Medical Bulletin Research Articles

Supporting Solidarity

Supporting Solidarity

From the Archive

Journal Article From the Archive Get access British Medical Bulletin, Volume 145, Issue 1, March 2023, Page 5, https://doi.org/10.1093/bmb/ldad004 Published: 05 April 2023 Article history Received: 01 March 2023 Published: 05 April 2023

From the Archive

Journal Article From the Archive Get access British Medical Bulletin, Volume 144, Issue 1, December 2022, Page 3, https://doi.org/10.1093/bmb/ldac033 Published: 12 December 2022 Article history Received: 11 November 2022 Published: 12 December 2022

Formation and development of the Voronezh scientific and pedagogical school of hygienisits

This article is devoted to the history of the Voronezh hygienic school formation. The most important milestones defining the main component in the development of this hygienic scientific and educational direction are presented. The history of the school of hygienists formation is inextricably linked with the establishment of the Voronezh Medical University and the Department of General Hygiene. Across the years, the department was headed by Shepilevsky E.A., Shapshev K.N., Shtutser M.I., Protodyakonov M.M., Stepanov-Grigoriev I.I., Tkachev T.Ya., De-George L.V., Menin L.G., Pokrovsky V.A., and Faustov A.S. All of them made a significant contribution to the development of practical activities on the prevention and promotion of public health. For a long time, Professors Pokrovsky V.A., Faustov A.S., and Popov V.I. headed the Scientific Society of Hygienists and Sanitary Doctors. The Department of General Hygiene under the leadership of the corresponding member of the Russian Academy of Sciences, Professor V.I. Popov regularly held scientific and practical conferences for hygienists and sanitary doctors, accredited by the Ministry of Health of Russia, as well as actively participated in the publication of the intercluster scientific and medical journal Russian Bulletin of Hygiene. From the educational perspective, much attention needs to be paid for the development of a hygienic way of thinking among students and doctors.
 The established scientific and pedagogical school of hygienists has created prerequisites for the opening of a preventive medicine faculty at the Voronezh Medical University, whose graduates are in demand both in the practical healthcare and education fields. The main task of trained specialists is to ensure the primary prevention of various diseases by minimizing the risk factors for human health.
 Presently, the Department of General Hygiene continues to contribute to the established scientific traditions as well as to the development of the Voronezh Scientific and Pedagogical School of Hygienists through its active work in the fields of education, science, and establishment of relevant national and international organizations.

British medical bulletin article: resourcing of palliative and end of life care in the UK during the Covid-19 pandemic.

IntroductionCovid-19 led to a sustained increase in deaths in all four United Kingdom nations, placing strain on the UK’s palliative and end-of-life care sector and raising concerns about the long-term sustainability of the sector’s funding and resourcing model in the face of rising demand for these services in the coming decades.Sources of dataPublished research, Marie Curie, King’s College London Cicely Saunders Institute, Hull York Medical School, University of Hull, University of Cambridge, National Statistics, PubMed, DOI.Areas of agreementCare for people at the end of their lives is a core part of the UK’s health and care system with demand set to increase significantly as the UK’s population ages.Areas of controversyThe UK’s funding model for palliative and end-of-life care, with most care delivered by charitable sector providers and reliant on charitable donations, may be unsustainable in the face of increasing demand.Growing pointsThe Covid-19 pandemic led to rapid service innovation in palliative and end-of-life care, and providers should assess which of and how these innovations can be retained after the pandemic.Areas timely for developing researchAlthough there has been a rapid growth in knowledge during Covid-19, gaps still remain including: the reasons underlying shifts to deaths at home and the implications for family carers; the education needs of the wider healthcare workforce in palliative care; the impact of specialist palliative care services on the wider health system, including hospital admissions and place of death; and inequalities in the experiences of dying, death and bereavement during Covid-19 among groups such as those from lower socioeconomic groups and BAME communities.

