Annals of Medicine & Surgery最新文献

{"title":"Liposome-Loaded phage cocktail: a promising therapeutic option against post-surgical wound infections-a critical appraisal","authors":"M. Easwaran, Nageshwari Raja, Muthupandian Saravanan, M. A. Belete","doi":"10.1097/ms9.0000000000002275","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002275","url":null,"abstract":"","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"10 43","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335320","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":"Knowledge, attitude, and practice of ai applications in medicine among physicians in Sudan: A national cross-sectional survey","authors":"Mohammed Hammad Jaber Amin, Gasm Alseed Abdelmonim Gasm Alseed Fadlalmoula, Musab Awadalla Mohamed Elhassan Elmahi, Noon hatim Khalid Alrabee, Lina Hemmeda, Mohammed Haydar Awad, Ghassan E. Mustafa Ahmed, Khabab Abbasher Hussien Mohamed Ahmed","doi":"10.1097/ms9.0000000000002274","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002274","url":null,"abstract":"\u0000 \u0000 Artificial intelligence (AI) has emerged as a rapidly developing tool within the medical landscape, globally aiding in diagnosis and healthcare management. However, its integration within healthcare systems remains varied across different regions. In Sudan, there exists a burgeoning interest in AI potential applications within medicine. This study aims to evaluate the knowledge, attitudes, and practices of AI applications in medicine among physicians in Sudan.\u0000 \u0000 \u0000 \u0000 We conducted a web-based survey cross-sectional analytical study using an online questionnaire-based survey regarding demographic details, knowledge, attitudes, and practice of AI distributing through various email listings and social media platforms. A sample of 825 Physicians including doctors in Sudan with different ranks and specialties were selected using the convenient non-probability sampling technique.\u0000 \u0000 \u0000 \u0000 Out of 825 Physicians, 666(80.7%) of Physicians have previous knowledge about AI. However, only a small number 123(14.9%) were taught about AI during their time in medical school, even fewer, just 120(14.5%) had AI-related lessons in their training program. Regarding attitude, 675 (81.8%) agree that AI is very important in medicine, almost the same number, 681(82.6%) support the idea of teaching AI in medical schools. Practically, 535(64.8%) of doctors, think that should get special training in using AI tools in healthcare. Excitingly 651(78.9%) of physicians are interested in working with AI in future. Based on different ranks of doctors toward AI; Medical Officers exhibited the highest proportion at (32.7%) of knowledge and understanding of AI concepts, followed by House Officers at (16.7%) (p-value=0.076); regarding attitude, Medical Officers demonstrated the highest (31.6%) favorable attitude, followed by House Officers at (17.5%) (p-value=0.229); In practice also, Medical Officer showed the highest portion (28.0%) among participants (p-value=0.129).\u0000 \u0000 \u0000 \u0000 While there is a positive attitude and some level of AI practice, there remains a considerable gap in knowledge that needs addressing.\u0000","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141334989","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":"Congenital colloid cyst with astigmatism in adult male patient: A rare case report","authors":"Salwa H Dawabsheh, Salma Abed Samamqa, Waleed N Kawazbeh, Basel Mohammad, Qasim M Sallam, Haya Massoud, Ali Dway, A. M. Awaysa, Layth Al- Karaja","doi":"10.1097/ms9.0000000000002279","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002279","url":null,"abstract":"\u0000 \u0000 Colloid cysts are rare brain tumors that can cause headaches, memory problems, and vision issues. Early diagnosis and treatment are crucial to prevent complications.\u0000 \u0000 \u0000 \u0000 We report a case of a patient in their 20s with a two-year history of headaches and blurry vision. A CT scan revealed a colloid cyst in the third ventricle. The patient was diagnosed with astigmatism and managed with corrective lenses and regular CT scans.\u0000 \u0000 \u0000 \u0000 The patient’s astigmatism may be linked to the colloid cyst, potentially due to migraines triggered by the cyst’s location. Further research is needed to understand this relationship.\u0000 \u0000 \u0000 \u0000 This case highlights the potential for colloid cysts to contribute to vision problems. Careful evaluation and individualized management are essential for patients with colloid cysts and vision disturbances.