Vol. 10 No. 03 (2020): Innovative Journal of Medical and Health Science
A perspective of Mycobacterium Tuberculosis resistance on patients with retreat in Madagascar
Harison Michel TIARAY*, Kiady RAVAHATRA, Jobeline RAJAOARIFETRA, Oninala Fenitra RAKOTONDRASOA, Iantsotiana Davidson RAKOTONDRABE, Marie odette RASOAFARANIRINA Anjara Mihaja NANDIMBINIAINA, Jocelyn Rakotomizao, Rakotoson Joelson Lovaniaina, ANDRIANASOLO Radonirina Lazasoa, RAHARIMANANA Rondro NirinaOnline First: Mar 9, 2020
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A perspective of Mycobacterium Tuberculosis resistance on patients with retreat in Madagascar
Introduction: Despite advances in diagnostic and therapeutic way, drug-resistant
tuberculosis is an increasingly worrying threat. Several studies suggest that one of
the risk factors for carrying resistant Mycobacterium tuberculosis is the history
of anti-tuberculosis treatment. The objective of our study is to describe the
Resistance Profile of Mycobacterium Tuberculosis of patients in retreatment in
Madagascar. Methods: This is a descriptive and retrospective study, carried out
from January 2014 to September 2018 (45 months). All the cases of re-treatement
recorded in the database of the National Tuberculosis Control Program in
Madagascar were included in the study.
Results: We gathered 1456 cases, the average age was 40 years, there was a male
predominance(sex ratio of 2.32). In the 1302 cases where the category was
specified, there was a predominance of relapse (76.57%). According to the
culture, the incidence of rifampicin resistance was 05.36% (78/1456) including
83.33% of cases of multi-resistant tuberculosis (MDR-TB) (65/78). The incidence
of isoniazid monoresistance was 05.49% (80/1456). Carrying MDR-TB is much more
important for patients who have failed (69.43%). The GeneXpert mtb/RIF enabled
us to detect more cases of Rifampicine monoresistance (97 cases).
Conclusion: cases of retreatment is a real source of the emergence of MDR-TB in
Madagascar, especially cases of failure and relapse. Which is consistent with the data in
the literature. The treatment effectiveness of new cases must be maximum to prevent
these cases of retreatment.
Key words: drug resistance–Madagascar–profil–tuberculosis
A perspective of Mycobacterium Tuberculosis resistance on patients with retreat in Madagascar
Introduction: Despite advances in diagnostic and therapeutic way, drug-resistant
tuberculosis is an increasingly worrying threat. Several studies suggest that one of
the risk factors for carrying resistant Mycobacterium tuberculosis is the history
of anti-tuberculosis treatment. The objective of our study is to describe the
Resistance Profile of Mycobacterium Tuberculosis of patients in retreatment in
Madagascar. Methods: This is a descriptive and retrospective study, carried out
from January 2014 to September 2018 (45 months). All the cases of re-treatement
recorded in the database of the National Tuberculosis Control Program in
Madagascar were included in the study.
Results: We gathered 1456 cases, the average age was 40 years, there was a male
predominance(sex ratio of 2.32). In the 1302 cases where the category was
specified, there was a predominance of relapse (76.57%). According to the
culture, the incidence of rifampicin resistance was 05.36% (78/1456) including
83.33% of cases of multi-resistant tuberculosis (MDR-TB) (65/78). The incidence
of isoniazid monoresistance was 05.49% (80/1456). Carrying MDR-TB is much more
important for patients who have failed (69.43%). The GeneXpert mtb/RIF enabled
us to detect more cases of Rifampicine monoresistance (97 cases).
Conclusion: cases of retreatment is a real source of the emergence of MDR-TB in
Madagascar, especially cases of failure and relapse. Which is consistent with the data in
the literature. The treatment effectiveness of new cases must be maximum to prevent
these cases of retreatment.
Key words: drug resistance–Madagascar–profil–tuberculosis
A perspective of Mycobacterium Tuberculosis resistance on patients with retreat in Madagascar
Introduction: Despite advances in diagnostic and therapeutic way, drug-resistant
tuberculosis is an increasingly worrying threat. Several studies suggest that one of
the risk factors for carrying resistant Mycobacterium tuberculosis is the history
of anti-tuberculosis treatment. The objective of our study is to describe the
Resistance Profile of Mycobacterium Tuberculosis of patients in retreatment in
Madagascar. Methods: This is a descriptive and retrospective study, carried out
from January 2014 to September 2018 (45 months). All the cases of re-treatement
recorded in the database of the National Tuberculosis Control Program in
Madagascar were included in the study.
Results: We gathered 1456 cases, the average age was 40 years, there was a male
predominance(sex ratio of 2.32). In the 1302 cases where the category was
specified, there was a predominance of relapse (76.57%). According to the
culture, the incidence of rifampicin resistance was 05.36% (78/1456) including
83.33% of cases of multi-resistant tuberculosis (MDR-TB) (65/78). The incidence
of isoniazid monoresistance was 05.49% (80/1456). Carrying MDR-TB is much more
important for patients who have failed (69.43%). The GeneXpert mtb/RIF enabled
us to detect more cases of Rifampicine monoresistance (97 cases).
Conclusion: cases of retreatment is a real source of the emergence of MDR-TB in
Madagascar, especially cases of failure and relapse. Which is consistent with the data in
the literature. The treatment effectiveness of new cases must be maximum to prevent
these cases of retreatment.
Key words: drug resistance–Madagascar–profil–tuberculosis
A perspective of Mycobacterium Tuberculosis resistance on patients with retreat in Madagascar
Introduction: Despite advances in diagnostic and therapeutic way, drug-resistant
tuberculosis is an increasingly worrying threat. Several studies suggest that one of
the risk factors for carrying resistant Mycobacterium tuberculosis is the history
of anti-tuberculosis treatment. The objective of our study is to describe the
Resistance Profile of Mycobacterium Tuberculosis of patients in retreatment in
Madagascar. Methods: This is a descriptive and retrospective study, carried out
from January 2014 to September 2018 (45 months). All the cases of re-treatement
recorded in the database of the National Tuberculosis Control Program in
Madagascar were included in the study.
