Medicine and Health Sciences Commons^™

Combined Effect Of Letrozole And Dydrogesterone Versus Dydrogesterone Alone For Relieving Pain In Patients With Endometriosis, Mohamed M.H. Elwakeel, Mohamed A.T. Elsharawy, Abdelghaffar S. Dawod, Dina G. Elkhouly

Journal of Medicine in Scientific Research

Background Endometriosis is a medical condition in women caused by the growth of active endometrial tissue outside the uterine cavity. It predominantly affects women of reproductive age and typically manifests as dysmenorrhea, dyspareunia, chronic pelvic pain, and infertility. It negatively impacts psychological well-being and health-related quality of life. Aim This study aims to compare the effect of the combination of letrozole and dydrogesterone versus the effect of dydrogesterone alone in pain-associated endometriosis Patients & Methods This randomized controlled study was conducted on 88 women with endometriosisassociated pain in the gynecologic outpatient clinic at Tanta University Hospitals, from October 2023 to …

Study Of Awareness, Knowledge, Attitude And Practice Of Pediatric Healthcare Practitioners Towards Wilson Disease., Hanaa Ahmed Elaraby, Magdy Anwar Saber, Sally Waheed Elkhadry, Salwa Gamal Attia, Gihan Ahmed Sobhy

Journal of Medicine in Scientific Research

Background; Wilson disease (WD) is a rare genetic disease that occurs secondary to an excess of copper building up in our body, especially in the liver and brain. Diagnosis of WD is challenging. Since it is a curable illness, raising awareness about it among medical professionals is essential. Aim of the work; to assess the awareness, knowledge, attitude and practice of pediatric practitioners towards WD providing useful alerts about this disease and augmenting their knowledge. Participants and Methods ; Five hundred and one (501) pediatric practitioners with varying academic degrees from several Egyptian governmental hospitals participated in this cross-sectional study …

A Recent Insight On Prevalence Of Atopic Diseases In Children With Type 1 Diabetes, Randa Mohamed Darwish, Ayat Ibrahim Ghanem

Journal of Medicine in Scientific Research

Background Type 1 diabetes mellitus (T1DM) and atopic diseases are both prevalent immunemediated conditions in children. Although traditionally viewed as immunologically opposing disorders—T1DM being Th1-mediated and atopy Th2-mediated—recent studies suggest possible overlap in genetic susceptibility and environmental triggers. This study aimed to evaluate the prevalence and association of various atopic conditions in pediatric T1DM patients. Aim of the study To investigate the prevalence of atopic diseases—including atopic dermatitis, allergic rhinitis, allergic conjunctivitis, bronchial asthma, food allergy, and anaphylaxis—among children with T1DM compared to healthy age- and sex-matched controls, and to analyze contributing risk factors. Methods A retrospective cohort study was …

Imaging Characterization Of Central Nervous System Affection In Hematological Malignancies Patients, Eman Nasr Said, Samia Yehia Abdelrazek Heikal, Ayda A. Youssef, Marwa Romeih, Mary Rabea Mahrous

Journal of Medicine in Scientific Research

Background Central nervous system (CNS) complications in patients with hematological malignancies pose significant diagnostic and therapeutic challenges. Magnetic resonance imaging (MRI), with its various sequences, plays a pivotal role in early diagnosis, characterization, and differentiation of these conditions to guide management and improve outcomes. Objective This research aimed to assess the diagnostic performance and utility of different MRI sequences (conventional, diffusion-weighted imaging (DWI), and apparent diffusion coefficient (ADC) mapping) in detecting and differentiating CNS complications in patients with hematological malignancies presenting with neurological manifestations. Methods A retrospective cohort of 130 patients (age range 2–81 years; 60% male and 40% female) …

Predictors Of Parental Behavior And Child Weight Status, Fidelia Senayah, Heba M. Athar, Allison G. Litton

Journal of Social, Behavioral, and Health Sciences

Childhood obesity is a major health issue globally. The prevalence rate remains high in Ohio, with associated complications among affected children and adolescents. The current study examined the association among obesity risk knowledge, risk perception, feeding behavior, and child weight outcome while controlling for race, gender, income, and education. We collected quantitative data through an online survey of parents in Northwest Ohio (n = 71) using the obesity risk knowledge scale and factors from the Child Feeding Questionnaire. We analyzed data using multiple linear regression. The primary outcome measures were feeding behavior and child weight status. Parental obesity risk …

