ORIGINAL RESEARCH ARTICLE | Aug. 5, 2025
Care of Diabetic Patients through Inter Professional Collaboration
Ali Hassan Amer Alshehri, Abdullah Muslat Alosaimi, Sarah Fahad Aldawsari, Hani Makki Alqassar, Lina Sulaiman Alwabel, Asma Abdullah Almudaife, Abdullah Omar Alshalawi, Malak Nasser Almutaiwea, Njoud Mohammed Alasmari
Page no 729-739 |
https://doi.org/10.36348/sjmps.2025.v11i08.001
Advancing patient-centered diabetes care through interprofessional collaboration is increasingly recognized as a vital approach to improving outcomes for individuals living with this chronic condition. This model emphasizes a holistic, tailored strategy that integrates the expertise of diverse healthcare professionals—such as physicians, nurses, dietitians, pharmacists, and social workers—to address the multifaceted needs of patients. By fostering effective communication and coordinated care, interprofessional teams can better manage glucose control, prevent complications, and enhance patients’ quality of life. This collaborative framework also empowers patients by actively involving them in decision-making processes, tailoring treatment plans to their preferences, lifestyle, and social determinants of health, which ultimately promotes adherence and self-management, Moreover, interprofessional collaboration in diabetes care facilitates comprehensive education and support that extend beyond medical treatment. Team members work together to identify barriers, such as psychological stress or socioeconomic challenges, that might impede a patient’s progress and address these issues through shared resources and community connections. This integrated approach not only improves clinical outcomes but also enhances patient satisfaction and engagement by creating a supportive care environment rooted in respect, empathy, and mutual understanding. As healthcare moves towards value-based models, strengthening interprofessional collaboration is key to delivering cost-effective, personalized diabetes care that aligns with the evolving needs and goals of patients.
ORIGINAL RESEARCH ARTICLE | Aug. 5, 2025
Systematic Review of Updates on Pharmacological Management of Recurrent Febrile Convulsions
Abeer Mohammed Algarni, Ahmed A Alazmi
Page no 740-746 |
https://doi.org/10.36348/sjmps.2025.v11i08.002
Background: Febrile seizures (FS) are the most common convulsive events in early childhood, affecting 2–5 % of children between 6 and 60 months, with up to one-third experiencing recurrence. Although generally benign, recurrent FS cause significant caregiver anxiety and prompt consideration of pharmacological prophylaxis in high-risk cases. Over the last two decades, newer benzodiazepines, second-generation antiseizure medications, and neurohormonal agents have been investigated as alternatives to traditional regimens. Methods: A systematic review was conducted in accordance with PRISMA 2020 guidelines. PubMed, Scopus, and Web of Science were searched for studies published from 1 January 2000 to 30 June 2025 evaluating pharmacological strategies to prevent recurrent FS in children. Eligible designs included randomized controlled trials (RCTs), cohort studies, and systematic reviews reporting recurrence outcomes. Two independent reviewers screened, extracted data, and assessed risk of bias using Cochrane RoB 2 and the Newcastle–Ottawa Scale. Results: Seven studies (n = 577; 3 RCTs, 2 open-label RCTs, 2 cohorts) met inclusion criteria. Intermittent benzodiazepines significantly reduced FS recurrence compared to no prophylaxis. Across three trials, clobazam demonstrated superior efficacy and comparable tolerability to diazepam. Pilot and comparative studies of intermittent levetiracetam (LEV) reported recurrence rates <10 % with fewer behavioral adverse effects relative to clobazam. A single blinded RCT found melatonin non-inferior to diazepam while markedly reducing sedation. No post-2000 evidence supported continuous phenobarbital or valproate prophylaxis. Conclusions: Intermittent clobazam remains the best-supported agent for recurrent FS prevention, while LEV and melatonin are promising, safer alternatives requiring validation in large, multicenter, blinded RCTs. Current evidence supports a selective, individualized approach focused on high-risk children, with caregiver education and rescue strategies as the foundation of management.
