Medicine and Health Sciences Commons^™

The "Pros" Of Probiotics: A Review Of Probiotics Place In Therapy, Kelley Maberry, Hanh Nguyen, Connor Quinter, Justine Magalona

Transformative Medicine

As different probiotic supplements become increasingly seen in the market, questions regarding their use for gut health from patients rises as well. Because these supplements do not require FDA approval, their safety and efficacy is often unknown and limited research available poses an even greater challenge for healthcare providers when prompted with questions regarding their use. This article summarizes evidence-based recommendations provided by the American Gastroenterological Association (AGA) and the World Gastroenterology Organization (WGO). Of the conditions discussed, supportive evidence on the use of probiotics is mostly seen in the prevention of C. diff associated diarrhea, prevention of antibiotic associated …

Which Endocrine Disorder Does This Ecg Suggest?, Muhammad Mohsin Zafar, Muhammad Asad Hanif

Transformative Medicine

No abstract provided.

An Unusual Presentation Of Erythrodermic Psoriasis, Eden L. Parks, Kojo-Frimpong B. Awuah Md, Caitlin D. Couper Md

Transformative Medicine

Introduction

Erythrodermic psoriasis is a rare form of psoriasis, occurring in less than 3% of patients with psoriasis. Limited information is known regarding diagnosis and treatment for this form of psoriasis, with most studies involving small groups or single patients. This unusual case of erythrodermic psoriasis outlines the presentation, diagnosis, and treatment that occurred in a 53-year-old patient who initially presented with dyspnea and a fever.

Case Presentation

The 53-year-old patient was originally admitted for dyspnea and a fever. A maculopapular rash developed diffusely on the upper extremities, lower extremities, trunk, and face. The rash then desquamated over several days, …

Management Strategies Of Cesarean Section Ectopic Pregnancy: A Case Report, Hannah E. Daley, Ava R. Hansen, Priyanka Raju Md, Jonathan Buerger Md

Transformative Medicine

Introduction:

Cesarean scar ectopic pregnancy is a rare form of pregnancy with potential life-threatening complications such as severe hemorrhage, uterine rupture, and emergency hysterectomy Currently, there is no consensus regarding a standardized treatment algorithm for this specific variant of ectopic pregnancies.

Case Description:

This case describes a 28-year-old female with history of two prior cesarean sections who was diagnosed with cesarean section scar ectopic pregnancy. Initial management with intramuscular methotrexate was unsuccessful in the setting of inadequate decrease in β-hCG level. The patient ultimately underwent surgical management with dilation and suction evacuation under ultrasound guidance for removal of the ectopic …

The Kent-Collins Protocol For Symptom Management In Post-Radiotherapy Eustachian Tube Dysfunction: A Case Report, Matthew E. Kent, Patrick J. Collins, Ayal A. Aizer

Transformative Medicine

Introduction: Eustachian tube dysfunction is a common side effect of radiotherapy for head and neck cancers or brain tumors, although few effective treatments exist. The Kent-Collins Protocol represents a novel therapeutic option for post-radiotherapy Eustachian tube dysfunction.

Case Description: The Kent-Collins Protocol was employed in one patient with Eustachian tube dysfunction following fractionated stereotactic radiotherapy for cerebral metastases from HER-2 positive breast cancer. The Kent-Collins Protocol provided relief of symptoms (conductive hearing loss, aural fullness, and otalgia) for a range of 5 to 45 minutes. The protocol could be repeated when symptoms returned to provide additional relief. The patient also …

Catastrophic Spontaneous Uterine And Bladder Rupture In An Unscarred Uterus, Nathanael N. Hoskins Do, Kathryn Brandt Do, Tory Peterson Md

Transformative Medicine

Introduction:

Uterine rupture during pregnancy is a rare event which can be life-threatening for both the patient and the fetus. This case report describes a rare complication of uterine rupture which ultimately required a hysterectomy and extensive urologic reconstruction.

