https://www.ej-med.org/index.php/ejmed/issue/feedEuropean Journal of Medical and Health Sciences2025-05-14T14:11:34+02:00Editor-in-Chiefeditor@ej-med.orgOpen Journal SystemsEuropean Journal of Medical and Health Scienceshttps://www.ej-med.org/index.php/ejmed/article/view/2310Cerebral Hydatidosis: About a Case and Literature Review2025-05-14T14:11:34+02:00Masina Ndalana d’Assisendalanamd@gmail.comRazafindrafara Herilalao Elisabethndalanamd@gmail.comRakotozanany Patrick Sandrandalanamd@gmail.comRatovondrainy Willyndalanamd@gmail.comRabarijaona Mamiarisoandalanamd@gmail.comAndriamamonjy Clementndalanamd@gmail.com<p style="font-weight: 400;">Cerebral hydatidosis is a rare disease, causing 1 to 3% of intracranial expansive processes. We report a case of a cerebral hydatic cyst in a 24-year-old man who had been seen for diplopia and intracranial hypertension syndrome. The CT and MRI of the brain showed a cystic mass, limited at the right lobe. The patient was operated, histology confirmed the diagnosis. Albendazole was prescribed immediately after surgery for 4 months. Clinic evolution has been favourable. The support of this particular location is discussed in light of literature data.</p>2025-05-13T00:00:00+02:00Copyright (c) 2025 Masina Ndalana d’Assise, Razafindrafara Herilalao Elisabeth, Rakotozanany Patrick Sandra, Ratovondrainy Willy, Rabarijaona Mamiarisoa, Andriamamonjy Clementhttps://www.ej-med.org/index.php/ejmed/article/view/2304Efficacy of Ashwagandha Extract Formulation (ASVAMAN®) on Improvement of Energy and Endurance: A Randomized, Double-blind, Placebo-controlled Clinical Study in Healthy Adults2025-04-22T14:09:12+02:00Naveen Puttaswamynaveen.p@manipalnatural.comGaurav Singhdrgauravsingh371@gmail.comAnand Mayacharianandmayachari@manipalnatural.comMadhukumar Parameswaranmadhukumar@manipalnatural.comVenkateshwarlu Kudigantiayurlife2011@gmail.com<p><span class="fontstyle0">Background: </span><span class="fontstyle2">Ashwagandha (</span><em><span class="fontstyle0">Withania somnifera</span></em><span class="fontstyle2">) is a traditional herb that holds a significant place in Ayurvedic medicine, recognized as both a “rasayana” and “adaptogen”.</span></p> <p><span class="fontstyle0">Objective: </span><span class="fontstyle2">This study aimed to evaluate the effects of Ashwagandha root extract (ASVAMAN</span><span class="fontstyle2">®</span><span class="fontstyle2">) on the energy and endurance in healthy adults.</span></p> <p><span class="fontstyle0">Methods: </span><span class="fontstyle2">In this randomized, double-blind, placebo-controlled study, 40 healthy male participants with a body mass index (BMI) ranging from 20.0 to 25.9 kg/m</span><span class="fontstyle3">2 </span><span class="fontstyle2">were randomly allocated to receive either 300 mg of ASVAMAN</span><span class="fontstyle2">® </span><span class="fontstyle2">twice daily (n </span><span class="fontstyle4">= </span><span class="fontstyle2">20) or a placebo (n </span><span class="fontstyle4">= </span><span class="fontstyle2">20) for a duration of 42 days. The primary efficacy outcomes were evaluated using 6-minute walk test (6 MWT) scores and serum cortisol levels, measured from baseline to the conclusion of the study (42 days). Secondary outcomes were assessed using the stair climbing test (SCT), chair standing test (CST), 30-meter walk test (30 MWT), one-leg stance (OLS) test, serum testosterone levels, and 36-item short-form survey (SF-36) quality of life scores.</span></p> <p><span class="fontstyle0">Results: </span><span class="fontstyle2">Compared to the placebo group, Asvaman</span><span class="fontstyle2">® </span><span class="fontstyle2">supplementation led to a significant improvement (p </span><span class="fontstyle5">< </span><span class="fontstyle2">0.001) in the 6 MWT distance score on day 42. Serum cortisol levels in the Asvaman</span><span class="fontstyle2">® </span><span class="fontstyle2">group significantly decreased from baseline to day 42, whereas levels in the placebo group remained unchanged. The Asvaman</span><span class="fontstyle2">® </span><span class="fontstyle2">group showed notable enhancements in SCT, CST, 30 MWT, OLS, and SF-36 scores, along with increased serum testosterone levels, compared to the placebo group.</span></p> <p><span class="fontstyle0">Conclusion: </span><span class="fontstyle2">These findings indicate that ASVAMAN</span><span class="fontstyle2">® </span><span class="fontstyle2">may serve as a viable alternative treatment for enhancing energy and endurance.</span></p>2025-04-18T00:00:00+02:00Copyright (c) 2025 Naveen Puttaswamy, Gaurav Singh, Anand Mayachari, Madhukumar Parameswaran, Venkateshwarlu Kudigantihttps://www.ej-med.org/index.php/ejmed/article/view/2301The Incidence of Post-Dural Puncture Headache and Associated Factors Among Mothers Undergoing Cesarean Section at the Largest Tertiary Teaching Hospital in Botswana2025-03-07T11:25:55+01:00Mamo Woldu Kassamwoldu@ymail.comAlemayehu Ginbo Bedadabedale00@yahoo.co.uk<p>Spinal anaesthesia, though safe, poses a risk of post-dural puncture headache (PDPH), with its incidence and risk factors undocumented in Botswana. A prospective cross-sectional study of 600 cesarean section patients (February–July 2024) was conducted. PDPH was diagnosed using the International Headache Society guidelines. Independent variables included age, BMI, care provider experience, number of spinal anaesthesia attempts, and previous history of PDPH, with PDPH as the dependent variable. A total of 600 patients successfully underwent spinal anaesthesia for cesarean sections. The median age, weight, and height were 30 years, 73.0 kg, and 1.6 meters, respectively, with 80.0% having a BMI > 24.9. The