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MEDICAL SCIENCES (2241 journals)            First | 1 2 3 4 5 6 7 8 | Last

Showing 601 - 800 of 3562 Journals sorted alphabetically
F&S Science : Official journal of the American Society for Reproductive Medicine     Open Access  
Facial Plastic Surgery & Aesthetic Medicine     Full-text available via subscription   (Followers: 2)
Facta Universitatis, Series : Medicine and Biology     Open Access  
Family Medicine and Community Health     Open Access   (Followers: 8)
Family Practice     Hybrid Journal   (Followers: 17)
Family Practice & Palliative Care     Open Access   (Followers: 5)
Family Practice Management     Full-text available via subscription   (Followers: 4)
Faridpur Medical College Journal     Open Access  
FEM : Revista de la Fundación Educación Médica     Open Access  
Finlay : Revista de Enfermedades no Transmisibles     Open Access  
Fisioterapia     Full-text available via subscription   (Followers: 2)
Fisioterapia & Saúde Funcional     Open Access  
Flugmedizin · Tropenmedizin · Reisemedizin - FTR     Hybrid Journal  
FMC - Formación Médica Continuada en Atención Primaria     Full-text available via subscription  
Folia Medica     Open Access  
Folia Medica Indonesiana     Open Access  
Folia Morphologica     Full-text available via subscription  
Folia Phoniatrica et Logopaedica     Full-text available via subscription   (Followers: 1)
Fontanus     Open Access  
Food Hydrocolloids for Health     Open Access  
Foodborne Pathogens and Disease     Hybrid Journal   (Followers: 11)
Foot & Ankle Specialist     Hybrid Journal   (Followers: 4)
Foot and Ankle Clinics     Full-text available via subscription   (Followers: 12)
Foot and Ankle Online Journal     Full-text available via subscription   (Followers: 6)
Forensic Science International : Mind and Law     Open Access   (Followers: 4)
Forum Medycyny Rodzinnej     Hybrid Journal  
Forum Zaburzeń Metabolicznych     Hybrid Journal  
Frontières     Full-text available via subscription   (Followers: 3)
Frontiers in Digital Health     Open Access   (Followers: 4)
Frontiers in Medical Technology     Open Access  
Frontiers in Medicine     Open Access   (Followers: 2)
Frontiers in Network Physiology     Open Access   (Followers: 2)
Frontiers in Neuroprosthetics     Open Access   (Followers: 6)
Frontiers in Synaptic Neuroscience     Open Access   (Followers: 2)
Frontiers in Tropical Diseases     Open Access  
Frontiers of Medical and Biological Engineering     Hybrid Journal  
Frontiers of Medicine     Hybrid Journal   (Followers: 2)
Fuss & Sprunggelenk     Hybrid Journal  
Future Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Future Prescriber     Hybrid Journal  
Future Science OA     Open Access  
Gaceta Médica Boliviana     Open Access  
Gaceta Médica Espirituana     Open Access  
Galen Medical Journal     Open Access  
Galician Medical Journal     Open Access   (Followers: 1)
Galle Medical Journal     Open Access  
Gefäßmedizin Scan     Hybrid Journal  
Gender and the Genome     Open Access   (Followers: 1)
Gene Expression     Full-text available via subscription   (Followers: 1)
General Reanimatology     Open Access  
Genes     Open Access   (Followers: 2)
Genome Instability & Disease     Hybrid Journal  
Geoforum     Hybrid Journal   (Followers: 25)
Gestão e Desenvolvimento     Open Access  
Ghana Medical Journal     Open Access   (Followers: 1)
GigaScience     Open Access   (Followers: 4)
Gimbernat : Revista d’Història de la Medicina i de les Ciències de la Salut     Open Access  
Glia     Hybrid Journal   (Followers: 5)
Global Advances in Health and Medicine     Open Access  
Global Bioethics     Open Access   (Followers: 5)
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Journal     Open Access   (Followers: 2)
Global Journal of Integrated Chinese Medicine and Western Medicine     Open Access  
Global Journal of Cancer Therapy     Open Access  
Global Journal of Fertility and Research     Open Access  
Global Journal of Health Science     Open Access   (Followers: 5)
Global Journal of Infectious Diseases and Clinical Research     Open Access  
Global Journal of Medical and Clinical Case Reports     Open Access  
Global Journal of Obesity, Diabetes and Metabolic Syndrome     Open Access   (Followers: 1)
Global Journal of Perioperative Medicine     Open Access  
Global Journal of Rare Diseases     Open Access  
Global Medical & Health Communication     Open Access   (Followers: 1)
Global Reproductive Health     Open Access  
Grande Medical Journal     Open Access  
Growth Factors     Hybrid Journal   (Followers: 2)
GSTF Journal of Advances in Medical Research     Open Access  
Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi     Open Access  
Hamdan Medical Journal     Open Access  
Hämostaseologie     Hybrid Journal   (Followers: 5)
Hämostaseologie     Open Access  
Hand     Hybrid Journal   (Followers: 4)
Hand Clinics     Full-text available via subscription   (Followers: 6)
Hand Therapy     Hybrid Journal   (Followers: 11)
Hard Tissue     Open Access  
Head & Face Medicine     Open Access   (Followers: 1)
Head and Neck Cancer Research     Open Access  
Head and Neck Tumors     Open Access  
Health Information : Jurnal Penelitian     Open Access  
Health Matrix : The Journal of Law-Medicine     Open Access  
Health Notions     Open Access  
Health Science Journal of Indonesia     Open Access  
Health Science Reports     Open Access   (Followers: 1)
Health Sciences and Disease     Open Access   (Followers: 1)
Health Sciences Review     Open Access  
Health Security     Hybrid Journal   (Followers: 1)
Healthcare Technology Letters     Open Access  
Hearing, Balance and Communication     Hybrid Journal   (Followers: 6)
Hearts     Open Access   (Followers: 1)
HEC Forum     Hybrid Journal   (Followers: 1)
Heighpubs Otolaryngology and Rhinology     Open Access  
Heilberufe     Hybrid Journal  
HeilberufeSCIENCE     Hybrid Journal  
Heilpflanzen     Hybrid Journal   (Followers: 3)
Helicobacter     Hybrid Journal  
HemaSphere     Open Access   (Followers: 2)
