journal
https://read.qxmd.com/read/38628378/public-perception-in-saudi-arabia-toward-herpes-zoster-and-its-vaccination-a-cross-sectional-study
#21
JOURNAL ARTICLE
Mohammad S AlKhowailed, Hatim M Alotaibi, Amwaj S Aljurays, Reem A Mohammad, Ghadeer M Alqahtani, Waleed Al Abdulmonem, Ahmed Alhumidi, Homaidan T Alhomaidan, Fuhaid M Alqossayir
Background Herpes zoster (HZ) or shingles, arises from the reactivation of the varicella zoster virus (VZV), mainly affecting older and immunocompromised individuals. Despite the efficacy of vaccines, vaccination rates in Saudi Arabia are low. Thus, this study aimed to assess the knowledge, attitude, and practice of the Saudi Arabian population toward HZ and its vaccination. Methods An observational cross-sectional study was carried out to evaluate the public perception in Saudi Arabia toward HZ and its vaccination, during the period from January to March 2024...
April 2024: Curēus
https://read.qxmd.com/read/38623323/persistent-insulin-autoimmune-syndrome-in-a-caucasian-male-in-the-absence-of-triggers
#22
Dinesh Edem, Jhansi Maradana, Priyanka Majety, Mc Anto Antony, Lakshmi Menon
Insulin autoimmune syndrome (IAS) or Hirata disease is a rare condition presenting as recurrent hypoglycemia, and associated with elevated insulin levels in the presence of insulin autoantibodies (IAAs) in patients who were never exposed to exogenous insulin and with no evidence of pancreatic abnormalities. IAS is much more frequent in East Asians, especially the Japanese population, compared to the lower incidence in Caucasians. However, it can be associated with other autoimmune diseases or drug use like methimazole and alpha-lipoic acid (ALA)...
April 2024: Curēus
https://read.qxmd.com/read/38623322/nutritional-problems-among-special-needs-children-in-a-rural-special-needs-children-home-near-chennai
#23
JOURNAL ARTICLE
Vigneshwar K S, Pankaj B Shah
Background Special needs children have various health problems, and the most common problems are nutritional deficiency and malnourishment which leads to increased morbidity affecting their quality of life. This study aims to assess the nutritional status and health-seeking behaviour of special needs children. Methods The study was conducted among 46 special needs children at a special needs children's home. After collecting basic sociodemographic details, they were assessed for nutritional status and health-seeking behaviour using a semi-structured questionnaire followed by general and clinical examination...
April 2024: Curēus
https://read.qxmd.com/read/38616980/bariatric-surgery-and-its-metabolic-echo-effect-on-serum-uric-acid-levels
#24
REVIEW
Subodh Bashyal, Shen Qu, Manoj Karki
Bariatric surgery (BS) has been a significant means of reducing weight in obese individuals. The metabolic changes after bariatric surgery are crucial as they extend its advantages beyond weight loss. As its name implies, "metabolic surgery" also addresses obesity-related metabolic concerns. Bariatric surgery has always been associated with lessened serum uric acid (SUA) levels. In this review, we examined current studies to understand how surgical therapies impact serum uric acid levels. Strongly minded on the extent and timing of changes in the level of serum uric acid after bariatric surgeries...
April 2024: Curēus
https://read.qxmd.com/read/38616979/prevalence-of-high-risk-human-papillomavirus-infection-associated-risk-factors-and-relationship-with-cervical-precancerous-lesions-in-perimenopausal-and-older-women-in-an-area-with-high-cervical-cancer-incidence-in-china
#25
JOURNAL ARTICLE
Ruoyi Zhang, Wei Xu, Siyuan Yang, Dehua Hu, Li Bai, Rumei Xiang, Xiaowei Zhao, Yuxian Nie, Qiu-Ling Shi
Purpose This study delves into the epidemiology of high-risk human papillomavirus (HR-HPV) infection and its link to precancerous lesions among perimenopausal (40-59 years) and elderly (60-65 years) women in a Chinese county with a notably high incidence of cervical cancer. By uniquely focusing on these age groups in underdeveloped regions, the research aims to offer novel strategies for the management and prevention of cervical cancer. It seeks to inform targeted interventions and public health policies that could significantly benefit women at heightened risk for HPV, addressing a critical gap in current prevention efforts in economically disadvantaged communities...
