Medicine and Health Sciences Commons^™

Covid-19 Radiological Library, Forest W. Arnold, Tracy Vanmeter, Lachlan Smith, Danny Mcgrath, Matthew Grassman, Nishant Patel, William Mattingly

The University of Louisville Journal of Respiratory Infections

No abstract provided.

Evaluation Of Risk And Quality Management In A Casablanca Operating Theatre, Rigobert Lotoko Kapasa, Sanaa Belabbes, Abdelaziz Hannoun, Radouane Belouali, Btissam Taybi

Health Sciences

Risks at the level of the operating room are permanent and different from one surgical intervention to another. They have diverse sources, hence the importance of the risk management concept for a good functioning of the operating room in order to enhance care quality. The recurrent absence of surgical instruments (surgery forceps and other instruments) in their box is still a major problem within the operating room. It often happens during the surgical interventions, whether are major or minor, that the surgical team uses many boxes to fill these lacks. The objective of this study is to help the clinic …

Intravesical Migration Of An Intrauterine Contraceptive Device Complicated By Stones - A Case Report, Abdeljalil Heddat, Younes Houry, Redouane Rabii

Health Sciences

Intravesical migration of intrauterine devices is extremely rare. Few cases only have been reported in the literature. This migration may cause many complications, including vesical stone. Device migration may be secondary to a vesicovaginal fistula, uterine perforation, or a trans-urethral insertion of the IUD. The case report is one of a 52year-old woman with lower urinary tract symptoms that occurred 25 years after the insertion of the IUD, which has been complicated with a vesical stone. The constitution of the lithiasis has been, though, the main consequence of this foreign body.

Should Active Euthanasia Be Morally And Legally Permissible?, Arisa D. Dintcho

Sound Decisions: An Undergraduate Bioethics Journal

In the United States, death is mostly avoided at all costs, making euthanasia a highly controversial topic. The two distinct types of euthanasia in the United States are active and passive euthanasia. This paper examines the moral permissibility of active and passive euthanasia using a rule-utilitarian framework. The rule-utilitarian approach focuses on consistently following a set rule that leads to the most beneficial and moral outcome for all of those involved. More specifically, this paper argues that due to lack of moral distinction between active and passive euthanasia, both should be legalized. Furthermore, legalizing euthanasia allows for the greatest good …

What Moral Obligations Do Healthcare Providers Have To Offer Language Services?, Katherine Gladhart-Hayes

Sound Decisions: An Undergraduate Bioethics Journal

This paper analyzes the need for language services in the healthcare system. While U.S. law requires the provision of medical services, patients and families often do not receive the services they need. Even patients and family members with strong English language abilities may struggle with medical language or in an emotionally charged context. This paper uses a feminist analysis, drawing on Social Contract Theory and Kantian ethics, to argue for the ethical responsibility of healthcare providers to offer adequate interpretive services.

How Does The Way We Categorize Disability Influence The Morality Of Preimplantation Genetic Diagnosis?, Lily L. Price

Sound Decisions: An Undergraduate Bioethics Journal

The increased use of in vitro fertilization has raised many ethical questions pertaining to preimplantation genetic diagnosis (PDG). PGD allows parents to screen for and diagnose chromosomal and genetic disorders in the created embryos. This raises great concern for the ability to select for or against disabilities. In this paper I argue that the definition of disability needs to be modified in order to determine whether or not PGD is moral and supports human flourishing. Using Aristotle’s model of virtue ethics, three modes of disability are applied to various cases of PGD. Working through the cases I argue that a …

The Level Of Career Maturity Among Students Major In Counseling And Mental Health In School Of Educational Sciences At The University Of Jordan, هالة فاروق المسعود

Journal of the Association of Arab Universities for Research in Higher Education (مجلة اتحاد الجامعات العربية (للبحوث في التعليم العالي

The present study aimed to investigate the career maturity levels among students who were majoring in counseling and mental health in the School of Educational Sciences at the University of Jordan and the influence of reason in their choice of specialization, as well as exploring the relation between academic year level (first year to fourth year) and the students’ career maturity. The descriptive survey method was used in this study. A total of 620 students participated in this study. The Career Maturity Inventory-Form C (CMI-C), originally prepared by John Crites and adapted to the Jordanian context by Hala Al-Masoud in …

