International Journal of Medicine and Medical Sciences最新文献

{"title":"People healed of Ebola and their psychosocial life: About 55 cases at the Donka treatment center (Conakry)","authors":"B. Fode, Mory Keita Mamady, Amara Traore Fode, Oumou Sylla Aminata, Toure Mavolo, Barry Moumié, Cissé Mohamed","doi":"10.5897/ijmms2016.1226","DOIUrl":"https://doi.org/10.5897/ijmms2016.1226","url":null,"abstract":"1 Université Gamal Abdel Nasser de Conakry/Service des Maladie Infectieuses et Tropicales de l'Hôpital National Donka, Guinea. 2 Université Gamal Abdel Nasser de Conakry/Service de Psychiatrie de l'Hôpital National Donka, Guinea. 3 Service des maladie infectieuses et tropicales de l'Hôpital National Donka, Guinea. 4 Université Gamal Abdel Nasser de Conakry/Service de Dermatologie-Vénéreologie de l'Hôpital National Donka, Guinea.","PeriodicalId":430999,"journal":{"name":"International Journal of Medicine and Medical Sciences","volume":"41 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114007308","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":"Profile and management of community acquired pneumonia in a tertiary care hospital in Karachi","authors":"M. Khan, Zeb-un-nisa, S. I. Ali, S. Kashif, Farya Zafar, H. Ali, R. Fatima, Hafsa Sohail, S. Jahan","doi":"10.5897/ijmms2017.1342","DOIUrl":"https://doi.org/10.5897/ijmms2017.1342","url":null,"abstract":"The objective of this study was to assess the demographic profile, severity of patient, co morbidity, length of stay (LOS) and management of community acquired pneumonia. The study was a prospective study and consist of 212 patients (>20 years of age) with community acquired pneumonia (CAP) hospitalized to the tertiary care hospital, situated in Karachi between 1st January, 2010 and 31st March, 2012. Information related to demography and socioeconomic condition (gender, age, education, occupation and household income) and clinical details includes, evaluating severity using pneumonia severity index (PSI) score, laboratory finding, initial antibiotics prescribed, and hospital stay were composed. Demographic, socioeconomic and clinical variables were analyzed using descriptive statistics which is presented as percentage, frequencies, range and means. 116 (54.7%) patients had less severe pneumonia; 60 (28.3%) patients had moderately severe CAP and 36 (16.98%) patients had severe pneumonia. Commonly prescribed monotherapy of antibiotics initially on hospitalization were intravenous ceftriaxone 36 (16.98%). We recommend prospective multicenter setting studies to analyze the prevalence and burden of CAP in Pakistan. Improved assessment and proper utilization of guidelines is mandatory in the management of patients admitted with CAP. \u0000 \u0000 Key words: Community acquired pneumonia (CAP), length of stay (LOS), antibiotic and pneumonia severity index (PSI).","PeriodicalId":430999,"journal":{"name":"International Journal of Medicine and Medical Sciences","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114639369","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":"Auditory effects of noise and its prevalence among sawmill workers","authors":"B. Otoghile, P. Onakoya, C. C. Otoghile","doi":"10.5897/IJMMS2017.1344","DOIUrl":"https://doi.org/10.5897/IJMMS2017.1344","url":null,"abstract":"Noise at work could be hazardous, particularly after prolonged period of exposure. Sources of noise include generators, grinding machines, loud music at home, religious houses and clubs. The objective of this study was to find the auditory effects of noise and its effects on sawmill workers. This is a prospective, community based study involving sawmill workers in Ile-Ife.  The prevalence of hearing loss was determined and the pattern of hearing loss was evaluated among the workers. Four hundred and twenty sawmill workers were recruited into the study of whom 410 were males and 10 females. The prevalence of hearing impairment was 89.7%. Ninety three of them had hearing threshold greater than 40 dB, and it was bilateral in all the cases. Tinnitus was present in 41 (9.8%) subjects. The main auditory effects of occupational noise among sawmill workers are hearing loss and tinnitus. \u0000 \u0000 Key words: Auditory, noise, prevalence, sawmill workers.","PeriodicalId":430999,"journal":{"name":"International Journal of Medicine and Medical Sciences","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124648525","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":"Determination, knowledge and prevalence of pregnancy-induced hypertension/eclampsia among women of childbearing age at Same District Hospital in Tanzania","authors":"E. Eze, Ambrose Barasa, M. Adams, K. M. Rabiu, I. Ezekiel, Sheu Oluwadare Sulaiman, Nganda Ponsiano","doi":"10.5897/IJMMS2017.1343","DOIUrl":"https://doi.org/10.5897/IJMMS2017.1343","url":null,"abstract":"Several