European Medical Journal最新文献_第3页

Caesarean Hysterectomy for Placenta Accreta Spectrum in a Single Centre: A Series of 19 Cases 单个中心的剖腹产子宫切除术治疗无蒂胎盘：19 例系列病例

European Medical Journal Pub Date : 2024-03-14 DOI: 10.33590/emj/10308145

Presannakumari Bhanumathy, Divya Mecheril Balachandran, Nirpin Cleetus, Jesna Hassan, Skariah Pappachan, Libu G.K

引用次数: 0

Non-Factor Therapies: Reflections on Current Clinical Practice 非因素疗法：对当前临床实践的思考

European Medical Journal Pub Date : 2024-03-14 DOI: 10.33590/emj/cprd5899

Helena Bradbury

引用次数: 0

Renal Replacement Therapy During Liver Transplant Surgery 肝移植手术期间的肾脏替代疗法

European Medical Journal Pub Date : 2024-03-14 DOI: 10.33590/emj/11000030

Arjun Sekar, A. Reddy, Pulkit Gandhi, Vijay Raj

引用次数: 0

Transitioning Patients From Second- to First-Line Prophylaxis in Hereditary Angioedema 将遗传性血管性水肿患者从二线预防治疗过渡到一线预防治疗

European Medical Journal Pub Date : 2024-03-14 DOI: 10.33590/emj/10307646

Caroline E Cross

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Post-endoscopic Retrograde Cholangiopancreatography Air Leak Syndrome: An Overview of Current Perspectives 内镜逆行胰胆管造影术后漏气综合征：当前观点概述

European Medical Journal Pub Date : 2024-03-14 DOI: 10.33590/emj/10305274.

Sheharyar Zameer, Kashmala Safdar, Huma Ahmed Khan, Umer Anwar, Fatima Sohail, Rasikh Maqsood

引用次数: 0

Impact of Surgical Treatment on Quality of Life of Patients with Early-Stage Cervical Cancer: A Case Study of Two Referral Hospitals in Kenya 手术治疗对早期宫颈癌患者生活质量的影响：肯尼亚两家转诊医院的案例研究

European Medical Journal Pub Date : 2024-03-14 DOI: 10.33590/emj/10306929

Ghalib Moseti, O. Orango, Benjamin Elly Odongo, P. Itsura, J. Odunga

{"title":"Impact of Surgical Treatment on Quality of Life of Patients with Early-Stage Cervical Cancer: A Case Study of Two Referral Hospitals in Kenya","authors":"Ghalib Moseti, O. Orango, Benjamin Elly Odongo, P. Itsura, J. Odunga","doi":"10.33590/emj/10306929","DOIUrl":"https://doi.org/10.33590/emj/10306929","url":null,"abstract":"Objective: To determine the impact of surgical treatment on quality of life (QoL) of patients with early-stage cervical cancer at Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya, and Kenyatta National Hospital (KNH), Nairobi, Kenya.\u0000\u0000Methods: A cohort study conducted among 71 patients undergoing surgery for surgically amenable cervical cancer stage. Consecutive sampling of females was used to recruit participants. Participants were followed up for 3 months post-operatively. Descriptive statistics was used to describe the study participants. Bivariate analysis was used to assess the relationship between dependent and independent variables, and p value ≤0.05 was considered to be statistically significant.\u0000\u0000Results: Nearly two-thirds (63.5%) of the females had a parity of four or more, 69 (97.2%) did not have a family history of cervical cancer, and 57 (80.3%) were negative on HIV test. Most females (47.9%) had Stage IB2 cervical cancer, followed by those with Stage IB1, seen in 28 (39.4%) of the females enrolled. There were statistically significant differences in pain/discomfort (p=0.028) and anxiety/depression (p=0.028). Patients aged 20–35 years had a two-fold increased likelihood (adjusted odds ratio: 2.44; 95% confidence interval: 1.30–3.10; p=0.011) of reporting better QoL scores compared to older females. The lower the cervical cancer stage (Stage IA2), the higher the likelihood for improved QoL following surgical management of cervical cancer (adjusted odds ratio: 5.69; 95% confidence interval: 3.55–6.89; p=0.001).\u0000\u0000Conclusion: This study reports that being aged 20–35 years old and having a lower stage cervical cancer increased the likelihood of a good QoL outcome following surgical management of cervical cancer.","PeriodicalId":505023,"journal":{"name":"European Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140242804","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}

引用次数: 0

Immunoglobin D Multiple Myeloma: A Single Centre Experience 免疫球蛋白 D 多发性骨髓瘤：单中心经验

European Medical Journal Pub Date : 2024-03-04 DOI: 10.33590/emj/11000013

Geetha Narayanan, Abhilash Menon, Sugeeth M.T., Sherry S. Abraham, Krishnan Unni, Sreejith G. Nair

引用次数: 0

Coexistence of Sickle Cell Thalassaemia with Overlapping Syndrome: A Case Report of Systemic Lupus Erythematosus and Autoimmune Hepatitis 镰状细胞性地中海贫血与重叠综合征并存：系统性红斑狼疮和自身免疫性肝炎病例报告

