International journal of medicine最新文献

Extra-pulmonary tuberculosis frequency and the risk factors influence (case of the PHE-Batna regional unit) (2017-2022) 肺外结核病发病率及影响风险因素（PHE-巴特那地区单位案例）（2017-2022 年）

International journal of medicine Pub Date : 2024-04-24 DOI: 10.14419/tyfk9r02

A. Benbouza, Y. Mebarki, N. Righi, R. Djebaili, O. Mansouri

{"title":"Extra-pulmonary tuberculosis frequency and the risk factors influence (case of the PHE-Batna regional unit) (2017-2022)","authors":"A. Benbouza, Y. Mebarki, N. Righi, R. Djebaili, O. Mansouri","doi":"10.14419/tyfk9r02","DOIUrl":"https://doi.org/10.14419/tyfk9r02","url":null,"abstract":"Context: Tuberculosis is an infectious disease that is endemic in developing countries. The causal agent is Mycobacterium tuberculosis. Extra-pulmonary tuberculosis (EPTB) is receiving renewed attention due to an unexplained increase in its relative frequency. The aim of this study was to carry out a retrospective descriptive survey to assess the frequency of extra-pulmonary tuberculosis in an eastern Algeria population range.\u0000Methods: this study took place at the regional tuberculosis Batna’s Public hospitalian establishment unit; over a period of 64 months (2017-2022). 2405 files were studied through the collection of information recorded at laboratory level.\u0000Results: Out of 2405 samples, 102 were positive (4.24%). There was a clear predominance of females (64.70%) and males (35.29%), giving a sex ratio of 1.8. The age group most affected was 11 to 49. Pus was the most common specimen with a percentage of 44.12%, followed by urine (28.43%), CSF (14.70%). The incidence of extra pulmonary tuberculosis in patients in Batna’s Department and neighbouring Departments is 4.24%, with adult women being the most affected.\u0000Conclusion: Extrapulmonary tuberculosis is common and should not be neglected; it is no longer a pathology of the past but still remains relevant today.","PeriodicalId":91290,"journal":{"name":"International journal of medicine","volume":"105 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140659589","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 limiting exercise capacity in COPD patients 限制慢性阻塞性肺病患者运动能力的因素

International journal of medicine Pub Date : 2024-04-05 DOI: 10.14419/mrga5j48

R. Djebaili, N. Righi, A. Benbouza, B. Chiboub

{"title":"Factors limiting exercise capacity in COPD patients","authors":"R. Djebaili, N. Righi, A. Benbouza, B. Chiboub","doi":"10.14419/mrga5j48","DOIUrl":"https://doi.org/10.14419/mrga5j48","url":null,"abstract":"Introduction: Impaired exercise capacity in COPD patients leads to deterioration in their physical activity and quality of life. The aim of our study was to assess the exercise capacity of COPD patients using the 6-minute walk test (6MWT) and to determine the factors limiting their exercise capacity.\u0000Methods: Stable COPD patients were included in this study to assess their exercise capacity using the 6-minute walk test (6MWT) and to investigate the relationship between exercise capacity, functional status (FEV1), quadriceps muscle dysfunction (strength and endurance), and fat free mass index (FFMI).\u0000Results: 175 COPD patients (166 males and 9 females) aged between 40 and 86 years with a mean age of 67.95 years. The functional stages distribution according to GOLD was GOLDI: 19.43%, GOLDII: 30.29%, GOLDIII: 33.71%, GOLD IV: 16.57%. 25% of patients received long-term oxygen therapy (LTOT). The mean distance covered by COPD patients was 432.26 ± 129.731 meters, corresponding to 64.71 ± 19.04%. 56 (32%) COPD patients had exercise intolerance as assessed by the distance walked over 6 minutes (6MWD). A significant correlation was found between the 6MWD, quadriceps endurance (P<0.000) and FEV1 (p<0.002), whereas no correlation was found with MVC (P<0.039) and (FFMI) (P<0.062).\u0000Conclusion: Muscle dysfunction and the severity of bronchial obstruction are the factors most associated with impaired exercise capacity in COPD patients.","PeriodicalId":91290,"journal":{"name":"International journal of medicine","volume":"24 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140736595","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