Endovascular Management Of Post Traumatic Lower Extremity Pseudoaneurysm: An Evidence Based Case Report, Patrianef Darwis, Feyona H. Subrata

The New Ropanasuri Journal of Surgery

Introduction. Increasing incidence of trauma all over the world will increase the risk of vascular trauma, so will the prevalence of pseudoaneurysm. Post traumatic pseudoaneurysm occurs within days or months and commonly diagnosed as hematoma in its early presentation. An effective, less invasive, and low-cost treatment with high rate of survival is needed by patients with post traumatic pseudoaneurysm. Endovascular surgery is one of the less invasive techniques. This case report was made to find out the effectivity of endovascular surgery in the treatment of post traumatic pseudoaneurysm.

Method. Literature searching was performed in Cochrane Library, EBSCOhost, ClinicalKey, …

Minireview: Covid–19: Criticism Of The Pathogenesis Based On The Tropism, Yefta Moenadjat

The New Ropanasuri Journal of Surgery

No abstract provided.

Circulating Tumor Cell And Regulator T-Lymphocyte In Core Biopsy For Breast Cancer, Sonar Soni Panigoro, Diani Kartini, Dewi Wulandari, Arif Supono

The New Ropanasuri Journal of Surgery

Introduction: Breast cancer is the most common malignancy found in Indonesia. Core biopsy is one of the modalities used in breast cancer diagnosis with sensitivity of 91-99% and specificity of 96-100%. The procedure causes damage to tumor tissue thus causing tumor cells to enter circulation (CTC) and therefore acute inflammation and infiltration of inflammatory cells. In the final phase of infiltration, the number of Tregs cells will increase, as well as secretion of TGFβ and IL-10, creation of immunosuppresion microenvironment, COX2 stimulation by TGFβ then conversion of CD4+ T cells into FoxP3+ (Tregs), therefore the number of Tregs cells will …

Capsular Contracture, Prolonged Use Of Breast Implants With Pleural Effusion: A Case Report, Yefta Moenadjat

The New Ropanasuri Journal of Surgery

A case with prolonged implanted breast prosthesis experienced a prolonged capsular contracture complicated with pleural effusion. A complete capsular removal proceeded instead of removal of the prosthesis solely. The present case aimed to share experiences that may add to the scientific horizon regarding the rare complications of breast prosthesis and rarely reported.

Purse-String Suture For Skin Closure Following Large Thyroidectomy, Ahmad Kurnia, Bintang Abadi Siregar, Muchlis Ramli

The New Ropanasuri Journal of Surgery

Introduction. The total number of patients with thyroid nodules, especially large thyroid nodules (> 6 cm diameter), is increasing. However, the conventional suturing technique for closure of thyroidectomies is still only recommended as the standard for the tumor with a diameter up to 6 cm. Hence, this study aims to prove another surgical technique, purse-string stitching technique, for better esthetic outcomes on large thyroidectomy.

Methods. This study was a non-randomized control trial. The subjects included the patients of Cipto Mangunkusumo Hospital in 2013 to 2014 with a thyroid tumor > 6 cm in diameter without any history of anterior cervical …

Cardiac Tamponade And Laceration Of Right Ventricle In Blunt Thoracic Injury: A Case Report, Prabowo W. Simbolon, Muhammad A. Putra

The New Ropanasuri Journal of Surgery

Introduction. Cardiac tamponade caused by blunt thoracic injuries is a rare case with a high mortality rate. Generally, patients with blunt cardiac injury were not survived before they reach the hospital. We present the case of a 50-year-old man was admitted to our emergency department after a motorcycle hit the cart he was pushing on the street, and then the handle hit the chest. He presented with hemodynamically unstable and a bruised on precordial area, then he went into cardiac arrest. Standard CPR was done for 2 minutes, continued with intubation and ROSC. FAST showed fluid in the pericardial …

A Solitary Bone Plasmacytoma In The Mandible: A Case Report, Erwin D. Yulian, Andre S. Suryadi

The New Ropanasuri Journal of Surgery

Abstract

Introduction: Solitary bone plasmacytoma (SBP) is a localized neoplasms in the bone consisting of abnormal plasma cells. We herein report an unusual case of SBP that presents in mandible bone.

