2 June 01, 2016
1. Tran Tuan Anh, Nguyen Phan Hong An, Tran Van Dang, Truong Manh Dung, Vo Truong Nhu Ngoc, Nguyen Thi Thu Phuong, Hoang Bao Duy
Evaluating the Use of Diode Laser for the Treatment of Recurrent Aphthous Stomatitis (RAS)
European Journal of Medicine, 2016, Vol. (12), Is. 2, pp. 43-49.
Number of views: 1919 Download in PDF
2. E. Dusseux, V. Richez, A. Appert-Flory, F. Fischer, M. Dodoi, L. A. Vido, Legros, O. MoranneEuropean Journal of Medicine, 2016, Vol. (12), Is. 2, pp. 43-49.
Abstract:
Objectives: to assess the efficiency of diode laser in the treatment of recurrent aphthous stomatitis – RAS. Method: conduct control clinical trials on 2 groups: group A (not use laser) and group B (use laser). Results: *Post-treatment pain: In group A, 34 patients (92%) suffered from pain on the first day after treatment, 30 patients (81%) suffered from pain on the 2nd day; on the third day, 24 patients still felt painful (65%); on the fourth day 8 patients still felt painful (22%); on the fifth day, there was still 1 patient who suffered from pain (2.7%) and from the 6th day onwards, no more patients had to suffer from pain. There is no difference of statistical significance in the ratio % between male and female patients who suffered from pain after treatment (p>0.05). In Group B, 29 patients (78.4%) felt painful on the first day after treatment, in addition 17 patients (46%) suffered from pain on the second day, from the third day, 5 patients still suffered from pain (13.5%), and from the fourth day, no patients claimed to feel painful. *Level of pain: observations from the two research groups have shown that when used in treatment, diode laser has led to obvious pain relief, specifically, in group B, only 29 patients suffered from pain at level 1 and 8 patients suffered from mild pain at level 2 and no patients had pain at level 3. In group A, 1 patient suffered from pain at level 1 and 36 patients were reported to suffer from pain at level 2 or level 3.* Healing: in group A, 28 ulcers were healed on the fifth day, accounting for 27.5%; on the sixth day, 31 ulcers were healed, equivalent to 83.8%; on the seventh day, there were 35 ulcers which were healed, equivalent to 95.6%. In group B: 18.9% of ulcers were healed after the fourth day; on the fifth day, that number was 34 ulcers (91.9%); on the sixth day, all ulcers were healed. * Patients’ satisfaction level: we recorded that up to 94.6 % of patients were very satisfied of the treatment result, only 02 patients were not satisfied with the new treatment method (8.3%) and no dissatisfaction was recorded. Conclusion: from the above results, we can see that among patients who received RAS treatment using diode laser, there was a high rate of satisfaction and there was an obvious improvement in pain level and healing process with no functional complication (p<0.05), patients can functionally normally immediately after treatment.
Objectives: to assess the efficiency of diode laser in the treatment of recurrent aphthous stomatitis – RAS. Method: conduct control clinical trials on 2 groups: group A (not use laser) and group B (use laser). Results: *Post-treatment pain: In group A, 34 patients (92%) suffered from pain on the first day after treatment, 30 patients (81%) suffered from pain on the 2nd day; on the third day, 24 patients still felt painful (65%); on the fourth day 8 patients still felt painful (22%); on the fifth day, there was still 1 patient who suffered from pain (2.7%) and from the 6th day onwards, no more patients had to suffer from pain. There is no difference of statistical significance in the ratio % between male and female patients who suffered from pain after treatment (p>0.05). In Group B, 29 patients (78.4%) felt painful on the first day after treatment, in addition 17 patients (46%) suffered from pain on the second day, from the third day, 5 patients still suffered from pain (13.5%), and from the fourth day, no patients claimed to feel painful. *Level of pain: observations from the two research groups have shown that when used in treatment, diode laser has led to obvious pain relief, specifically, in group B, only 29 patients suffered from pain at level 1 and 8 patients suffered from mild pain at level 2 and no patients had pain at level 3. In group A, 1 patient suffered from pain at level 1 and 36 patients were reported to suffer from pain at level 2 or level 3.* Healing: in group A, 28 ulcers were healed on the fifth day, accounting for 27.5%; on the sixth day, 31 ulcers were healed, equivalent to 83.8%; on the seventh day, there were 35 ulcers which were healed, equivalent to 95.6%. In group B: 18.9% of ulcers were healed after the fourth day; on the fifth day, that number was 34 ulcers (91.9%); on the sixth day, all ulcers were healed. * Patients’ satisfaction level: we recorded that up to 94.6 % of patients were very satisfied of the treatment result, only 02 patients were not satisfied with the new treatment method (8.3%) and no dissatisfaction was recorded. Conclusion: from the above results, we can see that among patients who received RAS treatment using diode laser, there was a high rate of satisfaction and there was an obvious improvement in pain level and healing process with no functional complication (p<0.05), patients can functionally normally immediately after treatment.
