American Journal of Medical Sciences and Medicine最新文献

{"title":"Knowledge towards Multiple Sclerosis among Family Medicine Residents in Makkah City, Saudi Arabia","authors":"Mohammad Halabi, A. Halawani, Salman M. Alsubhi","doi":"10.12691/ajmsm-10-1-2","DOIUrl":"https://doi.org/10.12691/ajmsm-10-1-2","url":null,"abstract":"","PeriodicalId":7579,"journal":{"name":"American Journal of Medical Sciences and Medicine","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85818582","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":"Antidiabetic Activity of Aqueous Extracts of Laurus nobilis, a Spice Used by Beninese Traditional Therapists","authors":"M. Sènou, Jacques Ezéchiel Lokonon, Germaine Ayitchehou, F. Agbogba, René J. Dehou, E. Mèdoatinsa, Pascal Tchogou, Boris Fresel Cachon, Alban G. Houngbèmè, E. Attakpa, A. Agbonon, Saïd Lamine Baba-Moussa","doi":"10.12691/ajmsm-9-4-4","DOIUrl":"https://doi.org/10.12691/ajmsm-9-4-4","url":null,"abstract":"","PeriodicalId":7579,"journal":{"name":"American Journal of Medical Sciences and Medicine","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87957741","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":"Control Poly-Pharmacy: Elderly Patients’ Perception","authors":"Hanan Elzeblawy Hassan, Soheir Badr-Elden, Sameer S. Hamdi, Mohamed Elsayed Aboudonya","doi":"10.12691/ajmsm-9-3-4","DOIUrl":"https://doi.org/10.12691/ajmsm-9-3-4","url":null,"abstract":"","PeriodicalId":7579,"journal":{"name":"American Journal of Medical Sciences and Medicine","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79083923","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":"Evaluation of E-health Innovations towards Public Health in Izmir, Turkey","authors":"Onur O. Oral, Evangelia Stavropoulou, Lefteris Emmanuel Heretakis, George N. Nomikos, Nikitas N. Nomikos","doi":"10.12691/ajmsm-9-3-3","DOIUrl":"https://doi.org/10.12691/ajmsm-9-3-3","url":null,"abstract":"","PeriodicalId":7579,"journal":{"name":"American Journal of Medical Sciences and Medicine","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80014759","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":"Clinical Characteristics of Children with Corona Virus Disease: Study in a Tertiary Care Hospital, Dhaka, Bangladesh","authors":"Mohammed Rizwanul Ahsan, Probir Kumar Sarkar, Nabila Akand, K. Ghosh, M. Sheefa","doi":"10.12691/AJMSM-9-2-5","DOIUrl":"https://doi.org/10.12691/AJMSM-9-2-5","url":null,"abstract":"Background: Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 has spread around the world, and reports of children with COVID-19 are increasing. So for early diagnosis clinical profiles of pediatric COVID-19 patients are important. Methods: A retrospective was done analyzing clinical data from March 15th to 20th july in Dhaka shishu (children) hospital – A tertiary care hospital in Bangladesh. Only admitted patients were included. Results: Among 196 COVID 19 confirmed cases 116 (59.18%) male and 80 (40.82%) female patients were admitted in Medicine Units 160 and in Surgery units 36 patients. Regarding age distribution, 0-30 days aged 26 patients, 1-12 month aged 57 patients, 1-5 years aged patients, 5-10 years aged 42 patients, more than 10 years and less than 18 years aged 14 patients. Most patients came with fever 110 patients, Upper respiratory tract infection (URTS) 74 patients, Lower respiratory tract infection (LRTS) 68 patients, Myalgia 63 patients, Diarrhoea 41 patients, Headache 33 patients, Rash 27 patients, Conjunctivitis 5 patients and 36 patients came with different surgical emergencies. Conclusions: Symptomatic diagnosis of COVID 19 is difficult in children. So all children should be addressed properly. COVID-19 in children is often not serious, with favorable outcomes.","PeriodicalId":7579,"journal":{"name":"American Journal of Medical Sciences and Medicine","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85361733","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":"Using Sodium Valproate in Children <2 Years of Age: Study in a District Hospital, Dinajpur, Bangladesh","authors":"M. Zaman, M. Islam, S. Mitra, M. Zakaria, Md. Tazul Islam","doi":"10.12691/AJMSM-9-2-3","DOIUrl":"https://doi.org/10.12691/AJMSM-9-2-3","url":null,"abstract":"Introduction: Sodium valproate is proposed for addition to the Model List of Essential Medicines, for use in the management of epilepsy in children. This is effective in treating many seizure types, like a generalized tonic-clonic seizure, myoclonic seizure, absence seizure, in other epilepsy syndromes like an infantile spasm, Landau-Kleffner syndrome (LKS), etc. Aim of the study: This study aimed to observe the side effects caused by sodium valproate in children below 2 years of age. Methodology: An observational study was conducted in the Department of Paediatric M Abdur Rahim Medical College (MARMC), Dinajpur, Bangladesh, during the period of January 2019 to December 2019. Sixty (60) children < 2 the age of years with epilepsy were enrolled in this study. Enrollment was done after informed verbal consent from the mother or the attendant. Detail history was taken about demographic factors which include children’s age, age of onset of seizure, height, weight. Data were collected in a pre-designed questionnaire. The data was processed and analyzed by the application of SPSS version-22. Results: Male were dominated the gender distribution and were 