Teikyo Medical Journal

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Teikyo Medical Journal

Journal ID : TMJ-14-02-2023-11503

Total View : 375

Title : Clinico-Pathological Evaluation Of Palpable Breast Lump : Hospital Based Prospective Study

Abstract :

Breast lump remains a common complaint of females attending a surgical outpatient department. Different types of lesions ranging from inflammation to carcinoma can be presented as a breast lump. A definitive diagnosis of breast lump must be made by histopathological examination. In case of breast cancer, an early and accurate diagnosis can save the patient from metastases and may thus reduce mortality and morbidity. The objective of the present study is to evaluate the clinical profile of patients who has palpable breast lumps and a wide range of breast diseases in palpable breast lumps. Histopathology was performed on these breast lumps. In addition to histopathology, clinico - pathological correlation was also done. A prospective observational study was conducted for one year in the Department of Pathology, Vivekananda Polyclinic & Institute of Medical Sciences (VPIMS), Lucknow. All patients with discrete breast lumps have undergone a triple assessment to make an early diagnosis. Surgical resection specimen includes lumpectomy and mastectomy. They were received, processed, reported and recorded in the Pathology laboratory and the data was collected and analysed. All the cases had a unilateral side of the breast lump and most of the cases had a breast lump on the right side. The majority had lesion size between 2-5 cm, firm consistency, single lump/mass, spread in the outer quadrant. The clinical diagnosis was benign in 19 cases (45.2%) and malignant/suspected of malignancy in 23 cases (54.8%). The histopathological diagnosis was benign in 14 cases (33.3%), borderline in 2 cases (4.8%) and malignant in 26 cases (61.9%). Fibroadenoma was the most common benign tumour and invasive ductal carcinoma was the most common malignant tumour. The final histopathological examination confirmed that the few cases of clinically suspected benign breast lumps were actually borderline and malignant breast lumps. These cases confirm that the histopathological examination of a breast lump is the gold standard to establish a correct diagnosis.

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Journal ID : TMJ-11-02-2023-11500

Total View : 443

Title : The prevalence of musculoskeletal pain disorders and its associated factors among school teachers in Tabuk, Saudi Arabia

Abstract :

To investigate the overall and regional prevalence of musculoskeletal pain disorders (MSPDs) during the last 12 months and the last 7 days, their risk factors, and their impact on the quality of life among school teachers in Tabuk, Saudi Arabia. A cross-sectional study was conducted online in Tabuk city using the Arabic version of the Nordic Musculoskeletal Questionnaire. Four hundred teachers were randomly selected from randomly selected public schools. The study included all teachers of both sexes who had at least one year of teaching experience in a governmental school. The prevalence of MSPDs was 93 % within the last 12 months. The lower back (71.3%), shoulders (64.3%), and neck (55.3%) were the most frequently affected body regions. The prevalence of MSPDs was 65.8% over the last 7 days, with the lower back (45.5%), shoulders (35.0%), and neck (28.5%) being the most common. Every unit increase in body weight was associated with a 2.161 increased likelihood of pain (AOR=2.161, CI: 1.044 to 4.474). The female sex was significantly associated with a 3.194 increased likelihood of shoulder pain (AOR=3.194, P<0.001). Elementary teaching was significantly associated with a 1.815 increased likelihood of shoulder pain (AOR=1.815, CI:1.040 to 3.168, P=0.036). The female sex was significantly associated with a 1.681 increased likelihood of neck pain (AOR=11.681, CI: 1.083 to 2.608, P=0.021). Elementary teaching was significantly associated with a 1.849 increased likelihood of neck pain (AOR=1.849, CI: 1.091 to 3.132, P=0.022). The MSPDs were highly prevalent among school teachers in Tabuk, Saudi Arabia. The body regions with the highest prevalence rates of musculoskeletal pain were the lower back, shoulders, and neck. Increased body weight was the only risk factor for low back pain, while female sex and teaching in elementary schools were significantly associated with an increased likelihood of shoulder and neck pain.

