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A Rare Case of Unexpected High Plasma Vitamin B12 levels: A Case Report 血浆维生素 B12 水平意外偏高的罕见病例:病例报告
Journal of applied medical sciences Pub Date : 2024-07-26 DOI: 10.47260/jams/1331
Sarla Kumari, Mukesh Kumar, Emilia Kadour, Asl Abdulameer Majeed Abu Nayla
{"title":"A Rare Case of Unexpected High Plasma Vitamin B12 levels: A Case Report","authors":"Sarla Kumari, Mukesh Kumar, Emilia Kadour, Asl Abdulameer Majeed Abu Nayla","doi":"10.47260/jams/1331","DOIUrl":"https://doi.org/10.47260/jams/1331","url":null,"abstract":"Abstract\u0000\u0000High blood levels of vitamin B12 are often attributed to over-supplementation; however, elevated B12 levels can occur without supplementation, raising concerns about underlying serious conditions. This case report presents a 30-year-old female referred due to high serum cobalamin levels initially discovered during an evaluation for joint pain. Despite no vitamin B12 supplementation, her B12 levels rose from 2000 pg/mL to 7000 pg/mL over three months. Comprehensive testing, including liver and renal function tests, CBC, LDH, peripheral smear, thyroid function tests, homocysteine, methylmalonic acid levels, and imaging studies, revealed no abnormalities.\u0000Active holotranscobalamin was elevated, but there were no signs of malignancy or other serious conditions. The patient remained clinically stable throughout a six- month follow-up. This case highlights the importance of a structured approach in evaluating elevated serum cobalamin levels and considering macro-vitamin B12 in the differential diagnosis. Further research is needed to understand the clinical significance of macro-vitamin B12 and its impact on B12 level interpretation.\u0000\u0000Keywords: Macro-vitamin B12, Transcobalamins, Elevated serum cobalamin.","PeriodicalId":89795,"journal":{"name":"Journal of applied medical sciences","volume":"43 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141800054","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
Screen Time and Psychosocial Health Conditions Amongst University Students 屏幕时间与大学生的社会心理健康问题
Journal of applied medical sciences Pub Date : 2024-04-24 DOI: 10.47260/jams/1322
Hamza Alshareh, Asad Waseem, J. Sreedharan, Ameneh Parmoodeh, Sarah Ali
{"title":"Screen Time and Psychosocial Health Conditions Amongst University Students","authors":"Hamza Alshareh, Asad Waseem, J. Sreedharan, Ameneh Parmoodeh, Sarah Ali","doi":"10.47260/jams/1322","DOIUrl":"https://doi.org/10.47260/jams/1322","url":null,"abstract":"Abstract\u0000\u0000University students, predominantly young adults, spend vast periods of the day utilizing technology and looking at screens to complete assignments, study and relax. These students also commonly complain of several mental health disorders. The aim of this study is to determine how neurological stress, such as anxiety, depression and more, affects average screen time and to assess the weekly fluctuations in neurological stress and their influence on screen use. Additional factors (gender, quality of sleep, alcohol, etc.) were also considered with regards to their relation to screen time. The data collection was conducted in 2022, targeting university students of ages 18-24 in Ajman, UAE, via a self-administered questionnaire. 425 responses were collected and crosstabulation, using the Chi square test (p <0.05), was performed to assess statistical significance. Significant statistical association was found between depression and other psychological states (mood swings, insomnia, addictive tendencies) with screen time during the week and weekend. No other associations were identified. Overall, this study affirms the relation between negative mental health and its effects on the average user screen time amongst university students in Ajman. Additional studies are needed to clarify what specific contents and types of screens are more impactful on mental health.\u0000\u0000JEL classification numbers: I12, I19.\u0000Keywords: Screen time, Depression, Stress, University Students.","PeriodicalId":89795,"journal":{"name":"Journal of applied medical sciences","volume":"55 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140660873","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
Navigating a Tubo-ovarian Abscess: A Case Report 输卵管卵巢脓肿导航:病例报告
Journal of applied medical sciences Pub Date : 2024-03-13 DOI: 10.47260/jams/1321
Hala Al-khalidy, Ahila A. M. Abu-Nayla, Khalid W. Alkaissi, Umniyah Abu-nayla