From the archive

From the archive British Medical Bulletin, Volume 140, Issue 1, December 2021, Page 4, https://doi.org/10.1093/bmb/ldab029 Published: 16 December 2021

The promise of artificial intelligence: a review of the opportunities and challenges of artificial intelligence in healthcare and clinical trials in skeletal dysplasia: a paradigm for treating rare diseases

These important subjects have been chosen to have free online access. In addition, the Bulletin has a section to celebrate its amazing archive, (see end of this section). The British Medical Bulletin (BMB) on its website also has a fascinating section on the Nobel Prize-winners who wrote for the Bulletin and went on to win the accolade, information on which reviews have been most widely cited and information about the OUP which blog often has input from the Bulletin authors and editors. The first free online access review is The promise of artificial intelligence: A review of the opportunities and challenges of artificial intelligence in healthcare by Aun, Wong and Ting from Imperial College, London and the University of Cambridge, UK and the Dike-NUS Medical School, Singapore. They say that artificial intelligence (AI) and machine learning are rapidly evolving fields in various sectors, including healthcare. AI could transform physician...

Could the ABO Blood Group Types be Associated with COVID-19 Mortality?

Aim: Currently, it is still a matter of debate whether a particular blood types is associated with an increased risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In the present study, we aimed to evaluate the relationship between the ABO blood group types and mortality in patients hospitalized with the diagnosis of Coronavirus disease-2019 (COVID-19). Methods: This cross-sectional study included 427 patients diagnosed with COVID-19 between March 2020 and June 2020. SARS-CoV-2 ribonucleic acid was investigated in the naso/oropharyngeal swab samples of the patients by polymerase chain reaction. The blood group types, clinical and demographic data of the cases were obtained from the hospital automation system and patient files. Results: The age range of the patients was between 18 and 96, and 53.4% (228/427) of them were male. The ABO blood group distribution was 47.1% A, 29.5% O, 15.9% B, 7.5% AB. The overall mortality rate of COVID-19 cases was 16.9%. COVID-19 mortality risks were not significant in any of the ABO blood group types. Conclusion: We did not find a significant relationship between blood group types and mortality in patients who were hospitalized with a diagnosis of COVID-19 and received treatment and follow-up. [ABSTRACT FROM AUTHOR] Copyright of Medical Bulletin of Haseki / Haseki Tip Bulteni is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Economic Impact of Osteoporosis Related Hip Fractures in Bahrain. A Systematic Review

Background:Fragility fractures are common due to osteoporosis and there is very limited data on hip fractures from the Middle East in general and Kingdom of Bahrain in particular. The aim of this paper is to review the published data of femoral fractures in the Middle East and extrapolate the financial burden of osteoporosis related hip fractures in Bahrain and suggest some course of action for the region in controlling the fragility fractures.Methods:An extensive search was performed on published studies on hip fracture from 1990 to 2020 by a Medline, EMBASE the Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews and the Science Citation Index, Bahrain Medical Bulletin, Qatar Medical J, Oman with the key words: Osteoporosis, osteopenia, fragility hip fractures. The inclusion criterion was studies published during 1990-2020 describing the prevalence of osteoporosis and proximal hip fractures in patients with ≥50 years, from the Kingdom of Bahrain, Saudi Arabia, State of Kuwait, Sultanate of Oman, United Arab Emirates, State of Kuwait, Iraq, Iran, Turkey and the State Hashemite Kingdom of Jordan. Based on the fractures per 1000, an average was taken and extrapolated for the Kingdom of Bahrain and direct and indirect costs were assessed.Results:A total of 19 studies were selected for analysis from 10 countries. The average prevalence of postmenopausal osteoporosis was 29.37±6.97% (Range 20.2 to 38.5). In these 10 countries, 252.411 million people live, with an average of 28.56% suffering from osteoporosis. A total of 72.088 million are at risk of having a fragility fracture. The prevalence of fragility fractures of the proximal femur in six countries means prevalence is 4.41/1000. With this average, it is extrapolated that femoral fractures due to osteoporosis costs Bahrain yearly a total of BD 5.31 million.Conclusion:The prevalence of Osteoporosis is going to increase in Bahrain as the population is aging. This will further increase the economic impact of taking care of elderly patients with osteoporosis and related fractures. Early intervention to diagnose and treat this aging population will reduce the cost and save lives.

