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Awareness and willingness to participate in medical screening programs, Taif city

Research Article of International Research Journal of Public Health Awareness and willingness to participate in medical screening programs, Taif city Maram Al-Joudi, Fahad Al-Omari, Manal Al-Jabri, Elham Al-Gethami, Laila Al-Ghamri, Mahmood Osama, Waleed saud alsahafi, Mohammad alqarni, Marwa alrefaei Department of Family Medicine- prince sultan military hospital , armed forces hospital, Taif region Background: There is great impact of implementing evidence based screening programs on improving public health outcomes. When applied properly it will lead to prevent disease, reduce disability and cut mortality. 1st step in conducting such programs is awareness about current situation regarding knowledge and willingness of the targeted population for such programs. Objectives: To estimate level of knowledge about breast cancer, colorectal cancer and osteoporosis and assess willingness to participate in screening programs among resident of king Fahad airbase in Taif city. Methods: This is a cross-sectional study that was conducted among King Fahad Air base residents using an online survey to investigate the awareness of the residents of air base about the detection of some diseases. The study included all age groups and both genders, the study continued for 2 weeks. The survey investigated demographics of participants, their awareness about breast cancer, colon and rectum cancers, and osteoporosis regarding the prevalence, family history, and other questions associated with level of knowledge of such diseases. Results: The present study included 121 participants; most dominant age group represented 41.32% with an age range of 35-44 years old. Females were more dominant than males with 65.29%. Regarding family history, there were 6.61%, 5.83%, and 42.15% reported having a family history of breast cancer, colon and rectum cancers, and osteoporosis. Regarding the prevalence of breast cancer, there were 59.17% moderate in prevalence. Regarding colon and rectum cancers, there were 58.68% moderate in prevalence. There were 70.83% reported that osteoporosis is ...

Stroke Survivors’ Preference of Herbal Center to Hospital

Research Article of International Journal of Traditional and Complementary Medicine Stroke Survivors’ Preference of Herbal Center to Hospital Florence O. Okoro1,2**, Chidinma O. Nwoha2,3, Nkeiru C. Ogoko2, Emmanuel C. Nwoha2,4, Chibundu C. Amadi2,5, Peace N. Nwoha2,6, Ifeoma H. Okpara2’7, Nnenna Chinagozi-Amanze2,8, Catherine Wali2,9, Ebere Dike2,10, Polycarp U. Nwoha2,11* 1School of Nursing, College of Health and Human Services, University of North Carolina at  Charlotte, USA; 2Centre for Scientific Investigations and Training, Owerri, Imo State, Nigeria; 3Health Centre, University of Medical Sciences, Ondo City, Ondo State, Nigeria; 4Bucks New University, Alexandra Road, High Wycombe, United Kingdom; 5Department of Anatomy and Neurobiology, Imo State University, Owerri, Nigeria; 6Celon Clinic, Ibeju-Lekki, Lagos State, Nigeria; 7Liviashammah Hospitals Ltd, 5 Shammah Close, Abuja-Keffi Road, Maraba, Nasarawa State, Nigeria; 8St. Catherine’s Specialist Hospital Port Harcourt, Rivers State, Nigeria; 9Baze University, Abuja, Nigeria;10Department of Anatomy, University of Port Harcourt, Rivers State, Nigeria; 11Department of Anatomy and Cell Biology, Obafemi Awolowo University, Ile-Ife, Nigeria Proceeding to hospital immediately stroke occurs is important for early intervention that would minimize the consequences of stroke. But most stroke patients in developing countries prefer herbal centers than hospital. Reasons for this attitude have not been established. Two well-trained assistants were used to interview 117 stroke survivors who attended Bebe Herbal Center (BHC), in Nigeria for at least two visits. The survivors self-reported their experiences in hospitals visited and at BHC.  Data obtained were analyzed using Independent t-test, Pearson’s chi-squared test, on SPSS package version 23. Significant value was set at p<0.05. Results showed the survivors comprised 48.7% males and 51.3% females, with mean age 63.98±10.41 years (range: 40-84 years). Following onset of stroke, 61.5% went firstly to hospital, 21.4% to traditional healing places, and 17.1% to BHC. Eventually all survivors went to BHC and 99.1% said they were satisfied with treatment received at ...

