European Journal of Medical and Health Research
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    578 research outputs found

    Advancement in Noninvasive Prenatal Testing: A Review

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    The evaluate focuses on the tremendous modifications added through noninvasive prenatal checking out into prenatal care, stressing on its effectiveness, nonintrusiveness, and potential to guide timely scientific moves. It situates the development of noninvasive prenatal trying out in the context of the overall fashion toward individualized medication and preventive care and highlights how the method can also redefine the standard for prenatal trying out. The abstract also recognizes the need for extra research to enhance noninvasive prenatal testing performance and extend the variety of its programs, but on the same time, the need for the development of hints and moral requirements for the use of this era in clinical exercise. In widespread, it situates noninvasive prenatal checking out as a modern era in the context of genetics, generation, and healthcare with potential blessings for enhancing fetal care and providing treasured genetic records to expectant parents

    Tako-Tsubo Cardiomyopathy Following Surgery: A Two-Case Reports

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    Stress cardiomyopathy, also known as Tako-Tsubo syndrome, is a rare and transient condition that mimics acute myocardial infarction in the absence of significant coronary artery lesions. It remains a diagnosis of exclusion. It occurs predominantly in postmenopausal women and can be triggered by intense emotional or physical stress. In a surgical context, this condition may be underrecognized and mistaken for other cardiovascular emergencies. Through two clinical cases, this article discusses the clinical, paraclinical, pathophysiological, and therapeutic features of Tako-Tsubo syndrome, with a focus on its differential diagnosis and prognosis

    Incidence and Risk Factors of Diarrheal Diseases Among Children Under Five in Iraqi Displaced Populations: A Cross-Sectional Study

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    Background: Diarrheal diseases remain one of the leading causes of morbidity and mortality in children less than five years old, particularly in displaced populations where access to clean water, sanitation and health services is limited. Iraqi displaced populations have unique barriers created by ongoing conflict and lengthy displacement, which significantly impacts their resources and standard of living in displacement camps .Objective: To determine the incidence and describe risk factors for diarrheal diseases in children under five years old in a displaced population in Iraq .Methods: A cross-sectional study was conducted from March - August 2024 in five displacement camps in Iraq. A total of 847 children under five years old were enrolled using systematic random sampling. Data collection included structured interviews with caregivers and clinical assessments of children. Logistic regression was employed to identify independent risk factors.Results: Following data analysis, the overall incidence of diarrheal diseases was 34.2% (95% CI: 31.1-37.4%). The highest incidence rates were observed in persons aged 6-11 months (48.3%). The following independent risk factors were identified: poor water source quality (OR: 2.84, 95% CI: 1.92-4.21), poor sanitation facilities (OR: 2.15, 95% CI: 1.48-3.12), malnutrition (OR: 3.17, 95% CI: 2.14-4.69), over-crowd (OR: 1.89, 95% CI: 1.25-2.86), lack of exclusive breastfeeding (OR: 2.03, 95% CI: 1.39-2.97) .Conclusion: Diarrheal diseases comprise a large public health burden for displaced Iraqi under-five children. An urgent health intervention is needed to improve water quality, sanitation and nutritional support, and exclusive breastfeeding

    Comparison of Postoperative Pain and Pulmonary Function Between Uniportal and Multiportal Video- Assisted Thoracoscopic Surgery: A Review

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    Video-assisted thoracoscopic surgery (VATS) offers a minimally invasive technique for lung resection. Single- and multiple-port approaches are both widely used, with advantages and disadvantages. This study compares them regarding postoperative pain and pulmonary function. For each surgery group, visual analogue scale pain scores and forced expiratory volume in one second, forced vital capacity, total lung capacity, residual volume, and diffusion capacity of the lung for carbon monoxide values are obtained before surgery, on postoperative day 1, and 2 months after surgery.The uniportal approach is an alternative and less invasive modality for resection of pulmonary disease through the thoracic cavity. However, five- portal access was performed for multiportal VATS rather than the usual two- port or three-port VATS. Postoperative pain and pulmonary function are not significantly different between uniportal and five-portal VATS. In the uniportal-VATS group, 214 patients underwent successful resection of pulmonary disease via the single-utility port technique. The preoperative forced expiratory volume in 1 second, forced vital capacity, total lung capacity, residual volume, and diffusion capacity of the lung for carbon monoxide values are not significantly different from those of the 213 patients in the multiportal-VATS group

