International Journal of Medical Science and Dental Health最新文献

{"title":"Gait Function and its Association with Functional Independence, Quality of Life, and Community Reintegration in Stroke Survivors.","authors":"Obianuju Nwaedozie, C. Gbiri","doi":"10.55640/ijmsdh-10-04-27","DOIUrl":"https://doi.org/10.55640/ijmsdh-10-04-27","url":null,"abstract":"Background and Aims: The major outcome of stroke rehabilitation is the recovery of the ability to walk. However, a large proportion of stroke survivors are discharged to the community with gait deficiency which impairs their functional independence, and quality of life increasing the burden of care on caregivers especially their lack of functioning in the community. This study assessed the gait functional performance in community-dwelling stroke survivors and explored its association with functional independence, quality of life, and community reintegration in community-dwelling stroke survivors. Materials and methods: This study involved 115(59 males and 56 females) community-dwelling stroke survivors. Their gait functional performance was assessed using the 10-meter walk test (10MWT) while their functional independence was assessed with the functional independence measure (FIM). Their quality of life (QoL) was assessed using the Stroke-specific QoL scale while community functioning and productivity were assessed using the community integration questionnaire (CIQ). Their scores on the assessments were compared with the normative data of their age and sex-matched healthy individuals. Data was analysed using Spearman’s correlation coefficient and Chi-Square at p<.05. Results: Participants’ ages ranged between 27 to 78 years (mean=60.48±37.84 years). More participants (56.7%) had right hemispheric lesions and 43.3% had lesions in the left hemisphere. Their gait function, functional independence performance, QoL, and community reintegration functions were significantly (p<0.05) lower than their age and sex-matched normative data. There was a significant (p<0.05) association and relationship between their gait functional performance and each of the functional independence performance, QoL, community reintegration, and productivity. Conclusion: Gait functional performance in community-dwelling stroke survivors is significantly lower than in age and sex-matched healthy individuals and it is significantly associated with low functional independence performance, low quality of life, poor community functioning, and lack of productivity in stroke survivors, Abnormal gait pattern is related to poor functional independence, poor quality of life and low productivity.","PeriodicalId":503011,"journal":{"name":"International Journal of Medical Science and Dental Health","volume":"10 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140714257","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":"Orbital Defect Reconstruction using Customized Implants: Current Techniques and Long-Term Outcomes in Maxillofacial Surgery.","authors":"Nicolay Mijail Hidrobo Muñoz, Mario Roberto Melena Zapata, Doménica Dayana Soto Guerrero, Erika Fernanda Miguez Ortega, Kevin Lenin Lalangui Felicita, Jean Carlo Cedillo, Nadya Sofía Obando Molina, Geovanni Xavier Guevara Guerrero","doi":"10.55640/ijmsdh-10-04-28","DOIUrl":"https://doi.org/10.55640/ijmsdh-10-04-28","url":null,"abstract":"This systematic review investigates the current methods and long-term results of maxillofacial surgery orbital defect restoration with personalized implants. PRISMA standards were followed in order to identify and analyze pertinent studies that focused on patient-specific implants (PSI) for orbital abnormalities. This was accomplished by a thorough search of multiple databases. The findings demonstrate how well PSI works to improve both functional and cosmetic outcomes, such as the correction of facial asymmetries, enophthalmos, and diplopia. Surgical navigation and 3D printing are examples of cutting-edge technology that have improved orbital defect reconstruction's precision and versatility. While some research points to a trend toward better results when using PSI as opposed to more conventional methods, additional long-term data is required to properly assess its effectiveness. The analysis highlights the role that customized implants play in attaining the best possible outcomes and urges more research to improve surgical methods and assess patient outcomes over long time frames.","PeriodicalId":503011,"journal":{"name":"International Journal of Medical Science and Dental Health","volume":"7 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140715344","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":"Prevalence and Pattern of Stroke Cases Seen at the Neurology Clinic of Physiotherapy Department, University of Port Harcourt Teaching Hospital, Port Harcourt: A Ten-Year Retrospective Study .","authors":"Ifeanyi Kalu Oti, Obianuju Nwaedozie, Annette Benjamin Ayerite, Ernest Ugonna Anyama, Adadinfiari Lois Peter, A. K. Madume","doi":"10.55640/ijmsdh-10-04-26","DOIUrl":"https://doi.org/10.55640/ijmsdh-10-04-26","url":null,"abstract":"Background: Stroke is a condition of public health concern. It affects