Results: We gathered 1456 cases, the average age was 40 years, there was a male
predominance(sex ratio of 2.32). In the 1302 cases where the category was
specified, there was a predominance of relapse (76.57%). According to the
culture, the incidence of rifampicin resistance was 05.36% (78/1456) including
83.33% of cases of multi-resistant tuberculosis (MDR-TB) (65/78). The incidence
of isoniazid monoresistance was 05.49% (80/1456). Carrying MDR-TB is much more
important for patients who have failed (69.43%). The GeneXpert mtb/RIF enabled
us to detect more cases of Rifampicine monoresistance (97 cases).
Conclusion: cases of retreatment is a real source of the emergence of MDR-TB in
Madagascar, especially cases of failure and relapse. Which is consistent with the data in
the literature. The treatment effectiveness of new cases must be maximum to prevent
these cases of retreatment.
Key words: drug resistance–Madagascar–profil–tuberculosis
A perspective of Mycobacterium Tuberculosis resistance on patients with retreat in Madagascar
Introduction: Despite advances in diagnostic and therapeutic way, drug-resistant
tuberculosis is an increasingly worrying threat. Several studies suggest that one of
the risk factors for carrying resistant Mycobacterium tuberculosis is the history
of anti-tuberculosis treatment. The objective of our study is to describe the
Resistance Profile of Mycobacterium Tuberculosis of patients in retreatment in
Madagascar. Methods: This is a descriptive and retrospective study, carried out
from January 2014 to September 2018 (45 months). All the cases of re-treatement
recorded in the database of the National Tuberculosis Control Program in
Madagascar were included in the study.
Results: We gathered 1456 cases, the average age was 40 years, there was a male
predominance(sex ratio of 2.32). In the 1302 cases where the category was
specified, there was a predominance of relapse (76.57%). According to the
culture, the incidence of rifampicin resistance was 05.36% (78/1456) including
83.33% of cases of multi-resistant tuberculosis (MDR-TB) (65/78). The incidence
of isoniazid monoresistance was 05.49% (80/1456). Carrying MDR-TB is much more
important for patients who have failed (69.43%). The GeneXpert mtb/RIF enabled
us to detect more cases of Rifampicine monoresistance (97 cases).
Conclusion: cases of retreatment is a real source of the emergence of MDR-TB in
Madagascar, especially cases of failure and relapse. Which is consistent with the data in
the literature. The treatment effectiveness of new cases must be maximum to prevent
these cases of retreatment.
Key words: drug resistance–Madagascar–profil–tuberculosis
Clinicopathological profile of breast lesions and their management in paediatric patients seen in a tertiary health facility in Southern Nigeria
Okoro Philemon E*, Obiorah ChristopherOnline First: Mar 11, 2020
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Clinicopathological profile of breast lesions and their management in paediatric patients seen in a tertiary health facility in Southern Nigeria
Introduction
Breast diseases are less common in the paediatric age group than in adults. Accordingly,
less attention has been given to this group of diseases. Hence there is not enough
literature on so many aspects including pathology,diagnosis, treatment and outcome.
Commonly, surgeons and researchers apply the same principles deployed for adults.
Aims and Objectives
To evaluate the clinical and pathological pattern of paediatric breast diseases seen in
our centre, and to review their treatment.
Methods
This is a four year retrospective review of cases of breast diseases seen in patients
who are of age 18 years and less in our centre from July 2015 to May 2019. The data
extracted were age, gender, clinical features, clinical diagnosis, laterality of breast
lesion, treatment offered, histological diagnosis. The data were collated and analyzed
using the SPSS 17.0
Results
One hundred and ninety one cases were analyzed. They comprised 29(15%) males and
162(85%) females giving a male female ratio of 1:6. The breast lesions were in the right
breast in 84(44%) cases, in the left breast in 75(39.3%) cases and bilateral in 32(16.7%)
cases. Breast lumps were the commonest clinical presentation, and fibroadenoma and
fibroadenosis constituted 79.2% of cases. There were no malignant lesions.
Conclusion
Breast lesions are not uncommon among our paediatric patients. The majority of the
lesions presented as breast lump in the teenage years. Fibroadenoma and fibroadenosis
are the commonest breast lesions and malignant lesions were not encountered. Less
invasive methods of diagnosis and treatment are recommended.
Key words: Breast–Lesions–Paediatric–Profile–Management
Genetic Factors and Strokes: Is there any Biological Clock? About two homozygous twin sisters.
Seidou GUIDAH, Abarchi Habibou BOUBE*, Hassan MOUMOUNI, Ali Ibrahima TOUREOnline First: Mar 13, 2020
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Genetic Factors and Strokes: Is there any Biological Clock? About two homozygous twin sisters.
We reported two simultaneous cases of ischemic stroke in homozygous 75 years old
twin sisters living in two different geographical areas. Apart from traditional factors
(High blood pressure, diabetes ...), genetic diseases have also been incriminated as a
cause of stroke. Derived from this observation it is wise to also emit the following
hypothesis: Biological clock matters in the occurrence of strokes.
Key words: stroke–genetic–biological clock
Genetic Factors and Strokes: Is there any Biological Clock? About two homozygous twin sisters.
We reported two simultaneous cases of ischemic stroke in homozygous 75 years old
twin sisters living in two different geographical areas. Apart from traditional factors
(High blood pressure, diabetes ...), genetic diseases have also been incriminated as a
cause of stroke. Derived from this observation it is wise to also emit the following
hypothesis: Biological clock matters in the occurrence of strokes.
Key words: stroke–genetic–biological clock
Genetic Factors and Strokes: Is there any Biological Clock? About two homozygous twin sisters.
We reported two simultaneous cases of ischemic stroke in homozygous 75 years old
twin sisters living in two different geographical areas. Apart from traditional factors
(High blood pressure, diabetes ...), genetic diseases have also been incriminated as a
cause of stroke. Derived from this observation it is wise to also emit the following
hypothesis: Biological clock matters in the occurrence of strokes.
