Medico Research Chronicles
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A CASE REPORT ON SUPERIOR MESENTERIC ARTERY SYNDROME (SMA)
Get PDFMr. XXX 40 yrs old resident of Gopalapuram was referred from medical ward as an acute abdomen with complaints of pain , vomiting and marked distension of abdomen on 27-1-20O9. Pain in the upper abdomen since 2 months aggravated by taking solid foods on and off and relieved by vomitus which was bilious in nature. Distension of upper abdomen extending up to the suprapubic region was marked since 3 days
SUBCUTANEOUS EMPHYSEMA AND MANDIBULAR THIRD MOLAR: A CASE REPORT AND REVIEW
Get PDFMandible third molar removal is the commonest surgery performed by oral and maxillofacial surgeons in routine practice. Surgical removal requires great expertise as it is associated with vital structures. Patients undergoing removal of impacted third molar usually experience significant postoperative pain, swelling and trismus. Subcutaneous emphysema defines to collection of air beneath subcutaneous tissue. Emphysema is more commonly seen in cases of facial bone fracture, infection by gas producing organisms, tracheotomies and anterior neck dissections. Subcutaneous emphysema due to dental treatment is an uncommon clinical complication. The purpose of this case report is to discuss the complication induced during mandibular third molar removal and to discuss the cause and treatment for same
INTERNET ADDICTION IN CHILDREN AND ADOLESCENTS: ETIOLOGY, SIGNS OF RECOGNITION AND IMPLICATIONS IN MENTAL HEALTH NURSING PRACTICE.
Get PDFInternet addiction in young age is an emerging topic gaining researchers interested worldwide. Despite the progress that has been made in prevention, diagnosis and treatment in this disorder the field is wide and unexplored when it comes in mental health nursing practice. The effects that internet addiction may have in individuals life’s are shown the social, professional as well as in academic level. Moreover the effects that long hours screen exposure may have in physical health, the excessive participation of children and adolescents in online gaming and social networking sites as well as the emergence of a new type of anti-social behaviors expressed by harassment, bullying, cyber crime and online suicides are a new research field in digital age. Considering the globalization and the complexity of internet addiction mental health nurses must establish an effective program for the management of the addiction as well as the daily problems that such condition raises. Within the clinical context of mental health, nurses can have an effective role not only in the assessment, diagnosis and treatment of internet addiction but in the prevention of that phenomenon as well
THE POTENTIAL HAZARDS OF STRAY DOGS IN UNIVERSITY OF MAIDUGURI, NIGERIA
Get PDFA questionnaire seeking information on demography, dog management and dog – related attitudes, was administered via house – to – house to one hundred and fifty (150) volunteered staff of university of Maiduguri, Nigeria, randomly selected. Forms were collected after an agreed period of time. Data generated indicated that respondents were within the mean age of 43.7 years old, and 63% were males. Also, 64% of the respondents were not current dog owners and 36% were current dog owners. Majority (72%) of the current dog owners owned dogs mainly for security purpose. Majority of respondents perceived that dog registration help fund important animal services and could help trace back dogs to their owners in case of lost, as such do not constitute stray dogs and their potential hazards. Few (37%) of the current dog owners practiced total dog confinement. Dog owners expressed varied attitudes towards dogs and dog litter management. Unfriendly attitudes, un-useful disposal of whelped litters by dog owners, unconfined and unsterilized dogs were found to contribute to stray dogs in the community. Proper and complete dog management practices and positive dog-related attitudes will help reduce stray dogs and their potential hazards in the communit
OVARIAN SERTOLI LEYDIG CELL TUMOUR: A RARE CASE OF SEX CORD STROMAL TUMOUR
Get PDFSertoli Leydig cell tumor (SLCT) of ovary is an unusual neoplasm that belongs to a group of Sex Cord-Stromal tumors of Ovary and account for less than 0.5%of all primary ovarian neoplasms. Very few cases have been documented in the literature so far. Herein we report a case of Primary Sertoli-Leydig cell Tumor (SLCT) in a 16-years old girl who presented with amenorrhea of 7 months along with hirsutism and hoarseness of voice
TOBACCO ABUSE AMONG ADOLESCENT STUDENTS IN RURAL AREAS OF MALAPURAM DISTRICT
Get PDFTobacco is the most potent risk factor for many diseases globally. Each day 80000-100000 adolescent children start smoking tobacco. Half of those who start smoking during adolescence are projected to go on smoking for 15 years or beyond hence it is important to target our activities among adolescents. In India, the prevalence of use of any form of tobacco among school going adolescents (13 -15 years) has been reported to be 17.5% (2005).
Objectives: To assess the prevalence of tobacco consumption among school going adolescent children in the rural field practice area of MES Medical College, Perinthalmanna, Kerala.
Methodology: A cross sectional study was done among school going adolescent children during February - March 2015. Sample size was calculated as 1257. Using PPS Sampling 6 schools were selected. Data was collected using a questionnaire in Malayalam after taking consent from the head of the institution and individual students.
Results: Questionnaire was administered to 1251 students and 1104 completely answered ones were analyzed. Majority (52.3%) were 14-15 years old. Gender distribution was equal. 7.06% had ever used some tobacco product. Of the 70 who were currently smokers, 12 were regular users and 58 occasional users. Most of them started between 12-14 years but four had started even before age of 10. Thirty-two students reported using smokeless tobacco products. Most (98.9%) knew tobacco use is harmful and 93.7% knew that smoking has been prohibited in public places. One-third (34.7%) received these information from media and 46.6% from books.