    Giant Bilateral Hernia: A Case Report

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    This case report describes the management of a rare and complex case of obstructed bilateral giant inguinal hernias in a 55-year-old male. The patient had a history of right inguinal hernia surgery 11 years prior, and presented to the emergency room with symptoms of small bowel obstruction due to the presence of large, non-reducible left and reducible right inguinal hernias extending to mid-thigh. Imaging revealed a strangulated left hernia containing a portion of the jejunum and sigmoid colon, while the right hernia involved the cecum, terminal ileum, and other bowel structures.The patient underwent emergency bilateral inguinal surgery with a careful focus on monitoring for abdominal compartment syndrome. The Trendelenburg position was used to aid the reduction of herniated contents, and both hernia sacs were excised, with a tissue-based repair using the Bassini technique. Postoperatively, the patient had an uneventful recovery, with no complications or recurrence noted at the 3-month follow-up, though excess scrotal skin remained, which might require future management

    Generative AI-Driven Decision-Making for Disease Control and Pandemic Preparedness Model 4.0 in Rural Communities of Bangladesh: Management Informatics Approach

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    Rural Bangladesh is confronted with substantial healthcare obstacles, such as inadequate infrastructure, inadequate information systems, and restricted access to medical personnel. These obstacles impede effective disease control and pandemic preparedness. This investigation employs a structured methodology to develop and analyze numerous plausible scenarios systematically. A purposive sampling strategy was implemented, which involved the administration of a questionnaire survey to 264 rural residents in the Rangamati district of Bangladesh and the completion of a distinct questionnaire by 103 healthcare and medical personnel. The impact and effectiveness of the study are assessed through logistic regression analysis and a pre-post comparison that employs the Wilcoxon Signed-Rank test and Kendall's coefficient for non-parametric paired and categorical variables. This analysis evaluates the evolution of disease control and preparedness prior to and subsequent to the implementation of the Generative AI-Based Model 4.0. The results indicate that trust in AI (β = 1.20, p = 0.020) and confidence in sharing health data (β = 9.049, p = 0.020) are the most significant predictors of AI adoption. At the same time, infrastructure limitations and digital access constraints continue to be significant constraints. The study concludes that the health resilience and pandemic preparedness of marginalized rural populations can be improved through AI-driven, localized disease control strategies. The integration of Generative AI into rural healthcare systems offers a transformative opportunity, but it is contingent upon active community engagement, enhanced digital literacy, and strong government involvement

    Health Education Needs for Pregnant Women Attended PHCCs in Baghdad, Al-Russafa Health Directorate

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    Background: Prenatal health education is a key component of preventive care aimed at ensuring maternal and child health. Effective prenatal education raises awareness of health behaviors, encourages proper utilization of health services, and reduces disparities, particularly among vulnerable populations. The World Health Organization (WHO) recommends a minimum of four antenatal visits spaced throughout pregnancy, starting as early as possible in the first trimester. Aim of the Study: To assess the level of health awareness related to pregnancy. To identify the primary sources of information among pregnant women attending Primary Health Care Centers (PHCCs) in Baghdad Al-Russafa Health Directorate. Patients & Methods: A descriptive cross-sectional study was conducted in four PHCCs in Baghdad Al-Russafa from January to April 2014. Pregnant women, excluding primigravida in the first and second trimesters, were interviewed regarding socio-demographic, obstetric characteristics, PHC visits, antenatal procedures, and pregnancy-related awareness. Results: A total of 200 pregnant women participated; 91.0% lived in urban areas, and the mean age was 29.22 ± 6.31 years. Most (40.5%) had completed secondary education, and 48.0% attended PHCCs in the second trimester. Awareness of antenatal visits, necessary procedures, balanced diet, and physical activity was low. However, 82.5% were aware of smoking’s effect on pregnancy, and 55.0% preferred more than two years between pregnancies. Main sources of health information were doctors, medical staff, mothers, and in-laws. Conclusion: While awareness was high regarding TT vaccine, folic acid intake, and birth spacing, knowledge gaps existed in antenatal care visit frequency, pregnancy investigations, postnatal care, and accepted exercises during pregnancy