Key words: stroke–genetic–biological clock
Genetic Factors and Strokes: Is there any Biological Clock? About two homozygous twin sisters.
We reported two simultaneous cases of ischemic stroke in homozygous 75 years old
twin sisters living in two different geographical areas. Apart from traditional factors
(High blood pressure, diabetes ...), genetic diseases have also been incriminated as a
cause of stroke. Derived from this observation it is wise to also emit the following
hypothesis: Biological clock matters in the occurrence of strokes.
Key words: stroke–genetic–biological clock
Genetic Factors and Strokes: Is there any Biological Clock? About two homozygous twin sisters.
We reported two simultaneous cases of ischemic stroke in homozygous 75 years old
twin sisters living in two different geographical areas. Apart from traditional factors
(High blood pressure, diabetes ...), genetic diseases have also been incriminated as a
cause of stroke. Derived from this observation it is wise to also emit the following
hypothesis: Biological clock matters in the occurrence of strokes.
Key words: stroke–genetic–biological clock
Resistive Index Value of Superior Mesenteric Artery In Preterm Infants With Necrotizing Enterocolitis
Harry Galuh Nugraha*, Edwam Akbar, Atta KuntaraOnline First: Mar 14, 2020
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Resistive Index Value of Superior Mesenteric Artery In Preterm Infants With Necrotizing Enterocolitis
Aims: to find out the comparison of RI values of superior mesenteric artery in
premature infants with NEC and without NEC.
Material and methods: This study was an observational analytic study, with a
case-control study design, where the sampling method was using consecutive sampling
in the NICU Room, Anturium and Radiology Department Dr. Hasan Sadikin General
Hospital Bandung from September to October 2019. Data processing uses unpaired
T-test.
Results: The total sample was 22 subjects, consisting of 11 with positive NEC and
11 negative NEC, with an average gestational age of 31.36 weeks and an average birth
weight of 1490.45 grams. In the positive NEC group, the average RI value was 0.90
and in the negative NEC group, the average RI value was 0.70. Statistical test results
with unpaired T-test showed that there was a statistically significant increase in the
value of superior mesenteric artery RI in premature infants with NEC compared to
premature infants without NEC with a p-value = 0.0001 (p-value < 0.05).
Conclusion: There was an increase in the value of superior mesenteric artery RI
in premature infants with NEC compared to premature infants without NEC with a
value of p = 0.0001 (p-value <0.05).
Key words: Necrotizing Enterocolitis–Superior Mesenteric Artery–Ultrasonography
Resistive Index Value of Superior Mesenteric Artery In Preterm Infants With Necrotizing Enterocolitis
Aims: to find out the comparison of RI values of superior mesenteric artery in
premature infants with NEC and without NEC.
Material and methods: This study was an observational analytic study, with a
case-control study design, where the sampling method was using consecutive sampling
in the NICU Room, Anturium and Radiology Department Dr. Hasan Sadikin General
Hospital Bandung from September to October 2019. Data processing uses unpaired
T-test.
Results: The total sample was 22 subjects, consisting of 11 with positive NEC and
11 negative NEC, with an average gestational age of 31.36 weeks and an average birth
weight of 1490.45 grams. In the positive NEC group, the average RI value was 0.90
and in the negative NEC group, the average RI value was 0.70. Statistical test results
with unpaired T-test showed that there was a statistically significant increase in the
value of superior mesenteric artery RI in premature infants with NEC compared to
premature infants without NEC with a p-value = 0.0001 (p-value < 0.05).
Conclusion: There was an increase in the value of superior mesenteric artery RI
in premature infants with NEC compared to premature infants without NEC with a
value of p = 0.0001 (p-value <0.05).
Key words: Necrotizing Enterocolitis–Superior Mesenteric Artery–Ultrasonography
Resistive Index Value of Superior Mesenteric Artery In Preterm Infants With Necrotizing Enterocolitis
Aims: to find out the comparison of RI values of superior mesenteric artery in
premature infants with NEC and without NEC.
Material and methods: This study was an observational analytic study, with a
case-control study design, where the sampling method was using consecutive sampling
in the NICU Room, Anturium and Radiology Department Dr. Hasan Sadikin General
Hospital Bandung from September to October 2019. Data processing uses unpaired
T-test.
Results: The total sample was 22 subjects, consisting of 11 with positive NEC and
11 negative NEC, with an average gestational age of 31.36 weeks and an average birth
weight of 1490.45 grams. In the positive NEC group, the average RI value was 0.90
and in the negative NEC group, the average RI value was 0.70. Statistical test results
with unpaired T-test showed that there was a statistically significant increase in the
value of superior mesenteric artery RI in premature infants with NEC compared to
premature infants without NEC with a p-value = 0.0001 (p-value < 0.05).
Conclusion: There was an increase in the value of superior mesenteric artery RI
in premature infants with NEC compared to premature infants without NEC with a
value of p = 0.0001 (p-value <0.05).
Key words: Necrotizing Enterocolitis–Superior Mesenteric Artery–Ultrasonography
Resistive Index Value of Superior Mesenteric Artery In Preterm Infants With Necrotizing Enterocolitis
Aims: to find out the comparison of RI values of superior mesenteric artery in
premature infants with NEC and without NEC.
Material and methods: This study was an observational analytic study, with a
case-control study design, where the sampling method was using consecutive sampling
in the NICU Room, Anturium and Radiology Department Dr. Hasan Sadikin General
Hospital Bandung from September to October 2019. Data processing uses unpaired
T-test.
Results: The total sample was 22 subjects, consisting of 11 with positive NEC and
11 negative NEC, with an average gestational age of 31.36 weeks and an average birth
weight of 1490.45 grams. In the positive NEC group, the average RI value was 0.90
and in the negative NEC group, the average RI value was 0.70. Statistical test results
with unpaired T-test showed that there was a statistically significant increase in the
value of superior mesenteric artery RI in premature infants with NEC compared to
premature infants without NEC with a p-value = 0.0001 (p-value < 0.05).
