Vol. 9 No. 3 (2019): Innovative Journal of Medical and Health Sciences
EVALUATION OF EMOTIONAL CHANGES IN THE MOTHERS OF PATIENTS WHO HAVE A DIAGNOSIS of FAMILIAL MEDITERRANEAN FEVER
Fatih Cemal Ozdemir,Huseyin Dag*, Nevin Cetin Dag,Emine Turkkan,Hasan Durs un,Soner Sazak,Habip Gedik,Vefik AricaOnline First: Mar 9, 2019
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EVALUATION OF EMOTIONAL CHANGES IN THE MOTHERS OF PATIENTS WHO HAVE A DIAGNOSIS of FAMILIAL MEDITERRANEAN FEVER
Aim: The chronic diseases of childhood affect significantly on those who take care
of them. Mostly this is the duty of mothers. Mothers are the primary caretakers,
so they may have psychological problems. There are limited numbers of studies on
the depression of mothers who take care of the children with Familial Mediterranean
Fever. Aim of the study was to investigate depression levels and factors related to
depression in mothers of children with Familial Mediterranean Fever.
Material and Methods: The mothers of children diagnosed with Familial Mediterranean
fever, aged between 24 and 54 years, educated and voluntarily wanted to join
the research were selected (n:53). Socieodemographic and clinic data form and Beck
Depression Inventory form were given to them.
Results: The mean beck depression inventory score was 16.36.8. According to the
classification of Beck Depression Inventory, 35.8% of mothers had minimal depression,
32.1% had mild, 26.4% had moderate and 5.7% had severe depression. A weak positive
relationship was found between the Beck Depression Inventory score and the numbers
of child in the family. The mean attack of Familial Mediterranean Fever in the last
year was statistically and significantly high in those mothers who were depressed than
who were not.
Conclusion: The level of depression in the mothers of children diagnosed with Familial
Mediterranean Fever was close to the cut-off point of Turkish standards (17 points).
The severity of the Familial Mediterranean Fever and the depression of the mothers
were having a parallel relationship. Children of depressed mothers were having more
Familial Mediterranean fever episodes.
EVALUATION OF EMOTIONAL CHANGES IN THE MOTHERS OF PATIENTS WHO HAVE A DIAGNOSIS of FAMILIAL MEDITERRANEAN FEVER
Aim: The chronic diseases of childhood affect significantly on those who take care
of them. Mostly this is the duty of mothers. Mothers are the primary caretakers,
so they may have psychological problems. There are limited numbers of studies on
the depression of mothers who take care of the children with Familial Mediterranean
Fever. Aim of the study was to investigate depression levels and factors related to
depression in mothers of children with Familial Mediterranean Fever.
Material and Methods: The mothers of children diagnosed with Familial Mediterranean
fever, aged between 24 and 54 years, educated and voluntarily wanted to join
the research were selected (n:53). Socieodemographic and clinic data form and Beck
Depression Inventory form were given to them.
Results: The mean beck depression inventory score was 16.36.8. According to the
classification of Beck Depression Inventory, 35.8% of mothers had minimal depression,
32.1% had mild, 26.4% had moderate and 5.7% had severe depression. A weak positive
relationship was found between the Beck Depression Inventory score and the numbers
of child in the family. The mean attack of Familial Mediterranean Fever in the last
year was statistically and significantly high in those mothers who were depressed than
who were not.
Conclusion: The level of depression in the mothers of children diagnosed with Familial
Mediterranean Fever was close to the cut-off point of Turkish standards (17 points).
The severity of the Familial Mediterranean Fever and the depression of the mothers
were having a parallel relationship. Children of depressed mothers were having more
Familial Mediterranean fever episodes.
Association of Urinary Albumin with Selected Cardiovascular Disease Risk Factors in Obese Adolescents
Ahmad Mahdi Ahmad*,Somaya M Abd El-Ghany ,Sahar A Khairy,Amal G Mohamed, Hala M Abdel-Salam,Eman OkashaOnline First: Mar 9, 2019
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Association of Urinary Albumin with Selected Cardiovascular Disease Risk Factors in Obese Adolescents
Background: Childhood obesity has become a growing health problem in Egypt
and other countries in the world. The prevalence of albuminuria is higher in obesity,
and could represent an early indicator for cardiovascular diseases (CVD) in obese
adolescents. Whether there is a real association between albuminuria and other CVD
risk factors remains a matter of debate.
