Clinical Medicine And Health Research Journal最新文献

{"title":"Bridging the Wealth Gap","authors":"Roma Mehta, MD","doi":"10.18535/cmhrj.v4i4.368","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i4.368","url":null,"abstract":"In this opinion piece supported by empirical studies, the author will argue the significance of educating women on financial literacy, asserting its pivotal role in enhancing outcomes for both physicians and the healthcare systems within which they operate. It is well-documented that financial strain correlates with burnout among physicians and trainees, resulting in substantial losses in productivity amounting to millions of dollars. It is postulated that fostering financial empowerment in women may serve as a strategic intervention to mitigate stressors and consequently ameliorate overall well-being within the medical institutions.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"39 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141798744","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":"Familial Mediterranean Fever Triggered by Menstruation – A Case Report from Zambia","authors":"G. Maksoud, Christopher Nyirenda","doi":"10.18535/cmhrj.v4i4.367","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i4.367","url":null,"abstract":"Familial Mediterranean Fever (FMF) is an autoinflammatory autosomal-recessive disorder that is characterized by recurrent attacks of abdominal pains, fevers and serositis. It is highly prevalent among people from the Mediterranean basin including Arabs and Turks. However, due to the increase in migration worldwide, we start to recognize cases of FMF outside the Mediterranean region. We present the case of a 27-year-old Lebanese female residing in Zambia whose recurrent attacks constantly coincided with her menstruation. Due to the rarity of occurrence of FMF in regions such as Zambia, the coming up with the diagnosis was delayed and unnecessary interventions such as exploratory laparotomy were done. This case aims to highlight the importance of considering FMF and its potential triggers especially menstruation by the healthcare providers in non-Mediterranean areas to ensure timely recognition and management to avoid serious future complications such as amyloidosis.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"45 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141809720","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":"Navigating the Complex Nature of Obesity Between Being A Chronic Disease or Personal Responsibility: Have You Betrayed Your Body or Have Your Body Betrayed You?","authors":"Sama Atta","doi":"10.18535/cmhrj.v4i4.366","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i4.366","url":null,"abstract":"Obesity is a complex multifactorial condition that accumulated excess body fat leads to negative effects on health. Obesity continues to accelerate resulting in a pandemic that shows no significant signs of slowing down any time soon. Raised body mass index (BMI) is a risk factor for noncommunicable diseases such as diabetes, cardiovascular diseases, and musculoskeletal disorders, resulting in dramatic decrease of life quality and expectancy. The main cause of obesity is long-term energy imbalance between consumed calories and expended calories. Here, we explore the biological mechanisms of obesity with the aim of providing actionable treatment strategies to achieve a healthy body weight from nature to nurture. This review summarizes the global trends in obesity with a special focus on the pathogenesis of obesity from genetic factors to epigenetic factors, from social environmental factors to microenvironment factors.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"55 38","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141644342","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":"Ultrasound Diagnosis of a Twin Pregnancy Combining A Molar Pregnancy and A Normal Singleton Pregnancy About A Case in Bouake","authors":"Dr Brou Lambert Yao, Dr. Kouassi Victorien Kouakou, Dr Kouassi Kouamé Paul Bonfils, Akoli Eklou Baudoiun BRAVO-Tsri, Dr Kesse Emile Tanoh, Dr Allou Florent Kouadio, Dr Bouassa Davy Mélaine Kouakou, Dr Sara Carole Sanogo, Dr Malick Soro, Pr Issa Konate","doi":"10.18535/cmhrj.v4i4.365","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i4.365","url":null,"abstract":"Twin pregnancy combining a complete mole and a normal singleton pregnancy with its own healthy trophoblast is a rare entity. The most formidable complication is the progression towards gestational trophoblastic disease. We report the case of a 29-year-old patient, primigravida, consulting for metrorrhagia with amenorrhea of ​​approximately 12 weeks. The pelvic ultrasound performed revealed the association of a complete hydatidiform mole and a normal singleton pregnancy.\u0000A medical termination of the pregnancy was decided with first expulsion of a fetus with its trophoblast followed by expulsion of multiple vesicles of different sizes.\u0000The evolution is marked by the decline of plasma BHCG until negativation after 10 weeks.