Conclusion: There was an increase in the value of superior mesenteric artery RI
in premature infants with NEC compared to premature infants without NEC with a
value of p = 0.0001 (p-value <0.05).
Key words: Necrotizing Enterocolitis–Superior Mesenteric Artery–Ultrasonography
Resistive Index Value of Superior Mesenteric Artery In Preterm Infants With Necrotizing Enterocolitis
Aims: to find out the comparison of RI values of superior mesenteric artery in
premature infants with NEC and without NEC.
Material and methods: This study was an observational analytic study, with a
case-control study design, where the sampling method was using consecutive sampling
in the NICU Room, Anturium and Radiology Department Dr. Hasan Sadikin General
Hospital Bandung from September to October 2019. Data processing uses unpaired
T-test.
Results: The total sample was 22 subjects, consisting of 11 with positive NEC and
11 negative NEC, with an average gestational age of 31.36 weeks and an average birth
weight of 1490.45 grams. In the positive NEC group, the average RI value was 0.90
and in the negative NEC group, the average RI value was 0.70. Statistical test results
with unpaired T-test showed that there was a statistically significant increase in the
value of superior mesenteric artery RI in premature infants with NEC compared to
premature infants without NEC with a p-value = 0.0001 (p-value < 0.05).
Conclusion: There was an increase in the value of superior mesenteric artery RI
in premature infants with NEC compared to premature infants without NEC with a
value of p = 0.0001 (p-value <0.05).
Key words: Necrotizing Enterocolitis–Superior Mesenteric Artery–Ultrasonography
ROLE OF VITAMIN D ON YOUNG ADULTS AND ATHLETES BELONGING TO THE AGE GROUP OF 18-25 YEARS
Dr. Ahmud Minhas*, Dr. Mohammed Zubair BhuttaOnline First: Mar 13, 2020
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ROLE OF VITAMIN D ON YOUNG ADULTS AND ATHLETES BELONGING TO THE AGE GROUP OF 18-25 YEARS
Vitamin D is considered to be the biggest perpetrator of calcium regulation and promote
effective bone health and development. The current research is based on assessing
the impact of Vitamin D intake within a specified group of individuals between the age
selected age ranges of 18-25 years. Based on literary explanations and substantiated
by empirical findings, the study projects an organized understanding of the concept,
studied from both scientific and non-scientific perspectives. A few recommendations
are suggested in the end to render a complete profile to the subject analysis.
Key words: ROLE OF VITAMIN D ON YOUNG ADULTS AND ATHLETES BELONGING
TO THE AGE GROUP OF 18-25 YEARS
ROLE OF VITAMIN D ON YOUNG ADULTS AND ATHLETES BELONGING TO THE AGE GROUP OF 18-25 YEARS
Vitamin D is considered to be the biggest perpetrator of calcium regulation and promote
effective bone health and development. The current research is based on assessing
the impact of Vitamin D intake within a specified group of individuals between the age
selected age ranges of 18-25 years. Based on literary explanations and substantiated
by empirical findings, the study projects an organized understanding of the concept,
studied from both scientific and non-scientific perspectives. A few recommendations
are suggested in the end to render a complete profile to the subject analysis.
Key words: ROLE OF VITAMIN D ON YOUNG ADULTS AND ATHLETES BELONGING
TO THE AGE GROUP OF 18-25 YEARS
ROLE OF VITAMIN D ON YOUNG ADULTS AND ATHLETES BELONGING TO THE AGE GROUP OF 18-25 YEARS
Vitamin D is considered to be the biggest perpetrator of calcium regulation and promote
effective bone health and development. The current research is based on assessing
the impact of Vitamin D intake within a specified group of individuals between the age
selected age ranges of 18-25 years. Based on literary explanations and substantiated
by empirical findings, the study projects an organized understanding of the concept,
studied from both scientific and non-scientific perspectives. A few recommendations
are suggested in the end to render a complete profile to the subject analysis.
Key words: ROLE OF VITAMIN D ON YOUNG ADULTS AND ATHLETES BELONGING
TO THE AGE GROUP OF 18-25 YEARS
ROLE OF VITAMIN D ON YOUNG ADULTS AND ATHLETES BELONGING TO THE AGE GROUP OF 18-25 YEARS
Vitamin D is considered to be the biggest perpetrator of calcium regulation and promote
effective bone health and development. The current research is based on assessing
the impact of Vitamin D intake within a specified group of individuals between the age
selected age ranges of 18-25 years. Based on literary explanations and substantiated
by empirical findings, the study projects an organized understanding of the concept,
studied from both scientific and non-scientific perspectives. A few recommendations
are suggested in the end to render a complete profile to the subject analysis.
Key words: ROLE OF VITAMIN D ON YOUNG ADULTS AND ATHLETES BELONGING
TO THE AGE GROUP OF 18-25 YEARS
ROLE OF VITAMIN D ON YOUNG ADULTS AND ATHLETES BELONGING TO THE AGE GROUP OF 18-25 YEARS
Vitamin D is considered to be the biggest perpetrator of calcium regulation and promote
effective bone health and development. The current research is based on assessing
the impact of Vitamin D intake within a specified group of individuals between the age
selected age ranges of 18-25 years. Based on literary explanations and substantiated
by empirical findings, the study projects an organized understanding of the concept,
studied from both scientific and non-scientific perspectives. A few recommendations
are suggested in the end to render a complete profile to the subject analysis.
Key words: ROLE OF VITAMIN D ON YOUNG ADULTS AND ATHLETES BELONGING
TO THE AGE GROUP OF 18-25 YEARS
PATTERN AND OUTCOME OF MEDICAL ADMISSIONS IN A TEACHING HOSPITAL IN THE S0UTH EAST REGION OF NIGERIA
Nkpozi MO*, Nwanke RI, Uzor EI, Ubani-Ukoma BC, Ugwu ETOnline First: Mar 14, 2020
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PATTERN AND OUTCOME OF MEDICAL ADMISSIONS IN A TEACHING HOSPITAL IN THE S0UTH EAST REGION OF NIGERIA
Background and Objective: Medical admissions in hospitals located within a certain
region reflect the diseases burden in that region. The objective of this study is to
determine the profile of diseases and their treatment outcome in the medical wards
of the Department of Internal Medicine, Abia State University Teaching Hospital
(ABSUTH), Aba, South East,Nigeria.