{"title":"Navigating a Tubo-ovarian Abscess: A Case Report","authors":"Hala Al-khalidy, Ahila A. M. Abu-Nayla, Khalid W. Alkaissi, Umniyah Abu-nayla","doi":"10.47260/jams/1321","DOIUrl":"https://doi.org/10.47260/jams/1321","url":null,"abstract":"Abstract\u0000\u0000Tubo-ovarian abscess (TOA) represents a severe complication of pelvic inflammatory disease (PID) and can lead to significant morbidity if not promptly diagnosed and managed. We reported a case of a 36-year-old Palestinian woman who presented with fever and severe lower abdominal pain, initially diagnosed as acute pyelonephritis, but later found to have bilateral tubo-ovarian abscesses complicated by extended-spectrum beta-lactamase (ESBL) infection. The case underscores the challenges in managing complex pelvic infections and highlights the importance of timely intervention and tailored antibiotic therapy.\u0000\u0000Keywords: Pyosalpinx, tubo-ovarian abscess, peritonitis, pelvic inflammatory disease.","PeriodicalId":89795,"journal":{"name":"Journal of applied medical sciences","volume":"305 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140247112","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
A Rare Case of Hairy Cell Leukemia with COVID Infection: A Case Report 毛细胞白血病合并 COVID 感染的罕见病例:病例报告
Journal of applied medical sciences Pub Date : 2024-03-05 DOI: 10.47260/jams/1312
Sarla Kumari, Emilia Kadour, Ahila Abdulameer Majeed Abu Nayla, Asl Abdulameer Majeed Abu Nayla
{"title":"A Rare Case of Hairy Cell Leukemia with COVID Infection: A Case Report","authors":"Sarla Kumari, Emilia Kadour, Ahila Abdulameer Majeed Abu Nayla, Asl Abdulameer Majeed Abu Nayla","doi":"10.47260/jams/1312","DOIUrl":"https://doi.org/10.47260/jams/1312","url":null,"abstract":"Abstract\u0000\u0000Hairy cell leukemia (HCL) is a distinct subset of chronic lymphoid leukemia, presents with unique features, including the characteristic \"hairy\" projections seen in neoplastic B cells. We reported a case on hairy cell leukemia (HCL), emphasizing the challenges posed by this rare hematological malignancy, especially in the context of concurrent health crises such as the COVID-19 pandemic. This malignancy, though uncommon, necessitates comprehensive diagnostic methodologies, such as peripheral blood studies, flow cytometry, and bone marrow biopsy. \u0000Treatment strategies for HCL involve tailored approaches based on symptomatic presentations. Purine analogs, cladribine and pentostatin, stand as first-line interventions, showcasing efficacy in inducing and sustaining remission. However, the prolonged immunosuppression resulting from these treatments warrants vigilant monitoring for potential infectious complications. Emerging therapies, such as the BRAF inhibitor vemurafenib, provide additional options for refractory or progressive cases.\u0000The post-treatment phase demands meticulous follow-up, with an emphasis on regular blood work assessments by an oncology nurse and primary care physician. \u0000Our case further highlights the need for heightened awareness among healthcare professionals, particularly in the post-COVID-19 phase, where persistent symptoms led to the discovery of an underlying hematological disorder. \u0000\u0000Keywords: Hairy cell leukemia, Evan syndrome, Covid-19.","PeriodicalId":89795,"journal":{"name":"Journal of applied medical sciences","volume":"7 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140263452","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
Socio-Demographic Characteristics and Outcome of Patients Affected by Covid-19 Virus Reported to a Tertiary Care Hospital Ajman, United Arab Emirates 阿拉伯联合酋长国阿治曼一家三级医院接报的 Covid-19 病毒感染患者的社会人口学特征和预后
Journal of applied medical sciences Pub Date : 2024-02-20 DOI: 10.47260/jams/1311
Roudah AlRaeesi, Farah Hosny, Zeinab Susi, Jayakumary Muttappallymaylil
{"title":"Socio-Demographic Characteristics and Outcome of Patients Affected by Covid-19 Virus Reported to a Tertiary Care Hospital Ajman, United Arab Emirates","authors":"Roudah AlRaeesi, Farah Hosny, Zeinab Susi, Jayakumary Muttappallymaylil","doi":"10.47260/jams/1311","DOIUrl":"https://doi.org/10.47260/jams/1311","url":null,"abstract":"Abstract\u0000\u0000The goal of this study was to assess association between social demographic characteristic including Age and gender, patients past medical history, and outcome of Covid 19 admitted cases. Data was collected from the electronic data base of Thumbay hospital Ajman UAE. All registered cases of Covid19 from January 2020 to August 2021 were included in the research. The study identified that individuals above 40 years were more susceptible to Covid-19, with a higher prevalence in males than females. Diabetes mellitus emerged as the most common non-communicable disease among patients. The majority of cases were categorized as mild, followed by moderate, with a smaller proportion classified as severe. Notably, a significant percentage of cases showed improvement, while a minority experienced complication, and a small percentage resulted in mortality. Overall, this study provides valuable insights into the demographics and outcomes of Covid-19 patients in the specified healthcare setting. Capturing and understanding the information is important to state preventive measures that can help in reducing the number of cases in the country.