Case Description:

A 36-year-old patient presented to the hospital after term pre-labor rupture of membranes. The patient underwent induction of labor which ultimately resulted in a uterine rupture in an unscarred uterus. The rupture extended into the posterior bladder wall, right ureter, urethra, and anterior vaginal wall, resulting in a vesicovaginal fistula. The patient required a cesarean hysterectomy due to the …

Spontaneous Spinal Epidural Hematoma Presenting As A Stroke Alert: A Case Report, Christian Flores Do, Monisha Bindra Do, Mph, Adam Sigal Md, Michael Romeo Do

Transformative Medicine

Introduction

Spinal epidural hematoma (SEH) is a rare pathologic entity that accounts for less than 1% of all space-occupying spinal canal lesions [2,8]. Even more rare are spontaneous spinal epidural hematomas (SSEH), defined as a SEH without a known traumatic or inciting cause, with a reported incidence of 0.1 cases per 100,000 annually [1,2]. Currently, there is a paucity of literature regarding this topic [2,3]. SSEH can easily be missed or misdiagnosed if clinicians do not hold a high level of clinical suspicion.

Case Description

A 69-year-old female with no history of anticoagulation use or preceding trauma presented to the …

Same Or Different? Resolution Of Diagnostic Difficulty Of Two Mixed Cell-Type Tumors In Ovarian Pathology., Sarah Ingram, Priyanka Raju Md, Wei Shaw Do, Steve Sowers Pa, Kelly Brenan-Rothschild Md

Transformative Medicine

Introduction: When confronted by two disease processes, physicians in all disciplines are faced with the question: Are they manifestations of a common etiology, or distinct entities co-occurring? Inherent in this dilemma is whether an aberration from normal is even a disease process at all. Tissue pathology plays a key role in resolving this conundrum. Although diagnoses can be challenging, there are various methodologies used in the field of pathology to ascertain whether two tumors are of the same or different origins.

Case Description: This case report reviews two patients with large ovarian neoplasms and surgical pathology revealing histopathological features of …

Guardians Of The Genitals: The Dermatogynecologic Duo, Alexis Arza, Erin Stitzlein

Transformative Medicine

No abstract provided.

Research Integrity In The Academic Transformation Of A Community Hospital, Andrew Adorboe, Paul Hryvaniak, Carol Kriebel, Erica Klopp, Wei Du

Transformative Medicine

No abstract provided.

A Brief Review Of Zuranolone, Aubrey A. Jackson

Transformative Medicine

Zuranolone, a novel analog of allopregnanolone, has been approved by the U.S. Food and Drug Administration (FDA) as the first oral medication approved for the treatment of postpartum depression in adults. Developed by Sage Therapeutics under the brand name Zurzuvae, zuranolone was approved by the FDA on August 4^th, 2023.¹ Zuranolone is a modified version of brexanolone (sold under the brand name Zulpresso), an intravenously administered allopregnanolone formulation that was previously the only FDA-approved medication for postpartum depression. Zuranolone offers a more accessible treatment option for patients with efficacy established in clinical trials. Its approval expands the …

A Meta-Analysis Comparing Surgical Site Wound Infection Following Single-Incision Versus Multiple-Incision Video-Assisted Thoracoscopic Surgery Lobectomy For Patients With Lung Cancer, Zainab Ayad

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

Background

A meta-analysis was conducted to evaluate the impact of single-incision (SI) versus multiple-incision (MI) video-assisted thoracoscopic surgery (VATS) lobectomy on surgical site wound length (SSWL) and surgical site wound infection (SSWI) in lung cancer (LC) patients.

Methods

Inclusive literature research till March 2023 was done and 598 interconnected researches were revised. The 8 picked researches, enclosed 1542 LC persons were in the utilized researches' starting point, 310 of them were utilizing SI, and 232 were utilizing MI. Odds ratio (OR) and 95% confidence intervals (CIs) were utilized to appraise the effect of SI compared to MI VATS lobectomy for …

Effect Of Antibiotic Prophylaxis On Surgical Site Wound Infection In Third Molar Surgery: A Meta-Analysis, Mohamed Atif Elkholy, Sayed Rashed Fashkal

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

The objective of this meta-analysis is to assess the impact of antibiotic prophylaxis (AP) on surgical site wound infection (SSWI) throughout third molar surgery (TMS).

A meta-analysis was conducted using examinations that compared AP to placebo for TMS from different languages that satisfied the inclusion criteria. Applying dichotomous random or fixed effect models, the findings of these studies were analysed, and the Odd Ratio (OR) was calculated with 95% confidence intervals (CIs).

A total of 18 studies conducted between 2001 and 2023 were included in the present analysis. These studies initially included 4063 individuals with TMS.