risk factors including hypertension are common complications of pregnancy with preeclampsia particularly associated with substantial risk to both the mother and fetus. This cross-sectional study involving quantitative approach was conducted in Same District Hospital in Tanzania. Data were collected from all pregnant women in the hospital using questionnaires. Respondents’ knowledge on maternal mortality regarding preeclampsia included those who had no knowledge 60(60%), and those who had knowledge 40(40%). Most of the respondents had no knowledge of maternal mortality due to the complications of preeclampsia. The study revealed that 64(64%), had positive attitude towards maternal mortality due to preeclampsia prevention while 36(36%) had no response. About 68(68%) of the respondents could not access the health facilities saying that these health facilities were not affordable citing that the distance was too long. They reported no health facilities and services as well as insecurity while looking for health facilities/services and finally that there were few health workers in the health facilities meaning that patients could not be attended to on time. Furthermore, health workers harassed the patients and make them seek other alternatives when they are sick, while minority 32(32%) said that the health facilities were accessible, affordable and efficient. Medical history during prenatal care showed that 25% of the respondent had increased blood pressure more than 140/90 mmHg, but only 10% had breath issues. Laboratory diagnosis of the respondents revealed increased proteinuria (48%) and impaired liver function (7%). Respondents experienced 39% convulsion and 24% pulmonary edema. Overall, the study identified a few predisposing factors to preeclampsia/eclampsia among pregnant women. Also, most of the respondents were said to have no knowledge of eclampsia thereby increasing maternal mortality. \u0000 \u0000 Key words: Preeclampsia, hemolytic elevated liver enzymes, eclampsia, low platelet count, disseminated intravascular coagulopathy, intrauterine growth restriction, intrauterine fetal death, pregnancy induced hypertension.","PeriodicalId":430999,"journal":{"name":"International Journal of Medicine and Medical Sciences","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121100571","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":"The value of Creactive protein in the diagnosis of septicaemia in children with malaria","authors":"Eyo Ekanem Emmanuel, John Uniga Ador, Akataekwe Obiora Cosmas, E. Angela, M. Helena","doi":"10.5897/ijmms2017.1340","DOIUrl":"https://doi.org/10.5897/ijmms2017.1340","url":null,"abstract":"Malaria and septicaemia, both major causes of infant and early childhood morbidity and mortality in Nigeria, often co-exist and are difficult to differentiate. This study was designed to test the hypothesis that C-reactive protein (CRP) levels could differentiate between malaria and malaria coexisting with septicaemia. One hundred and fifty-one children aged 6 to 60 months with fever without localising signs and 141 aged/sex-matched controls were studied. C-reactive protein levels in all the children were determined while the febrile children had their blood cultures done. ANOVA and students‘t’ test were used to determine the difference between groups. Sensitivity, negative predictive and positive predictive values for malaria coexisting unit septicaemia were calculated for various levels of CRP. One hundred and thirty (86.1%) of the subjects had malaria alone while 21 (13.9%) had malaria coexisting with septicaemia. Organisms isolated were mainly Enterobacteriaceae (7), Staphylococcus aureus (9), Salmonella spp. (4) and Streptococcus pneumoniae (1).  The mean serum CRP levels in subjects with malaria alone and malaria coexisting with septicaemia were 82.16 ± 44.94 mg/l and 108.44 ± 55.65 mg/l respectively (P=0.0176). At the diagnostic level of 90 mg/l (value just greater than the mean for malaria alone), CRP was highly sensitive (sensitivity 76.2%) in detecting septicaemia in 21 subjects with co-morbidity while specificity (36.9%) was low. It is concluded that CRP can differentiate between malaria and malaria with septicaemia.  