54% and female were 46%. A maximum of 46% of patients was diagnosed with epilepsy between 6-12 months, Out of the total studied patients, the maximum 44% started sodium valproate ages between 7-12 months. Among the total studied patients 40% took 26-30mg/kg/day sodium valproate as their treatment regime. A total of 16% had anemia among the studied patients, whereas for the rest 84% of patients no other symptoms were found during their general examination. Among the total studied patients, the most dominating side effect of the patients was vomiting which resulted in 1/5th (20%) of all side effects. The side effects of both hair loss and loss of appetite show the same result of 10% for each whereas, only 4% and 2% had abdominal pain and weight gain respectively. Conclusion: In this study vomiting was found as the most significant side effect which similar to other different studies also. These findings may be helpful for future researchers in further research. It was a single centered study with a small-sized sample.","PeriodicalId":7579,"journal":{"name":"American Journal of Medical Sciences and Medicine","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86249232","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":"Patients’ Satisfaction with Primary Health Care Centers’ Services in Taif, Saudi Arabia (2019)","authors":"Amirah Meshal Alrabaie, Mohamed Deifallah Alzaydi","doi":"10.12691/AJMSM-9-2-1","DOIUrl":"https://doi.org/10.12691/AJMSM-9-2-1","url":null,"abstract":"Background: Patient satisfaction is considered an essential part in evaluating quality of care and health outcomes. It is a complex relationship between their perceived needs and expectations from the health services received. Objectives: To evaluate the level of satisfaction about primary health care services and determine the relationship between the level of satisfaction and socio-demographic factors of patients attending PHC centers. Methods: A cross-sectional study was conducted in the primary healthcare (PHC) centers, belonging to Ministry of Health (MOH) in Taif city. A multistage random sampling technique was adopted to select a sample of adult patients attending these centers during the study period (Feb-Mar, 2019). Interview Arabic questionnaire was used for collecting data. It consisted of 38 close-ended questions regarding satisfaction with PHC centers` services and 6 specific questions on Socio-demographic characteristics. Results: Three hundreds and seven persons were involved in this study. Females represent 60.2% of them. Those aged between 20 and 40 years represent 61.7% of the participants.Overall, the highest satisfaction score was observed regarding humaneness and communication dimensions (mean score was 2.78 out of 3) while the lowest satisfaction score was observed regarding continuity dimension (mean score was 2.24), health education dimension (mean score was 2.33) and overall dimension (mean score was 2.2). The total patients` satisfaction score ranged between 48 and 110 (out of a maximum possible score of 114. The median score (IQR) was 95 (88-99). Female patients were more satisfied with PHC centers` services than male patients (mean ranks were 177.55 and 156.04, respectively), p=0.047. Married patients were more satisfied with PHC centers` services than singles (mean rank was 186.54 versus 111.25), p<0.001. Concerning educational level, Bachelor/above holders had the highest satisfaction score (mean rank=179.31) while those below secondary school graduated had the lowest score (mean rank=124.96), p=0.025. Retired/not working patients had the highest satisfaction score (mean rank=193.14) while students had the lowest satisfaction score (mean rank=125.73), p<0.001. Conclusion: Overall, patients were satisfied with services provided by PHC centers, Ministry of health in Taif City. However, majority of them thought that the services provided in the center could be better.","PeriodicalId":7579,"journal":{"name":"American Journal of Medical Sciences and Medicine","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80347940","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":"Work Related Stress among Physicians Working in Primary Health Care Centers in Taif City, Saudi Arabia, 2020","authors":"Ohood Alotaibi, Hasan Obaid","doi":"10.12691/AJMSM-9-1-5","DOIUrl":"https://doi.org/10.12691/AJMSM-9-1-5","url":null,"abstract":"Background: Stress levels among healthcare professionals including doctors are high compared with the general working population because the work is characterized by high degree of responsibility and medical errors can have catastrophic effects on both the medical professional and the patient. Objectives: To assess psychosocial stress and its association with socio-demographic characteristics and work demands of physicians. Subject and methods: A descriptive cross-sectional study design was adopted among all physicians working at primary healthcare centers (PHCCs), Ministry of Health (MOH) in Taif during the period February-April, 2020. Assessment of Psychosocial Stress: was investigated by the Reeder scale. Work characteristics were investigated with the Karasek scale. Results: The study included 103 PHC physicians. The age of more than half of them (59.4%) ranged between 30 and 39 years. More than half of them (55.3%) were males. High psychological stress was observed among 29.1% of the participants. It