Innovative Journal of Medical and Health Science最新文献

{"title":"Peripheral Vascular Calcification in Patients on Regular Hemodialysis in relation to Parathyroid Hormone Abnormalities","authors":"Azzam Hussein Hmoud, I. Ali, Maha Muwafaq Nayyef","doi":"10.15520/IJMHS.V10I02.2796","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I02.2796","url":null,"abstract":"Background: Peripheral vascular calcification (PVC) commonly develop in patients on hemodialysis (HD) and associated with increase risk of morbidity and mortality. Aim of study: To study risk factors of developing peripheral vascular calcification in patients on hemodialysis especially in relation to parathyroid hormone abnormalities. Patients and Methods: Cross sectional (observational) study on 54 patients on regular hemodialysis and divided into 2 groups according to abdominal X-Ray. Results: 54 patient: 32 female, 22 male; mean age = 51.59 +/- 17.61, mean duration of HD = 44.83 +/- 38. 4 months Peripheral vascular calcification by lateral lumbar X-Ray is 12 patients i.e 22.22% We studied effects of many risk factors and appeared significant effects of age, duration of HD and use of calcium containing oral phosphate binders. Also there is some effects of increased serum calcium and phosphate, hypertension and DM but statistically not significant. PTH abnormalities also affect on PVC especially in low level of PTH (a dynamic bone disease) but statistically not significant. In this study, no apparent effect of inflammation on calcification. Conclusion: Peripheral vascular calcification, commonly present in patients on hemodialysis and associated with increase risk of morbidity and mortality, with many risk factors causing increase peripheral vascular calcification which can be prevented and treated","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"61 4","pages":"800-809"},"PeriodicalIF":0.0,"publicationDate":"2020-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91502982","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":"Novel Corona Virus (2019-nCov): A Short Review","authors":"H. Pant, N. Alreshidi","doi":"10.15520/IJMHS.V10I02.2797","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I02.2797","url":null,"abstract":"Coronaviruses (Cov) are a large family of viruses that cause illness ranging from the common cold to move severe diseases such as Middle East Respiratory Syndrome (MERS-CoV). A novel coronavirus (nCOV) is a new strain that that not been previously identified in humans.Coronaviruses are zoonatic, meaning they are transmitted between animals and people. According to many investigations it has been found that SARS-CoV from dromedary camels to humans. Several known coronaviruses are circulating in animals that have not yet infected humans.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"244 1","pages":"810-815"},"PeriodicalIF":0.0,"publicationDate":"2020-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77903483","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":"An Analytical study about trends in the Management of Acute Appendicitis Cases in Tertiary Medical Centres","authors":"A. Mukherjee, Gambheer Singh","doi":"10.15520/IJMHS.V10I01.2682","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I01.2682","url":null,"abstract":"Introduction : Acute appendicitis (AA) is one of  the most common surgical disease with a lifetime risk of 7–8%. Improving the diagnostic & Management pathway is the cornerstone for decreasing the negative appendectomy rate and the risk of wrong diagnosis. The primary aim of the this study is to describe the clinical, diagnostic, treatment, and pathological profile of patients with AA in surgical departments of randomly selected  hospitals \u0000Methods:  This Retrospective study involved Prior Consent from  Hospital Authorities   Subjects included both the genders , all age groups including pediatric and geriatric age group and all classes of socio economic strata. A total of 100  patients case sheet were selected which were  proven cases of acute appendicitis during a period of 6 months. This retrospective Analytical Study was planned to see the current trends of Management of Acute Appendicitis in Randomly selected  Tertiary Care Hospitals of Raipur district. \u0000Results: Case sheets of total 100 diagnosed patients were chosen . They included 35% women and  65% men, with a median age of 31 years . 18% patients had previous episodes of AA. 23% patients underwent abdominal CT scan, 66% patients had an USG, Rest 11%  patients had both CT scan and USG. 90 % patients had their Alvarado Score recorded, with a median value of 7 (IQR, 6–8). The Alvarado score was ??4 in  9% patients, between 5 and 6 in 1067 29% patients, between 7 and 8 in 41% patients, and between 9 and 10 in rest of the patients. 