Tropical Journal of Medical Research最新文献_第9页

HIV-associated Pityriasis rubra pilaris in a 15-year-old girl 1例15岁女孩hiv相关的毛疹糠疹

Tropical Journal of Medical Research Pub Date : 2015-07-01 DOI: 10.4103/1119-0388.158413

Ezejiofor Ogochukwu Ifeanyi, Ozor Glagys Angela, Okpala Chibuzo Ifeanyi, Enechukwu Nkechi Anne, N. Madu

引用次数: 2

Intussusception secondary to a noncommunicating duplication cyst on the antimesenteric border of the ileum: A case report with a review of the literature 肠套叠继发于回肠反肠边界的非交通性重复囊肿:1例报告并复习文献

Tropical Journal of Medical Research Pub Date : 2015-07-01 DOI: 10.4103/1119-0388.158408

S. Bokka, Shuddhasattwa Bhattacharjee, M. Ravindranath, M. Mohanty

引用次数: 0

Knowledge regarding antenatal care services, its utilization, and delivery practices in mothers (aged 15-49 years) in a rural area of North India 印度北部农村地区母亲(15-49岁)关于产前保健服务、利用和分娩做法的知识

Tropical Journal of Medical Research Pub Date : 2015-07-01 DOI: 10.4103/1119-0388.158401

R. Gupta, T. Shora, Aruna Verma, Rayaz Jan

{"title":"Knowledge regarding antenatal care services, its utilization, and delivery practices in mothers (aged 15-49 years) in a rural area of North India","authors":"R. Gupta, T. Shora, Aruna Verma, Rayaz Jan","doi":"10.4103/1119-0388.158401","DOIUrl":"https://doi.org/10.4103/1119-0388.158401","url":null,"abstract":"Background: Antenatal care (ANC) is an effective tool to reduce both infant and maternal mortality rates. In spite of all efforts to reach and register every antenatal mother, the results are not up to desired level. Objectives: To assess the level of knowledge of pregnant women about ANC services and to find out the ANC utilization and factors affecting them. Materials and Methods: This cross-sectional study was carried out in October-November 2013 in Krishna Nagar village of Miran Sahib zone of block R.S. Pura. All the mothers (aged 15-49 years) in this village were interviewed using a predesigned, pretested, and semi-open-ended questionnaire. Results: The respondents had adequate knowledge about ANC services except for the minimum number of visits for ANC. Here, 89.6% (189) of the respondents had registered for ANC, of which 64.5% (136/211) and 9.9% (21/211) had registered in the 2 nd trimester and 1 st trimester, respectively. The results revealed that 79.1% of the deliveries were institutional. The age, literacy status, socioeconomic status (SES), and type of family had statistically significant associations with the utilization of ANC services. Conclusion: The results show that maternal literacy remains a key factor in the better utilization of antenatal services. Moreover, the role of health workers in increasing awareness among mothers about the importance of ANC in general and the danger signs of pregnancy in particular is of paramount concern.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124886460","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: 50

A case of type I diabetes mellitus and autoimmune thyroiditis presents with hypokalemic paralysis 1型糖尿病合并自身免疫性甲状腺炎并发低钾血症性麻痹1例

Tropical Journal of Medical Research Pub Date : 2015-07-01 DOI: 10.4103/1119-0388.158411

M. Gutch, Sukriti Kumar, S. Razi, A. Gupta, K. Gupta, Mahendra Nath

引用次数: 0

A morphological and morphometric study of placenta with its clinical implications 胎盘的形态学和形态计量学研究及其临床意义

Tropical Journal of Medical Research Pub Date : 2015-07-01 DOI: 10.4103/1119-0388.158400

