Tropical Journal of Medical Research最新文献_第2页

Epidemiological profile of injuries due to fall reporting to a tertiary care centre in a rural area of Northern India 向印度北部农村地区三级保健中心报告的摔伤流行病学概况

Tropical Journal of Medical Research Pub Date : 2017-07-01 DOI: 10.4103/TJMR.TJMR_43_16

B. Awasthi, S. Raina, U. Singh, S. Kalia, Lokesh Thakur

{"title":"Epidemiological profile of injuries due to fall reporting to a tertiary care centre in a rural area of Northern India","authors":"B. Awasthi, S. Raina, U. Singh, S. Kalia, Lokesh Thakur","doi":"10.4103/TJMR.TJMR_43_16","DOIUrl":"https://doi.org/10.4103/TJMR.TJMR_43_16","url":null,"abstract":"Background: Fall is an important contributor to injury and studies conducted over a period of time have established reliable estimates of the incidence of fall-related injury. The current study was aimed at identifying the epidemiological profile of injuries due to fall. Materials and Methods: A hospital-based descriptive study was conducted for a period of 1 year starting June 2014. The study population comprised all consecutive cases of injuries due to fall reporting to the Department of Orthopedics during the study except for those who denied consent to be included in the study. Results: Males and age group 26–45 (n = 222/795, 27.9%) are more prone to injuries due to fall. It is seen that out of 795 cases, most of the participants were students (n = 219/795, 27.5%). The common mode of injuries is fall from stairs 16 (13.2%). It is seen that population educated up to middle standard (n = 155/795, 19.5%) or primary level educated (n = 145/795, 18.2%) had higher incidence of fall events. It is observed that fall occurring outside home (n = 535/795, 67.3%) are higher than fall at home (n = 240/795, 30.2%). Conclusions: Falls are an important contributor to injury affecting the productive and otherwise healthy age group of 15–45 years in majority.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114698504","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: 0

Healing effect of Allium sativum on induced upper gastrointestinal tract injury in albino Wistar rats 大蒜对白化Wistar大鼠上消化道损伤的治疗作用

Tropical Journal of Medical Research Pub Date : 2017-07-01 DOI: 10.4103/TJMR.TJMR_13_16

F. Akinbo, G. Eze

{"title":"Healing effect of Allium sativum on induced upper gastrointestinal tract injury in albino Wistar rats","authors":"F. Akinbo, G. Eze","doi":"10.4103/TJMR.TJMR_13_16","DOIUrl":"https://doi.org/10.4103/TJMR.TJMR_13_16","url":null,"abstract":"Background: Peptic ulcer is regarded as a chronic disease that impairs the quality of life and has been linked to increased morbidity and mortality. This study was conducted to determine the ameliorative effect of Allium sativum on induced gastrointestinal tract injury in albino Wistar rats. Materials and Methods: A. sativum was purchased from vegetable market and authenticated in the Department of Pharmacognosis of University of Benin, Benin City, Edo State. A total of 24 albino Wistar rats of both sexes weighing between 120 g and 150 g were used. The rats were randomly shared into six study groups: two control groups and four treated groups (four rats of each). Group A consisted of rats given 1 ml of normal saline and sacrifi ced after 6 h. Group B were rats given 20 mg/kg of indomethacin (n = 4) and sacrifi ced after 6 h. Group C consisted of four rats given 20 mg/kg of indomethacin (n = 4) and treated with aqueous extract of A. sativum (100 mg/kg) body weight, twice daily for 8 days and thereafter sacrificed (n = 4). Group D were given 20 mg/kg of indomethacin (n = 4) and then treated with aqueous extract of A. sativum (200 mg/kg) body weight, twice daily for 8 days and sacrifi ced (n = 4). Group E consisted of four rats given 20 mg/kg of indomethacin (n = 4) and treated with aqueous extract of A. sativum (300 mg/kg) body weight, twice daily for 8 days and sacrifi ced (n = 4). Group F consisted of four rats given 20 mg/kg of indomethacin (n = 4) and afterward treated with cimetidine (50 mg/kg) body weight twice daily for 8 days and sacrificed. Results: A. sativum exhibited better healing activities at 100 mg/kg dosage than 300 mg/kg while cimetidine produced fairly normal mucosa in the stomach and mild mucosa sloughing in the duodenum of the Wistar rats. The 200 mg/kg and the 300 mg/kg doses of A. sativum presented with similar results. Conclusion: Suffice to say that garlic extract is better than cimetidine in the treatment of gastric and duodenal ulcer. Further studies into the antiulcer activity of A. sativum are advocated.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126831714","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: 1

Impact of structural and interpersonal components of health care on user satisfaction with services of an outpatient clinic of a Nigerian tertiary hospital 卫生保健的结构和人际组成部分对尼日利亚三级医院门诊服务用户满意度的影响

Tropical Journal of Medical Research Pub Date : 2017-07-01 DOI: 10.4103/TJMR.TJMR_22_17

