4276 research outputs found
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Pseudohypoparathyroidism Presenting as Congestive Cardiac Failure
Hypocalcaemia can have a variety of manifestations including cardiovascular changes. Hypocalcemic cardiomyopathy has been reported in hypoparathyroidism and vitamin D deficiency but association of hypocalcemic cardiomyopathy in pseudohypo-parathyroidism has been reported scarcely in literature. We describe here a case of PHP presenting as congestive cardiac failure
Ectopic Prostatic and Seminal Vesicle Tissue Confusing as Metastatic Adenocarcinoma
Ectopic prostatic tissue and seminal vesicle at pericolic fat is extremely rare. The nodules in the pericolic fat could raise a dilemma of metastatic deposits in cases of rectal adenocarcinoma. A 61 years old male underwent abdomino-perineal resection for rectal carcinoma. Nodules along with lymph nodes from pericolic fat were sampled to assess the spread. Histopathological and immunohistochemical staining of one nodule confirmed it to be the prostatic tissue while another nodule to be seminal vesicle. Seminal vesicle and prostatic heterotopia is significant in several respects, either symptomatic or asymptomatic, as the ectopic tissue can be endoscopically and histologically confused with malignancy of urinary or lower gastrointestinal system and may reflect divergent differentiation or a malformative process
Portal Vein Aneurysm: Incidental Detection of Uncommon Entity as Cause of Chronic Abdominal Pain
Portal vein aneurysm is an uncommon anomaly. Both congenital and acquired cases are reported. We report a case of idiopathic probably congenital portal vein aneurysm incidentally detected on contrast CT. There was no evidence of any chronic liver disease or portal hypertension in this patient
Removal of Open Safety Pin in Larynx: A Challenging Event for an Otolaryngologist
Inhalation of foreign body is a serious event. The numbers of foreign bodies that become impacted in the larynx are small and require urgent recognition. We describe the case of a 12 year old girl with an impacted open safety pin in the larynx. The sharp end of the safety pin was upward, below the level of the vocal cords and had pierced the soft tissue. Tracheostomy was required to secure the airway and the child had an uneventful recovery. We discuss the management and describe our method of removal of the foreign body with a brief review of literature
Future Educators’ Gender Norms, Sexuality, and Reproductive Health.
This investigation explored gender-related norms, sexuality, and reproductive health among education students in a government university in Samar, Philippines. A descriptive-analytical design of study was adopted for this investigation and data were collected over a period of five months. Five hundred fifty (550) education students who were enrolled in the different year level completed the modified John Clelands’ Illustrative Questionnaire for Young People. Results indicated that 14.73% of the students reported having had early sexual experience where in 69.14 % had it unplanned. Among sexually active students, only 17.28% used contraception, with condoms and withdrawal as the most popular choices. Respondents were also found to have some misconceptions regarding HIV/AIDS and STI’s. Result also showed that dating was still acceptable, however, the idea of abortion and sexual coercion were considered wrong. No significant differences in the knowledge about HIV/AIDS and STI’s and gender norms were found across year level. Findings suggest a greater need for education, support and advocacy relative to sexuality so as to create a more positive school environment conducive for holistic growth and development of all students. Thus, school administrators should improve/enhance existing policies and programs relative to reproductive health among college students of the University such as health promotion activities, sexuality education, counseling and alike
Contribution of Information and Communication Technology (ICT) in Country’S H-Index
The aim of this study is to examine the effect of Information and Communication Technology (ICT) development on country’s scientific ranking as measured by H-index. Moreover, this study applies ICT development sub-indices including ICT Use, ICT Access and ICT skill to find the distinct effect of these sub-indices on country’s H-index. To this purpose, required data for the panel of 14 Middle East countries over the period 1995 to 2009 is collected. Findings of the current study show that ICT development increases the H-index of the sample countries. The results also indicate that ICT Use and ICT Skill sub-indices positively contribute to higher H-index but the effect of ICT access on country’s H-index is not clear
Continuing Education Effects on Cultural Competence Knowledge and Skills Building among Health Professionals