Materials and Methods: This was a 10-year retrospective descriptive study in which
data was extracted from the Admission/Discharge registers in the male and female
medical wards of ABSUTH, Aba from May 1, 2007 to April 30, 2017. Relevant data
obtained were analyzed using Statistical Package for Social Sciences (SPSS) version
20.0 software.
Results: A total of 6587 admissions made up of 3153 (47.9%) males and 3434 (52.1%)
females were seen with a mean age of 52.34 years. The elderly topped the list of
the medical admissions followed by the middle aged group. Non-communicable diseases,
NCDs, (73%) caused more medical admission than communicable diseases, CDs,
(27%). The overall commonest causes of death in the medical wards were stroke and
human immunodeficiency virus infection and acquired immune deficiency syndrome
(HIV/AIDS). Stroke, diabetes mellitus (DM) related complications, heart failures and
chronic kidney diseases (CKD) were the commonest causes of death among the NCDs.
While mortality of the medical admissions was 22.6%, 69.4% improved and were discharged
home. Mean duration of hospital stay for the medical admissions was 9.97
days and the longest was by diabetic foot/hand ulcer.
Conclusion: The female gender and the elderly population were admitted more in
the medical wards while NCDs caused more medical admissions and deaths than the
CDs. Stroke followed by HIV/AIDS were the commonest overall causes of deaths in
the medical wards within the study period.
Key words: medical admissions–diseases pattern–admission outcome–communicable
and non-communicable diseases–South East–Nigeria
PATTERN AND OUTCOME OF MEDICAL ADMISSIONS IN A TEACHING HOSPITAL IN THE S0UTH EAST REGION OF NIGERIA
Background and Objective: Medical admissions in hospitals located within a certain
region reflect the diseases burden in that region. The objective of this study is to
determine the profile of diseases and their treatment outcome in the medical wards
of the Department of Internal Medicine, Abia State University Teaching Hospital
(ABSUTH), Aba, South East,Nigeria.
Materials and Methods: This was a 10-year retrospective descriptive study in which
data was extracted from the Admission/Discharge registers in the male and female
medical wards of ABSUTH, Aba from May 1, 2007 to April 30, 2017. Relevant data
obtained were analyzed using Statistical Package for Social Sciences (SPSS) version
20.0 software.
Results: A total of 6587 admissions made up of 3153 (47.9%) males and 3434 (52.1%)
females were seen with a mean age of 52.34 years. The elderly topped the list of
the medical admissions followed by the middle aged group. Non-communicable diseases,
NCDs, (73%) caused more medical admission than communicable diseases, CDs,
(27%). The overall commonest causes of death in the medical wards were stroke and
human immunodeficiency virus infection and acquired immune deficiency syndrome
(HIV/AIDS). Stroke, diabetes mellitus (DM) related complications, heart failures and
chronic kidney diseases (CKD) were the commonest causes of death among the NCDs.
While mortality of the medical admissions was 22.6%, 69.4% improved and were discharged
home. Mean duration of hospital stay for the medical admissions was 9.97
days and the longest was by diabetic foot/hand ulcer.
Conclusion: The female gender and the elderly population were admitted more in
the medical wards while NCDs caused more medical admissions and deaths than the
CDs. Stroke followed by HIV/AIDS were the commonest overall causes of deaths in
the medical wards within the study period.
Key words: medical admissions–diseases pattern–admission outcome–communicable
and non-communicable diseases–South East–Nigeria
PATTERN AND OUTCOME OF MEDICAL ADMISSIONS IN A TEACHING HOSPITAL IN THE S0UTH EAST REGION OF NIGERIA
Background and Objective: Medical admissions in hospitals located within a certain
region reflect the diseases burden in that region. The objective of this study is to
determine the profile of diseases and their treatment outcome in the medical wards
of the Department of Internal Medicine, Abia State University Teaching Hospital
(ABSUTH), Aba, South East,Nigeria.
Materials and Methods: This was a 10-year retrospective descriptive study in which
data was extracted from the Admission/Discharge registers in the male and female
medical wards of ABSUTH, Aba from May 1, 2007 to April 30, 2017. Relevant data
obtained were analyzed using Statistical Package for Social Sciences (SPSS) version
20.0 software.
Results: A total of 6587 admissions made up of 3153 (47.9%) males and 3434 (52.1%)
females were seen with a mean age of 52.34 years. The elderly topped the list of
the medical admissions followed by the middle aged group. Non-communicable diseases,
NCDs, (73%) caused more medical admission than communicable diseases, CDs,
(27%). The overall commonest causes of death in the medical wards were stroke and
human immunodeficiency virus infection and acquired immune deficiency syndrome
(HIV/AIDS). Stroke, diabetes mellitus (DM) related complications, heart failures and
chronic kidney diseases (CKD) were the commonest causes of death among the NCDs.
While mortality of the medical admissions was 22.6%, 69.4% improved and were discharged
home. Mean duration of hospital stay for the medical admissions was 9.97
days and the longest was by diabetic foot/hand ulcer.
Conclusion: The female gender and the elderly population were admitted more in
the medical wards while NCDs caused more medical admissions and deaths than the
CDs. Stroke followed by HIV/AIDS were the commonest overall causes of deaths in
the medical wards within the study period.
Key words: medical admissions–diseases pattern–admission outcome–communicable
and non-communicable diseases–South East–Nigeria
PATTERN AND OUTCOME OF MEDICAL ADMISSIONS IN A TEACHING HOSPITAL IN THE S0UTH EAST REGION OF NIGERIA
Background and Objective: Medical admissions in hospitals located within a certain
region reflect the diseases burden in that region. The objective of this study is to
determine the profile of diseases and their treatment outcome in the medical wards
of the Department of Internal Medicine, Abia State University Teaching Hospital
(ABSUTH), Aba, South East,Nigeria.
