REVIEW ARTICLE | June 2, 2023
Enhancing Medication Adherence in Chronic Patients
Mohammad Abdul Kareem Amer, Syed Iqbal Mohiuddin, Shafeeque Shaikh, Dr. Zubariya Tamkeen
Page no 346-351 |
DOI: 10.36348/sjmps.2023.v09i06.001
Background: Due to the lack of gold standard techniques for adherence measurement, accurate measuring and monitoring of patient medication adherence is a problem that affects the entire world. Adoption of technology for medication adherence monitoring has received recent attention since it allows for the ongoing monitoring of patient behaviour with regard to medication adherence. However, there are differences in the technological characteristics and data collection techniques of the many medication adherence monitoring technologies currently in use, which affects how well they can be used and how well they can perform. Overall, there is a dearth of adequate standards to evaluate medication adherence monitoring technology for the best uptake and application. Objective: In order to encourage technology development and implementation, this study seeks to offer a narrative review of the available medication adherence monitoring systems.
CASE REPORT | June 3, 2023
Multiple Esophageal Leiomyomas: Case Report
Soumaya Jellal, Mouna Salihoun, Mohamed Acharki, Nawal Kabbaj
Page no 352-354 |
DOI: 10.36348/sjmps.2023.v09i06.002
Esophageal leiomyoma is uncommon. It is the most common benign tumor of the esophagus accounting for 0.4% of esophageal neoplasms and approximately two-thirds of benign esophageal tumors. About 90% of them are reported to be solitary and intramural lesions, and multiple or diffuse lesions seem to be very rare. We report the observation of a 75 years old male patient who was evaluated for chronic epigastric pain, Physical examination findings were typically normal, the patient underwent upper GI endoscopy. In esophagus, many submucosal tumor covered with intact mucosa, varying between 5mm and 20mm in size and located in the middle and lower part of oesophagus were noted. The radial endoscopic ultrasonography showed multiple (>10 masses), homogenous hypoechoic masses with clear margins, originated from the submucosa layer with normal surrounding structures, located in the middle and lower part of the oesophagus, and their size was < 2 cm, these lesions are followed periodically as they have a slow growth rate and negligible risk of malignant transformation. Multiple esophageal leiomyomas seems to be very rare, EUS is a valuable technique for the diagnosis of the disease and for making treatment decisions.
CASE REPORT | June 6, 2023
Acute Osteomyelitis of the Pelvis
Sallahi Hicham, Abdellatif benabbouha, AKhouayri Mohamed, Fayssal Rifki, Mehdi Lahrech, Omar Margad
Page no 355-356 |
DOI: 10.36348/sjmps.2023.v09i06.003
Acute osteomyelitis of the pelvis is unusual in children. Diagnosis and management are often delayed, resulting in increased morbidity. Our work aims to draw attention to this rare location by analyzing a 17-year-old patient, which will be further studied in a literature review.
CASE REPORT | June 12, 2023
A Bilateral Quadricipital Tendon Rupture in a Patient with Chronic Renal Failure
Sallahi HichamAbdellatif benabbouha, AKhouayri Mohamed, Fayssal Rifki, Mehdi Lahrech, Omar Margad
Page no 357-359 |
DOI: 10.36348/sjmps.2023.v09i06.004
Bilateral quadricipital tendon rupture is a rare lesion, especially in patients with different chronic diseases. We report the case of a bilateral rupture of the quadricipital tendon in a young patient followed for chronic renal failure on hemodialysis for 17 years. Surgical repair was successfully performed using bone sutures and reinforcement by metal framing. We present our results with a literature review.
ORIGINAL RESEARCH ARTICLE | June 18, 2023
The Efficacy of Caudal Anesthesia in Pediatric Surgery
Dr. Md. Abdullah-Hel-Baki, Dr. Mohammad Abujer Rahman, Dr. Kawser Ahmed, Dr. Nirmal Kumar Barman, Dr. Md. Monwar Hossein, Dr. Ashutosh Dev Sharma, Dr. Shiladitya Shil
Page no 360-364 |
DOI: 10.36348/sjmps.2023.v09i06.005
Background: Despite a long history of safety, spinal anesthesia (SA) is still seldom used outside of specialist pediatric institutions and is sometimes debated as a primary anesthetic approach for children. To lessen the risk of postoperative apnea, it is often used on previously preterm newborns who have not yet reached viability (60 weeks post- conception) (GA). There is, however, a wealth of evidence indicating its safety and effectiveness for appropriate operations in adolescents. Objective: The primary purpose of this investigation is to assess the efficacy of Caudal anesthesia pediatric surgery. Method: Tertiary care hospital was the setting for this prospective investigation. 200 children, ages 4 to 10, were included in the research because they were all given different types of anesthesia for infraumbilical or lower extremities surgery during the study's 1-year time frame. The research participants had a thorough preoperative assessment. During the study 50 patients of each were given different anesthesia including Endotracheal intubation, LMA, Caudal block and local anesthesia. Results: Majority was belonged to 4-6 years age group, 70% and 60% were male. Plus, majority of the patients were undergone circumcision, 35% and Herniorrhaphy, 28%. Followed by 20% undergone appendectomy and 5% undergone hypospadias repair. Besides, anesthesia induction and recovery on the operating room table, was lowest in the local anesthesia group (P = 0.015), whereas the results were comparable in the other groups. However, patients with caudal and local anesthesia spent significantly less time in the postoperative recovery unit (P < 0.001). In fact, patients who got Caudal block had less complication where only 1% had Convulsions, Bloody puncture and vomiting. Conclusion: Caudal anesthesia as a sole method for pediatric subumbilical surgery is a relatively safe method. Patients having operation under caudal anesthesia have faster discharge times from postoperative recovery units, compared with general anesthesia. This probably reduces recovery unit expenditures.
