Annals of African Medicine最新文献

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Unilateral Oil Droplet Cataract in a Child: Importance of Early Detection and Intervention. 儿童单侧油滴性白内障:早期发现和干预的重要性。
IF 0.7
Annals of African Medicine Pub Date : 2025-08-26 DOI: 10.4103/aam.aam_249_25
Vishakha Vatkar, Priyanka Aher, Swaranjali Gore, Sumit Toshniwal, Siddhartha Gollamudi
{"title":"Unilateral Oil Droplet Cataract in a Child: Importance of Early Detection and Intervention.","authors":"Vishakha Vatkar, Priyanka Aher, Swaranjali Gore, Sumit Toshniwal, Siddhartha Gollamudi","doi":"10.4103/aam.aam_249_25","DOIUrl":"https://doi.org/10.4103/aam.aam_249_25","url":null,"abstract":"<p><strong>Abstract: </strong>Oil droplet cataract is a rare pediatric lens opacity that can cause significant amblyopia if not promptly diagnosed and treated. A 5-year-old male presented with intermittent exotropia and reduced vision in the left eye. Visual acuity was 6/6 in the right eye and 5/60 in the left eye, improving to 6/36 with correction. Retinoscopy revealed an oil droplet reflex in the left eye. Systemic evaluation ruled out galactosemia. Phacoemulsification with intraocular lens implantation was performed, followed by refractive correction and occlusion therapy. At 3 months, left eye vision improved to 6/24 unaided. Unilateral oil droplet cataract, although rare, should be considered in children with unexplained unilateral visual loss or strabismus. Early recognition and management are the keys to preventing irreversible amblyopia.</p>","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939538","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
Optical Coherence Tomography Analysis of Macular Edema Across Disease Spectra. 黄斑水肿的光学相干断层扫描分析。
IF 0.7
Annals of African Medicine Pub Date : 2025-08-26 DOI: 10.4103/aam.aam_263_25
Renu Magdum, Priyanka Sangram Aher, Tushar Pancholi, Surbhi Chodvadiya, Gufran Ali Kamdar, Arpit Gupta, Ahan Gupta, Prashansa Gupta
{"title":"Optical Coherence Tomography Analysis of Macular Edema Across Disease Spectra.","authors":"Renu Magdum, Priyanka Sangram Aher, Tushar Pancholi, Surbhi Chodvadiya, Gufran Ali Kamdar, Arpit Gupta, Ahan Gupta, Prashansa Gupta","doi":"10.4103/aam.aam_263_25","DOIUrl":"10.4103/aam.aam_263_25","url":null,"abstract":"<p><strong>Introduction: </strong>Macular edema (ME) is a leading cause of visual impairment associated with various retinal pathologies. Spectral-domain optical coherence tomography (SD-OCT) provides high-resolution imaging, allowing detailed assessment of ME patterns and structural changes.</p><p><strong>Aim: </strong>The aim of this study was to evaluate the distribution and characteristics of ME across different etiologies using SD-OCT.</p><p><strong>Materials and methods: </strong>This cross-sectional observational study included patients with ME from diverse etiologies. SD-OCT was used to assess central macular thickness, retinal volume, cystoid spaces (CS), epiretinal membrane (ERM), hyperreflective foci, and disorganization of retinal inner layers (DRIL).</p><p><strong>Results: </strong>A total of 54% of the study participants were female, with a mean age of 57 years. Diabetes mellitus (50.4%) was the most common etiology, followed by retinal vein occlusions, age-related macular degeneration, ERM, and inflammatory causes. CS were observed in 49.6% of cases, and DRIL in 48%. Severe visual impairment was more frequent in diabetic and vaso-occlusive cases.</p><p><strong>Conclusion: </strong>SD-OCT effectively identifies structural patterns in ME across etiologies, assisting in diagnosis and management planning.</p>","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939572","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
Gliptin-induced Pemphigus. Gliptin-induced天疱疮。
IF 0.7
Annals of African Medicine Pub Date : 2025-08-20 DOI: 10.4103/aam.aam_162_25
Avinash Jadhav, Sandra Arora, Ashwini Dattatray Mundhe