Hemoglobin     Hybrid Journal  
Hepatology, Medicine and Policy     Open Access  
HERALD of North-Western State Medical University named after I.I. Mechnikov     Open Access  
Herald of the Russian Academy of Sciences     Full-text available via subscription  
Herzschrittmachertherapie + Elektrophysiologie     Hybrid Journal  
Highland Medical Research Journal     Full-text available via subscription  
Hipertensión y Riesgo Vascular     Full-text available via subscription  
HIV Australia     Full-text available via subscription   (Followers: 3)
Homeopathy     Hybrid Journal   (Followers: 1)
Homoeopathic Links     Hybrid Journal  
Hong Kong Physiotherapy Journal     Open Access   (Followers: 14)
Horizonte Medico     Open Access  
Hormones : International Journal of Endocrinology and Metabolism     Hybrid Journal  
Hospital a Domicilio     Open Access  
Hospital Practices and Research     Open Access  
Hospital Topics     Hybrid Journal   (Followers: 1)
Hua Hin Sook Jai Klai Kangwon Journal     Open Access  
Huisarts en wetenschap     Hybrid Journal   (Followers: 4)
Human & Veterinary Medicine - International Journal of the Bioflux Society     Open Access   (Followers: 4)
Human Factors in Healthcare     Open Access  
Human Fertility     Hybrid Journal   (Followers: 4)
Humanidades Médicas     Open Access  
I.P. Pavlov Russian Medical Biological Herald     Open Access  
Iatreia     Open Access  
Ibnosina Journal of Medicine and Biomedical Sciences     Open Access  
IDCases     Open Access  
IEEE Journal of Biomedical and Health Informatics     Hybrid Journal   (Followers: 14)
IEEE Journal of Electromagnetics, RF and Microwaves in Medicine and Biology     Hybrid Journal  
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 5)
IEEE Open Journal of Engineering in Medicine and Biology     Open Access   (Followers: 1)
IEEE Transactions on Medical Robotics and Bionics     Hybrid Journal   (Followers: 3)
IEEE/ACM Transactions on Computational Biology and Bioinformatics     Hybrid Journal   (Followers: 18)
IJID Regions     Open Access   (Followers: 1)
IJS Global Health     Open Access  
IJU Case Reports     Open Access  
iLiver     Open Access   (Followers: 2)
Im OP     Hybrid Journal  
Image Analysis & Stereology     Open Access   (Followers: 1)
IMAGING     Full-text available via subscription   (Followers: 1)
Imaging in Medicine     Open Access  
Imaging Journal of Clinical and Medical Sciences     Open Access   (Followers: 1)
Imam Journal of Applied Sciences     Open Access  
Indian Journal of Ayurveda and lntegrative Medicine Klue     Open Access   (Followers: 3)
Indian Journal of Burns     Open Access   (Followers: 2)
Indian Journal of Clinical Medicine     Open Access  
Indian Journal of Community and Family Medicine     Open Access   (Followers: 2)
Indian Journal of Community Medicine     Open Access   (Followers: 1)
Indian Journal of Health Sciences and Biomedical Research KLEU     Open Access   (Followers: 2)
Indian Journal of Medical Microbiology     Open Access   (Followers: 1)
Indian Journal of Medical Research     Open Access   (Followers: 3)
Indian Journal of Medical Sciences     Open Access   (Followers: 2)
Indian Journal of Medical Specialities     Hybrid Journal  
Indian Journal of Otology     Open Access   (Followers: 1)
Indian Journal of Public Health     Open Access   (Followers: 1)
Indian Journal of Transplantation     Open Access  
Indian Spine Journal     Open Access  
Indo-Pacific Journal of Phenomenology     Open Access   (Followers: 1)
Indonesia Journal of Biomedical Science     Open Access   (Followers: 1)
Indonesian Biomedical Journal     Open Access  
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Indonesian Journal of Medicine     Open Access  
Indonesian Journal of Tropical and Infectious Disease     Open Access  
Infant Observation: International Journal of Infant Observation and Its Applications     Hybrid Journal   (Followers: 1)
Inflammation     Hybrid Journal   (Followers: 3)
Inflammation Research     Hybrid Journal   (Followers: 4)
Info Diabetologie     Full-text available via subscription   (Followers: 1)
Infodir : Revista de Información científica para la Dirección en Salud     Open Access  
Informatics in Medicine Unlocked     Open Access  
Injury Prevention     Hybrid Journal   (Followers: 6)
InnovAiT     Hybrid Journal   (Followers: 1)
Innovare Journal of Health Science     Open Access  
Innovare Journal of Medical Science     Open Access  
Innovation in Aging     Open Access   (Followers: 1)
Inside Precision Medicine     Full-text available via subscription   (Followers: 3)
Insights in Biology and Medicine     Open Access  
Integrative and Complementary Therapies     Full-text available via subscription   (Followers: 3)
Integrative Medicine Insights     Open Access   (Followers: 1)
Integrative Medicine International     Open Access   (Followers: 1)
Integrative Medicine Research     Open Access   (Followers: 3)
Intellectual Disability Australasia     Full-text available via subscription   (Followers: 12)
Intelligence-Based Medicine     Open Access  
Intelligent Medicine     Open Access   (Followers: 1)
intensiv     Hybrid Journal   (Followers: 1)
interactive Journal of Medical Research     Open Access  
Interdisciplinary Perspectives on Infectious Diseases     Open Access  
Interdisciplinary Sciences : Computational Life Sciences     Hybrid Journal   (Followers: 2)
Internal Medicine     Open Access   (Followers: 1)
International Biomechanics     Open Access   (Followers: 1)
International Health     Hybrid Journal   (Followers: 5)
International Health Trends and Perspectives     Open Access  
International Journal for Numerical Methods in Biomedical Engineering     Hybrid Journal   (Followers: 2)
International Journal for Vitamin and Nutrition Research     Hybrid Journal   (Followers: 10)
International Journal of Academic Medicine     Open Access   (Followers: 1)
International Journal of Advance in Medical Science     Open Access  
International Journal of Advanced Medical and Health Research     Open Access  

