Scholars Journal of Applied Medical Sciences最新文献

{"title":"Epidemiological Profile of War Wounded in the Emergency Reception Department of the Sominé Dolo Hospital in Mopti","authors":"Koné Bakary, C. Souleymane, Fofana Youssouf, Traoré Bintou, M. Koné, Théra Thioukany David, Abdoulaye Traoré","doi":"10.36347/sjams.2024.v12i01.011","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i01.011","url":null,"abstract":"The security crisis experienced by our country in 2012 resulted in numerous injuries and deaths linked to terrorist attacks and this required a reorganization of the care of the injured. The objective of this work was to determine the frequency of war wounded at the Sominé Dolo hospital in Mopti (Mali). We realized a single-center descriptive cross-sectional study relating to the files of patients suffering from war injuries and admitted to the emergency reception department of the Sominé Dolo hospital in Mopti (Mali) during the period between January 1, 2020 and October 31, 2022. This hospital represents the largest reference structure in central Mali with per year. During the study period, 5,404 wounded people of all kinds were admitted to the emergency reception service out of a total of 65,740 patients, i.e. a frequency of 8.22%, and 1,540 war wounded were admitted, i.e. a frequency of 2. 34%. The age of war-wounded patients ranged from 6 months to 80 years with an average age of 30.61 years. The patients were divided into 1448 men (94%) and 92 women (6%), giving a sex ratio of 15.74. Patients transported by ambulance to hospital accounted for 62.01%, by plane (18.31%), civil protection (3.38%), other means of transport (16.3%). Half of the injured were received within 6 hours of their trauma. Those injured by firearms represented 79%, and those injured by improvised explosive devices (15%). The mortality rate was 0.39% in the emergency room.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139616188","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":"Duration of DAPT After Stent Implantation, How Low Can We Go?","authors":"M. A. Bouraghda, S. Zighoud, I. Ais, M. A. Bouzid","doi":"10.36347/sjams.2024.v12i01.008","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i01.008","url":null,"abstract":"Dual antiplatelet therapy (DAPT) with aspirin and a P2Y12 inhibitor is the main actor in secondary prevention of recurrent coronary ischemic events and stent thrombosis. For this exact purpose the combination of two antiplatelet molecules have proven efficacy and superiority compared to monotherapy, aspirin alone, but this comes with an increased risk of major and potentially fatal bleedings, making the choice of the molecules and especially the duration of treatment a true challenge for every cardiologist. We are going to discuss some of the main factors that play a role in the decision, and the most important trials that studied the subject.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139532868","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":"Asymptomatic Malaria during Blood Transfusion in N’Djamena, Chad: Associated Risk Factors among Blood Donors","authors":"Mbanga Djimadoum, Bessimbaye Nadlaou, Maoundié Magloire","doi":"10.36347/sjams.2024.v12i01.010","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i01.010","url":null,"abstract":"Background: Malaria is a parasitic disease transmitted to humans through the bite of a female mosquito (Anopheles). however, blood transfusion, which is a life-saving medical procedure in many settings, represents a potential route of Plasmodium transmission. The objective of this study was to determine the plasmodial parasitemia in blood donors with a view to assessing the quality of the erythrocyte concentrates produced at the National Blood Transfusion Center (CNTS) of Chad. Methods: This was a cross-sectional analytical study involving 271 subjects who came to donate blood at the CNTS in N'Djamena over a period from March 1 to June 1, 2023. After obtaining the tacit and/or informed consent of potential donors, a questionnaire was administered to them to collect sociodemographic data, knowledge and practical attitudes towards malaria. A blood sample was taken from each individual. The following biological analyzes were carried out: Malaria Rapid Diagnostic Test, thick smear, blood smear. Data were entered and analyzed using SPSS software version 26.0, and the Chi square test was used to compare proportions and a logistic regression model to look for risk factors associated with malaria infection. Results: This study reveals that: the most represented age group was that of 18-28 years (68.6%), with a sex ratio of 4.1 in favor of the male sex, family type donors were more represented (73.4%). The prevalence of plasmodial infection was 12.2% with a parasitemia of between 100 and 600 parasites/µL of blood. The species in question was Plasmodium falciparum. A statistically significant association was established between sex, non-use of insecticide-treated mosquito nets, lack of knowledge about malaria and malaria infection. Conclusion: This work showed that the residual transfusion risk of malaria is real at the CNTS. It would therefore be necessary to ultimately adopt an innovative safety strategy including systematic screening of donations for Plasmodium falciparum.