\u0000","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"7 41","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335377","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 way forward to fight cholera in children from the eastern region of the democratic republic of the congo; correspondence","authors":"Aymar Akilimali","doi":"10.1097/ms9.0000000000002223","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002223","url":null,"abstract":"","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"9 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335062","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":"Primary leiomyosarcoma of the colon: A report of two cases and review of literature","authors":"Tu Trong Doan, Duong The Pham","doi":"10.1097/ms9.0000000000002277","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002277","url":null,"abstract":"\u0000 \u0000 Primary leiomyosarcoma of the colon is a rare neoplasm and constitutes less than 0.1% of all colon malignancies. These tumors are more aggressive and have poorer prognoses than other gastrointestinal tumors, including gastrointestinal stromal tumors (GIST) or adenocarcinomas. We herein report two cases and review the literature to highlight the epidemiology, diagnosis, treatment and prognosis of this uncommon malignancy.\u0000 \u0000 \u0000 \u0000 We reported two very rare cases of primary leiomyosarcoma of sigmoid colon, which referred to our institution with symptoms of abdominal pain. After the initial investigations, patients were diagnosed with primary colonic leiomyosarcoma that underwent laparotomy. In both cases pathological examination revealed a spindle cell tumor growing circumferentially and transmurally in the colon. Final immunohistochemistry were positive with SMA, CK and desmin without the expression of GIST markers (CD117, CD34 and DOG-1) that confirmed leiomyosarcoma. One patient was diagnosed with diffused peritoneal metastasis at 6 months postoperatively and he died after 2 months of paliative care, another one is still on active surveillance.\u0000 \u0000 \u0000 \u0000 Primary leiomyosarcoma (LMS) of the colon is a really rare entity and is only presented in clinical case reports. LMS has nonspecific symptoms and is commonly diagnosed when it reaches a large size. Surgery is a mainstay treatment option. Nowadays there is no clear evidence for the effectiveness of chemotherapy and radiation therapy.\u0000 \u0000 \u0000 \u0000 Primary leiomyosarcoma (LMS) is a rare neoplasm of colon. For the time being, there is no guidelines for treatment but surgery still plays a fundamental role.\u0000","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"9 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335056","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":"Electrocardiogram (EKG) knowledge and interpretation proficiency among healthcare professionals in Pakistan: a prospective cross-sectional study","authors":"Zair Hassan, Usha Kumari, Maria Waseem, Uzair Yaqoob, Moiz Sahito, Syeda Arshia Zehra, Nikhil Reddy, M. Jan, Salim Surani, Aarash Khan","doi":"10.1097/ms9.0000000000002220","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002220","url":null,"abstract":"\u0000 \u0000 Electrocardiogram (EKG) is a commonly used diagnostic tool for the evaluation of the electrical activity of the heart. The purpose of this study was to assess the knowledge and interpretation proficiency of EKG among healthcare professionals (HCPs) in Pakistan.\u0000 \u0000 \u0000 \u0000 This prospective cross-sectional study was conducted among HCPs working in different healthcare settings. A structured questionnaire was used to assess the participants’ theoretical knowledge and ability to interpret EKG findings. The data were analysed using descriptive statistics and chi-square tests. The study indicates that EKG knowledge and interpretation proficiency among HCPs in Pakistan is unsatisfactory. Inadequacy of training periods of EKG training sessions and insufficient participation of HCPs in offered training opportunities put forward the need for formation and introduction of better structured and efficient EKG training programmes.\u0000 \u0000 \u0000 \u0000 A total of 511 HCPs participated in the study, 28% of whom reportedly had received formal training for EKG interpretation. About 80% of the participants correctly identified theoretical questions pertaining to EKG, while 58% of the participants were able to accurately interpret EKG findings, and most HCPs (69.9%) read fewer than ten EKGs per week.\u0000 \u0000 \u0000 \u0000 This study demonstrates a lack of expertise and a poor understanding of EKG in HCPs of Pakistan. The low level of EKG knowledge and interpretation proficiency among HCPs may lead to diagnostic errors and poor patient outcomes. Therefore, efforts should be made to improve EKG education and training among HCPs in Pakistan.