  First | 1 2 3 4 5 6 7 8 | Last

Similar Journals
Journal Cover
Ibnosina Journal of Medicine and Biomedical Sciences
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1947-489X
Published by Medknow Publishers Homepage  [448 journals]
  • Goodbye 2021

    • Authors: Elmahdi A Elkhammas
      Pages: 155 - 155
      Abstract: Elmahdi A Elkhammas
      Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):155-155

      Citation: Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):155-155
      PubDate: Thu,16 Dec 2021
      DOI: 10.4103/ijmbs.ijmbs_72_21
      Issue No: Vol. 13, No. 4 (2021)
       
  • Charity starts at home: Emerging Journals should receive “positive
           discrimination” by their regional academia

    • Authors: Salem A Beshyah
      Pages: 156 - 160
      Abstract: Salem A Beshyah
      Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):156-160
      Scientific journals are published by commercial, no-profit, or society publishers. Most of these publishers and journals are based on the West, with the resulting gap between North and South in research work and literature productivity. This situation has resulted in a falsely perceived doubt about the value and validity of the submissions to international journals from developing regions. However, a recent increase in scientific productivity resulting from some countries' investments made into research was associated with developing many emerging national or regional journals. These journals aim to overcome barriers facing authors from producing regions to get their scholarly work published. They also aim to increase the research capacity and foster a culture of South-South collaboration. However, emerging journals face many challenges including a lack of recognition on their grounds. In this personal paper, the challenges facing emerging journals are highlighted, and the proposed urgent need for “positive discrimination” for emerging journals by regional academia is argued.
      Citation: Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):156-160
      PubDate: Thu,16 Dec 2021
      DOI: 10.4103/ijmbs.ijmbs_57_21
      Issue No: Vol. 13, No. 4 (2021)
       