A substantial reduction in …

D -∝- Tpgs/ Poloxamer 188 Mixed Micelles For The Oral Delivery Of Azelnidipine: Preparation And In Vitro Evaluation, Ali Kathem Ala Allah, Shaimaa Nazar Abd Alhammid

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

Azelnidipine is a calcium channel blocker with low water solubility and high lipophilicity and is intended for treating angina pectoris and hypertension. This study aimed to increase and enhances the solubility of azelnidipine through its incorporation in D - - tocopheryl polyethylene glycol/polyxamer188 (TPGS/P188) micelles for oral administration and substantially increasing the extent of drug absorption.

Nine formulations (A₁-A₉) were prepared by direct dissolution method using a combination of D- - TPGS 1000 succinate and Poloxamer 188. The size of the particle, polydispersity index (PDI), surface charge, and entrapment capacity were measured. The optimum formula …

Evaluation Of Nursing Care Documentation And Administration At Emergency Unite: Comparative Study, Ali Refak Lazem, Huda Baker Hassan

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

Objectives: to evaluate of nursing care documentation and administration at emergency unite, and find the relationship between Nursing care documentation and administration and demographic characteristic of nurses.

Method: An Observational design study was conducted from the 25 December 2023 to 30 April 2024. The study setting was conducted at the emergency department in AI-Hussein Teaching Hospital, Al-shatra General Hospital in Dhi-Qar governorate/Iraq. Study Sample A convenient sample (non-probability) involving (103 nurses:60 in Al-Hussien Hospital and 43 in Al-Shatra Hospital). The practices were evaluated by using the self-report questionner and observational checklist. The data analysis through descriptive and interferential statistics …

Occurrence And Diversity Of Staphylococcus From Women With Breast Abscess And Mastitis, Rana Adnan M. Al-Wataify, Maysaa S.M. Al-Shukri, Mohend A.N Al-Shalah

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

Mastitis is inflammatory that can effect women at every time , it is predominant occur in women during breastfeeding. Staphylococcus are the most common pathogens causative agents of mastitis.The clincal samples were collection from women with different age group from patients who admitted to Al-Hilla General teaching hospital (breast cancer consultation and outpatient clinics) for the period from August2023 to Januray2024.This study included 80 patient suffered from breast infection or mastitis, this result show that 45(56%) from total samples having breast abscesses and 35(44%) having mastitis.The isolating bacterial causes according of total samples that having S.aureus 20(25%), S.epidermides 10 (12.5%),other …

Review Of The Heumann Perspective Podcast, Jennifer Woody Collins

Feminist Pedagogy

This media review of the Heumann Perspective podcast encourages educators to use it as a way to discuss and teach disability justice and activism.

Pharmacoeconomics And Health Technology Assessment - Letter To The Editor, Samar Farid

Bulletin of Faculty of Pharmacy Cairo University

This is letter to the editor

Emotional Overeating And Eating Motives During Covid-19 In Polish Women: Intergroup Comparison Among Participants In Various Body Mass Index Categories, Adriana Modrzejewska, Justyna Modrzejewska, Kamila Czepczor-Bernat, Julia Wyszomirska

Baltic Journal of Health and Physical Activity

Introduction: Taking into account the situation of the COVID-19 pandemic and the ac-companying lockdown resulting in increased negative emotions, it is interesting to learn about eating motives and behaviors and check their intensity. The aim of this study was to investigate the differences between Polish women in various body mass index categories in terms of eating motives and emotional overeating during the COVID-19 pandemic. Material and methods: This study sample comprised 1,447 women (M_age = 31.34 ± 11.05; M_BMI = 23.79 ± 4.59). The research used the following tools: the Eating Motivation Survey, the Emotional Overeating Questionnaire, and …

Modeling Of Benzimidazole Derivatives As Antimalarial Agents Using Qsar Analysis, Ruslin Hadanu, Marham Sitorus

Makara Journal of Science

In this study, quantitative structure–activity relationship (QSAR) analysis was conducted on 20 homologous compounds of benzimidazole derivatives. The structures of the benzimidazole derivatives were optimized using the semiempirical Parameterized Model 3 method of HyperChem for Windows 8.0 to obtain 14 descriptors. Then, multiple linear regression (MLR) analysis was performed using the backward method. The results of the MLR analysis obtained four new QSAR equation models. Based on statistical criteria, model 1 was determined as the best QSAR equation model in predicting the theoretical IC₅₀ values of the new benzimidazole derivatives. As many as 20 new compounds of benzimidazole derivatives …