ORIGINAL RESEARCH ARTICLE | June 23, 2023
A Study on Clinical and Laboratory Status of Active and Inactive LN Patients
Dr. Muhammad Anamul Hoque, Dr. Purabi Barman, Dr. Sushanta Kumar Barman, Dr. Monika Roy, Dr. Md. Abdus Sabur Khan, Prof Dr. Md. Nizamuddin Chowdhury
Page no 365-370 |
DOI: 10.36348/sjmps.2023.v09i06.006
Background: Lupus nephritis (LN) is a significant manifestation of systemic lupus erythematosus (SLE) that affects the kidneys. Differentiating between active and inactive LN is essential for determining disease activity, tailoring treatment strategies, and monitoring patient outcomes. The clinical and laboratory status of LN patients provides valuable insights into the severity of renal involvement, response to treatment, and the potential for disease progression. Objective: To asses clinical and laboratory status of active and inactive LN patients. Method: This cross sectional study was conducted in the Department of Nephrology, Dhaka Medical College Hospital, Dhaka from January, 2017 to June, 2018. This cross sectional study was performed on 60 biopsy proven lupus nephritis patients and 30 age and sex matched apparently healthy control subjects. All the patients were recruited as per inclusion and exclusion criteria. Diagnosed SLE patients who had renal involvement and undergone renal biopsy for standard clinical indications were recruited by purposive sampling and divided into two groups of active and inactive LN as per operational definition. Results: During the study, Mean age of the lupus nephritis patients in active and inactive LN was 26.60 ± 8.36 years and 28.80 ± 9.18 years respectively. Most of the patients in both groups were female. Anaemia and edema was observed significantly higher in active than that of inactive lupus nephritis. Systolic and diastolic blood pressure was significantly higher in active lupus nephritis than that of inactive lupus nephritis patients. Hb, serum C3 and eGFR were significantly lower in active LN than that of inactive LN. RBC, WBC, platelet count were also lower in active LN than that of inactive LN but no significant difference was observed between two groups. ESR, serum creatinine, proteinuria, Anti ds DNA Ab titre and uMCP-1 were significantly higher in active LN than that of inactive LN. There was no difference between active and inactive LN patients with regards the use of medications. There was no difference in renal biopsy classes in between two groups. Conclusion: According to our study findings, active lupus nephritis (LN) patients exhibited elevated systolic and diastolic blood pressure compared to those with inactive LN. Additionally, active LN patients displayed lower levels of hemoglobin, serum C3, and estimated glomerular filtration rate (eGFR) compared to inactive LN patients. While red blood cell (RBC), white blood cell (WBC), and platelet counts were also lower in active LN patients, the difference between the two groups did not reach statistical significance. Furthermore, there were no notable differences in medication usage between active and inactive LN patients, and the distribution of renal biopsy classes was similar in both groups.
REVIEW ARTICLE | June 23, 2023
Overview of Causes of Common Cardiovascular Diseases and Preventive Measures: Simple Review Article
Amro Khalid Althuwayqib, Yasser El_Medany, Mansoor AlNaim, Munirah sultan Alhumaidi, Fahad Rashed Aldossary, Ahmed Almulhim, Mohammed Al-Taweel, Mohammed Al-Malki, Munirah Buaeshah, Shoaa Alharfi, Reem Dayel Alkhaldi, Ghusoon Almoaibed
Page no 371-376 |
DOI: 10.36348/sjmps.2023.v09i06.007
Cardiovascular disease is a significant and ever-growing problem in the United Kingdom, accounting for nearly one-third of all deaths and leading to significant morbidity. It is also of particular and pressing interest as developing countries experience a change in lifestyle which introduces novel risk factors for cardiovascular disease, leading to a boom in cardiovascular disease risk throughout the developing world. The burden of cardiovascular disease can be ameliorated by careful risk reduction and, as such, primary prevention is an important priority for all developers of health policy. Strong consensus exists between international guidelines regarding the necessity of smoking cessation, weight optimisation and the importance of exercise, whilst guidelines vary slightly in their approach to hypertension and considerably regarding their approach to optimal lipid profile which remains a contentious issue. Previously fashionable ideas such as the polypill appear devoid of in-vivo efficacy, but there remain areas of future interest such as the benefit of serum urate reduction and utility of reduction of homocysteine levels. The purpose of this review has been to summarize the causes of common cardiovascular diseases and prophylactic measures.