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"49 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141688546","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":"Cytomegalovirus in Pregnant Woman","authors":"Dr. Venus Hassan Abdul Amir","doi":"10.18535/cmhrj.v4i3.358","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i3.358","url":null,"abstract":"Fourty patients were diagnosed with Cytomegalovirus in pregnant with fever, weariness, and lymphadenitis. ELISA was recycled to check CMV IgG antibodies. A entire of 40 patients sera infested by means of lymphadenitis plus 40 regulator sera joined hip this learning be present calculated in place of IL-17 and IL-1β levels in their blood. The results point to significant transformation amongst patients and control for IL-17, while no difference between them at IL-1β.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"56 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140972390","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":"Long QT interval revealing severe hypcalcemic dilated cardiomypathy : A case report","authors":"Hanane Zouzou","doi":"10.18535/cmhrj.v4i3.357","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i3.357","url":null,"abstract":"Hypcalcemia is a rare cause of dilated cardiomyopathy, but should be suspected in the presence of an obvious long QT interval on the surface ECG; we report a case of 46 years-old-woman, with surgical history of thyroidectomy 6 years ago, admited in our cardiology departement for mangement of congestive heart failure secondary to dilated cardiomyopathy,  her surface  ECG showed sinus rhythm with  long QT interval, his blood tests showed severe hypocalcemia and  low serum concentration of parathyroid hormone (PTH), cardiac magnetic resonance imaging was in favor of non ischemic dilated cardiomyopathy.\u0000Concomitant with conventionel heart failure treatement, our patient had received parenteral   calcium supplementation, vitamin D, levothyrox; after four weeks, heart failure symptomes  were relieved, the intervalle QT has shortened, but persistant severe left ventricular systolic dysfuction. \u0000Hypoparathyroidism is frequent after thyroidectomy, and could be responsible of severe hypocalcemia which in turn may induce irreversible dilated cardiomyopathy. ","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"74 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140975895","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":"Typical Atrial Flutter in acute coronary syndrome with ST segment elevation: incidence, predictive factors and related mortality.","authors":"Hanane Zouzou","doi":"10.18535/cmhrj.v4i3.356","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i3.356","url":null,"abstract":"Background: Typical Atrial Flutter in acute coronary syndrome with ST segment elevation is very rare and never reported as a separate electrocardiographic entity, but associated with atrial fibrillation.\u0000Its incidence isn’t reported in the literature, and no data about its predictive factors or related mortality, also its epidemiological data is lacking in Algeria.\u0000Aims: The main objective of our study is the determination of the frequency of typical atrial flutter in acute coronary syndrome with ST segment elevation, the secondary objective was the analysis of its predictive factors, and related mortality.\u0000Methods and materials:  In this prospective study, conducted in the cardiology department of Hussein Dey hospital (Algiers-Algeria), 467 patients with acute coronary syndrome with elevated ST segment (87 women and 380 men) were enrolled between 28 February 2014 and 16 July 2015. The average age is 60 ± 13 years; at admission, a Holter recorder was attached for continuous ECG monitoring during 48 hours\u0000Kruskal’s ANNOVA or H tests were used for comparison of quantitative variables, χ2 test or Fisher’s exact test, were used for qualitative variables, all tests were performed with 1st species risk of 5%.\u0000Results:  The frequency of typical atrial flutter is 0.4 % (2 patients), CI 95%: [0%-1%], multivariate analysis identified right heart failure as the only predictive factor.\u0000The risk of mortality expressed by Hazard Ration (HR) is 27 (CI95%: [3.5-207], p = 0.001); right heart failure is the only predictive factor of mortality identified in our study.\u0000Conclusion: typical atrial flutter is very rare in acute coronary syndrome with elevated ST segment, its predictive factor according to our study is right heart failure, and its occurrence increases the risk of hospital mortality.