Innovative Journal of Medical and Health Science最新文献

{"title":"Resistive Index Value of Superior Mesenteric Artery In Preterm Infants With Necrotizing Enterocolitis","authors":"H. G. Nugraha, Edwam Akbar, Atta Kuntara","doi":"10.15520/IJMHS.V10I03.2833","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I03.2833","url":null,"abstract":"Aims: to find out the comparison of RI values of superior mesenteric artery inpremature infants with NEC and without NEC.Material and methods: This study was an observational analytic study, with acase-control study design, where the sampling method was using consecutive samplingin the NICU Room, Anturium and Radiology Department Dr. Hasan Sadikin GeneralHospital Bandung from September to October 2019. Data processing uses unpairedT-test.Results: The total sample was 22 subjects, consisting of 11 with positive NEC and11 negative NEC, with an average gestational age of 31.36 weeks and an average birthweight of 1490.45 grams. In the positive NEC group, the average RI value was 0.90and in the negative NEC group, the average RI value was 0.70. Statistical test resultswith unpaired T-test showed that there was a statistically significant increase in thevalue of superior mesenteric artery RI in premature infants with NEC compared topremature 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 RIin premature infants with NEC compared to premature infants without NEC with avalue of p = 0.0001 (p-value <0.05).Key words: Necrotizing Enterocolitis–Superior Mesenteric Artery–Ultrasonography","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"275 1","pages":"846-850"},"PeriodicalIF":0.0,"publicationDate":"2020-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77098726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ROLE OF VITAMIN D ON YOUNG ADULTS AND ATHLETES BELONGING TO THE AGE GROUP OF 18-25 YEARS","authors":"Ahmud Minhas, Mohammed Zubair Bhutta","doi":"10.15520/IJMHS.V10I03.2834","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I03.2834","url":null,"abstract":"Vitamin D is considered to be the biggest perpetrator of calcium regulation and promoteeffective bone health and development. The current research is based on assessingthe impact of Vitamin D intake within a specified group of individuals between the ageselected age ranges of 18-25 years. Based on literary explanations and substantiatedby empirical findings, the study projects an organized understanding of the concept,studied from both scientific and non-scientific perspectives. A few recommendationsare suggested in the end to render a complete profile to the subject analysis.Key words: ROLE OF VITAMIN D ON YOUNG ADULTS AND ATHLETES BELONGINGTO THE AGE GROUP OF 18-25 YEARS","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"55 1","pages":"851-855"},"PeriodicalIF":0.0,"publicationDate":"2020-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84595931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"laparoscopic subtotal cholecystectomy a salvageable procedure in patients with comorbidities","authors":"Ashok Kumar, S. Reddy, A. Behari, V. Kapoor, Anand Prak","doi":"10.15520/IJMHS.V10I03.2838","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I03.2838","url":null,"abstract":"Aim: Our aim of study to show the feasibility and outcomes of laparoscopicsubtotal cholecystectomy in presence of difficult calot’s triangle anatomy, even inpresence of cormobidities.Materials & Methods: This study involved a retrospective analysis of patientsmanaged by laparoscopic subtotal cholecystectomy from January 2014 toDecember 2019. Here we analyzed the demography, indications, associated comorbidity,complications, management and their outcomes.Results: During this study period 53 cases underwent LSTC (laparoscopicsubtotal cholecystectomy), Median age of patients was 52 years (range 31-76years). 33 (62.26%) frozen calot’s triangle was the main peroperative findings inthese cases. The infundibulum of gall bladder was mainly managed byendosuturing 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 onesubhepatic drain placement, 1 case omentum sutured over the cystic duct stumpanother 1 case of cholecystoduodenal fistula was repair with vicryl 3-0. Therewere (n=18) type I, (n=24) type II, (n=11) type III laparoscopic subtotalcholecystectomy done in our study. Two (3.77%) patients had postoperativemorbidity. 1 (1.88%) case had a postoperative bile leak which was successfullymanaged by ERC and stenting. None of the case had a wound infection or intraabdominal collection; there was no mortality and no bile duct injury. The medianpostoperative stay was 4 days (range 2-16 days). The mean follow up durationwas 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 subtotalcholecystectomy is an effective and safe option, which shows excellentpostoperative recovery and ensures a satisfactory functional outcome for thepatient gall stone disease even in presence of comorbidities.Clinical Significance:KEYWORDSLaparoscopic cholecystectomy, Laparoscopic Subtotal cholecystectomy, difficult cholecystectomy.