Atlantic Journal of Medical Science and Research最新文献

{"title":"A case of Acute disseminated encephalomyelitis treated with therapeutic plasma exchange","authors":"D. Tosun, N. Akçay, M. Oğur, E. Şevketoğlu","doi":"10.5455/atjmed.2022.12.023","DOIUrl":"https://doi.org/10.5455/atjmed.2022.12.023","url":null,"abstract":"<jats:p />","PeriodicalId":376152,"journal":{"name":"Atlantic Journal of Medical Science and Research","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129029038","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":"Pitfalls found in SARS CoV-2 specific test performance during the comparison between WHO recommended method and a commercial test","authors":"Sudhir Bhatia","doi":"10.5455/atjmed.2022.12.024","DOIUrl":"https://doi.org/10.5455/atjmed.2022.12.024","url":null,"abstract":"Aim: One of the important methods to detect the SARS CoV-2 is polymerase chain reaction (PCR) during the pandemic outbreak. There are a number of real time PCR tests, which are recommended from World Health Organization (WHO). Usually, the WHO recommended test should give correct and reproducible results.\u0000Material and Methods: The real time PCR tests are conducted to perform the comparisons between WHO test for N gene and ready to use PCR kit FR475 of Genekam Biotechnology AG. \u0000Results: It was found that WHO test gave false positive in the negative samples and correct positive results in positive samples. As this method is used from many laboratories as in-house method and many commercial companies around the world have developed their kits based on WHO tests. The results of this research work are showing that there should be around 30% false positive results as well as there are problems of reproducibility of the results.\u0000Conclusion: There is a need that the laboratories should run the tests to show that these in-house or commercial assays are free from these above-mentioned pitfalls.","PeriodicalId":376152,"journal":{"name":"Atlantic Journal of Medical Science and Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123116646","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":"Occupational low back pain among nursing staff: An overview","authors":"Ahmed Lateef Alkhaqani","doi":"10.5455/atjmed.2022.12.026","DOIUrl":"https://doi.org/10.5455/atjmed.2022.12.026","url":null,"abstract":"Today, low back pain (LBP) in the workplace is a real and common problem among the nursing staff and can significantly impact their ability to work and perform their duties. Various factors can cause it, including incorrect lifting techniques, poor ergonomic design of workstations, and long periods of standing or sitting in one position. Some research has also suggested that psychological factors, such as job dissatisfaction and high-stress levels, may contribute to the development of low back pain in nursing staff. Consequently, more occupational or workplace diseases appear, including musculoskeletal diseases, stress, fatigue, chronic fatigue, and depression. Previous research has shown that lower back pain risks increase rapidly with higher physical and psychological stress but are inversely related to leisure activities. Various physical and psychological risk factors cause low back pain in nurses. Practices requiring heavy loads, such as patient transfer and transport as part of care, are the main factors driving LBP among nurses. Preventing low back pain in nurses is important for nurses to exercise their fundamental right to work under healthy and safe conditions and provide better patient support. Individual and institutional precautions are required to prevent LBP among nurses. This article highlights the need to develop institutional plans for low back pain reporting among the nursing staff. To prevent low back pain, it is important for nursing staff to be trained in proper lifting techniques and to use assistive devices when available. Workstations should be designed with ergonomics in mind, and breaks should be taken regularly to allow for stretching and movement. It may also be helpful for nursing staff to engage in regular exercise and stretching to improve their overall physical fitness and flexibility. If low back pain does occur, it is important for nursing staff to seek appropriate medical treatment and to follow a plan for managing their pain. This may include taking medications, undergoing physical therapy, or making lifestyle changes to reduce the risk of further injury. In some cases, it may be necessary for nursing staff to modify their duties or take time off work to allow for healing and recovery.","PeriodicalId":376152,"journal":{"name":"Atlantic Journal of Medical Science and Research","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133190795","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":"Breast lesions with resistive and pulsatility index by ultrasound in region Faisalabad","authors":"A. Khokhar, R. Ali","doi":"10.5455/atjmed.2022.12.027","DOIUrl":"https://doi.org/10.5455/atjmed.2022.12.027","url":null,"abstract":"Aim: