ajmsi: A Pathfinder

This is a computer-generated pathfinder created against the Distant Reader study called ajmsi.

Each Distant Reader study carrel is composed of many individual items. Each item is bibliographically described with author, title, date, summary, and keyword values. Below is a list of the items' most signficant keywords as well as lists of the items themselves. Purpusing the content of this pathfinder provides the student, researcher, or scholar with one way to get their heads around the scope of the carrel. The keywords include:

Treatment; Health; Disease; Women; Age; Participants; Patient; Review; Data; Studies; Respondents; Children; Management; Group; Case; Diagnosis; Prevalence; Care; Healthcare; Heart; Diabetes; Knowledge; Infertility; Tuberculosis; Type; Blood; Table; Cases; Surgery; Tumors; Results; Imaging; Kidney; Rates; Fertility; Amoebiasis; Bodies

Depending on how this pathfinder was created, many of the bibliographic sections will include elaborations on the meaning(s) of the given keywords. These elaborations were generated by feeding the items' summaries to a large langauge model and asking the model to address the question, "What is X?", where "X" is the keyword. The result will be a few sentences of elaboration. Be forewarned. The elaborations are often plausible, but they should not be take as truth. Instead, they should be taken as points for consideration.

• Knowledge of Diabetes Mellitus Among the Outdoor Patients in Upazilla Health Complexes Under Jhalakati District of Bangladesh by Akter, Layla Azmin (2023) - The objectives of this study are to explore the socio-demographic history and knowledge level of the patients about risk factors as well as treatment and preventing ways of diabetes mellitus among the outdoor of Upazilla Health Complexes under Jhalakati District. Many respondents knew about the screening tests of diabetes (65). Keywords: bangladesh; diabetes; diabetes mellitus; distribution; health; knowledge; mellitus; patients; respondents; study; treatment; type
• Effects of Mobile Phone Tele-Reminder on the Prevalence of Malaria and Antenatal Care Satisfaction among Pregnant Women Availing Antenatal Care at Phebe and Charles B. Dunbar Hospitals, Bong County, Monrovia-Liberia A Cluster-Randomized Controlled Trial by Kezelee, Washington; Africa, Leila S; Barba, Corazon V C; Bustos, Angelina R; Arboleda, Mark Bondi (2023) - Using a mobile phone application, Odetola & Okanlawon (2016) evaluated the effects of a nursing intervention on the uptake of antenatal care, tetanus toxoids, and malaria prevention among pregnant women in Nigeria. As there was a possibility that pregnant women receiving antenatal care at Phebe Hospital might be close relatives of pregnant women receiving antenatal care at Charles B. Dunbar Hospital, we decided to conduct a cluster randomized controlled trial. Keywords: antenatal; care; control; group; health; intervention; liberia; malaria; participants; pregnancy; study; treatment; women
• Does Mobile Phone Tele-Reminder Increased Iron Status and Diet Quality of Pregnant Women Availing Antenatal Care Services at Phebe and Charles B. Dunbar Hospitals Bong County, Liberia A Cluster Randomized Control Trial by Washington, Kezelee; Leila, S Africa; Corazon, V C Barba; Angelina, R Bustos; Mark, Dondi Arboleda (2023) - Secondary outcome measures were adherence to daily iron and folic acid supplementation and prevalence of anemia among pregnant women with malaria infection. Pregnant women assigned to the intervention group had a significantly greater mean hemoglobin level after the two interventions, t (2.4) = 447, p<0.05; d = 0.23). Keywords: anemia; antenatal; baseline; care; control; group; health; hemoglobin; intervention; iron; participants; pregnancy; study; treatment; women
• Breast Cancer in Elderly Females by Abasher, Mona Mahmoud; Sidahmed, Amal Abdelhakam; Abdelmoniem, Asjad; Ahmed, Hyffa Osman Mohamed (2023) - Breast cancer ranks as the second leading cause of cancer-related mortality among women. Almost 1 in 7 women will experience the onset of breast cancer during their lifetime. Keywords: breast cancer; carcinoma; cells; et al; journal; research; review; risk; stage; therapy; treatment; women
• The Incidence of Head and Neck Cancer in East Sudan by Abasher, Mona Mahmoud; Sidahmed, Amal Abdelhakam; Abdelmoniem, Asjad; Mohamed Ahmed, Hyffa Osman (2023) - This review aims to provide an updated and detailed overview of the incidence of head and neck cancer in the eastern region of Sudan, focusing on studies conducted between 2018 and 2023. By increasing the number of head and neck surgeons in East Sudan and providing them with the necessary training, the region can improve its capacity to accurately stage head and neck cancers, leading to more effective treatment decisions and improved patient care. Keywords: advancements; cancer; east; factors; head; neck; neck cancer; risk; sudan; treatment
• CRISPR-Cas9 Genomic Editing as an Innovation in the Management of Sickle Cell Disease: A Systematic Review by Ikwuka, Aloysius Obinna; Musa, Solomon; Udeh, Francis Chigozie; Musa, Abdullahi Adobanyi; Chukwuezie, Ugo Collins (2023) - Searches for current clinical trials using CRISPR-Cas9 as intervention were conducted by using the search terms such as sickle cell disease, genomic editing, genetics, novel treatments, hematopoietic stem cell transplantation, gene therapy, and CRISPR-Ca9. In this systematic review, a comprehensive analysis of the current state of research on CRISPR-Cas9 for the treatment of sickle cell disease (SCD) was conducted. Keywords: cas9; cell; cell disease; crispr; disease; editing; gene; genomic; ikwuka; patients; review; scd; sickle; sickle cell; stem; treatment
• Systematic Review: Impact of Vitamin C, Hydrocortisone, and Thiamine Therapy on Sepsis and Septic Shock Patients by Al-Khaldi, Manal Rashid (2023) - Intravenous vitamin C, corticosteroids, hydrocortisone, and thiamine prevent organ failure, reduce vasopressor use, and decrease mortality in severe Sepsis and septic shock patients. Moreover, severe Sepsis and septic shock patients may benefit from vitamin C, corticosteroids, and thiamine combination. Keywords: et al; hydrocortisone; patients; research; review; sepsis; shock; studies; therapy; thiamine; treatment; vitamin c
• Overcoming the Challenges of Prolonged Ventilation and Critical Illness Polyneuropathy in Severe ARDS Patients Due to Extensive Viral Pneumonia: A Case Report by Ahmed, Mohamed Elsamman (2023) - Pa ge 1 Pa ge 19 2 American Journal of Medical Science and Innovation (AJMSI) Overcoming the Challenges of Prolonged Ventilation and Critical Illness Polyneuropathy in Severe ARDS Patients Due to Extensive Viral Pneumonia: A Case Report Mohamed Elsamman Ahmed1* Volume 2 Issue 2, Year 2023 ISSN: 2836-8509 (Online) DOI: https://doi.org/10.54536/ajmsi.v2i2.2141 https://journals.e-palli.com/home/index.php/ajmsi Article Information ABSTRACT Received: October 10, 2023 Accepted: November 05, 2023 Rittayamai, N., & Brochard, L. J. E. R. R. (2015). Keywords: ards; case; lung; management; patient; pneumonia; therapy; treatment; ventilation
• Management of Procedural Pain in Pediatric Burnt Patients: A Review by Elsadek, Haitham ELsayed (2024) - Non-opioid analgesics, such as acetaminophen and NSAIDs, are beneficial in treating burn pain due to their advantages and side effects (Pietsch et al., 2023). However, non-pharmacological approaches can help manage burn pain when used alongside regular pharmaceutical care (Eijlers et al., 2019). Keywords: anxiety; burn; burn pain; care; children; et al; injuries; management; pain; pain management; patients; pediatric; review; studies; treatment
• Gram-Negative Bacteremia: Epidemiology and Antimicrobial Resistance in Qatar by Shaukat, Adila; Chaponda, Masautso; Al-Wali, Walid; Maher, Farah; Al-Balushi, Sara; Maliyakkal, Abdulmajeed; Elhakeem, Israa; Al-Saadi, Tahani; Omrani, Ali; Al Maslamani, Muna (2024) - Sathya Kumar, A. M., George, M. M., Bhanuprasad, K., John, G. M., Korula, A., Abraham, A., Mathews, V., Kulkarni, U. P., Shankar, C., & Premkumar, P. S. (2023). Figure 3: Common sites of infection in gram-negative bacteremia cases Table 4: Description of bacterial isolates Organisms Count Percentage (%) Keywords: bacteremia; days; et al; gram; infections; mortality; non; patients; resistance; study; treatment
• Systematic Review on Current Managements of Irritable Bowel Syndrome by Complementary and Alternative Medicine by Rana, Md. Rakib Rased; Maniruzzaman, Md; Ali, Md. Sumon; Hossen, Md. Monoar; Hasan, Md. Nahid; Rony, Md. Hadisur Rahman; Siam, Saklain Mostak; Atik, Mst. Sajida; Alam, Juyairia; Hridoy, Md. Shihabur Rahman; Chowdhury, Kaisar Ahmad; Shohag, Al Mamun (2024) - A systematic review evaluates CAM efficacy, safety, and mechanisms for IBS treatment to identify gaps and guide future research. Overall, the evidence quality for CAM in IBS treatment was considered low, underscoring the need for high-quality trials to further explore their effectiveness (Hussain & Quigley, 2006). Keywords: acupuncture; bowel; bowel syndrome; cam; efficacy; et al; ibs; medicine; patients; review; study; symptoms; syndrome; therapies; treatment
• Systematic Review and Meta-Analysis of Surgical Versus Non-Surgical Management for Varicocele: Comparative Evaluation of Fertility Outcomes and Complication Rates by Shinnwai, Ahmed El (2024) - The provided studies offer compelling evidence that surgical Varicocele treatment, known as Varicoceleectomy can significantly improve fertility outcomes in men with varicocele and abnormal semen parameters. Surgical Varicocele treatment, such as Varicoceleectomy, has been shown to significantly improve fertility outcomes in men with varicocele and abnormal semen parameters. Keywords: analysis; et al; fertility; management; outcomes; rates; studies; treatment; varicocele
• Impact of Unrestricted Drug Use on Psychiatric and Behavioral Disorders: Exploring Mental Health Effects in the United States by Onajite Ernest-Okonofua, Excel; ibadin, Franklin; Sufu Mahmud, Aminu; Theodora Abengowe, Ifeoma; Great Oyiborhoro, Ogheneyemarho (2025) - Drug use occurs in a variety of population’s but have higher prevalence rates and barriers to treatment in young adults, and marginalized communities (Mongelli et al., 2020). Together these different deterrents add to the stigma surrounding mental health and drug use, which discourages individuals from seeking help, and especially in underserved communities with few mental health services (Drew & Martin, 2021). Keywords: abuse; disorders; drug; drug use; health; participants; public; study; substance; substance use; treatment; use
• Analysis on the Effect and Safety of Baihe Wuyao Xiexin Decoction in Treating Reflux Esophagitis by Wang, Hui; Xu, Siyan; Ge, Yutong; Gu, MinMin; Ye, Meng; Liu, Panpan (2025) - Meta-analysis of the efficacy of Banxia Xiexin Decoction and Western medicine in the treatment of reflux esophagitis. Effect of Banxia Xiexin Decoction combined with Sini San in the treatment of reflux esophagitis. Keywords: decoction; effect; esophagitis; group; medicine; reflux; treatment; xiexin
• Atypical Femur Fractures in Post-Menopausal Patients Taking Bisphosphonates and Their Indication When to Start after Holiday Period of 5 Years and Its Effects by Azeem, Imran; Gilchrist, Susan; Dosani, Kiran; Broderick, James; Hurson, Conor (2025) - Although atypical femur fractures (AFFs) are uncommon, they are associated with dangerous complications of long-term bisphosphonate therapy. The review examines bisphosphonate- related medical issues in postmenopausal women with atypical femur fractures. Keywords: bisphosphonate; bone; et al; femur; fractures; osteoporosis; postmenopausal; risk; studies; therapy; treatment
• Indications and Outcome of Surgical Treatment of Crohn’s Disease in Gastroenterology and Hepatology Hospital by Alturfi, Raafat Raoof; Al Khazraji, Zakaria Yahia (2025) - The role of fecal diversion (ileostomy) is important in plan of surgical management of Crohn disease especially in malnourished patients and long term of steroid therapy. Crohn disease: Pathophysiology, diagnosis, and treatment. Keywords: crohn; disease; patients; resection; surgery; treatment
• Evaluation of Domestic Wastewater Management and the Future Potential for Diverse Technologies in Luangprabang City by Sidlakone, Sengsavath; Ichiki, Atsushi (2025) - In a study, Starkl et al. (2022) assessed the sustainability of wastewater treatment systems in developing countries. The effectiveness of wastewater treatment systems varies across technologies. Keywords: benefit; cap; cost; data; development; economic; johkasou; management; sludge; study; systems; tank; technologies; treatment; wastewater; wastewater treatment; wetlands
• Artificial Intelligence Applications in the Diagnosis and Treatment of Bacterial Infections by Kaur, Sarabjit (2025) - Figure 2: depicts that different mode of AI diagnosis process Figure 3: illustrate the shape of the bacteria diagnosis and how AI tools detect it AI Techniques Used in Bacterial Struture Detection Machine Learning a. K-nearest neighbors (k-NN). Drug activity prediction: AI models help the researchers to rundown the drug and excipients. Keywords: algorithms; bacteria; data; detection; diagnosis; diseases; drug; et al; help; identification; images; infection; information; intelligence; learning; machine; models; patient; research; resistance; techniques; time; treatment
• A Review on the Management of Strontium-90 Waste in Medical Facilities by Mansaray, Hassan; Kamara, Saidu (2025) - The Use of Graphene Oxide Membrane (GO) Method to Remove of Sr(II) From High Liquid Waste Many researchers have reported the separation of radioactive strontium waste using Graphene Oxide (GO) membrane method (Wei et al., 2024; Xing et al., 2019). Radioactive waste is any material that contains or is mixed with a radionuclide that poses a radiation level that exceeds the IAEA recommended level or that of a national regulatory body. Keywords: bone; environment; et al; journal; management; medicine; ninety; radiation; review; strontium; strontium-90; treatment; waste
• Preclinical Use of Group I Metabotropic Glutamate Receptors (Group I mGluRs) for Ischemic Stroke: Systematic Review and Meta-Analysis by Rahman, Md. Saidur; Hasan, Md. Khalid; Khan, Md. Sajal (2025) - Several outcomes, including infarct volume of agonist and antagonist interventions and neuroprotection, neuronal loss, and neurological score of antagonist intervention, significantly favor the treatments, according to this meta- analysis, which primarily looked at preclinical studies of group I mGluRs agonist and antagonist in the treatment of animal ischemic stroke. However, SYRCLE’s risk-of- bias tool for animal studies identified potential bias. Keywords: analysis; antagonist; effect; group; interventions; mglurs; size; smd; stroke; studies; treatment

