European Journal of Medical and Health Sciences最新文献

{"title":"Extended Post-Traumatic Pneumorachis: A Case Report and Review of the Literature","authors":"Salma Lahlou, K. Baayoud, Amine El Khamouye, A. Chellaoui, Khadija Ibahiouin, A. Lakhdar","doi":"10.24018/ejmed.2024.6.3.2111","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.3.2111","url":null,"abstract":"Pneumorachis is an uncommon condition wherein air infiltrates the spinal canal. The pathophysiology of this condition is still a matter of debate, depending on the type of traumatic mechanism (open or closed) and the assessment of the associated injuries. This report aims to present a case of pneumorachis and comprehensively review the literature to gain a better understanding of the etiologies, associated lesions, and neurological symptoms. By doing so, we hope to enhance our knowledge of the management and modalities of treatment for this condition. Although there are many cases of pneumorachis reported in the literature, none are widespread.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"91 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141352740","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":"Scrotal Dermatofibrosarcoma Protuberance: A Case Review at Mankweng Academic Hospital","authors":"Lerato Hector Nong, F. Makhandule, Dumisa Ntshani, Mirza Bhuiyan","doi":"10.24018/ejmed.2024.6.3.2123","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.3.2123","url":null,"abstract":"Background: Dermatofibrosarcoma Protuberance (DFSP) is an uncommon slow-growing soft tissue tumour. The overall incidence of DFSP in the population ranges from 0.3–5 per million and is more common in blacks than whites, males and females are affected equally. The main objective of this case report is to share our experience with Dermatofibrosarcoma Protuberance and give a literature review on the standard of care.\u0000Case Presentation: A 28-year-old male presented to the outpatient department with a five-year history of a painless right inguinoscrotal mass. On physical examination the mass was lobulated, fixed to the underlying tissue, it was non-tender measured 8 X 8 cm and there were no inguinal lymph nodes palpable. Ultrasound showed a hypervascular soft tissue tumour not involving the testicle. Wide Local Excision was performed, and histology showed a protuberant ulcerated nodule. A staging CT scan of the chest and abdomen was normal with no features of any metastatic lesions.\u0000Conclusion: DFSP is a slow-growing and locally aggressive tumor. Therefore, early diagnosis and complete surgical resection can result in patients being cured. Mohs micrographic surgery is becoming the treatment of choice for DFSP as it results in complete surgical clearance. Imatinib is a novel treatment option for DFSP and is increasingly being used.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141371484","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 Significance of TNF-α, CRP, and Hematological Parameters in the Prediction of Plasmodium Falciparum Parasitemia","authors":"Samah Abdelrahman Hassan Ibrahim, Zeinab Ibrahim Swar Eldahab","doi":"10.24018/ejmed.2024.6.2.2055","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.2.2055","url":null,"abstract":"Malaria remains a significant public health concern in Sudan, with Plasmodium falciparum (P. falciparum) infection having widespread indirect consequences. Effective identification of infection severity is crucial for preventing complications. This study aimed to assess the predictive value of Tumor Necrosis Factor Alpha (TNF-α), C-reactive protein (CRP), and hematological parameters in P. falciparum parasitemia. The three-month cross-sectional study involved 54 P. falciparum-positive patients at Bashaire Teaching Hospital Khartoum, Sudan, along with an equal number of P. falciparum-negative individuals. Participants underwent Antigen Rapid Diagnostic Test (RDT), TNFα, CRP, and Complete Blood Count (CBC) assessments. The infected group comprised 68.5% male patients, with a mean age of 22.3 years. Significant variations were observed between the infected and uninfected groups in TNFα, CRP, Total White Blood Cells (TWBCs), and neutrophil levels, with infected individuals showing higher values. Conversely, infected individuals had lower hemoglobin, Red Blood Cells (RBCs), Mean Corpuscular Volume (MCV), Mean Corpuscular Hemoglobin (MCH), Mean Corpuscular Hemoglobin Concentration (MCHC), platelets, and lymphocytes. The study revealed a noteworthy association between MCV and parasitemia, while TNFα, CRP, Hb, RBCs, MCH, and MCHC showed no significant correlation. Hematological parameters should be considered in malaria patients.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140696939","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":"Malignant Medulloepithelioma of the Ciliary Body Revealed by Neovascular Glaucoma in a 13-Year-Old Child","authors":"Chaimae Baqadir, R. Chahir, Meriem El Alami, Achraf Slimane, G. Daghouj, L. El maaloum, B. Allali, A. EL kettani","doi":"10.24018/ejmed.2024.6.2.1975","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.2.1975","url":null,"abstract":"Medulloepithelioma of the ciliary body is a rare congenital intraocular tumor occurring more frequently in children. It develops from the unpigmented epithelium of the ciliary body. Positive diagnosis relies essentially on anatomopathological examination. In our article, we report a case of malignant medulloepithelioma of the ciliary body in a 13-year-old child revealed by severe panuveitis complicated by neovascular glaucoma and non-axial exophthalmos.