Breast cancer is the second leading cause of death in women. This study sought to evaluate the role of ultrasonography in identifying benign from malignant breast tumors using the Resistive Index and Pulsatility Index values. \u0000Materials and Methods: The data were collected from 60 patients having breast cancer between the ages of 20-60 who visited the Allied Hospital for breast imaging by close-ended questionnaire. The data were analyzed by correlation with the help of SPSS V22. \u0000Results: Patients were divided into two groups; benign (35 cases) and malignant (25 cases). Fibroadenoma was the most common benign tumor while invasive ductal carcinoma was the most common malignant tumor. There was no obvious difference in the location of benign and malignant breast lesions, but the majority of lesions (40%) were located in the upper outer quadrant. After combining all benign and malignant lesions, the correlation coefficient, or r value, was 0.399 (P=0.066). The resistive index revealed 25 malignant cases (41%) and 35 benign cases (58%) which were not statistically significant (P=0.16). However, Pulsatility Index revealed 34 benign cases (57%) and 26 cancer cases (43%) which were statistically insignificant (P=0.13). However, ultrasound’s sensitivity, specificity, and positive and negative predictive values were 93.8%, 86.5%, 86.9%, and 93.8% respectively. \u0000Conclusion: This study showed that malignant lesions had higher values for the Doppler parameters (RI, PI), while benign lesions had lower values while benign lesions are more common than malignant ones. RI helps radiologists when to perform a biopsy.","PeriodicalId":376152,"journal":{"name":"Atlantic Journal of Medical Science and Research","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126906444","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":"Developing a scale to evaluate the usability of telemedicine as a safe and useful communication channel and outpatient record","authors":"Ali Gharbal, N. Lawati, Nada Sumri, Shadha Raisi","doi":"10.5455/atjmed.2022.12.022","DOIUrl":"https://doi.org/10.5455/atjmed.2022.12.022","url":null,"abstract":"Aim: Telemedicine has been appreciated as a smart solution to bridge the gaps in healthcare delivery. Several questionnaires were developed worldwide and designed to evaluate the usability of telemedicine. However, they might be inappropriate or inadequate for all forms of telemedicine services. In this paper, we aim to report on the development and validation process of our telemedicine usability scale. \u0000Materials and Methods: The scale was part of a self-administered online questionnaire developed and content validated by a panel of physicians to evaluate the usability of telemedicine from the primary healthcare physicians’ perspective in Oman. The study employed convenient sampling of all eligible primary healthcare physicians, resulting in 143 completed questionnaires. We used the FACTOR software to run exploratory factor analysis on a polychoric matrix. The unweighted least squares extraction method was selected with promin rotation to fit the ordinal data. The psychometric properties, including the reliability measures, unidimensionality, and goodness-of-fit indices, were reported. \u0000Results: A three-factor solution satisfied the concept of simple structure and explained about 53% of the total variance. The first factor represented the usability of telemedicine as a safe and useful service; the second factor represented the usability of telemedicine as an outpatient record; the third factor represented the usability of telemedicine as a communication channel. For all factors, Cronbach’s alpha and McDonald’s omega were greater than 0.85. The goodness-of-fit indices and measures of unidimensionality were acceptable for the three-factor solution. The same three-factor solution was also evident following the run of exploratory factor analysis on the Pearson correlation matrix. \u0000Conclusion: The proposed scale is a multi-faceted scale that has been built on cumulative knowledge and developed according to the best-practice recommendations to ensure its reliability and validity for evaluating the usability of telemedicine from the physicians’ perspective.","PeriodicalId":376152,"journal":{"name":"Atlantic Journal of Medical Science and Research","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121712439","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":"Investigation of the factors determining hospitalization of patients diagnosed with community-acquired pneumonia in the emergency department","authors":"M. Ekmekyapar, H. Oguzturk","doi":"10.5455/atjmed.2023.03.015","DOIUrl":"https://doi.org/10.5455/atjmed.2023.03.015","url":null,"abstract":"<jats:p />","PeriodicalId":376152,"journal":{"name":"Atlantic Journal of Medical Science and Research","volume":"13 13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122477563","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}