• Assessment of Breast Cancer Awareness Among Women of Reproductive Age in Akure South Local Government Area of Ondo State by Mojisola, Omotayo Lydia (2023) - The prevalence of breast cancer among women in Ondo state, south western partof Nigeria is on the high side from the clinical records of confirmed breast cancer patients, between March 2013 and April 2019 attending the oncology outpatient clinic at University of Medical Sciences Teaching Hospital, Akure, Ondo State, Nigeria, reproductive women younger than 40 years constitutes 37.5% of the sample population of 20-89 years while those older accounted for 63.5% General Objective of the study This is to assess breast cancer awareness among women of reproductive age in Akure South Local Government Area of Ondo State. Assessment of Breast Cancer Awareness Among Women of Reproductive Age in Akure South Local Government Area of Ondo State Omotayo Lydia Mojisola1* Volume 2 Issue 1, Year 2023 https://journals.e-palli.com/home/index.php/ajmsi Article Information ABSTRACT Received: February 02, 2023 Accepted: March 02, 2023 Published: March 06, 2023 Incidence of breast cancer is increasing worldwide. Keywords: age; akure; awareness; breast; breast cancer; cancer; government; health; south; women
• Job Satisfaction of Health Professionals Working in Governmental Tertiary Level Hospitals of Nepal by Rokka, Damodar; Khanal, Namrata (2023) - E. Spector (1997) has been mainly used to measure job satisfaction level of healthcare employees of public hospitals. The extent to which an individual feels self-motivated, content & satisfied with his/her job is job satisfaction. Keywords: care; health; healthcare; job; job satisfaction; level; nepal; participants; professionals; public; satisfaction; study; workers
• Impact of COVID-19 on Mental Health of the Health Care Workers: A Cross sectional Study at Sher- E- Bangla Medical College Hospital, Barishal by Akter, Layla Azmin; Md. Nazrul Islam, Md. Nazrul Islam; Khan, Arif-uz-zaman (2023) - Mental health is defined as a person’s emotional, psychological, and social well-being (Agha, 2021). In addition to examine the relationship between socio-demographic characteristics and mental health related disorders among the respondents. LITERATURE REVIEW This section reviewed existing literature on the impact of COVID-19 on mental health among the HCWs related to COVID-19, generalized anxiety disorder, patients’ loneliness, sleep disorder and demographic characteristics. Keywords: anxiety; covid-19; depression; health; healthcare; medical; pandemic; respondents; study; workers
• Influence of Covid-19 Pandemic on Prenatal Care Utilization and Birth outcome - Qualitative Systematic Review Protocol by Alhussain, Khulud; Alhussain, Fatimah; Mirasol, Jasmine; Alotaibi, Najla (2023) - Describe planned method of extracting data from reports (such as piloting forms, done independently, in duplicate), any processes for obtaining and confirming data from investigators Data items 12 List and define all variables for which data will be sought (such as PICO items, funding sources), any pre-planned data assumptions and simplifications Outcomes and prioritization 13 List and define all outcomes for which data will be sought, including prioritization of main and additional outcomes, with rationale Risk of bias in individual studies 14 Describe anticipated methods for assessing risk of bias of individual studies, including whether this will be done at the outcome or study level, or both; state how this information will be used in data synthesis Data synthesis 15a Describe criteria under which study data will be quantitatively synthesised 15b If data are appropriate for quantitative synthesis, describe planned summary measures, methods of handling data and methods of combining data from studies, including any planned exploration of consistency (such as I2, Kendall’s τ) 15c Describe any proposed additional analyses (such as sensitivity or subgroup analyses, meta-regression) 15d If quantitative synthesis is not appropriate, describe the type of summary planned Meta-bias(es) 16 Specify any planned assessment of meta-bias(es) (such as publication bias across studies, selective reporting within studies) Confidence in cumulative evidence 17 Describe how the strength of the body of evidence will be assessed (such as GRADE) The main search terms for this study include ‘Covid-19’ ‘Pandemic’ ‘prenatal care’ ‘perinatal care’ ‘antenatal care’ ‘Expectant mothers’ ‘pregnant women’ ‘maternal health’ ‘neonatal health’ ‘experiences’ ‘perceptions’ ‘access to health care’ ‘barrier’ ‘challenge’ ‘health care system’ ‘disruptions’ Search terms are matched with the appropriate Boolean operators (‘OR’ ‘AND’ ) to connect the search as well as medical subject headings (MESH) terms. Keywords: care; covid-19; data; health; healthcare; mothers; pandemic; protocol; research; review; studies; study; synthesis; women
• Relationship between Social Media Use and Sleep Disturbance among Adults in Afghanistan by Khpalwak, Abdul Tawab; Hamidi, Mohammad Salim (2024) - ¾ participants reported a strong urge to use social media. 68% of participants identified social media as a problem. Keywords: health; media; media usage; mental; participants; quality; sleep; study; usage; use
• Dravet Syndrome from Dental View: A Case Report by Al-Qahtani, Maha Saleh (2024) - Future Recommendation Further research can explore different dental dimensions of Dravet Syndrome pediatric patients; a database can be collected to develop awareness for common signs and symptoms, tackle other interconnected factors which arise due to dental problems, assess oral health complications, and develop targeted preventive measures that can come into existence. This case report aims to enhance understanding and treatment of Dravet Syndrome concerning dental health, contributing to medical knowledge and emphasizing the signifi cance of tailored dental approaches for optimal patient outcomes. Keywords: dravet; health; patient; problems; syndrome; teeth
• Prevalence, Patterns and Peculiarities of Depression among Tuberculosis Patients Attending Directly Observed Treatment Short-course (DOTS) Centers in Lagos State Nigeria by Okoro, Lilian Chinonso; Odukoya, Oluwakemi; Ikwuka, Aloysius Obinna; Udeh, Francis Chigozie (2024) - The aim of this research was to assess the prevalence, patterns and peculiarities of depression among TB patients attending Directly Observed Treatment Short course (DOTS) centers in Lagos State, Nigeria. Depression among TB patients is real as one in every two TB patients is depressed. Keywords: a. o.; depression; diabetes; health; ikwuka; mellitus; nigeria; patients; respondents; study; tuberculosis; type
• Understanding Hypertension Prevalence among Starving Young Adults in Conflict-Affected Sudan by Ali, Amani A; Ali , Y H; Abdellatif, M M; Rikabi, Hind A; Soomro, Samreen; El-Karim EM, Abd; Ghadi, M M; Ishraga, A A (2024) - Statistical analyses revealed a significant association between starvation-related factors and hypertension prevalence, with a history of hypertension, inadequate nutrition, and food insecurity emerging as key predictors. Additionally, starvation had a direct impact on hypertension prevalence, factors like, less nutritional intake, significant weight lost and food insecurity showing co-efficient -02.9, 0.31 and 0.25 respectively. Keywords: food; health; hypertension; individuals; pressure; prevalence; starvation; stress; study; table
• Attributes Associated with Burnout among Pediatric Residents in Training Hospitals of Central Visayas by Corpuz, Ellaine Shiela Marie; Escobar-Buot, Michelene E; Wagas, Mary Ann A (2024) - Pediatric resident burnout is multifactorial and recent evidence has shown that burnout may begin as early during medical school and into residency period. RECOMMENDATIONS Pediatric resident burnout is multifactorial and based on the findings of the study, the researcher recommends a proposed comprehensive training plan that is developed and tailored specifically for pediatric resident physicians in Central Visayas, Philippines. Keywords: anxiety; burnout; depression; distress; factors; health; level; profile; residency; residents; respondents; study; training; work; year
• Exercise Among Pregnant Females in Antenatal Clinic in Tabuk, Saudi Arabia, Prevalence and Barriers by Alatawi, Zinab; Aljohani, Shumukh Saleem S.; Aljuhani, Walaa Fahad; Alomrani, Nadia Abdualla S.; Alanazi, Ghadah Ali R.; Yousuf, Maisaa Mokhtar M.; Alhawiti, Nada Saleem S.; Alanazi, Laila Abdullah S.; Alatawi, Atheer Mansour E. (2025) - The study highlighted the importance of promoting physical activity among pregnant women, emphasising the need for tailored interventions to improve maternal and fetal well-being. Pregnant women were traditionally advised to avoid participating in physical activity because of potential health risks. Keywords: activity; et al; exercise; health; participants; physical; pregnancy; saudi; study; women
• Perception of Asaba People in Delta State Nigeria towards National Community Response to Covid-19 by Orofuke, Ngozi G.; Ighosewe, Ayirioritse P.; Elusoji, Christiana I.; Ofonakara , Uzochukwu; Eze, Matthew Chindeum; Ofili, Charles C.; Otutu, Michael O.; Ohanme, Eugene O. (2024) - Yes 552 93.7 No 8 1.4 Maybe 29 4.9 Table 3: Mean score of COVID-19 knowledge in relation to attitude and perception towards preventive measures and national response Attitudes towards preventive measures, perception towards national response Mean score Std. The study found a significant relationship between COVID-19 knowledge and positive attitudes (Adedeji-Adenola et al., 2022). Keywords: covid-19; government; health; knowledge; measures; national; nigeria; pandemic; public; respondents; response; study
• Evaluating Osteoporosis Risk Patterns and Prevalence in Adult of Bangladesh: Calcaneus Quantitative Ultrasound Measurements by Khandaker, Md. Alahi; Paul, Mukul Chandra; Saha, Shanta; Ferdausi, Rumana Yasmin (2025) - As the population is aging in Bangladesh, there is not enough information about bone health to guide public health strategies. Bangladeshis of all ages often have compromised bone health, including a higher risk in females, elderly people, diabetics and those with several health problems. Keywords: age; bone; health; osteoporosis; participants; population; prevalence; risk; status; years
• The Impact of War Trauma and Adverse Childhood Experiences in Bosnia and Herzegovina: The Case of the Srebrenica Genocide by Burić, Malik (2025) - When compounded by war trauma, their impact becomes substantially more severe. This review systematically examines research published between 1995 and 2023 on the combined effects of ACE and war trauma in Bosnia and Herzegovina, with a specific focus on the Srebrenica genocide. Keywords: ace; childhood; children; health; trauma; war
• The Prevalence of the Causes of Diseases, under a Cause-Effect Approach by Garza, Victor Alfonso Abuadili (2025) - Many diseases are due to biofrequency disturbances; diseases are due to the confusion of bioenergy due to a disruptive connection. A small revolution in microbiology has discovered that many modern diseases are indeed related to the human microbiome (“microbiota” is the term used to refer to the collective of microorganisms that exist in the human body; “microbiome” is the genes that code for these Pa ge 13 0 https://journals.e-palli.com/home/index.php/ajmsi Am. Keywords: abuadili; atdm; author; causes; data; diseases; garza; health; metabolic; microbiome; people; stress; study; system