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Journal ID : TMJ-06-02-2023-11499

Total View : 398

Title : Case Series and literature review: Intraventricular Cysts and Hydrocephalus Undergoing Cystoventriculostomy and VP Shunt Procedures

Abstract :

Intraventricular cysts, also known as intraventricular arachnoid cysts or intraventricular cerebrospinal fluid cysts, are rare cases and usually show asymptomatic to symptomatic intracranial Pressure elevation. Intracranial intraventricular cyst is a collection of clear fluid and does not resemble cerebrospinal fluid (CSF) that occurs in the ventricles. Intraventricular cysts are generally treated with open surgery such as peritoneal shunting, microfenestration with partial excision, endoscopic fenestration, stereotactic aspiration cystocisternostomy, and cystoventriculostomy. Endoscopic cystoventriculostomy has become common in recent years, due to its successful operation without touching the basal cistern in most cases with minimal complications. Objectives of this study reports a case series and literature review: patients with intraventricular cysts and hydrocephalus who underwent cystoventriculostomy and VP shunt procedures. We prospectively identified patients with intraventricular cysts who developed hydrocephalus who required a cystoventriculostomy procedure. Patients were followed up for development of hydrocephalus, need for a VP shunt, and length of stay in the intensive care unit. The first case was a 1 year old child with a history of communicating hydrocephalus with a VP shunt, with complaints of vomiting, restlessness, and difficulty sleeping. The results of the head MRI with contrast showed that there were multiloculated cystic lesions in the III and IV ventricles. The second case was a 79-year-old man with complaints of seizures and a history of decreased consciousness. A CT scan of the head revealed a cystic lesion with rim of calcification in the left frontal lobe. Both patients underwent endoscopic fenestration with good outcome in both patients. Although the arachnoid cyst is a relatively benign pathological entity, preemptive therapy can be managed with endoscopically guided fenestration of the cyst wall. Endoscopic fenestration is the technique of choice because the risks and complications associated with open craniotomy and fenestration are less.

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Journal ID : TMJ-05-02-2023-11498

Total View : 450

Title : Effect of Body Balance on Knee Valgus Angle during Single-Leg Squat and Horizontal Hop Landing in Controls

Abstract :

The mechanisms of the lower limb altered mechanics are still not clearly understood, however, lower limb mechanics and the increase of knee valgus on loaded tasks are believed to play an important role in the development of knee disorders, and this could be affected by body balance after landing from a hop or squatting task. The aim of this study was to figure out if balance tasks including time to stabilization and sway area would have an effect on knee valgus angle during single-leg squat and single-leg horizontal hop for distance tasks in healthy participants. This study also investigated if there are differences found between the dominant and non-dominant limbs in all tests. Twenty-eight recreationally male athletes were participated in the study. The measurements of their performance during all tests were taken for both legs individually. The participants were asked to participate in two different tests, the first test was the balance test which include three different tests, two static tests to measure the sway area and one dynamic test to measure TTS. The second test was to examine knee valgus angle from two different tasks (single-leg squat and single-leg horizontal hop landing). The non-dominant leg had significantly greater knee valgus angles and lower balance performance than the dominant leg in all tasks. No significant correlations were found between balance and knee valgus tests in all tasks (P ≥ 0.05). However, there are significant differences found between the dominant and non-dominant limbs for all tests (P ≤ 0.05). No correlations were found between balance performance and knee valgus angle. Differences were found between the dominant and non-dominant limbs, the dominant had better outcome measures in all tests. More attention should be considered for the non-dominant limb during rehabilitation to balance its performance with the dominant.

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Journal ID : TMJ-04-02-2023-11497

Total View : 415

Title : Short Term Result of Posterior Correction Surgery of Scoliosis using Low Density Pedicle Screw Instrumentation In BPJS Era

Abstract :

Adolescent idiopathic scoliosis (AIS) is a complex 3D deformity of the spine. Its prevalence is between 2% and 3% in the general population. Correction scoliosis using low density (LD) screw constructs can provide similar radiographic and clinical outcomes Therefore, whether LD or high density (HD) screw constructs are better for AIS patients remains a subject of debate. In BPJS era at Adam Malik hospital, there’s a restriction of using implant like pedicle screw in spine case operation because cost of disease and procedure operation was too high rather than budget of the patient that BPJS provide, so usually low density screw constructs was using for correction scoliosis procedure at that situation. Four patients AIS with variety of Lenke type was underwent correction scoliosis procedure with 3 patients AIS type I and 1 patient AIS type V underwent procedure with low density screw construct (<1.6 screws per level). All of the patients underwent x-ray after the operation and x ray follow up after 1 year operation, to compare cobb angle and sagittal modifier after operation and 1 year post operation. Four patients with variation of Lenke type with correction procedure with low density (LD) screw constructs show that the follow up of cobb angle and sagittal parameter after post operation and 1 year post operation that same measurement. With clinical function of the patient and quality life of the patient was increase significantly. The use of low density pedicle screw construct (LD) in correction scoliosis procedure for AIS patient in Haji Adam Malik hospital has the same result in cobb angle and saggital modifier in after the operation and 1 year post operation.

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