Purpose: In an attempt to answer this debate question, this study aims to assess
the association of urinary albumin with central obesity, blood pressure, fasting lipid
profile, and insulin resistance in obese adolescents.
Methods: Forty obese adolescents aged 10-18 years, diagnosed with simple obesity
were recruited from the National Nutrition Institute in Egypt. Exclusion criteria were
adolescents with diabetes, kidney or liver prob-lems, and/or hormonal abnormalities.
Measurements included anthropometric assess-ment, blood pressure measurement;
and lab analysis for urinary albumin, fasting blood glucose, fasting insulin, and fasting
lipid profile. The Spearman correlation coefficient was used for statistical analysis.
Results: Statistically significant p ositive c orrelations h ave b een f ound o nly between
albuminuria and each of: duration of obesity (r=0.93, p= 0.00), waist/height ratio
(r=0.65, p=0.00), and/or systolic blood pressure (r=0.33, p= 0.041).
Conclusions: Urinary albumin has been significantly a ssociated w ith t he long-term
exposure to excess body weight, central fatness, and systolic blood pressure, but not
with diastolic blood pressure, dyslipidemia or insulin resistance in obese
adolescents. Early detection of al-buminuria can have a protective role against
future hypertension and related target organ damage in this young population. The
observations of our study may aid efforts directed to planning better health care
system for obese children and/or adolescents in Egypt.
Association of Urinary Albumin with Selected Cardiovascular Disease Risk Factors in Obese Adolescents
Background: Childhood obesity has become a growing health problem in Egypt
and other countries in the world. The prevalence of albuminuria is higher in obesity,
and could represent an early indicator for cardiovascular diseases (CVD) in obese
adolescents. Whether there is a real association between albuminuria and other CVD
risk factors remains a matter of debate.
Purpose: In an attempt to answer this debate question, this study aims to assess
the association of urinary albumin with central obesity, blood pressure, fasting lipid
profile, and insulin resistance in obese adolescents.
Methods: Forty obese adolescents aged 10-18 years, diagnosed with simple obesity
were recruited from the National Nutrition Institute in Egypt. Exclusion criteria were
adolescents with diabetes, kidney or liver prob-lems, and/or hormonal abnormalities.
Measurements included anthropometric assess-ment, blood pressure measurement;
and lab analysis for urinary albumin, fasting blood glucose, fasting insulin, and fasting
lipid profile. The Spearman correlation coefficient was used for statistical analysis.
Results: Statistically significant p ositive c orrelations h ave b een f ound o nly between
albuminuria and each of: duration of obesity (r=0.93, p= 0.00), waist/height ratio
(r=0.65, p=0.00), and/or systolic blood pressure (r=0.33, p= 0.041).
Conclusions: Urinary albumin has been significantly a ssociated w ith t he long-term
exposure to excess body weight, central fatness, and systolic blood pressure, but not
with diastolic blood pressure, dyslipidemia or insulin resistance in obese
adolescents. Early detection of al-buminuria can have a protective role against
future hypertension and related target organ damage in this young population. The
observations of our study may aid efforts directed to planning better health care
system for obese children and/or adolescents in Egypt.
Barriers to Exercise for Overweight/Obese Physiotherapy Students in Egypt. A Cross-Sectional Study
Ahmad Mahdi Ahmad*,Faten Eltohamy Megahe ,Magda Ramadan Zahran Mahgoub, Heba Mohammed Ali,Wafaa Mohammad KamalOnline First: Mar 9, 2019
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Barriers to Exercise for Overweight/Obese Physiotherapy Students in Egypt. A Cross-Sectional Study
Background and Purpose: The prevalence of overweight and/or obesity due to lack of
exercise practice is higher among college students in Egypt, which can increase the risk for
cardiovascular and metabolic diseases in this young-aged population. Therefore, the main
aim of this study was to assess the barriers to exercise that could face the overweight and
obese physiotherapy students in Egypt.