  • Common complications of hemodialysis: A clinical review

    • Authors: Elmukhtar M Habas, Aml Habas, Mohamed E Elgamal, Bara A Shraim, Moaz O Moursi, Ayman R Ibrahim, Mohamed Danjuma, Abdel-Naser Y Elzouki
      Pages: 161 - 172
      Abstract: Elmukhtar M Habas, Aml Habas, Mohamed E Elgamal, Bara A Shraim, Moaz O Moursi, Ayman R Ibrahim, Mohamed Danjuma, Abdel-Naser Y Elzouki
      Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):161-172
      Long-term hemodialysis (HD) is the main modality used in the treatment of end-stage renal disease (ESRD). It is associated with a variety of complications such as infection, amyloidosis, anemia, undernutrition, as well as musculoskeletal, and cardiovascular system (CVS) morbidities. CVS complications and HD-related infection are the main causes of death in ESRD patients on HD. Other complications such as stroke, disequilibrium syndrome occur during or post-HD. Missing dialysis sessions may lead to amongst others; death due to sudden cardiac arrhythmias; cardiac arrest due to electrolyte disturbance and/or severe overload. This review discusses the common complications of HD as well as recent advances that are likely to impact its outcome.
      Citation: Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):161-172
      PubDate: Thu,16 Dec 2021
      DOI: 10.4103/ijmbs.ijmbs_62_21
      Issue No: Vol. 13, No. 4 (2021)
       
  • Pharmacy practice in COVID-19 from a Middle Eastern and African
           perspective: A narrative review

    • Authors: Haider Al-Saffar, Rasha Aljazzar, Amina Al-Saffar
      Pages: 173 - 182
      Abstract: Haider Al-Saffar, Rasha Aljazzar, Amina Al-Saffar
      Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):173-182
      The coronavirus disease 2019 (COVID-19) had a worldwide impact on all aspects of life and primarily on clinical practice involving all health-care professionals. Pharmacists are at the forefront of all clinical facilities in hospitals and the community. We aimed to provide a narrative overview of the global literature on the impact of COVID-19 changing roles and pharmacists' contribution to the overall clinical care during the COVID-19 pandemic. We conducted a narrative, nonsystematic review of the international literature from a single major medical online database, PubMed, between February 1, 2020, and June 30, 2021. The relevant articles were narrated in a concise thematic account. During the COVID-19 pandemic, pharmacists had to serve their responsibilities alongside other activities while the entire world was fighting an invisible virus. However, it was much more complicated than before because the novel coronavirus is intractable. There was no vaccine or established therapeutic guidelines when it manifested suddenly. As part of an interdisciplinary team, community pharmacists may carry out their responsibilities and play an essential role in disease control and management. However, they may need to be appropriately prepared, trained, and equipped to deal with pandemic and postpandemic situations.
      Citation: Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):173-182
      PubDate: Thu,16 Dec 2021
      DOI: 10.4103/ijmbs.ijmbs_58_21
      Issue No: Vol. 13, No. 4 (2021)
       
  • The prevalence of short stature among school children and adolescents in
           Tripoli, Libya in 2009-2010

    • Authors: Mabruka Ramadan, Rowida Khashebi, Faten Ben Rajab
      Pages: 183 - 188
      Abstract: Mabruka Ramadan, Rowida Khashebi, Faten Ben Rajab
      Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):183-188
      Background: Short stature has an impact on children's physical and mental health. Data on the prevalence of short stature in Libyan children are limited. Objectives: We aimed to ascertain the prevalence of short stature among school children in Tripoli, Libya. Patients and Methods: In this cross-sectional study, we included 419 school children (235 boys and184 girls) selected from different primary and preparatory schools in the City of Tripoli. The study was conducted between April 2009 and October 2010. Trained pediatricians took their anthropometric measurements (i.e., height and weight). The WHO-2007 Z-score charts and UK-WHO growth charts were used to calculate the prevalence of short stature (defined as standard deviation score of height <2 in same gender and age). Results: The overall prevalence of short stature using WHO-2007 Z-score and UK-WHO growth charts were 5.0% and 5.7%, respectively. (4.3% was moderate and 0.7% was severe). Boys and girls had no significant difference in the prevalence of short stature using 2007 WHO reference data (5.5% vs. 4.3%; P = 0.656). Similarly, there was no difference between the prevalence of short stature between boys and girls when applying UK-WHO growth charts (6.8% vs. 4.3%; P = 0.3). There is a statistically significant relationship between the prevalence of short stature (increase) and students' increasing age. Conclusions: Short stature is not an uncommon problem in children; they need early assessment because intervention time is crucial in this condition.
      Citation: Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):183-188
      PubDate: Thu,16 Dec 2021
      DOI: 10.4103/ijmbs.ijmbs_61_21
      Issue No: Vol. 13, No. 4 (2021)
       