Unravelling the Enigma: A Study on Exploring the Idiopathic Surge in Serum Alkaline Phosphatase Level 揭开谜底探究血清碱性磷酸酶水平突增的特发性研究

International journal of medicine Pub Date : 2024-03-16 DOI: 10.14419/3fvczb37

Vishal Kr

引用次数: 0

Lung cancer, predictive factor and ERCC1 肺癌、预测因子和 ERCC1

International journal of medicine Pub Date : 2024-03-06 DOI: 10.14419/378xkf63

Souad Souilah

引用次数: 0

Prognosis and survival of lung cancer in the elderly 老年人肺癌的预后和存活率

International journal of medicine Pub Date : 2024-03-06 DOI: 10.14419/m01nz878

Souad Souilah, Nassima Djami

{"title":"Prognosis and survival of lung cancer in the elderly","authors":"Souad Souilah, Nassima Djami","doi":"10.14419/m01nz878","DOIUrl":"https://doi.org/10.14419/m01nz878","url":null,"abstract":"Introduction: In our department, from 2012 to 2020, 33.3% of patients treated for lung cancer were over 70 years old. Our study aimed to estimate overall survival and investigate the significance of prognostic factors in a population of 308 patients aged over 70 with lung cancer, collected from January 2012 to June 2020.\u0000Methods: The initial assessment included at least a bronchoscopic examination and thoracic computed tomography. Survival rates were calculated using the Kaplan-Meier method and presented with 95% confidence intervals. The Log-Rank test was utilized for the comparison of survival curves.\u0000Results: The 308 cases (9.6% females, 90.4% males) included 92.2% NSCLC (49.6% squamous cell, 45.4% adenocarcinomas) and 7.8% SCLC. The median age at diagnosis was 74 years, 14.6% were non-smokers, and 55.8% were former smokers. 67.9% of patients had at least one comorbidity, 1.6% had a PS equal to 0, and 28.2% had a PS ≥ 2. TNM staging found 9.2% of cases at stages I and II; 31.2% at stage III, and 59.7% at stage IV. The median overall survival was 8.312 months [6.947-9.678], and the 1-year survival rate was 35.1%. Better survival was correlated with female gender, absence of smoking, PS ≤ 1, and TNM staging.\u0000Conclusion: All standard therapeutic options for bronchial cancer can be considered in the elderly, but physiological aging and the prevalence of comorbidities alter the risk-benefit ratio of treatments. This emphasizes the need for the implementation of a comprehensive management strategy for this segment of society.","PeriodicalId":91290,"journal":{"name":"International journal of medicine","volume":"5 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140261046","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

Incidence of healthcare-associated infections in intensive care of the emergency department of Oran in Algeria 阿尔及利亚奥兰市急诊科重症监护室的医源性感染发生率