• Survival Rate Analysis of Heart Failure Patients at Arbaminch General Hospital, Southern Ethiopia, 2022 by Kumaso, Sebisibe Kusse; Erango, Markos Abiso; Anjullo, Belay Belete (2023) - As a result, physicians are encouraged to pay greater attention to heart failure patients. Significance of the Study By evaluating patient survival time, the findings of this research will reveal data regarding risk variables for the death of heart failure patients. Keywords: congestive; data; disease; failure; failure patients; general; heart; heart failure; hospital; patients; status; study; survival; time
• Morbid Obesity Associated with Non-Alcoholic Fatty Liver Disease and Complicated by Severe Non-Cirrhotic Portal Hypertension: A Case Report from Rural Kenya by Onyango, Vonwicks C; Makokha, Kenneth H; Gachie, Samuel M; Mutiso, Boniface; Mutuma, Nicholas M; Kamau, Paul M (2023) - Obesity (especially in the setting of metabolic syndrome) is a major risk factor for non-alcoholic fatty liver disease (NAFLD), in which patients have hepatic steatosis with or without inflammation and fibrosis and in the absence of a secondary cause of the steatosis (Younossi et al., 2011). Management and Follow-Up The patient was clinically diagnosed with morbid obesity associated with non-alcoholic fatty liver disease (NAFLD) and complicated with features of non-cirrhotic portal hypertension (splenomegaly with splenic sequestration, ascites, esophageal varices, and hemorrhoids). Keywords: disease; fatty; hypertension; liver; nafld; obesity
• Involvement of Restored Treg Cells in The Immune Pathogenesis of Parkinson’s Disease (PD) Running Title: Immune Pathogenesis of Parkinson’s Disease by Ibrahim, Ashraf Sobh (2023) - Cell stem cell, 24(3), 376-389. In old age, thymus degradation is associated with decreased precursors of T cell output, which reduces individuals’ activity in T cells. Keywords: age; cells; disease; immune; parkinson; t cells; thymus
• Complex Overlap Syndrome of Rheumatoid Arthritis and Systemic Lupus Erythematosus - A Therapeutic Breakthrough with Azathioprine by Dwai, Rana (2023) - They did not differ from RA patients but had higher CRP positive and ESR levels. Results showed that RA patients had similar quality of life as healthy individuals in some areas. Keywords: anti; arthritis; autoimmune; disease; lupus; patients; rheumatoid; rhupus; sle
• Understanding COVID-19 Pandemic, Impaired Smelling (anosmia) Incidence and Outcome among Patients in Dubai: Retrospective Study by Alsalem, Fateh Almohammad (2025) - Interestingly, nearly half of the patients (47.3%) noted the onset of anosmia preceding other COVID-19 symptoms, while 14.3% experienced it concurrently with different manifestations, and 37.8% reported its occurrence after other symptoms. While there was no significant correlation between anosmia and comorbidities, such as diabetes, hypertension, heart disease, lung disease, and thyroid disease, there was also no association observed between anosmia and other common COVID-19 symptoms, such as fever, cough, shortness of breath, and diarrhoea. Keywords: anosmia; covid-19; disease; loss; patients; smell; study; symptoms
• Involvement of Restored Treg Cells in the Immune Pathogenesis of Parkinson’s Disease (PD) Running Title: Immune Pathogenesis of Parkinson’s Disease by Ahmad, Faisal Alkhateeb; Mekkawy, Ahmed Mohamed; Ghoneim, Ahmed; Zahran, Ehab; Saad, Khaled; Ahmad, Ahmad Roshdy; Mahmoud, Khalid Hashim; Gad, Eman F.; Ezzat, Mohamed; Dailah, Hamad Ghaleb; Malek, Ahmed Nabil (2024) - Cell stem cell, 24(3), 376-389. In old age, thymus degradation is associated with decreased precursors of T cell output, which reduces individuals’ activity in T cells. Keywords: age; cells; disease; immune; parkinson; t cells; thymus
• Assessment of Bone Mineral Density in Cirrhotic Patients at Ibn Sina Hospital by Osman Bashir, Amjed Mohammed; Abu Alhassan, Hala Ibrahim; Taeb, Abdel Moneamal; Rahmansirag, Ismat Abdel (2025) - The present study provides insights into the incidence, risk factors, signs, prevention, and treatment of BMD in liver cirrhosis patients, defining osteoporosis or osteopenia. Characteristics Normal Osteopenia Osteoporosis P. value Gender Male 21 25 5 0.36141.2% 49.0% 9.8% Female 8 19 2 27.6% 65.5% 6.9% Age (Years) < 20 1 1 0 0.606 50.0% 50.0% 0.0% 20-30 4 3 0 57.1% 42.9% 0.0% 31-40 8 7 1 50.0% 43.8% 6.3% 41-50 4 11 0 26.7% 73.3% 0.0% 51-60 7 14 4 28.0% 56.0% 16.0% > 60 5 8 2 33.3% 53.3% 13.3% Origin Khartoum 12 9 0 0.072 57.1% 42.9% 0.0% Central 7 17 4 25.0% 60.7% 14.3% West 5 12 0 29.4% 70.6% 0.0% East 2 0 1 66.7% 0.0% 33.3% North 3 6 2 27.3% 54.5% 18.2% Table 5 analyzes the relationship between liver cirrhosis causes and DEXA findings. Keywords: bone; cirrhosis; density; dexa; disease; et al; liver; liver cirrhosis; mineral; osteoporosis; patients; study
• A Recent Diagnosis Of Systemic Lupus Erythematosus In A Male With A History Of Recurrent Pneumothorax And Cystic Bronchiectasis: A Case Report by Bakhsh, Rajaa; Dairi, Khaled; Almehmadi, Hanan; Alshareeif, Bashaeir; Albiladi, Amani; Husein, Alaa; Gamal, Lamyaa; Alsulimani, Turki; AlShariff, Fatmah (2024) - A large Swedish population-based register study of lung disease among SLE patients showed that bronchiectasis occurs at a higher rate in patients with SLE compared to the general population (Forbess et al., 2019). We have to keep in mind that measures for SLE disease activity like SLEDAI and BILAG do not encompass the full spectrum of lung disorders encountered in SLE patients. Keywords: bronchiectasis; chest; disease; erythematosus; lung; lupus; patient; pneumothorax; sle
• A Clinical Profile Observational Study in a Tertiary Care Hospital of Children with Atopic Dermatitis by Divakaran, Naveen; Joseph, Cherian (2025) - The present study aimed to describe the clinical aspects of children diagnosed with atopic dermatitis, fulfilling the Hanifin and Rajka clinical criteria, visiting outpatient clinics of pediatrics and dermatology. Also, the study had a specific objective of identifying the possible factors that could worsen atopic dermatitis among the participants in the study. Keywords: age; atopic; atopic dermatitis; children; dermatitis; disease; et al; food; patients; skin; study
• Effect of Maternal Heart Disease on Fetal and Maternal Outcome in Omdurman Maternity Hospital by Elhaj, Roaa Mohamed Ahmed; Keer, Zeinab Balla Ali; Kamil, Kameel Kamal; ElShafie, Sumia Mohammed (2025) - This study aims to determine the effect of maternal heart disease on fetal and maternal outcomes. The existence of maternal heart disease that leads to complications like postpartum hemorrhage, sepsis, infective endocarditis, and congestive cardiac failure, vector-borne diseases is presented in some studies in Sudan (Isogai & Kamiya, 2019; Suliman, 2011). Keywords: complications; disease; heart; heart disease; maternal; mortality; outcomes; patients; pregnancy; study; sudan; women
• A Clinical Profile Observational Study in a Tertiary Care Hospital of Children with Atopic Dermatitis by Divakaran, Naveen (2025) - The present study aimed to describe the clinical aspects of children diagnosed with atopic dermatitis, fulfilling the Hanifin and Rajka clinical and visiting outpatient pediatrics and derma. Also, the study had a specific objective of identifying the possible factors that could worsen atopic dermatitis among the participants in the study. Keywords: age; atopic; atopic dermatitis; children; dermatitis; disease; et al; food; patients; skin; study
• Indication of laboratory parameters for kidney diseases at King Fahad Medical City, Riyadh, Saudi Arabia by Alobaisi, Yousef Sultan; Anwar, Firoz; Dabour, Khaled; Almatham, Khalid; Alshahrani, Sultan; Alzahrani, Khalid A.; Ahmed, Yasir Awad; Alobaysi, Maher Mohammed (2025) - Indication of laboratory parameters for kidney diseases at King Fahad Medical City, Riyadh, Saudi Arabia Yousef Sultan Alobaisi1*, Firoz Anwar2, Khaled Dabour3, Khalid Almatham4, Sultan Alshahrani1, Khalid A. Alzahrani5 Yasir Awad Ahmed1, Maher Mohammed Alobaysi6 Volume 4 Issue 2, Year 2025 ISSN: 2836-8509 (Online) DOI: https://doi.org/10.54536/ajmsi.v4i2.5340 https://journals.e-palli.com/home/index.php/ajmsi Article Information ABSTRACT Received: June 02, 2025 Accepted: July 04, 2025 Published: October 22, 2025 End-stage renal disease (ESRD), chronic kidney disease (CKD), and acute kidney failure (AKF) are serious global health issues that contribute to high sickness and death rates. While a lot work has been done for the progression of biomarker research to highlight their usefulness in the early detection of kidney disease, there still remain substantial gaps in research especially for diverse populations of kidney diseases. Keywords: acute; biomarker; ckd; creatinine; disease; et al; failure; kidney; kidney disease; mean; patients; renal; stage; urea

