Sapporo Medical Journal aims to distribute and expand medical data to the World as well as build a supportive and vibrant community of researchers to connect and explore ideas by publishing articles related to all fields of medicine. Sapporo Medical Journal believes that quality and ethical research. The journal seeks to publish original research articles that are hypothetical and theoretical in its nature and that provide exploratory insights in the following fields but not limited to:
Abstract : Globally, low birth weight (LBW) is still being a maternal public health problem. LBW is caused by various factors, which affect shorter gestation period, fetal growth restriction or both. Adequate frequency and quality of antenatal care (ANC) visits are recommended to identify problem as early as possible and to monitor the health of the mother and baby. ANC has been proofed as determinant to reduce the incidence of LBW. This study aims to identify whether adequate frequency and quality of ANC visits decrease the incidence of LBW in developing countries. The research was using systematic literature review which performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. All references are managed using Mendeley software, then found 14 selected articles that meet the inclusion criteria and have high quality assessed by using critical appraisal tool from Centre for Evidence-Based Medicine (CEBM). The studies showed there were significant association between adequate frequency of ANC visits with the incidence of LBW. Other factors associated with LBW were socio-demographic factors and maternal factors. Frequency of ANC at least 4 times during pregnancy can still give positive effect towards low birthweight risk, however, it should be a quality service of ANC. Keywords— LBW, ANC, antenatal care, pregnancy, pregnant women
Abstract : Type 2 diabetes mellitus (T2DM) is a noncommunicable illness that develops due to insulin resistance and persistent hyperglycemia. People older than 65 years have a higher chance for getting diabetes. We aimed to measure the quality of life (QoL) among the elderly type 2 diabetic population in Makkah region. A cross-sectional study was done in older adults in Makkah. We included all participants older than 65 years who were diagnosed with T2DM. World Health Organization Quality of Life Brief Version (WHOQOL-BREF) scale was used to measure the QoL among patients with diabetes. Data were analyzed using SPSS statistical program version 25. A total of 399 participants were included. Most participants were between 65 and 70 (65.7%) and 71–75 (23.3%) years. Two hundred and twenty-two (55.6) of them were male. The mean WHOQOL-BREF scale score was 14.83 ± 2.79, and a significant negative correlation was found between WHOQOL-BREF scale scores and participants’ age (r = −0.16, p-value = 0.001) and positive correlation with participants’ educational level (r = 0.275, p-value ≤ 0.001). The overall QoL was high among elderly patients with diabetes. Educational level and age were also correlated with a higher QoL. We should concentrate on increasing the level of education among elderly patients with diabetes to increase their QoL.
Abstract : Chronic hypertension in pregnancy, gestational hypertension, and hypertension in preeclampsia are uniquely challenging conditions for pregnant mothers, because the pathology and treatment methods affect both the mother and the fetus and sometimes cause contradictory health outcomes. Preeclampsia is one of the most worrying complications, especially in pregnancy. Preeclampsia often manifests as new-onset hypertension and proteinuria in the third trimester, which can quickly develop into serious complications, including the death of the mother and fetus.A 35-year-old woman was admitted to the hospital due to menelipsis for 33+5 weeks and was found to have abnormal blood pressure for 5+ months. According to blood pressure measurements and urine protein +- and the condition of placenta, she was hospitalized for pregnancy with chronic hypertension and early-onset preeclampsia. The result of the placental growth factor test was 30.63. A caesarean section was recommended to extract the fetus quickly to avoid the potential harm caused by severe eclampsia. The patient’s blood pressure during the operation was high, which was characteristic of severe eclampsia. Therefore, an emergency caesarean section was performed to ensure the safety of the patient and the fetus. Postoperative eclampsia symptoms disappeared and the placental growth factor index was normal. The patient's postoperative clinical course was smooth and satisfactory.
Abstract : Background Hormonal ratios have analytical, interpretational importance. Our objective is to assess the best statistical model to interpret normality in a hormonal ratio. Methods This descriptive review relied on hormonal data (testosterone T and estradiol E2) and (T/E2 and E2/T) from 1198 premenopausal women, through a systematic approach for testing normality, skewness, kurtosis, Kolmogorov–Smirnov (K-S), Shapiro-Wilk (S-W) which assume normal distribution. We tested the graphical methods for testing normality. Log-transformation, and correlation analyses, before and after adjustment for a proposed composite factor was done. ANCOVA and univariate linear regression tested the dependent variables and the outcome. Results The data lacked normality graphically (markedly right skewed and positively leptokurtic), and on K-S and S-W. The log-transformation decreases (not eliminate) the normality deviation, which can be proven graphically but not in K-S and S-W, due to the outliers. Correlation analyses gave unsatisfactory results during adjustment for the composite factor. Parametric tests make more rigorous normality assumptions than that of the non-parametric tests, and could be applied for testing. ANCOVA used a more complex interplay to describe normality dispersion during adjustment, to provide an explainable robust normality assumption. Additional descriptive results were obtained from the linear regression analysis, similar to correlational analysis with different signific
Abstract : The current study aimed to determine the prevalence of Cyberchondria severity among late adolescent female participants and correlate factors that may cause internet-based anxiety among participants. The study investigates model internal reliability, items statistics and correlation between different factors. The cross-sectional pilot study was conducted between 1st February 2021 till 29th June 2021. The study was conducted under self-administered mode among the late adolescence female general population in Malaysia. The data was collected using the twelve-item Cyberchondria severity scale (CSS-12) to assess the internet searching anxiety among general female populations aged 18-24 years. The total included participants according to the eligible criteria was eighty-eight (n= 88). (36.4%) of the population tended to search for information if they feel unexplained bodily sensation, and (43.2%) of the population tended to read information about the same perceived conditions from different web pages. The internal reliability of the model was (α=0.848), whereas Cronbach's Alpha, based on the standardized item were (α=0.845). A correlation were observed between different factors (i.e. excessiveness, compulsion, distress, reassurance and mistrust)In conclusion, the prevalence of Cyberchondria were moderate in late adolescent female in Malaysia. More attention should be directed toward detecting psychological changes in these vulnerable individuals.