International journal of health sciences
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Percutaneous nephrolithotomy using fluoroscopic guided renal access
Get PDFObjective: To report our experience of over 500 patients treated with Percutaneous nephrolithotomy (PCNL) at a tertiary as well as secondary Care hospital. Despite PCNL's early success as a minimally invasive treatment option, its popularity has waned after the advent of extracorporeal shockwave lithotripsy (ESWL). Over time, however, urologists were forced to rethink the role of PCNL in the treatment of Urolithiasis after clinical experience with ESWL revealed its limitations, particularly for lower pole stones with anatomical complexity and the challenges faced for open surgical procedures, particularly stones in an intrarenal pelvis. Urologists have advanced into the era of ever-expanding PCNL versatility thanks to advancements in tools, camera systems, and intracorporeal lithotripsy technology, and they now have expert skills of percutaneous stone dissolution in to all parts of the kidney. Patients and Methods: Between 2013 and 2019, 500 participants (358 males, 142 females, and aged 15-55 years) were addressed with PCNL by a single Urologist in our institution at both a tertiary care hospital and a secondary care hospital. Stones averaged 2.5 cm in diameter (ranging from 1.5 to 3.5 cm). 
Clinical outcomes after maxillofacial reconstruction using the free fibular flap in children: A systematic review and meta-analysis
Get PDFBackground and aim: In the present study, an attempt has been made to investigate the complications and consequences of using the free fibular flap after maxillofacial reconstruction in children. Therefore, the present study was conducted with the aim of evaluating clinical outcomes after maxillofacial reconstruction using the free fibular flap in children. Method: Present study is a systematic review and meta-analysis based on PRISMA 2020 Checklist. Databases of PubMed, Scopus, Web of Science, EBSCO, ISI Web of Knowledge, and Embase were searched for systematic literature until 30 November 2022. A 95% confidence interval for effect size with the random effect model and REML method were calculated. Meta-analysis was performed using Stata/MP v.17 software. Result: In the initial review, duplicate studies were eliminated and abstracts of 428 studies were reviewed, the full text of 155 studies was reviewed by two authors, and finally, 15 studies were selected. major and minor complication rate was 7% (ES, 7 95% CI 6%, 14%) and 23% (ES, 23% 95% CI 3%, 42%). Based on the present meta-analysis, the use of a free fibular flap is a reliable and appropriate option in reconstructing the jaw and face of children with few major complications and minor complications
The impact of using smart applications, “Sehaty Application”, on health care at primary care center in Al-Qurayyat Region
Get PDFThe research aimed to investigate the impact of using smart applications, specifically the "Sehhaty" application, on healthcare in primary care centers in the Al Qurayyat province. The study used a descriptive-analytical methodology and relied on an electronic questionnaire as a tool for data collection. The study sample consisted of 213 residents of Al Qurayyat and 211 individuals from major cities. The study found that the most common method used to obtain healthcare services inside and outside the province was through the "Sehaty" application, but the residents of Al Qurayyat were the least likely to use it. The study also found that the level of knowledge and ease of use of the application was slightly lower among residents of the province. Additionally, the study found that residents of the province benefited more from the services of the application and that residents of major cities were more satisfied with the application's services. The most significant problem encountered by both residents of the province and major cities when using the application was the need for a high-speed internet connection. The study recommended several measures to optimize the use of the application
Role of annexin A1 in early diagnosis of lung cancer
Get PDFBackground: The prevalence of lung cancer has shown an increase over the last few years which cause both health and economic burden. The biopsy is the gold standard tool for disease diagnosis, but it is usually not accepted by the patients due to its invasive nature. The use of non-invasive biomarkers is now attaining a great interest in diagnosis. Aim of the work: Assess the role of Annexin A1 in bronchoalveolar lavage and serum in the early diagnosis of lung cancer. Patients and methods: This study included 39 patients into two groups; group A (cases with lung cancer) and group B (cases with non-malignant lung lesions). All subjects were submitted to history taking and thorough full physical examination and laboratory analysis. Bronchoalveolar lavage (BAL) was performed in the cases within the two groups. Both serum and BAL levels of annexin A1 were assed in all cases. Results: In the current study, the level of annexin A1 in the serum and BAL were statistically significantly higher in the malignant group as compared with the non-malignant group (P 0.001). 
The effect of stroke education with video on stroke prevention behavior in hypertension elderly in Cipayung health center area east Jakarta
Get PDFStroke is a cerebrovascular disease and is a worldwide problem. Stroke is the third leading cause of death. The purpose of this study was to determine the effect of stroke education with video on stroke prevention behavior in elderly hypertensives. This research method uses a quasi-experimental pre-post test only design. The population in this study were hypertensive elderly who visited the Elderly Posyandu. The sampling technique in this study used purposive sampling, with a total sample of 31 respondents. Methods of data collection by pre-post test and blood pressure examination. Analysis of research data using univariate analysis, and bivariate analysis using the dependent t.test statistic, while multivariate analysis using logistic regression tests. The results of the study showed that there was an effect of stroke education through video on knowledge of stroke prevention in elderly with hypertension (p = 0.002). There was no effect of stroke education through video on stroke prevention attitudes in elderly hypertension (p = 0.86). There is an effect of stroke education through video on stroke prevention skills in elderly with hypertension (p = 0.003). There is an effect of stroke education through video on systolic blood pressure in elderly with hypertension (p = 0.000). 