Materials and Methods: This was a 10-year retrospective descriptive study in which
data was extracted from the Admission/Discharge registers in the male and female
medical wards of ABSUTH, Aba from May 1, 2007 to April 30, 2017. Relevant data
obtained were analyzed using Statistical Package for Social Sciences (SPSS) version
20.0 software.
Results: A total of 6587 admissions made up of 3153 (47.9%) males and 3434 (52.1%)
females were seen with a mean age of 52.34 years. The elderly topped the list of
the medical admissions followed by the middle aged group. Non-communicable diseases,
NCDs, (73%) caused more medical admission than communicable diseases, CDs,
(27%). The overall commonest causes of death in the medical wards were stroke and
human immunodeficiency virus infection and acquired immune deficiency syndrome
(HIV/AIDS). Stroke, diabetes mellitus (DM) related complications, heart failures and
chronic kidney diseases (CKD) were the commonest causes of death among the NCDs.
While mortality of the medical admissions was 22.6%, 69.4% improved and were discharged
home. Mean duration of hospital stay for the medical admissions was 9.97
days and the longest was by diabetic foot/hand ulcer.
Conclusion: The female gender and the elderly population were admitted more in
the medical wards while NCDs caused more medical admissions and deaths than the
CDs. Stroke followed by HIV/AIDS were the commonest overall causes of deaths in
the medical wards within the study period.
Key words: medical admissions–diseases pattern–admission outcome–communicable
and non-communicable diseases–South East–Nigeria
PATTERN AND OUTCOME OF MEDICAL ADMISSIONS IN A TEACHING HOSPITAL IN THE S0UTH EAST REGION OF NIGERIA
Background and Objective: Medical admissions in hospitals located within a certain
region reflect the diseases burden in that region. The objective of this study is to
determine the profile of diseases and their treatment outcome in the medical wards
of the Department of Internal Medicine, Abia State University Teaching Hospital
(ABSUTH), Aba, South East,Nigeria.
Materials and Methods: This was a 10-year retrospective descriptive study in which
data was extracted from the Admission/Discharge registers in the male and female
medical wards of ABSUTH, Aba from May 1, 2007 to April 30, 2017. Relevant data
obtained were analyzed using Statistical Package for Social Sciences (SPSS) version
20.0 software.
Results: A total of 6587 admissions made up of 3153 (47.9%) males and 3434 (52.1%)
females were seen with a mean age of 52.34 years. The elderly topped the list of
the medical admissions followed by the middle aged group. Non-communicable diseases,
NCDs, (73%) caused more medical admission than communicable diseases, CDs,
(27%). The overall commonest causes of death in the medical wards were stroke and
human immunodeficiency virus infection and acquired immune deficiency syndrome
(HIV/AIDS). Stroke, diabetes mellitus (DM) related complications, heart failures and
chronic kidney diseases (CKD) were the commonest causes of death among the NCDs.
While mortality of the medical admissions was 22.6%, 69.4% improved and were discharged
home. Mean duration of hospital stay for the medical admissions was 9.97
days and the longest was by diabetic foot/hand ulcer.
Conclusion: The female gender and the elderly population were admitted more in
the medical wards while NCDs caused more medical admissions and deaths than the
CDs. Stroke followed by HIV/AIDS were the commonest overall causes of deaths in
the medical wards within the study period.
Key words: medical admissions–diseases pattern–admission outcome–communicable
and non-communicable diseases–South East–Nigeria
laparoscopic subtotal cholecystectomy a salvageable procedure in patients with comorbidities
Ashok Kumar*, Shomnath Reddy, Anu behari, V.K kapoor, Anand PrakashOnline First: Mar 14, 2020
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laparoscopic subtotal cholecystectomy a salvageable procedure in patients with comorbidities
Aim: Our aim of study to show the feasibility and outcomes of laparoscopic
subtotal cholecystectomy in presence of difficult calot’s triangle anatomy, even in
presence of cormobidities.
Materials & Methods: This study involved a retrospective analysis of patients
managed by laparoscopic subtotal cholecystectomy from January 2014 to
December 2019. Here we analyzed the demography, indications, associated comorbidity,
complications, management and their outcomes.
Results: During this study period 53 cases underwent LSTC (laparoscopic
subtotal cholecystectomy), Median age of patients was 52 years (range 31-76
years). 33 (62.26%) frozen calot’s triangle was the main peroperative findings in
these cases. The infundibulum of gall bladder was mainly managed by
endosuturing of the stump (n=21) rest of cases managed by an Endo GIA (n=7),
serial metallic clipping (n=2) and in 4 cases stump was left unsutured with one
subhepatic drain placement, 1 case omentum sutured over the cystic duct stump
another 1 case of cholecystoduodenal fistula was repair with vicryl 3-0. There
were (n=18) type I, (n=24) type II, (n=11) type III laparoscopic subtotal
cholecystectomy done in our study. Two (3.77%) patients had postoperative
morbidity. 1 (1.88%) case had a postoperative bile leak which was successfully
managed by ERC and stenting. None of the case had a wound infection or intra
abdominal collection; there was no mortality and no bile duct injury. The median
postoperative stay was 4 days (range 2-16 days). The mean follow up duration
was 60 months and the outcome was excellent in all the patients.
Abbreviation: ERC (Endoscopic Retrograde Cholangiography), LSC
(Laparoscopic Subtotal Cholecystectomy), GB (Gall Bladder),
Conclusions: In scenario of difficult calot’s triangle, laparoscopic subtotal
cholecystectomy is an effective and safe option, which shows excellent
postoperative recovery and ensures a satisfactory functional outcome for the
patient gall stone disease even in presence of comorbidities.
Clinical Significance:
KEYWORDS
Laparoscopic cholecystectomy, Laparoscopic Subtotal cholecystectomy, difficult cholecystectomy.