people of different age brackets, leading to long-term debilitation with a significant percentage of survivors left with permanent disabilities Methods: The study adopted a descriptive retrospective study design in which the data of a total of 338 adult male and female stroke patients who attended the neurology clinic of Physiotherapy Department, University of Port Harcourt Teaching Hospital (UPTH), between December 2012 and December 2022 were retrieved and studied following ethical clearance. Data were analysed using the Statistical Package for Social Science (SPSS) version 25. Descriptive statistics was used to present the data in frequency tables. Results: Majority of the stroke patients were male 208 (61.5%), married 300 (88.8%), and between the ages of 51 and 60 (28.7%). The most common type of stroke was ischaemic stroke 295 (87.2%) with majority between the age bracket of 61-70 (26.6%). First episode of stroke was the most prevalent 301 (89.0%) with majority of the survivors between the age bracket of 51-60 (25.7%). Hypertension was the most prevalent risk factor 195 (57.7%) and was also most prevalent among the age bracket of 51-60 (16.0%). Lastly, majority of the stroke patients had right sided hemiparesis 192 (56.9%). Conclusion: The risk factors and clinical presentation of stroke vary from individuals to individuals. Adequate education, counseling, medical, and financial support should be given to stroke survivors in order to prevent and manage the condition.","PeriodicalId":503011,"journal":{"name":"International Journal of Medical Science and Dental Health","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140714232","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":"Physiotherapy Management of Guillain-Barré Syndrome in a Tertiary Hospital in South-South Nigeria: A Case Report.","authors":"Ifeanyi Kalu Oti, Kenechukwu Kingsley Okonkwo, Annette Benjamin Ayerite, Ernest Ugonna Anyama, A. K. Madume, Obianuju Nwaedozie","doi":"10.55640/ijmsdh-10-04-25","DOIUrl":"https://doi.org/10.55640/ijmsdh-10-04-25","url":null,"abstract":"Background: Guillain-Barré Syndrome (GBS) is a potentially life-threatening post infectious disease characterized by rapidly progressive, symmetrical weakness of the extremities. It can cause life-threatening complications, particularly if the breathing muscles are affected or if there is dysfunction of the autonomic nervous system. Case Presentation: This is a case report of Physiotherapy management of a 51-year old female patient with Guillain-Barré Syndrome (GBS). Patient was referred from the neurology unit, department of Internal Medicine, University of Port Harcourt Teaching Hospital (UPTH) to the neurology clinic of the physiotherapy department, UPTH as a case GBS after series of investigations. Appropriate physiotherapy intervention was given for a period of 36 weeks after a thorough assessment of the patient. The Guillain-Barre Syndrome Disability Score was used to assess the overall functional status of the patient while the Oxford Muscle Grading Scale was used to assess for muscle strength. The Numerical Pain Rating Scale (NPRS) was used to assess the level of pain in the limbs while the Berge Balance Scale (BBS) was used to assess the patient’s balance. The case report was presented in line with the CARE: Case Report Guideline for case reports. All ethical procedures were followed. Treatment outcome: Treatment outcome revealed that the Guillain-Barré Syndrome Disability Score reduced from 4 to 2 while that of Berg Balance Scale increased from 3 to 42 after 36 weeks of intervention. Pain level on range of motion of the limbs based on the Numerical Pain Rating Scale reduced from 6/10 to 1/10 on the upper limb and from 8/10 to 2/10 on the lower limbs. Conclusion: Physiotherapy is effective in the management of patients with Guillain-Barré Syndrome. Early referral to Physiotherapy is key to pain management, balance control and overall functional status of the patients.","PeriodicalId":503011,"journal":{"name":"International Journal of Medical Science and Dental Health","volume":"31 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140716247","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":"IDENTIFICATION OF PARASITES FROM POULTRY FAECES BY WET MOUNT METHOD AND CONCENTRATION TECHNIQUES","authors":"Payal Kumari, Dr. Sayan Bhattacharyya, Dr. Shubhra Chattopadhyay, Dr. Atul Raj, Dr. Amit Banik","doi":"10.55640/ijmsdh-10-04-24","DOIUrl":"https://doi.org/10.55640/ijmsdh-10-04-24","url":null,"abstract":"Background: Poultry faeces may contain many harmful parasites, which may pose significant health risks to the consumer. These parasites may then be transmitted to man by contaminated soil, drinking water supply or by mechanical vectors like flies and rodents. This is a neglected area of public health and deserves more scientific attention. We explored Scientific literature and also assessed our findings. Methods: One hundred (100) poultry faeces samples were assessed for viewing parasites by wet mount method. A concentration technique was performed in saturated saline solution, followed by slide preparation and microscopic identification. Results: In our