94 % patients had their Andersson’s Score recorded, with a median value of 6 (IQR, 5–8). In 21%  patients, the Andersson’s score was ??4, between 5 and 8  in 68% patients, and between 9 and 12 in rest of the  patients. \u0000Conclusion: The results of the present study gives a snapshot of current worldwide trend in the diagnostic work-up and therapeutic management of AA. Ultrasound and CT are used in Sufficient cases . Alvarado, Andersson’s, and WSES grading scores are useful methods to classify the patients, and they predict and correlate with the surgical or pathological diagnosis. 97 % of patients are treated with surgery, which, in more than 50% cases, is performed using a laparoscopic approach, with a low conversion rate. The hospital stay is usually short, with few complications at 7 and 30 days postoperatively. Further analysis based on the present data are needed to study in detail the role of preoperative diagnostic work-up, the usefulness of prognostic scores, the potential value of appropriate antibiotic therapy, and the real advantages of a laparoscopic approach.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"83 1","pages":"817-822"},"PeriodicalIF":0.0,"publicationDate":"2020-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79340963","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":"VACCINATION STATUS OF CHILDREN IN UMUEBLE COMMUNITY IN RIVERS STATE, SOUTHERN NIGERIA AND FACTORS INFLUENCING IT","authors":"Y. Ide, N. Gabriel-Job","doi":"10.15520/ijmhs.v10i01.2788","DOIUrl":"https://doi.org/10.15520/ijmhs.v10i01.2788","url":null,"abstract":"Background; Vaccination is one of the most important cost effective interventions of ourtime, it has saved millions of lives of under-five children globally and brought about areduction in the incidence of vaccine preventable diseases all over the world butespecially in sub-Saharan Africa and also in Nigeria. Despite all of these, vaccination ofchildren has remained low especially amongst the children that need it most. Aim; Theaim of this study was to determine the vaccination status of children at Umuebelecommunity and factors influencing it. Methods; This was a descriptive community-based study carried out over a period of two months June-July 2019. Data was collectedusing a structured interviewer administered questionnaire which was designed byresearchers, consisting of three sections. Information obtained included socio-demographic characteristics, vaccination status and characteristics, reasons for notcompleting immunisation, place of immunisation Results; There were 438 respondents,mean age 31.96 ±5.626, most were aged 26-30years 150(34.2%), 437(99.8%) of therespondents were married, only 1(.2%) had no formal education, while 340(77.6%) werefarmers. 270(61.6%) of the children were fully vaccinated. Twenty (4.6%) of the childrenwere not vaccinated at all. 391 (89.3%) of the children received their vaccination at thehealth center. 8(1.8%) of the respondents did not own a vaccination card while BCG scarcould not be sighted in 73(16.7%) of the children. Twenty (11.9%) of the respondents didnot vaccinate their wards because they forbid vaccination, with PCV3 being the leastreceived vaccine 66.9% and BCG was the most received 93.8%. There was a statisticallysignificant relationship between vaccination status and respondents age, education andplace of vaccination P=.000,.001 and .000 respectively while sex of the children andmarital status did not significantly affect vaccination status P=.447 and P= .375respectively In conclusions, vaccination status of children at umuebele community is stilllow, improving universal primary education, and support routine vaccination at theprimary health care centers would impact positively on vaccination status and reducemortality and morbidity from vaccine preventable diseases.Keywords: Vaccination status, children, community, immunisation","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"38 1","pages":"789-799"},"PeriodicalIF":0.0,"publicationDate":"2020-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81124096","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":"Refractory delirium in palliative care sitting","authors":"Igbal A Abdelati, S. Alshammary, Savithiri Ratnapalan Mbbs","doi":"10.15520/IJMHS.V10I01.2786","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I01.2786","url":null,"abstract":"This paper describes the management of a 65 years old male patienttransferred to the palliative care ward from the Intensive Care Unit, withbrain metastasis and infarction admission, epilepsy, neurological dysfunction,cognitive impairment and a history of previous delirium episodes. Wediscuss four delirium assessment methods and possible collaborativemultidisciplinary approaches to manage persistent delirium in palliative carepatients.1.Agar M, Alici Y, and Breitbart (2015)W.17.5 Delirium. In In Oxford Textbookof Palliative Medicine 5th edition. Cherny N, Fallon M, Kaasa S, Portenoy R, Currow D. Oxford University Press . pp 1092-11002.Hosker CM and Bennet MI. Delirium andagitation at the end of life. BMJ2016;353:i3085 doi: 10.1136/bmj.i30853.Cherny N, Fallon M, Kaasa S, PortenoyR, Currow D. Oxford Textbook of Palliative Medicine 5th edition. Oxford.Oxford University Press. 