\u0000\u0000Keywords: COVID-19 outcomes, Risk Factors.","PeriodicalId":89795,"journal":{"name":"Journal of applied medical sciences","volume":"15 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139958402","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
Factors Associated with Early Pregnancy Losses Among Residents of the UAE 阿联酋居民早期妊娠损失的相关因素
Journal of applied medical sciences Pub Date : 2023-08-01 DOI: 10.47260/jams/1221
Asl Abdulameer Majeed Abu Nayla, E. Surovtseva, Amina Al Dababsekh, Mustafa Al-Hamoodi Al-Dahlaki
{"title":"Factors Associated with Early Pregnancy Losses Among Residents of the UAE","authors":"Asl Abdulameer Majeed Abu Nayla, E. Surovtseva, Amina Al Dababsekh, Mustafa Al-Hamoodi Al-Dahlaki","doi":"10.47260/jams/1221","DOIUrl":"https://doi.org/10.47260/jams/1221","url":null,"abstract":"Abstract\u0000\u0000The goal of this study was to determine the factors that contribute to early pregnancy losses among UAE residents. An early pregnancy loss is defined as loss of fetus in the first trimester of pregnancy, before week 12. Our study assessed several risk factors that can lead to a pregnancy loss such as: maternal age, ethnicity, marital status, occupation, lifestyle, stress, previous history pregnancy losses or significant family history, and previously diagnosed illnesses or abnormalities of female reproductive system.\u0000The data was collected from pregnant women of all nationalities, ages 18 to 45 attending Thumbay Hospital and Thumbay University Hospital, Ajman. The sample size of the study was 135 cases of early pregnancy loss and 134 controls, women with successful pregnancies.\u0000The risk of a pregnancy loss among pregnant women was significantly increased by history of previous pregnancy losses, bleeding during pregnancy, cervical weakness, and PCOS. Among other less significant factors that could possibly lead to a pregnancy loss was smoking during pregnancy and consanguinity of the couple. Therefore, we recommend couples screening and preconception counseling, especially for women who had experienced pregnancy losses before and those diagnosed with PCOS or cervical weakness.\u0000\u0000Keywords: Risk factors, Pregnancy loss.","PeriodicalId":89795,"journal":{"name":"Journal of applied medical sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44705542","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
Autoimmune Pancreatitis: A Case Report 自身免疫性胰腺炎1例报告
Journal of applied medical sciences Pub Date : 2023-04-05 DOI: 10.47260/jams/1211
M. Sabri, Ahila A. M. Abu-Nayla, Ranim Jamal Alomar
{"title":"Autoimmune Pancreatitis: A Case Report","authors":"M. Sabri, Ahila A. M. Abu-Nayla, Ranim Jamal Alomar","doi":"10.47260/jams/1211","DOIUrl":"https://doi.org/10.47260/jams/1211","url":null,"abstract":"Abstract\u0000\u0000Autoimmune Pancreatitis is an uncommon form of chronic inflammation of the Pancreas. It is an autoimmune disease and so it can be associated with other autoimmune disorders. There are 2 types of Autoimmune Pancreatitis (AIP) with type 1 being the more common form. We reported a case of Autoimmune Pancreatitis where the patient presented with recurrent episodes of acute Pancreatitis managed conservatively until he was diagnosed with autoimmune pancreatitis type 2 based on clinical picture, lab investigations and radiological findings.\u0000\u0000Keywords: Autoimmune Pancreatitis, AIP, Acute Pancreatitis, Magnetic Resonance Imaging, MRI, Magnetic resonance cholangiopancreatography, MRCP, Computed Tomography, CT.","PeriodicalId":89795,"journal":{"name":"Journal of applied medical sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48617363","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
Intrauterine Spontaneous Subdural Hematoma with Hydrocephalus 子宫内自发性硬膜下血肿伴脑积水
Journal of applied medical sciences Pub Date : 2022-10-24 DOI: 10.47260/jams/1122
M. Jabbar, Fidan Nadmi Nadim Alhurmuzi