“TWO IN ONE”- A RARE CASE OF NEOPLASTIC COLLISION TUMOR

Case Report of American Journal of Histology and Cytology  “Two in One”- A rare case of neoplastic collision tumor Vanessa Fonseca-Ferrer*, MD; Alba Rivera-Diaz, MD; Luis-Gerena-Montano, MD; Christian Castillo-Latorre MD; Sulimar Morales-Colon, MD;Andres Velazquez-Garcia, MD; William Rodriguez-Cintron, MD. “Pulmonary and Critical Care Fellowship Program” VA Caribbean Health care System, San Juan, Puerto Rico. Collision tumors are a rare group of tumoral pathologies characterized by their composition, which is based by the presence of two or more tumor types affecting the same anatomical site and separated by distinct tumor borders. These tumors may be a combination of either malignant or benign tumors [1]. Collision tumors are classified as independently coexisting neoplasms which have different genetic, behavioral, and histological features separated by a distinct demarcated border but coexist within the same organ [2]. These tumors tend to have distant immunohistochemical and morphological differences which aid in diagnosis, but can lead to confounding imaging findings, which in times, make diagnosis more challenging. According to literature this tumor tends to grow simultaneously or following each other in sequence of less than 2 months apart [3]. Accurate classification and diagnosis of these tumors is important for proper treatment options, as well as better patient outcomes. Here will be discussed a case of a rare form of collision tumor, compose of a primary lung adenocarcinoma with a mucosa-associated lymphoid tissue (MALT) lymphoma. Keywords: Collision tumor, lung adenocarcinoma, lymphoma, combined tumor ...

EXTERNAL DEFIBRILLATION/ CARDIOVERSION PROTOCOL IN PATIENTS WITH AN IMPLANTED CARDIOVERTER DEFIBRILLATOR OR PACEMAKER: SYSTEMATIC REVIEW AND META-ANALYSIS

Research Article of American Journal of Cardiology Research and Reviews EXTERNAL DEFIBRILLATION/ CARDIOVERSION PROTOCOL IN PATIENTS WITH AN IMPLANTED CARDIOVERTER DEFIBRILLATOR OR PACEMAKER: SYSTEMATIC REVIEW AND META-ANALYSIS Maurizio Santomauro1*, Mario Petretta2, Carla Riganti3, Andrea Santomauro1, Francesco Maffettone1, Gaetano Castellano4, Pasquale Abete1 and Francesco Cacciatore1 1Department of Cardiovascular Emergency, Internal Medicine and Geriatric, University of Naples “Federico II” - Italy 2Istituto di Ricovero e Cura a Carattere Scientifico, I.R.C.C.S.  S.D.N., Napoli 3General Direction, AOU Federico II, University of Naples “Federico II” - Italy 4Department of Anesthesia and Intensive Care, Gemelli Molise Hospital, Campobasso Introduction: The use of cardiac implantable electronic devices (CIED) is increasing, and implanted patients require more often interventional procedures such as external defibrillation (ED) and electrical cardioversion (ECV). The creation of periprocedural care algorithms for patients with CIED is complex: the different programming capabilities of currently manufactured devices, confusion regarding the differences between pacemakers (PM) and implanted cardiac defibrillator (ICD), the use of old devices in some patients and lastly the continuous evolution in CIED technology with the introduction of leadless PM and subcutaneous implanted cardioverter defibrillators (S-ICD). Procedural advisories have been developed by professional societies, but the recommendations of these societies differ regarding to ED and ECV use. Methods: We performed a systematic database search of studies published between January 2000 and October 2021 assessing ED and ECV by the selection process (PRISMA) and identified 5 prospective eligible articles. Two meta-analyses assessed the proportion of patients with complications and the proportion of patients with no clinicallly relevant parameter modifications, respectively. Results: The final population for the meta-analysis included 2077 patients. The meta-analysis showed a weighted random pooled effect size of 0.55% (95% CI = 0.04% − 1.06 %) for complications, and of  22.4% (95% CI = 2.03% – 42.7%) for no clinically relevant modification parameters. Conclusions: Our review indicates ...