20154.Ryan K, Leonard M, Guerin S, et al.Validation of the confusion assessmentmethod in the palliative care setting.Palliat Med 2009;23(1):40-55.Wong CL, Holroyd-Leduc J, Simel DL,et al. Does this patient have delirium?:","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"498 1","pages":"777-784"},"PeriodicalIF":0.0,"publicationDate":"2020-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79053958","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":"Hemolytic anemia in native valve infective endocarditis: a rare case report and review of literature.","authors":"V. Manju","doi":"10.15520/ijmhs.v10i01.2787","DOIUrl":"https://doi.org/10.15520/ijmhs.v10i01.2787","url":null,"abstract":"Hemolytic anemia (HA) is not a common presentation in infectiousendocarditis (IE) and has only been reported in very few cases. Althoughdiseased valves may cause shearing stress that fragments RBCs, similar to thatassociated with mechanical heart valves, an autoimmune hemolytic process hasalso been implicated. We reported a case of patient who had HA secondary toacute IE due to MRSA. The anemia completely resolved after treating the (IE) .The cause was most likely mechanical shearing (schistocytes or fragmentedRBCs present on peripheral smear) by the large vegetation on native valve ;autoimmune hemolysis was considered unlikely in this case due to consistently negative Coombs tests and failure to respond to corticosteroids.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"20 1","pages":"785-788"},"PeriodicalIF":0.0,"publicationDate":"2020-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89356553","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":"Transient hemiplegia in a child with Sturge-Weber/Klippel-Trenaunay syndrome","authors":"J. Godoy, A. Godoy","doi":"10.15520/IJMHS.V10I01.2785","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I01.2785","url":null,"abstract":"This study was to describe the neurological evolution of a patient an association ofSturge-Weber and Klippel-Trenaunay syndromes. We report on a girl who was bornwith port wine-colored lesions over the entire body. The child later suffered two neurologicalepisodes; the second left the patient hemiplegic, without consciousness andunable to speak. She started to recover after the seventh day, however full recoverytook more than one month during which time periods of improvement and deteriorationof cerebral perfusion were detected. Currently the patient is 23 years old, attendeda college and is well without obvious neurological signs.Key words: Sturge-Weber syndrome–Klippel-Trenaunay syndrome–hemiplegia","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"43 1","pages":"774-776"},"PeriodicalIF":0.0,"publicationDate":"2020-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76580193","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":"Correlation between Carcinoembryonic Antigen (CEA) Levels and Colorectal Carcinoma Stage Using Computed Tomography (CT) scan : a Study at Dr. Hasan Sadikin Central General Hospital Bandung 2019","authors":"R. Soetikno, Tri Lestari, Leni Santiana, D. K. Dewi","doi":"10.15520/IJMHS.V10I01.2779","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I01.2779","url":null,"abstract":"Background : Colorectal carcinoma (CRC) ranks as the third most common cancerand the fourth most lethal cancer among other malignancy around the world. Carcinoembryonicantigen (CEA) is one of the most common tumor marker used in CRCfor predicting prognosis and therapeutic response. Several studies reported correlationbetween CEA level and the clinical stage of CRC. The determination of clinical stagehas an important role in management planning of CRC. Determination of the CRCclinical stage using Computed Tomography (CT) scan demonstrates good sensitivityand specivicity rates.Objective : To review the correlation between CEA level and the stage of CRC usingCT scan.Methods : This study was of retrospective observational analytic study with crosssectional design. Simple random sampling was used to