ORIGINAL RESEARCH ARTICLE | Aug. 9, 2025
Injectable Ferric Carboxy Maltose Versus Oral Ferrous Fumerrate in Treatment of Iron Deficiency Anaemia in Pregnancy- A Randomized Controlled Trial
Dr. Mahe Jabeen, Dr. Ferdousi Islam, Md. Shabab Azmaeen
Page no 747-752 |
https://doi.org/10.36348/sjmps.2025.v11i08.003
Background: Anemia in pregnancy is widespread and poses risks to both mother and fetus. This study aims to compare the efficacy of injection ferric carboxymaltose and oral iron supplementation in treating iron deficiency anemia during pregnancy. Aim: To compare the injection ferric carboxy maltose and oral iron in treating iron deficiency anaemia during pregnancy. Methods: This randomized control trial was conducted at department of Obstetrics & Gynecology, Institute of Child and Mother Health, for 9 months, following ethical clearance. A total of 156 pregnant women (16 to 34 weeks of gestation) diagnosed with anemia (Hb < 11 g%, low serum ferritin, and peripheral blood smear findings of IDA) were included after getting informed written consent and divided into Group-A (oral Ferrous Sulphate, n=78) and Group-B (Injection Ferric carboxy maltose, n=78). Data was collected in separated case-record form and analyzed by SPSS 26 version. Result: Demographic characteristics were similar across the two groups in terms of age and residence (p>0.05 in all cases). In both group-A and group-B, significant rise of Hb (mean difference= 1.018 and 1.664, respectively) and serum ferritin (mean difference= 205.22 and 227.37, respectively) were noted. However, TIBC was significantly decreased only in group-B (mean difference= -47.06, p=0.013), while group-A showed no significant improvement in TIBC (p>0.05). Overall, Hb≥ 11 gm% after 6-weeks of treatment was significantly higher in group-B than group-A (65.4% vs 44.9%, p=0.010). Besides, group-B patients had significantly lower gastrointestinal adverse events than group-A patients (p<0.05). Conclusion: Ferric carboxymaltose demonstrates superior effectiveness and safety compared to oral ferrous sulfate for treating anemia in pregnant women. However, further study is warranted.
Barriers to effective mental health problems management by family doctors in primary health care settings often stem from systemic and structural issues. One significant barrier is the lack of time during patient consultations. Family doctors frequently have heavy caseloads, which limits their ability to conduct thorough assessments and engage in meaningful discussions about mental health. Additionally, many practitioners may feel ill-equipped to handle mental health issues due to insufficient training during their education. Despite the high prevalence of mental health conditions, primary care training programs have historically emphasized physical health, leaving physicians underprepared to identify and treat psychological disorders. Furthermore, stigma surrounding mental health can further complicate patient interactions in primary care settings. Family doctors may experience their own latent biases about mental health, which can influence the quality of care they provide. Patients, too, may be hesitant to disclose mental health concerns due to fear of being judged or misunderstood, leading to underreporting of symptoms. Financial and resource limitations also play a role; many family practices lack access to mental health specialists for referrals or collaborative care, constraining doctors' ability to offer comprehensive treatment plans. As a result, these barriers can lead to inadequate management of mental health issues, potentially exacerbating the overall health outcomes for patients in primary care environments.