April 2024: Curēus
https://read.qxmd.com/read/38616978/an-innovative-plate-concept-for-rotational-guided-growth-a-porcine-pilot-study
#26
JOURNAL ARTICLE
Ahmed A Abood, Jan D Rölfing, Ahmed Halloum, Steffen Ringgaard, Jeppe S Byskov, Søren Kold, Ole Rahbek
Background Rotational deformities in children are currently treated with an osteotomy, acute de-rotation, and surgical fixation. Meanwhile, guided growth is now the gold standard in pediatric coronal deformity correction. This study aimed to evaluate the feasibility of a novel implant intended for rotational guided growth (RotOs Plate) in a large porcine animal model. Methodology A submuscular plate was inserted on the medial and lateral aspect of the distal femoral physis of the left femur in 6 pigs. Each plate was anchored with a screw in the metaphysis and epiphysis respectively...
April 2024: Curēus
https://read.qxmd.com/read/38616977/implementing-community-based-strategies-for-improved-pneumonia-care-in-children-insights-from-a-pilot-study
#27
JOURNAL ARTICLE
Selvi M, Sasi Vaithilingan
INTRODUCTION: Respiratory ailments, encompassing a spectrum of disorders, are a leading cause of mortality and morbidity in children, with pneumonia being particularly significant, accounting for 16% of child mortality. To ensure timely engagement with healthcare services, it is imperative to instill awareness through Information, Education, and Communication (IEC) initiatives targeting mothers of children under five. The primary objective of this pilot study is to assess the feasibility of a community-based intervention on health-seeking behaviour, knowledge, and practice measures concerning the management and prevention of pneumonia in children...
April 2024: Curēus
https://read.qxmd.com/read/38616976/the-comparison-of-ultrasound-and-tomographic-images-of-lung-involvement-in-critically-ill-patients-with-covid-19-pneumonia-a-prospective-observational-study
#28
JOURNAL ARTICLE
Funda Gok, Korhan Kollu, Necdet Poyraz, Hulya Vatansev, Alper Yosunkaya
Introduction Computed tomography (CT) has a high sensitivity for diagnosing COVID-19 pneumonia in critically ill patients, but it has significant limitations. Lung ultrasonography (LUS) is an imaging method increasingly used in intensive care units. Our primary aim is to evaluate the relationship between LUS and CT images by scoring a critically ill patient who was previously diagnosed with COVID-19 pneumonia and underwent CT, as well as to determine their relationship with the patient's oxygenation. Methods This was a single-center, prospective observational study...
April 2024: Curēus
https://read.qxmd.com/read/38606029/a-diagnostic-dilemma-of-prevertebral-abscess-versus-food-bolus-on-lateral-neck-x-ray-a-case-report
#29
Alexander Mitropoulos, Stephen Pianko, Ronnie Ptasznik, Jacqueline Fraser
In this case, a 76-year-old female presenting with globus sensation post-oral intake demonstrated radiographical evidence of mottled radiolucency and prevertebral widening on a lateral neck X-ray at the inferior C4/cricoid cartilage, leading to concern for a prevertebral abscess. A decision was made to proceed with an urgent gastrointestinal endoscopy, and a food bolus was identified and removed, leading to a full remission of the patients' symptoms. In this case, an appropriate diagnosis was achieved by combining multiple investigations, which highlights to clinicians that taking investigations in isolation, with the aforementioned lateral neck X-ray being the primary example, could lead to potential misdiagnosis and mismanagement of patients...
April 2024: Curēus
https://read.qxmd.com/read/38606028/medical-students-perspectives-regarding-the-use-of-a-slit-lamp-smartphone-adapter-for-clinical-slit-lamp-photography
#30
JOURNAL ARTICLE
Mohammed M Emam, Meshari A Alharbi, Abdulaziz Alammar, Mohammad I Aldekhail, Abdulrahman Alammar, Omar Solyman, Ahmed M Alaraj
Background This study aimed to investigate medical students' perspectives regarding the ease and utility of smartphone slit-lamp photography. Methodology In this prospective experimental study, fourth and fifth-year medical students who were in or had finished ophthalmology rotation were included to attempt slit-lamp smartphone anterior segment photography on adult patients after a brief hands-on instruction course. Each medical student attempted to record five supervised slit-lamp videos of the anterior segment of five patients using the described adapter and their own smartphone...