{"title":"Intrauterine Spontaneous Subdural Hematoma with Hydrocephalus","authors":"M. Jabbar, Fidan Nadmi Nadim Alhurmuzi","doi":"10.47260/jams/1122","DOIUrl":"https://doi.org/10.47260/jams/1122","url":null,"abstract":"Abstract\u0000\u0000Subdural hematoma in newborn baby is associated with history of maternal trauma, complicated vaginal delivery, instrumental delivery, foetal / maternal thrombocytopenia, coagulopathy, hepatic disease, infection or using drugs during the pregnancy; but in the absence of the above, intrauterine subdural hematoma is a rare event.\u0000We present a newborn delivered to a healthy mother at 38 weeks by elective caesarean section after he had been diagnosed with macrocephaly by routine obstetric growth scan ultrasound at 35 weeks of gestational age. The baby’s APGAR score was 4 at 1 minute, he was pale, his fontanel was tense and his Occipitofrontal circumference (OFC) was 46 cm, therefore, he was intubated immediately and transferred to Neonatal Intensive Care Unit (NICU). Brain Computed tomography (CT –scan) revealed huge right sided subacute subdural hematoma that was almost occupying the entire right hemicranial space and severely compressing the underlying brain tissue. In addition, there was marked dilatation of the left lateral ventricle with blood clots at the occipital horn.\u0000Subdural hematoma was evacuated by two burr holes surgery, followed by repeated subdural tap. Intraventricular haemorrhage treated by repeated ventricular tap until Cerebrospinal Fluid (CSF) became clear, then ventriculoperitoneal shunt surgery was done for him.\u0000\u0000Keywords: Subdural hematoma, Newborn, Hydrocephalus, Burr hole, Shunt surgery.","PeriodicalId":89795,"journal":{"name":"Journal of applied medical sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43887020","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
Adult-onset Still’s Disease after COVID 19 Infection: Case Report COVID - 19感染后成人发病Still 's病1例报告
Journal of applied medical sciences Pub Date : 2022-07-11 DOI: 10.47260/jams/1121
Abdulameer M. Abu Nailah, Ahila A. M. Abu-Nayla, Umniyah A. M. Abu-Nayla
{"title":"Adult-onset Still’s Disease after COVID 19 Infection: Case Report","authors":"Abdulameer M. Abu Nailah, Ahila A. M. Abu-Nayla, Umniyah A. M. Abu-Nayla","doi":"10.47260/jams/1121","DOIUrl":"https://doi.org/10.47260/jams/1121","url":null,"abstract":"Abstract\u0000\u0000Adult-onset Still's disease (AOSD) is an inflammatory disorder that presents by quotidian fevers, arthritis, an evanescent rash and even life-threatening conditions like Macrophage activation syndrome. Still's disease in the adult was used to describe a series of adult patients who had features similar to the children with systemic juvenile idiopathic arthritis and did not fulfil criteria for classic rheumatoid arthritis. We reported a case of Adult-onset Still’s Disease where the patient presented with frequent high grades of fever associated with sore throat, cough and intermittent sharp chest pains not responding to regular pain killers.\u0000\u0000Keywords: Adult-onset Still's disease, Macrophage activation syndrome.","PeriodicalId":89795,"journal":{"name":"Journal of applied medical sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49197373","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
Kikuchi-Fujimoto disease (KFD): A Case Report 菊池藤本病一例报告
Journal of applied medical sciences Pub Date : 2022-02-03 DOI: 10.47260/jams/1111
I. Abu-Nayla, Abdulameer M. Abu Nailah, Umniyah A. M. Abu-Nayla
{"title":"Kikuchi-Fujimoto disease (KFD): A Case Report","authors":"I. Abu-Nayla, Abdulameer M. Abu Nailah, Umniyah A. M. Abu-Nayla","doi":"10.47260/jams/1111","DOIUrl":"https://doi.org/10.47260/jams/1111","url":null,"abstract":"Abstract\u0000\u0000Kikuchi-Fujimoto disease (KFD) is a rare entity characterized by subacute necrotizing lymphadenopathy. Despite many studies in the literature, the cause of KFD remains uncertain. Young adults of Asian ancestry are most affected, but it has been reported worldwide. Clinically, KFD is characterized by lymphadenitis of one or more lymph nodes, predominantly in the posterior cervical region, fever, and leukopenia in up to 50% of cases. In this case report, we are presenting a case of Kikuchi-Fujimoto disease in a young Filipino lady.\u0000\u0000Keywords: Kikuchi-Fujimoto disease, KFD, Kikuchi disease, Acute necrotizing lymphadenopathy, Lymphadenitis.","PeriodicalId":89795,"journal":{"name":"Journal of applied medical sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49511617","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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