  • Motives for participation in physical activity among libyan adults

    • Authors: Sami S Elmahgoub, Hassan S Mohamed, Abduladim A Hmmier, Adel I Eltaguri
      Pages: 189 - 195
      Abstract: Sami S Elmahgoub, Hassan S Mohamed, Abduladim A Hmmier, Adel I Eltaguri
      Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):189-195
      Objectives: The study aimed to determine motives for physical activity (PA) participation in Libyan adults and compare motives related to sex and places of participation (indoor vs. outdoor). Participants and Methods: A cross-sectional questionnaire-based study was conducted. The questionnaire was adapted from the Exercise Motivation Inventory version 2. Six hundred Libyan adults (300 males and 300 females) were involved in this study. Results: In general, positive health, activation, and avoiding ill-health (4.83 ± 0.89, 4.20 ± 0.93, 4.09 ± 1.00, mean ± standard deviation [SD]) were the most common motives for PA participation, respectively, while competition, affiliation, health pressure, and social status (2.73 ± 1.29, 2.69 ± 1.21, 2.59 ± 1.29, 2.50 ± 1.24, mean ± SD) were the least motivational factors, respectively. In males, enjoyment, social status, affiliation, competition, health pressure, strength, and endurance were significantly higher (P= 0.017, 0.000, 0.010, 0.000, 0.007, 0.024). In contrast, activation, positive health, weight control, appearance, and fitness were significantly higher in females (P= 0.002, 0.001, 0.000, 0.000, 0.005). In addition, health pressure, avoiding ill-health, and positive health motives were similar in adults practicing PA indoor and outdoor. In contrast, other motives tended to be significantly higher in indoor activities. Conclusions: Motives for PA participation differ across participants' sex and places of participation among Libyan adults. It is crucial to understand the motives for PA participation to capitalize on the positive motives to increase their participation and enhance the positive effects of increased PA in the community.
      Citation: Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):189-195
      PubDate: Thu,16 Dec 2021
      DOI: 10.4103/ijmbs.ijmbs_39_21
      Issue No: Vol. 13, No. 4 (2021)
       
  • Identification of Microorganisms associated with intraamniotic infection
           among women with preterm birth at Ruhengeri Referral Hospital, Rwanda: A
           case control study

    • Authors: Callixte Yadufashije, Jasmine Umugwaneza, Liliane Muhimpundu, Cedrick Izere, Emmanuel Munyeshyaka, Albert O Mala, Niyonzima N Francois, Joseph Mucumbitsi, Georges B Sangano, Martin Ndayambaje, Lydia Mwanzia, Thierry Habyarimana
      Pages: 196 - 203
      Abstract: Callixte Yadufashije, Jasmine Umugwaneza, Liliane Muhimpundu, Cedrick Izere, Emmanuel Munyeshyaka, Albert O Mala, Niyonzima N Francois, Joseph Mucumbitsi, Georges B Sangano, Martin Ndayambaje, Lydia Mwanzia, Thierry Habyarimana
      Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):196-203
      Background: Preterm birth is a global public health threat for maternal and child health. Each year, 15 million neonates are born preterm worldwide, with 40% resulting from intrauterine infections. Materials and Methods: This cross-sectional and case–control study was conducted from October to February 2019 at Ruhengeri Referral Hospital. A total of 120 swab samples were collected from 40 women, of which 20 were full-term delivery, while the other 20 were preterm delivery. The three samples, including the placental membranes, amniotic fluids, and fetal membranes, were collected immediately after birth. A sterile cotton swab was used to collect the samples and put into swab Stuart sterile plastic container to avoid sample contamination. Samples were transported in a tightly covered carrier to the clinical microbiology laboratory at INES Ruhengeri for microbiological investigation. Gram staining, culture, and biochemical tests were performed. The independent t-test was used to test for significant differences between the means of the two groups, while the Chi-square test (χ2) was used to test for significant association with microorganisms and intra-amniotic infections. Results: A half of the participants were in the age range of 24–29 years. Non-albicans candida (32.7%) and mold (27.9%) were the predominant microorganisms isolated. Non-albicans candida and mold were common to preterm and full-term samples. Staphylococcus species were observed in placental and fetal membrane samples. Escherichia coli, Klebsiella species, Streptococcus species, and Candida albicans were observed among women with preterm birth samples. There was a statistically significant difference between the two means in the amniotic fluid isolates (t = 4.023, P < 0.007), placental membrane isolates (t = 7.17, P < 0.0004), and fetal membrane isolates (t = 6.7, P < 0.0006). Association with microorganisms and intra-amniotic infection was statistically significant with E. coli (χ2 = 3.98, P < 0.05), Streptococcus species (χ2 = 5.53, P < 0.019), non-albicans candida (χ2 = 8.37, P < 0.004), and C. albicans (χ2 = 3.98, P < 0.05). Conclusions: Invasion of the amniotic fluid, placenta, and fetal membranes by pathogenic microorganisms may be associated with the incidence of preterm labor and birth. Early diagnosis is recommended to avoid both maternal and fetal complications.
      Citation: Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):196-203
      PubDate: Thu,16 Dec 2021
      DOI: 10.4103/ijmbs.ijmbs_64_21
      Issue No: Vol. 13, No. 4 (2021)
       