G. Michael, I. Aliyu, B. Grema, T. Thacher

{"title":"Impact of structural and interpersonal components of health care on user satisfaction with services of an outpatient clinic of a Nigerian tertiary hospital","authors":"G. Michael, I. Aliyu, B. Grema, T. Thacher","doi":"10.4103/TJMR.TJMR_22_17","DOIUrl":"https://doi.org/10.4103/TJMR.TJMR_22_17","url":null,"abstract":"Background: Patient satisfaction plays a key role in health-care reforms and service delivery. It is determined by patient's perception of the structural, interpersonal, and technical components of care. With current efforts toward universal coverage, government-owned National Health Insurance Scheme (NHIS)-accredited health facilities may need to improve the structural and interpersonal aspects of patients' care to survive in the emerging competitive health-care industry in Nigeria. Materials and Methods: A cross-sectional study of 220 NHIS enrollees randomly selected from patients attending the Staff Clinic of Aminu Kano Teaching Hospital Kano assessed patients' satisfaction with the structural (service-window-locations, cleanliness, adequacy of seats and toilets, and staff sufficiency) and interpersonal (staff friendliness, communication, respectfulness, response-to-requests, and efficiency) components of care as well as overall clinic satisfaction using a modified general practice assessment questionnaire. Results: Most of the respondents (65.9%) were satisfied with the clinic services. Respondents' satisfaction with the clinic's cleanliness, ease in locating medical records' unit and retrieving laboratory results, adequacy of doctors, friendly/respectful and responsive cashiers and clinical assistants (CAs), receiving satisfactory explanation on how to use prescribed drugs and unavailable drugs were all associated with the overall clinic satisfaction. However, cashiers' efficiency (odds ratio [OR] = 6.5, P = 0.006) and CAs' responsiveness (OR = 5.0, P = 0.03) were the predictors of overall satisfaction. Conclusion: Improvements in patients' overall satisfaction with the clinic services may require increasing the proportion of patients satisfied with the cashiers' efficiency and CAs' responsiveness (or those with similar roles) in service delivery.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125839712","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: 7

Prevalence and outcome of perinatal asphyxia: Our experience in a semi-urban setting 围产期窒息的患病率和结局:我们在半城市环境中的经验

Tropical Journal of Medical Research Pub Date : 2017-07-01 DOI: 10.4103/TJMR.TJMR_42_16

I. Aliyu, T. Lawal, B. Onankpa

{"title":"Prevalence and outcome of perinatal asphyxia: Our experience in a semi-urban setting","authors":"I. Aliyu, T. Lawal, B. Onankpa","doi":"10.4103/TJMR.TJMR_42_16","DOIUrl":"https://doi.org/10.4103/TJMR.TJMR_42_16","url":null,"abstract":"Introduction: Perinatal asphyxia is a significant cause of infant morbidity and mortality globally. Although considerable achievement has been made in reducing the impact of infectious diseases, much is yet to be seen in reducing the menace of perinatal asphyxia especially in semi-urban and rural areas. Materials and Methods: Data from medical records of all cases of perinatal asphyxia admitted over the study period of 30 months were retrieved and documented for the study. Results: Total admission to the special care baby unit was 1040, with 257 reported cases of perinatal asphyxia hence a prevalence of 24.7%. There were 149 (60.3%) males and 98 (39.7%) females; male:female ratio of 1.52:1. The gestation ages at delivery of the cases ranged from 35 to 44 weeks with mean of 38.02 ± 1.95; while the weight on admission ranged between 1.16 and 4.70 kg; mean weight of 2.97 ± 0.60. One hundred and eighty (72.9%) of the mothers were unbooked. About 73.3% of the deliveries occurred in the study center; vaginal deliveries accounted for 142 (57.5%) of the cases. Labor lasted between 18 and 24 h in 129 (52.2%) of the cases; however, eclampsia was the most common illness documented in these mothers. Two hundred and sixteen (87.4%) cases were discharged without documented complication, while seven deaths (2.8%) were recorded. Conclusion: Perinatal asphyxia is still prevalent in our setting; preventive measures should be adopted to reduce the disease burden by improving accessibility to health care, and also providing and increasing the acceptance of maternal antenatal care.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132723554","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: 23

Use of allogenic bone graft in the treatment of benign osteolytic bone lesion 同种异体骨移植在治疗良性溶骨损伤中的应用

Tropical Journal of Medical Research Pub Date : 2017-07-01 DOI: 10.4103/TJMR.TJMR_21_17