    Women’s Health: Dimensions of Depression, Coping Strategies and Social Support Among Infertile Women - A Perspective Review

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    Procreation is one of the inherited roles of humanity. Failure to achieve this may make society and individuals feel less capable, which can lead to psychological disorders such as anxiety and depression. Infertility is an unpleasant state a couple will never hope for. However, when infertility occurs, a deliberate effort should be made to find solution to it before its effects begin to manifest on the couple. Patriarchal societies prevail in many parts of the world. Therefore, infertility is usually seen as the fault of the women. Hence, the whole blame of infertility is on the women making infertile women to go into depression easily. This study aimed to review perspectively the dimensions of depression, coping strategies, and social support among infertile women. Past relevant literatures from different databases including Web of Science, Scopus, PubMed, Google Scholar, ResearchGate, Semantic Scholar, Zenodo, CINAHL, DOAJ, EMBASE, JSTOR, and MEDLINE on the topic were searched online and reviewed. Advancement in technology has been of great benefits to the healthcare system. However, the rigorousness and cost of infertility have to be looked into. Psychological therapy needs to be included in the care of infertile women at gynecology clinics. Of paramount importance is the need for a paradigm shift in the society so as to reduce the incidence and severity of depression among infertile women

    Management of Severe Asthenoteratozoospermia with Traditional Medicine: A Case Study

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    Infertility is a disease of the male or female reproductive system defined by the failure to achieve a pregnancy after 12 months or more of regular unprotected sexual intercourse. Fertility issues may represent a stressful situation to the couple’s life with important negative psychosocial effects. Ayurveda as a branch of traditional medicine developed a separate specialty for sexual dysfunction, namely Aphrodisiac Therapy (Vajeekarana Chikitsa). It deals with preservation and augmentation of sexual potency and conception of healthy progeny as well as management of defective semen, spermatogenesis along with treatment of seminal related disorders. Sperm quality is affected by various biological and environmental factors. A male patient was diagnosed with asthenoteratozoospermia, which is a combination of two conditions namely, asthenozoospermia (low sperm motility) and teratozoospermia (abnormal sperm morphology). The study patient was treated with ayurvedic medicine (shaman chikitsa) and panchakarma therapy (shodhana chikitsa) for 5 months. After completing the treatment course a semen analysis was performed and improvement was observed in his abnormal condition. The condition changed from severe asthenoteratozoospermia to normozoospermia and finally his wife had conceived successfully

    Family and Stigmatization: Coping Experience of Persons with Substance Use Disorders in North Central Nigeria

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    In northern Nigeria, stigma has been used as a means of discouraging drug use because of the claim that substance users are responsible for their choices, in this line many families also adopted the same measure as a way of chastising family members involved in drug use. This qualitative study on stigma investigated the personal experiences of 40 people with a history of drug use who are receiving treatment in a facility. The study used a purposive sampling technique to obtain information from participants through interviews. Statistically, this study also obtained data from 261 participants admitted to the same facility over 7 years ago. From this population, 59.4% were diagnosed with Substance Use Disorder (SUD), while 3.8% were diagnosed with Substance Use Disorder comorbid mental illness. Compare to females, there were more males at 85.1%. Furthermore, 55.0% are between the ages of 16 to 30 years of age, making it the highest age group that participated in the study. On marital status singles made up the highest number at 86.4%, participants raised by a single parent were 2 which is .9%. Based on family type, the mean obtained was 1.18 and SD of .387 these participants were grouped into a monogamous and polygamous family. Two hypotheses raised in this study predicted that “there is likelihood that person with substance use disorder will have a stigmatized experience” and “Persons with substance use disorder will have ways to cope with stigmatization” were tested to be significant, the Nvivo software was used in analysing the data obtained from the interviews. The outcome of the study suggests that family members are often the first point of stigmatization for drug-using persons in most families in North-central Nigeria

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