  • Small bite closure in midline laparotomy; A practice to reduce the
           surgical site infection, wound dehiscence, and incisional hernia

    • Authors: Yaqoob Hassan, Shah Touseef Arajmand, Anayatullah Wani, Ishfaq Ahmad Gilkar, Syed Mushtaq Ahmad Shah
      Pages: 204 - 208
      Abstract: Yaqoob Hassan, Shah Touseef Arajmand, Anayatullah Wani, Ishfaq Ahmad Gilkar, Syed Mushtaq Ahmad Shah
      Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):204-208
      Background: Postoperative wound site complications are a significant source of morbidity after midline laparotomy. The study's objectives were to compare the two suture patterns for fascial closure in midline abdominal wounds and their effect on postoperative wound site complications. Materials and Methods: Over 4 years, the prospective comparative study was conducted at the Government Medical College Hospital, Srinagar. All the patients ≥18 years and ≤70 years of age underwent midline laparotomy for various indications were included. Patients were randomized to two groups using computer-generated numbers based on closure techniques. Group A; Large Tissue Bite closure (10 mm from the wound edge and 10 mm apart and Group B; Small Tissue Bite closure (5–7 mm from the wound edge and 5–7 mm apart). Effect of age, sex, body mass index (BMI), albumin, and suture bite on postoperative complications were analyzed. Results: Among 324 patients who met the inclusion criteria, the mean age was 39.17 years, 84.56% were male with a Male: Female ratio of 5.48. Two hundred and two (62.35%) patients had large tissue bite closure, and 122 (37.75%) had small bite closure. There was no statistically significant difference between the two groups concerning age, sex, albumin levels, BMI, and type of surgery. About 35.64% of patients in the large tissue bite closure group and 19.67% patients in small bite closure developed surgical site infection (SSI) (P = 0.002). The difference in wound dehiscence between the two groups (15.84% vs. 7.38%) was statistically insignificant (P = 0.29). In midline laparotomy closure, the small bites technique results in significantly less incisional hernias than the large bites technique (P = 0.00001). None of our patients expired during the study period. Conclusion: The small bite technique substantially reduces SSIs, wound dehiscence, and incisional hernia. The accident-emergency and general surgery residents, in particular, should be made familiar with this technique to avoid postoperative wound site complications and improve the quality of postoperative life.
      Citation: Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):204-208
      PubDate: Thu,16 Dec 2021
      DOI: 10.4103/ijmbs.ijmbs_65_21
      Issue No: Vol. 13, No. 4 (2021)
       
  • One-year analysis of trends of COVID-19 in Libya: Cases, deaths, and
           laboratory testing

    • Authors: Rafik R Elmehdawi, Sara A Glessa, Amal A Elfakhri, Ahmed B Elhaddad, Ahmed F Elhassi
      Pages: 209 - 214
      Abstract: Rafik R Elmehdawi, Sara A Glessa, Amal A Elfakhri, Ahmed B Elhaddad, Ahmed F Elhassi
      Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):209-214
      Introduction: The coronavirus disease 2019 (COVID-19) epidemic in Libya started at the end of March 2020. Since then, the number of daily reported cases has progressively increased. Objectives: This study aims to analyze the trends and dynamics of the epidemic in Libya. Materials and Methods: The study analyzed the data reported daily by the Libyan national center of disease control. Results: The total number of tests performed per thousand people was 121.08 test/1000 people, which is a modest rate compared with countries categorized in the same income group. The overall positivity rate of all performed tests over 1 year was 18.1%. During most of the weeks, the positivity rate was far higher than the 5% rate indicating that the epidemic was out of control most of the year. The level of community transmission was moderate to substantial during most of the year, reflecting the weakness in applying the public health control measures. The calculated 1-year instant case-fatality rate of COVID-19 in Libya was 1.89%, comparable to that in other upper-middle-income countries. Conclusions: The number of performed tests in Libya during the 1st year of the COVID-19 epidemic is inadequate and must be at least doubled to increase the chances of diagnosing more potential cases. Based on the current positivity rate, the epidemic appears to be out of control since July 2021. This should urge the authorities to impose further enforcement of the standard public health measures.
      Citation: Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):209-214
      PubDate: Thu,16 Dec 2021
      DOI: 10.4103/ijmbs.ijmbs_73_21
      Issue No: Vol. 13, No. 4 (2021)
       