Evaluation of Home Environments of People Over the Age of 65 in Terms of Home Accident Information
Aysegul Yildiz, Sefika Dilek Guven*Online First: Mar 25, 2020
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Evaluation of Home Environments of People Over the Age of 65 in Terms of Home Accident Information
Background: Home accidents pose serious problems that threaten public health.
This study aims to evaluate the home environments of the elderly and to identify
risky situations in terms of home accidents. Methods: This study was performed as a
descriptive study between February and April 2015 and included 324 individuals aged
65 years and above. As for data collection tools, an interview form involving personal
information with 23 questions and a home safety checklist with 26 questions prepared
by researchers in line with the literature were used. The validity and reliability of the
home security checklist were checked by Guler P et al. in 2002. Forms were filled out
using observation and interview techniques by the researchers during the home visits.
Data were transferred to a computer and evaluated. Number and percentile tests were
used for data analysis. R esults: The average score of the risk of home accidents for the
elderly was found to be 14.00 4.91. The first items threatening home security were
identified as the absence of bath and toilet bars. The relationships between the marital
status of the elderly, working status, whether or not living together, income status,
continuous use of medication, diagnosis of chronic illness and point average of home
accident risk were statistically significant (p < 0.05). Conclusion: In the present
study, it was determined that the elderly are at risk of experiencing home accidents. At
the end of this work, planning and implementation of domestic regulations, training,
and necessary nursing interventions are proposed to reduce the risk of home accidents.
Key words: home environments–older people–home accident–nursing
Evaluation of Home Environments of People Over the Age of 65 in Terms of Home Accident Information
Background: Home accidents pose serious problems that threaten public health.
This study aims to evaluate the home environments of the elderly and to identify
risky situations in terms of home accidents. Methods: This study was performed as a
descriptive study between February and April 2015 and included 324 individuals aged
65 years and above. As for data collection tools, an interview form involving personal
information with 23 questions and a home safety checklist with 26 questions prepared
by researchers in line with the literature were used. The validity and reliability of the
home security checklist were checked by Guler P et al. in 2002. Forms were filled out
using observation and interview techniques by the researchers during the home visits.
Data were transferred to a computer and evaluated. Number and percentile tests were
used for data analysis. R esults: The average score of the risk of home accidents for the
elderly was found to be 14.00 4.91. The first items threatening home security were
identified as the absence of bath and toilet bars. The relationships between the marital
status of the elderly, working status, whether or not living together, income status,
continuous use of medication, diagnosis of chronic illness and point average of home
accident risk were statistically significant (p < 0.05). Conclusion: In the present
study, it was determined that the elderly are at risk of experiencing home accidents. At
the end of this work, planning and implementation of domestic regulations, training,
and necessary nursing interventions are proposed to reduce the risk of home accidents.
Key words: home environments–older people–home accident–nursing
Evaluation of Home Environments of People Over the Age of 65 in Terms of Home Accident Information
Background: Home accidents pose serious problems that threaten public health.
This study aims to evaluate the home environments of the elderly and to identify
risky situations in terms of home accidents. Methods: This study was performed as a
descriptive study between February and April 2015 and included 324 individuals aged
65 years and above. As for data collection tools, an interview form involving personal
information with 23 questions and a home safety checklist with 26 questions prepared
by researchers in line with the literature were used. The validity and reliability of the
home security checklist were checked by Guler P et al. in 2002. Forms were filled out
using observation and interview techniques by the researchers during the home visits.
Data were transferred to a computer and evaluated. Number and percentile tests were
used for data analysis. R esults: The average score of the risk of home accidents for the
elderly was found to be 14.00 4.91. The first items threatening home security were
identified as the absence of bath and toilet bars. The relationships between the marital
status of the elderly, working status, whether or not living together, income status,
continuous use of medication, diagnosis of chronic illness and point average of home
accident risk were statistically significant (p < 0.05). Conclusion: In the present
study, it was determined that the elderly are at risk of experiencing home accidents. At
the end of this work, planning and implementation of domestic regulations, training,
and necessary nursing interventions are proposed to reduce the risk of home accidents.
Key words: home environments–older people–home accident–nursing
Evaluation of Home Environments of People Over the Age of 65 in Terms of Home Accident Information
Background: Home accidents pose serious problems that threaten public health.
This study aims to evaluate the home environments of the elderly and to identify
risky situations in terms of home accidents. Methods: This study was performed as a
descriptive study between February and April 2015 and included 324 individuals aged
65 years and above. As for data collection tools, an interview form involving personal
information with 23 questions and a home safety checklist with 26 questions prepared
by researchers in line with the literature were used. The validity and reliability of the
home security checklist were checked by Guler P et al. in 2002. Forms were filled out
using observation and interview techniques by the researchers during the home visits.
Data were transferred to a computer and evaluated. Number and percentile tests were
used for data analysis. R esults: The average score of the risk of home accidents for the
elderly was found to be 14.00 4.91. The first items threatening home security were
identified as the absence of bath and toilet bars. The relationships between the marital
status of the elderly, working status, whether or not living together, income status,
continuous use of medication, diagnosis of chronic illness and point average of home
accident risk were statistically significant (p < 0.05). Conclusion: In the present
study, it was determined that the elderly are at risk of experiencing home accidents. At
the end of this work, planning and implementation of domestic regulations, training,
and necessary nursing interventions are proposed to reduce the risk of home accidents.
Key words: home environments–older people–home accident–nursing
A study on diffusion- weighted Magnetic Resonance imaging in Spinal Tuberculosis Patients
Dr. Rajendra BhojwaniOnline First: Mar 30, 2020
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A study on diffusion- weighted Magnetic Resonance imaging in Spinal Tuberculosis Patients
Introduction: Many studies have been performed till now and the role of DW- MRI in metastatic spinal involvement has been established. In this study we tried to establish ADC values in cases of spine TB.