European Medical Journal Pub Date : 2024-02-29 DOI: 10.33590/emj/11000015

Anjlee Sawlani, Rida Masood, Jai Kumar, Kartaar Saahil

{"title":"Coexistence of Sickle Cell Thalassaemia with Overlapping Syndrome: A Case Report of Systemic Lupus Erythematosus and Autoimmune Hepatitis","authors":"Anjlee Sawlani, Rida Masood, Jai Kumar, Kartaar Saahil","doi":"10.33590/emj/11000015","DOIUrl":"https://doi.org/10.33590/emj/11000015","url":null,"abstract":"This case report highlights a rare and unique occurrence: the simultaneous presence of sickle cell thalassaemia and overlapping syndrome, which involves systemic lupus erythematosus and autoimmune hepatitis. The coexistence of sickle cell disease with overlapping syndrome is exceptionally rare, with only a few documented cases in the literature, one of which involves sickle cell β-thalassaemia. Significantly, this case enhances understanding of the intricate relationship among these conditions, and offers valuable perspectives on how to clinically manage them. The authors present the case of a young male in his early 20s, who presented with haemolytic anaemia, jaundice, joint pain, and hepatomegaly. Extensive laboratory investigations, including serological markers, haemoglobin electrophoresis, and liver function tests, confirmed the coexistence of sickle cell thalassaemia, systemic lupus erythematosus, and autoimmune hepatitis. The treatment included O2 therapy, hydration, hydroxyurea, and antibiotics. After 4–5 days, the patient showed improvement, and at discharge, hydroxyurea and folic acid were continued. Significantly, considering the complex medical history of the patient, a decision was made to include a carefully considered, low-dose steroid regimen. The choice of a maintenance dose over an induction therapy was specifically made to mitigate potential complications, particularly the risk of vaso-occlusive crises in patients with sickle cell disease. This case report contributes to the understanding of concurrent manifestation of these complex conditions, and emphasises the importance of a comprehensive approach, early diagnosis, and timely management, to optimise patient outcomes in such intricate overlapping syndromes.","PeriodicalId":505023,"journal":{"name":"European Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140414844","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}

引用次数: 0

Prevalence and Factors Associated with Contraceptive Use Among Females Living with HIV at Moi Teaching and Referral Hospital, Eldoret, Kenya 肯尼亚埃尔多雷特莫伊教学和转诊医院感染艾滋病毒的女性使用避孕药具的普遍程度和相关因素

European Medical Journal Pub Date : 2024-02-28 DOI: 10.33590/emj/10301577

Sheila Sawe, Edwin Were, W. Mwangi, J. Odunga

{"title":"Prevalence and Factors Associated with Contraceptive Use Among Females Living with HIV at Moi Teaching and Referral Hospital, Eldoret, Kenya","authors":"Sheila Sawe, Edwin Were, W. Mwangi, J. Odunga","doi":"10.33590/emj/10301577","DOIUrl":"https://doi.org/10.33590/emj/10301577","url":null,"abstract":"Objective: To assess the prevalence of, and the factors associated with, contraceptive use among females living with HIV at Moi Teaching and Referral Hospital, Eldoret, Kenya.\u0000\u0000Methods: A cross-sectional study with a sample including a total of 375 females living with HIV aged 15–49 years undergoing follow-up. Data were collected using a semi-structured questionnaire. Bivariate and multivariate analysis was done to check for association and predictors of contraceptive use.\u0000\u0000Results: The contraceptive prevalence rate was 64%. Factors associated with contraceptive utilisation included parity (crude odds ratio [COR]: 2.33; 95% confidence interval [CI]: 1.22–4.45; P=0.010), marital status (COR: 1.75; 95% CI: 1.04–2.97; P=0.036), and availability of information on the side effects of the contraception methods (COR: 29.93; 95% CI: 14.26–70.58; P=0.001).\u0000\u0000Multivariate analysis showed a significant association between contraceptive use and whether information on the side effects of the current contraception method was provided (adjusted OR: 34.98; 95% CI: 16.72–83.33; P=0.001).The odds of meeting the contraceptive needs of females living with HIV was 34 times higher among females who had information on side effects of the contraceptives than their counterparts who had no information.\u0000\u0000Conclusions: The contraceptive prevalence rate was 64% among females living with HIV, higher than latest national value of 61%. Females living with HIV had a high unmet need for contraceptive use at 28.4%. Key factors associated with contraceptive utilisation included awareness of side effects.","PeriodicalId":505023,"journal":{"name":"European Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140419889","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}

引用次数: 0

Membranous Nephropathy and Pulmonary Tuberculosis: An Uncommon Combination: Case Report 膜性肾病和肺结核：罕见的合并症：病例报告

European Medical Journal Pub Date : 2024-02-15 DOI: 10.33590/emj/11000011

Puneet Bhuwania, Aniket Mule, Sanggita Checker

引用次数: 0