Journal of Advances in Medicine and Medical Research最新文献

{"title":"Overlap Syndrome: Systemic Lupus Erythematosus and ANCA Vasculitis in a Case Report","authors":"H. Benjelloun, A. Rattal, Afaf Amir, H. Harraz, N. Zaghba, K. Chaanoun, N. Yassine","doi":"10.9734/jammr/2024/v36i55442","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i55442","url":null,"abstract":"Introduction: Microscopic polyangiitis is a systemic necrotising vasculitis that predominantly affects small-calibre vessels. It may be associated with systemic lupus erythematosus (SLE) as part of an overlap syndrome, but there are very few reports of this in the literature.     \u0000Case Report: We report the case of a 19-year-old patient admitted with moderate haemoptysis, epistaxis and petechial purpura revealing intra-alveolar haemorrhage with a strongly positive P-ANCA. In addition, blood tests for antinuclear antibodies and rheumatoid factor were positive, with renal involvement suggesting associated lupus as part of an overlap syndrome. Progression was good with corticoide and immunosuppressant treatment. \u0000Conclusion: The clinical presentation of overlap syndrome is rare and severe, with a dual immunological profile of antinuclear antibodies and neutrophil cytoplasm.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140990384","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 Changing Body: Importance of Adequate Adolescent Development","authors":"L. Ciampo, I. Ciampo","doi":"10.9734/jammr/2024/v36i55441","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i55441","url":null,"abstract":"Adolescence is a phase of great physical, emotional and social transformations that human beings go through in the transition from childhood to adulthood. During this period, bodily changes and the maturation of emotions occur, which can cause difficulties in understanding on the part of adolescents. Body image, which is constructed at this stage of life, is one of the most worrying elements among adolescents, who try to follow the standards spread among their peers. This article presents some aspects of the evolution of adolescents, the influences on the formation of their body image and practices of modifying their appearance (tattoos and piercings), as well as suggestions so that those responsible for adolescents' health care can understand these conditions and act effectively in welcoming and guiding these individuals.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140997640","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":"Comparative Evaluation of Hydrogen Peroxide Levels in Patients with Periodontal Disease and Healthy Individuals–Pilot Study","authors":"Marcelo Fernandes de Castro, Yasmin Maria Tatico Chami, Jasiel de Oliveira, C. Perozini, W. Sendyk, Cristiane Yumi Koga-Ito, Debora Pallos, Marcia Hiromi Tanaka","doi":"10.9734/jammr/2024/v36i35392","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i35392","url":null,"abstract":"Purpose: To assess the levels of hydrogen peroxide (H2O2) in crevicular fluid samples collected from patients with periodontal disease (PD) and periodontally healthy individuals. \u0000Methods: Crevicular fluid samples were collected from three diseased sites in 20 PD patients and from three healthy sites in 11 periodontally healthy patients (control). Plaque indices, probing depths, clinical attachment levels, and bleeding on probing were measured. Subsequently, the collected samples were categorized into three groups: a gingivitis group (n=8), a periodontitis group (n=12), and a control group (n=11). The quantification of H2O2 content within these samples was analyzed using an H2O2/peroxidase test kit. \u0000Results: Higher levels of H2O2 were found in the periodontitis group compared to group control and gingivitis (p<0.0001). Furthermore, the gingivitis group also shown elevated H2O2 levels compared to the control group (p<0.0001). \u0000Conclusions: The findings suggest that the severity of periodontal disease could be associated with elevated levels of H2O2 in gingival crevicular fluid. Hydrogen peroxide may potentially serve as a biomarker for disease progression or for products aimed at enhancing H2O2 release in periodontal treatment. However, further investigations with larger sample sizes and longitudinal designs are necessary to corroborate and expand upon these preliminary observations.