EAS Journal of Medicine and Surgery最新文献_第2页

Surgical Management of Oro-Facial Clefts at a Tertiary Care Hospital in a Resource-Limited Setting: A Tanzanian Experience 在资源有限的情况下，一家三级医院对口颚裂进行手术治疗：坦桑尼亚的经验

EAS Journal of Medicine and Surgery Pub Date : 2023-11-25 DOI: 10.36349/easjms.2023.v05i10.007

Samson K. Ephraim, Cecilia Protas, Francis Tegete

{"title":"Surgical Management of Oro-Facial Clefts at a Tertiary Care Hospital in a Resource-Limited Setting: A Tanzanian Experience","authors":"Samson K. Ephraim, Cecilia Protas, Francis Tegete","doi":"10.36349/easjms.2023.v05i10.007","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i10.007","url":null,"abstract":"Background: Orofacial clefts are the most common craniofacial anomalies in most parts of the world and its management remains a challenge to otorhinolaryngology, plastic/reconstructive, oral and maxillofacial surgeons practicing in resource limited countries. There is limited data on surgical management of these birth defects in Tanzania and Bugando Medical Centre (BMC) in particular. This study aimed to describe our own experience regarding the surgical management of orofacial clefts at BMC, a tertiary care hospital in Tanzania. Methods: This was a cross sectional study involving all children with orofacial clefts that were treated at BMC between February 2019 and June 2019. Results: A total of 98 patients with orofacial clefts were recruited. Males outnumbered males by a male to female ratio of 1.7:1. The majority of patients (64.3%) were within 12 months at presentation. The median ages at surgery in patients with cleft lip and those with cleft palate were 3 [IQR, 2 to 8] and 11(IQR, 7 to 18) months, respectively. Orofacial clefts in association with congenital anomalies were recorded in 5(5.1%) patients. More than half of patients (55.1%) had combined cleft lip and palate. Unilateral clefts, 77(78.5%) were more common and showed left side preponderance in 52(53.1%) patients. All patients underwent cleft surgery under general anesthesia. Millard rotation advancement flap repair and von-Langenbeck were the most common techniques of cleft lip and palate repair performed in 42(52.5%) and 30 (41.7%) patients, respectively. The overall complication rate was 14.3% and the most common postoperative complications were bleeding, palatal fistula, wound dehiscence and surgical site infections in 6(31.6%), 4(21.1%) and 3(15.8%) each respectively. No death was recorded in this study. Among the 98 patients operated, 79 were treated successfully giving an overall success rate of 80.6%. The success rate was significantly influenced by nutrition status (p= 0.010), co-existing con","PeriodicalId":507417,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"72 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139237326","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

Assessment of Cardiovascular Indices in Obese Women Resident in Rivers State, Nigeria 评估尼日利亚河流州肥胖妇女的心血管指数

EAS Journal of Medicine and Surgery Pub Date : 2023-11-24 DOI: 10.36349/easjms.2023.v05i10.004

