Patient satisfaction in a Moroccan emergency department
Background: Measuring healthcare quality and improving patient satisfaction have become increasingly prevalent, especially among healthcare providers and purchasers of healthcare. Currently, research is interested to the satisfaction in several areas, and in various cultures. The aim of this study was; to confirm the reliability and validity of the Arabic version of the Emergency Department Quality Study (EDQS), to evaluate patient satisfaction with emergency care, and to determine associated factors with patient satisfaction. Methods: A survey of socio demographic, visit and health characteristics of patients, conducted i...
Source: International Archives of Medicine - May 4, 2013 Category: Global & Universal Authors: Nada DamghiJihane BelayachiBouchra ArmelAicha ZekraouiNaoufel MadaniKhalid AbidiAbdellatif Belabes BenchekrounAmine ZeggwaghRedouane Abouqal Source Type: research

Long term evolution of patients treated in a TIA unit
Background: Transient ischemic attacks (TIA) entail a high risk of stroke recurrence, which depends on the etiology. New organizational models have been created, but there is not much information about the long-term evolution of patients managed according to these premises. Our aim is to refer the follow-up of patients attended according to our model of TIA Unit. Methods: TIA Unit is located in the Emergency Department and staffed by vascular neurologists. Patients admitted during the Neurology night shift stayed in such Unit (Source: International Archives of Medicine)
Source: International Archives of Medicine - May 1, 2013 Category: Global & Universal Authors: Lorena FernándezSergio PuertaCarlos LahozDavinia CampoJuan VillarGerard CapdevilaJulio Gómez Source Type: research

Patients readmitted to the intensive care unit: can they be prevented?
Readmission to the surgical intensive care unit of a tertiary care hospital has traditionally been tracked as a quality indicator and many studies have suggested various figures as to the acceptable rate of such. ICU beds being a precious resource readmitting a patient could imply hasty discharge or inadequate care. Patients readmitted generally have a higher mortality and length of stay due to the worsening of their illness. The definition of 'ICU readmission' varies from either in the first 24 hours, to over the next 2 days or even whether the patient comes back during the entire period of admission. The association betw...
Source: International Archives of Medicine - April 27, 2013 Category: Global & Universal Authors: Shahla Siddiqui Source Type: research

Performance of Down syndrome subjects during a coincident timing task
Conclusion: DS individuals have more difficulty in integrating the motor action to an external stimulus and they also present more inconsistence in performance. Both groups presented the same tendency to delay their motor responses. (Source: International Archives of Medicine)
Source: International Archives of Medicine - April 24, 2013 Category: Global & Universal Authors: Camila Torriani-PasinGiordano BonuzziMarcos SoaresGisele AntunesGisele PalmaCarlos MonteiroLuiz de AbreuVitor ValentiAlaércio JuniorRubens WajnsztejnUmberto Corrêa Source Type: research

Aetiology of auditory dysfunction in amusia: a systematic review
Conclusion: Although initially a large number of relevant studies were identified, and might point in future to potential diagnostic categories, it was not appropriate to synthesise and analyse them due to poor quality, considerable heterogeneity and small numbers. This suggests that large, high quality studies focussed directly on understanding the aetiology of amusia are required. (Source: International Archives of Medicine)
Source: International Archives of Medicine - April 24, 2013 Category: Global & Universal Authors: Daniel Casey Source Type: research

Assessment of gallstone predictor: comparative analysis of ultrasonographic and biochemical parameters
Background: Gallstones represent a significant burden for health care systems worldwide and are one of the most common disorders presenting to emergency room. Ultrasonography, complete blood picture test and liver function tests are procedures of choice in suspected gallstones or biliary diseases. They are the most sensitive, specific, non-invasive and inexpensive tests for the detection of gallstones. Our main objective was to evaluate the relationship of ultrasonographic findings, hemolytic indices and liver function tests with gallstones.Methodology: It was a prospective study carried out in Civil Hospital Karachi (DUHS...
Source: International Archives of Medicine - April 24, 2013 Category: Global & Universal Authors: Hafiz AslamShafaq SaleemMuhammad EdhiHiba ShaikhJehanzeb khanMehak HafizMaria Saleem Source Type: research

Investigation of characteristics and risk factors of sports injuries in young soccer players: a retrospective study
Conclusion: The young practitioners of soccer analyzed had low rates of injury. The main causal mechanism was the impact. A taller height and longer exposure to training were the main risk factors for injury among young soccer players. (Source: International Archives of Medicine)
Source: International Archives of Medicine - April 20, 2013 Category: Global & Universal Authors: Fabio BastosFranciele VanderleiLuiz VanderleiJayme JúniorCarlos Pastre Source Type: research