• Prevalence of Joint Pain is Higher Among Housewives of Urban than Rural Housewives in Bangladesh by Chowdhury, Md Omar Sharif Ahmmed; Dhar, Supranto Sutra; Sikder, Mithun; Hossain, Arafath; Khatun, Most Rumpa (2023) - A sample was selected to assess and comparison of joint pain prevalence among 400 unemployed urban and rural housewives aged 25–60 years in Bangladesh. LITERATURE REVIEW Aoyagi K et al. (2020) conducts a study in Hawaii, Japan to find out that joint pain prevalence is higher in rural Japanese housewives than in urban Japanese- American housewives. Keywords: age; bangladesh; bmi; housewives; joint; pain; prevalence; study; urban; women
• Serum Levels of Thyroid Hormones in Infertile and Fertile Women Attending a Tertiary Care Hospital in North-Central Nigeria: A Comparative Reproductive Medicine Study by Aliu-Ayo, Halima Inya; Adesina, Kikelomo Temilola; Jimoh, Abiodun Akanbi Gafar; Ikwuka, Aloysius Obinna; Udeh, Francis Chigozie; Biliaminu, Sikiru Abayomi; Ayo, Olayinka Waheed (2023) - Pattern of thyroid dysfunction among infertile women and control (fertile) women Thyroid disorder Patients n (%) Control n (%) Total n (%) χ2/ t p-value Subclinical hypothyroidism 4 (7.5) 1 (1.9) 5 (4.7) 0.800 0.371 Overt (clinical) hypothyroidism 2 (3.8) 0 (0.0) 2 (1.9) NA Overt (clinical) hyperthyroidism 2 (3.8) 1 (1.9) 3 (2.8) 0.000 1.000 None 45 (84.9) 51 (96.2) 96 (90.6) 0.260 0.610 Total 53 53 106 χ2: Chi-square; NA: Chi-square not available because of zero ‘0’ value Pa ge 14 7 https://journals.e-palli.com/home/index.php/ajmsi Am. Table 3: Comparison of thyroid hormone levels of patients with infertility and the control (fertile) group Variables Patients Control U p-value TSH (mIU/mL) Mean ± SD 1.35±1.65 0.85±1.08 1149.000 0.064 Median (IQR) 0.80 (0.40-1.55) 0.60 (0.40-0.85) 0.105 fT3 (pg/mL) Mean ± SD 2.79±1.51 2.19±1.15 1062.500 0.023* Median (IQR) 2.40 (1.45-4.20) 1.70 (1.35-2.95) 0.031* fT4 (ng/dL) Mean ± SD Keywords: control; diabetes; disorders; ft4; group; hypothyroidism; ikwuka; infertile; infertility; journal; mellitus; patients; study; thyroid; tsh; type; women
• Attitude Towards Caesarean Section as a Delivery Option among Pregnant Women in Ogbomoso, Oyo State by Festus, Babarinde O (2024) - Caesarean section: Awareness, perception and acceptability of caesarean section amongst sub-rural Nigerian patients. Unfortunately, in developing countries like Nigeria, most of the maternal deaths during delivery may be attributed to refusal of caesarean section delivery (Sunday-Adeoye, & Kalu, 2011; Jeremiah, et. al., 2011). Keywords: age; attitude; delivery; delivery option; ogbomoso; option; oyo; section; state; women
• The Effects of Hepatitis Therapy and Virus Resistance on Pregnant Women: A Comprehensive Analysis by Qattan, Ilham T (2024) - Furthermore, research demonstrated that pregnant women with HBV infection tend to get preeclampsia and gestational diabetes in addition to hepatitis B infection during pregnancy; therefore, the extent of the problem should be investigated (Afraie et al., 2023). This study aims to provide a comprehensive analysis of the effects of hepatitis therapy and virus resistance on pregnant women. Keywords: hbv; hepatitis; hev; infection; liver; mother; pregnancy; study; virus; women
• Prevalence and Determinants of Gestational Diabetes Mellitus among Pregnant Women Attending Antenatal Care by Akter, Mos Najma; Ansari, M. A. S.; Mirza, Simonto; Hasan, Md Mehedi (2025) - This part of the study considers the correlation between familial diabetes history and GDM status of the study participants to determine the degree to which hereditary factors influence GDM risk in the Bangladeshi antenatal group. This strengthens the already made genetic aspect of GDM risk (Limbachia et al., 2022). Keywords: age; bangladesh; diabetes mellitus; et al; factors; gdm; history; pregnancy; prevalence; research; risk; study; women