REVIEW ARTICLE | Aug. 14, 2025
Competencies, Challenges and Integration in Healthcare Sector: A Comprehensive Review
Sara Mobarak Alruwili, Njoud Humidan Alshammmri, Jumana Abdullah Alkhulaifi, Raniya Turki Al suwayhib, Fawzia Hassan Alshehri, Khaled Fahad Al Dosari, Tareq Alrouqe, Nouf Humaidan Alshammari, Ghadah Fahad M Eshaq
Page no 759-764 |
https://doi.org/10.36348/sjmps.2025.v11i08.005
Background: The integration of allied health roles is crucial for enhancing the efficiency and effectiveness of healthcare delivery. Objectives: This review examines the roles of radiology, laboratory services, pharmacy, dental health, and medical secretaries in the context of a multidisciplinary healthcare team. Findings: By analyzing the contributions of these allied health professionals, we highlight the importance of collaboration in improving patient outcomes, streamlining processes, and fostering a holistic approach to healthcare. The review also addresses the challenges faced in integrating these roles and offers recommendations for future practice. Ultimately, the successful integration of allied health roles can lead to improved patient satisfaction, reduced healthcare costs, and better health outcomes. This review underscores the necessity of a cohesive healthcare framework that values the contributions of all allied health professionals, ensuring that patients receive comprehensive and coordinated care. The integration of allied health roles is essential for delivering comprehensive and effective healthcare. By examining the contributions of radiology, laboratory services, pharmacy, dental health, and medical secretaries, we can appreciate the importance of collaboration in improving patient outcomes. Addressing the challenges faced in integrating these roles and fostering a culture of teamwork will be crucial for the future of healthcare delivery. As the healthcare landscape continues to evolve, the integration of allied health professionals will play a vital role in enhancing the quality of care and ensuring positive health outcomes for patients. In conclusion, the successful integration of allied health roles not only improves patient care but also enhances the overall efficiency of the healthcare system. By fostering collaboration, embracing technological advancements, and prioritizing interprofessional education, we can create a healthcare environment that is responsive to the needs of patients and equipped to meet the challenges of the future. The ongoing commitment to integrating allied health roles will ultimately lead to a more effective and patient-centered healthcare system.
CASE REPORT | Aug. 14, 2025
Bartholin’s Gland Abscess Due to Haemophilus Influenzae: Case Report and Literature Review
Elmostafa Benaissa, Yassine Benlahlou, Adil Maleb, Mariama Chadli, Mostafa Elouennass
Page no 765-766 |
https://doi.org/10.36348/sjmps.2025.v11i08.006
Bartholinitis is a common infection of the vulvar region, often polymicrobial in origin. While Escherichia coli and sexually transmitted pathogens are usually implicated, Haemophilus influenzae is rarely identified. We report a case of bartholinitis caused by H. influenzae in a young woman with no notable medical history. This case highlights the need to consider unusual pathogens in bartholinitis and the importance of an appropriate protocol for sample collection and culture.
ORIGINAL RESEARCH ARTICLE | Aug. 14, 2025
Prosthetic Joint Infections: A Warning about the Emerging Risk of Multidrug-Resistant Bacteria in Morocco
Elmostafa Benaissa, Zineb Hammouch, Yassine Benlahlou, Adil Maleb, Mariama Chadli, Mostafa Elouennass
Page no 767-770 |
https://doi.org/10.36348/sjmps.2025.v11i08.007
Introduction: Prosthetic joint infection (PJI) is a serious complication of arthroplasty, associated with significant morbidity and therapeutic challenges, particularly due to biofilm formation and the emergence of multidrug-resistant (MDR) bacteria. In Morocco, where osteoarticular trauma and resistant nosocomial pathogens are frequent, a local assessment of PJIs is warranted. The objectives of our study are to determine the frequency of infections in prostheses, specify the epidemiology and resistance profile of isolated strains to antibiotics. Methods: This is a retrospective study conducted in the bacteriology laboratory of the Mohammed V Military Teaching Hospital in Rabat over a 4-year period (2015–2018), involving 572 arthroplasties. Samples were processed using standard microbiological techniques, and antimicrobial susceptibility testing was performed by the disk diffusion method and interpreted according to CA-SFM/EUCAST guidelines. Results: Out of 53 samples received, 37 (69.8%) were culture-positive. Twenty-four cases of PJIs were confirmed, representing an infection rate of 4.19%, predominantly affecting hip prostheses (3.49%). Delayed infections (3–24 months post-surgery) were the most frequent (87.5%). Gram-positive cocci accounted for 59.5% of isolates, followed by Enterobacterales at 31.7%. Staphylococcus aureus was 100% methicillin-susceptible, while 26% of coagulase-negative staphylococci were methicillin-resistant. Resistance rates among Enterobacterales were 32% for cefotaxime and 4% for imipenem. Conclusion: PJIs represent a major issue in our setting, with a predominance of staphylococci and an alarming emergence of multidrug-resistant Gram-negative bacilli. These findings highlight the need for rigorous diagnostic protocols, strengthened preventive measures, and antibiotic policies tailored to the local microbiological ecology.