Giant left atrial myxoma mimicking severe mitral valve stenosis and severe pulmonary hypertension
Myxoma is the most common primary tumor of the heart and can arise in any of the cardiac chambers. This paper reports A 50 -year-old woman without medical history and any cardiovascular risk factors was hospitalized for exertional dyspnea and palpitations from three months and signifiant weight loss. Transthoracic echocardiogram showed a giant left atrial myxoma mobile confined to the left atrium in systole, in diastole the tumor was seen prolapsing across the mitral valve into the left ventricle and partially obstructing it and causing severe functional mitral stenosis with a mean gradient of 21,3 mmHg. Severe pulmonary h...
Source: International Archives of Medicine - April 19, 2013 Category: Global & Universal Authors: Najat MouineIlyass AsfalouMaha RaissouniAatif BenyassEl Zbir Source Type: research

Apical ballooning syndrome (Takotsubo Syndrome): case report
Conclusion: The course of events patient showed clinical improvement with treatment and support was not necessary to administer specific medications or interventions to reverse the situation. After hemodynamic stabilization coronary angiography showed no obstructive lesions and left ventricle with akinesia of the apex and the middle portion of the left ventricle. (Source: International Archives of Medicine)
Source: International Archives of Medicine - April 18, 2013 Category: Global & Universal Authors: Charles do NascimentoCarlos BossoPaulo JorgeFranciele VanderleiHenrique EbaidVitor ValentiLuiz Vanderlei Source Type: research

Reviewer Acknowledgement 2012
Contributing reviewersThe Editor-in-Chief of International Archives of Medicine would like to thank all our reviewers who have contributed to the journal in Volume 5 (2012). (Source: International Archives of Medicine)
Source: International Archives of Medicine - April 5, 2013 Category: Global & Universal Authors: Manuel Menéndez-González Source Type: research

Sidestream cigarette smoke and cardiac autonomic regulation
Conclusion: Further studies are necessary to add new elements in the literature to improve new therapies to treat cardiovascular disorders in subjects exposed to sidestream cigarette smoke. (Source: International Archives of Medicine)
Source: International Archives of Medicine - March 7, 2013 Category: Global & Universal Authors: Vitor ValentiLuiz Carlos M VanderleiCelso FerreiraFernando L A FonsecaFernando OliveiraFernando SousaLuciano RodriguesCarlos B M MonteiroFernando AdamiRubens WajnsztejnLuiz Carlos de Abreu Source Type: research

Health financing in the African Region: 2000¿2009 data analysis
Conclusion: Whilst the African Region (AFR) average government expenditure on health as a per cent of THE increased by 5.4 per cent, the average private health expenditure decreased by the same percentage between 2000 and 2009. The regional average OOPS as a per cent of private expenditure on health increased by 4.9 per cent. The average external resources for health as a percentage of THE increased by 3.7 per cent. Even though on average the quantity of health funds have increased, we cannot judge from the current study the extent to which financial risk protection, equity and efficiency has progressed or regressed.In 200...
Source: International Archives of Medicine - March 6, 2013 Category: Global & Universal Authors: Luis SamboJoses KirigiaJuliet Orem Source Type: research

Predictors of skin self-examination before and after a melanoma diagnosis: the role of medical advice and patient¿s level of education
Conclusions: These findings suggest that different patient subgroups display varied knowledge base, readiness for change, and receptiveness for medical advice. Thus, interventions seeking to enhance skin self-exam practice may be most effective when the individual’s psychosocial characteristics are taken into account. (Source: International Archives of Medicine)
Source: International Archives of Medicine - February 27, 2013 Category: Global & Universal Authors: Annett KörnerAdina CoroiuClaudia MartinsBeatrice Wang Source Type: research

Predictors of skin self-examination before and after a melanoma diagnosis: the role of medical advice and patient's level of education
Conclusions: These findings suggest that different patient subgroups display varied knowledge base, readiness for change, and receptiveness for medical advice. Thus, interventions seeking to enhance skin self-exam practice may be most effective when the individual's psychosocial characteristics are taken into account. (Source: International Archives of Medicine)
Source: International Archives of Medicine - February 27, 2013 Category: Global & Universal Authors: Annett KörnerAdina CoroiuClaudia MartinsBeatrice Wang Source Type: research

Acute Myocardial infarction following a Russell's viper bite: a case report
Conclusion: The course of events with respect to myocardium suggests a direct toxic effect of the venom on myocardial tissue or coronary vasoconstriction. Physicians should bear in mind the complications and devastating sequela of Myocardial infarction following Russell's viper bite. (Source: International Archives of Medicine)
Source: International Archives of Medicine - February 23, 2013 Category: Global & Universal Authors: Mahboob NirajJayamalee JayaweeraIndunil KumaraNirmali Tissera Source Type: research