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"19 1","pages":"862-870"},"PeriodicalIF":0.0,"publicationDate":"2020-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86028774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinicopathological profile of breast lesions and their management in paediatric patients seen in a tertiary health facility in Southern Nigeria","authors":"E. OkoroPhilemon, O. Christopher","doi":"10.15520/ijmhs.v10i03.2829","DOIUrl":"https://doi.org/10.15520/ijmhs.v10i03.2829","url":null,"abstract":"IntroductionBreast 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 enoughliterature on so many aspects including pathology,diagnosis, treatment and outcome.Commonly, surgeons and researchers apply the same principles deployed for adults.Aims and ObjectivesTo evaluate the clinical and pathological pattern of paediatric breast diseases seen inour centre, and to review their treatment.MethodsThis is a four year retrospective review of cases of breast diseases seen in patientswho are of age 18 years and less in our centre from July 2015 to May 2019. The dataextracted were age, gender, clinical features, clinical diagnosis, laterality of breastlesion, treatment offered, histological diagnosis. The data were collated and analyzedusing the SPSS 17.0ResultsOne hundred and ninety one cases were analyzed. They comprised 29(15%) males and162(85%) females giving a male female ratio of 1:6. The breast lesions were in the rightbreast 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 andfibroadenosis constituted 79.2% of cases. There were no malignant lesions.ConclusionBreast lesions are not uncommon among our paediatric patients. The majority of thelesions presented as breast lump in the teenage years. Fibroadenoma and fibroadenosisare the commonest breast lesions and malignant lesions were not encountered. Lessinvasive methods of diagnosis and treatment are recommended.Key words: Breast–Lesions–Paediatric–Profile–Management","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"4 1","pages":"839-842"},"PeriodicalIF":0.0,"publicationDate":"2020-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87999222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A perspective of Mycobacterium Tuberculosis resistance on patients with retreat in Madagascar","authors":"Harison Michel Tiaray, K. Ravahatra, J. Rajaoarifetra, O. F. Rakotondrasoa, Iantsotiana Davidson Rakotondrabe, Marie odette Rasoafaranirina Anjara Mihaja Nandimbiniaina, J. Rakotomizao, Rakotoson Joëlson Lovaniaina, Andrianasolo Radonirina Lazasoa, Raharimanana Rondro Nirina","doi":"10.15520/IJMHS.V10I03.2828","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I03.2828","url":null,"abstract":"Introduction: Despite advances in diagnostic and therapeutic way, drug-resistanttuberculosis is an increasingly worrying threat. Several studies suggest that one ofthe risk factors for carrying resistant Mycobacterium tuberculosis is the historyof anti-tuberculosis treatment. The objective of our study is to describe theResistance Profile of Mycobacterium Tuberculosis of patients in retreatment inMadagascar. Methods: This is a descriptive and retrospective study, carried outfrom January 2014 to September 2018 (45 months). All the cases of re-treatementrecorded in the database of the National Tuberculosis Control Program inMadagascar were included in the study.Results: We gathered 1456 cases, the average age was 40 years, there was a malepredominance(sex ratio of 2.32). In the 1302 cases where the category wasspecified, there was a predominance of relapse (76.57%). According to theculture, the incidence of rifampicin resistance was 05.36% (78/1456) including83.33% of cases of multi-resistant tuberculosis (MDR-TB) (65/78). The incidenceof isoniazid monoresistance was 05.49% (80/1456). Carrying MDR-TB is much moreimportant for patients who have failed (69.43%). The GeneXpert mtb/RIF enabledus to detect more cases of Rifampicine monoresistance (97 cases).Conclusion: cases of retreatment is a real source of the emergence of MDR-TB inMadagascar, especially cases of failure and relapse. Which is consistent with the data inthe literature. The treatment effectiveness of new cases must be maximum to preventthese cases of retreatment.Key words: drug resistance–Madagascar–profil–tuberculosis","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"386 1","pages":"835-838"},"PeriodicalIF":0.0,"publicationDate":"2020-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76903683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"INSTRUMENTAL AND LABORATORY STUDY OF JAW MINERALIZATION LEVEL IN FEMALE PATIENTS WITH ESTROGEN IMBALANCE","authors":"L. D. Chulak, O. S. Barylo, Nataliia G. Gadzhula Georgij M. Varava, R. L. Furman, K. V. Agafonov","doi":"10.15520/ijmhs.v10i02.2826","DOIUrl":"https://doi.org/10.15520/ijmhs.v10i02.2826","url":null,"abstract":"Introduction: Prevention of dental caries and non-carious lesions associated withdemineralizing effect of estrogen imbalance in perimenopause women isrelevant problem in modern dentistry.The aim: To improve the effectiveness of prevention of caries and non-cariouslesions in female patients with estrogen imbalance.Materials and methods: 3 groups of patients were selected for the study (20women in each): the patients of the control group receiving no additionaltreatment, the patients of experimental group 1 receiving general therapy withcomplex calcium supplements, the patients of experimental group 2 receivinggeneral therapy of complex calcium medicines combined withaminobisphosphonates.To quantify bone density of the jaws by computed tomography method, X-rayattenuation scale, called the Hounsfield scale was used. Bone tissues of the jawswere studied using 3D cone beam computed tomography scanner PlanmecaProMax. Planmeca Romexis® software was used for data processing andinterpretation. Estrogen level was estimated in all patients to confirm itsimbalance. The level of serum acid phosphatase was determined for indirectstudy of osteoporosis degree.Results: At the beginning of the research, significant bone demineralization andincreased level of acidic phosphatase were observed in all groups of women. In6 months of treatment the Hounsfield index and the level of acidic phosphatasein the control group were almost unchanged; in experimental group 1 – 1571±44 HU and 4.93 ± 0.26 IU/l; in experimental group 2 – 1701±48 HU and 2.43± 0.18 IU/l.Conclusions: Combination therapy consisting of calcium phosphate withvitamin D3 and aminobisphosphonates used for 6 months increased bonemineralization by 13.05% and reduced the activity of acid phosphatase by64.2%. This therapeutic complex results in decreased destruction of bone tissueand enhances remineralization of bone tissue and dental hard tissues.Key words: teeth mineralization, osteoporosis, estrogen dysfunction, Hounsfieldindex.