{"title":"Gliptin-induced Pemphigus.","authors":"Avinash Jadhav, Sandra Arora, Ashwini Dattatray Mundhe","doi":"10.4103/aam.aam_162_25","DOIUrl":"https://doi.org/10.4103/aam.aam_162_25","url":null,"abstract":"<p><strong>Abstract: </strong>This case highlights the development of gliptin-induced pemphigus in a patient shortly after initiating gliptin therapy for diabetes. It is essential to differentiate drug-induced pemphigus from idiopathic cases, as they can be clinically and histopathologically indistinguishable. A detailed medical history, including medication use, is crucial to identifying drug-induced conditions. The time interval between initiating the suspected drug and the onset of skin manifestations can vary widely from case to case. Improvement of the lesions following drug cessation confirms the diagnosis of drug-induced pemphigus.</p>","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939528","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
Role of Three-Tesla Cardiac Magnetic Resonance Imaging in the Evaluation of Cardiac Masses. 三特斯拉心脏磁共振成像在评估心脏肿块中的作用。
IF 0.7
Annals of African Medicine Pub Date : 2025-08-20 DOI: 10.4103/aam.aam_221_25
Tushar Kalekar, Ankit Gupta
{"title":"Role of Three-Tesla Cardiac Magnetic Resonance Imaging in the Evaluation of Cardiac Masses.","authors":"Tushar Kalekar, Ankit Gupta","doi":"10.4103/aam.aam_221_25","DOIUrl":"10.4103/aam.aam_221_25","url":null,"abstract":"<p><strong>Background: </strong>Cardiac masses, though uncommon, pose significant diagnostic and therapeutic challenges. Accurate differentiation between benign and malignant masses is essential for appropriate management. Three-Tesla cardiac magnetic resonance (3T CMR) imaging offers superior soft tissue characterization and higher spatial resolution, enhancing diagnostic accuracy.</p><p><strong>Objective: </strong>To evaluate the diagnostic utility of 3T CMR in assessing cardiac masses, including mass characterization, associated findings, and agreement with echocardiography.</p><p><strong>Materials and methods: </strong>This prospective observational study was conducted at Dr. D. Y. Patil Medical College, Pune, from February 2023 to July 2025. Twenty patients with cardiac masses identified on echocardiography underwent 3T CMR. Data collected included demographic details, clinical profiles, CMR findings, and comparative analysis with two-dimensional (2D) echocardiography.</p><p><strong>Results: </strong>Thrombi were the most common mass (50%), followed by myxomas (20%). Masses most frequently involved the left ventricle and right atrium. Most masses were ill-defined and T1 hypointense. CMR identified pericardial effusion and myocardial infarction in 20% each. Agreement between 2D echo and CMR was moderate.</p><p><strong>Conclusion: </strong>3T CMR is a valuable imaging modality in evaluating cardiac masses, providing comprehensive tissue characterization and detection of associated findings that impact management.</p>","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881911","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
Cytomegalovirus-associated Toxic Megacolon in an Immunocompetent Host: Is It Really That Uncommon? 免疫正常宿主中巨细胞病毒相关的毒性巨结肠:真的那么罕见吗?
IF 0.7
Annals of African Medicine Pub Date : 2025-08-20 DOI: 10.4103/aam.aam_194_25
Pallavi Srivastava, Ankit Gupta, Shipra Singh
{"title":"Cytomegalovirus-associated Toxic Megacolon in an Immunocompetent Host: Is It Really That Uncommon?","authors":"Pallavi Srivastava, Ankit Gupta, Shipra Singh","doi":"10.4103/aam.aam_194_25","DOIUrl":"10.4103/aam.aam_194_25","url":null,"abstract":"<p><strong>Abstract: </strong>Cytomegalovirus (CMV) is a herpes virus that usually affects immunocompromised hosts. However, there has been a recent increase in CMV-associated infections in immunocompetent hosts, with the most common sites including the gastrointestinal tract, lungs, liver, and spleen. We present a case of a 60-year-old male patient who presented with abdominal pain and diarrhea with radiological findings including circumferential mural thickening in the rectum, rectosigmoid, and descending colon with loss of haustrations in the transverse colon suggestive of colitis with toxic megacolon. A subtotal colectomy was performed, which showed gross features of inflammatory bowel disease; however, histopathological findings were suggestive of CMV colitis with typical nuclear and cytoplasmic features. The patient succumbed to death within 2 weeks postsurgery. This case emphasizes the fact that an immunocompetent host present with dreaded complications of CMV colitis, especially older patients, hence elderly age being one of the vulnerable groups.</p>","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881904","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