• Cancer Genetic Markers Among School Children in Relation to Urogenital Schistosomiasis by Chinweike-Umeh, S N; Ekwunife, C A; Onwuachusi, G L (2023) - Pa ge 1 Pa ge 26 American Journal of Medical Science and Innovation (AJMSI) Cancer Genetic Markers Among School Children in Relation to Urogenital Schistosomiasis Chinweike-Umeh S.N.1, Ekwunife C.A.1*, Onwuachusi G.L1 Volume 2 Issue 1, Year 2023 https://journals.e-palli.com/home/index.php/ajmsi Article Information ABSTRACT Received: February 08, 2023 Accepted: February 26, 2023 Published: March 10, 2023 Chronic infection with urogenital schistosomiasis can lead to severe complications such as bladder cancer. The presence of these markers is an indica- tor that the children in the selected communities maybe at risk of developing bladder cancer in the future if the disease is not properly managed and controlled. Keywords: age; bladder; cancer; fgfr3; gapdh; haematobium; infection; markers; study; zhang
• Relationship between the Injury Location and Swallowing Difficulty among Stroke Patients, A Retrospective Cohort Study by Azzam, Rawan; Emam, Dina; Eldein, Mamoun Nor; Al-Mannai, Olfa (2024) - In recent years, the number of stroke patients in the world has increased, simultaneously increasing the cost of health care (Qiao et al., 2022). Studies employing magnetic resonance imaging (MRI) or computed tomography (CT) images of focal lesions in stroke patients have often focused on unilateral ischemic strokes affecting either hemisphere of the brain (Dehkharghani & Andre, 2017; Zameer et al., 2021). Keywords: age; association; dysphagia; mean; patients; phase; recovery; stroke; study; swallowing; time

• Quality of Counseling About Lifestyle Modifications and Complications of Hypertensive Patients, Sudan by Sahar , Moawia Balla Elnour; Ziryab, Zainelabdin Mohamed Elmahdi; Fatima, Hassan Salman Nasr; Samar, Moawia Balla Elnour; Ibtisam, Ali (2023) - The current study recommends educating doctors and especially SHOs through brief lectures about different aspects of lifestyle modification counseling and its importance for hypertensive patients. Patient counseling is a process that involves doctors, pharmacists or healthcare personnel who advise about the method of intake of medicine and precautions, either in the form of prescription or verbally, to patients, their family members or caretakers (Mináriková et al. 2019). Keywords: blood; complications; counseling; doctor; hypertension; medical; participants; patients; pressure; years
• Effects of Obesity in Male Fertility in Khartoum State by Idrees, Khadeeja Yahya Othman; Elhaj, Roaa Mohamed Ahmed (2024) - Due to difficulties in interpreting data from human studies, rodent models of male obesity have now been established to assess the impact of male obesity on sperm function, however it is necessary to be aware of the differences between species. These results are consisted with prior research indicating a troubling rise in male obesity among men of reproductive age, nearly tripling over the past three decades, coinciding with a global increase in male fertility rates. Keywords: bmi; et al; infertility; male; men; obese; obesity; participants; sperm; study
• Parents’ Knowledge, Attitude, and Misconceptions Towards Vaccination Practices for Their Children, as Determined by a Cross-Sectional Study in the City of Nalut, Libya by Bagni, Amira Saleh Khalifa; Aljerbi, Aminah Issa Masud; Askar, Huda Said Khalefah; Warragh, Nada Abdalhakim Ali; Alkhamaesi, Aya Mohammed Essa (2025) - According to the survey conducted in Georgia, the main reason for abstaining from vaccinations was the negative attitude towards vaccination (Verulava et al., 2019). The results addressed three axes: attitude towards vaccinations, knowledge of vaccination, and decision-making. Keywords: children; knowledge; level; parents; participants; practice; study; vaccinations; vaccine
• Prevalence, Self-Medication Practices, and Knowledge Levels on Analgesic Among Residents of Nalut, Libya: A Cross – Sectional Study by Aljerbi, Aminah Issa Masud; Bagni, Amira Saleh Khalifa; Wareg , Assma Nagi Aissa; Suleiman, Nada Faisal Ali; Askar, Fatimah Mohammed Yousuf (2022) - : Distribution of different level of knowledge about Paracetamol, Aspirin, and Ibuprofen Variables High Knowledge Low knowledge X² P-value Age 18 - 20 56(20.9%) 213(22.4%) 0.954 0.81221 - 30 105(39.2%) 359(37.8%) 31 - 40 57(21.3%) 185(19.5%) 41years& above 50(18.7%) 193(20.3%) Gender Female 181(76.1%) Level of education High school 70(26.1%) 245(25.8%) 7.439 0.114Undergraduate 175(65.3%) 659(69.4%) Keywords: analgesic; aspirin; ibuprofen; knowledge; paracetamol; participants; study; use

• Primary Spontaneous Splenic Rupture: A Rare and Life-Threatening Condition by Anaizi, Ahmed; Al-Dabbagh, Othman (2023) - This intriguing case report serves as a stark reminder of the critical need to consider spontaneous splenic rupture in patients experiencing acute abdominal pain, especially in the absence of any traumatic events. The aetiology of spontaneous splenic rupture remains elusive, with various theories proposed yet lacking robust empirical support; these conjectures range from localised splenic pathologies obliterating evidence upon rupture to reflex splenic vein spasms causing acute congestion, Chronic portal venous congestion, recurrent torsions in mobile spleens, and potential ruptures of degenerative splenic arteries further contribute to the complexity, Notably, spontaneous splenic rupture has been documented in a spectrum of medical conditions, historical cases, from Rokitansky in 1861 to Atkinson in 1874, provide context (Dunphy et al., 2019). Keywords: case; diagnosis; examination; patient; rupture; splenic
• Follicular Lymphoma in a Young Male - A Case Report by Anaizi, Ahmed; Mayhoub, Issam Mayhoub; Huwaijah, Said (2023) - This reinforces the significance of haematological assessments in the diagnostic workup of lymphoma patients. A defining genetic hallmark in the majority of FL cases is the t(14,18) translocation involving the igH/bcl-2 genes(Freedman & Jacobsen, 2020). Keywords: case; diagnosis; figure; lymphadenopathy; lymphoma; patient
• Cutaneous Furuncular Myiasis in a Rural Kenyan Hospital: A Case Report by Joseph, Noi J; Kariithi, James N.; Onyango, Vonwicks Czelestakov (2023) - Patient Management and Follow-Up A clinical diagnosis of cutaneous furuncular myiasis in a patient with a septic chronic venous left leg ulcer with associated cellulitis was made. Cutaneous myiasis, presenting as a furuncular, wound, and migratory disease, is the most common clinical phenotype that may be associated with secondary pyogenic infection and cellulitis, especially when not treated promptly. Keywords: case; fly; kenya; larvae; lesions; myiasis; patient; skin
• Factors Influencing Physicians in the Adoption of E-Detailing in the in-Vitro Diagnostic Industry by Castillo, Anne Jillian; Dimaculangan, Ernesto (2024) - E-detailing allows physicians to engage with representatives from diagnostic companies without risking exposure to infectious diseases, especially for immunocompromised patients or in high-risk areas. E-detailing, which Pa ge 14 2 https://journals.e-palli.com/home/index.php/ajmsi Am. Keywords: access; detailing; doctors; face; industry; information; intention; ivd; medical; patient; perceptions; pharmaceutical; physicians; platforms; practice; research; respondents; study; tests; time; use
• Enhancing Interoperability and Response Coordination in Disaster Settings: A Review of Methodological Frameworks and Technique by Petrica, Alina; Lawan, Mohammed Isa; Jacob, Amakama Nimisingha; Dusserre, Gilles (2024) - To solve this problem, this article investigated various healthcare interoperability frameworks with the aim of finding a suitable framework between mobile field hospitals and regional hospitals during disaster response scenarios. Interoperability frameworks depend on public service governance that encompasses aspects like usability, security, privacy, and performance. Keywords: challenges; data; disaster; emergency; field; frameworks; healthcare; hospital; information; interoperability; mobile; patient; response; system; use
• The Influence of CITO Procurement on Pharmaceutical Supply Chains: Efficiency, Challenges, and Outcomes by Ningsih, Desy Kartika (2025) - CITO procurement is analyzed for its effectiveness in enhancing operational efficiency, cost management, and patient outcomes within healthcare settings. In practice, CITO procurement involves processes that expedite ordering, inventory checks, and transportation logistics to shorten delivery times. Keywords: chain; cito; cito procurement; companies; compliance; cost; demand; healthcare; lead; management; patient; pharmaceutical; procurement; quality; supplier; supply; times
• Digital Revolution in Medical Pathology: Integrating Ai, Genomics, and Molecular Imaging by Halleluyah, Adeyemi Sarah; Balogun, Sodiq Murphy; Ikeji, Abraham Chibuikem; Shasere, Bukola E.; Anigala, Omeshamisu (2025) - Research funding for the evaluation of AI diagnostic systems in different patient populations remains necessary to stop health equity gaps from forming. The obtained results demonstrate AI systems match pathologists’ accuracy rates for sensitivity and specificity levels. Keywords: analysis; data; et al; genomic; imaging; intelligence; pathology; patient; process; research; review; systems

• A Systematic Review on Infertility in Men Due to Sperm DNA Damage: Causes Investigations, & Management by Al Khaldi, Muna Rashed; Al-khaldi, Manal (2023) - Sperm DNA damage and its impact on male reproductive health: a critical review for clinicians, reproductive professionals and researchers. Sperm DNA damage in male infertility: etiologies, assays, and outcomes. Keywords: agarwal; damage; dna; dna damage; et al; fragmentation; infertility; male; review; sperm; sperm dna; stress; studies
• Pediatric Epilepsy and its Health Conditions in UAE: A Review Article by Elsadek, Haitham ELsayed (2024) - Partial seizure is another name for focal seizure epilepsy. The common types of focal seizure epilepsies are: Gelastic Epilepsy Gelastic epilepsy is characterized by rare epileptic symptoms represented by fits of stereotyped laughing or smiles that last for less than a minute. Keywords: brain; children; epilepsy; et al; patients; review; seizures; studies