C. Gupta, H. Harode, A. D’souza, Ankur Sharma

{"title":"A morphological and morphometric study of placenta with its clinical implications","authors":"C. Gupta, H. Harode, A. D’souza, Ankur Sharma","doi":"10.4103/1119-0388.158400","DOIUrl":"https://doi.org/10.4103/1119-0388.158400","url":null,"abstract":"Objective: In the idiopathic intrauterine growth restriction where there are no clear maternal or fetal causes, the placenta may hold the key to its etiology. So, this study was undertaken to look for any placental and umbilical cord abnormality and to establish the relationship of fetal birth weight with placental measurements. Materials and Methods: In this study, 100 freshly delivered placentae were collected. The placenta and the umbilical cord were examined to look for any abnormalities in the shape, cord insertion, and vessels in the cord; placenta weight, its circumference, diameter, volume, and thickness at the level of cord insertion were also noted. Baby′s weight at birth and age in weeks, maternal history about diabetes and hypertension were also noted down. IBM SPSS Statistics for Windows version 20.0, USA was used to do statistical analysis of the measurements. Results: In the present study, placenta weight, volume, diameter, and circumference show a strong correlation with fetal weight. We found placenta of round and abnormal shapes in 89% and 11% of cases, respectively. In 76% of cases, we got normal cord insertion and in 24% of cases, abnormal cord insertion. Statistical analysis of all the parameters of the placenta was done. Conclusion: In our study, placenta weight, volume, diameter, and circumference showed a strong correlation with fetal weight. The knowledge of these measurements on the placenta and umbilical cord will be helpful to the pediatrician and obstetrician in clinical practice.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124955832","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: 13

Early dengue diagnosis: Role of rapid NS1 antigen, NS1 early ELISA, and PCR assay 早期登革热诊断:快速NS1抗原、NS1早期ELISA和PCR检测的作用

Tropical Journal of Medical Research Pub Date : 2015-07-01 DOI: 10.4103/1119-0388.158402

V. Solanke, M. Karmarkar, P. Mehta

{"title":"Early dengue diagnosis: Role of rapid NS1 antigen, NS1 early ELISA, and PCR assay","authors":"V. Solanke, M. Karmarkar, P. Mehta","doi":"10.4103/1119-0388.158402","DOIUrl":"https://doi.org/10.4103/1119-0388.158402","url":null,"abstract":"Context: Early and accurate dengue diagnosis is important for disease surveillance, and also to start effective control measures in endemic countries. Aims: In this study, we evaluated the performance of three techniques available for early dengue diagnosis, viz., rapid nonstructural 1 (NS1) antigen test, NS1 early enzyme-linked immunosorbent assay (ELISA) test, and reverse transcription polymerase chain reaction (RT-PCR) test. Settings and Design: Retrospective analytical study. Materials and Methods: Performance of three different techniques, viz., rapid NS1 antigen, NS1 early ELISA, and RT-PCR on serum samples of suspected dengue cases. Statistical Analysis Used: Sensitivity, specificity, negative predictive value, and positive predictive value calculated for rapid test and ELISA test, keeping PCR as the gold standard Results: Amongst 155 samples received from clinically-suspected dengue cases within 1-9 days of fever, 56 samples were received during 1-3 days, 52 samples were received during 4-6 days, and 47 samples were received during 7-9 days. Of these 155 samples, 38 (24.5%) were positive by rapid NS1 antigen, 47 (30.3%) by NS1 ELISA, and 54 (34.8%) by reverse transcriptase polymerase chain reaction (RT-PCR). Rapid NS1 antigen and NS1 ELISA showed the highest positivity on days 1-3, while highest positivity for PCR was on days 4-6. The sensitivity and specificity of NS1 ELISA were 66.6% and 89.1%, while sensitivity and specificity of rapid NS1 antigen were 55.5% and 92%, respectively. Conclusions: With high mortality and morbidity associated with dengue, it is imperative to diagnose the disease during the early phase. All three assay formats are helpful in early diagnosis and to provide information of dengue cases in time.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133241444","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: 29

Comparative analysis of errors in reading sputum smear microscopy by supervisors and peripheral laboratory technicians in southeastern Nigeria 尼日利亚东南部监督人员和周边实验室技术人员痰涂片显微镜读数错误的比较分析

Tropical Journal of Medical Research Pub Date : 2015-07-01 DOI: 10.4103/1119-0388.158399