CASE REPORT | Aug. 14, 2025
Infective Endocarditis Caused by Corynebacterium argentoratense: An Emerging Germ
Elmostafa Benaissa, Amine Elhamraoui, Yassine Benlahlou, Adil Maleb, Younes Moutakillah, Mariama Chadli, Mostafa Elouennass
Page no 771-773 |
https://doi.org/10.36348/sjmps.2025.v11i08.008
Species of Corynebacterium are Gram-positive bacilli, often considered contaminants, but some non-diphtheritic species are now recognized as opportunistic pathogens. We report a case of infective endocarditis caused by Corynebacterium argentoratense, an extremely rare species, in a 59-year-old patient with a history of severe pneumonia. This case highlights the potential emergence of this species in severe human infections and the importance of cautious interpretation of positive blood cultures involving corynebacteria.
ORIGINAL RESEARCH ARTICLE | Aug. 14, 2025
Sexual Dysfunction in Women with Chronic Liver Disease: Prevalence and Risk Factors
A. Belcadi Abassi, M. Cherkaoui, S. Mechhor, FZ Mghily, N. Benzzoubeir, I. Errabih, H. El Bacha
Page no 774-778 |
https://doi.org/10.36348/sjmps.2025.v11i08.009
Background: Female sexual health is often underexplored in the context of chronic liver diseases, despite its key role in overall quality of life. Sexual dysfunction in this population is rarely addressed during hepatology consultations, even though it may be aggravated by clinical complications such as cirrhosis. Methods: This was a cross-sectional, descriptive, and analytical study conducted between January and December 2024, including 106 female patients (53 with chronic liver disease, 53 controls). All completed the FSFI questionnaire. A score < 26 indicated sexual dysfunction. Data were analyzed using Jamovi version 2.2.5. Results: Sexual dysfunction (FSFI score < 26) was observed in 60.4% of patients with chronic liver disease, versus 28.3% in the control group (p < 0.001). The most affected domains were lubrication (84.4%), satisfaction (75%), and desire (65.6%). Cirrhosis was significantly associated with dysfunction (OR = 6.8; p = 0.046). Conclusion: Sexual dysfunction is frequent in women with chronic liver disease, especially in those with cirrhosis. Despite its high prevalence, it remains neglected in routine hepatology practice, underscoring the need for integrated sexual health assessment.