Analyzing hematological indices and clinical associations of FLT3 mutation in acute leukemia
Get PDFObjective: The purpose of this research is to examine the relationship between FLT3 mutation and hematological indices and clinical correlates in patients with severe myelogenous leukemia & acute lymphoblastic leukemia. Study Design: Descriptive Study. Place and Duration: Diagnostic and research Laboratory Liaquat university of Medical and health sciences jamshoro Hyderabad. January 2021 to December 2021. Methods: Total 79 cases of acute leukemia were included in this study. Patients provided written consent for detailed demographics and for self-structure questionnaire. All the data was obtained from laboratory records. The patients' clinico-hematologic and immunophenotypic characteristics were recorded, and the FLT3 mutation was analyzed molecularly. SPSS 24.0 was used to analyze all data. Results: Majority of the patients 44 (55.7%) were males and 35 (44.3%) cases were females. The included patients had mean age 37.21±14.59 years and had mean BMI 23.6±4.18 kg/m2. We found that 48 (60.8%) cases had acute myeloid leukemia (AML) and 31 (39.2%) cases had acute lymphoblastic leukemia (ALL). Frequency of FLT 3 mutations in AML patients was 6 (12.5%) and in ALL patients was 1 (3.2%) after polymerase chain reaction. WBC was the most statistically significant hematological and clinical result connected with FLT3 mutation. 
Association of Braden scale and subscale scores of patients with and without open wound pressure ulcers
Get PDFBackground: PU is caused by physical elements such as shearing forces, friction, and dampness. Long periods of sitting or lying in the same position without moving can cause ischemia and necrosis of the skin and underlying tissues in patients with neurological problems. Schizophrenia, severe depression, and other serious mental illnesses, as well as any hygienic neglect and the older age group, between 60 and 80 years, also enhance the risk of PU development. Objective: To identify the association of braden scale with the development of open wound PU among patients who were hospitalized with neurological disorders at a private tertiary care hospital in Karachi, Pakistan. Methodology: According to calculated sample size 93 people from Pakistan's Murshid Hospital and Healthcare Centre (MHHCC) were enrolled in the study using a cross-sectional analytical study design. An organized questionnaire was used to collect the demographic data and braden scale was used associate the findings. SPSS 21 was used to analyze the data and the Chi-Square test was applied to find the association. Results: . Patients in group I had an average age of 54.27±17.49 years. It was 52.23±19.77 years in group II, with no statistically significant difference between the groups (p = 0.47). 
Critical care general health practitioner
Get PDFCritical care nursing plays a pivotal role in the healthcare system, providing specialized care to acutely ill patients who require intensive monitoring and treatment. Within the dynamic and high-stakes environment of critical care units, nurses serve as frontline caregivers, delivering comprehensive care, advocating for patients, and coordinating interdisciplinary interventions. The field of critical care nursing encompasses a diverse range of specialties, including intensive care, emergency care, trauma care, and post-anesthesia care, among others. The unique challenges inherent in critical care nursing demand specialized skills, clinical expertise, and a deep understanding of complex physiological processes. Critical care nurses must possess a keen ability to assess and manage patients with rapidly changing conditions, often in life-threatening situations
The impact of insulin on patient quality of life
Get PDFDiabetes mellitus is a chronic metabolic disorder characterized by elevated blood glucose levels due to the body's inability to effectively produce or utilize the hormone insulin (American Diabetes Association, 2022). Insulin is a critical hormone produced by the pancreas that enables the body to regulate blood sugar levels by facilitating the uptake of glucose into cells for energy or storage (Wilcox, 2005). Without sufficient insulin production or function, blood glucose levels can become dangerously high, leading to a variety of serious health complications. There are two main types of diabetes, type 1 and type 2, which differ in their underlying causes and treatment approaches. Type 1 diabetes is an autoimmune disorder where the body mistakenly attacks and destroys the insulin-producing beta cells in the pancreas, resulting in an absolute insulin deficiency (Atkinson et al., 2014). Type 2 diabetes is typically associated with lifestyle factors such as obesity and physical inactivity, and is characterized by the body's reduced sensitivity and responsiveness to insulin, a condition known as insulin resistance (Kahn, 2014). Regardless of the type, diabetes requires careful management through lifestyle modifications and/or pharmaceutical interventions, including the administration of exogenous insulin,,, 
Leveraging chatGPT for improved patient outcomes in a busy emergency department
Get PDFEmergency departments (EDs) often face challenges related to high patient volumes, leading to overcrowding, increased wait times, and potential compromises in patient care.1 This research project aims to explore the potential utilization of ChatGPT, an AI-based chatbot powered by OpenAI's language model, to decongest a busy ED and improve patient outcomes. By leveraging the capabilities of ChatGPT, we aim to enhance patient triage, optimize resource allocation, and improve communication and patient education within the ED setting.1In the NHS based in the UK wait times for green cases can be hours long leading to bitter experiences and poor compliance