was reported among more than half of the participants (55%) aged ≤29 years compared to 17.9% of those aged ≥40 years, p=0.022. Half of single physicians compared to 24.7% of married expressed high level of psychological stress, p=0.022. Almost one third of general practitioners (32.8%) compared to 16.7% of consultants had high level of psychological stress, p=0.046. Physicians who practiced less than 5 years were more likely to have psychological stress compared to those practiced >10 years (40.5% versus 20.7%), p=0.025. The percentage of the Karasek scale for work characteristics ranged between 30.6 and 75 with a mean±SD of 59.7±7.7 and median (Interquartile range) of 55.6 (61.1-63.9). It was abnormally distributed as evidenced from significant Shapiro-Wilk test, pConclusion: Psychological work-related stress is a common problem affecting primary healthcare physicians, Ministry of Health in Taif, Saudi Arabia. It was not significantly associated with work demands, although, its rate increase with increasing in work demands.","PeriodicalId":7579,"journal":{"name":"American Journal of Medical Sciences and Medicine","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84428664","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 Level of Satisfaction and Its Determinants with the New Application - Based Appointment System (Mawid) among Al Iskan Primary Healthcare Center Beneficiaries in Makkah, Saudi Arabia 2020","authors":"Rahaf S. Hayatalhazmi, Yusuf Alharbi","doi":"10.12691/AJMSM-9-1-2","DOIUrl":"https://doi.org/10.12691/AJMSM-9-1-2","url":null,"abstract":"In tandem with international traits, the Ministry of Health in Saudi Arabia is promoting the use of a new application-based appointment system known as “Mawid” that fully accommodates the current and future needs of both the individual and the society. The study aims to evaluate patient’s satisfaction towards “Mawid” system in Al-iskan Primary Health Care Center in Makkah City, 2020. Methods: In this study, a self-administered questionnaire was randomly given to selected patients who initially booked their appointment using “Mawid” application. The study was conducted at Al-iskan PHCC, Makkah City in Saudi Arabia. Results: The study included 214 patients. The majority of patients who booked at general clinic and at Family Medicine clinic believed that “Mawid” application improved the service provided compared to the previous way of appointment booking, p=0.047. Overall, almost half of the patients (48.1%) were satisfied with the services of “Mawid” application. Conclusion: This study is among the first to measure a patient’s satisfaction toward an application-based appointment system in Saudi Arabia. The results of the current study indicate that almost half of Mawid app users are overall satisfied with the services offered by the application system, however, it is necessary for the Ministry of Health in Saudi Arabia to make use of online marketing platforms to improve awareness of this innovative medical appointment application system.","PeriodicalId":7579,"journal":{"name":"American Journal of Medical Sciences and Medicine","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84043104","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":"Health Insurance Moderates the Waist Circumference and Cardiorespiratory Fitness Relationship in U.S. Adolescents","authors":"P. Hart","doi":"10.12691/AJMSM-8-5-1","DOIUrl":"https://doi.org/10.12691/AJMSM-8-5-1","url":null,"abstract":"Background: Abdominal obesity is a cardiometabolic risk factor and shown to be related to cardiorespiratory fitness (CRF). The purpose of this study was to examine the moderating effects of health insurance (HI) on the waist circumference (WC) and CRF relationship in U.S. adolescents. Methods: Data from youths 12 to 15 years of age participating in the 2012 NHANES National Youth Fitness Survey (NNYFS) were used. Both WC (cm) and CRF (ml/kg/min) were measured by trained medical personnel with HI status assessed via questionnaire by proxy. Binary variables were created at the median for WC and CRF. Multivariate logistic regression was used to examine the relationship between WC, HI and CRF while controlling for confounding variables. Results: The overall prevalence of no HI was 6.5% (95% CI: 2.78 - 10.20). Findings from the fully adjusted model predicting low CRF showed a significant (p = .020) WC-by-HI interaction. Slicing the model by HI status showed a significant decreased risk of low CRF for adolescents with HI and low WC (OR = 0.25, 95% CI: 0.19 - 0.33). Additionally, a significant decreased risk of low CRF was seen among those with no HI and low WC (OR = 0.50, 95% CI: 0.28 - 0.88). Slicing the model by WC status showed a significant increased risk of low CRF for adolescents with low WC and no HI (OR = 2.44, 95% CI: 1.22 - 5.32). However, no significant HI and CRF relationship was observed among adolescents with high WC. Conclusion: This study showed that HI moderates the WC and CRF relationship in U.S. adolescents. Specifically, having low WC appears to protect adolescents against low CRF. Whereas having HI looks as if to protect against low CRF only for those with low WC.","PeriodicalId":7579,"journal":{"name":"American Journal of Medical Sciences and Medicine","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83881436","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}