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"51 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140700235","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":"Utilization of Female Condoms among Women Living with Human Immunodeficiency Virus (HIV) in Murang’a County, Kenya","authors":"Dorothy Njoki Ndwiga, Judy Mugo, Edna Nyang’echi, J. Mathenge","doi":"10.24018/ejmed.2024.6.2.2040","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.2.2040","url":null,"abstract":"Background: To prevent the risk of transmission of the Human Immune Deficiency Virus (HIV) and other sexually transmitted infections (STIs), as well as achieve family planning targets, the use of Female Condom, a women-initiated method, has been prioritized across the globe. Nevertheless, knowledge regarding the utilization of Female Condoms among HIV-positive women remains inconclusive. The main objective of this study was to determine the utilization of Female Condoms (FC) among HIV-positive women in Murang’a County, Kenya.\u0000Method: This study adopted a cross-sectional analytical survey design. A total of 204 women living with HIV (WLHIV) were recruited in the study. Multi-stage sampling was conducted to get three participating sub-counties and three clinics. Systematic sampling and purposive sampling techniques were used to select WLHIV. Structured questionnaires, interview schedules and focus group discussions were used to collect data. Descriptive and inferential statistics were generated using Statistical Package for Social Sciences (SPSS) version 25.0. The statistical significance of the association between categorical variables was determined using Pearson’s Chi-square test. The level of significance was fixed at a P-value of 0.05 level of significance (p ≤ 0.05).\u0000Results: 38.8% of the respondents were aged 31–40 years (Mean = 3.11; SD = 1.004). 42.2% of study participants had attained secondary education (mean = 2.05; SD = 0.899). FC use was low at 17.6% among the women living with HIV. There was a statistically significant association between the age of the respondents and the view that FC has the potential to prevent unwanted pregnancy (p = 0.002; χ2 = 17.246; df = 4). The relationship between marital status and “ever heard about FC” (p = 0.042; χ2 = 32.529; df = 5), “ever seen an FC” (p = 0.048; χ2 = 34.982; df = 5), “FC has a potential to prevent unwanted pregnancy” (p = 0.006; χ2 = 23.079; df = 5) was significant. Married women who were revealed to have seen FC were significantly associated with the current use of the FC (p = 0.001; χ2 = 12.852; df = 1). 26.5% of the participants put on FC as a measure to prevent HIV during sexual activities. Most married women did not know whether their sexual partner does not like them to use FC when having sex compared to separated, cohabiting, divorced or single WLHIV (p=0.034; χ2=7.949; df = 10).\u0000Conclusion: The relatively high knowledge among WLHIV does not translate to the use of FC for appropriate and consistent utilization of the device.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"122 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140708862","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":"Multiple Disseminated Hydatidosis with Rare Locations: Mediastinal, Pancreatic and Pelvic (Case Report)","authors":"Wafaa Bennane, Aziz Moussahim, Y. Chakir, Maha Soussi Abdallaoui, Abdelaziz Fadil, Rachid Aboutaeib","doi":"10.24018/ejmed.2024.6.2.1944","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.2.1944","url":null,"abstract":"Hydatid disease is an anthropozoonosis due to the development of the larval form of Echinococcus granulosus in the human body, which constitutes a ‘dead-end’ host. It’s a common parasitosis in North African countries and constitutes a public health problem in Morocco. The liver and lung are the most affected while the mediastinum, pancreas and pelvis are rarely affected. We report the case of a 40-year-old patient operated 15 yearsago for cerebral and cervical hydatid cysts and who was hospitalized for  generalized mucocutaneous jaundice. On exploration, we discover the presence of disseminated abdominal hydatidosis with association of 3 rare locations: mediastinal, pancreatic and pelvic. Indirect diagnostic tests were positive: indirect hemagglutination (IHA) and Elisa. The Western blot test also showed the presence of specific bands, thus making it possible to retain the diagnosis of hydatidosis. The hydatid cyst with mediastinal, pancreatic and pelvic location is rare and their association is very exceptional. It is essential to evoke the hydatid origin of any cystic lesion in a patient staying in an endemic area.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"12 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140745558","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":"New Topical Treatment for Atopic Dermatitis","authors":"José Miguel Ingelmo Calvo, José Ruiz Cobo, M. Allam","doi":"10.24018/ejmed.2024.6.2.2067","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.2.2067","url":null,"abstract":"The primary approach for managing atopic dermatitis (AD) involves the use of topical corticosteroids as the first-line treatment.While high-potency topical corticosteroids have shown to be effective, they come with an increased risk of local and, rarely, systemic adverse effects. Additionally, patients often experience a relapsing and remitting course. A revolutionary topical treatment for psoriasis and AD has recently received patent approval from the Spanish Ministry of Industry, Trade, and Tourism. This innovative treatment, presented in the form of a lotion, includes a combination of clobetasol, papaverine hydrochloride, spironolactone, a milk-peptide complex, and propylene glycol. An 18-year-old female presented with AD on the back of her neck and scalp. The patient had no significant past medical history and primarily complained of intense pruritus in the AD lesions. The patient received guidance to apply our recently patented lotion, Psorisbye, once a day for 5 days. In total, 50 ml of Psorisbye was utilized over 4 days. On the fifth day, the patient underwent an examination at the outpatient clinic. The patient reported a significant improvement in pruritus sensations and observed a reduction in scaled lesions. Upon evaluating our patient, a comparison of the lesions before and after applying the topical treatment for 4 days revealed a notable improvement in the SCORAD index, decreasing from 49.95 to 0. While the results of Psorisbye in this case show promise, it is crucial to conduct further studies with larger sample sizes and extended follow-up periods to validate the findings presented in our case report.