Racial and ethnic minority health data from a national perspective indicates there is much to learn in the public health workforce about the ongoing health disparities crisis. This suggests a level of urgency to assist our public health professionals in obtaining specific skills sets that will assist them in working better with vulnerable populations. The purpose of this research is to assess cultural competence knowledge and programmatic skill sets, utilizing an explorational case study, of individuals employed within an urban public health department. In order to effectively evaluate these constructs, a quantitative research approach was employed to examine participants’ knowledge and competencies of the subject matter. This data was further analyzed to determine if continuing education participation and training was correlated to the levels of culturally competent practice engagement and self-reported confidence. In addition, researchers obtained data on the availability of employer sponsored training opportunities. The data suggested when health professionals engage in cultural competence education, their level of awareness of unique characteristics between ethnic and racial minorities increased. Those who exhibited the healthiest behaviors, as it relates to effectively working with diverse populations, had a heightened sense of knowledge related to culture and healthcare services. Continuing education in cultural competence is an essential strategy for improving public health employees’ effectiveness in working with diverse clients and reducing racial and ethnic health disparities. As the finding illustrated, training programs must incorporate educational components which foster skill building to enable subsequent culturally appropriate clinical interactions
Opinion of Health Care Professionals towards Submitting a Research Article to a Journal.
There are no specific criteria to measure a journals quality, but indexation of a journal in a reputed database such as PubMed/Medline, SCOPUS, EMBASE etc, and whether the journal is having an impact factor produced by Thomson Reuters are looked upon. Many more indexation database have come up recently, and authors are publishing more articles than before. This questionnaire based study was conducted in November 2012 in two medical colleges in south India with the aim to know the opinion of health care professionals towards submitting a research publication to a journal. Prior approval was taken from the Institutional Ethics Committee to conduct the study. The selected participants were from tutors to professors. The information was recorded and analyzed using Microsoft Excel (2007 version). A total of 297 respondents participated in the study, out of which 263 completed the questionnaire. Assistant professors had more number of publications and also had the maximum number of publications as first author. Among the papers published <10% were published in journals which are pubmed indexed. Highest percentage of pubmed indexed journals were published by professors which was around 10%. The knowledge about impact factor was higher among the junior faculty than the professors. The knowledge regarding quality of a journal, with respect to indexation and impact factor of a journal is grossly inadequate among the doctors. Necessary steps should be taken by editorial board of reputed journals and associations such as International Council Of Medical Journal Editors or regulatory authorities such as Medical Council of India to spread the knowledge about quality of a journal
A Rare Case of Gastric Carcinoma with Oral Metastasis
Oral region is an uncommon site for metastatic tumour cell colonization and usually evidence of wide spread disease, It accounts for only 1% of all oral malignant neoplasm’s. They mainly involve the bony structures (particularly the mandible), whereas primary metastases to soft tissues are extraordinarily rare (only 0.1% of oral malignancies). The breast is the most common primary site for tumors that metastasize to the jawbones, whereas the lung is the most common source for cancers that metastasize to the oral soft tissues. We are reporting an extremely rare case of carcinoma stomach with oral soft tissue metastatic lesion in the upper alveolar ridge extending to involving the upper labial mucosa extending up to the premolars on right side on the gingio- buccal sulcus
A Case of Multiple Sclerosis Presenting as Eight and Half Syndrome.
Multiple sclerosis (MS) is a chronic disease characterized by inflammation, demyelination, gliosis (scarring), and neuronal loss; the course can be relapsing-remitting or progressive. Manifestations of MS vary from a benign illness to a rapidly evolving and incapacitating disease requiring profound lifestyle adjustments. We report a 24 year old female who presented with right internuclear ophthalmoplegia with right lower motor neuron facial nerve palsy which is called eight and half syndrome. The etiology in our patient was multiple sclerosis which was confirmed by radio-imaging studies. Patient improved on pulse therapy of methyl prednisolone and tapering dose of steroids