T. A, S. Dede, Rosemary Oluchi Stanley, Zosa Ugbana Dienye, Joy Tonye Wihioka

{"title":"Assessment of Cardiovascular Indices in Obese Women Resident in Rivers State, Nigeria","authors":"T. A, S. Dede, Rosemary Oluchi Stanley, Zosa Ugbana Dienye, Joy Tonye Wihioka","doi":"10.36349/easjms.2023.v05i10.004","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i10.004","url":null,"abstract":"Cardiovascular diseases (CVDs), which are often thought to be a “man’s” challenge, are now recorded as the primary cause of death for women globally. Consequently, the present study set out to assess the cardiovascular indices in obese women resident in Rivers State, Nigeria. Utilizing the Leslie Fischer's formula; exactly 334 obese and non-obese women within their 18 and 65 years of age with no obvious health condition and resident in Upland and Riverine areas of Rivers State were recruited by the present study. The multistage sampling technique was used, and subjects were drawn across the upland and riverine locations of the State. Consenting subjects were randomly surveyed from the multi-ethnic residents of the state. Anthropometric (body mass index-BMI) data and auscultatory blood pressure measurement were done using Seca weight/height scale and mercury sphygmomanometer and stethoscope respectively. Electrocardiographic (ECG) features were recorded using the standard resting 12 – lead ECG. Numerical data obtained were subjected to statistical analyses using the statistical package for social sciences (SPSS) version 21.0. One-way analysis of variance (ANOVA) and independent t-test with a p< 0.05 considered statistically significant were determined. The BMI values were generally higher in the RVR subjects when compared to their UPL counterparts, but only that of obese class II were significant (P<0.05) of the aforementioned increases. The systolic and diastolic blood pressure (SBP and DBP) of all subjects indicated graded increases from obese class I to obese class III and these increases were seen to be significant (P<0.05) when compared to that of the non-obese and down the successive groups. The ECG features in the non-obese and obese class I subgroups indicated higher prevalence of left ventricular hypertrophy in the UPL residents than the RVR residents. The study thus found that there was a significantly raised prevalence of obesity in younger RVR .......","PeriodicalId":507417,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"39 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139240976","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

Video Assisted Thoracoscopy Talc Pleurodesis in the Management of Metastatic Pleural Effusion 视频辅助胸腔镜塔尔克胸膜穿刺术在转移性胸腔积液治疗中的应用

EAS Journal of Medicine and Surgery Pub Date : 2023-11-24 DOI: 10.36349/easjms.2023.v05i10.005

Ghebouli K, Bendjoudi K, Larkem H, Kecir Ma, Belbekri M

引用次数: 0

The Risk Factors in Patients of Myocardial Infarction: An Observational Study 心肌梗死患者的风险因素：观察研究

EAS Journal of Medicine and Surgery Pub Date : 2023-11-11 DOI: 10.36349/easjms.2023.v05i10.003

Protap Kumar Paul, Mohammad Shafiqur Rahman, Md.Kamrul Hasan, Nure Alam Siddique, Mohammad Alwalid Sharkar, Nureza Islam, Koushik Bhowmick, Md. Saiful Islam, Prohlad Kumar Paul

{"title":"The Risk Factors in Patients of Myocardial Infarction: An Observational Study","authors":"Protap Kumar Paul, Mohammad Shafiqur Rahman, Md.Kamrul Hasan, Nure Alam Siddique, Mohammad Alwalid Sharkar, Nureza Islam, Koushik Bhowmick, Md. Saiful Islam, Prohlad Kumar Paul","doi":"10.36349/easjms.2023.v05i10.003","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i10.003","url":null,"abstract":"Background: Acute myocardial infarction is a condition where the blood flow to the heart muscle is blocked, leading to the death of heart tissue. It is a major cause of heart failure and fatalities worldwide. Objective: To assess risk factors in MI patients and determine clinical criteria for patients with MI. Methods: This cross-sectional observational study was done from January 2023 to June 2023 at the Mymensingh Medical College Hospital, Mymensingh, Bangladesh. A total of 100 people were observed in this study. Results: Our study showed that a maximum of 32 individuals aged 50-59 suffered from acute myocardial infarction. Most were male (74%) and Muslim (93%). 83% had hypertension, 78% had diabetes mellitus, and 77% were smokers. Different types of MI were identified, with anterolateral MI being the most common (25 patients). Conclusion: Several risk factors increase the chance of developing acute myocardial infarction, including family history, sedentary lifestyle, unhealthy diet, smoking, lack of exercise, and certain health conditions like diabetes, hypertension, dyslipidemia, SLE, vasculitis, or obesity.","PeriodicalId":507417,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139280006","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

Teaching Urological Surgery in Guinea: Current Status and Prospects 几内亚泌尿外科教学：现状与前景

EAS Journal of Medicine and Surgery Pub Date : 2023-11-10 DOI: 10.36349/easjms.2023.v05i10.001

M. Bah, Mamadou Dian Barry, Thierno Amadou Oury Sow, Thierno Mamaou Oury Diallo, Mamadou Madiou Barry, D. Kanté, Alimou Diallo, Demba Cissé, Youssouf Keita, I. Bah, Diallo Ab

