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"64 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":"132811450","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":"Clinical and Epidemiological Aspects of Eye Trauma at the Ouelessebougou Reference Health Center in the Koulikoro Health District in Mali","authors":"Sékou Malle,, M. Sidibé, Moumine Traoré, Amadou Ongoiba, Assitan Bengaly, A. Napo, O. Diallo, A. Dembélé, Daouda Goita, Djonnyjonas Dembele, M. Togo, Kadiatou Koita, Aissata Tall, A. Coulibaly, Cheick Fantamady Tounkare, N. Fofana, M. Dolo, B. Coulibaly, S. Bamani","doi":"10.36347/sasjm.2023.v09i06.027","DOIUrl":"https://doi.org/10.36347/sasjm.2023.v09i06.027","url":null,"abstract":"Introduction: Ocular trauma leads to isolated or associated lesions.These lesions are the cause of blindness worldwide. The frequency and nature of these traumas are diverse and varied. The aim of this study was to describe the clinical and epidemiological aspects of these ocular traumas at the reference health center of Ouelessebougou in Mali. Patients and Method: It was abouta retrospective cross-sectional study, carried out at the reference center of Ouelessebougou. It included all patients with ocular trauma received and followed up between July 1 and December 31, 2018. Results: The frequency of ocular trauma was 3.30%. It occurred in young subjects aged 5 to 14 years (26.47%); predominated the male subject with 52.94%. The consultation time was in 41.18% of cases greater than or equal to 72 hours. Domestic accidents were the main circumstances of occurrence with 55.8% of cases. The involvement was unilateral in 85.3% and bilateral in 14.7%. Visual acuity was positive Light Perception (PL+) at finger count (CLD) 3 meters in 44.12%. Contusion was the main type of trauma with (67.65%) followed by wounds with 20.59% of cases. Corneal opacities represented the main sequelae with 3 cases out of 34 or 8.82% of cases. Discussion: Ocular injuries most often occur in young, male subjects. The lesions are multiple and varied and can be a source of disabling sequelae. Conclusion: Eye injuries are a common condition, emphasis should be placed on prevention through mass awareness.","PeriodicalId":193141,"journal":{"name":"SAS Journal of Medicine","volume":"54 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":"126711447","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}