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Sep 08, 2025Open Access
Chikungunya Fever (CHIKF) is an acute arboviral illness characterized by high fever, debilitating polyarthralgia, and rash. Despite its global emergence, specific antiviral treatments remain elusive. Traditional Chinese Medicine (TCM) offers an individualized approach to epidemics, grounded in classical theories and rich clinical heritage. This review explores the theoretical integration of the ancient TCM diagram Tang Ye Jing Fa Diagram (from the Dunhuang manuscript Fu Xing Jue...
Aug 20, 2025Open Access
Objective: We present the case of a female with a history of severe pelvic injury at the age of five, who developed a fistula and vaginal stenosis 18 years later. This case underscores the importance of prompt diagnosis, thorough imaging, and consistent postoperative follow-ups. Case report: A 23-year-old female with a history of cyclic hematuria, lower abdominal pain, and difficulties with urinary and sexual activities following a severe motor vehicle accident ...
Jun 23, 2025Open Access
The chart of Tang Ye Jing recorded in Fu Xing Jue Zang Fu Yong Yao Fa Yao holds significant academic value for analyzing the formula compatibility principles in Shang Han Lun. The authors constructed the chart of Tang Ye Jing principle Zang Fu Yong Yao Fa Yao based on Tang Ye Jing to systematically elucidate the intrinsic correlations among physicochemical properties, therapeutic functions, and flavor transformations of medicinal substances, and condu...
Apr 25, 2025Open Access
Medical Assistance in Dying (MAID) has become a significant topic of public and ethical discourse in Canada since its legalization in 2015 following the Carter v. Canada Supreme Court decision. This systematic review examines public attitudes toward MAID, focusing on the influence of demographic, cultural, and socio-economic factors, as well as perceptions of the safeguards designed to protect vulnerable populations. The review, adhering to PRISMA guidelines, analyzed 13 studies published betwee...
Mar 25, 2025Open Access
Introduction: DM has been implicated with multiple complications including diabetic cardiac autonomic neuropathy (DCAN), with a global burden ranging from 1% - 90% in type 1 DM and 20% - 73% in type 2 DM. Poor glycemic control, long duration of DM and traditional cardiovascular risk factors have been associated with the development and progression of DCAN. In Tanzania, there is limited data on DCAN burden and its associated factors. This study was conducted to raise awareness ab...
Feb 24, 2025Open Access
Introduction: Pneumoperitoneum is a radiologic term denoting an abnormal collection of air in the peritoneal cavity. It reflects visceral perforation. Pneumoperitoneum without visceral perforation evidence after laparotomy is called spontaneous or idiopathic pneumoperitoneum. Case Report: We report a case of massive idiopathic pneumoperitoneum in a 3-day-old newborn. Unprepared abdominal x-ray revealed a massive pneumoperitoneum huge oval radiolucency delineated...
Feb 17, 2025Open Access
Uncontrolled type 1 diabetes mellitus (T1DM) can lead to complications, including hepatic glycogenic overload, also known as Mauriac syndrome. This syndrome, initially described in children with T1DM, is characterized by excessive hepatic glycogen accumulation due to fluctuating hyperglycemia and high insulin doses. It is often underdiagnosed due to clinical overlap with metabolic dysfunction-associated steatotic liver disease (MASLD). We report the case of a 15-year-old boy with poorly controll...
Jan 17, 2025Open Access
Background: Hepatitis B viral (HBV) infection is a severe global health problem and the most serious type of viral hepatitis. There are an estimated 2 billion individuals infected worldwide, and more than 240 million suffer from chronic illness. Ghana is one of the West African countries which is hyper-endemic for HBV, with a prevalence estimate of 15% of the adult population. This study aimed to identify and examine the factors influencing the awareness and practices of Hepatit...
Nov 21, 2024Open Access
Joubert syndrome (JS) is a rare congenital autosomal recessive inherited disorder. The usual presentation of patients with JS is hypotonia, developmental delay, abnormal eye movement, ataxia, hyperapnea, or ischemic stroke. However, there have been very few cases of JS presenting with ischemic stroke. We describe a case of undiagnosed JS in a 7-year-old boy who presented with new onset left side weakness and irritability. The patient had apparent signs of motor and developmental delay. On physic...
Jun 28, 2024Open Access
Multimorbidity, the coexistence of two or more chronic conditions in an individual, is increasingly prevalent worldwide, posing significant challenges for healthcare systems and patient well-being. This cross-sectional study aims to investigate the association between multimorbidity and quality of life (QoL) among adults attending outpatient clinics in health facilities within the Ashanti Region of Ghana. Method: A sample of n = 400 participants were recruited using convenience ...
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