Citation Analysis of the Articles Published in the Bagcilar Medical Bulletin Between December 2016 and June 2020

Citation Analysis of the Articles Published in the Bagcilar Medical Bulletin Between December 2016 and June 2020

Do Migrants Receive Tuberculosis Education in China? Evidence From the China Migrants Dynamic Survey.

Migrants are the key population for tuberculosis (TB) transmission in China. However, it remains unknown how many migrants have received TB education and through what means. To identify the rate and methods of TB education among migrants in China by using nationally representative data. This study used secondary data analysis. The data were derived from the China Migrants Dynamic Survey 2014-2017. A total sample of 745,926 migrants was included in the following analysis. Information on TB education was collected through a self-report questionnaire. We used hierarchical logistic regression models to explore the relationship between the independent variables and the receipt of TB education. Only 30.4% (n = 226,458) received TB education. Among all age-groups, participants between 65 and 69 years old had the highest TB education rate (33.4%). Bulletin boards (86.5%-91%), media (73% to 86.7%), and books/magazines (59.2%-67.4%) were the most common ways for migrants to receive TB education. Our study showed the rates of TB education in each region of China and indicated the significant disparity among the seven regions. Traditional media, off-line medical consultation, community advocacy, and bulletin boards should be the primary methods of delivering TB education. TB education campaigns targeting migrants with a low socioeconomic status should be actively promoted.

Morphological Analysis of Brain Damage Due to Accident Injury Through Forensic Examination

In forensic examination injury is a noun to refer to injury caused by external forces and reactions of the body. There are many causes of injury (self-generated accidents) such as traffic accidents, work accidents, domestic accidents, self-inflicted accidents…. The form of damage is heavy, light, shallow, and deep depending on the characteristics, weight, direction and force of the impacted object. In accidents, traumatic brain injury is a serious injury that has many consequences for the victim such as mental disorder, post-traumatic depression syndrome, post-traumatic brain disease, epilepsy, dementia… More severely, brain stamping can be fatal. The study was conducted from 01/01/2015 to 30/09/2019 We collected 98 cases of victims who died with brain damage. According to our research, brain stamping at the affected place accounted for the highest percentage (76.5%), followed by fracture of skull fracture (38.8%), opposing brain stamping on the opposite side (18.4 %), cerebral suppression due to hernia (10.2%), cerebral suppression due to sudden increase and decrease in speed (4.1%), intermediate cerebral suppression (3.1%). Combined intracranial lesions accounted for the majority (56.3%).
 Keywords
 Accident, Road trafic accident, head injurie, skull fracture, contre – coup fractures, forensic exam.
 References
 [1] Wikipedia Wikipedia The free encyclophedia. Cerebral contusion, accessed October 1, 2015, web https://en.wikipedia.org/wiki/Cerebral_contusion[2] N.N. Chung, Brain stamping, hematoma in the brain, Graduation thesis of Doctor CKI, Hanoi Medical University, accessed 15/8/2014(in Vietnamese).[3] Hideo Itabashi, John Andrews, Uwamie Tomiyasu, Stephanie Erlich, Lakshmanan Sathyavagiswaran, Forensic Neuropathology, Contusional brain injury and intracerebral haemorrhage, 2005.[4] Di Maio V,J, Di Maio D, Trauma to the skull and brain: crainiocerebral injuries, Forensic Pathology, Boca Raton, 2001.[5] National Accidental Injury Survey, Ministry of Health, 2010.[6] C.W. Runyan, Introduction: Back to the future – Revisitin Haddon's conceptualization of injury epidemiology and prevention, Epidemiology and Prevention 25(1) (2003) 60-64. https://doi.org/10.1093/epirev/mxg005.[7] Decision on the issuance of guidelines for building safe communities, prevention of accidents and injuries, Ministry of Health, 2006.[8] T.X. Ha, Morphology study of brain crushing injury caused by road traffic accident through forensic examination, Science Journal, Hanoi National University 33 (1) (2017) (in Vietnamese).[9] N.C. Cuong, Research on traumatic brain injury due to road traffic accident through forensic examination, Master's thesis, Hanoi Medical University, 2014 (in Vietnamese).[10] L.S. Hung, Research morphological characteristics of skull fracture caused by road traffic accident through forensic examination at Viet Duc Hospital, Scientific Journal of Hanoi National University, 33(1) ( 2017) 1-5 (in Vietnamese).[11] N.H. Long, D.G. Duc, Research on blood lcohol concentration and injury characteristics of road traffic deaths, Journal of Medical Research 74(3) (2011) (in Vietnamese).[12] B.R Sharma, Patterns of Fatal Head Injury in Road Traffic Accidents, Bahrain Medical Bulletin 25(1) (2003).[13] American Medical Forensic Specialists Inc Epidural hematoma, accessed October 1 (2015) http://www.baileylaw.com/docts/epidurahematoma.htm
 