ORIGINAL RESEARCH ARTICLE | Aug. 19, 2025
Initial Assessment of Cardiovascular Risk Factors in Patients with Dyslipidemia in General Practice Consultation in a Decentralized Area of Senegal
Elhadji Daouda Diop, Bachir Mansour Diallo, Malick Ngom, Abdoul Aziz Ly, Salomon Tevi Lawson, Fatou Bintou Sarr
Page no 779-785 |
https://doi.org/10.36348/sjmps.2025.v11i08.010
Introduction: Cardiovascular risk factors (RDFs) are on the rise in developing countries, particularly in sub-Saharan Africa. Dyslipidemia, which is often found, can be linked to changes in eating habits. Material and Methods: We performed a prospective descriptive and analytical study to evaluate cardiovascular RDFs in patients who presented with dyslipidemia in general practice. Results: In the 58 patients included, the mean age was 54.15 years ± 13.85 years. The female sex was predominant with a sex ratio (M/F) of 0.41. High blood pressure was found in 68.96% of cases, diabetes mellitus in 32.75% of cases. The mean body mass index (BMI) was 27.65 kg/m2 with extremes of 17.57 and 49.99 kg/m2. The mean waist circumference was 95.94 cm with extremes of 62 and 170 cm. According to NCEP ATP III, 28 women had a waist circumference ≥ 88 cm or 48.27% and 3 men had a waist circumference ≥ 102 cm or 5.17%. The lipid abnormalities were distributed as follows: LDL cholesterol > 1.6 g/l (93.10%), HDL-cholesterol < 0.4 g/l (24.13%), total cholesterol > 2 g/l (96.55%), triglycerides > 1.5 g/l (32.14%). The most common electrical abnormalities on ECG were subepicardial ischemia (8.62%), right bundle branch block (5.17%) and left ventricular hypertrophy (5.17%). The overall cardiovascular risk was elevated in 30.62% of patients. Metabolic syndrome was reported in 82.75% of cases. Conclusion: Dyslipidemia may be the bedrock of latent elevated cardiovascular risk, especially if it is associated with other factors. Prevention involves screening and good awareness by the general practitioner.
CASE REPORT | Aug. 23, 2025
Penile Strangulation in a Schizophrenic Patient: A Case Study
Serigne Souaïbou Ba, Djiby Dieng, Cheikh Diop, Elhadj Daouda Diop, Malick Ngom
Page no 786-790 |
https://doi.org/10.36348/sjmps.2025.v11i08.011
Penile strangulation is a rare event that requires emergency treatment. Metal rings are most commonly used on the penis for autoerotic or aggressive purposes or to enhance sexual performance. We report a case of a 19-year-old male patient undergoing psychiatric treatment at the Dalal Xél health center in Fatick, who was admitted to the emergency department of Kaffrine Regional Hospital (in Senegal), for penile strangulation by a metal ring. The ring had been placed at the root of the penis three days earlier. The patient had no urinary disorders. Treatment consisted of removing the ring and providing psychiatric care. However, to prevent urinary and sexual complications, treatment must be provided early. Through this observation and data from the literature, the authors report the subtlety of the management of this pathological situation, highlighting the psychotic context which favors this type of self-aggressive behavior.
ORIGINAL RESEARCH ARTICLE | Aug. 26, 2025
Impact of Pharmacist Led Tele Medication Management Clinic in Ambulatory Care Settings: A Retrospective Analysis
Syed Iqbal Mohuiddin, Omar Al Kherish, Shabeer ThorraKhattil, Sainul Abideen Parakkal, Mamdouh Ageeli
Page no 791-798 |
https://doi.org/10.36348/sjmps.2025.v11i08.012
Background: Telehealth or telemedicine primarily focuses on patient benefits and safety including improved accessibility, enhanced patient satisfaction, and establishing and maintaining continuity of care. The John Hopkins Aramco Healthcare (JHAH) pharmacy aimed at establishing the pharmacist-led medication management clinics (MMC) clinics as a model of medication management and patient counseling. Objectives: To describe and compare the outcome of implementing telehealth services managed via a pharmacist-led medication management clinic (MMC) to confer person-centered patient care services at JHAH. Methodology: The retrospective observational study was conducted in a single-centered tertiary care institution, John Hopkins Aramco Healthcare, Saudi Arabia for a duration of six months from June 2021 to December 2021 among ambulatory care patients. Results: There were few significant differences between the gender distribution between patients of tele MMC and MMC that TELEMMC were more preferable choice for the age group 61-70 years compared to MMC, where as in MMC age group 51-60 years were more preferable. Both TELEMMC and MMC demonstrated a high level of satisfaction with general medicine department with 63% of patients. Conclusion: The present study demonstrates the impact of TELEMMC on clinics, indicating a substantial increase in the number of individuals, particularly geriatric patients, opting for telemedicine consultations. The widespread acceptance of this new method reflects the positive impact it has had on healthcare delivery and patient outcomes