In children with malaria, antibiotics should be started at the CRP level of ³ 90 mg/l. \u0000 \u0000 Key words: Malaria, septicaemia, C-reactive protein, diagnosis.","PeriodicalId":430999,"journal":{"name":"International Journal of Medicine and Medical Sciences","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128610863","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":"Health service delivery in selected municipalities in Leyte: Inputs for improved health service delivery","authors":"Miguel E. Mangada","doi":"10.5897/ijmms2015.1161","DOIUrl":"https://doi.org/10.5897/ijmms2015.1161","url":null,"abstract":"Utilizing  descriptive research design, this study investigated the nature and implementation extent of service delivery related to reproductive health (RH) and tuberculosis (TB) control. Data were gathered using existing data files, survey checklist questionnaires and interview schedule. The questionnaires were pilot-tested then implemented on actual respondents. Findings showed there was adequate number of needed personnel in all rural health units (RHUs) with the appropriate educational qualification, eligibility and training. Facilities and materials available were functional and most often used. Most health service delivery units have no specific allocation earmarked for TB control and RH programs. Information dissemination techniques were one-on-one session and lecture during check-up. Linkage with either one or two NGOs among the RHUs existed, but, none of such linkage existed between NGO and the two hospital facilities. The health service delivery profile in RHUs and hospitals is adequate in terms of personnel number and experts’ availability. Inadequacy of facilities and scarcity of information materials were noted. Legal mandates were partly enforced together with implementation of health service delivery related to TB control and reproductive health programs. There was no extent of linkages of local government units. Gaps and overlaps in health service delivery for the two programs were evident. \u0000 \u0000 Key words: Health service delivery, tuberculosis control, reproductive health, local government units, non-government organizations.","PeriodicalId":430999,"journal":{"name":"International Journal of Medicine and Medical Sciences","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124338664","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":"Descriptive analysis of neoplasias diagnosed as pleomorphic adenoma (PA) that presented at the University of Nigeria Teaching Hospital Ituku-Ozalla Enugu","authors":"O. James, Chukwuemeka Okechi Uchenna, Amaechi Agu Kenneth, Chukwuemeka Ezeanolue Basil","doi":"10.5897/ijmms2017.1345","DOIUrl":"https://doi.org/10.5897/ijmms2017.1345","url":null,"abstract":"Pleomorphic adenoma of the salivary gland is described as a slow growing painless benign tumor characterized histologically by its mixed appearance with epithelial and myoepithelial components. It occurs in both the major and minor salivary glands with the parotid gland as the commonest site for the major gland while the palate is the commonest site for the minor glands. This study was conducted to evaluate the clinical presentation of pleomorphic adenoma seen in the University of Nigeria Teaching Hospital Ituku/Ozalla, Enugu, Nigeria. Records of all the patients with pleomorphic adenoma seen in the clinics within a six year period (January 2009 to December 2014) were retrospectively reviewed. Relevant information retrieved from the patients’ file. Data was analyzed using SPSS version 23; qualitative variables were compared using chi-square test. A total of 37 cases (prevalence = 41.1%) of pleomorphic adenoma of the major and minor salivary gland met the required criteria for inclusion in the study. Majority of the cases occurred in females. The mean age of the patients was 38.2 and standard deviation was 16.4. The mean duration of the tumor at presentation was 39.4 months. Parotid gland was the commonest site. Postoperative complication seen was facial nerve palsy. Most of the tumors occurred on the left side. Pleomorphic adenoma present as a painless swelling is seen more in our environment among women. The peak age of occurrence is in the 4th decade of life. Surgical excision is the mainstay of treatment. Many of the patients presented years after the onset of tumor growth. \u0000 \u0000 Key words: Pleomorphic adenoma, salivary gland, benign tumors.","PeriodicalId":430999,"journal":{"name":"International Journal of Medicine and Medical Sciences","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131903184","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":"Assessment of breast self-examination practice and associated factors among female health professionals in Western Ethiopia: A cross sectional study","authors":"E. Negeri, Worku Dechassa Heyi, A. Melka","doi":"10.5897/IJMMS2016.1269","DOIUrl":"https://doi.org/10.5897/IJMMS2016.1269","url":null,"abstract":"Breast cancer is the leading cause of cancer mortality worldwide. Breast cancer incidence is increasing both in developed and developing regions. Regular breast self-examination (BSE) is one of the most cost effective methods for early detection of breast cancer in asymptomatic women. The aim of this study is to assess the magnitude of BSE practice and its associated factors among female health professionals working in public health facilities in Western Ethiopia. The study applied is health