Ultrasound-guided Assessment of Phrenic Nerve Involvement after Interscalene Brachial Plexus Block. 超声引导下斜角肌间臂丛神经阻滞后膈神经受累的评估。
IF 0.7
Annals of African Medicine Pub Date : 2025-08-20 DOI: 10.4103/aam.aam_154_25
Jyothi Biradar, M V Eeshwar, Laxmi Shenoy, Yogesh Gaude, Souvik Chaudhuri
{"title":"Ultrasound-guided Assessment of Phrenic Nerve Involvement after Interscalene Brachial Plexus Block.","authors":"Jyothi Biradar, M V Eeshwar, Laxmi Shenoy, Yogesh Gaude, Souvik Chaudhuri","doi":"10.4103/aam.aam_154_25","DOIUrl":"https://doi.org/10.4103/aam.aam_154_25","url":null,"abstract":"<p><strong>Background and aim: </strong>Phrenic nerve is usually involved while administering intersalene brachial plexus block (ISBPB), resulting in partial/total hemidiaphragmatic paresis (Hdp) that can affect respiratory mechanics. The aim was to determine the incidence of diaphragm excursion before and after administration of ISBPB using ultrasonography.</p><p><strong>Methods: </strong>Sixty-two patients received ISBPB for anesthesia in the shoulder region who consented to be a part of a prospective observational study. Pre- and postblock values for diaphragmatic excursions were recorded for quiet and deep breathing (DB) using a 3-5 MHz ultrasound (USG) probe to calculate the percentage change. The volume of local anesthesia (LA) was in the range of 10-40 ml. Categorical data were analyzed using the Chi-square test and correlated with continuous data using c. The level of significance was P < 0.05.</p><p><strong>Results: </strong>In the group of patients who received 10-20 mL of local anesthetic, 30% of patients had total Hdp, whereas 66.7% had total Hdp upon receiving 20-30 mL of local anesthetic (P = 0.015, Chi-square test) during quiet breathing (QB). Similarly, during DB, total Hdp was observed in 20% of patients who received 10-20 mL local anesthetic, whereas it was significantly higher in 47.6% of patients who received 20-30 mL of local anesthetic (P = 0.018, Chi-square test). A significant positive moderate correlation was observed between volume of LA and diaphragmatic excursions during QB (Spearman's correlation coefficient = 0.571, P = 0.001) as well as during DB (Spearman's correlation coefficient = 0.556, P = 0.001) were the additional outcome measures. Only two patients developed complications and paradoxical movement was seen in 77.4% of patients.</p><p><strong>Conclusion: </strong>An increase in the volume of LA increased the incidence of Hdp and total diaphragmatic paralysis.</p>","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939490","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
Teachers' Knowledge and Attitude toward Anaphylaxis in Saudi Arabia. 沙特阿拉伯教师对过敏反应的知识和态度。
IF 0.7
Annals of African Medicine Pub Date : 2025-08-20 DOI: 10.4103/aam.aam_158_24
Abdulrahman Ahmad Alnaim, Yousef A Alhamaid, Jawad S Alnajjar, Hassan S Alhussain, Musawi A Al Taha, Mohammed Sabri Alhulayyil, Juwadaa Saleem Alnajjar
{"title":"Teachers' Knowledge and Attitude toward Anaphylaxis in Saudi Arabia.","authors":"Abdulrahman Ahmad Alnaim, Yousef A Alhamaid, Jawad S Alnajjar, Hassan S Alhussain, Musawi A Al Taha, Mohammed Sabri Alhulayyil, Juwadaa Saleem Alnajjar","doi":"10.4103/aam.aam_158_24","DOIUrl":"https://doi.org/10.4103/aam.aam_158_24","url":null,"abstract":"<p><strong>Background: </strong>Anaphylaxis is a frequent life-threatening allergic reaction. Many allergic responses affect school-aged children. Teachers' understanding and attitudes toward these reactions and how to control them are crucial for early intervention. The aim of this study is to assess primary and intermediate school teachers' knowledge and attitude toward anaphylaxis in Al-Ahsa, Saudi Arabia.</p><p><strong>Methodology: </strong>This was a cross-sectional study conducted at different primary and intermediate schools in Al-Ahsa, Eastern region, Saudi Arabia, during January 2023 to July 2023. Self-administrated questionnaire was distributed via administrations of the schools which aimed to assess teachers' knowledge and attitude toward anaphylaxis.