International journal of medicine Pub Date : 2024-02-12 DOI: 10.14419/623sj981

Soumia Benbernou, Nabil Ghoumari, Fouzia Kambouche, Rabah Kouadria

引用次数: 0

Profile of adult patients hospitalized for asthma exacerbation 因哮喘恶化住院的成年患者概况

International journal of medicine Pub Date : 2024-02-12 DOI: 10.14419/54x2qn94

Faouzia Kambouche, Rabia Medjane

引用次数: 0

Exercise training: which impact on COPD patients? 运动训练：对慢性阻塞性肺病患者有何影响？

International journal of medicine Pub Date : 2024-01-15 DOI: 10.14419/xya73q42

R. Djebaili, B. Chiboub

{"title":"Exercise training: which impact on COPD patients?","authors":"R. Djebaili, B. Chiboub","doi":"10.14419/xya73q42","DOIUrl":"https://doi.org/10.14419/xya73q42","url":null,"abstract":"Introduction: Exercise training reactivates the aerobic pathway through physical exercise, thereby improving dyspnea and breaking deconditioning spiral in chronic obstructive pulmonary disease (COPD) patients.\u0000Method: 60 COPD patients were selected to benefit from a four-week outpatient exercise training and muscle strengthening program, at a rate of 3 sessions per week, after excluding the following cases: patients who have contraindications to exercise training; severe patients or those receiving long-term oxygen therapy. The program combined exercise training on a bicycle ergometer for 45 min, muscle strengthening of the lower limbs and nutritional monitoring. Nutritional management included a diet based on nutritional status and the prescription of oral food supplements for malnourished COPD patients. Parameters assessed before and after training were bioimpedance analysis (BIA),6MWT, quadriceps isometric voluntary contraction (MVC) and dynamic endurance, and the quality-of-life questionnaire (Q11).\u0000Result: Forty COPD patients (36 men and 4 women) aged 67.22 (± 10) years were able to complete the program. Amid them, 36 were non-smokers. Ten patients (GOLD I), 14 patients (GOLD II), 16 patients (GOLD III), no patients (GOLD IV). Dyspnea was stage 2 (± 1) m MRC. After training, quadriceps muscle function ((MVC) and endurance) improved significantly (p < 0.0001). The improvement in distance covered during 6MWT was also significant (p < 0.0001). A significant improvement in quality of life after training was noted on the total score of the Q11 questionnaire. No significant improvement in body composition after training in COPD patients.\u0000Conclusion: this study has confirmed the beneficial effects of training mainly on muscle function, effort capacity and quality of life in COPD patients.","PeriodicalId":91290,"journal":{"name":"International journal of medicine","volume":"5 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140508612","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

Pulmonary tuberculosis and venous thromboembolism 肺结核与静脉血栓栓塞症

International journal of medicine Pub Date : 2024-01-06 DOI: 10.14419/3aymyf47

Faouzia Kambouche, Labdouni Mohamed El Habib

{"title":"Pulmonary tuberculosis and venous thromboembolism","authors":"Faouzia Kambouche, Labdouni Mohamed El Habib","doi":"10.14419/3aymyf47","DOIUrl":"https://doi.org/10.14419/3aymyf47","url":null,"abstract":"Acute infections are among the risk factors for venous thromboembolism (VTE). The role of chronic infections such as active tuberculosis is poorly defined, although several case reports and case series have suggested a link association between tuberculosis and VTE. The unexpected resurgence of tuberculosis (TB) in developed countries provided the rationale for evaluating VTE as a possible complication of TB; never theless, the topic has received little attention in the literature.\u0000Patient and Method: This is a prospective multicenter study done between January 2016 and January 2018. It is about 17 cases of confirmed pulmonary tuberculosis associated with deep vein thrombosis.\u0000Results: It is about fifteen men and two women, their average age is 44,88 years. The thromboembolic complication revealed tuberculosis among 2patients, appearing during the hospitalization of 15 patients among which 11of them receiving antituberculosis drug. We have listed 3 cases of immediate pulmonary embolism and 14cases of deep vein thrombosis complicated with pulmonary embolism in 7 cases. These patients received anti-tuberculosis treatment according to the 2RHZE / 4RH protocol and a curative anticoagulant treatment based on low molecular weight heparin. A relay by vitamin K antagonists was instituted after a satisfactory INR control. The average time to effective anticoagulation was 15.12 days with extremes between 08 and 50 days.\u0000There was favorable evolution among 14 patients, 1of them was lost to follow-up. Sight and the evolution has been fatal in two case.\u0000Conclusion: Thromboembolic (DVT) disease must be sought systematically in the TB patients because of the risk of this complication particularly in extensive and severe forms. Prophylactic anticoagulation therapy finds its indications in these forms.","PeriodicalId":91290,"journal":{"name":"International journal of medicine","volume":"8 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140513003","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

Non-alcoholic fatty liver disease in asymptomatic young adults: association with HOMA, metabolic syndrome, and atherogenic risk 无症状年轻人的非酒精性脂肪性肝病:与HOMA、代谢综合征和动脉粥样硬化风险的关系

International journal of medicine Pub Date : 2022-12-15 DOI: 10.14419/ijm.v10i1.32185

Jorge Teodoro Chávez-Pagola, A. Hernández-Zavala, O. Valenzuela-Limón, M. Sánchez-Gutiérrez, J. Izquierdo-Vega

引用次数: 0