Internet Journal of Medical Update - EJOURNAL最新文献_第10页

Study of health status and etiological factors of mentally challenged children in a school for mentally challenged in rural Maharashtra 马哈拉施特拉邦农村智力障碍学校智力障碍儿童健康状况及病因分析

Internet Journal of Medical Update - EJOURNAL Pub Date : 2010-07-06 DOI: 10.4314/IJMU.V5I2.56158

N. Ahmad, H. Joshi, Rubeena Bano, D. Phalke

引用次数: 2

Early diagnosis of Carpal Tunnel Syndrome (CTS) in Indian patients by nerve conduction studies 神经传导研究对印度患者腕管综合征(CTS)的早期诊断

Internet Journal of Medical Update - EJOURNAL Pub Date : 2010-07-06 DOI: 10.4314/IJMU.V5I2.56156

Dr. Geetanjali Sharma, Sushma Sood, Dr. Vivek Sharma

引用次数: 5

Treatment to targets in type 2 diabetics: analysis of out-patients practice at a remote Western Nigerian hospital 治疗2型糖尿病的目标:分析在尼日利亚西部偏远医院门诊病人的做法

Internet Journal of Medical Update - EJOURNAL Pub Date : 2010-07-06 DOI: 10.4314/IJMU.V5I2.56155

E. Ajayi, A. O. Ajayi, Oe Olalekan

{"title":"Treatment to targets in type 2 diabetics: analysis of out-patients practice at a remote Western Nigerian hospital","authors":"E. Ajayi, A. O. Ajayi, Oe Olalekan","doi":"10.4314/IJMU.V5I2.56155","DOIUrl":"https://doi.org/10.4314/IJMU.V5I2.56155","url":null,"abstract":"Diabetes mellitus (DM) is a leading cause of morbidity and mortality all over the world. Tight control of diabetes in the outpatients will reduce complications and hospitalizations. This study of Nigerian patients with diabetes examined the adequacy of glycemic and BP control in line with current guidelines. A 4 month retrospective analysis of type 2 diabetics attending Medical Outpatients Department (MOPD) of Federal Medical Centre, Ido Ekiti, Ekiti State, Nigeria between June and September 2008 was carried out using medical records of the patients. SPSS 13 software was used to analyze data. Data are expressed as mean ± Standard Deviation (SD) and frequency expressed as a percentage where necessary. A total of 308 type 2 diabetes mellitus patients, aged between 35 and 85 years were analyzed. Their mean age was 60.90 ± 11.60years. There were 125 males (40.6%) and 183 females (59.4%) giving an M: F ratio of 1:1.46. Mean duration of clinic attendance was 26.18 ± 24.46 months. Glycemic control was achieved in only about a third of the patients (29.3% and 32.5% using IDF-Europe and ADA criteria respectively). Blood pressure control was achieved in 24.5% and 48.7% had BMI ≥ 25kg/m2. No correlation between mean fasting plasma glucose (FPG) and body mass index (BMI). Frequencies of insulin and low dose aspirin use were low (5.3% and 37% respectively). The results from this study showed poor control of blood glucose, BP and weight in the patients. We are of the opinion that current practices are not aggressive enough to manage a substantial proportion of type 2 diabetes patients. KEY WORDS: Diabetes mellitus; Glycemic control; BP control","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"120 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87766031","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}

引用次数: 5

Diabetic Muscle Infarction - A Case Report 糖尿病性肌肉梗塞1例报告

Internet Journal of Medical Update - EJOURNAL Pub Date : 2010-07-06 DOI: 10.4314/IJMU.V5I2.56165

J. Jayakumar, M. Chakrapani, A. Vidyasagar, S. Rai, Pavan, Meenakshi A Shetty

引用次数: 1

Radiation exposure from diagnostic radiography: an assessment of X-ray beam collimation practice in some Nigerian Hospitals 诊断放射照相的辐射暴露:对尼日利亚一些医院x射线束准直做法的评估

Internet Journal of Medical Update - EJOURNAL Pub Date : 2010-07-01 DOI: 10.4314/IJMU.V5I2.56160

M. Okeji, A. Anakwue, K. Agwuna

引用次数: 17

Correlation of blood pressure with Body Mass Index (BMI) and Waist to Hip Ratio (WHR) in middle aged men 中年男性血压与体重指数(BMI)、腰臀比(WHR)的相关性

Internet Journal of Medical Update - EJOURNAL Pub Date : 2010-07-01 DOI: 10.4314/IJMU.V5I2.56159

D. Tambe, A. Phadke, J. Kharche, A. Joshi

引用次数: 14

Neonatal Sepsis: past, present and future; a review article 新生儿败血症:过去、现在和未来;一篇综述文章

Internet Journal of Medical Update - EJOURNAL Pub Date : 2010-07-01 DOI: 10.4314/IJMU.V5I2.56163