Cellular Uptake And Computational Analysis Of [131i]-Xanthine And [131i]-Hypoxanthine In Human Prostate Cancer Cell Line (Lncap), Hendris Wongso, Isa Mahendra, Yanuar Setiadi, Badra Sanditya Rattyananda, Asep Rizaludin, Ni Made Yuktikamura Galih Pranisuari, Crhisterra Ellen Kusumaningrum

Makara Journal of Science

Potent radiolabelled compounds eligible for therapy of prostate cancer need to be developed. Hence, we developed two candidate therapeutic agents bearing the iodine-131 (¹³¹I) radionuclide, namely, [¹³¹I]-xanthine (3,7-dihydropurine-2,6-dione) and [¹³¹I]-hypoxanthine (1,9-dihydro-6H-purin-6-one). The radiolabelled compounds were subjected to a cellular uptake study, which was accomplished by incubating [¹³¹I]-xanthine and [¹³¹I]-hypoxanthine with the human prostate cancer cell line (LNCaP) for 5, 15, 30, 60, and 90 min. Results showed that the accumulation of both [¹³¹I]-xanthine and [¹³¹I]-hypoxanthine in prostate cancer cells was significantly higher than the …

Relationship Between Household Water Sanitation And Hygiene Behaviors And Diarrhea Between 2010-2020 In Rwanda, Amans Ntakarutimana Dr., Patrick A. Tschida Dr.

Journal of Social, Behavioral, and Health Sciences

Rwanda has made considerable progressive policy efforts to significantly reduce diarrhea among children under 5 years old, especially since 2010. This cross-sectional study aimed to assess the relationship between household water sanitation and hygiene (WASH) behaviors and diarrhea among children under 5 years old between 2010 and 2020. We used secondary data from the 2010, 2015, and 2020 Rwanda Demographic Health Surveys. We used descriptive statistics, pairwise comparisons, and linear regression designs to assess (a) the prevalence of household WASH behaviors across districts, regions, urban areas, and rural areas, (b) the variation of household WASH behaviors over time, and (c) …

Formulation And Evaluation Of In-Vitro Anti-Cancer Activity Of Iron Nanoparticles On Mcf-7 & A-475 Cells, Sarad Pawar Naik Bukke, Arigela Bharathi, Tenpattinam Shanmugam Saraswathi, Yenumula Nettikallu, Shanmugam Vippamakula

AUIQ Complementary Biological System

Nanomedicine is an interdisciplinary field within the developing nano medication delivery system. Ayurveda, a traditional form of healing, employs nanoparticles known as Bhasmas. Nanoparticles can be selectively designed to simultaneously deliver many medications. This innovative functionality enables meticulous regulation of drug release, therefore obviating the necessity for intricate dosing schedules. This enhances patient compliance with treatment. The aim of this work is to synthesise iron nanoparticles using an environmentally friendly process, evaluate the quality of the produced nanoparticles, and examine their possible anti-cancer properties by in-vitro experimental testing utilizing MCF-7 and A-475 cell lines. To produce neem leaf extract, fresh …

Antimicrobial Properties Of Jasminum Sambac Linn Leave Extract On Selected Oral Associated Pathogen, Sarah Saiful Rizal, Wan Razarinah Wan Abdul Razak

AUIQ Complementary Biological System

Traditional medicine using Jasminum leaves to treat oral health problems is expected due to easy access. Furthermore, due to the rising issue of antibiotic resistance, discovering a natural antibiotic that can effectively replace synthetic antibiotics would be valuable as natural antibiotics can cover the benefits, challenges, and future development. This study aims to assess the antimicrobial properties of ethanolic and aqueous extracts of Jasminum sambac L. leaves at the concentration of 50, 150, and 250 mg/ml against E. coli ATCC 25922, P. aeruginosa ATCC 10145, S. aureus ATCC 33591 and B. cereus ATCC 11778, C. albicans ATCC 10231 and A. …

Potential Of Critical Mineral And Cytotoxicity Activity Of Gadolinium Complex As Anti-Amoebic Agent By Viability Studies And Flow Cytometry Techniques, Eny Kusrini, Fatimah Hashim, Azrina Aziz, Muhamad Fairus Noor Hassim, Anwar Usman, Lee D. Wilson, El-Sayed Negim, Agus Budi Prasetyo