• Risk Prediction of Thalassemia Using Data Mining Classifiers by Ali, Khizra; Saqib, Muhammad (2023) - For the evaluation of different data mining algorithms in this research, the dataset was divided into 10-fold cross- Figure 9: J48 Results Table 4: J48 Classifier Output Results using WEKA Tool MCV HCT HGB MCHC RDW Gender ‘prediction margin’ ‘predicted Status’ 66.4 4.9 22.3 29.5 31.5 2 1 POSITIVE 74.6 4.9 19.3 22.6 33.7 1 1 POSITIVE 69 9.3 21.7 26.7 32.6 1 1 POSITIVE 73.1 7.4 25.8 32 26.4 2 1 POSITIVE 77.3 6.8 34.2 31.3 33.6 1 1 POSITIVE 71.2 6.8 21.5 30.1 36.7 1 1 POSITIVE 80.1 10.5 11.6 35.2 42.1 1 -0.974359 For the evaluation of different data mining algorithms in this research, the dataset was categorised into 10-fold cross-validation. Keywords: algorithm; blood; classification; data; data mining; dataset; et al; figure; mining; model; results; test; thalassemia; weka
• Use of Electronic Logbook Based on Mobile Learning in Clinical Learning among Nursing Students by Oxyandi, Miming; Panduragan, Santhna Letchmi; Said, Faridah Mohd; Saputra, Muhamad Andika Sasmita (2023) - It can be used in nursing clinical learning in Indonesia to make it easier to record data from activities carried out, information materials, documentation, and evaluation processes based on digital archives that are more accurate in the process of assessing nursing students’ clinical competency achievements based on quantitative nursing student activity achievements with details of clinical competency achievements effectively and efficiently. This study aims to analyze mobile learning-based Electronic Logbook (E-Logbook) in clinical learning. Keywords: data; information; journal; learning; logbook; mobile; nursing; process; research; students

• Rapid Sequence Intubation in the ER Using Video Laryngoscopy and Direct Laryngoscopy by Botras, Marina; Elsaka, Islam; Zalzalah, Mohammad; Ayed, Mariam; Qasem, Fatemah (2025) - The population of interest was critically ill adults admitted for rapid sequence intubations; the intervention was video laryngoscopy; the comparison was direct laryngoscopy, and the outcomes of interest are first attempt intubation success rate, time of intubations, and complication arising from intubation. The objective of the systematic was to assess the efficacy of video laryngoscopy compared to direct laryngoscopy in rapid sequence intubation procedures, particularly in intensive care units, intending to evaluate various outcomes such as laryngeal visualization, intubation success rates, time to intubation, and other complications. Keywords: analysis; bias; fields; intubation; laryngoscopy; sequence; studies; video

• Socioeconomic Differential of Cardiovascular Diseases Risk Factors in Bangladesh: Findings From a Nationally Representative Survey by Khanam, Shimlin Jahan; Kabir, Md Awal (2023) - Hypertension prevalence is also higher among respondents of no/preschool education than respondents of higher education, though the relevant likelihoods did not bring significant level once other socio-demographic factors adjusted. National Institute of Population Research and Training (NIPORT) and ICF, Bangladesh Health Facility Survey 2017. Keywords: bangladesh; diabetes; education; hypertension; obesity; overweight; prevalence; respondents
• Assessment of Knowledge Regarding Airplane Ear Preventive Measures among Air Travelers of Najran University’s Staff by Almagribi, Ahmad Zaker M (2024) - Similarly, past research highlighted that air travel symptoms include fullness, pain, discomfort, and moderate to mild loss of hearing. Assessment of Knowledge Regarding Airplane Ear Preventive Measures among Air Travelers of Najran University’s Staff Ahmad Zaker M Almagribi1* Volume 3 Issue 1, Year 2024 ISSN: 2836-8509 (Online) DOI: https://doi.org/10.54536/ajmsi.v3i1.2419 https://journals.e-palli.com/home/index.php/ajmsi Article Information ABSTRACT Received: January 25, 2024 Accepted: February 22, 2024 Published: February 26, 2024 Passengers before air travel should be frequently advised on the possible preventive measures to reduce any sort of ear discomfort. Keywords: air; ear; leaflets; measures; obt; percent; posters; respondents; travel

• Breakfast intake and Associated Factors among Primary School Students in Selected Private and Public Schools, Kakata City, Margibi County- Liberia by Kezelee, Washington; Milton, Dawolo G.; Wakia, Doris S.; Fayiah, Theophilus T.; Shilue, Moses C. D. (2023) - Private school children consumed milk during breakfast more than public school children (50% vs. 40%). Furthermore, private school children ate less oil during breakfast compared with public school children (64% vs. 83%). Keywords: breakfast; children; parents; school; school children; students; study
• The Gut-Brain Connection: Investigating the Correlation between Autism Disorder and Gut Bacterium by Manaf, Wafa; Dileep, Nageena; Manaf, Haifa; Dileep, Nadiya; Liyakath, Azhar (2025) - Also, the elevation of Sutterella, which exists in children with ASD, can stimulate gastrointestinal inflammation that may influence the neurodevelopment of ASD children and increase ASD symptoms (Bezawada et al., 2020; A meta-analysis by (He et al., 2023) investigated the effect of probiotics such as Lactobacillus plantarum and Bifidobacterium longum on ASD symptoms. Keywords: asd; autism; brain; children; disorder; et al; gut; gut microbiota; microbial; microbiota; probiotics; spectrum; study; symptoms

• Sex Reassignment Dilemma in 4 Yemeni Siblings with Five Alpha-Reductase Type 2 Deficiency by Ahmed, Samia Mahdi; Abu Doam, Abdelrahman; Belouni, Mazin Mohammad Belouni; Khan, Sarwat Maroof; Mohamed, Abdelbagi Elzien; Elmula, Imad Fadl (2024) - Hormonal analysis indicated normal male FSH levels (2.5mlu/ml), free T3 at 5.1pmol/l, normal TSH, and prolactin, with high testosterone levels (28.4nmol/L). The psychological assessment highlighted a coherent demeanour with pronounced irritability and preoccupation concerning sex assignment. Keywords: birth; case; diagnosis; family; female; genitalia; male; management; sex; siblings
• Challenges in The Management of Post-Thrombotic Syndrome in a Low-Resource Setting by Vonwicks, Onyango C.; Collins, Malalu P.; Nicholas, Auma; William, Fryda C. (2025) - The American Heart Association recommends primary and secondary prevention of PTS as the most effective management strategy since treatment of established PTS is very challenging, especially in resource-limited settings. The treatment of established PTS is challenging. Keywords: diagnosis; dvt; kahn; management; pts; syndrome

• Effect of Aqueous Stem Bark Extract of Parkia Biglobosa on the Histological Morphology of Liver of Adult Wistar Rats by Ibrahim, D. F; Hassan, A. S; Sani, A; Zakariyya , A; Shema, F B; Zubair, R U; Riruwai, G Y (2023) - This study aimed at determining the effect of aqueous stem bark extract of P.biglobosa on the histological morphology of liver in animal models. The animals in group D were used as another test group and they were administered with low dose (250mg/kg) of the Parkia biglobosa aqueous stem bark extract orally for a period of three weeks. Keywords: bark; bark extract; biglobosa; extract; group; journal; liver; parkia; parkia biglobosa; stem; stem bark
• Therapeutic Effect of N-Hexane Extract of Zingiber Officinale (Ginger Oil) on Loperamide Induced Constipation in Wistar Rats by Yongu, Aver Maria; Ogli, Sunday A; Ugbudu, George T; Ashiekaa, Moses Ternenge (2024) - Ginger oil at varying doses showed significantly increased ITR compared to loperamide model in a dose dependent manner with 400mg/kg having greater effect provide indirect evidence that ginger oil has promising laxative effects against loperamide-induced spastic constipation. LP= loperamide, PS = physiological saline LDGO = low dose ginger oil, MDGO = medium dose of ginger oil, HDGO = high dose ginger oil. Keywords: constipation; dose; effect; et al; ginger; ginger oil; group; loperamide; oil

• Acute Jejunal Leiomyosarcoma: A Rare Case Study by Essa Alfard, Maryam; Tayade, Shriya Devendra (2023) - (Barsouk et al., 2019; Luis et al., 2015), (Akwari et al., 1978), (Guzel et al., 2016) Gastrointestinal tumors, 9(1), 1-4. Keywords: bowel; case; et al; intussusception; leiomyosarcoma; lms; obstruction; tumors
• Positive Outcomes of Ozone and NAD Therapy in Infertility Treatment: A Retrospective Observational Case Series by Fakih, Michael; Akhtar, Muhammad; Fawaz, Mouna (2024) - Future research targeting women with repeated miscarriages, poor responses to IVF treatments, endometrial lining problems, or decreased ovarian reserve is warranted to further elucidate the effectiveness of alternative therapies in complex infertility(Wu et al., 2019). Emerging as an innovative medical intervention such as ozone therapy or Nicotinamide adenine dinucleotide (NAD) therapy may have the potential to enhance IVF success rates and revolutionize the landscape of fertility treatment (Merhi et al., 2019). Keywords: case; infertility; ivf; nad; ozone; therapy

• Ectopia Cordis Thoraco-Abdominal Diagnosed with Antenatal Ultrasound by Andrianjakamanana, Tolojanahary Herizo; Razafindrahova, Patricia Alice; Tomboravo, Christian; Rasolonjatovo, Andry Nampoinanirina; Nouraly, Habib; Ranoharison, Hasina Dina; Ahmad, Ahmad (2023) - We report a case of isolated thoracic-abdominal cordis ectopia, diagnosed with antenatal ultrasound at 35 weeks and 3 days. There is a 65 mm long anterior thoracic abdominal parietal defect in median sagittal section with totally extra-thoracic heart chambers (Figures 1 and 2), with regular activity at 148 beats per minute. Keywords: cordis; diagnosis; ectopia; heart; madagascar; thoracic; ultrasound