Methods: This Retrospective Analytical study involved data of 100 of the randomly selected patients ( candidates / study subjects) . The study was performed in two parts. The first part included all patients of known tuberculosis and patients with classical features of tuberculosis. The second part included patients with spinal pathology of indeterminate etiology. All the patients underwent a routine MRI examination along with diffusion sequences. The apparent diffusion coefficient (ADC) values were calculated from all the involved vertebral bodies.
Results: In total there were 46 vertebrae with high ADC values and 54 vertebrae with low ADC values. Based on all the results obtained we finally calculated that the mean ADC value of 1.4 ± 0.23 × 10-3 mm2 /s had a sensitivity of 63.8% and specificity of 74.5% for predicting spinal tuberculosis. The positive predictive value was 74.5%. Using Fisher’s exact test, the p value was calculated and found to be significant. (p < 0.0001).
Conclusion: DW-MRI and ADC values may help in the differentiation of spinal tuberculosis from other lesions of similar appearance . Diffusion MRI and ADC coefficient values are always best interpreted along with routine MRI sequences and a detailed clinical history and examination.
Key Word : MRI , Spinal TB , Diffusion-weighted imaging (DWI) , Apparent diffusion coefficient (ADC).
Extensive Aortic Aneurysm in an 83-year-old Woman with History of Chronic Obstructive Pulmonary Disease: a case report
Noviana Joenputri*, A.A. Istri Sri Kumaladewi, I G.A.A. Mirah Sanjiwani, Gede Angga Swistrawan MartoOnline First: Mar 20, 2020
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Extensive Aortic Aneurysm in an 83-year-old Woman with History of Chronic Obstructive Pulmonary Disease: a case report
Thoracoabdominal aortic aneurysm (TAAA) is rarely found and commonly asymptomatic.
We reported an 83-year-old woman who was admitted to emergency room
suffering from shortness of breath and intermittent epigastric pain. The patient was
known to have a history of chronic obstructive pulmonary disease (COPD). Chest
radiograph, CT scan of the chest, and echocardiograph showed TAAA with intraluminal
thrombus along the TAAA. Patient was given symptomatic treatment and
medical therapy for AA, including lipid profile optimization, blood pressure and heart
contractility control, which aimed to reduce the shear stress and rupture risk of AA.
This case report aimed to explain about the COPD as a risk factor of aortic aneurysm
(AA) development.
Key words: aortic aneurysm–thoracoabdominal aortic aneurysm–chronic obstructive
pulmonary disease
Extensive Aortic Aneurysm in an 83-year-old Woman with History of Chronic Obstructive Pulmonary Disease: a case report
Thoracoabdominal aortic aneurysm (TAAA) is rarely found and commonly asymptomatic.
We reported an 83-year-old woman who was admitted to emergency room
suffering from shortness of breath and intermittent epigastric pain. The patient was
known to have a history of chronic obstructive pulmonary disease (COPD). Chest
radiograph, CT scan of the chest, and echocardiograph showed TAAA with intraluminal
thrombus along the TAAA. Patient was given symptomatic treatment and
medical therapy for AA, including lipid profile optimization, blood pressure and heart
contractility control, which aimed to reduce the shear stress and rupture risk of AA.
This case report aimed to explain about the COPD as a risk factor of aortic aneurysm
(AA) development.
Key words: aortic aneurysm–thoracoabdominal aortic aneurysm–chronic obstructive
pulmonary disease
Extensive Aortic Aneurysm in an 83-year-old Woman with History of Chronic Obstructive Pulmonary Disease: a case report
Thoracoabdominal aortic aneurysm (TAAA) is rarely found and commonly asymptomatic.
We reported an 83-year-old woman who was admitted to emergency room
suffering from shortness of breath and intermittent epigastric pain. The patient was
known to have a history of chronic obstructive pulmonary disease (COPD). Chest
radiograph, CT scan of the chest, and echocardiograph showed TAAA with intraluminal
thrombus along the TAAA. Patient was given symptomatic treatment and
medical therapy for AA, including lipid profile optimization, blood pressure and heart
contractility control, which aimed to reduce the shear stress and rupture risk of AA.
This case report aimed to explain about the COPD as a risk factor of aortic aneurysm
(AA) development.
Key words: aortic aneurysm–thoracoabdominal aortic aneurysm–chronic obstructive
pulmonary disease
Extensive Aortic Aneurysm in an 83-year-old Woman with History of Chronic Obstructive Pulmonary Disease: a case report
Thoracoabdominal aortic aneurysm (TAAA) is rarely found and commonly asymptomatic.
We reported an 83-year-old woman who was admitted to emergency room
suffering from shortness of breath and intermittent epigastric pain. The patient was
known to have a history of chronic obstructive pulmonary disease (COPD). Chest
radiograph, CT scan of the chest, and echocardiograph showed TAAA with intraluminal
thrombus along the TAAA. Patient was given symptomatic treatment and
medical therapy for AA, including lipid profile optimization, blood pressure and heart
contractility control, which aimed to reduce the shear stress and rupture risk of AA.
This case report aimed to explain about the COPD as a risk factor of aortic aneurysm
(AA) development.
Key words: aortic aneurysm–thoracoabdominal aortic aneurysm–chronic obstructive
pulmonary disease
Extensive Aortic Aneurysm in an 83-year-old Woman with History of Chronic Obstructive Pulmonary Disease: a case report
Thoracoabdominal aortic aneurysm (TAAA) is rarely found and commonly asymptomatic.
We reported an 83-year-old woman who was admitted to emergency room
suffering from shortness of breath and intermittent epigastric pain. The patient was
known to have a history of chronic obstructive pulmonary disease (COPD). Chest
radiograph, CT scan of the chest, and echocardiograph showed TAAA with intraluminal
thrombus along the TAAA. Patient was given symptomatic treatment and
medical therapy for AA, including lipid profile optimization, blood pressure and heart
contractility control, which aimed to reduce the shear stress and rupture risk of AA.
This case report aimed to explain about the COPD as a risk factor of aortic aneurysm
(AA) development.
Key words: aortic aneurysm–thoracoabdominal aortic aneurysm–chronic obstructive
pulmonary disease
