South East Asia Journal of Medical Sciences
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Remarkable Hypokalemia among Sudanese Patients with Jaundice
Get PDFBackground: Impairment of potassium levels is common in clinical practice, mainly encountered among hospitalized patients with a wide spectrum of sickness. Hypokalemia is a potentially dangerous irregularity that may have pernicious actuates. Objective: This study was directed to measure the potassium levels in Sudanese infected with jaundice.
Material and Methods: A cross-sectional study recruited in the laboratory center of Port Sudan teaching hospital during the period from the 14th July 2008 to the 5th April 2009. 90 Icteric patients (30 hemolytic Icterus patients, 30 hepatic Icterus patients and 30 obstructive Icterus patients) along with 30 apparently healthy controls were enrolled. Serum potassium and bilirubin levels were evaluated.
Results: Hypokalemia noted in 45 (50%) of the Icterus patients. Hypokalemia was significantly associated with hepatic and obstructive jaundice (P < 0.000). Hypokalemia was strongly positively correlated with conjugated bilirubin concentration (P < 0.000/r = -0.736) and negatively correlated with unconjugated bilirubin concentration (P < 0.078/r = -0.187).
Conclusion: Hypokalemia is predominant in patients with jaundice and may worsen the morbidity of the illness.
Keywords: Serum potassium; Hypokalemia; Jaundice; Sudan
Panoramic Radiographic Study on Location of Mental Foramen in Patients of Orthodontic Treatment
Get PDFBackground: Information on the location of the mental foramen is the need for various purposes in dental treatment. Variations in its position can be a cause of complications during local anesthesia or surgical procedures. The usual position of the mental foramen in the Vijayapur population has not been previously reported.
Aims: The purpose of this study was to determine the most common location of the mental foramen in Vijayapur population.
Materials and Methods: 291 panoramic radiographs were evaluated with regard to only the position of mental foramen foramina in male and female subjects.
Results: We found that the position of mental foramen was most common is in line with second premolar (54.2%) and second common in between the first and second premolar (37.5%).
Conclusions: Based on this study it appears that the most common position of mental foramen is either between the two premolars or in line with the second premolar. This is in concordance with previous studies.
Keywords: Mandible; mental foramen; mental nerve; panoramic; radiography
Depression among the post stroke patients in the Tertiary hospital and Rehabilitation centre of Bangladesh
Get PDFA cross sectional study was carried out to see the magnitude of depression as public health problem among purposively selected 291 stroke patients attending for physiotherapy at outpatient department of Physical Medicine Department of Dhaka Medical College Hospital and Center for the Rehabilitation of the Paralyzed, Dhaka. Data were collected through face to face interview using a pretested questionnaire and document review. Depressive symptoms were measured using the Hamilton Depression Rating scale at cut-off value 10 for mild, 14 for moderate and 18 for severe depression. The proportion of depression among the study population was 65% which included 30% with severe depression and rest 17% mild, 18% moderate depression and 35% had no depression. People with ischaemic stroke were more depressed (75.9%) than other types of stroke (p<0.00l). With the duration of stroke both the proportion and level of depression had been increased (p<0.00l. Most of the respondents from low income group were suffering from some level of depression (p<0.05). Both diabetes mellitus (p<0.00l) and hypertension (p<0.005) had significant role in depressive state. This study identified depression among stroke patients as a significant public health problem. Therefore, while planning therapeutic approaches for stroke patients, depression always should be taken into consideration for effective management and improvement of the compliance
Role of Music Therapy In Fournier's Gangrene
No full textFourniers gangrene is rare but severe infective necrotizing fasciitis of external genitalia. It is imperative to start proper treatment at the earliest as if left untreated can lead to a fulminant course with multiorgan dysfunction. Surgical debridement and wound bed preparation is important. This study highlights the role of music therapy as an adjuvant therapy in management of fournier's gangrene
Writing Publishable Qualitative Scientific Research