  • Diagnosis, staging, and associated conditions of cardiovascular autonomic
           neuropathy in Libyan patients with diabetes

    • Authors: Samia A Elmiladi, Elham O Elgdhafi, Ahmed A Shukri
      Pages: 215 - 221
      Abstract: Samia A Elmiladi, Elham O Elgdhafi, Ahmed A Shukri
      Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):215-221
      Background: Cardiovascular autonomic neuropathy (CAN) can affect daily activities and patients' quality of life and evoke potentially life-threatening outcomes in diabetes mellitus (DM). Objectives: We aimed to identify and characterize CAN and associated disorders in Libyan patients with DM at National Diabetes Hospital. Patients and Methods: Ninety-nine patients with DM seen in the outpatient clinics from October 2017 to April 2018 at National Diabetes Hospital were prospectively evaluated. Assessments for CAN were made by clinical symptoms and signs, cardiovascular autonomic reflex tests, and echocardiogram. Patients with potentially confounding concomitant medical conditions were excluded. CAN is defined as possible (one abnormal cardiovagal test), confirmed (two abnormal such tests), and severe (with concomitant orthostatic hypotension and heart rate abnormality). Results: Sixty-two percent of the studied patients (mean age: 52 ± 1.5 years, 53% – female) with DM had CAN. CAN diagnosis was possible in 18% of these patients, confirmed in 6%, and severe in 38%. The presence of severe CAN was associated with hypoglycemic unawareness (P = 0.01), dyslipidemia (P = 0.012), and microvascular diabetic complications (P = 0.04). Conclusions: In this cohort of relatively old and high-risk cardiovascular disease, patients with diabetes, uncontrolled blood pressure, associated dyslipidemia, presence of microvascular complication of diabetes, and history of hypoglycemic unawareness were strongly associated with a severe form of cardiac autonomic neuropathy with potentially serious clinical consequences. Larger and more detailed studies are needed to elucidate further the complex association between hypoglycemia and cardiac autonomic dysfunction.
      Citation: Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):215-221
      PubDate: Thu,16 Dec 2021
      DOI: 10.4103/ijmbs.ijmbs_68_21
      Issue No: Vol. 13, No. 4 (2021)
       
  • Ensuring smooth implementation of attitude, ethics, and communication
           module in medical colleges: SWOT analysis

    • Authors: Saurabh R Shrivastava, Prateek S Shrivastava
      Pages: 222 - 226
      Abstract: Saurabh R Shrivastava, Prateek S Shrivastava
      Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):222-226
      A successful medical practitioner is not only measured by the knowledge about the subject, ability to apply the learned knowledge, and the skillset, but also by their ability to communicate, empathize, and offer tender care and support to the patients and their caregivers. To prepare the medical practitioner to effectively discharge their roles, it is a must that active interventions are being taken during the period of medical training. In a targeted attempt to strategically bridge the existing gaps, the regulatory body in India has recommended to all the medical colleges to introduce attitude, ethics, and communication (AETCOM) module in the undergraduate training period. However, it is always nice to understand the strengths, weaknesses, opportunities, and threats (SWOT) involved in the implementation of training modules so that the intended learning outcomes can be accomplished in the due course. In conclusion, the decision to systematically introduce and expose the students to AETCOM module is a historical one in the undergraduate training period. It is the need of the hour that every medical institution performs the Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis of their own setting and then devises a flexible plan to derive maximum benefit for the students.
      Citation: Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):222-226
      PubDate: Thu,16 Dec 2021
      DOI: 10.4103/ijmbs.ijmbs_51_21
      Issue No: Vol. 13, No. 4 (2021)
       
  • Plasmacytoma of the ovary

    • Authors: Jamila Salem Elamouri, Adel Younus Shaffouh, Fairouz Abdelhadi Torjman
      Pages: 227 - 230
      Abstract: Jamila Salem Elamouri, Adel Younus Shaffouh, Fairouz Abdelhadi Torjman
      Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):227-230
      Extramedullary plasmacytoma is a rare plasma cell neoplasm that involves the ovary very rarely. Here, I report a case of primary ovarian plasmacytoma in a 42-year-old patient. The patient presented with abdominal distention, and workup showed a left ovarian mass (6.5 cm × 8 cm) with marked ascites. The patient had a hysterectomy with bilateral salpingo-oophorectomy. Histopathologic, immunohistochemical, bone marrow examination, and other relevant examinations established the diagnosis of primary ovarian plasmacytoma with kappa light chain restriction. No evidence of malignancy in the omentum and ascitic fluid was detected. The patient did not need postoperative chemotherapy or radiotherapy, and 6-month follow-up was uneventful. Due to the scarcity of information on these extremely rare tumors with abdominal masses, the diagnosis should be considered if complete surgical resection is achieved and no evidence of multiple myeloma is found.
      Citation: Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):227-230
      PubDate: Thu,16 Dec 2021
      DOI: 10.4103/ijmbs.ijmbs_132_20
      Issue No: Vol. 13, No. 4 (2021)
       