 
 

Overwork Death of Chinese Physicians under High-Intensity Pressure, 2007-2018.

Background:To summarize the cases of physicians overwork death between Jan 2007 and Dec 2018, the tragedy merits the attention of the authorities and policy-makers to increase their efforts to reduce death among physicians in China.Methods:Data were extracted from medical databases, local mass media, official documents and medical Bulletin Board System (BBS), in which only included articles, reports and news listed in the retrieval strategy, and unpublished data were excluded.Results:Overall, 110 cases (7 females and 103 males) were enrolled in this study. Most incidents have occurred since 2012, especially in 2017. Of these, 86 (78.18%) physicians worked in public tertiary hospitals, four times more than the number of cases taking place in secondary hospitals. Additionally, overwork death was the most common in surgery-related departments that account for up to 65 (59.1%). Notably, these events, taking place in first-tier cities and the southeastern coastal areas of China, included 27 chief physicians, 31 associate of chief physicians, 21 attending physicians, 10 resident physicians and 4 standardized training physicians.Conclusion:Overwork death among Chinese physicians is not only a contemporary health problem but also a critical social issue. The laws and regulations should be perfected to prevent the events. Meanwhile, the public should be aware of the need for more understanding and trust in physicians in China.

A. I. Yushchenko. On the question of bed keeping mentally ill. (Russian. Medical Bulletin)

From the analysis of the work on bed rest, the author concluded that the authors who worked on this issue, not only do not pass to the same conclusion, but sometimes directly contradict each other, and tries to explain such a discrepancy by the fact that bed keeping by different authors is used far from unequal other conditions, as well as for various kinds of patients.

Special Issue No. – 10, June, 2020 Journal > Special Issue > Special Issue No. – 10, June, 2020 > Page 5 “Quantative Methods in Modern Science” organized by Academic Paper Ltd, Russia MORPHOLOGICAL AND ANATOMICAL FEATURES OF THE GENUS GAGEA SALISB., GROWING IN THE EAST KAZAKHSTAN REGION Authors: Zhamal T. Igissinova,Almash A. Kitapbayeva,Anargul S. Sharipkhanova,Alexander L. Vorobyev,Svetlana F. Kolosova,Zhanat

Special Issue No. – 10, June, 2020 Journal > Special Issue > Special Issue No. – 10, June, 2020 > Page 5 “Quantative Methods in Modern Science” organized by Academic Paper Ltd, Russia MORPHOLOGICAL AND ANATOMICAL FEATURES OF THE GENUS GAGEA SALISB., GROWING IN THE EAST KAZAKHSTAN REGION Authors: Zhamal T. Igissinova,Almash A. Kitapbayeva,Anargul S. Sharipkhanova,Alexander L. Vorobyev,Svetlana F. Kolosova,Zhanat