G. A. Nnaji, J. Chukwu

{"title":"Comparative analysis of errors in reading sputum smear microscopy by supervisors and peripheral laboratory technicians in southeastern Nigeria","authors":"G. A. Nnaji, J. Chukwu","doi":"10.4103/1119-0388.158399","DOIUrl":"https://doi.org/10.4103/1119-0388.158399","url":null,"abstract":"Background: It is important that the quality of microscopy in the peripheral laboratories is monitored in order to provide feedback for improvement of performance of laboratory technicians (LTs). Aim of Study: To compare the errors made in reading sputum smear microscopy for acid-fast bacilli (AFB) by peripheral LTs with those made by secondary level supervisors in the local government areas (LGAs) in the Southeastern states of Nigeria. Materials and Methods: A retrospective study of 15 sputum smear microscopy slides selected systematically from each designated peripheral laboratory and blinded rechecked using the Lot quality assurance (LQA) method between 2006 and 2007 in the southeastern states of Nigeria. Results: The total (major and minor) errors made by both supervisors and peripheral LTs were 189 and 350, respectively. The supervisors made 75 (39.7%) of the total major errors, compared with 114 (60.3%) by peripheral LTs. The supervisors contributed 159 (45.4%) of minor errors, while peripheral LTs contributed 191 (54.6%) of 350. The unpaired Student′s t-test values show a statistically significant difference between the mean of high false-positive (HFP), low false-positive (LFP), low false-negative (LF), and quantitative errors, t = 3.794 (P < 0.001); t = 4.146 (P < 0.001); t = 3.059 (P = 0.002) and quantitative errors t = 2.806 (P = 0.005), respectively, between the supervisors and LTs. The exception was in HFN, which was not statistically significant. Conclusion: Although both supervisors and peripheral LTs made both major and minor errors, comparatively supervisors made fewer errors with less variation than the peripheral LTs.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122826361","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

Intrauterine contraceptive device acceptors in Nnamdi Azikiwe University Teaching Hospital, Nnewi, Southeastern Nigeria - A 5-year review 尼日利亚东南部Nnamdi Azikiwe大学教学医院的宫内节育器受体- 5年回顾

Tropical Journal of Medical Research Pub Date : 2015-07-01 DOI: 10.4103/1119-0388.158397

V. Dinwoke, C. Okafor, A. Eke

{"title":"Intrauterine contraceptive device acceptors in Nnamdi Azikiwe University Teaching Hospital, Nnewi, Southeastern Nigeria - A 5-year review","authors":"V. Dinwoke, C. Okafor, A. Eke","doi":"10.4103/1119-0388.158397","DOIUrl":"https://doi.org/10.4103/1119-0388.158397","url":null,"abstract":"Background: Unsafe abortions of unintended pregnancies contribute significantly to maternal deaths in Nigeria. The intrauterine device (IUD) is a widely used method of contraception. Objectives: This study aimed to determine the contraceptive prevalence at this center, the proportion of the acceptors adopting the IUD method, and the sociodemographic characteristics and other parameters among the IUD clients. Findings from this study and the analysis of similar studies elsewhere will help improve contraceptive services, especially counseling and acceptance. Materials and Methods: This was a retrospective study of the period January 2004-Dec. 2008. The family planning register was used to trace the case records of the clients who had accepted IUDs over the 5-year period. Labor ward registers were used to calculate the number of deliveries over the same period. EPI Info Version 6 (2002) for Windows was used to analyze the data. Chi-squared tests were used and differences were considered significant if P < 0.05. Results: The total number of deliveries at our center in the studied period was 2,791, while the total number of contraceptive clients (for all methods) was 607, giving a contraceptive prevalence rate of 21.75%. IUD was the most accepted method, used by 344 (56.67%) women, followed by injectable progestogens, used by 172 (28.34%). Among IUD acceptors, most were multiparous women (para 2-5), numbering 168 (50.91%); most were in the age group of 26-30 years 100 (30.30%); male sterilization was not done at all (0%). Conclusion: IUD is a preferred contraceptive option among our women; however, the prevalence rate of modern contraceptive use at our center is still unacceptably low. More aggressive health education using the mass media, nongovernmental organizations (NGOs), religious and community leaders, and easy access to the commodities are required to reverse the trend.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114076711","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