“Part Of Our Work And Need To Deal With It”: A Thematic Analysis Of Emergency Department Doctors’ And Nurses’ Experiences And Attitudes Towards Workplace Violence In Oman – A National Study, Ibrahim S. Al-Busaidi, Badriya M. Al Riyami, Mohammed A. Al-Maskari, Shawana Al Harrasi

Sultan Qaboos University Medical Journal

Objectives: Emergency department (ED) staff are disproportionately affected by workplace violence (WPV). Despite its prevalence, qualitative insights into ED staff experiences remain limited, particularly in Oman. As part of the national Workplace Violence against Emergency Department Workers in Oman study (WPV-EDOM), this article explores the perceptions, experiences, and attitudes of ED doctors and nurses towards WPV. Methods: The study was conducted in Oman between June and October 2021. Doctors and nurses from EDs at secondary and tertiary hospitals across nine governorates who had participated in a validated online WPV survey were invited to respond to an open-ended question: …

A Clinical Investigation Of The Correlation Of Black Stains With Oral Cavity Ph And Dental Caries Presence In Children: A Cross-Sectional Study, Maguy Sfeir, Nada Chedid

International Arab Journal of Dentistry

Introduction: Black stains (BS) on teeth often lead to dental visits in children due to their esthetic impact. Beyond cosmetic concerns, black stains may play a role in oral health, potentially suggesting a lower risk of dental caries through the regulation of oral microbiota and pH levels. Understanding the association of black stains with oral pH and caries presence can offer insights into protective and preventive strategies in pediatric dentistry.

Objectives: the purpose of this study is to assess the correlation between black stains, oral cavity pH, and the presence of caries in a sample of 6-to 8- …

Faculty Perceptions Of Interprofessional Education To Prepare Physical Therapy Students For The Workforce, Marianne Hanover, Heather Pederson

Journal of Educational Research and Practice

Interprofessional collaboration (IPC) aims to enhance patient care by improving outcomes. Interprofessional education (IPE), a teaching approach for IPC, is now mandated in Doctor of Physical Therapy (DPT) curricula. Although faculty perceptions of IPE in other healthcare fields are documented, studies exploring faculty attitudes in entry-level DPT programs remain limited. In this qualitative study, we investigated how DPT faculty perceive IPE as a means to prepare students for clinical practice. Using Rogers’s Diffusion of Innovation (DOI) theory as a guide, we collected data during interviews with PT faculty in DPT programs. Study findings suggest that the advancement of IPE in …

Vision 2050: India’S Path To Becoming A Global Player, Balasubramanian Mahadevan Dr

Journal Of Indian Physician Associates

This study examines India’s strategic plan to become one of the top three global economies by 2050 through data-driven analysis and comparisons of economic indicators from 2024 to 2050, utilizing data from trusted sources such as the Reserve Bank of India and NITI Aayog. We analyze India’s economic growth in relation to other major emerging economies, focusing on technology, manufacturing, and service sectors. Findings suggest that with strategic policy reforms, investment in innovation, and enhanced infrastructure, India can achieve significant GDP and productivity growth. This article concludes with actionable policy recommendations for local and global stakeholders.

A Twisting Trail To Diagnosis: Unraveling Morvan’S Syndrome In Caspr2-Associated Autoimmune Encephalitis, Yashfeen M

Journal Of Indian Physician Associates

This case snippet describes the diagnostic journey and clinical management of a 72-year-old gentleman who presented with progressive cognitive decline, involuntary myoclonus, and severe insomnia. Through a detailed clinical workup, including electromyography and antibody testing, he was diagnosed with Contactin-Associated Protein-Like 2 (CASPR2) antibody-associated autoimmune encephalitis manifesting as Morvan’s syndrome, a rare but reversible neuroimmunological disorder. Prompt initiation of immunotherapy led to gradual improvement, underscoring the value of clinical suspicion, multidisciplinary care, and early intervention. This case serves as a reminder to consider autoimmune etiologies in atypical neuropsychiatric presentations, especially in elderly patients.

Coronary Stent Infection: A Rare Complication Of Percutaneous Coronary Intervention, Harini Anandan Ms, Balaji Pakshirajan Dr

Journal Of Indian Physician Associates

Background Since the introduction of coronary stents, less than 40 cases of coronary stent infection have been reported worldwide. Although coronary stent infection is rare, the mortality rate is high. We report the first case of coronary stent infection from our institute, presented as pyrexia of unknown origin.