Conclusion: The prevalence is lower than global or Indian prevalence
Binswanger’s Disease
Get PDFOn autopsy of brain, in some cases ischemic periventricular leukoencephalopathy is found not only this, CT SCAN and MRI has also shown deep white matter lesions in the aged persons usually present between 54 to 66 years of age ,this conditions is called as Binswanger’s disease is a progressive neurological disorder and is also called as sub cortical vascular dementia .There is no cure for this disease, which was resulted from thickening or narrowing of arteries (atherosclerosis) that supply blood to white matter of brain and that leads to the death of brain, brain tissues particularly basal ganglia and thalamus which are the deep structures of brain .it may be caused by rare hereditary disease called CADASIL. Symptoms usually seen in the patient\u27s are, mood changes, loss of the ability to focus on tasks, a deterioration in thought processes (e.g., loss of memory and cognition), and mood changes. It does posses some risk factors such as hypertension and amyloid angiopathy, impaired auto regulation of cerebral blood flow in the elderly, and periventricular hypo-perfusion due to cardiac failure, arrhythmias, and hypotension. But for this disease, there is no specific treatment. Treatment is symptomatic; the most characteristic feature of Binswanger’s disease is psychomotor slowness. Persons with this disease often die within five years of the onset of the disease. It can coexist with Alzheimer’s disease and some other diseases. Scientists at the National Institute of Neurological Disorders and Stroke are reevaluating the definitions for many forms of dementia, including Binswanger disease
BLOOD DONATION PRACTICE AND ASSOCIATED FACTORS AMONG HEALTHCARE WORKERS IN PUBLIC HEALTH FACILITY OF DESSIE TOWN, NORTH EAST ETHIOPIA, 2016
Get PDFIntroduction: Even though blood donation is life saving practice, in Ethiopia current blood supply is far less compared to the demand and it is based on family based blood donation which disfavor most critical patients. So that, ensuring adequate blood supply would be vital for the patient as well as health care system.
Objective: To assess blood donation practice and associated factors among healthcare workers in public health facility of Dessie town, North East Ethiopia.
Methods: Institutional based cross sectional study in 270 health workers with systematic random sampling method by using self administers questions. Bivariate and multivariate logistic regression were use to identify significant predictor factors for blood donation practice and presented with AOR and P value.
Result: Out of 270 sample health professionals, 86(31.9%) and 47(53.4%) had ever donated blood in their life time and the last one year period respectively. Of those ever donors, 24(27.9%) were donate one time in their life and the main reason for donation was voluntary (53.4%). Similarly, the main reason for not donation was fear of side effect or discomfort after donation (64.13%). Knowing once blood group type [AOR: 5.03(1.814-3.95)], knowing the amount of blood volume at each donation [AOR: 1.83; (1.27-3.472)], know the minimum weight to donate blood [AOR: 2.0; (1.052-3.813)] and Time spent for blood donation were positively statically significant variables for ever blood donation practice.
Conclusion and Recommendation: There is low level of blood donation practice as compared to its lifesaving importance and national demand. So the ministry of health or other responsible organizations should work on changing knowledge and attitude of health professionals since they should be a role model for the community
ASSESSMENT OF HUMAN PAPILLOMA VIRUS SUBTYPES BY POLYMERASE CHAIN REACTION AND THEIR IMPACT ON THE DEGREE OF DYSPLASIA IN ORAL LEUKOPLAKIA
Get PDFAim: The study was intended to determine the prevalence of HPV subtypes in patients with oral leukoplakia & assess the possible correlation between HPV and dysplastic changes in oral leukoplakia.
Materials and Methods: Research was carried out in 25 patients with oral leukoplakia. HPV DNA was determined in incisional biopsy specimens by PCR and HPV subtypes by direct DNA sequencing.
Results: Statistical analysis was done using the SPSS version 20.0. HPV DNA was detected in 15 patients (60%) out of 25 leukoplakia patients. HPV 16 and 18 were detected in 8 patients (32%), HPV 18 was detected in 6 patients (24%) and HPV16 alone was detected in 1patient (4%). 10 patients (40%) were negative for HPV DNA. There was a statistical significant correlation between HPV DNA and degree of dysplasia (p value 0.037).
Conclusion: An increased prevalence of HPV infection was found in oral leukoplakia; It was observed that HPV might play a crucial role in malignant transformation of potentially malignant lesion like oral leukoplakia
ORGANIZING TO MEET CRITICAL NEEDS FOR MATERNITY CARE IN DEVELOPING COUNTRIES: A SOCIAL AND HEALTH SYSTEM DIAGNOSIS
Get PDFThe sustainable development goals (SDGs) targets for improving adequate and respectful sexual and reproductive health outcomes will rely on how efficient health systems are organized to deliver these essential services. Beyond maternity and reproductive health outcomes, an efficient diagnosis of social and health system challenges across most developing countries could help improve general health service delivery. We aim here to provide an overview of health systemlevel issues that need urgent context policy level consideration. To attain this, we set out to assess at social and health system level, issues that need attention to improve women health outcomes. We advocate specifically for health systems to be designed around meeting patientvalue based health need, providing options for patient payments systems in order to guarantee sustainable health systems whiles improving skilled provider care for maternity care. Beyond 2015, there is need for country long term financial planning and the generation of reliable health data that helps in health prioritization and planning for advancing long term prospects of maternity care across most developing countries