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139532398","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":"Analysis of the Correlation between Physical Activity, Nutritional Status, and Learning Achievement with the Health Quality of Adolescents Life in East Bolaang Mongondow Regency","authors":"Bonita Sugeha, Gustaaf A. E. Ratag, A. Manampiring, Jimmy Posangi, Fatimawali Fatimawali","doi":"10.36347/sjams.2024.v12i01.005","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i01.005","url":null,"abstract":"Quality of life is one of the criteria currently used to evaluate healthcare interventions. The aim of this study is to assess the relationship between physical activity, nutritional status, and academic performance with the health-related quality of life of adolescents in East Bolaang Mongondow Regency. This research is a correlational study with a cross-sectional approach conducted in junior high schools and high schools in East Bolaang Mongondow Regency in October 2023, with a total sample size of 430. The instrument used in this study is a questionnaire, and the data were analyzed using univariate and bivariate analysis with the Chi-Square test. The results of the study showed that the variable of physical activity had a p-value < 0.05 in the domains of physical health (p=0.000), psychological health (p=0.000), and environment (p=0.000). However, for the social relationships domain, the p-value was > 0.05 (p=0.100). The variable of nutritional status had a p-value < 0.05 in the domains of physical health (p=0.000), psychological health (p=0.002), social relationships (p=0.000), and environment (p=0.000). The academic performance variable had a p-value > 0.05 for all domains. The conclusion of this study is that physical activity is associated with the quality of life in the domains of physical health, psychological health, and environment. Nutritional status is associated with all domains of quality of life, while academic performance is not associated with the quality of life in any domain.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139534656","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 Postoperative Magnesium Infusion in Minimizing Ventricular Arrhythmia Risk after Cardiopulmonary Bypass","authors":"Mirza Md. Nazmus Saquib, Tania Nusrat Shanta, CM Mosabber Rahman, Muhammad Abul Kalam, Shamik Saha, Abdullah Faisal, Sabrena Rahman Lopa, Rajib Kumar Biswas, Shakila Yeasmin, S. F. Ambia","doi":"10.36347/sjams.2024.v12i01.006","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i01.006","url":null,"abstract":"Introduction: Cardiopulmonary bypass increases the incidence of postoperative ventricular arrhythmias in cardiac surgery. Magnesium, which is essential for cardiac function and may prevent arrhythmias, is frequently reduced after cardiac surgery. Aim of the Study: This study aimed to investigate the preventive effects of magnesium infusion in reducing the occurrence of ventricular arrhythmias in individuals who have undergone cardiopulmonary bypass. Methods: This study, done at Bangabandhu Sheikh Mujib Medical University, Dhaka, from July 2020 to June 2022, involved 120 participants in two groups: one received magnesium sulfate following standard cardiopulmonary bypass surgery (Group A), and the other did not (Group B). Both groups were monitored in the ICU with continuous ECG tracking and assessed for ventricular arrhythmias postoperatively on days 0–3. The inclusion criteria comprised adult cardiac patients in preoperative sinus rhythm with normal magnesium levels, excluding those with a history of ventricular arrhythmias or specific medical conditions. Data collected through a questionnaire, interviews, and medical records were analyzed using SPSS version 26. Result: The mean age of the patients in Group A was 53.83±14.54 years and in Group B was 54.50 ± 10.50 years. The mean difference in postoperative Mg++ was statistically significant (p<0.05) in POD 0, POD 1, POD 2, and POD 3. In this study, there were more VA-positive patients in Group B than in Group A; 16.67% had positive ventricular arrhythmia (PVC 8.3%, VT 3.33%, VF 5.00%), while 83.33% were negative VA. Group B had 66.67% negative VA and 33.33% positive VA (PVC 15.00%, VT 10.00%, VF 8.33%). Conclusion: This study identified that the postoperative Mg infusion after cardio pulmonary bypass reduces the incidence of postoperative arrhythmias in cardiac patients. Based on the findings, we recommend using intravenous magnesium as an alternative to prevent ventricular arrhythmias after CPB in cardiac patients.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139534816","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":"Incidence and Outcome of Iatrogenic Gallbladder Perforation during Laparoscopic Cholecystectomy in a Tertiary Care Hospital","authors":"Sheikh Sabbir Ahmed, Mst Wazira Shefat Jahan, Shakhawat Hossain","doi":"10.36347/sjams.2024.v12i01.009","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i01.009","url":null,"abstract":"Introduction: in developing countries, patients getting admitted into hospital is influenced by gallbladder stone. In this study, the incidence and outcome of iatrogenic gallbladder perforation during laparoscopic cholecystectomy was observed and studied for further development in this sector in a tertiary care hospital. Aim of the study: The aim of this study was to find out the incidence and outcome of iatrogenic gallbladder perforation during laparoscopic cholecystectomy. Methods: This prospective observational study was conducted in Department of Surgery, Combined Military Hospital (CMH) Dhaka, Bangladesh during the period from June 2018 to November 2018. This study had institutional review board approval and informed consent for 100 patients age range 31-70 years (mean 50.3±10.6) in gallbladder perforation group and in no perforation group the range was 25 to 62 years (mean 47.9±12.3). The patients went through laparoscopic cholecystectomy through four port and gallbladder was removed through hepigastric port. The ultrasonographic report of all patients were collected. Result: In the present study, majority 86 patients were found normal body weight (BMI 18.5-24.9 kg/m2) but female patients were high in number of affected list, 14(73.7%) in gallbladder perforation group and 56(69.1%) in no perforation group. A single stone is mainly found in no perforation group which is 32(39.5%). Multiple stone is found less in both of the groups respectively. Staying in the hospital was also higher in gallbladder group in comparison with no perforation group. Conclusion: According to the study, perforation in gallbladder due to laparoscopic cholecystectomy is not deniable (19%). This can result in peroperative pain and more stay in hospital.