experiment, coccidian oocysts, Entamoeba oocysts and rarely some Giardia oocysts, larvae of Strongyloides spp. and trematode eggs were found. Conclusion: Keeping in view the public health importance of parasites in poultry faeces, open poultry shops should be cleaned and properly sanitized to mitigate health risks to humans and also the environment.","PeriodicalId":503011,"journal":{"name":"International Journal of Medical Science and Dental Health","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140716859","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":"PLASMA CELL LEUKEMIA: AN AGGRESSIVE DISEASE, A CAUSE OF DIAGNOSTIC ERROR","authors":"Mohamed Keita, S. A. Touré, E. S. Bousso, A. Diallo, N. Dieng, S. Guèye, B. Faye, M. Seck, Saliou Diop","doi":"10.55640/ijmsdh-10-04-23","DOIUrl":"https://doi.org/10.55640/ijmsdh-10-04-23","url":null,"abstract":"Plasma cell leukemia (LP) is a rare and aggressive plasma cell tumor that manifests as significant clonal expansion of plasma cells in the bone marrow and peripheral blood. It is considered primary when it presents at initial diagnosis and secondary when it occurs in patients with pre-existing multiple myeloma (MM). Because of the high frequency of extramedullary injuries, plasma cell leukemia is a major source of diagnostic error that can lead to fatality. We report a case of plasma cell leukemia diagnosed at the clinical haematology department of the CNTS in Dakar (Senegal).","PeriodicalId":503011,"journal":{"name":"International Journal of Medical Science and Dental Health","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140733288","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":"EFFICACY OF SUBLINGUAL VERSUS ORAL PIROXICAM IN MANAGEMENT OF POST-SURGICAL PAIN, SWELLING AND TRISMUS AFTER LOWER 3RD MOLAR SURGERY- A RANDOMIZED CONTROL CLINICAL TRIAL","authors":"Dr. Shweta Ashok, Dr. Pradeep Devadoss, Dr. Keerthana Ponvel, Dr. R. S. Neelakandan, Dr. Srinisava Prasad Tangutur","doi":"10.55640/ijmsdh-10-04-22","DOIUrl":"https://doi.org/10.55640/ijmsdh-10-04-22","url":null,"abstract":"Background of the study: Third molar surgical removal is a common procedure in oral and maxillofacial surgery, causing moderate to severe pain, swelling, and trismus. Postoperative pain control improves patient recovery and oral function, with commonly used analgesics including Ibuprofen, Aceclofenac, Ketorolac, Tramadol, Paracetamol, Nalbuphine, Nimusulide, and Buprenorphine. Aim and Objective: The study compares oral and sub-lingual Piroxicam for managing post-surgical pain after extraction of impacted third molars, focusing on analgesia onset, pain intensity, swelling, and trismus degree. Materials and method: A randomized control trial was conducted on 30 patients who underwent surgical removal of mandibular impacted third molars. The patients were divided into two groups: Group I (Study) and Group II (Control). All patients underwent the procedure by a single surgeon. Post-operative medications were prescribed according to the study design, with Piroxicam 20mg administered sub-lingually (Group I) and 20mg orally (Group II). The parameters were assessed and measured for both groups, and the results and statistical analysis were compared. Result: The results revealed that the inter-group difference for the post-operative symptoms evaluated using a t-test for Equality of means by comparing the pre-op, POD 2, POD 7 values was statistically significant. Mean onset time taken and pain perception by Group I (Sub-lingual) in the first dose was 32.3 minutes and for Group II was 51.21 minutes which was established to be significantly (P<0.05) low for the sub-lingual group by statistical analysis. Conclusion: The study found that the sublingual route of administering Piroxicam had a faster onset of action and better analgesia postoperatively compared to the oral route. This is crucial for patients and surgeons to improve compliance and comfort post-operatively after impaction surgery, as potent analgesics are essential for effective pain management.","PeriodicalId":503011,"journal":{"name":"International Journal of Medical Science and Dental Health","volume":"8 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140739323","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":"MANAGEMENT OF NEUROPATHIC PAIN: A REVIEW OF CURRENT TRENDS .","authors":"Amadi, Christian Emeka, Diamond, Tamunokuro","doi":"10.55640/ijmsdh-10-03-21","DOIUrl":"https://doi.org/10.55640/ijmsdh-10-03-21","url":null,"abstract":"The International Association for the Study of Pain (IASP) defines “pain” as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage. Pain is a common symptom that knows no boundary. It differs with age, creed, sex, disease and specialty. Neuropathic pain is defined as pain arising as a direct consequence of a lesion or disease affecting the somatosensory system. Its chronic debilitating nature and unpredictive response to medication make it a challenge to most physicians and the patient they treat. The use of treatment algorithms or guidelines have found common use in the treatment of neuropathic pain. This poses a need for periodic review. This review looked at the current