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"123 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140079006","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":"Colon Cancer with Mediastinal Metastasis","authors":"Imad Taleb, Saad Mohammed Amine, Choukri Elmhadi, R. Tanz, Hassan Errihani","doi":"10.9734/jammr/2024/v36i35388","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i35388","url":null,"abstract":"Background: The patient had a CAF (complete atrial fibrillation) as a comorbidity. \u0000Objective: The most common sites of colon cancer metastasis are the regional lymph nodes, liver, lung, bone and brain. \u0000The patient was 65 years old and had CAF as a comorbidity. She was consulted for a recent dyspnea evolving in a context of altered general state without any digestive sign. A thoracic scan showed a medial mass measuring 53*56*60mm. The lung biopsy revealed a muscular adenocarcinoma of colorectal origin with immunohistochemical expression of cytokeratin 7 (CK7), 20 and cytokeratin (CK) AE1/AE3, CDX2.The Pet Scan confirmed the existence of a hypermetabolic left anterosuperior medial mass in addition to a focal digestive hypermetabolism of the right colonic wall. \u0000A colonoscopy was performed and showed a tumor process in the right colon with a histological and immunohistochemical profile compatible with that of the mediastinal metastasis. The tumor was MSS (microsatellite stable), RAS (rat sarcoma) and BRAF(v-raf murine sarcoma viral oncogene homolog B1)wild type. The patient received a 3-month folfox-panitimumab combination with good tolerance and a partial response of about 50% on the metastasis. \u0000Conclusions: This case report provide a highly unusual instance of colon adenocarcinoma with extensive mediastinal lymph nodes metastasis.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"69 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140080220","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":"A Concept Analysis in Cultural Competency among Nurses Based on Walker and Avant Method","authors":"Ma. Theresa Salinda, Glenda T. Moraño, Reggie Mae D. Jasmin, Wilfredo D. Quijencio, Jr., Myracle Isip-de Torres, Jacqueline Joy S. Paez, Gian Carlo P. De Jesus, Orlane Marybhell D. Dimaunahan, Daryl Jake S. Fornolles, Jennifer C. Padual, E. C. Mirafuentes","doi":"10.9734/jammr/2024/v36i35386","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i35386","url":null,"abstract":"Background: Nursing serve as frontline in the delivery of care. Health care services focus on the complexity of cultural diversity to meet the multicultural clients therefore it necessary to have cultural competency in providing quality care from diverse background. Nurses must have that confidence in performing their duties, this includes plan of care that appropriate base on their patient beliefs or practices. Nurses with transcultural competency can overcome any challenges in serving the patient. Cultural skills showcase competency. In contrast, Nurses with low cultural competency tend to be avoidant to the patient in clinical assessment due to barriers like communication, lack of awareness and sensitivity in patient beliefs and practices.\u0000Purpose: The objective of this study is to investigate nurses in providing culturally congruent care for the patient with diverse background. Tailored with cultural competency in understanding patient situation in rendering services.\u0000Methods: The study utilize method by Walker and Avant in studying literature of different concepts of nurses pertaining to their nursing competency.  The process of concept analysis as follows [1] selection of concept [2] establishing the purpose [3] concept confirmation [4] identification of concept attributes [5] presentation of model case [6] provide constructing borderline, and other cases [7] identification of antecedent and consequences [8] Identification of empirical references. [1].\u0000Results: The research shows that nurses adhere responsibilities in providing care. It highlights knowledge and skills in the improvement of cross cultural health care. The use of concept such as cultural health, cultural education and cultural care serve as foundation in the concept of culturally competency. Nurses’ attributes such as cultural awareness, cultural knowledge and cultural communication skills in providing quality of care to the patient sharing  common goals and  creating meaningful partnership in health the  care plan.\u0000Conclusion: Cultural competence is an ability that is being developed gradually and that those who have already gained more experiences have been proven to be more aware and culturally competent than those with only some to little experiences.