Methods: A cross-sectional study was conducted and included 703 physiotherapy
college students recruited from three Egyptian uni-versities: Cairo University, Beni
Suef University, and Delta University. The inclusion criteria were male and female
undergraduate students; overweight/obese and normal weight students; their mean age
was 20.5 1.45 years. The assessment tool for the study was an Arabic modified
version of an original English self-report survey consisting of 14 items representing
potential barriers to exercise/physical activity.
Results: The majority of perceived barriers to exercise/physical activity showed a
significant difference between college students with different BMI, residence, and/or
geographic location. Moreover, this study showed that, the most important barrier
for normal weight and overweight students was lack of time (51.4% & 46.8%),
while, the somewhat important exercise barriers perceived by the highest percentage
of both normal weight and overweight students were lack of motivation (36% &
47%), lack of skills (43%&41%), and lack of friends’ support (38.5 % &43.9%).
Furthermore, for obese students, the somewhat important barriers to exercise
perceived by the highest percentage of them were lack of motivation (46.7%), lack of
enjoyment (40%), inaccessibility to convenient physical activity places (42.7%), and
lack of time (46.1%).
Conclusions: BMI, residence and its geographic location have made a difference
in perceiving barriers to exercise/physical activity. Common denominator barriers
to exercise/physical among all physiotherapy students, regardless of body weight
status, were lack of time and lack of motivation. This study can aid authorities in
Egyptian universities to better recognize the barriers to exercise between college students, so
that properly designed policies and strategies are implemented.
Barriers to Exercise for Overweight/Obese Physiotherapy Students in Egypt. A Cross-Sectional Study
Background and Purpose: The prevalence of overweight and/or obesity due to lack of
exercise practice is higher among college students in Egypt, which can increase the risk for
cardiovascular and metabolic diseases in this young-aged population. Therefore, the main
aim of this study was to assess the barriers to exercise that could face the overweight and
obese physiotherapy students in Egypt.
Methods: A cross-sectional study was conducted and included 703 physiotherapy
college students recruited from three Egyptian uni-versities: Cairo University, Beni
Suef University, and Delta University. The inclusion criteria were male and female
undergraduate students; overweight/obese and normal weight students; their mean age
was 20.5 1.45 years. The assessment tool for the study was an Arabic modified
version of an original English self-report survey consisting of 14 items representing
potential barriers to exercise/physical activity.
Results: The majority of perceived barriers to exercise/physical activity showed a
significant difference between college students with different BMI, residence, and/or
geographic location. Moreover, this study showed that, the most important barrier
for normal weight and overweight students was lack of time (51.4% & 46.8%),
while, the somewhat important exercise barriers perceived by the highest percentage
of both normal weight and overweight students were lack of motivation (36% &
47%), lack of skills (43%&41%), and lack of friends’ support (38.5 % &43.9%).
Furthermore, for obese students, the somewhat important barriers to exercise
perceived by the highest percentage of them were lack of motivation (46.7%), lack of
enjoyment (40%), inaccessibility to convenient physical activity places (42.7%), and
lack of time (46.1%).
Conclusions: BMI, residence and its geographic location have made a difference
in perceiving barriers to exercise/physical activity. Common denominator barriers
to exercise/physical among all physiotherapy students, regardless of body weight
status, were lack of time and lack of motivation. This study can aid authorities in
Egyptian universities to better recognize the barriers to exercise between college students, so
that properly designed policies and strategies are implemented.
Quantification of right ventricular performance and cardiac Troponin I in children with hemophilia
Abeer Ahmed Elmalah*,AsmaaAbd El-Wakeel Ibrahim,Shaimaa A. Habib,Ayman Sadik, Mohamad Ahmad,Aml Gaber,Emansaad MohamedOnline First: Mar 22, 2019
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Quantification of right ventricular performance and cardiac Troponin I in children with hemophilia
Introduction & Aim:
There is contradiction regarding the protective effect o f h emophilia a gainst myocardial
ischemia. Emerging evidences suggest that subjects with hemophilia are at high
risk for cardiovascular disease (CVD)in adults, but insufficient data were reported in
pediatrics. Our objective was to evaluate right ventricle(RV) function in children with
hemophilia.