  • Severe hyperglycemia in an insulin-deficient patient with type 2 diabetes
           responding well to oral antidiabetic therapy

    • Authors: Akrem Y M. Elmalti, Mamoun Mukhtar, Sijomol Skaria, Wafa Harbagi
      Pages: 231 - 235
      Abstract: Akrem Y M. Elmalti, Mamoun Mukhtar, Sijomol Skaria, Wafa Harbagi
      Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):231-235
      Type 2 diabetes mellitus (T2DM) is a chronic, progressive disease characterized by a steady decline in beta-cell function and insulin resistance. As a result, most patients with T2DM may require treatment with insulin after 15–20 years of diagnosis. Various pathophysiological defects were identified leading to hyperglycemia, including reduced insulin secretion due to beta-cell failure. They reduced beta-cell mass and a defect in insulin secretion, which leads to a relative insulin deficiency in these patients requiring insulin treatment. Most international guidelines recommend starting insulin treatment in patients with poor glucose control, mainly if the glycated hemoglobin (HbA1c) is above 9% with the presence of symptoms, especially in relatively newly diagnosed patients with T2DM. We present a 45-year-old patient with T2DM of 5 years duration who attended our center with severe hyperglycemia with evidence of insulin deficiency both clinically and biochemically, who responded well to oral antidiabetic agents achieving adequate glycemic control.
      Citation: Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):231-235
      PubDate: Thu,16 Dec 2021
      DOI: 10.4103/ijmbs.ijmbs_3_21
      Issue No: Vol. 13, No. 4 (2021)
       
  • Challenges in the diagnosis and management of gaucher's disease in a
           young adult libyan arab female

    • Authors: Nada B Fawaris, Mohamed E Esaadi, Ali Tumi, Aisha M Elhamedi, Ahmed Al Montasir
      Pages: 236 - 239
      Abstract: Nada B Fawaris, Mohamed E Esaadi, Ali Tumi, Aisha M Elhamedi, Ahmed Al Montasir
      Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):236-239
      Gaucher's disease is a rare lysosomal storage disease that can present with a wide range of clinical symptoms according to type and severity, ranging from mild general wellbeing, organomegaly, pancytopenia, neurological symptoms, lung involvement, and even death, making the diagnosis and work up challenging to reach a diagnosis. We report a Libyan Arab female presented with bruises after minor trauma, bone aches, and fatigue. A 35-year-old female from Libyan–Arab ethnicity attended the hematology clinic complaining of bruises after minor trauma, bone aches, and undue fatigability. She mentioned and evident from her medical record that she has been suffering from these complaints for 5 years and does not have any definite diagnosis. Mild splenomegaly was the only finding on clinical examination this time. There was no fever and no lymphadenopathy. Thrombocytopenia with a platelet count 90 × 10 and quot; 3/ml, and splenomegaly of 16 cm was found on investigations. She was diagnosed with cryptogenic thrombocytopenia, and she was advised for a follow-up visit. Our patient attended a follow-up visit twice in the next 18 months with similar complaints of manageable bruising, bone pain, and fatigability. Hematology reports showed thrombocytopenia in each visit. An ultrasonogram of the abdomen revealed a gallbladder stone and spleen have a size of 17 cm. Bone marrow biopsy was done, and a blood test confirmed glucocerebrosidase enzyme deficiency. Considering the diagnosis of Gaucher's disease, treatment with imiglucerase infusion was started. Unfortunately, she failed to continue the treatment due to a shortage of supply of the medication. A few months later, she got pregnant and developed threatened abortion, which ended with a miscarriage. This case illustrates the need to consider this disease in the differential diagnoses when dealing with unexplained thrombocytopenia, anemia, hepatomegaly, and splenomegaly. There are several challenges in the diagnosis and treatment of Gaucher's disease, particularly in resource-limited settings.
      Citation: Ibnosina Journal of Medicine and Biomedical Sciences 2021 13(4):236-239
      PubDate: Thu,16 Dec 2021
      DOI: 10.4103/ijmbs.ijmbs_74_21
      Issue No: Vol. 13, No. 4 (2021)
       
 
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