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"16 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140745658","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":"Organ Donation: A Necessary Social Obligation?","authors":"Felix Cantarovich","doi":"10.24018/ejmed.2024.6.2.2082","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.2.2082","url":null,"abstract":"One success of medicine has been to change the death of a human being for the life of a patient with terminal organ failure when organs such as the liver or lung are donated. These results of organ surgery and treatments, nevertheless, are accompanied by the maintenance of patients waiting lists, and deaths. Educational programs have made advances in popular knowledge. However, the data shows that society’s undefined attitude toward donation impacts the “organ shortage”. For example, the value of the slogan that qualifies donating as a gift is controversial today. Organ shortage requires an analysis of its persistence, as well as suggestions for its solution.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"53 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140742059","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":"Refractive Lens Exchange after Implanted Collamer Lens: A Case Report","authors":"Cokorda Istri, Dewiyani Pemayun, I. Gusti, Ngurah Agung, Wisnu Kresnan, Jelly Vianti, Fransisca Oeiyano","doi":"10.24018/ejmed.2024.6.2.2063","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.2.2063","url":null,"abstract":"Introduction: Myopia stands as a prevalent ametropic condition. Posing ongoing challenges for ophthalmologists. Surgery to correct refractive errors is a primary intervention for severe myopia, encompassing procedures like the removal of the crystalline lens coupled with the placement of an intraocular lens (IOL), and the insertion of phakic IOL. The Implantable Collamer Lens (ICL) is commonly utilized in the posterior chamber but carries potential risks including the disruption of the eye’s normal function, potentially leading to conditions like cataracts and glaucoma.\u0000Methods and Purpose: This case report explains a single case patient with ICL that includes previous clinical condition, current condition, steps of surgical procedure, and follow-up after procedure.\u0000Case Illustration: We present the case of a 66-year-old male patient who came to the hospital for refractive surgery due to a cataract with a history of implantable collamer lens (ICL) for high myopia. Cataract surgery was performed after an explanation of the ICL followed by an implanted capsular tension ring (CTR) and IOL.\u0000Discussion: Several cases of patients using ICL will have complications such as glaucoma and cataracts. Determining ICL design will influence the progression of these complications. An explanation procedure by tuck and pull method is needed for age-related cataract patients.\u0000Conclusion: ICL is a safe procedure for high myopia patients. Explanation of ICL can be performed by several medical conditions.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"505 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140749446","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":"Surgical Treatment of Supernumerary Elements for Orthodontic Purposes: Clinical Case Report","authors":"Vinicius da Silva De Oliveira, George Borja de Freitas, Wanderson Limeira de Sousa Barbosa, João Miguel da Silva Rebouças, Carla Graciele Santos, Ana Livia Casimiro De Oliveira, Aryelly de Mendonça Soares, Pedro Odon Almeida Silva, Tereza Raquel Vilar De Souza, Virna Taíse de Oliveira, Julierme Ferreira Rocha","doi":"10.24018/ejmed.2024.6.2.2072","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.2.2072","url":null,"abstract":"Introduction: Hyperdontia is a type of dental development disorder linked to various factors, characterized by an excessive number of teeth in relation to the normal dental formula. This anomaly can affect both jaws and dentitions, but the anterior maxillary region and the permanent dentition are the most affected, and it is more prevalent in male patients. Early diagnosis and immediate treatment are of the utmost importance to avoid complications.\u0000Objective: To describe a surgical procedure involving the removal of bilateral mandibular supernumerary teeth in a 17-year-old patient for orthodontic purposes.\u0000Materials and Methods: This is a descriptive study of a clinical case, carried out by a student and a team of professors from the postgraduate course in minor oral surgery, at the Dentistry school clinic of the Integrated College of Patos (UNIFIP). The procedure was carried out in two surgical procedures, with a 30-day interval between the surgeries.\u0000Conclusion: There are several consequences that supernumerary elements can cause and this case report raises awareness and provides evidence for the clinical characterization and optimal treatment of supernumerary teeth.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"864 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140777152","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}