Bahrain Medical Bulletin Announces the Establishment of Dr. Mohamed Al Khalifa Research Prizes

Bahrain Medical Bulletin Announces the Establishment of Dr. Mohamed Al Khalifa Research Prizes

Bahrain Medical Bulletin Announces the Establishment of Dr. Mohamed Al Khalifa Research Prizes

Bahrain Medical Bulletin Announces the Establishment of Dr. Mohamed Al Khalifa Research Prizes

Impact of VA Research on Health Care for All: Contributions Over Nine Decades and Counting.

In 2015, the Veterans Administration (VA) celebrated 90 years of VA research. As Associate Chief of Staff for Research at the Birmingham VA Medical Center, I pondered how to celebrate this momentous occasion for the yearly VA Research Week. My first questions were how has a structured VA Research Program been in existence for 90 years and how did it all start in 1925, 20 years before the National Institutes of Health?1 My thoughts since then have become especially poignant in view of the recent turmoil within the VA system that has led to questions about its position in the Healthcare System. I respond to this invitation not as the section would imply in its title: Viewpoints, but more so to share the 90-year journey of the VA in melding its tripartite mission of patient care, education, and research. Before World War I, hospitals were considered charitable institutions for the impoverished, and the sick and injured were cared for in their homes. Passage of the Langley Bill in 1921 marked the transition from a Soldier’s home with compensation/pension for injury to a true medical center orientation. The Veterans Bureau took over all Public Health Service Hospitals, and by 1925, the Veterans Bureau oversaw 50 VA hospitals and 30 000 hospitalized veterans. In 1924, a 22-member council on Medical and Hospital Affairs comprised leaders in academic, public, and private medicine endorsed a system of diagnostic hospital beds. They also initiated the US Veterans’ Bureau Medical Bulletin, and the establishment of a research program with emphasis on research related to veterans’ medical conditions. The VA Medical Bulletin (Figure A) underscored the Medical Council’s idea of a hospital-based research program seeking methods to cure disease by systematic bedside observation with an emphasis on outcomes. Before World War II, there was not a strong …

First Trimester Ultrasonographic Diagnosis of Unruptured Rudimentary Horn Pregnancies in Two Cases

The Medical Bulletin of Haseki Training and Research Hospital, published by Galenos Publishing. Haseki T›p Bulteni, Galenos Yay›nevi taraf›ndan bas›lm›flt›r. Ad­dress­for­Cor­res­pon­den­ce/Ya­z›fl­ma­Ad­re­si:­Derya Akdag Cirik Etlik Zubeyde Hanim Women’s Health Training and Research Hospital, Clinic of Obstetrics and Gynecology, Ankara, Turkey Phone: +90 312 567 40 00/4330 E-mail: deryaakdag@yahoo.com Received/Gelifl­Tarihi:­01 February 2016 Ac­cep­ted/Ka­bul­Ta­ri­hi:­07 February 2016 Pregnancy in a woman with unicornuate uterus with non-communicating uterine horn is a considerably rare condition with an incidence of one in 100.000 cases. Fertilization occurs by transperitoneal migration of sperm and, uterine rupture is a considerably frequent complication of those pregnancies. Therefore, early diagnosis is of great importance due to the potential risk of maternal mortality. Herein, we present two cases of rudimentary horn pregnancy diagnosed by ultrasonography in the first trimester, and treated with laparoscopic approach. These two patients attended the hospital in the sixth and twelfth gestational weeks respectively, and the first case was misdiagnosed with tubal ectopic pregnancy in the emergency unit. After detailed transvaginal ultrasonographic examination, a gestational sac separate from the uterus and surrounded by myometrium was seen and the final diagnosis was the rudimentary horn pregnancy. The diagnosis was also confirmed after laparoscopy in both cases, and the patients underwent excision of the rudimentary horn.

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