April 2024: Curēus
https://read.qxmd.com/read/38606027/appraisal-of-clinical-improvement-with-total-knee-arthroplasty-in-valgus-knee-deformities-a-case-series
#31
JOURNAL ARTICLE
Alok Kv, Garipalli Ramesh, Arjun S Chakrapani, Sanyam Akheja
Introduction This case series explores the efficacy of unassisted total knee arthroplasty (TKA) in addressing valgus knee deformity secondary to osteoarthritis. The study aims to evaluate functional outcomes pre- and post-surgery using the Knee Society Score (KSS) and radiological assessments in short-term follow-up. Six patients underwent TKA and were evaluated retrospectively. Statistical analysis revealed significant improvements in the angle of deformity, KSS, and range of motion postoperatively. The study underscores the success of TKA in correcting valgus deformity, improving knee function, and enhancing patient satisfaction...
April 2024: Curēus
https://read.qxmd.com/read/38606026/assessing-residents-in-the-department-of-surgery-at-a-tertiary-care-centre-using-mini-clinical-evaluation-exercise-mini-cex
#32
JOURNAL ARTICLE
Priyanka Rai, Apul Goel, Sanjay K Bhat, Amarjot Singh, Rohit Srivastava, Sunil Singh
OBJECTIVE: This study aimed to introduce, sensitize, and train our postgraduate students and faculty of the department of general surgery with the use of mini-Clinical Evaluation Exercise (mini‑CEX) and to assess the perception of students and faculty towards it. MATERIAL AND METHODS: A cross‑sectional observational study was conducted over a period of four months. Ten surgery residents in the department were asked to volunteer to participate and five professors conducted the session...
April 2024: Curēus
https://read.qxmd.com/read/38606025/enhancing-stoma-care-education-for-junior-doctors-a-comprehensive-teaching-series
#33
JOURNAL ARTICLE
Akshay Bavikatte
Introduction Colorectal stomas are prevalent in surgical wards and demand careful medical attention, particularly in stoma management. Junior doctors play a vital role in this care, but their limited exposure and training may hinder their ability, impacting patient care. Given the dearth of literature, we aimed to assess junior doctors' stoma care knowledge and the efficacy of a specialized teaching course in boosting their confidence and skills. Methods The research, conducted at the West Suffolk Hospital NHS Trust in the UK, engaged 60 junior doctors, predominantly from Foundation Year 1 and Year 2, from August 2021 to December 2022...
April 2024: Curēus
https://read.qxmd.com/read/38606024/proposal-for-manual-osteopathic-treatment-of-the-phrenic-nerve
#34
REVIEW
Bruno Bordoni, Allan R Escher, Maciej Duczyński
The article reviews the anatomical path of the phrenic nerve and its anastomoses, with the most up-to-date knowledge reported in the literature. We have briefly reviewed the possible phrenic dysfunctions, with the final aim of presenting an osteopathic manual approach for the treatment of the most superficial portion of the nerve, using a gentle technique. The approach we propose is, therefore, a theory based on clinical experience and the rationale that we can extrapolate from the literature. We hope that the article will be a stimulus for further experimental investigations using the technique illustrated in the article...
April 2024: Curēus
https://read.qxmd.com/read/38606023/factors-associated-with-delayed-gastric-emptying-in-symptomatic-diabetic-and-non-diabetic-patients-a-retrospective-observational-study
#35
JOURNAL ARTICLE
Mostafa Shehata, Ibrahim Al Hosani, Yashbir Singh, Ameirah Alali, Shaima Khan, Mohamed Al Zaabi, Omar Khadam, Maryam Alahmad, Rizwan Syed, Khalifa Al Tiniji, Abdulla Aljanahi, Eyad Al Akrad
Background Gastroparesis, characterized by delayed gastric emptying without mechanical obstruction, is a significant complication, especially in diabetic individuals. It manifests through symptoms such as abdominal bloating, feelings of fullness, and pain. This study investigates the prevalence of gastroparesis among non-diabetic and diabetic patients, exploring associations with demographic data, hemoglobin A1C (HbA1C) levels, and symptoms. Methodology This retrospective, observational, cohort study included patients with gastroparesis symptoms who underwent a nuclear gastric emptying study from January 2021 to April 2023...