Case Presentation A 48-year-old male was presented with low-grade fever associated with cough and malaise on the 8th day of the PCI procedure. He priorly underwent a multivessel percutaneous coronary intervention (PCI) at another hospital. He was evaluated elsewhere and treated with antipyretics, but he continued to be symptomatic and failed to …

Teaching Medical English To Non-Native Speakers Involved In Healthcare: A Review Of Challenges, Practical Solutions, And Implications, Elisa Nsanzimana

Journal Of Indian Physician Associates

Background Teaching medical English to non-native speakers presents challenges that go beyond standard English language instruction. These include specialized medical vocabulary, complex syntax, and the crucial role of culturally appropriate communication in healthcare settings. Such factors can negatively impact learning outcomes and the quality of patient care.

Objective This review aims to identify the key challenges faced by non-native speakers in learning medical English and explore practical, evidence-based solutions to address these obstacles.

Methodology This is a narrative review conducted to review the various literature concerning medical English teaching for non-native speakers. PubMed, Google Scholar, and Web of Science were …

Revolutionizing Digital Health In Rwanda: Progress Toward Universal Health Coverage, Roméo Bananeza Mr

Journal Of Indian Physician Associates

Rwanda is an African country that is making rapid progress in all sectors, including digital health. This review explores Rwanda’s transformative journey in digital health, highlighting key achievements, ongoing challenges, community involvement, and future prospects. Rwanda’s commitment is evident in using electronic health records, telemedicine, and mobile health applications. Rwandan institutions, including Rwanda Biomedical Center, Rwanda Ministry of Health, Rwanda Health Information Exchange, Rwanda Development Board, Partners in Health, universities, and several nongovernmental organizations, have made significant contributions to revolutionize digital health in Rwanda. However, the country continues to face barriers, including limited digital infrastructure, financial constraints, and disparities in …

Consent For Organ Donation In India: Factors, Challenges, And Opportunities – A Review, Preetha Vijayalakshmi, Yashfeen M

Journal Of Indian Physician Associates

India’s organ donation rate remains under 1 per million population, markedly lower than the consent rates observed in Canada and Spain. This narrative review synthesizes evidence from Indian and global literature to explore systemic, sociocultural, and individual factors influencing consent for deceased organ donation in India. Systemic barriers include delayed referrals, inadequate hospital infrastructure, and a shortage of trained transplant coordinators. Sociocultural factors, such as family decision-making under the Transplantation of Human Organs Act (1994), religious misconceptions, and concerns about bodily integrity, significantly hinder consent. Individual factors, including low awareness and a knowledge–action gap despite altruistic intentions, impede progress. Comparative …

Assessment Of Microbial Contamination On High-Touch Public Surfaces And Its Implications For Community Health: A Cross-Sectional Study From Urban South India, Muhammed Suhail S

Journal Of Indian Physician Associates

Objectives High-contact public surfaces, such as bus seatbacks, mall escalator belts, and theater armrests, may act as reservoirs of opportunistic and antimicrobial-resistant microorganisms, posing a significant but underreported risk to community health. In urban environments like Coimbatore, Tamil Nadu, surface-level microbial surveillance remains poorly characterized. This study aimed to assess the magnitude, composition, and density of microbial contaminants on commonly touched surfaces across transit and commercial hubs.

Methods A total of 30 surface swab samples were collected from five public locations, including intra-city TNSTC buses, inter-state SETC coaches, Brookfields Mall escalator handrails, multiplex theaters and local bus seat-grips. Standardized 25 …

Assessing The Impact: Cerebral Palsy On Domains Of Quality Of Life, Sheetal Malhan

Journal Of Indian Physician Associates

Introduction Cerebral palsy (CP) is characterized by a group of permanent movement and posture disorders resulting from nonprogressive disturbances in the developing fetal or infant brain. CP is a chronic condition affecting approximately 1.2–2.5 per 1000 school-aged children, often accompanied by comorbidities such as visual, auditory, and feeding impairments, delayed language development, and epilepsy. These related challenges can markedly reduce a child’s quality of life (QoL), particularly when compounded by social and environmental limitations. Despite the importance of understanding QoL outcomes in this population, limited region-specific data exist. Understanding domain-specific QoL can guide targeted rehabilitation planning.

Methods A cross-sectional survey …

Overview Of Post Traumatic Stress Disorder, Grace Ann Steiner

The Kabod

Traumatic events are often unexpected and can be experienced in a variety of ways; individuals may directly be involved, witness the event, or hear about traumatic events occurring to people that they know. Traumatic events can be due to human actions (such as war, terrorism, violence, or sexual abuse), but can also be secondary to nature (such as hurricanes, tsunamis, tornadoes, or flooding); the event itself does not determine if an event is traumatic, but rather, the individual’s perception and experience of such an event. Thus, trauma can occur at any developmental age and vary between individuals due to personal …

Types Of Burns And Burn Care, Frances Hagberg

The Kabod

Burn treatment focuses on minimizing tissue damage, preventing infection, managing pain, and promoting optimal healing. The severity of burns—classified as first, second, or third degree—determines the appropriate therapeutic approach, which may include wound cleaning, topical antibiotics, dressings, fluid resuscitation, and surgical interventions such as debridement or grafting. Effective treatment requires careful monitoring and support through each healing stage to reduce complications and improve functional and cosmetic outcomes.