Case Illustration: A 57-year-old woman, with chief complaint for the lump at right jaw, which gradually increasing in size since 13 years ago. Diagnosis was based on clinical, radiological, and histopathological findings. The patient was referred for radiotherapy before surgery using 50 Gy dose of radiation for 25 times with the result of partial response, followed by hemimandibulectomy and reconstruction with free fibular flap. Complete resection in a form …

Postoperative Wound Irrigation Using Distilled Water In Preventing Surgical Site Infection In A Tertiary Hospital: A Retrospective Cohort And Cost-Effective Study, Wifanto S. Jeo, Dennis W. Pratama, Yoni Vanto, Aria Kekalih, Yefta Moenadjat

The New Ropanasuri Journal of Surgery

Background. The incidence of surgical site infections (SSIs) is reducing following the global campaign that requires all the stakeholder involvement. However, of all hospital-acquired infection prevention programs, wound irrigation is hard to be implemented in our hospital. There is a belief that the wound irrigation procedure leading to the spreading of infection. In contrast, the use of antiseptic and topical antibiotic, as well as systemic antibiotic, is uncontrolled high. Thus, we run a cost-effective study of wound irrigation to change the practice.

Method. We carried out a prospective cohort study comparing wound irrigation and the standard protocol in wound …

Hernia Through Winslow Foramen In Cipto Mangunkusumo General Hospital, Jakarta: A Case Report, Eko Ristiyanto, Taufik A. Wibowo, Ridho A. Syaiful, Benny Philippi, Toar J.M. Lalisang

The New Ropanasuri Journal of Surgery

Introduction. Hernias through Winslow foramen are extremely rare, occurred for 0.1% of all abdominal hernias and found during laparotomy due to strangulated bowel obstruction. This study aims to describe hernia of Winslow foramen and its management.

Method. Data were retrospectively collected based on medical records. Clinical manifestations, laboratory data, supporting radiographic examinations, treatment, postoperative care, and outcomes were collected.

Case summary. We report the first case of Winslow foramen hernia at Cipto Mangunkusumo General Hospital, Jakarta. A man 54 years in 2019. Ileus was the main clinical symptoms and presented epigastric pain, nausea and vomiting. Plain abdominal x-ray …

Intraoperative Pancreatic Assessment In Pancreaticoduodenectomy The Correlation With Pancreatic Fistula Formation, Yarman Mazni, Ardani F. Syafiuddin, Agi S. Putranto

The New Ropanasuri Journal of Surgery

Background Pancreatic cancer affects 25,000 to 30,000 people in the United States each year and is the fourth or fifth leading cause of cancer-related death in this country. It is generally resected by pancreaticoduodenectomy, with or without preservation of the pylorus and proximal duodenum. Anastomotic leaks, intra-abdominal abscesses, and delayed gastric emptying account for most of the perioperative complications after pancreaticoduodenectomy. Anastomotic leaks of pancreas are resulted pancreatic fistula about 45%. A lot of study that have been done to find risk factors of postoperative pancreatic fistula (POPF) with contradictive results.

Method This study was done for 70 patients …

Risk Factors That Influence Hospital Length Of Stay In Diabetic Foot Ulcer With Negative Pressure Wound Therapy At Rs. Dr. Cipto Mangunkusumo, Prabowo W. Simbolon, Hilman Ibrahim

The New Ropanasuri Journal of Surgery

Introduction. It is estimated that around 15% of diabetic patients will experience diabetic foot ulcer (DFU) in their lifetime. Negative Pressure Wound Therapy (NPWT) is proven to be more effective than conventional treatments. NPWT creates a moist wound environment, increases local blood flow and stimulates tissue granulation thereby accelerating wound healing. This study was conducted to determine the risk factors that affect the length of stay of DFU with NPWT. Knowing this risk factors may be helpful for optimizing management strategy.