Get PDFResearch is "a systematic process of investigation, the general purpose of which is to contribute to the body of knowledge that shapes and guides academic and/or practice disciplines". Qualitative scientific research is a way of looking at the world and a constellation of approaches used to generate knowledge about the human world
Accessory Belly of the Plantaris Muscle and its Clinical Relevance
Get PDFThe plantaris muscle is accessory flexor group muscle of the lower leg. The muscle originates from the lower part of the lateral supracondylar line of the femur and the oblique popliteal ligament, inserted medial to calcaneal tuberosity. During the routine dissection for the undergraduate medical students we encountered accessory plantaris muscle originating medial side of the femoral condyle and capsular ligament. Both the normal lateral and accessory medial tendons fused to form long slender tendon and inserted medial to calcaneal tuberosity. Knowledge of variable origin, course and the insertion of the plantaris muscle is important for surgeons performing various reconstructive surgeries
THE RISK FACTORS OF RENAL CELL CARCINOMA PATIENTS IN ARIFIN ACHMAD REGIONAL GENERAL HOSPITAL, RIAU PROVINCE, INDONESIA
Get PDFObjective: To evaluate the incident rate, patients profile, and risk factors of renal cell carcinoma patients. Material & method: We reviewed the medical records of incident rate, patient profile, and risk factors patients of renal cell carcinoma in Arifin Achmad Hospital Regional General of Riau Province in January 2013 to December 2017. The data collected were sex, age, histopathology types, staging, smoking history, occupation obesity, nutritional status, ethnic/tribes, historyof hypertensiom and city/district origin. Approval on the study was obtained from the Ethical Review Board for Medicine and Health Research, Medical Faculty, University of Riau. Result: There were 18 renal cell carcinoma patients, consisting of 66.7% were males and 33.3% were females. Renal cell carcinoma was frequently (50%) diagnosed in the 41-50 age group. Most patients came from Pekanbaru city in 27.8% and most (50%) patients were Malay tribes (50%) followed by Javanese and Minang tribes. Sixty one percent of patients had risk factors for smoking history, obesity in 5.6%, normal nutritional status in 50% hypertension in 38.9% renal cell carcinoma patients. Conclusion: Risks factors of renal cell carcinoma patients in our hospital were Pekanbaru city origin, Malay tribe, smoking history, non-obesity and hypertension
Interpretations of Cone Beam Computed Tomography
Get PDFDental volumetric tomography is the concept in which tissues of maxillofacial region are depicted using a cone beam shaped x-radiation to provide rapid accurate details. The salient advantages of cone beam computed tomography (CBCT) are shorter exposure time, reduced image distortion due to patient movements, decreased patient dose and multiplanar screening. CBCT aids the clinicians to localize the anatomic structures as a whole which can be visualized in three planes as in axial, coronal and sagittal sections. As a prerequisite for interpretation of every imaging mode, it is essential for the clinician to know the normal from the abnormal. This review highlights the essence to comprehend CBCT and interpret it in the accurate manner with minimal complications
Assessment of the efficiency of the local application of hemostatic drug Geprocel in the treatment of patients with deep burns
Get PDFThe work is based on the analysis of the treatment results of 35 patients with burn trauma (10 women and 25 men) aged 15 to 55 years who were treated in the burn department of Republican Scientific Centre of Urgent Medical Aid (RSCUMA) between 2017 and 2018. In this study, we report on the use of the hemostatic preparation Geprocel with an autodermoplasty on a wound after necroectomy with subsequent autodermoplasty in all cases contributed to the complete healing of donor sites for 7 days, and the complete engraftment of the skin autotransplant with full recovery of the defect by 12 days after surgery. This preliminary data suggests the potential role of Geprocel in the clinical management of burn treatment.The work is based on the analysis of the treatment results of 35 patients with burn trauma (10 women and 25 men) aged 15 to 55 years who were treated in the burn department of Republican Scientific Centre of Urgent Medical Aid (RSCUMA) between 2017 and 2018. In this study, we report on the use of the hemostatic preparation Geprocel with an autodermoplasty on a wound after necroectomy with subsequent autodermoplasty in all cases contributed to the complete healing of donor sites for 7 days, and the complete engraftment of the skin autotransplant with full recovery of the defect by 12 days after surgery. This preliminary data suggests the potential role of Geprocel in the clinical management of burn treatment