</p><p><strong>Results: </strong>Out of the 650 participants, 327 (50.3%) were male, and 323 (49.7%) were female with a mean age of 45.3 ± 13.9 years old. Nearly half of the teachers witnessed an anaphylaxis case. In terms of the first administered drug in case of anaphylaxis, minority of the participants, 161 (24.8%), were familiar that epinephrine is the first line of treatment. The overall knowledge of teachers was poor. There was a significant relationship between the level of awareness and who encountered an anaphylaxis case.</p><p><strong>Conclusions: </strong>In this study, teachers' general knowledge and attitude concerning anaphylactic responses were relatively inadequate, despite teachers' high attitudes toward learning about management of such circumstances. In this context, teachers require additional training in the handling of allergic reactions. Teachers who are unfamiliar with allergic reactions would benefit from educational seminars on allergy management.</p>","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939495","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
Job Satisfaction and Quality of Life among Faculty Members in Public Universities in Enugu State, Nigeria. 尼日利亚埃努古州公立大学教师的工作满意度和生活质量。
IF 0.7
Annals of African Medicine Pub Date : 2025-08-20 DOI: 10.4103/aam.aam_94_25
Emmanuel Nwabueze Aguwa, Oyenike Oyeronke Ekekezie, Akin Fajola, Obinna Jude Shiweobi
{"title":"Job Satisfaction and Quality of Life among Faculty Members in Public Universities in Enugu State, Nigeria.","authors":"Emmanuel Nwabueze Aguwa, Oyenike Oyeronke Ekekezie, Akin Fajola, Obinna Jude Shiweobi","doi":"10.4103/aam.aam_94_25","DOIUrl":"10.4103/aam.aam_94_25","url":null,"abstract":"<p><strong>Background: </strong>The role of lecturers in research, training, and mentoring of students has long been established. Despite these, there is an increasing migration of lecturers from developing countries to developed countries. Some of the factors responsible for this migration may be related to poor job satisfaction and quality of life (QoL). Hence, this study aimed at assessing the prevalence and factors associated with job satisfaction and QoL among the lecturers in the public university.</p><p><strong>Methods: </strong>The study design was a cross-sectional analytical study carried out in 2023 among 392 lecturers selected from two public universities in Enugu state, Nigeria. The tools used for data collection were the Job Satisfaction Index and WHOQOL-BREF.</p><p><strong>Results: </strong>Showed that 129 (32.9%) had low job satisfaction; however, many more were dissatisfied with their pay (338; 86.2%). In terms of QoL, this was poor in the physical health (278; 70.9%), psychological (135; 34.4), social relationship (189; 48.2%), and environmental health (332; 84.7%) domains. Most sociodemographic variables were not significantly associated with facets of job satisfaction and QoL. There is a positive relationship between job satisfaction and QoL.</p><p><strong>Conclusion/recommendation: </strong>The prevalence of low job satisfaction and poor QoL among lecturers is high. The most common facets of job satisfaction affecting the lecturers are pay, conditions in the present job, and promotion opportunities, while in the QoL domains, the physical, social relationships, and environmental domains are most prominent. Furthermore, there is a positive association between job satisfaction and QoL. Policy makers should target these factors to improve job satisfaction and QoL.</p>","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881906","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
Analyzing the Comprehension and Awareness of Peptic Ulcer Disease and Its Risk Factors among the Jazan Population, Saudi Arabia. 沙特阿拉伯吉赞地区人群对消化性溃疡疾病及其危险因素的了解和认识分析
IF 0.7
Annals of African Medicine Pub Date : 2025-08-20 DOI: 10.4103/aam.aam_146_25
Ali Someili, Abdulrahman Mohammed Safhi, Ali Ibrahim Alharbi, Shatha Khalid Alharbi, Naseem Abdo Fqiry, Mnar Hussien Moafa, Yasser Mohammed Shmakhi, Manar Ahmed Hamzi, Mostafa Mohrag, Erwa Elmakki, Sameer Alqassimi, Mohammed Abdulrasak