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"121 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140088173","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":"Use of Post-Auricular Approach to Removal Anchors after Discopexy – Clinical Case Report","authors":"Andréa Juliana Luz Perdigão, Fabio Ricardo Loureiro Sato, Marília Coelho Oliveira Dutra Leal, R. G. Teixeira, C. Jodas","doi":"10.9734/jammr/2024/v36i35387","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i35387","url":null,"abstract":"The mandibular temporomandibular joint (TMJ) is two diarthrodial ginglymus joints joined by a single bone, the mandible. Multiple approaches to TMJ are described in the literature due to the complexity of their exposure without damaging the noble structures in the region (facial nerve, temporal artery, and parotid gland) and causing aesthetic damage. This article will present a case report of a 21-year-old female patient. The post-auricular approach removed loose anchors in the right TMJ due to a fistula in the pre-auricular approach region. The post-auricular approach efficiently exposed TMJ and the healing, presenting superior aesthetic results compared to other TMJ approaches.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"103 31","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140088870","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 Preferred Learning Styles of Clinical Medical Students at the Imo State University, Orlu, South East Nigeria","authors":"J. Azike, O. O. Enwere","doi":"10.9734/jammr/2024/v36i35385","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i35385","url":null,"abstract":"Students have preferences in the way they internalize information. The VARK – an acronym for Visual, Aural, Read/Write and Kinesthetic questionnaire, tests students choices for preferred mode of internalizing information. The VARK questionnaire were administered to 400 level and 600 level medical students, a total of 123 of them participated in the study. Majority of them 89.4% preferred the multimodal mode of information reception while 10.56% were unimodal. A further analysis of the multimodals showed that females generally were quadmodal in their preferred sensory reception while the males were mainly trimodal. \u0000Overall, as regards individual VARK component, Kinesthetic was more common (29.8%) among males (31.6%) while Read/write was more common among the females (29.6%).","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"1 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140091026","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":"Epidemiological Profile of Adult Patients with Surgically Treated Intracranial Neoplasms","authors":"Rayane Toledo Simas, Laura Ferreira Moreira dos Santos, Bráulio Roberto Gonçalves Marinho Couto, François Dantas, Victor Kelles Tupy da Fonseca, Jarbas Carvalhaes, J. Raso, Fernando Luiz Rolemberg Dantas","doi":"10.9734/jammr/2024/v36i35384","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i35384","url":null,"abstract":"Aims: The American Cancer Society,s estimates for brain and spinal cord tumors in the United States for 2023, include both adults and children,25,400 malignant tumors will be diagnosed. The objective of this study was to analyze the epidemiological profile, risk factors for complications and death in the in-hospital postoperative period, in addition to describing the histological type of intracranial tumors most frequently operated on in a private Brazilian institution. \u0000Study Design: Retrospective cohort study. \u0000Place and Duration of Study: Biocor Instituto/Rede D’Or, from 2018 to 2021 \u0000Methodology: Data were collected from the medical records of patients who underwent surgery for intracranial tumors. The variables analyzed in this study were demographic characteristics (age, sex, and comorbidities), histological types of primary and secondary neoplasms, anatomical location of the lesions, neurological deficits at admission and post-surgical treatment (at discharge), whether the surgery was urgent or elective, whether it was a reoperation, and whether there were deaths or complications during hospitalization. \u0000Results: Of 242 patients, 11 patients were excluded, and 231 patients were included in the analysis. The most common histological type was meningioma, accounting for 28% of cases. The histological type most associated with the risk of death was hemangioblastoma; however, it was also the histological type that presented the lowest incidence of cases. 39 patients (17%) had some complication in the in-hospital postoperative period, and 14 patients (6%) died. \u0000Conclusions: Meningiomas constituted the majority of cases, accounting for 28% of the sample. The rate of complications and mortality was higher when compared to data from the international literature because this series analyzed brain metastases together with the excision of primary tumors. Concerning in-hospital deaths, hemangioblastoma emerged as the histological type most associated with the risk of death. It is noteworthy, however, that hemangioblastoma also exhibited the lowest incidence among the various histological types.