Annals of Innovation in Medicine

Testicular Trauma In A Tertiary Hospital In The Metropolitan Re-gion Of Paraíba Valley, Brazil

João Marco Braz Scarpa Mariano Pereira — 2024-12-12

Testicular trauma is a cause of morbidity in patients of all age groups, especially among young people. The Paraíba Valley Regional Hospital (PVRH) is a reference in the care of polytraumatized patients and because it is located in a strategic region being cut by major highways. A retrospective analysis of the medical records of patients submitted to unilateral orchiectomy, bilateral orchiectomy and scrotum exploration was performed at the PVRH in a period of 4 years. Within this database, 11 patients submitted to these procedures due to traumatic etiology were found. Orchiectomy was the predominant treatment in the case series reported here (72.7%). The therapeutic approach adopted in this study differs from that reported in the literature, due to the time taken from the trauma until the therapeutic conduct was long, only 36.4% with treatment within 24 hours, thus making more conservative or even more reparative conducts unfeasible, as well as the severity of the injuries involved with the trauma with motorcycles Thus, studies that lead to the detailing of patients victims of testicular trauma in other institutions may contribute to a positive evolution in the quality of pre- and in-hospital care.

Enhancing Employee Responsiveness to Non-Communicable Diet Related Diseases and Customer Satisfaction in Port Harcourt Quick Services Restaurants

Opubo Clifford Opusunju — 2024-12-12

The aim of this study of is to investigate the impact of employee responsiveness on non-communicable diet-related diseases and customer satisfaction in quick service restaurants. This descriptive study was conducted in Port Harcourt, Rivers State, Nigeria with the following quick-service restaurants (QSRs), Kilimanjaro, Genesis Fast-food Restaurants, Chicken Republic, Kentucky Fried Chicken Fast-food, and Domino’s Pizza. 206 participants from 20 years and above representing a diverse demographic comprising male and female. The gender distribution of respondents showed a slight male majority (56.3%), with females making up 43.7%, percentage distribution of age 38.3% (31-40), 35.4% (21-30) age group, 99.0% had tertiary education, 80.6% visited QSRs monthly, with Kilimanjaro being the most popular (37.9%), followed by Genesis and Chicken Republic. The impact of employee responsiveness on consumer satisfaction in quick service restaurants, focusing on non-communicable diet-related diseases based on gender, the t-test result shows no significant difference between male and female responses. Independent t-test of customers' recommendations for improving Quick Service Restaurants' responsiveness to Non-Communicable Diet-Related Diseases showed statistical significance with female having higher ratings. The mean ratings across different age groups on how employee responsiveness affects customer satisfaction was not statistically significant 51-60 age group was highest while <21 age group was lowest and ANOVA result showed no statistical significance across age groups How different age groups rated their recommendations for improving responsiveness to diet-related diseases. <21 and 21-30 age groups have the highest mean ratings >60 groups gave the lowest rating with statistical significance.

Neurological and biochemical impacts of datura metel hydroeth-anolic seed extracts on the hippocampus and cerebellar cortex of apparently healthy adult rats

God'sman Eberechukwu — 2024-11-12

Datura is a well-known toxic plant, and several cases of death due to Datura intoxication have been reported. It has been documented as a plant with hallucinogenic properties. This study aimed to determine the biochemical and neurological effects of hydroethanolic seed extracts of Datura metel on the hippocampus and cerebellar cortex of adult rats. Twenty-five adult rats were assigned into five (5) groups (A, B, C, D, and E). Group A served as the negative control, and B served as the positive control, administered with lead acetate. While groups C, D and E were treated with 150mg/kg, 300mg/kg, and 600mg/kg body weight of the seed extracts. The animals were humanely sacrificed after 14 days of exposure. Haematoxylin, eosin stain, and immunohistochemical staining were carried out for neurofilament proteins (NFP) and neuro-specific enolase (NSE). Brain tissues for biochemical analysis were homogenized, and the level of superoxide dismutase (SOD), catalase, malondialdehyde, and glutathione S-Transferase were measured. Results showed a non-statistically significant increase in SOD, catalase, and GST. However, there was a statistically significant decrease in the level of MDA. Oral administration of hydroethanolic seed extracts of Datura metel in adult rats created changes in the histology of the hippocampus and cerebellar cortex of the rats, such as perineural vacuolation and apparent reduction in neuronal cells. The results of the immunohistochemical investigation point to a dose-dependent increase in NFP, while NSE was markedly expressed.

SMS Medicine: Revolutionizing Healthcare Delivery through Mobile Technology

Md. Ziaur Rahman — 2024-11-27

In the contemporary era, digital technologies have significantly transformed the medical sector, enhancing accessibility and efficiency through advanced connectivity. Telemedicine, a pivotal advancement in medical science, facilitates remote diagnosis and treatment via telephones and other digital devices. Among various telemedicine modalities, Short Message Service (SMS) medicine emerges as a particularly effective method for delivering healthcare services over long distances using mobile technologies. This paper explores the transformative potential of SMS medicine in healthcare delivery, particularly in low-resource settings and during emergencies such as the COVID-19 pandemic, where it served as a critical tool in maintaining patient care while minimizing physical contact. Through a comprehensive literature review and analysis of case studies, the study highlights the benefits of SMS medicine, including cost-effectiveness, scalability, improved medication adherence, chronic disease management, and enhanced patient-provider communication. Additionally, the integration of SMS with web and mobile applications, such as MDLIVE and Updox, demonstrates increased flexibility and accessibility for patients, especially in rural areas. However, the implementation of SMS medicine is not without challenges, including data privacy concerns, technological limitations, disparities in mobile phone access, and the need for effective integration with existing healthcare systems. The paper also discusses future directions, emphasizing the potential integration of artificial intelligence (AI) and the Internet of Things (IoT) to further enhance personalized medicine and real-time health monitoring. By addressing these challenges and leveraging SMS’s strengths, SMS medicine can bridge critical gaps in healthcare access and delivery, offering sustainable and inclusive solutions for diverse populations. This research underscores the significance of SMS medicine in revolutionizing healthcare systems, particularly in resource-limited environments.

Wunderlich syndrome secondary to renal artery angioplasty: A case report

Karen Kallás Pinto — 2024-11-12

Wunderlich syndrome is an uncommon pathology that is characterized by spontaneous hemorrhage in the subcapsular and perirenal spaces. We present the case of a 76-year-old woman who developed abdominal pain associated with hypotension after undergoing percutaneous transluminal angioplasty (PTA), with stenting in the right renal artery by means of puncture of the left brachial artery. An extensive retroperitoneal hematoma was identified on emission tomography in the topography of the right kidney, thus corroborating the diagnostic hypothesis of the aforementioned syndrome. As an outcome of the case, a surgical reapproach was required to drain a hematoma and hemostatic suture to resolve the condition.