{"title":"Analyzing the Comprehension and Awareness of Peptic Ulcer Disease and Its Risk Factors among the Jazan Population, Saudi Arabia.","authors":"Ali Someili, Abdulrahman Mohammed Safhi, Ali Ibrahim Alharbi, Shatha Khalid Alharbi, Naseem Abdo Fqiry, Mnar Hussien Moafa, Yasser Mohammed Shmakhi, Manar Ahmed Hamzi, Mostafa Mohrag, Erwa Elmakki, Sameer Alqassimi, Mohammed Abdulrasak","doi":"10.4103/aam.aam_146_25","DOIUrl":"10.4103/aam.aam_146_25","url":null,"abstract":"<p><strong>Background: </strong>Peptic ulcer disease (PUD) is characterized by an ulcer in the gastric or duodenal mucosa, approximately 3-5 mm deep. This global health concern significantly impacts health and quality of life, necessitating increased public awareness for the prevention and control of its risk factors.</p><p><strong>Materials and methods: </strong>The study employed a cross-sectional online questionnaire targeting 400 adults from Jazan, Saudi Arabia. Adapted from existing literature, the questionnaire was disseminated online. Data were organized using Excel and analyzed via SPSS Version 27, utilizing the Chi-square test to evaluate demographic factors' influence on awareness of PUD.</p><p><strong>Results: </strong>Among participants, 310 (77.5%) correctly identified Helicobacter pylori (H. pylori) infection as a common cause, and 205 (51.2%) acknowledged smoking as a risk factor. Awareness of H. pylori and nonsteroidal anti-inflammatory drugs as major contributors to PUD was noted in 181 (45.3%) participants. Furthermore, 221 (55.3%) understood that antibiotics and acid suppression therapy are viable treatment options. Overall, 249 (62.25%) participants demonstrated a good level of awareness. Significant associations were found between awareness levels and demographic factors, including age, education level, and occupation, with P < 0.05 (0.006*, 0.002*, and 0.001*, respectively).</p><p><strong>Conclusion: </strong>The study highlights a considerable level of awareness about PUD among adults in Jazan, emphasizing the importance of targeted educational initiatives to further enhance understanding and prevention efforts.</p>","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881900","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
Clinical and Polysomnographic Differences in Obese and Nonobese Patients with Obstructive Sleep Apnea. 肥胖和非肥胖阻塞性睡眠呼吸暂停患者的临床和多导睡眠图差异。
IF 0.7
Annals of African Medicine Pub Date : 2025-08-20 DOI: 10.4103/aam.aam_151_25
Supriya Adiody, S Vishnu Narayanan
{"title":"Clinical and Polysomnographic Differences in Obese and Nonobese Patients with Obstructive Sleep Apnea.","authors":"Supriya Adiody, S Vishnu Narayanan","doi":"10.4103/aam.aam_151_25","DOIUrl":"10.4103/aam.aam_151_25","url":null,"abstract":"<p><strong>Background: </strong>Obstructive sleep apnea (OSA) is characterized by repeated episodes of upper airway obstruction during sleep, resulting in fragmented sleep and associated health risks.</p><p><strong>Objective: </strong>This retrospective study investigated the clinical and polysomnographic differences between obese and nonobese patients diagnosed with OSA.</p><p><strong>Methodology: </strong>A total of 210 patients underwent a Level 3 sleep study. Based on the apnea-hypopnea index (AHI), 180 patients with OSA were included in the study. Patients were categorized as obese (body mass index [BMI] ≥27.5) or nonobese (BMI <27.5). Clinical parameters, AHI, oxygen desaturation index (ODI), Epworth Sleepiness Scale (ESS), neck circumference, age, and gender were compared.</p><p><strong>Results: </strong>Obese patients had significantly higher AHI, ODI, ESS scores, and neck circumference than nonobese patients (P < 0.05). Gender was associated with the severity of OSA only in the obese group. Age was not significantly associated with OSA severity in either group.</p><p><strong>Discussion: </strong>Obesity is strongly associated with more severe OSA and anatomical risk factors. Nonobese OSA patients also exhibited clinically relevant symptoms, suggesting distinct nonanatomical mechanisms.</p><p><strong>Conclusion: </strong>This study concludes that while obesity is linked to more severe OSA due to anatomical factors, non-obese patients also experience significant disease, highlighting the importance of individualized, phenotype-driven management strategies.</p>","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881901","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
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