O. Lakhwani, M. Jindal, S. Agarwal, Keerty Garg

{"title":"Use of allogenic bone graft in the treatment of benign osteolytic bone lesion","authors":"O. Lakhwani, M. Jindal, S. Agarwal, Keerty Garg","doi":"10.4103/TJMR.TJMR_21_17","DOIUrl":"https://doi.org/10.4103/TJMR.TJMR_21_17","url":null,"abstract":"Introduction: Management of benign osteolytic lesions of bone involve intralesional excision and filling of the bone defect. Allograft used as a filler in these lesions confer advantages of being available in sufficient quantity without the risk of donor site morbidity. However use of allografts may carry a potential risk of infection and has debatable osteogenic potential. This study used Allogenic Bone Graft using antibiotic impregnated allografts and adjuvants like bone marrowso as to address these shortcomings. Materials and Methods: Eight cases of benign osteolytic lesions were treated by intralesional curettage and bone grafting using allogenic bone graft. Appropiate surgical procedure for fixation was done wherever necessary. Five cases had Allogenic Bone Graft impregnated with vancomycin solution. Three cases had autogenic bone graft while 1 case used bone marrow as adjuvant. Outcome was assessed in terms of fracture healing, infection and osteointegration. Results: In all the cases adequate osteointegration and complete healing of the lesion was observed in all the cases with time period of healing closely matching that of complete osteointegration. There was no statistically significant difference in the duration of osteointegration and bone healing between vancomycin impregnated group vis a vis allograft used alone. Only one case developed infection who responded to Intravenous antibiotics. No failure was observed in this study was probably due to use of adjuvants in half of the cases. Discussion and Conclusion: Use of allogenic bone graft alongwith adjuvants (bone marrow and autologous bone graft) appears to be effective in treatment of benign lytic lesions. Healing rates may be attributed to use of osteogenic potentiators. Vancomycin impregnation of allograft appears to be a beneficial step in controlling the graft related infection and does not affect graft osteointegration and bone healing.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129889867","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: 0

Comparison of conventional and rapid methods for the detection of methicillin resistance in Staphylococcus aureus from blood cultures 血培养金黄色葡萄球菌甲氧西林耐药性常规与快速检测方法的比较

Tropical Journal of Medical Research Pub Date : 2017-07-01 DOI: 10.4103/TJMR.TJMR_48_16

Ashwani Kumar, B. Kashyap, Anurag Mehndiratta

引用次数: 2

Methemoglobin levels among malaria parasite-infected blood donors in Nnewi, Southeastern, Nigeria 奈及利亚东南部奈威市受疟疾寄生虫感染的献血者的高铁血红蛋白水平

Tropical Journal of Medical Research Pub Date : 2017-01-01 DOI: 10.4103/1119-0388.198133

Okeke Chizoba Okechukwu, Agbasiere Favour Nneka, Amilo Grace, I. Martin

{"title":"Methemoglobin levels among malaria parasite-infected blood donors in Nnewi, Southeastern, Nigeria","authors":"Okeke Chizoba Okechukwu, Agbasiere Favour Nneka, Amilo Grace, I. Martin","doi":"10.4103/1119-0388.198133","DOIUrl":"https://doi.org/10.4103/1119-0388.198133","url":null,"abstract":"Background: Safety of blood and blood products is of immense concern in transfusion medicine. Malaria parasite (MP) which is known to be endemic in the tropics has been shown to disrupt hemoglobin molecule converting it to nonfunctional methemoglobin which is unable to transport oxygen effectively. Objective: This study was aimed at determining the prevalence of malaria parasitemia and methemoglobin level among blood donors attending Nnamdi Azikiwe University Teaching Hospital (NAUTH). Subjects and Methods: A total of 100 apparently healthy blood donors aged 18-60 years were recruited and tested for MP, methemoglobin level, and packed cell volume (PCV), after obtaining ethical approval from the Ethics Committee of NAUTH and informed consent of the participants. Methemoglobin was assayed by cyanmethemoglobin method, and MP was tested using thick and thin blood film and PCV by microhematocrit method. Statistical Package for Social Sciences (SPSS) version 20 (SPSS Inc., Chicago, IL, USA) was used for statistical analysis. Results: Among the 100 blood donors screened, 75 of the participants representing 75% were positive for MP and 25 representing 25% tested negative. Plasmodium falciparum was responsible for all cases of parasitemia. The mean values of methemoglobin were significantly higher in asymptomatic MP infected blood donors than in noninfected donors, while PCV was significantly reduced in malaria infected donors compared to noninfected donors (P < 0.05). Conclusion: This study identified a high rate of malaria parasitemia in blood donors and an elevated methemoglobin level in asymptomatic MP infected donors. Screening of blood donors for MP is advocated and exclusion of infected donors may be necessary.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115409310","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: 3

Microfilariae in the kidney 肾中的微丝蚴

Tropical Journal of Medical Research Pub Date : 2017-01-01 DOI: 10.4103/1119-0388.198139

D. Ray, S. Thukral

引用次数: 0

Snakebite nephrotoxicity: A case report and review of the literature 蛇咬伤肾毒性:一例报告及文献复习

Tropical Journal of Medical Research Pub Date : 2017-01-01 DOI: 10.4103/1119-0388.198135

R. Oluyombo, O. Okunola, O. Olakulehin

引用次数: 1

Missed appointment for hepatitis B vaccination among medical personnel: Problem? 医务人员错过乙肝疫苗接种:问题?

Tropical Journal of Medical Research Pub Date : 2017-01-01 DOI: 10.4103/1119-0388.198144

B. Joob, V. Wiwanitkit

引用次数: 0