trends in the management of neuropathic pain. We recommend a four-pronged approach in the evaluation and management of patients with neuropathic pain. This involved detailed review of the patient, the pain, the plan, and the pill. There is also a growing need to adopt less invasive techniques in the treatment of chronic recalcitrant pain.","PeriodicalId":503011,"journal":{"name":"International Journal of Medical Science and Dental Health","volume":" 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140386193","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":"Antibacterial Potential of Bio-Synthesized Gold Nanoparticles Against MDR Bacteria","authors":"Hadeer Waleed Kazem, L. Abdulazeem, Najwan Kadhim Imran","doi":"10.55640/ijmsdh-10-03-20","DOIUrl":"https://doi.org/10.55640/ijmsdh-10-03-20","url":null,"abstract":"The treatment of bacterial and viral infections with antibiotics is a route which is rapidly becoming more and more difficult to achieve. The start of the twentieth century was infectious disease as the leading cause for mortality worldwide. These diseases were treatable, for a time, with antibiotic development and the research coming to the fore in medical focus at this time. However, As the usage of antibiotics expanded and they were incorporated into other areas of human work, bacterium strains resistant to antibiotics started to appear. The genes that code for antibiotic resistance are not readily lost once they have developed in a bacterial population, in addition to the ongoing growth of resistance. These genes join the bacterial genome and become a stable part of it after integration. Treatment that can successfully address this multi-drug resistant condition gets more difficult to provide as new resistance mechanisms emerge. Antibiotic resistance can occur through a many of ways, such as the release of large amounts of antibiotics into the environment during waste water treatment, pharmaceutical manufacturing, and the presence of antibacterial agents in soaps and other products. Exposure to air exhaled from animal housing or discharged during animal transportation; ingesting contaminated water; and coming into contact with diseased farm workers or meat processors. These scenarios raise an important issue; that there is a great need for an enhancement of existing technology and techniques in the field of drug development, as well as the pressing requirement for development of new and innovative treatment methods for infectious diseases. A long-term material to these resistance problems that can and will be used as a foundation for further medical research in these fields has to be the goal of the research priorities. The answer to this problem may lie in the relatively discovery of antimicrobial nanomaterials, technology against which the pathogens cannot able to develop a resistance mechanism. The nanomaterials themselves would act as precisely engineered plat forms from which drugs may be delivered to target physiological sites.","PeriodicalId":503011,"journal":{"name":"International Journal of Medical Science and Dental Health","volume":"28 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235171","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 Feeding Patterns for Children below Two Years of Age in PHCCs in Karbala","authors":"Jabbar fadhl fezea, Taqwa Khudhur AbdulKareem, Dunia Fawaz Mohammed","doi":"10.55640/ijmsdh-10-03-19","DOIUrl":"https://doi.org/10.55640/ijmsdh-10-03-19","url":null,"abstract":"Abstract Breastfeeding is considered the healthiest start for babies. Breast milk should be the only food offered to infants for the first six months of life. The first two years of age are very important for the child's growth and development, Poor feeding patterns in children may lead to their undernutrition, which is a major public health problem. Objectives: To investigate and document the prevailing feeding patterns practiced by care givers for children under the age of two in Primary Health Care Centers (PHCCs) within Karbala. To identify factors influencing caregivers' decisions regarding the choice of feeding practices for infants and young children attending PHCCs in Karbala. Patients & Methods: This is a cross-sectional study. A convenient sample included 680 mothers of children below two years of age, and the mothers' ages were more than thirteen years. The study was carried out at ten PHCCs in Karbala City from January 5–28, 2023. Results: The results showed that the majority of children (63%) were breast feeding and most of the mothers were housewives, There was a significant relationship between the type of feeding and type of labor (p=0.000*). Conclusion: Breastfeeding was the most common feeding pattern among children included in the study, but still, there were baby’s bottle feeding without real indication for using it. Recommendation: Encouraging breastfeeding and increasing awareness about it among women of childbearing age.","PeriodicalId":503011,"journal":{"name":"International Journal of Medical Science and Dental Health","volume":"7 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140241739","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}