TIBIAL PLATEAU FRACTURES IN A LIMITED-RESOURCE SETTING: A PROSPECTIVE STUDY OF SURGICAL TECHNIQUES AND OUTCOME OVER THREE YEARS

Research Article of American Journal of Orthopedic Research and Reviews Tibial plateau fractures in a limited-resource setting: A prospective study of surgical techniques and outcome over three years Daniel Handy Eone1*, Itambi Maxwell Asoh1, Ernest Kikah Ndifor1, Mbaga Ntjam Andre Claude1, Fonkoue Loic2, Muluem Olivier Kennedy1, Guifo Marc Leroy3, Kaldadak Martin4, Ibrahima Farikou5 1Orthopaedic and Trauma Surgery Unit, Yaounde Central Hospital. 2Orthopaedic and Trauma Surgery Unit, Yaounde Emergency Centre. 3Orthopaedic and Trauma Surgery Unit, Yaounde University Teaching Hospital. 4Orthopaedic and Trauma Surgery Unit, Yaounde Military Hospital. 5Department of Surgery and Specialties, Faculty of Medicine and Biomedical Sciences, The University of Yaounde I. Introduction: Tibial plateau fractures form a wide spectrum of injuries accounting for 1.2% of all fractures and a prevalence of 10 cases per 100,000 inhabitants. Methodology: A prospective consecutive multicentre study from May 2018 to May 2021 was carried out in Yaounde. All consenting cases of tibial plateau fracture underwent surgical treatment while patients with pathologic fractures, previous knee osteoarthritis, medically unfit for surgery, and discharging against medical advice were excluded. Data was analysed with SPSS 26.0 and the level of significance set at p<0.05. Results:Eighty-four (84) cases of tibial plateau fractures were sampled and 68 consented to surgery. The mean age was 42 ±13.6 years and sex ratio 2.4. Estimated prevalence was 2.2 cases per 100,000 inhabitants. Schatzker type II fractures were most represented (33.3%). The left leg was affected in 57.1%. Motorbike accidents were the main cause of injury (66.7%). Of the 68 operated, 63.3% by plating osteosynthesis, 32.4% by external fixation, and 4.4% by screws fixation. Tricortical iliac bone graft was realised in 4 cases. The minimum follow-up was 6 months, with a median of 18 months (5 to 37 months). Plating osteosynthesis (p<0.001), operative time between 60 to 120 minutes (p<0.02) and a good ...

INDICATIONS AND OUTCOMES OF THE KOCHER-LANGENBECK SURGICAL APPROACH IN THE MANAGEMENT OF ACETABULAR FRACTURES IN A RESOURCE LIMITED SETTING

Research Article of American Journal of Orthopedic Research and Reviews Indications and Outcomes of the Kocher-Langenbeck Surgical Approach in the Management of Acetabular Fractures in a Resource Limited Setting Handy ED1*, EK Ndifor¹, AM Itambi¹, Mbaga AC¹, Ndikum BN², Fonkoue L³, Muluem K⁴, Guifo ML⁵, MA Sosso⁶ 1Orthopeadics and Trauma Unit, Yaounde Central Hospital. 1Orthopeadics and Trauma Unit, Yaounde Central Hospital. 1Orthopeadics and Trauma Unit, Yaounde Central Hospital. 1Orthopeadics and Trauma Unit, Yaounde Central Hospital. 2Public Health Expert, Elig-Essono Sub-Divisional Medical Centre. 3Orthopeadics and trauma unit, Yaounde Emergency Centre. 4Orthopeadics and Trauma Unit, Yaounde General Hospital. 5Orthopeadics and Trauma Unit, Yaounde University Teaching Hospital. 6Head of Department, Surgery and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I. The Kocher-Langenbeck (K-L) approach is the ‘workhorse’ of surgery for acetabular fractures needing posterior fixation. It is indicated for most of these fractures for proper surgical technique and optimal outcome. We therefore evaluated the outcome of surgically treated acetabular fractures through the K-L approach in our setting with limited resources. 57 patients were operated by the K-L approach during the 3-year study period. The most common indications of this approach were: posterior wall (38.6%) and transverse + posterior wall fractures (36.8%). Based on Matta’s criteria of fracture reduction, 81 % were judged anatomic, 16% imperfect and 3 % poor. A surgery waiting time of 8 to 14 days after injury, significantly favoured anatomic fracture reduction. The MAP score was excellent in 72 % and unacceptable in 10.6 %. Factors associated with poor outcomes were poor fracture reduction and the development of early post-operative complications. Iatrogenic sciatic nerve palsy (ISNP) was the most significant post-operative complication (19.3%). The levering of Hohmann retractors in the sciatic notches was the major risk factor for developing ISNP, compared to the use of sciatic nerve ...