• Prevalence of Helicobacter Pylori (H. Pylori) Infection among Patients Undergoing Upper Gastrointestinal Endoscopy: An Institution Based Study by Pradhan, Prabhat; Bajgai, Gyan Prasad (2023) - Pa ge 1 Pa ge 47 American Journal of Medical Science and Innovation (AJMSI) Prevalence of Helicobacter Pylori (H. Pylori) Infection among Patients Undergoing Upper Gastrointestinal Endoscopy: An Institution Based Study Prabhat Pradhan1, Gyan Prasad Bajgai2* Volume 2 Issue 1, Year 2023 ISSN: 2836-8509 (Online) DOI: https://doi.org/10.54536/ajmsi.v2i1.1320 https://journals.e-palli.com/home/index.php/ajmsi Article Information ABSTRACT Received: February 19, 2023 Accepted: March 20, 2023 Published: March 30, 2023 Several studies have established region-based prevalence rate of H. pylori infection and its association with clinical outcomes in Bhutan. The positivity of H. pylori was Table 1: Association of H. pylori infection with age and gender. Keywords: helicobacter; infection; patients; prevalence; pylori; study

• An Outcomes Comparison between Nurse Practitioners and Primary Care Physicians in Quality of Life in Older Patients with Congestive Heart Failure by Ibrahim, Mohammad I D; Shannon; Churchill, McCrory (2024) - Also, the complications that result in rehospitalisation are high among patients older than 65 years, especially considering it is both CHF patients and healthcare providers who endure the challenges (Canada, 2022). Through the years, primary care physicians (PCPs) have proved to be a core piece of care in treating CHF patients, acting as the first step in receiving care (Hung et al., 2022). Keywords: care; chf; failure; heart; level; nps; nurse; patients; quality; satisfaction; study; variable

• The Impact of Unified Medical Insurance System Implementation (Nphies) on Healthcare Service Quality: Applied Research Case Study in Arrawdha General Hospital Dammam, Saudi Arabi by Alnajjar, Mohammed Ibrahim (2024) - In Saudi Arabia, healthcare reform efforts under Vision 2030 emphasize the importance of enhancing healthcare service quality. This study aims to investigate the impact of NPHIES implementation on healthcare service quality at Arrawdha General Hospital in Dammam, Saudi Arabia. Keywords: dimension; health insurance; healthcare; healthcare service; high; implementation; insurance; insurance system; mean; quality; saudi; services; system; table

• How Long Can One Live Without a Permanent Pacemaker in Complete Heart Block? A Case Report from Rural Kenya by Onyango, C. Vonwicks; Auma, Nicholas; Malalu, P. Collins; Fryda, C. William (2025) - The natural history and prognosis of complete heart block not treated with pacemaker placement are unknown. In summary, patients with complete heart block not caused by physiologic or reversible causes should undergo a permanent pacemaker placement irrespective of the symptoms (class I recommendation with level C evidence). Keywords: block; bpm; chb; heart; pacemaker; patients

• Associated Systemic Risk Factors and Neuro-imaging Findings of Unilateral Optic Disc Swelling in a Bangladeshi Population by Shimu, Farjana Sharmeen; Sajj, Abir Bin; Sharmin, Tohura (2025) - Other visual defects observed in the present Table 3: Distribution of Patients by Drug History (N=105) Drug History Frequency (n) Percentage (%) Antihypertensive Drugs 33 31.43% Oral Hypoglycemic Agents (OHA) 24 22.86% Insulin 7 6.67% Antiplatelet/Anticoagulant Drugs 5 4.76% Lipid-lowering Agents (Statins) 4 3.81% No Regular Medication 52 49.52% Figure 1: Bar chart showed distribution of Neuro-imaging findings of the study subjects (N=105) Systemic Disease Frequency (n) Percentage (%) Hypertension 55 52.38% Diabetes Mellitus 45 42.86% Dyslipidemia 5 4.76% Both HTN & DM 28 26.67% No Systemic Illness 22 20.95% Table 2: Laboratory Parameters of the Study Subjects (N=105) Keywords: diabetes; disc; hypertension; naion; optic; patients; study; swelling

• HIV Testing Uptake: When Testers Are Not Tested – Implications for Reaching the First 95 by Love, Ogundipe Olubiyi; Kemi, Ekundayo Olajumoke; Joseph, Oludare Akinola; Ayokunle, Kajero; Paul Yassa, Guilavogui Jean (2025) - Multivariable logistic regression was employed to identify predictors of client HIV testing uptake, with variables such as age, gender, education level, role, HIV knowledge score, and the provider’s own recent HIV testing history included in the model at 95% confidence intervals. From a program perspective, these findings suggest that interventions to improve client HIV testing uptake should include: (i) institutionalizing regular, confidential HIV testing for all providers; (ii) targeted capacity building for counsellors; (iii) fostering multi-role competency; and (iv) embedding provider role-modelling into training. Keywords: client; counsellors; hiv; knowledge; providers; role; testing; uptake

• Obesity and Male Fertility: An In-Depth Review of the Impact of Elevated BMI by Sajjad, Solmaz Gul; Sajjad, Aarush Mohammad; Fakih MD, Michael; MD Frcog, Muhammad Ahsan Akhtar; MD Frcog, Yasmin Sajjad (2024) - https://doi.org/10.1111/j.2047- 2927.2012.00040.x Mendelson, M. M., Marioni, R. E., Joehanes, R., Liu, C., Hedman, Å. K., Aslibekyan, S., Demerath, E. W., Guan, W., Zhi, D., Yao, C., & Huan, T. (2017). https://doi.org/10.1093/humrep/deh616 Shimobayashi, M., Albert, V., Woelnerhanssen, B., Frei, I. C., Weissenberger, D., Meyer-Gerspach, A. C., Clement, N., Moes, S., Colombi, M., Meier, J. A., & Swierczynska, M. M. (2018). Keywords: adipose; dna; et al; infertility; levels; male; men; obese; obesity; sperm; testosterone

• Miliary Tuberculosis Causing Presumed Primary Adrenal Insufficiency and Addisonian Crisis: A Case Report from Rural Kenya by Onyango, Vonwicks Czelstakov; Mutiso, Boniface; Mutuma, Nicholas Muriithi; Malalu, Collins Paul; Auma, Nicholas; Fryda MD, William C (2024) - Due to the insidious onset and non-specific nature of the symptoms of adrenal insufficiency, diagnosis is often delayed until patients present with an adrenal crisis. In this study, we report on the case of a middle-aged woman in rural Kenya who initially presented with missed features of adrenal insufficiency and subsequently went into an adrenal (Addisonian) crisis, which was successfully managed with glucocorticoids, fluids, and supportive therapy. Keywords: adrenal; crisis; hyponatremia; insufficiency; tuberculosis
• Frequency of Tuberculous Lymphadenitis (TBLA) in Somalia: A Retrospective Study with GeneXpert PCR-Based Diagnosis by Hossain, Md Biplob; Ahmed, Abdirahim; Tukade, Abdullahi; Mahbub, Chomel; Haque, Afrin; Nor, Munasar Abdikarim; Ismail, Omer Hassan Omer; Mohamed, Saida Abdi; Rahman, Md. Ashiqur; Islam, Sadia (2025) - The age distribution of TBLA cases revealed preponderance among younger individuals, with 11–20 years age group accounting for 41.7% of cases, followed by 31–40 years age group with 39.2%. Pa ge 1 Pa ge 18 American Journal of Medical Science and Innovation (AJMSI) Frequency of Tuberculous Lymphadenitis (TBLA) in Somalia: A Retrospective Study with GeneXpert PCR-Based Diagnosis Md Biplob Hossain1, Abdirahim Ahmed1, Abdullahi Tukade1, Chomel Mahbub2, Afrin Haque2, Munasar Abdikarim Nor1, Omer Hassan Omer Ismail1, Saida Abdi Mohamed1, Md. Keywords: diagnostic; lymphadenitis; pcr; somalia; study; tbla; tuberculosis
• Role of HIV Infection in Multi-Drug Resistant Tuberculosis in Parts of Benue State, Nigeria by Terna, Lan Abraham ; Elizabeth, Amuta U ; T Sar, Terzungwe (2022) - Multi-drugs resistant tuberculosis is prevalent in Benue State, affecting the most economically active youths within the age group of 35-45 years, as a result the need to direct more attention on molecular basis for M. tuberculosis drugs resistance is Keywords Bacteriophage, Isoniazid, Multi- Drug Resistance, Mycobacterium Tuberculosis, Rifampicin, As a result, the possibility of cel- lular interaction between M. tuberculosis and HIV, especially for patients that are co-infected with HIV and TB, and subsequent exchange of genetic material via transduction needs to be investigated. Keywords: cases; category; drugs; hiv; mdr; mycobacterium; patients; resistance; rifampicin; tuberculosis
• Epidemiological Profile and Diagnosis of Pulmonary Tuberculosis in the Commune of Ntoum, Northwest Gabon by Meye, Bourdettes; Kenguele, Hilaire Moundounga; Guitouka, Strédice Maguinga; Emane, Kevin Alame; Ondo, Joseph Privat; Engonga, Louis Clément Obame (2025) - Figure 1: Distribution of tuberculosis patients by city of residence Figure 2: Distribution of tuberculosis patients by Ntoum district As for the Ntoum neighborhoods with the highest number of tuberculosis cases, Mebba and Ntoum 6 were the most representative, with 3 cases each (16.8%), followed by Meyang and Assora with 2 cases each (11.2%) (Figure 2). Ntoum 6 and Mebba neighbourhoods had the highest rate of tuberculosis patients (8.6% each) in the Ntoum commune. Keywords: cases; gabon; hiv; hospital; ntoum; patients; study; tuberculosis