collect data from availablemedical records and the data were analyzed statisticaly using Spearman test.Results: There were 40 subjects, 24 were men (60%) and 16 women (40%). Theaverage age of the patients was 55,02\u000610,84 and ranged from 28 to 79 year old. Thehighest average CEA level was found in stage IV with a value of 351.26 + 833.65 ng/mland the lowest average CEA level was in stage I with a value of 1.53 + 2.04 ng/ml.The results of the statistical test with Spearman gave a p value of 0.0001 (p <0.05)and a correlation coefficient (R) of 0.588 showed a significant correlation between CEAlevel with clinical stage with a positive correlation direction and moderate correlationstrength.Conclusions : There is a significant correlation between CEA level with clinical stageof colorectal carcinoma using CT scan examination in Dr. Hasan Sadikin GeneralHospital.Key words: Carcinoembryonic antigen (CEA)–clinical stadium–colorectalcarcinoma–Computed Tomography (CT) scan.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"51 1","pages":"765-768"},"PeriodicalIF":0.0,"publicationDate":"2020-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75212984","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":"Development Knacks Implementation Of Analysis Of Variance At Sport-Pedagogical And Biomedical Studies","authors":"Lai Xuan Thuy","doi":"10.15520/ijmhs.v10i01.2778","DOIUrl":"https://doi.org/10.15520/ijmhs.v10i01.2778","url":null,"abstract":"Development variance analytical knacks at sports-pedagogical, medical andbiological studies. Research is actively working to improve the training processof athletes. Demonstrating theory and correctly interpreting the results providean opportunity to be advance about the effectiveness of the proposals. Importanttests are based on variance analysis. The purpose of the research is to develop amethod for the training of practical knacks using variance analysis to analyze theresults of sports, pedagogy and biomedical research for students in the field ofeducation physical and sport. Results a method of forming students' practicalknacks to perform variance analysis of sports-pedagogical and biomedical datais proposed. The implementation of the method involves focusing students'attention on performing variance analysis using computer programs.Automating the calculation process allows students of the Department ofPhysical Education and Sports to perform high-level statistical data processing.Keywords: training, analysis, factors, statistics, research.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"69 1","pages":"760-764"},"PeriodicalIF":0.0,"publicationDate":"2020-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89944153","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":"Research plays engagement to cope the females children aggression at primary school","authors":"Lai Xuan Thuy, Nguyen Minh Xuan Huong","doi":"10.15520/ijmhs.v10i01.2780","DOIUrl":"https://doi.org/10.15520/ijmhs.v10i01.2780","url":null,"abstract":"Aggressive behaviors among young people represent a common concern andmany females and adolescent girls report having been victimized or bullied.Cost effective strategies are needed to deal with this problem. Currentresearch has investigated the effect of fighting on cognitive aggression inelementary school girls. Using a vertical design, 63 fourth- and fifth-graders(31 fourth and 32 grade 5, average age = 9.6 ± 0.5 years) participated in acontrolled controlled game of On school 2 days a week for 4 consecutiveweeks, program replication was adopted in a previous study with 13-year-oldjunior high school students. Participants filled out a short version of 12questions of the three-time Invasion Question: the basic stage (A0 and A1)and after the battle intervention (A2). An RM-ANOVA showed significancein the topic difference between the three assessments (F = 2.91, P = 0.003). Atthe verbal abuse level, A1's anger and hostility significantly decreased, whilein the post-intervention phase, only physical aggression was significantlylower than A1 (A1 = 5, 45 ± 2.47; A2 = 5.04 ± 2.41; F = 5.22, p = 0.005). Theresults provide some preliminary insights into the role that fighting can bepart of a physical education program to cope with aggressive and antisocialbehaviors of children, confirming conclusions. encouraging of previousresearch in adolescents.Key words: aggressive behaviours, female children, peer-aggression, physicaleducation, play engagement.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"94 1","pages":"769-773"},"PeriodicalIF":0.0,"publicationDate":"2020-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72864221","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}