S. Tripathi, G. Malik

{"title":"Neonatal Sepsis: past, present and future; a review article","authors":"S. Tripathi, G. Malik","doi":"10.4314/IJMU.V5I2.56163","DOIUrl":"https://doi.org/10.4314/IJMU.V5I2.56163","url":null,"abstract":"Sepsis is the most common cause of neonatal mortality. As per National Neonatal Perinatal Database (NNPD) 2002-2003, the incidence of neonatal sepsis in India was 30 per 1000 live birth. It is 3% among intramural babies and 39.7% among extramural admissions. The early manifestations of neonatal sepsis are vague and ill-defined. Novel approaches in the diagnosis of neonatal sepsis include heart rate analysis on ECG or colorimetric analysis of skin color. Although blood culture is the gold standard for the diagnosis of sepsis, culture reports would be available only after 48-72 hours. In this era of multidrug resistance, it is mandatory to avoid unnecessary use of antibiotics to treat noninfected infants. Thus, rapid diagnostic test(s) that differentiate infected from non-infected infants, particularly in the early newborn period, that include Interleukien-6 (IL-6), neutrophil CD64 index, procalcitonin and nucleated RBC count, have the potential to make a significant impact on neonatal care. The aim of this review is to specify the diagnostic criteria, treatment guidelines and a summary of the newer diagnostic tests of sepsis. KEY WORDS: Sepsis; Intramural; Extramural; Multidrug resistance","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"23 1","pages":"45-54"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81242489","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}

引用次数: 72

Analysis of ankle alignment abnormalities as a risk factor for pediatric flexible flat foot 分析踝关节对齐异常作为儿童柔性扁平足的危险因素

Internet Journal of Medical Update - EJOURNAL Pub Date : 2010-01-08 DOI: 10.4314/IJMU.V5I1.49290

A. Singh, A. Kumar, Santosh Kumar, R. Srivastava, O. Gupta

{"title":"Analysis of ankle alignment abnormalities as a risk factor for pediatric flexible flat foot","authors":"A. Singh, A. Kumar, Santosh Kumar, R. Srivastava, O. Gupta","doi":"10.4314/IJMU.V5I1.49290","DOIUrl":"https://doi.org/10.4314/IJMU.V5I1.49290","url":null,"abstract":"Majority of paediatric flat feet are flexible and asymptomatic; less than 0.1% of all flat feet are rigid. If these can be diagnosed and managed early, then various complications can be prevented and they will remain asymptomatic. This study was conducted to analyse the ankle rotational malalignments in the natural course of flexible flat foot in children. Seventy-six patients of flexible flat foot and one hundred controls were included in this study. The height of foot arches was judged clinically by inspecting the height of the medial arch and by measuring the arch index on weight-bearing podograms. Tibial torsion and bimalleolar angle were assessed in all subjects. Tibial torsion was assessed in the first twenty subjects (ten cases and ten controls) both by clinical methods (foot-thigh angle) and CT. As no statistical difference in the two methods was observed, tibial torsion was measured by clinical methods only in the remaining subjects. Bimalleolar angle was measured on weight-bearing podograms in all subjects. For a minimum of two years, cases were followed up regularly with a standard conservative protocol and the height of the arches observed. Majority of cases of flexible flat foot were found to have increased tibial torsion and increased foot-bimalleolar angle (high talar spin). The severity of collapse of the medial arch and the response to conservative treatment was found to correlate with these rotational mal-alignments of the ankle. Ankle rotational mal-alignments were seen to make these flexible flat foot deformities more complex and less responsive to conservative treatment. KEY WORDS: Flat foot; Pediatric flat feet; Flexible flat feet","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73115899","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}

引用次数: 5

Catastrophic antiphospholipid syndrome in leprosy 麻风病的灾难性抗磷脂综合征

Internet Journal of Medical Update - EJOURNAL Pub Date : 2010-01-08 DOI: 10.4314/IJMU.V5I1.49294

V. Chewoolkar, T. Bichile, L. Bichile

引用次数: 1

A Different Technique of Primary Indirect Inguinal Hernia Repair by Inserting a Synthetic Mesh into the Pre and Retroperitoneal Spaces to Wrap the Peritoneal Reflection: Preliminary Report 一种不同的腹股沟斜疝修补技术:在腹膜前后间隙插入合成补片包裹腹膜反射:初步报告

Internet Journal of Medical Update - EJOURNAL Pub Date : 2010-01-08 DOI: 10.4314/IJMU.V5I1.49291

Aydin Altan

{"title":"A Different Technique of Primary Indirect Inguinal Hernia Repair by Inserting a Synthetic Mesh into the Pre and Retroperitoneal Spaces to Wrap the Peritoneal Reflection: Preliminary Report","authors":"Aydin Altan","doi":"10.4314/IJMU.V5I1.49291","DOIUrl":"https://doi.org/10.4314/IJMU.V5I1.49291","url":null,"abstract":"In most methods of indirect inguinal hernia repair, the region of the sac stump remains a potential site of recurrence. A different technique that covers the site of the indirect sac stump is presented. Anterior parietal peritoneum is reflected posteriorly in the inguinal canal. In cases with Gilbert type I-II inguinal hernia, after the indirect sac is removed, the pre and retroperitoneal spaces in this region are dissected. A synthetic mesh is placed into these spaces, lateral to the inferior epigastric vessels. The posterior wall of this type hernia is intact. In cases with Gilbert type III inguinal hernia, either posterior wall repair is accomplished by using one of the tissue approximation techniques after placing a mesh in the region of the sac stump, or the entire peritoneal reflection in the inguinal canal is wrapped with a mesh after dissecting the pre and retroperitoneal spaces. This technique was performed in five patients. Of five patients, mesh was inserted on the region of stump in three (Gilbert I and II) and along the entire peritoneal reflection in two (Gilbert III). There were no postoperative complications such as seroma and pain and no recurrence till follow-up. This technique effectively wraps the peritoneal reflection and may prevent recurrences in primary indirect inguinal hernia, but it needs to be performed in a large number of cases for further evaluation. KEY WORDS : Inguinal hernia; Indirect; Repair; Mesh","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79310226","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}

引用次数: 2