• It is Not a Curse! It is Neurofibromatosis 1 (NF1): A Case Report from Rural Kenya by Onyango, Vonwicks Czelstakov; Mutuma, Nicholas Muriithi; Gachie, Samuel Mburu; Mutiso, Boniface; Auma, Nicholas; Fryda MD, William Charles (2024) - Orphanet J Rare Dis, 6, 11. https://doi.org/10.1186/1750-1172-6-11 Moutal, A., Yang, X., Li, W., Gilbraith, K. B., Luo, S., Cai, S., François-Moutal, L., Chew, L. A., Yeon, S. K., Bellampalli, S. S., Qu, C., Xie, J. Y., Ibrahim, M. M., Khanna, M., Park, K. D., Porreca, F., & Khanna, R. (2017). https://doi.org/10.1097/j. pain.0000000000001002 Ochola, E. A., Karanja, D. M. S., & Elliott, S. J. (2021). Keywords: neurofibromas; neurofibromatosis; nf1; type

• Comparison of ELISA & ICT Methods Determining Hepatitis B Surface in Suspected Patient Attending at Bangladesh Institute of Health Science (BIHS) General Hospital, Dhaka by Rahaman, Shohanur; Islam, Sadia; Sakib, KM. Rashidul Islam; Ferdous, Khaleda; Islam, Md. Nazmul Islam; Hossen, Md Al-Amin; Rahman, Md. Ashiqur (2023) - A total 240 of HBsAg test results of the patients were collected from Laboratory register book. One tube for each participant was taken to the immunology laboratory of the BIHS General Hospital for detection of seromarkers for HBV by ICT methods and second was preserved for ELISA test to be done at the Immunology Laboratory, Bangladesh University of Health Sciences (BUHS). Keywords: blood; donors; elisa; hbsag; hepatitis; ict; study; test
• Approach to the Diagnosis and Management of Essential Thrombocytosis in a Resource-Limited Setting by Onyango, Vonwicks C; Theuri, Anne W; Gachie, Samuel M; Malalu, Collins P; Fryda, William C (2024) - https://doi.org/10.1056/ NEJMoa1311347 Landolfi, R., Cipriani, M. C., & Novarese, L. (2006). https://doi.org/10.1002/ ajh.26008 Tefferi, A., Lasho, T. L., Finke, C. M., Knudson, R. A., Ketterling, R., Hanson, C. H., Maffioli, M., Caramazza, D., Passamonti, F., & Pardanani, A. (2014). Keywords: blood; count; thrombocytosis

• Comparative Analysis of Granulation Tissue Formation and Progression in Elderly Patients with Fractures by Ibadin, Franklin E.; Edobor, Trevor Efosa; Ernest-Okonofua, Excel Onajite; Oyiborhoro, Ogheneyemarho Great (2025) - Paired samples t-tests, independent t-tests, and ANOVA were used to statistically evaluate time differences in granulation tissue formation and inflammatory markers. No significant difference in granulation tissue formation among groups indicated consistent healing and a failure of intervention method or fracture type. Keywords: day; formation; fracture; granulation; healing; patients; table; tissue; tissue formation; variances

• Evaluating the Impacts of Proximal Femoral Nail Anti-Rotation (PFNA) Augmentation in Osteoporotic Intertrochanteric Fractures by Ahmed, Ramadan Mohamed Elsaid (2024) - External fixation can provide similar or better results than conventional Figure 3: A radiograph reveals a pertrochanteric fracture with a slight valgus reduction, with the fixator in a satisfactory position Figure 4: Intramedullary nails over screw and plate fixation are attributed to a reduced distance between the hip joint and the implant Hip arthroplasty is a crucial procedure for treating intertrochanteric hip fractures. Evans’s Classification of Trochanteric Fractures The Evans classification of trochanteric fractures is a system that categorizes intertrochanteric hip fractures based on the proximal femur’s fracture pattern, encompassing five types. Keywords: blade; cases; figure; fixation; fractures; hip; nail; patients; pfna; screw; study; surgery

• Successful Distal Finger Replantation in a 9-Year-Old Child with Double Level Injury: A Case Report & Literature Review by Lawati, Hussain M.; Ramadan, Abdulfatah; Osman, Aamer Galal; Sharma, Sanjay H.; Quazi, Sohail (2025) - Only a few of them highlighted the advantages of distal digital replantation. Distal finger injuries, particularly those that involve not only one level but multiple levels, are significantly complicated (Cannon et al., 2016). Keywords: finger; hand; injury; replantation; surgery

• Adrenal Incidentaloma Prevalence and Clinical Management- A Retrospective Study by Dosogi Elzain, Waleed Abdalrazig; Alshalaan, Abdullah Mohammed; Al Qahtani, Mohammed Mana Mohammed; Al Qahtani, Hind Ali Abdullah; Assiri, Dawlah Hadi; Alshehri, Halimah Hussain; Alsultan, Eman Mohammed; Alnamshah, Fahad Obaid Mohammed; Salem Alshehri, Mohammed Abdullah (2024) - The National Institute of Health (NIH) consensus in 2002 categorized adrenal tumors into low risk, uncertain, and high risk (Şenoğlu et al., 2022). Adrenal tumors can occasionally impact how the body processes glucose (Higgs et al., 2022; Muscogiuri et al., 2011). Keywords: adrenal; et al; incidentalomas; journal; patients; study; tumors

• Analysis of Window Width Variations on MSCT Stonegraphy Anatomic Image Information at Sanjiwani Hospital of Gianyar Regency by Gunawan, I Made Dwi; Diartama, Anak Agung Aris; Mahendrayana, I Made Adhi; Wulandari, Putu Irma (2023) - This research has the effect of changing values window width. The most optimal variation in window width values for obtaining anatomical image information shows a mean rank of 7.23 with a window width value of 250. Keywords: image; msct; results; stonegraphy; value; width; window; window width

• High-Resolution Ultrasonography Versus MRI in the Diagnosis of Achilles Tendon Lesions by Fahmy, Ahmed M. (2024) - Understanding the nuances of imaging techniques is pivotal for clinicians aiming to leverage the strengths of HRUS and MRI in diagnosing Achilles tendon lesions, as we navigate through the comparative analysis, recognizing the impact of these techniques on diagnostic accuracy will contribute to a comprehensive understanding of the respective roles of HRUS and MRI in the clinical management of Achilles tendon pathologies (Reiman et al., 2014). Accepted: August 06, 2024 Published: August 09, 2024 Achilles tendon lesions are commonly assessed using noninvasive imaging methods such as ultrasound and magnetic resonance imaging (MRI). Keywords: achilles; achilles tendon; imaging; mri; study; tear; tendinopathy; tendon; thickness

• Recurrent Symptomatic Renal Stones Managed by Repeat Open Nephrolithotomy in a Rural Kenyan Hospital by Onyango, Vonwicks C.; Makanga, Winston O.; Kariuki, Ali J.; Kioko, Boniface M.; Dido, Mumina D.; Kamau, Thomas M.; Fryda, William C. (2024) - The American Urological Association and the European Association of Urology have issued guidelines for the diagnosis and management of renal stones (Pearle et al., 2014; Türk et al., 2016). Renal stones have a high rate of recurrence that increases from 15 percent at 1 year, 35 to 40 percent at 5 years, and 50 percent at 10 years (Ferraro et al., 2017). Keywords: calcium; kidney; oxalate; renal; stones

• Comparison of Recombinant Cumulase with Bovine Derived Hyaluronidase for Oocyte Denudation before ICSI in Sibling Oocytes by Fakih, M; Daoud, B R; Khalil, K; Fawaz, M; Kashir, J; Akhtar, M A (2024) - Fertilisation rate (71.0% vs 73.8%) and blastocyst rate (54.4% vs 54.6%) between Recombinant cumulase and Bovine derived hyaluronidase treated oocytes respectively, was insignifi cant. However, Recombinant cumulase treated oocytes exhibited a signifi cantly higher proportion (p<0.05) of euploid embryos compared to oocytes treated with Bovine derived hyaluronidase (48.5% vs 38.0%) Keywords: bovine; cumulase; denudation; embryo; fertilisation; hyaluronidase; icsi; oocyte; rates; recombinant; study

• Fibroids and Subfertility: A Systematic Review of Latest Evidence from international Societies by Shirazi, Alina; Adeoye, Tokunbo; Bagtharia, Seema; Jadhav, Jitendra; Garg, Sumi; Rasul, Humna Mian Faiz; Shah, Fatima (2025) - Innov. 4(1) 74-83, 2025 Inclusion Criteria Guidelines were included if they met the following criteria: (1) Clinical guidelines associated with uterine fibroids with fertility, subfertility, assessing fertility outcomes and treatment strategies (2) Guidelines published/authorized by one or more nationally or internationally recognized medical associations linked to obstetrics/gynecology or interventional radiology, who classify as quality improvement guidelines or practice standards (3) Recent studies published in the last few years, ranging from 2012 to 2024 (4) Guidelines available in English. MRI-based pictorial review of the FIGO classification system for uterine fibroids. Keywords: de d; fertility; fibroids; g ra; guidelines; m ec; m y; ra de

• Recurrent Symptomatic Amoebiasis in a Rural Kenyan Hospital - A Case Report by Onyango, Vonwicks C; Gachie, Samuel M.; Mutiso, Boniface; Mutua, Dominic; Mutuma, Nicholas M (2023) - A history of feco-oral transmission must always be sought meticulously through detailed inquiry about personal hygiene, environmental sanitation, sources of food and water, and water storage and handling at home and in the community. Morán, P., Serrano-Vázquez, A., Rojas-Velázquez, L., González, E., Pérez-Juárez, H., Hernández, E. G., Padilla, M. L. A., Zaragoza, M. E., Portillo-Bobadilla, T., Ramiro, M., & Ximénez, C. (2023). Keywords: amoebiasis; histolytica; water

• Nasal Foreign Body Presenting as Unilateral Rhinosinusitis with Nasal Polyposis by Tukur, Ahmad Rufai; Aldhafeeri, Ahmad M.; Aoun, Taha Mohammed; Abohelaibah, Faisal Hazaa; Nkemjikai, Benjamin Nonso (2025) - Cases of nasal FB slipping into the alimentary canal were also reported. Nasal examination revealed reduced patency of the right nasal cavity, nasal discharge and nasal polyps. Keywords: bodies; cavity; nasal; polyps

Epilogue

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Created: 2025-12-23