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"36 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140975660","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 Role of Tranexamic Acid (TXA) In Spine Surgery for Patients with Comorbidities in Basra/Iraq","authors":"Ali B. Al-Mahfoodh, Darren F. Lui, Thamer A. Hamdan","doi":"10.18535/cmhrj.v4i3.350","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i3.350","url":null,"abstract":"Background: Blood loss occurs frequently and remains a challenge in spinal surgery. As significant intra and postoperative hemorrhage negatively affects patient outcomes by increasing coagulopathy, postoperative hematoma, and anemia. The need for allogenic blood transfusions can lead to potential transfusion reactions and infections, in addition to increasing long-term mortality rates. Although there are many randomized control trials and meta-analysis investigating the role of tranexamic acid (TXA), we could not find any study that investigated the role of TXA in patients with medical comorbidities. Therefore, tackling the role of TXA in patients with single or multiple comorbidities is of valuable outcome to our locality as most of the patients have indeed associated comorbidities.\u0000Objectives: to investigate the role of tranexamic acid in decreasing perioperative blood loss in patients with multiple comorbidities as compared to otherwise healthy individuals.\u0000Patients and methods: A single center randomized control trial. We included patients that were about to undergo simple decompressive surgeries for lumbar canal stenosis and fixation with decompression for spondylolisthesis. Patients were randomly categorized into cases (who received TXA) and controls who received NS. Patients then were subcategorized according to comorbidities and types of surgeries. Intraoperative blood loss was calculated using the suction drain and the gauze while the post operative bleeding was calculated using the drain output.\u0000Results: There was 441.84 ml (49.6 %) decrease in intraoperative bleeding for patients who received TXA as compared to controls regardless the type of surgery and regardless the presence or absence of comorbidities. Hypertensive patients had 52.7 % reduction in intraoperative bleeding when received TXA, Diabetic patients showed 44.4 % reduction in bleeding, Obese patients showed 51.1% reduction and patients with multiple comorbidities showed 51% reduction in intraoperative bleeding while healthy individuals showed 38.9% reduction in intraoperative bleeding.\u0000Conclusion: TXA was even more effective in decreasing intraoperative bleeding in patients with multiple comorbidities as compared to healthy individuals.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":" 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140996340","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":"Post COVID 19 Myocarditis: Clinical Case Series","authors":"Hanane Zouzou","doi":"10.18535/cmhrj.v4i3.354","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i3.354","url":null,"abstract":"Corona virus disease 2019 infection exhibits a tropism for the respiratory tract, however several cardiac damages have been reported, such as coronary disease, cardiac arrhythmias and myocarditis; this latter has become more frequent after the outbreak of the COVID-19 pandemic, and may be the only manifestation of COVID 19 infection, the diagnosis is not always obvious especially for focal myocarditis and can be misdiagnosed as an acute coronary syndrome in some patients.\u0000We reported five patients, admitted between June 2020 and January 2021, in our cardiology department for isolated acute focal myocarditis secondary to COVID 19 infection without respiratory or other damages, the diagnosis was not evident at first, but further investigations such as: electrocardiographic evolution, magnetic resonance imagery, coronary computed tomography angiography, and COVID 19 antibody testing, were in favor of the diagnosis of focal myocarditis secondary to COVID 19 infection.\u0000Cardiac magnetic resonance imaging showed, delayed contrast enhancement in the lateral wall of the left ventricle, for all five patients, so fibrosis is preferentially located in the lateral wall, and the outcome was favorable without hemodynamic or arrhythmic complications.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":" 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140996423","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":"Atrial Tachycardia Revealing Obstructive Left Atrial Myxoma. Case Report","authors":"Hanane Zouzou","doi":"10.18535/cmhrj.v4i3.353","DOIUrl":"https://doi.org/10.18535/cmhrj.v4i3.353","url":null,"abstract":"Myxomas are the most common primary cardiac tumors; the most common localization is the left atrium, and may cause mitral flow obstruction so their clinical presentation could mimic severe mitral stenosis; trans thoracic echocardiography allows the diagnosis; we report a case of left atrial myxoma revealed by atrial tachycardia concomitant with dyspnea and signs of chronic right heart failure; despite surgical resection of the tumor, our patient had developed tachycardiomyopathy with severe left ventricular dysfunction,  which recovered two months later, after intensive administration of antiarrhythmic treatment.","PeriodicalId":500154,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"56 S7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141017762","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}