Method. This research was a retrospective study with a cross-sectional analytic design in 105 subjects treated in January 2016 …

Evaluation Of The Implementation Of Eras Protocol In Colorectal Surgery At Dr. Cipto Mangunkusumo General Hospital, Jakarta, Wifanto S. Jeo, Yarman Mazni, Andre S. Suryadi

The New Ropanasuri Journal of Surgery

Background: The enhanced recovery after surgery (ERAS) protocol, an evidence-based perioperative strategy, has been proven in reduces the postoperative length of stay and perioperative complications rates in colorectal surgery. The implementation of ERAS defined by 15 components. However, the evaluation of ERAS component that have been applied to the outcomes in unclear.

Methods: A retrospective study was performed on 63 patients who undergone elective colorectal surgery based on ERAS protocol from January 2015 to December 2017 at Cipto Mangunkusumo Hospital. Patient characteristics, demographic, clinical findings, and length of stay (LOS) colleted from medical records. The relationship between the number of …

Assessment Of Healthcare Waste Management In Hospitals Of South Lebanon, Mona Tfaily, Salim Moussa

BAU Journal - Health and Wellbeing

Healthcare wastes (HCW) are produced in any healthcare setting during diagnosis, medical care, operation or injection process or during research studies. The management of such wastes is becoming a great issue since they pose many health risks and environmental damage. Hence, this study was carried out to assess the level of healthcare waste management in hospitals of South Lebanon. A cross sectional study was conducted in five hospitals located in South Lebanon (A, B, C, D and E). The Individualized Rapid Assessment Tool (I-RAT) developed in 2009 as part of the UNDP GEF Global Project on Healthcare Waste, was the …

Hospital-Acquired Infection Role In Unplanned Extubation Of Endotracheal Tubes In Critical Care Units In Lebanon, Ahmad El Tassi

BAU Journal - Health and Wellbeing

Controlling Hospital-acquired Infections remains the cornerstone for improving patient safety during hospitalization. It continues one of the most common and costly problems facing critically ill patients in intensive care units. Disrupting mechanical ventilation, commonly performed in the intensive care unit, via unplanned extubation, whether deliberate or accidental, is a nightmare to any critical care practitioner. The main purpose of this study was to investigate the role of Hospital-acquired Infections on unplanned extubation in adult critical care units at a Lebanese university hospital. A Case-control design was implemented. All medical records of patients admitted to critical care units over the last …

Effectiveness Of A Health Education Intervention About Influenza And Vaccine In Secondary Schools In South Lebanon, Israa Assaf, Salim Moussa

BAU Journal - Health and Wellbeing

Seasonal influenza is an intense respiratory illness caused by influenza viruses that circulate all around the world. In Lebanon, there is a lack of national flu awareness campaigns. Schools’ students are truly outstanding and viable sources to spread the awareness and strive for the conduct change in the general population. Hence, this study was carried out to test the effectiveness of a health education intervention in improving the knowledge, attitudes, and practices (KAP) toward influenza and its vaccine among secondary schools’ students in South Lebanon. This is a Pre/Post research study conducted in four schools located in South Lebanon. A …

Concept Mapping Versus Traditional Teaching Method On Health Sciences’ Students’ Score, Mirna Fawaz, Ayman El Khatib, Germine El Kassas, Said El Shamieh

BAU Journal - Health and Wellbeing

In the recent years, health care systems have been dynamically changing which demanded modifications in health care education. Current educational models are becoming more and more obsolete in enhancing the professional level of both teachers and students. Concepts maps are effective tools in processing large amounts of information, comprehending new concepts, as well as in generating information and amplifying creativity levels. The aim of this study is to compare the concept mapping versus traditional teaching method on Health Sciences’ students’ score. A Quasi-experimental design was implemented in the study. The study revealed that there was a significant difference between learning …

Assessment Of The Occlusal Characteristics Of The Primary Dentition Among Lebanese Pre-School Children: A Base Line Study Cross-Sectional Study, Sherine B.Y. Badr, Sara H.Yahfoufi

BAU Journal - Health and Wellbeing

One of the most important goals in pediatric dentistry is to achieve and maintain a normal occlusion throughout the development of the child. Any deviation from the normal dentofacial growth pattern might lead to esthetic and functional problems in the future. These changes can be noticed during regular dental checkups, and actions can be taken to reduce their effect on the developing dentition. The aim of this study is to assess the occlusal characteristics of primary dentition in children under 6 years of age, attending the BAU output dental clinics and a number of private schools. This cross-sectional study was …