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86854269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Subclinical Hypothyrodism in Patients with Acute Myocardial Infarction","authors":"P. Saxena","doi":"10.15520/IJMHS.V10I02.2685","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I02.2685","url":null,"abstract":"The present study shows an association of Prevalence of Subclinical Hypothyrodism (SCH) with Myocardial Infarction (MI). \u0000 200 patients with Acute MI of Adult (age > 18 years) males and females were selected. We observed that female Patients belonging to Age group of 51-60(15.5%) were more prone to MI. Study depicts SCH were observed in 16% of MI patients and Euthyroid was observed in 84% Patients. No gender difference was noted in abnormal thyroid hormone profile in male and female group. A higher prevalence of MI was seen in age group 51-60 years in both male and female accounting for 26% and 15.5%respectively. A statistically higher prevalence of STEMI was seen in SCH and Euthyroid Patients (77.5%) as compared to NSTEMI in SCH and Euthyroid Patients (22.5%). Physicians should be encouraged to educate the people about the risks of diabetes, hypertension and smoking. Furthermore, abnormal thyroid status increases risk of coronary artery disease and cardiovascular mortality affecting ventricular function, serum cholesterol levels, and heart rate and rhythm.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"1 1","pages":"819-823"},"PeriodicalIF":0.0,"publicationDate":"2020-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84178543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delayed Hypersensitivity Reaction to Anti-Snake Venom :","authors":"Sereihan Mubarak Alshammari, M. Alshammari, Shweta Tabhane","doi":"10.15520/IJMHS.V10I02.2813","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I02.2813","url":null,"abstract":"","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79852791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indicators for measuring social inequality associated with smoking.","authors":"Anil Kumar","doi":"10.15520/IJMHS.V10I02.2680","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I02.2680","url":null,"abstract":"Smoking has two main explanatory variables provided by consumption of tobacco andcigarettes and number of smokers. The relationship between the two and the risk factorstudied determines their social behavior. The social inequality attributable to smokingis given by the particular way of affecting the population under investigation Target.Define an inequality rate for each identified form of social inequality attributableto smoking. A was made Analytical research on the social inequality of smoking.Comparative and deductive inductive methods were used as theoretical methods andliterary research as an empirical method. The social inequality attributable to smokingis given by the social cost of smoking. These costs are determined by the effect ofsmoking on the consumption of economic resources that finance health services andby the effect of smoking on Society and the economy in general due to the loss of laborproductivity. Smoking as a risk factor has different forms of impact on the populationunder investigation. Each identified form of social inequality has a particular form ofsocial inequality and also a form of socioeconomic inequality.Key words: explanatory variables–consumption–Social Inequality–Socioeconomic","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88454509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of serum magnesium with type 2 diabetes mellitus with and without Retinopathy","authors":"Anil Kumar","doi":"10.15520/IJMHS.V10I01.2677","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I01.2677","url":null,"abstract":"The rising burden of type 2 diabetes mellitus globally has led to huge morbidity and socioeconomic impact in developing countries. In India, too, it has become a silent epidemic and it is estimated that there are over 60 million diabetics. Although in recent years, a lot of research papers have come up on the management of diabetes, latest treatment modalities may not be affordable to all. So, it becomes imperative to prioritize research on prevention and primary care. Magnesium is an intracellular cation and coenzyme for various reactions of the glycolytic pathway. Hypomagnesemia has been shown to precipitate hyperglycemia and has, therefore, been implicated in insulin resistance and its microvascular complications. Poor glycemic control has been associated with retinopathy. Hence, we evaluated association of serum magnesium with T2DM and diabetic retinopathy.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87160885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}