Perioperative Goal Directed Versus Conventional Fluid Therapy In Head And Neck Free Flap Surgery: A Systematic Review And Meta-Analysis, Faisal Shamim, Adnan A. Khan, Mahnoor Sohail, Rayaan A. Yunus, Mahad Sohail, Tahir Munir, Muhammad S. Shahid, Haissan Iftikhar

Sultan Qaboos University Medical Journal

Head and neck free flap surgery is associated with considerable morbidity and mortality. Goal-directed fluid therapy (GDFT) has been increasingly adopted in perioperative care; however, its benefit over conventional fluid therapy (CFT) in this setting remains uncertain. This systematic review and meta-analysis assessed the effect of GDFT versus CFT on post-operative outcomes. A comprehensive search of PubMed, Web of Science, Cochrane Library, Dental/Oral Science, and Google Scholar identified randomised controlled trials published between 2010 and 2023. Three studies involving 262 patients (130 GDFT, 132 CFT) were included. Pooled analysis showed no significant difference in flap failure between groups, but CFT …

Creating Culture: Enabling Research-Active Practitioners To Thrive, Elizabeth Rajan, Philippa Clay, Shani Ackford, Katherine Broomfield

South West Clinical School Journal

#400WORDS: DELIVERING A RESEARCH SKILLED WORKFORCE SPECIAL EDITION

Establishing A Large Public Involvement Network For A Chronic Pain Research Consortium In The Uk, Sharon Grieve, Rosie Harrison, Noureen Shivji, Ian Taverner, Colin Wilkinson, Jo Lloyd, Carolyn Chew-Graham, Candy Mccabe, Ellen Readman, Lisa Austin, Adele Higginbottom, Ed Keogh

South West Clinical School Journal

#400WORDS: DELIVERING A RESEARCH SKILLED WORKFORCE SPECIAL EDITION

The Effect Of A 50-Mile Ultra-Marathon Race On Arterial Stiffness, N Bearup, V Cave, Z Climenhaga, M Baxter, K Dames, J Parks

International Journal of Exercise Science: Conference Proceedings

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The Acute Effects Of Action Observation Perspective On Lower Limb Strength, E Beinstein, F Saechao, Z Pourhatami, R Dimaio, K Harmon

International Journal of Exercise Science: Conference Proceedings

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Sickle Cell Disease Increases Glycolytic Muscle Fiber Proportions While Impairing Muscular Strength In Mice, E Bota, M Da Silva, C Hart, D Kim, S Kuzmiak-Glancy, S Prior

International Journal of Exercise Science: Conference Proceedings

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No Effects Of Acute Refueling Composition On Soccer Athlete Motivation Measures During Pre-Season Training, N Bruan, D Ebert, D Williams, J Nelligan, W Braun Facsm

International Journal of Exercise Science: Conference Proceedings

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Comparing Virtual Reality Derived-Bess Scores And Human Evaluation Scores, A Breneman, L Custer

International Journal of Exercise Science: Conference Proceedings

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Arterial Stiffness, Theta Oscillations In Resting State Eeg, And Neurovascular Coupling In Young Adults, S Brice, A Rios, S Downing, T Shadat, K Kuwahara, S Troller-Renfree, K Heffernan

International Journal of Exercise Science: Conference Proceedings

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Upf Consumption And Type 2 Diabetes Risk In Middle-Aged Adults On A Controlled Diet, B Capra, S Hudson, K Phillips, E Marinik, E Laskaridou, A Johnson, E Wilson, M Dong, L David, J Salva, V Hedrick, K Davy Facsm, B Davy Facsm

International Journal of Exercise Science: Conference Proceedings

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Large Artery Stiffness And Neurovascular Coupling Across The Lifespan: Impact Of Age And Sex, J Cassette, S Brice, A Rios, K Kuwahara, W Lefferts, K Heffernan

International Journal of Exercise Science: Conference Proceedings

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The Effect Of A 50-Mile Ultra-Marathon Race On Autonomic Modulation, V Cave, N Bearup, M Baxter, Z Climenhaga, K Dames, J Parks

International Journal of Exercise Science: Conference Proceedings

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