Pain Detection Threshold And Pain Tolerance Threshold In Shisha Smokers In Lebanon - A Health Hazard, Nariman Salem, Sara El Rawas, Rima Abou Chahine, Zouhour Alwan, Rouba Halime, Lara Chehade, Mohammad Abdallah

BAU Journal - Health and Wellbeing

Shisha smoking is a common method of tobacco smoking in the Mediterranean Region with prevalence ranging between 20% and 70%. Actually, shisha smoking is becoming increasingly popular method of tobacco smoking worldwide. Pain is a subjective experience influenced by genetic, developmental, familial, psychological, social and cultural variables. An increase in pain tolerance threshold (Ptt) ,which is defined as the highest intensity of painful stimulation that a tested subject is able to tolerate, was noticed with cigarette smoking. However, the relation between shisha smoking and pain detection threshold (Pdt), defined as the lowest intensity of a painful stimulus at which the …

Factors Affecting Metformin And Clomiphene’S Reproductive Efficacy In Pcos Women, Rita J. Poushuju, Ahmed I. El-Mallah, Lama T. Soubra, Lina N. Jarrah

BAU Journal - Health and Wellbeing

Polycystic Ovarian Syndrome (PCOS) is a heterogeneous multifactorial disorder in which the ovarian dysfunction is the main cause of an ovulatory infertility. Metformin and Clomiphene Citrate (CC) are two effective drugs to induce ovulation in these patients. The study aimed to ascertain the effect of obesity, serum insulin and free testosterone levels on fertility success with metformin and CC as first line approaches in PCOS. This clinical study was a retrospective multicenter cohort study conducted in nine gynecology and endocrinology clinics. It included (61) PCOS women, aged (18-32) years, having desire to conceive, and free from the study medications for …

Effect Of Segmental Vibration On Hand And Pinch Grip Strengths In Healthy Subjects, Rami L. Abbas, Ayman El Khatib, Ibtissam M. Saab

BAU Journal - Health and Wellbeing

Handgrip and pinch strengths are important markers in many sports as well as in determining health status. Many interventions have been proposed for increasing hand muscle strength. The aim of this study was to investigate the effect of segmental hand vibration on hand and pinch grip strengths. Ninety-two healthy university students were randomly assigned into two equal groups. By the end of the study, Group (A) and (B) consisted of 40 and 37 participants, respectively. The measurements consisted of the hand grip and pinch grip strengths using electronic dynamometer, measured in Kg, before, after three weeks, and after six weeks …

In Vitro Equivalence Study Of Generic Metformin Hydrochloride Tablets Under Biowaiver Conditions, Ruaa H. Al Arwadi, Azza A. K. Gazy, Lama Soubra, Rola D. Ajami

BAU Journal - Health and Wellbeing

Background: Generic drugs are smarter alternative to expensive brands, it is bio- equivalent formula of any branded drug. FDA approved that generic drugs are the safest to consume, the medicines meet the similar manufacturing standards followed while producing an innovator drug, however, the color, shape, taste and packaging of generics is different from the innovator product. In short, a generic drug should be bioequivalent to its brand counterpart. Metformin was initially marketed under the name of Glucophage®, and now the market is loaded by generics of different origin, and price variability. Method: Our study was conducted to determine whether metformin …

Effects Of A 6-Week Low-Carbohydrate High-Fat Diet On Lipid Profiles In Competitive Recreational Distance Runners, K. Scott, P. Prins, T. Noakes, G. Welton, A. Atwell, S. Haley, N. Esbenshade, J. Abraham, A. Raabe, J. Buxton, D. Ault

International Journal of Exercise Science: Conference Proceedings

Click the PDF icon to download the abstract.

Is Hormonal Contraceptive Use During Adolescence A Factor In Baseline Adult Muscle Mass And Function?, B. Sawester, A. Sydenstricker, J. Pina, D. Al Kuisi, M. Almady, J. Dowthwaite

International Journal of Exercise Science: Conference Proceedings

Click the PDF icon to download the abstract.