{"title":"Teaching Urological Surgery in Guinea: Current Status and Prospects","authors":"M. Bah, Mamadou Dian Barry, Thierno Amadou Oury Sow, Thierno Mamaou Oury Diallo, Mamadou Madiou Barry, D. Kanté, Alimou Diallo, Demba Cissé, Youssouf Keita, I. Bah, Diallo Ab","doi":"10.36349/easjms.2023.v05i10.001","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i10.001","url":null,"abstract":"In Africa south of the Sahara, there are very few urologists. To fill this gap, a training in urology started in Guinea in 2005. The aim of this study was to take stock of this teaching, both theoretical and practical. Two different questionnaires were established for this survey. The first one was addressed to the students in order to collect their satisfaction and wishes regarding the teaching provided, and the second one to the person in charge of the teaching concerned the objectives of the DES, the conditions of participation in this training, and the teaching methods. Nineteen students (76%) responded to our questionnaire. Their average age was 34.74 years. The teaching provided was close to the practical concerns of the students in 68.42% of cases (n=13). The difficulties encountered by the enrollees were dominated by the payment of training fees (73.68%; n=14) and access to the internet (68.42%n=13). The most cited suggestions were the improvement of the technical platform (13.32%; n=4), easy access to the internet and scientific journals (10%; n=3). The surgical simulator, surgical training in animals, and surgical tutoring during the course are the practical teaching methods to be promoted according to the training manager. In conclusion, our study has enabled us to form an opinion on the training of doctors in the context of specialisation in Guinea, and to highlight what has been achieved and what needs to be improved in order to maintain the quality of teaching.","PeriodicalId":507417,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"174 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139280608","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

Managing Maternal Sepsis after Delivering an Advanced Abdominal Pregnancy in Low Resource Setting Health Facility 在资源匮乏的医疗机构分娩高龄腹产妊娠后的产妇败血症管理

EAS Journal of Medicine and Surgery Pub Date : 2023-11-10 DOI: 10.36349/easjms.2023.v05i10.002

Sr. Juliet Macharia, A. Kihunrwa, R. Kiritta, D. Matovelo, Edgar Ndaboine, Feredina John, Francis Tegete

{"title":"Managing Maternal Sepsis after Delivering an Advanced Abdominal Pregnancy in Low Resource Setting Health Facility","authors":"Sr. Juliet Macharia, A. Kihunrwa, R. Kiritta, D. Matovelo, Edgar Ndaboine, Feredina John, Francis Tegete","doi":"10.36349/easjms.2023.v05i10.002","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i10.002","url":null,"abstract":"Background: Abdominal pregnancy is a rare form of ectopic pregnancy with a higher misdiagnosis rate. Sepsis is a life-threatening complication associated with this type of ectopic pregnancy. Various techniques for managing septic advanced abdominal pregnancy have been discussed in the literature. In this article, we report a case of managing septic abdominal pregnancy in which a macerated baby was delivered, and the necrotic placenta was left in situ. Case presentation: We report a 34-year-old African woman, para 5 living 4, who was three days post laparotomy due to abdominal pregnancy. A re-laparotomy was done due to maternal sepsis. The peritoneum had foul-smelling pus, with a necrotized placenta which was still attached to various parts of the abdomen. The placenta was left in situ and the abdomen was left open. Pus swab revealed methicillin-resistant staphylococcus aureus which was sensitive to Vancomycin. She was managed with a ten-day Vancomycin regime. Dressing with normal saline and honey twice or thrice a day for eight weeks was done. Secondary suturing was done and the patient was discharged home later in good health. Conclusion: Advanced abdominal pregnancy is a rare condition, and its management is very challenging. Once it complicates into maternal sepsis the life of the mother becomes endangered. Identifying and treating the source of infection with daily dressing using normal saline and honey is simple and cheap, it saves life.","PeriodicalId":507417,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"63 6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139280891","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