overall PDPH rate was 11.8%. Most PDPH cases occurred within the first 24 hours (66.2%), presenting primarily as mild frontal–occipital headaches (97.2%). A significantly higher rate of PDPH was observed in patients with a history of PDPH (38.9% vs. 14.0%, p = 0.012). Multiparous women experienced a higher rate of PDPH compared to primiparous women (12.7% vs. 9.7%, p = 0.302), though this difference was not statistically significant. Two attempts at spinal anaesthesia were associated with a significantly higher rate of PDPH compared to one attempt (16.7% vs. 8.8%, p = 0.012) and three attempts (16.7% vs. 8.6%, p = 0.023), while no significant difference was observed between one and three attempts (8.8% vs. 8.6%, p = 0.950). PDPH rates did not differ significantly among nurse anaesthetists, medical officers, and residents (p-values 0.547, 0.364, and 0.851, respectively). Additionally, provider experience (<2 years vs. >2 years) did not significantly influence PDPH rates (p = 0.397). The prevalence of PDPH was 11.8%, with a history of PDPH identified as a significant risk factor. Including potential PDPH in the consent process, particularly for patients with a prior history, and implementing procedural refinements may help reduce its occurrence.</p>2025-05-22T00:00:00+02:00Copyright (c) 2025 Mamo Woldu Kassa, Alemayehu Ginbo Bedadahttps://www.ej-med.org/index.php/ejmed/article/view/2293Knowledge of Stroke Risk Factors, Warning Signs, Emergency Response, and Prevention among Adults in an Urban Community in Nigeria2025-05-02T14:13:46+02:00Margaret Bukola Fatudimubukolafatudimu@yahoo.comJustina Obanoobanojustina@gmail.comJoshua Olumayowa OjoMay4josh@gmail.com<p><span class="fontstyle0">Background: </span><span class="fontstyle2">Stroke is a leading cause of death and disability worldwide, requiring early intervention for effective management. Delays in seeking emergency care are often due to a lack of knowledge about stroke signs and the appropriate response. There is a therefore the need to assess the knowledge of stroke risk factors, warning signs, emergency response, and prevention among adults in Ibadan, Nigeria.</span></p> <p><span class="fontstyle0">Methods: </span><span class="fontstyle2">This mixed method design study involved a cross-sectional aspect and a Focus Group Discussion (FGD). A questionnaire adapted from a previous study was used to obtain information on the level of knowledge of stroke risk factors, warning signs, emergency response, and prevention among the participants. Data collected through the FGD was transcribed and analyzed thematically.</span></p> <p><span class="fontstyle0">Results: </span><span class="fontstyle2">Majority of the participants had a poor knowledge of stroke risk factors and stroke warning sign and stroke prevention. “Health workers” are the most common source of stroke information for adults in the community studied. Younger age group participants and participants with tertiary education demonstrated higher proportions with good knowledge levels compared to the older age group participants and participants with lower levels of education.</span></p> <p><span class="fontstyle0">Conclusion: </span><span class="fontstyle2">From the findings of this study, it was concluded that there should be more implementation of stroke educational programs for adults in Ibadan with better emphasis on stroke risk factors, warning signs, and prevention.</span> </p>2025-04-20T00:00:00+02:00Copyright (c) 2025 Margaret Bukola Fatudimu, Justina Obano, Joshua Olumayowa Ojohttps://www.ej-med.org/index.php/ejmed/article/view/2287Post Explosive Wound Necrotizing Fasciitis Medical Observation and Management2025-05-02T14:10:04+02:00Hasan K. H. Hamdandr.hasankhalid07@gmail.comSamah Y. A. Al Shamisamah2591999@gmail.com<p><strong>Background: </strong>Necrotizing fasciitis (NF) is a life-threatening soft tissue infection characterized by rapid involvement of the deeper layers of fascia and muscles and causes extensive tissue necrosis. Sepsis is a common risk factor associated with disseminated intravascular coagulation (DIC) and acute kidney Injury (AKI) related to severe injury, major surgery, and burns. NF cases typically require intensive care management (ICU) due to high mortality rates.</p> <p><strong>Case Presentation: </strong>The patient presented to the hospital amidst a time of mass casualties and overcrowding due to the Gaza war in 2023. He sustained a shrapnel injury to his left thigh from a missile blast. In the dressing room, they removed the shrapnel and applied sutures to the wound. Two days later, the patient's general condition deteriorated. Upon examining the wound, a large necrotic area was discovered at the shrapnel site. The clinical signs and symptoms strongly suggested necrotizing fasciitis, prompting immediate management.</p> <p><strong>Intervention: </strong>An interdisciplinary approach involving surgical and medical teams was employed to address the multiple complications associated with this case. After nearly three weeks of surgical ward management, the patient regained consciousness and made a full recovery.</p> <p><strong>Conclusion: </strong>Managing such a case in a regular patient ward during wartime underscores the importance of interdisciplinary coordination in handling complex complications. The high level of cooperation between hospital divisions, the laboratory, the inpatient ward, and the medical team was crucial, especially during the chaotic war conditions in achieving a successful outcome. Finally, timely and bold decisions must be taken to manage such a complicated case of necrotizing fasciitis.</p>2025-04-29T00:00:00+02:00Copyright (c) 2025 Hasan K. H. Hamdan, Samah Y. A. Al Shami