American Journal of Medical and Clinical Research & Reviews

A Patient-Managed Dual-Product Dressing Strategy Post Mohs Surgery: Collagen–Mānuka Honey–Hydroxyapatite with Silicone Bordered SAP Dressing

2026-02-17T04:51:13+03:00

Postoperative wounds following Mohs micrographic surgery (MMS) can present healing challenges when managed by secondary intention healing (SIH). Conventional SIH care typically involves petrolatum-based dressings and gauze and may be associated with prolonged healing and variable outcomes. This case series evaluates an advanced, patient-managed SIH approach using a bioengineered collagen–Mānuka honey–hydroxyapatite primary dressing (CHD) combined with a silicone bordered SAP (superabsorbent polymer) cover dressing. Nine post-MMS wounds were treated using the dual-dressing regimen delivered via a durable medical equipment (DME) model and applied by patients at home. Healing progression was assessed through serial clinical observation and photography. All wounds demonstrated consistent improvement, including robust granulation tissue formation, re-volumization of tissue defects within an average of six weeks, and reduction in periwound erythema. Patients successfully managed dressing changes independently. This reimbursable, home-delivered dual-dressing strategy may support effective secondary intention healing following MMS while improving access to advanced wound care and patient participation in the healing process.

Relations Amid Food Consumption Patterns that Touch and Give Risk for Hypertension Diseases in Aged 40-70 Years, in Laleia Health Center of Manatuto Timor-Leste (2026)

2026-02-02T19:50:45+03:00

Introduction: According to the latest WHO data published in 2024, deaths from hypertension in Timor-Leste reached 158 or 2.23% of the total mortality. The age-adjusted mortality rate for those aged 35-60 years is 24.16 per 100,000 population, ranking Timor-Leste 60th in the world. (World Health Organization, 2024). The data of patients who suffered from hypertension diseases in the Laleia Health Center Manatuto in the year 2025 with a total of 587, males with 244 people and females with 243 people who undergo treatment for hypertension disease. (Laleia, 2026).

Research Objective: To study more about the relationships amid food consumption patterns that touch and increase the risk of hypertension in people aged 40-70 years.

Research Methodology: The Spearman rank method is used with quantitative analysis with a cross-sectional study approach.

Research Result: Based on Spearman 's analysis , the probability value is 0.05 greater than sig (1-tailed) or 0.5> 0.02, with the result showing that there is a relationship between food consumption and hypertension cases cited by (Tilman CB., et al, 2026).

Conclusion: This research demonstrations that the food consumption variable has an influence on hypertension for people aged 40-70 years based on the Spearman Rank statistical analysis.

Rhabdomyolysis: Etiology, Pathophysiology, Clinical Features, Diagnosis, and Management

2025-12-04T16:05:41+03:00

Rhabdomyolysis is a potentially life-threatening condition characterized by the breakdown of skeletal muscle fibers and the release of intracellular components, including myoglobin, creatine kinase, potassium, and phosphate, into the circulation. Its clinical spectrum ranges from mild biochemical abnormalities to severe complications such as acute kidney injury, electrolyte disturbances, disseminated intravascular coagulation, and cardiac arrhythmias. Early recognition and treatment are essential for improving outcomes. The causes of rhabdomyolysis are diverse and can be broadly classified as traumatic, exertional, toxic, metabolic, infectious, and genetic. Traumatic causes include crush injuries, burns, and prolonged immobilization. Exertional rhabdomyolysis is increasingly reported in athletes and military personnel following intense physical activity, especially in the setting of dehydration or heat stress. Drugs and toxins, such as statins, alcohol, and illicit substances, may produce direct muscle toxicity. Metabolic and electrolyte disorders, infections, and inherited metabolic myopathies can also impair muscle cell stability and energy metabolism, leading to muscle injury. At the cellular level, damage to the muscle membrane results in increased intracellular calcium, activation of proteolytic enzymes, and muscle necrosis, with subsequent release of myoglobin and creatine kinase. Myoglobin contributes to acute kidney injury through tubular obstruction and direct nephrotoxicity, particularly in the presence of hypovolemia. Clinical manifestations are often nonspecific, and the classic triad of muscle pain, weakness, and dark urine is uncommon. Diagnosis relies mainly on markedly elevated creatine kinase levels and myoglobinuria. Treatment is primarily supportive, with early aggressive intravenous fluid administration to prevent renal complications. Prognosis depends on injury severity and prompt management.

Satisfação dos Clientes e Flutuação do Lucro na Cantina Enjoy da Faculdade de Economia e Gestão da Universidade Nacional Timor -LESTE (FEG–UNTL) (2022–2024)

2026-02-04T05:12:15+03:00

O presente estudo analisa a satisfação dos estudantes como clientes e a flutuação do lucro da Cantina Enjoy da Faculdade de Economia e Gestão da Universidade Nacional Timor-Leste, no período de junho de 2022 a maio de 2024. Utilizando métodos quantitativos, incluindo questionários e análise de regressão linear múltipla, o resultado desta investigação identificou que a satisfação dos estudantes é fortemente influenciada pela qualidade e variedade dos produtos, atendimento e preços acessíveis. Paralelamente, a análise financeira revelou que o lucro da cantina apresenta flutuações, sendo o rendimento o principal fator determinante, enquanto os custos operacionais exercem impacto menor. Os resultados confirmam a importância da gestão eficiente, da atenção à satisfação do cliente e da monitorização financeira para a sustentabilidade dos pequenos negócios no contexto universitário. As conclusões fornecem recomendações práticas para otimizar a operação da cantina, melhorando tanto a experiência dos estudantes quanto a sustentabilidade financeira do empreendimento segundo (Jesus BBHC., et al, 2026).

The Profit Motive in Healthcare

2026-01-30T06:41:27+03:00

Wherever humans interact, there is profit motive. Profit is generally considered monetary, but other objects of value can be considered profit, such as power, prestige, re-election (politicians), and physical objects, viz., A Rembrandt painting or Maserati automobile. In healthcare, the “profit” that end-users (herein called We the Patients) seek is readily affordable, medically timely health care.

Given that profit motive is an inherent and therefore an unavoidable driver of human behavior, the following question is the focus of this report. Does the reward system in healthcare align with the desired outcomes?

The alignment of rewards to healthcare outcomes is evaluated within stakeholder groups: providers, healthcare facilities, big pharma, insurance, government, and We the Patients (the public).

The only stakeholder group with consistently aligned incentives is We the Patients. To make optimal use of the profit motive and thereby achieve desired healthcare (system) outcomes, behaviors of We the Patients must be rewarded. This can only be done when We the Patients have decision-making authority and are personally responsible. The way to achieve timely, affordable, quality medical care in the U.S. is called the Empower Patients Initiative, where financial and therefore medical control is restored to Americans.