April 2024: Curēus
https://read.qxmd.com/read/38606022/a-national-database-analysis-does-cold-weather-affect-the-surgical-intervention-rate-for-developmental-dysplasia-of-the-hip-in-children-under-five-years
#36
JOURNAL ARTICLE
Samantha L Ferraro, Anthony K Chiu, B Tanner Seibold, Alex Gu, Amil R Agarwal, Sarah Dance, Savyasachi C Thakkar, Sean Tabaie
Background Cold weather in the first few months of life may increase the risk of a late diagnosis of developmental dysplasia of the hip (DDH). Early detection of DDH can often be treated non-surgically. The purpose of this study is to observe whether the rates of surgical intervention for DDH differ based on average outdoor temperatures in the winter months. Methods A retrospective observational study of DDH patients diagnosed from 2010 to 2021 was conducted using a national administrative database. Five geographic regions were defined based on the average temperatures in the coldest quarter of the year...
April 2024: Curēus
https://read.qxmd.com/read/38606021/the-development-of-diabetes-and-diabetic-ketoacidosis-following-immunotherapy-treatment-a-systematic-review-of-case-reports
#37
REVIEW
Stephanie Nagy, Michelle Demory Beckler, Atif Hussein, Marc M Kesselman
As cancer continues to be the leading cause of death worldwide, additional therapeutic options other than traditional platinum-based chemotherapy have become available that target tumor cells in innovative ways. Immunotherapies (e.g., immune checkpoint inhibitors (ICI)) ramp up the immune system to target cancer cells, providing patients with more personalized and tumor cell-specific treatment options. This new age oncological treatment option has been found to provide a more meaningful and stronger alternative to traditional chemotherapy, resulting in longer periods of remission and milder side effects...
April 2024: Curēus
https://read.qxmd.com/read/38601813/coexistence-of-eosinophilic-granulomatosis-with-polyangiitis-and-allergic-bronchopulmonary-aspergillosis-a-fascinating-relationship
#38
Alessandro Maria Marra, Pietro Curci, Giovanni Franco, Giulia Pittalis, Erica Tugnoli, Davide Cavasin, Andrea Cristiano, Francesco Bini
Elevated eosinophil counts are associated with various diseases, including eosinophilic granulomatosis with polyangiitis (EGPA) and allergic bronchopulmonary aspergillosis (ABPA). EGPA is a rare small-vessel vasculitis characterized by asthma, eosinophilia, fleeting pulmonary infiltrates, and systemic manifestations. ABPA, initiated by immune reactions against Aspergillus fumigatus in the airways, presents with poorly controlled asthma, wheezing, hemoptysis, productive cough, and systemic symptoms, which result in characteristic central bronchiectasis...
April 2024: Curēus
https://read.qxmd.com/read/38601812/ethics-of-nudging-in-the-covid-19-crisis-and-the-necessary-return-to-the-principles-of-shared-decision-making-a-critical-review
#39
REVIEW
Nancy Junger, Oliver Hirsch
Nudging, a controversial technique for modifying people's behavior in a predictable way, is claimed to preserve freedom of choice while simultaneously influencing it. Nudging had been largely confined to situations such as promoting healthy eating choices but has been employed in the coronavirus disease 2019 (COVID-19) crisis in a shift towards measures that involve significantly less choice, such as shoves and behavioral prods. Shared decision making (SDM), a method for direct involvement and autonomy, is an alternative approach to communicate risk...
April 2024: Curēus
https://read.qxmd.com/read/38601811/intraoperative-patient-warming-instead-of-gas-on-the-management-of-postoperative-pain-in-laparoscopic-colectomy-and-cholecystectomy-a-randomized-controlled-trial
#40
JOURNAL ARTICLE
Fatma Alkan Bayburt, Guniz Meyanci Koksal, Azime Bulut, Ilker Sengul
INTRODUCTION: Blurred lines remain in details of the association between patient warming with postoperative pain and a proper analgesic requirement. Therefore, the present study proposes to observe the effects of intraoperative patient warming and carbon dioxide insufflation duration in laparoscopic colectomy (LCol) and laparoscopic cholecystectomy (LChol) procedures on postoperative pain, analgesic requirements, and hemodynamics. METHODS: The present study involved 80 cases aged 18-80 years with the American Society of Anesthesiologists I-III classification, possessing two initial groups primarily, one for LCol and one for LChol...
April 2024: Curēus
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