Subjects and methods:
A controlled study included 30 children with hemophilia (GI) compared to30 age
matched healthy male children (GII). Different m odalities o f e chocardiography were
used to assess RV function. We investigated the association between clinical data,
echocardiographic findings and serum troponin I in the studied children.
Results:
In comparison to healthy control, hemophilic children had significant i mpairment of
both systolic and diastolic RV function and elevated troponin I level that was significantly
correlated with hemophilia severity. (93.33%) of hemophilic children had RV
Sm<11.5cm/s and (6%) had 2D-RVGLS<-21%;(93.33%) of them had impaired global
RV function byTD-MPI>0.37and (43.33%) by PW-MPI. (86.66%) of hemophilic children
had RV diastolic dysfunction measured by E/Em>6 while only (10%) when
measured by pulsed Doppler E/A<0.8. At cut off p oint >0.74 ng/ml serum troponin
I has 53.33% sensitivity and 71.34% specificity to predict RV dysfunction.
Conclusion:
Both RV systolic and diastolic functions are impaired in asymptomatic hemophilic children.
Regular echocardiographic assessment using different m odalities p rovide valuable
tool for detection of RV dysfunction in asymptomatic hemophilic children is
recommended.
Quantification of right ventricular performance and cardiac Troponin I in children with hemophilia
Introduction & Aim:
There is contradiction regarding the protective effect o f h emophilia a gainst myocardial
ischemia. Emerging evidences suggest that subjects with hemophilia are at high
risk for cardiovascular disease (CVD)in adults, but insufficient data were reported in
pediatrics. Our objective was to evaluate right ventricle(RV) function in children with
hemophilia.
Subjects and methods:
A controlled study included 30 children with hemophilia (GI) compared to30 age
matched healthy male children (GII). Different m odalities o f e chocardiography were
used to assess RV function. We investigated the association between clinical data,
echocardiographic findings and serum troponin I in the studied children.
Results:
In comparison to healthy control, hemophilic children had significant i mpairment of
both systolic and diastolic RV function and elevated troponin I level that was significantly
correlated with hemophilia severity. (93.33%) of hemophilic children had RV
Sm<11.5cm/s and (6%) had 2D-RVGLS<-21%;(93.33%) of them had impaired global
RV function byTD-MPI>0.37and (43.33%) by PW-MPI. (86.66%) of hemophilic children
had RV diastolic dysfunction measured by E/Em>6 while only (10%) when
measured by pulsed Doppler E/A<0.8. At cut off p oint >0.74 ng/ml serum troponin
I has 53.33% sensitivity and 71.34% specificity to predict RV dysfunction.
Conclusion:
Both RV systolic and diastolic functions are impaired in asymptomatic hemophilic children.
Regular echocardiographic assessment using different m odalities p rovide valuable
tool for detection of RV dysfunction in asymptomatic hemophilic children is
recommended.
COMPREHENSIVE STUDY OF ORAL HYGIENE STATUS IN 40-50 YEAR-OLD WOMEN RANGES USING DRUG PRODUCT TO INCREASE RESISTANCE OF DENTAL HARD TISSUES.
Barylo O.S., Agafonov K.V., Kirichek O.V., Furman R.L.*Online First: Mar 22, 2019
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COMPREHENSIVE STUDY OF ORAL HYGIENE STATUS IN 40-50 YEAR-OLD WOMEN RANGES USING DRUG PRODUCT TO INCREASE RESISTANCE OF DENTAL HARD TISSUES.