Prospective study of an outpatient-based pulmonary rehabilitation program in patients with chronic pulmonary diseases 基于门诊的慢性肺部疾病患者肺部康复方案的前瞻性研究

Tropical Journal of Medical Research Pub Date : 2015-01-01 DOI: 10.4103/1119-0388.152550

B. Madhusudhan, M. Rao, U. Krishnaswamy, S. Ravindra

{"title":"Prospective study of an outpatient-based pulmonary rehabilitation program in patients with chronic pulmonary diseases","authors":"B. Madhusudhan, M. Rao, U. Krishnaswamy, S. Ravindra","doi":"10.4103/1119-0388.152550","DOIUrl":"https://doi.org/10.4103/1119-0388.152550","url":null,"abstract":"Background: Chronic pulmonary diseases are a major cause of morbidity and mortality in our country. Patients with chronic pulmonary diseases have been shown to benefit from pulmonary rehabilitation programs (PRP). The aim of this study is to evaluate the efficacy of an outpatient-based PRP in improving the health outcomes in case of patients with chronic pulmonary diseases. Materials and Methods: This was a prospective study of an outpatient-based PRP in 64 patients with chronic pulmonary diseases conducted over a 2 year period. The evaluations carried out at the baseline and at 4-6 weeks were spirometry, 6 min walk test (6MWT), St. George′s Respiratory Questionnaire (SGRQ), Short Form-36 (SF-36), and Borg dyspnea scale. The PRP involved exercise training, education, and psychosocial/behavioral interventions. Statistical Analysis Used: The data were analyzed using SPSS package IBM company. The proportions were compared using Chi-square (c2 ) test. Results: Sixty-four patients with chronic pulmonary diseases were studied, out of which 30 (46.8%) had chronic obstructive pulmonary disease (COPD), 27 (42%) had chronic persistent bronchial asthma, 6 (9.4%) had restrictive lung disease (RLD), and 1 (1.5%) had bronchiectasis. There was a male preponderance of cases (71.3%). After the 6 week PRP, there was a significant improvement in the 6MWT, SGRQ, SF-36, and Borg dyspnea scale in all the patients and in the various subgroups of patients with COPD, asthma, and RLD. Besides, there was a significant change in pulmonary function and oxygen saturation in all the patients with asthma (P < 0.05) but not in those with COPD and RLD. Conclusion: An outpatient-based 6 week PRP in a tertiary care setting resulted in a significant improvement in exercise tolerance, dyspnea, and quality of life in those patients with a chronic pulmonary disease.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127542232","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

Job burnout and life satisfaction among nurses and midwives of medical institutions in Northern Iran: A cross-sectional study 伊朗北部医疗机构护士和助产士的工作倦怠和生活满意度:一项横断面研究

Tropical Journal of Medical Research Pub Date : 2015-01-01 DOI: 10.4103/1119-0388.152556

A. Gorji, Farzaneh Teimuri, M. Gorji, R. Gorji

{"title":"Job burnout and life satisfaction among nurses and midwives of medical institutions in Northern Iran: A cross-sectional study","authors":"A. Gorji, Farzaneh Teimuri, M. Gorji, R. Gorji","doi":"10.4103/1119-0388.152556","DOIUrl":"https://doi.org/10.4103/1119-0388.152556","url":null,"abstract":"Background and Aim: Less information is available about the role of job burnout and life satisfaction relationship among nurses and especially midwives in Iran. Therefore, we set out to analyze the relationship between life satisfaction and occupational burnout among Iranian nurses and midwives of medical institutions. Materials and Methods: A cross-sectional survey was conducted in 2013 on 260 subjects in Mazandaran, northern Iran. The questionnaires assessed the socio-demographic characteristics, life satisfaction, and job burnout. Data analyzed by SPSS software through statistical methods such as description and Pearson correlation. Results: The respondents had medium scores in job burnout and in life satisfaction. Subscales of job burnout was significantly and negatively related to life satisfaction scale. Conclusion: Our study reveals that all dimensions of both life satisfaction and burnout syndrome are relevant factors affecting nurses and midwives. We hope that these findings will offer some suggestions for health sector managers to keep their nurses and midwives motivated and stable.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133733135","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