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139534752","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":"Analyzing the Relationship Between Smoking Habit, Age, Gender, and Alcohol Consumption Regarding to the Health-Related Quality of Life in Junior and High School Students in the East of Bolaang Mongondow Regency","authors":"Alfianus Stevy Kabaikan, Gustaf A.E. Ratag, Billy J. Kepel, A. Manampiring, Jootje Umboh","doi":"10.36347/sjams.2024.v12i01.003","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i01.003","url":null,"abstract":"Adolescence is often characterized by high-risk factors that threaten their health. Risky behaviors such as smoking, alcohol consumption, and unprotected sexual relationships pose significant challenges to their quality of life, including adolescents in East Bolaang Mongondow Regency. Data and research indicate that these behaviors not only affect physical health but also deteriorate overall quality of life, emphasizing the importance of a deeper understanding and effective policy planning to enhance the health conditions and overall well-being of adolescents. The research aims to analyze the relationship between smoking habits, age, gender, and alcohol consumption concerning the health-related quality of life of junior high school and high school students in East Bolaang Mongondow Regency. The research type is quantitative, employing an observational analytical method with a cross-sectional approach. The sample comprises 435 respondents. Primary data is collected through interviews using questionnaires, while secondary data is obtained from schools in the East Bolaang Mongondow Regency. Data analysis for the research includes descriptive analysis, bivariate analysis (Chi-square), and multivariate analysis (logistic regression). The research findings indicate that there is a relationship between smoking behavior and the health-related quality of life of adolescents in East Bolaang Mongondow Regency in all domains (physical domain p=0.015, psychological domain p=0.004, social domain p=0.002, and environmental domain p=0.000). There is a relationship between alcohol consumption and the health-related quality of life of adolescents in East Bolaang Mongondow Regency in all domains (physical domain p=0.000, psychological domain p=0.000, social domain p=0.000, and environmental domain p=0.000). There is a relationship between age and the health-related quality of life of adolescents in East Bolaang Mongondow Regency in the domains (physical domain p=0.000, ........","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139536231","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":"Relationship Between Smoking Behavior, Alcohol Consumption, Sexual and Reproductive Health with Adolescent Health Quality of Life in East Bolaang Mongondow Regency","authors":"Marlina Dhamayanti Lijoed, A. Manampiring, M. Kes, Jimmy Posangi, Gustaaf A. E. Ratag, Dina Rombot","doi":"10.36347/sjams.2024.v12i01.002","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i01.002","url":null,"abstract":"The adolescent period is often considered a healthy phase of life. Risky behaviors such as smoking, alcohol consumption, and casual sex pose significant challenges to their quality of life. Data and research indicate that these behaviors not only impact physical health but also worsen the overall quality of life. The objective of this research is to analyze the relationship between smoking behavior, alcohol consumption, sexual and reproductive health, and the health-related quality of life among adolescents in East Bolaang Mongondow Regency. This study is quantitative, utilizing an analytical observational method with a cross-sectional approach. The sample size consists of 428 respondents. Primary data was obtained through interviews using questionnaires, while secondary data includes information obtained from schools in East Bolaang Mongondow Regency, such as student data, geographical and demographic descriptions. Data analysis in this study includes descriptive, bivariate (Chi-square), and multivariate (logistic regression) analyses. The research findings reveal that there is a relationship between smoking behavior and the health-related quality of life among adolescents in East Bolaang Mongondow Regency in all domains (physical domain p=0.000, psychological p=0.001, social p=0.000, and environmental p=0.000). There is also a relationship between alcohol consumption and the health-related quality of life among adolescents in East Bolaang Mongondow Regency in all domains (physical domain p=0.000, psychological p=0.017, social p=0.060, and environmental p=0.047). However, there is no relationship between sexual and reproductive health and the health-related quality of life among adolescents in East Bolaang Mongondow Regency in all domains (physical p=0.733, psychological p=0.465, social p=0.098, and environmental p=0.966). In conclusion, smoking and alcohol consumption, except in the social domain, are related to the health-related quality of life among ......","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139536167","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}