Resistance of tooth enamel to aggressive effect of metabolic by-products of oral cavity microorganisms is provided by fluoroapatites of enamel surface layers. The patients were divided into two groups: control group (30 females) and experimental (observa-tion) group (30 females). In control group, the traditional method of caries prevention was used, which included professional teeth cleaning, mouthwash with physiological solution (0.9%) of sodium chloride after meals, hygienic teeth brushing by a standard method twice a day. Females of experimental group underwent professional teeth cleaning, treatment of teeth with the drug product containing sodium fluoride to in-crease the resistance of hard tissues of teeth, silver nitrate and decamethoxin, rinsing with standardized decamethoxin solution. Various indices are used in modern den-tistry to evaluate oral hygiene status. Index estimation provides quantitative charac-teristics of static status of oral hygiene. Their values enable to suggest the course of inflammatory-destructive or dystrophic process and its severity, to evaluate treatment efficacy and quality of regular check-up of a particular patient or dispensary cases. The study demonstrated significant positive clinical efficacy of the drug product used to increase resistance of dental hard tissues. In particular, patients using the pharma-ceutical preparation to improve the resistance of dental hard tissues, had significantly lower values of Fedorov-Volodkina’s Index, Greene-Vermillion Index (Oral Hygiene Index- Simplified), Patient Hygiene Performance (PHP) Index as compared to the control group.
COMPREHENSIVE STUDY OF ORAL HYGIENE STATUS IN 40-50 YEAR-OLD WOMEN RANGES USING DRUG PRODUCT TO INCREASE RESISTANCE OF DENTAL HARD TISSUES.
Resistance of tooth enamel to aggressive effect of metabolic by-products of oral cavity microorganisms is provided by fluoroapatites of enamel surface layers. The patients were divided into two groups: control group (30 females) and experimental (observa-tion) group (30 females). In control group, the traditional method of caries prevention was used, which included professional teeth cleaning, mouthwash with physiological solution (0.9%) of sodium chloride after meals, hygienic teeth brushing by a standard method twice a day. Females of experimental group underwent professional teeth cleaning, treatment of teeth with the drug product containing sodium fluoride to in-crease the resistance of hard tissues of teeth, silver nitrate and decamethoxin, rinsing with standardized decamethoxin solution. Various indices are used in modern den-tistry to evaluate oral hygiene status. Index estimation provides quantitative charac-teristics of static status of oral hygiene. Their values enable to suggest the course of inflammatory-destructive or dystrophic process and its severity, to evaluate treatment efficacy and quality of regular check-up of a particular patient or dispensary cases. The study demonstrated significant positive clinical efficacy of the drug product used to increase resistance of dental hard tissues. In particular, patients using the pharma-ceutical preparation to improve the resistance of dental hard tissues, had significantly lower values of Fedorov-Volodkina’s Index, Greene-Vermillion Index (Oral Hygiene Index- Simplified), Patient Hygiene Performance (PHP) Index as compared to the control group.
Necrotizing Fasciitis: Case series of four cases
Dr Aarushi Vashist,Dr. Raman Wadhera, Dr J S Gulya,Dr Sahana P, Dr. Keshav Gupta*,Dr Sachin HoodaOnline First: Mar 28, 2019
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Necrotizing Fasciitis: Case series of four cases
Necrotizing Fasciitis called as flash eating disease is still prevalent in developing coun-tries. Surgical debridement under antibiotic cover is the mainstay of treatment and has usually good prognosis.
Necrotizing Fasciitis: Case series of four cases
Necrotizing Fasciitis called as flash eating disease is still prevalent in developing coun-tries. Surgical debridement under antibiotic cover is the mainstay of treatment and has usually good prognosis.
A case report of ring chromosome 18 with tetralogy of fallot
Sajjadian Negar*, Herman Moghadam KambizOnline First: Mar 28, 2019
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A case report of ring chromosome 18 with tetralogy of fallot
Background: Ring Chromosome 18 is a rare chromosomal disorder with loss of genetic
material from one or both ends of the 18th chromosome and fusion of the chromosomal
ends to form a ring. Associated symptoms and physical features may be
extremely variable.
Case report: we observed a 2.5 year old girl with the features typical for r(18)
carriers additionally manifested a Tetralogy of fallot. Chromosomal analysis on the
basis of G-banding technique was performed. Chromosomal investigation appeared as
46, XY,r(18) (p11.31q22.3).
Conclusion: This information may help healthcare team make diagnosis a person
with ring 18.