facility based cross-sectional study design. Simple random sampling technique was used to recruit a total of 390 female health professionals. The study was conducted from January to March, 2015. Bivariate and multivariable logistic regression model was used, odds ratios with 95% confidence intervals were computed and significance of all tests was decided at p-value of 0.05. From the total respondents, 77% had ever practiced BSE and only one third (33.7%) of them practiced regularly. Not experiencing breast problem (12.7%) was the main reason for not practicing regular BSE. After adjusting for possible confounders; personal history of breast cancer (AOR=4.7, 95%CI: 1.32-17.07), having knowledge of BSE (AOR=4.1, 95%CI: 1.36-5.65), positive attitude (AOR, 3.8, 95%CI: 2.10-9.17) and ever taught BSE to a client (AOR=5.2, 95%CI: 2.35-8.14) were found to be statistically significant predictors of BSE. Even though the life time BSE practice in this study was high, the regular BSE practice was low. Thus, trainings on BSE practice will be important to improve the practice level of health professionals and their counseling skill for the clients.     \u0000 \u0000   \u0000 \u0000 Key words: Breast self-examination, health professionals, practice, females.","PeriodicalId":430999,"journal":{"name":"International Journal of Medicine and Medical Sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124532932","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":"External application of moisture exposed burn ointment for phlebitis: A meta-analysis of randomized controlled trials","authors":"Liu Lian, W. Song, Z. Ping, S. Ru, Yan Hong","doi":"10.5897/IJMMS2017.1310","DOIUrl":"https://doi.org/10.5897/IJMMS2017.1310","url":null,"abstract":"To evaluate the therapeutic effects of moisture exposed burn ointment (MEBO) on phlebitis, seven electronic databases where checked until September, 2016 for randomized controlled trials (RCTs) of MEBO on phlebitis. Risk of bias was assessed using Cochrane handbook guidelines. Thirty eight randomized controlled trials met the inclusion criteria in which the aggregated results indicated that comparison revealed significant differences in total effectiveness rate of MEBO versus conventional therapy (RR=1.27, 95% confidence interval [CI]=1.06, 1.52, and P=0.009), and there were some beneficial evidence regarding the effects on reducing incidence of phlebitis MEBO versus conventional therapy in preventing phlebitis (RR=2.73, 95% confidence interval [CI]=1.94, 3.85, and P<0.00001). The evidence that MEBO is an effective treatment for phlebitis is encouraging, but not conclusive due to the low methodological quality of the RCTs. Therefore, more high-quality RCTs with larger sample sizes are required. \u0000 \u0000   \u0000 \u0000 Key words: External application of moisture exposed burn ointment, prevention and (or) treatment, phlebitis.","PeriodicalId":430999,"journal":{"name":"International Journal of Medicine and Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133428094","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":"Is moist exposed burn ointment effective for diabetic foot ulcers? A meta-analysis of randomized controlled trials","authors":"Lian-zhen Liu, S. Su, P. Zhou, Ruiteng Song, Hongxiao Sun","doi":"10.5897/IJMMS2017.1309","DOIUrl":"https://doi.org/10.5897/IJMMS2017.1309","url":null,"abstract":"This meta-analysis aimed to assess the effectiveness of moist exposed burn ointment (MEBO) for diabetic foot ulcers (DFU). Two researchers independently assessed the quality and validity of included randomized controlled trials (RCTs) in 7 electronic databases. Risk of bias was assessed using Cochrane handbook guidelines. Twenty seven trials which include 1,979 patients were involved for analysis. Comparison of the same intervention strategies revealed significant differences in total effectiveness rates between BEBO and conventional therapy group (Risk Ratio [RR], 6.36, [95% confidence interval (CI), 3.20, 12.64], P < 0.00001); MEBO combined with standard therapy (Risk Ratio [RR], 1.19, [95% confidence interval (CI), 1.08, 1.31], P = 0.0007); and healing time of DFU (Mean Difference [MD], 14.15, [95% confidence interval (CI), -18.14, -10.17], P < 0.00001). MEBO may be effective for treating DFU. However, a firm conclusion could not be reached because of the poor quality of the included trials. Further trials with higher quality are justified. \u0000 \u0000   \u0000 \u0000 Key words: Exposed wound ointment (MEBO), diabetic foot ulcers (DFU), recombinant bovine, basic fibroblast growth factor (rb-bFGF), vacuum sealing drainage (VSD).","PeriodicalId":430999,"journal":{"name":"International Journal of Medicine and Medical Sciences","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127583288","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}