Sapporo Medical Journal

Abstract : The field of telemedicine is developing rapidly with teleneurology being one of the branch. The use of teleneurology has helped patients gain easier access to medical care. Various studies have studied the effect of teleneurology on medical care. Thus, this systematic review is created to evaluate the outcome of teleneurology usage. Literature search was performed via PubMed, Cochrane Library, ScienceDirect, Wiley Online Library, and EBSCOhost databases. Studies selected were studies that evaluated the outcome of teleneurology from inception to June 11, 2022. Five studies were selected from literature search. Three of the studies found that teleneurology helps patient gain easier access and reduction of cost usage. The studies also found that teleneurology satisfies patients’ and caregivers’ needs. Teleneurology helps with easier access to healthcare, reduction of cost in healthcare, and fulfills the needs of patients and caregivers.

Abstract : Irreducible dorsal dislocation of the interphalangeal joint of the great toe is extremely rare. Here, we report a case of a 27-year-old male patient with an open dorsal dislocation of the left great toe resulting from a twisting injury while playing football. After the affected site was washed with normal saline, manual closed reduction was performed, but it failed because of bony and soft tissue entrapment. Nevertheless, it was successfully managed by open reduction and internal fixation using Kirschner wire. In addition, the interposition of the joint capsule and hallux sesamoid was found and reduced. This case is the first to be reported in the Middle East and the first to be reported as open dislocation worldwide.

Abstract : Heterotopic ossification (HO) is a rare preventable debilitating complication of immobility. We reported 2 cases of traumatic brain injured patients who has been bedridden and subsequently develop HO at bilateral hips for case number one and at unilateral elbow for case number two. Although they had a good cognitive recovery, the HO had hinder their everyday mobility and living activity potential. The interdisciplinary medical discussion with the patients had led to surgical removal of the heterotopic ossifications in both cases. Their quality of life improved tremendously following the intervention. This article illustrates the importance of a multidisciplinary approach and knowledge of various methods in the management of multiple disabilities that can help to achieve a realistic meaningful goal for the patients.

Abstract : This study was conducted to determine the effect of oral extract of O. stamineus in the management of diabetes in normal and alloxan-induced diabetic rats. The rats were divided into four groups, with ten rats. Group A (control) consisted of normal rats that received 2 ml (10 ml/kg of body weight) of normal saline per day. In comparison, group B consisted of diabetic rats that received 1 ml (120 mg/kg of body weight) of treatment with extract of O. stamineus. On the other hand, Group C consisted of diabetic rats given 1 mL (150 mg/kg body weight) of metformin. On the other hand, Group D was made up of untreated diabetic rats who served as a negative control group. Alloxan (150 mg/kg body weight) was injected intraperitoneally into groups B, C, and D. Diabetic group B rats given O. stamineus extract had considerably lower blood glucose levels than diabetic group D rats (p = 0.05). Similarly, diabetic rats in group B consumed significantly less food and water than diabetic rats in group D (p = 0.05). After that, diabetic group B rats given O. stamineus extract had a considerable increase in body weight (p = 0.001). In conclusion, O. stamineus extract can reduce alloxan-induced hyperglycemia in diabetic rats and prevent weight loss in diabetic animals.

Abstract : ABSTRACT The prevalence of both asthma and obesity is increasing, and studies have found a correlation between these conditions. Obesity is also related to poor asthma control (Pradeepan et al., 2013). Objective: The main study objective was to identify the impact of BMI on the frequency of ER visits and length of hospitalization among asthmatic patients aged 14 or less in Makkah from 2018 to 2022. Method: This was a retrospective cross-sectional quantitative study using data collected from the hospital system. Results: This study found no significant correlation between BMI and asthma control (p = 0.935), compared to previous studies. Additionally, the correlation between BMI and frequency of hospitalization and ER visit results was not statistically significant. Finally, this study found an association between male gender and BMI as the p-value found by a Pearson Chi-squared test was less than the level of statistical significance (p < 0.05). Obesity is more prevalent in boys than in girls, and boys are also more likely to suffer from asthma. Conclusion: Asthma is a major public health disease that affects the quality of life, and one of the most important factors affecting the disease is obesity but obesity does not affect the severity of asthma as our study showed