The journal Electronic Physician has just published the August 2018 articles. In the last two issues, the theme of our publications was “Randomized Controlled Trials” as we published about 13 different types of RCTs and experimental studies. In August, we still have four new RCTs (two clinical trials and two health education experiments), but we have good reason to entitle the theme of the August publications as “Case Reports” although we have only two case reports in August. The main reason is to emphasize the impact of brilliant case reports on the progress of medical science. Some case reports present unique or rare cases and others present educational cases. Both of these classic or unique case reports and educational case reports have invaluable influence on the development of new hypotheses or triggering new research, or in the classic education of medicine to residents and interns. Another notable thing about our new case reports is that both of them are prepared using the CARE Checklist (2013) of information to be included when writing a case report (https://www.care-statement.org). The CARE guidelines for case reports help reduce bias, increase transparency, and provide early signals of what works, for which patients, and under which circumstance.

 

Professor Vishnu Vardhan Garla and his colleagues from the University of Mississippi Medical Center (Jackson, USA) are the authors of our first case report that details a case of Thyrotoxic periodic paralysis (TTP) who presented with repeated episodes of hypokalemia and quadriplegia. The Take-away lesson we should learn from this case report is that physicians need to be aware of the diagnostic and treatment modalities, as delayed recognition in treatment could result in potential harm or unnecessary interventions (click here to read).

 

The second case report comes from Imam Abdulrahman bin Faisal University (Khobar, Kingdom of Saudi Arabia), where Professor Foziah Jabbar Alshamrani, Dr. Alaa Nabil Turkistani and their colleagues present a clinically important case of Tumefactive multiple sclerosis that can masquerade as a central nervous system tumor. This case report highlights the real possibility of being forced to decide between Tumefactive demyelinating lesions (TDLs) and brain tumors in clinical practice, in order to avoid unnecessary biopsy (click here to read).

 

The august articles also include two clinical trials and two health education experiments. Professor Parviz Padisar, Dr. Roya Hashemi, and their team from Qazvin University of Medical Sciences and Zahedan University of Medical Sciences are the authors of a randomized split-mouth clinical trial that studies the tumor necrosis factor alpha (TNFα) and interleukin 6 level in gingival crevicular fluid (GCF) during orthodontic tooth movement. According to their findings, the level of mediators in the GCF collected from the mesial and distal areas alone cannot serve as a suitable index for assessment of activity at the tension and pressure sites (click here to read). In another Clinical Trial, a team of researchers from Rafsanjan University of Medical Sciences study the effect of self-acupressure on fasting blood sugar (FBS) and insulin level in type 2 diabetes patients. They conclude that self-acupressure as a complementary alternative medicine can be a helpful complementary method in reducing FBS and increasing insulin levels in type 2 diabetic patients (click here to read).

 

In a classic cross-sectional population-based study, Maliheh Dadgarmoghaddam and her team from the Community Medicine Department of Mashhad University of Medical Sciences (Iran) studied the risk of cardiovascular events based on the Framingham criteria in adults living in one of the most populated cities in Western Asia. Based on their findings, they recommended that the heath policy makers develop a special screening and educational program for the mentioned study population (click here to read).

 

in August, we have two qualitative research performed by researchers from Sweden, Iran, and Thailand. In a qualitative research, a team of PhD scholars from Sweden and Thailand studied the engagement and availability in shaping nurses’ management of postoperative pain. Findings of their qualitative research help to expand our understanding of how Thai nurses manage pain in postoperative situations and indicate areas that could be improved in terms of how nurses respond to patients’ pain. We should add that the report of their research has been organized using the Consolidated Criteria for Reporting Qualitative Studies (COREQ): 32-item checklist. 

 

Among our August 2018 articles, there are also some brief or short reports of descriptive studies written by authors from Egypt, and Saudi Arabia. In one of the short reports, Dr. Bashayer Reda Alenazi from the Joint Program of the Saudi Board of Family Medicine (Arar, Kingdom of Saudi Arabia) describes the prevalence of seasonal influenza vaccination among primary healthcare workers in the Northern Borders Region of Saudi Arabia. In another short report, Dr. Manal Saeed Alanazi from Saudi Arabia describes the prevalence and psychological impact of Acne vulgaris among female secondary school students. Finally, in a surgery report, Dr. Tarek Ashour and his colleagues from Cairo University (Cairo, Egypt) report their experience of reduction mammoplasty on 40 patients with severe breast ptosis and gigantomastia.

 

Electronic Physician

August 27, 2018

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