\u0000","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"3 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335084","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":"Unilateral lateral rectus palsy following dengue: Correspondence","authors":"H. Daungsupawong, V. Wiwanitkit","doi":"10.1097/ms9.0000000000002248","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002248","url":null,"abstract":"","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"9 41","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335287","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":"Recent developments in cancer diagnosis and treatment using nanotechnology","authors":"Olfa Ouled Ltaief, Ilham Ben Amor, Hadia Hemmami, Wiem Hamza, Soumeia Zeghoud, Asma Ben Amor, Mourad Benzina, Ali Alnazza Alhamad","doi":"10.1097/ms9.0000000000002271","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002271","url":null,"abstract":"The article provides an insightful overview of the pivotal role of nanotechnology in revolutionizing cancer diagnosis and treatment. It discusses the critical importance of nanoparticles in enhancing the accuracy of cancer detection through improved imaging contrast agents and the synthesis of various nanomaterials designed for oncology applications. The review broadly classifies nanoparticles used in therapeutics, including metallic, magnetic, polymeric, and many other types, with an emphasis on their functions in drug delivery systems for targeted cancer therapy. It details targeting mechanisms, including passive and intentional targeting, to maximize treatment efficacy while minimizing side effects. Furthermore, the article addresses the clinical applications of nanomaterials in cancer treatment, highlights prospects, and addresses the challenges of integrating nanotechnology into cancer treatment.","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"6 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335330","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":"Mandibular third molar germectomy: case report","authors":"Hajar Ouaabbou, Fouzia Hakkou, S. Chbicheb","doi":"10.1097/ms9.0000000000002092","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002092","url":null,"abstract":"\u0000 \u0000 Third molars are often removed in order to prevent complications and various other problems associated with impacted teeth.\u0000 \u0000 \u0000 \u0000 A healthy 17-year-old girl with no history was referred to the Department of Oral Surgery by her orthodontist to remove mandibular third-molar germs. Panoramic radiography showed the presence of impacted mandibular third-molar germs, vertically positioned, with incomplete root formation. The tooth germs (48, 38) were extracted under local-regional anesthesia. The postoperative period was uneventful.\u0000 \u0000 \u0000 \u0000 Germectomy is still relevant in the management of mandibular third molars (MTM). It is a surgical removal of the dental germ at a particularly specific developmental period. However, the need to extract the MTM germs is still controversial.\u0000 \u0000 \u0000 \u0000 Germectomy is well justified in light of clinical symptomatology and/or a suspicious radiographic image. Nonetheless, in asymptomatic MTM, it is important to assess the procedure’s cost-benefit ratio.\u0000","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"13 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335090","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":"Outcomes of simultaneous left atrial appendage closure in atrial fibrillation patients undergoing transcatheter aortic valve replacement","authors":"Hasaan Ahmed, Mahmoud Ismayl, Anirudh Palicherla, Anthony Kashou, Jalal Dufani, Amjad Kabach, Andrew M. Goldsweig, N. Anavekar, A. Aboeata","doi":"10.1097/ms9.0000000000002245","DOIUrl":"https://doi.org/10.1097/ms9.0000000000002245","url":null,"abstract":"\u0000 \u0000 Atrial fibrillation (AF) patients with aortic stenosis who undergo transcatheter aortic valve replacement (TAVR) are at an elevated risk for bleeding and stroke. We aim to evaluate clinical outcomes of concomitant TAVR and left atrial appendage closure (LAAC) versus isolated TAVR in patients with AF.\u0000 \u0000 \u0000 \u0000 We searched several databases for studies comparing concomitant TAVR and LAAC procedures versus isolated TAVR in patients with AF. We used a common-effect model to calculate risk ratios (RR) with 95% confidence intervals in R studio. Outcomes assessed were all-cause mortality, major bleeding, major vascular complications, and ischemic stroke.\u0000 \u0000 \u0000 \u0000 A total of 3 studies were identified consisting of 482 patients, of which 239 underwent TAVR with LAAC and 243 underwent isolated TAVR. All-cause mortality (RR 0.94; 95% CI 0.64 - 1.38), major bleeding (RR 1.18; 95% CI 0.77 - 1.81), and ischemic stroke (RR 0.83; 95% CI 0.38 - 1.80) were similar between both groups. Concomitant TAVR with LAAC was associated with a significantly increased risk of major vascular complications (RR 5.44; 95% CI 1.77 - 16.71) compared to isolated TAVR.\u0000 \u0000 \u0000 \u0000 Our findings suggest that patients undergoing concomitant TAVR with LAAC had an increased risk of major vascular complications when compared to those undergoing isolated TAVR. Additionally, ischemic stroke, mortality, and major bleeding were noted to be similar among patients who underwent concomitant TAVR with LAAC compared to those who underwent isolated TAVR. Further studies are indicated to confirm our findings.\u0000","PeriodicalId":373451,"journal":{"name":"Annals of Medicine & Surgery","volume":"12 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335194","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}