Number of views: 1919 Download in PDF
Acute Kidney Injury, Multiple Myeloma and Heparin Like Syndrome
European Journal of Medicine, 2016, Vol. (12), Is. 2, pp. 50-53.
Number of views: 2044 Download in PDF
3. Jacob Owusu Sarfo, Patrick Kwaku OforiEuropean Journal of Medicine, 2016, Vol. (12), Is. 2, pp. 50-53.
Abstract:
Heparin like Syndrome is an entity discovered in 1980s. Although uncommon in clinical practice, this syndrome can lead to death in many cases because of severe bleeding. We report the fourth clinical case of a heparin like Syndrome associated to multiple Myeloma and acute kidney injury with a favourable outcome. We describe the evolution of clinical bleeding as activated partial thromboplastin time (APTT) and CD138 (transmembrane heparin sulphate on tumor cells surface) dosage over time.
Heparin like Syndrome is an entity discovered in 1980s. Although uncommon in clinical practice, this syndrome can lead to death in many cases because of severe bleeding. We report the fourth clinical case of a heparin like Syndrome associated to multiple Myeloma and acute kidney injury with a favourable outcome. We describe the evolution of clinical bleeding as activated partial thromboplastin time (APTT) and CD138 (transmembrane heparin sulphate on tumor cells surface) dosage over time.
Number of views: 2044 Download in PDF
Diabetes in West Africa: Using Meta-Ethnography to Synthesise Qualitative Studies in Ghana, Cameroon and Nigeria
European Journal of Medicine, 2016, Vol. (12), Is. 2, pp. 54-63.
Number of views: 1954 Download in PDF
4. European Journal of Medicine, 2016, Vol. (12), Is. 2, pp. 54-63.
Abstract:
The aim of this study was to apply meta-ethnography to synthesise qualitative studies in the area of diabetes care in Ghana, Cameroon and Nigeria. Full text qualitative studies were collected from several recognised electronic databases to select quality papers for the analysis. Controlling for all possible selection biases, we chose eight standard peer reviewed qualitative studies in the area of diabetes mellitus. Subsequently, we pragmatically applied the seven-stage procedure of Noblit and Hare to conduct a meta-ethnography. As a qualitative alternative to meta-analysis, the meta-ethnography approach allowed us to employ both induction and interpretation. Subsequently, the following five concepts: tripartite aetiology; healer choice; adherence; coping strategies; and discriminatory switch were derived. In addition, we also derived second-order and third-order interpretations from our synthesis. Although we do not intend to make any generalisation claim, our study offered to illuminate a more coherent story about diabetes care within the West African mind so far.
The aim of this study was to apply meta-ethnography to synthesise qualitative studies in the area of diabetes care in Ghana, Cameroon and Nigeria. Full text qualitative studies were collected from several recognised electronic databases to select quality papers for the analysis. Controlling for all possible selection biases, we chose eight standard peer reviewed qualitative studies in the area of diabetes mellitus. Subsequently, we pragmatically applied the seven-stage procedure of Noblit and Hare to conduct a meta-ethnography. As a qualitative alternative to meta-analysis, the meta-ethnography approach allowed us to employ both induction and interpretation. Subsequently, the following five concepts: tripartite aetiology; healer choice; adherence; coping strategies; and discriminatory switch were derived. In addition, we also derived second-order and third-order interpretations from our synthesis. Although we do not intend to make any generalisation claim, our study offered to illuminate a more coherent story about diabetes care within the West African mind so far.
Number of views: 1954 Download in PDF