A case report of ring chromosome 18 with tetralogy of fallot
Background: Ring Chromosome 18 is a rare chromosomal disorder with loss of genetic
material from one or both ends of the 18th chromosome and fusion of the chromosomal
ends to form a ring. Associated symptoms and physical features may be
extremely variable.
Case report: we observed a 2.5 year old girl with the features typical for r(18)
carriers additionally manifested a Tetralogy of fallot. Chromosomal analysis on the
basis of G-banding technique was performed. Chromosomal investigation appeared as
46, XY,r(18) (p11.31q22.3).
Conclusion: This information may help healthcare team make diagnosis a person
with ring 18.
Laparoscopic Resection of Gangrenous Small bowel with acute small bowel obstruction – World’s First reported case
Shariful Islam*,Otis Payne, Vinoo Bheem,Patrick Harnarayan, Dilip DanOnline First: Mar 28, 2019
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Laparoscopic Resection of Gangrenous Small bowel with acute small bowel obstruction – World’s First reported case
Introduction: Diagnostic laparoscopy is now frequently used for small bowel obstruction
with a varying degree of success. However, emergency laparoscopic resection of
gangrenous small bowel has not yet been reported in the English literature. We report
the world first case of successful laparoscopic assisted resection of gangrenous small
bowel in a 64 year old female with an excellent postoperative outcome.
Presentation of Case: A 64 years old woman with a virgin abdomen presented
with a clinical and radiological features of small bowel obstruction. The patient was
hemodynamically stable with mild central abdominal distension and tenderness but
there was no guarding or rebound tenderness. On diagnostic laparoscopy a loop of
gangrenous small bowel was noted secondary to an adhesion band. The patient had a
successful laparoscopic assisted resection and extra-corporal anastomosis of the small
bowel with an excellent postoperative outcome.
Discussion: Diagnostic laparoscopy plays a vital role for the diagnosis and treatment
of selected cases of small bowel obstruction in a virgin abdomen. However, appropriate
patient selection as well as the availability of a skilled laparoscopic surgeon is off
paramount importance for a successful outcome. Contrast enhanced CT scan is also
a useful tool for appropriate patient selection. The morbidity of laparotomy can often
be avoided in presence of a skilled laparoscopic surgeon.
Conclusion: Laparoscopic approach can be attempted in selected patients with first
episode of SBO and/or anticipated single band obstruction. Similarly, gangrenous
small bowel can be resected laparoscopically in highly selected patients in the presence
of an experienced laparoscopic surgeon.
Laparoscopic Resection of Gangrenous Small bowel with acute small bowel obstruction – World’s First reported case
Introduction: Diagnostic laparoscopy is now frequently used for small bowel obstruction
with a varying degree of success. However, emergency laparoscopic resection of
gangrenous small bowel has not yet been reported in the English literature. We report
the world first case of successful laparoscopic assisted resection of gangrenous small
bowel in a 64 year old female with an excellent postoperative outcome.
Presentation of Case: A 64 years old woman with a virgin abdomen presented
with a clinical and radiological features of small bowel obstruction. The patient was
hemodynamically stable with mild central abdominal distension and tenderness but
there was no guarding or rebound tenderness. On diagnostic laparoscopy a loop of
gangrenous small bowel was noted secondary to an adhesion band. The patient had a
successful laparoscopic assisted resection and extra-corporal anastomosis of the small
bowel with an excellent postoperative outcome.
Discussion: Diagnostic laparoscopy plays a vital role for the diagnosis and treatment
of selected cases of small bowel obstruction in a virgin abdomen. However, appropriate
patient selection as well as the availability of a skilled laparoscopic surgeon is off
paramount importance for a successful outcome. Contrast enhanced CT scan is also
a useful tool for appropriate patient selection. The morbidity of laparotomy can often
be avoided in presence of a skilled laparoscopic surgeon.
Conclusion: Laparoscopic approach can be attempted in selected patients with first
episode of SBO and/or anticipated single band obstruction. Similarly, gangrenous
small bowel can be resected laparoscopically in highly selected patients in the presence
of an experienced laparoscopic surgeon.