AUIQ Complementary Biological System

The screening of lanthanide as a critical mineral and used as an anti-amoebic agent is important to identify the safest method and mode of cell death to eliminate this microorganism from the host. In this study, gadolinium ion (Gd³⁺) that complexed with a short acyclic triethylene glycol (EO3) and in the presence of picric acid (HPic) as counter anion for anti-amoebic activity was explored. The trivalent Gd³⁺ complexed with EO3 and HPic via one-pot synthesis reaction using a mole ratio of gadolinium nitrate salt, EO3 ligand and HPic in a mole ratio 1:3:4 to produce [Gd(Pic)_{2 …}

Using Training Videos For Learning Clinical Skills Can Influence Perceptions On Expertise: Observations Through A Metacognitive Lens, Kennedy A. Forest, Sydney L. Bormann, Roy Mortinsen, Colin J. Greengrass

Aesculapius Journal (Health Sciences & Medicine)

Introduction

Video-based instruction is a valuable method for imparting clinical skill knowledge. The aim of this study is to investigate the broader impact of training videos beyond perceived performance measures. This study seeks to determine whether instructional video exposure can enhance knowledge of procedures in the cognitive domain and improve metacognitive monitoring of performance.

Methods

Third-year medical students created instructional videos demonstrating musculoskeletal examination skills as a supplement to in-person instruction for first-year medical students. Students completed an online survey before and after video exposure, assessing perceptions of preparedness, anxiety, confidence, and their understanding of expectations related to performing specific …

Secular Trends In Underweight, Overweight, And Physical Fitness Of Girls And Boys Aged 16–18 In Eastern Poland From 2006 To 2016–2021, Agnieszka Wasiluk, Jerzy Saczuk

Baltic Journal of Health and Physical Activity

Introduction: Significant changes in the nutrition and physical fitness of children and adolescents have been observed in many countries around the world. The purpose of this study is to determine the changes in the prevalence of underweight, normal BMI, and overweight, as well as in the physical fitness of girls and boys from eastern Poland. Materials and methods: The study was conducted over the years 2006–2021. BMI was calculated, and physical fitness was assessed using the EUROFIT test. The results were statistically analyzed. Results: Minor changes in underweight were observed, and even a re-duction in its prevalence among girls was …

Scientific Programs In The Arab Media - Reality And Gap, Najm Abed Khalaf Aleessawi

The article aimed to reveal the level of Arab media coverage of specialized scientific topics and to know the actual need for such programs, especially with the tremendous developments in various fields of life. The descriptive analytical approach was adopted, and a questionnaire tool was used, which was distributed to (205) Arab academics and researchers who were selected by a simple random sampling method. The study found that coverage of scientific programs in the Arab media at the local level is not at the required level. Social media platforms are the most widely used media means for accessing scientific programs …

Perceived Anxiety Disorder Stigma: A Predictive Analysis, Shawn Nabors, Richard J. Cicchetti, Gary Michael Szirony, Craig R. Blum, Sri Banerjee

Journal of Social, Behavioral, and Health Sciences

Anxiety remains one of the most commonly diagnosed mental health disorders. Systemic barriers to mental health treatment persist. Research on anxiety is robust, although research on perceived anxiety disorder stigma is limited. The purpose of this quantitative analysis was to determine whether factors including age, gender, level of education, and presence of a diagnosable anxiety disorder condition would predict perceived anxiety stigma in a population of adults from the Midwestern region of the United States who were in treatment for anxiety. Based on Goffman’s framework, we used the Generalized Anxiety Stigma Scale (GASS) to determine the presence and level of …

Providing End-Of-Life Counseling: A Narrative Inquiry, Carol Hecht, Sibyl West

Adultspan Journal

This qualitative study aimed to address the gap in the research related to end-of-life counseling by exploring the experiences of counselors working with clients at end of life. While counseling literature and education are lacking regarding end of life, many counselors will work alongside clients approaching death. The purpose of this study was twofold: (a) to better understand the nuanced experiences of counselors providing end-of-life counseling and (b) to explore the supports and preparations helpful for counselors to provide end-of-life counseling. A narrative approach, using the Listening Guide (Gilligan, 2015), was employed to analyze and present the stories of three …