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"66 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140085217","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":"Haematological Insight: An Epidemiological Study on Prevalence of Anaemia in Diverse Blood Groups within the Population of Hyderabad Sindh","authors":"Syed Farhanuddin, Ahmed Hussain Suhag, Habib-ur-Rahman Chohan, Kiran Waheed, J. Warsi, Bilal Atique Arain, Syed Zain Ul Abdeen","doi":"10.9734/jammr/2024/v36i25370","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i25370","url":null,"abstract":"dietary deficiencies, which is defined by the WHO as low Haemoglobin levels and low red cell death due to a deficiency of iron in the body. This is especially true for lower socioeconomic groups because of cultural influences and a lack of resources. All genders and age groups are affected by iron deficiency anemia (IDA), which can cause microcytic and hypochromic disease with a range of clinical consequences. According to many recent studies, there may be a connection between blood types and IDA, with those who belong to blood groups O and B perhaps at higher risk of developing the anemia. Confirmation of these links and comprehension of the underlying mechanisms need more study. \u0000Materials and Methods: This was a cross-sectional study, conducted at the emergency department of Liaquat University Hospital from June to August 2022 that involved 400 patients who were divided into two groups: a control group comprising 285 patients who were not suffering from iron deficiency anaemia and a study group comprising 415 patients suffering from iron deficiency anemia excluding those with other diseases. A formal consent preceded comprehensive clinical examinations, including blood pressure, pulse rate, and oxygen saturation measurements. Blood group determination employed the glass slide agglutination method, distinguishing A, B, AB, and O groups. Haemoglobin levels were assessed using Sahli's hemoglobinometer, while the complete blood picture was obtained by the blood CP report of the hospital laboratory. Statistical analyses, including Fischer's exact test, were performed using GraphPad 9 prism. Specificity/sensitivity, likelihood ratios, and odds ratios were calculated for further analysis. \u0000Conclusion: This study shows a significant relationship between various blood groups and the prevalence of anaemia in the population.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"213 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139833795","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":"Haematological Insight: An Epidemiological Study on Prevalence of Anaemia in Diverse Blood Groups within the Population of Hyderabad Sindh","authors":"Syed Farhanuddin, Ahmed Hussain Suhag, Habib-ur-Rahman Chohan, Kiran Waheed, J. Warsi, Bilal Atique Arain, Syed Zain Ul Abdeen","doi":"10.9734/jammr/2024/v36i25370","DOIUrl":"https://doi.org/10.9734/jammr/2024/v36i25370","url":null,"abstract":"dietary deficiencies, which is defined by the WHO as low Haemoglobin levels and low red cell death due to a deficiency of iron in the body. This is especially true for lower socioeconomic groups because of cultural influences and a lack of resources. All genders and age groups are affected by iron deficiency anemia (IDA), which can cause microcytic and hypochromic disease with a range of clinical consequences. According to many recent studies, there may be a connection between blood types and IDA, with those who belong to blood groups O and B perhaps at higher risk of developing the anemia. Confirmation of these links and comprehension of the underlying mechanisms need more study. \u0000Materials and Methods: This was a cross-sectional study, conducted at the emergency department of Liaquat University Hospital from June to August 2022 that involved 400 patients who were divided into two groups: a control group comprising 285 patients who were not suffering from iron deficiency anaemia and a study group comprising 415 patients suffering from iron deficiency anemia excluding those with other diseases. A formal consent preceded comprehensive clinical examinations, including blood pressure, pulse rate, and oxygen saturation measurements. Blood group determination employed the glass slide agglutination method, distinguishing A, B, AB, and O groups. Haemoglobin levels were assessed using Sahli's hemoglobinometer, while the complete blood picture was obtained by the blood CP report of the hospital laboratory. Statistical analyses, including Fischer's exact test, were performed using GraphPad 9 prism. Specificity/sensitivity, likelihood ratios, and odds ratios were calculated for further analysis. \u0000Conclusion: This study shows a significant relationship between various blood groups and the prevalence of anaemia in the population.","PeriodicalId":506708,"journal":{"name":"Journal of Advances in Medicine and Medical Research","volume":"10 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139774155","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}