International Journal of Medical Research & Health Sciences最新文献_第10页

Small intestinal enteropathy in undernourished children in three urban slums in South India 南印度三个城市贫民窟营养不良儿童的小肠肠病

International Journal of Medical Research & Health Sciences Pub Date : 2016-01-01 DOI: 10.5958/2319-5886.2016.00011.4

P. M. Praburam, P. Moses, G. Kang

{"title":"Small intestinal enteropathy in undernourished children in three urban slums in South India","authors":"P. M. Praburam, P. Moses, G. Kang","doi":"10.5958/2319-5886.2016.00011.4","DOIUrl":"https://doi.org/10.5958/2319-5886.2016.00011.4","url":null,"abstract":"Introduction: Growth faltering is a common health issue in the developing countries. At times we are unable to attribute this growth faltering to lack of adequate nutrients in food or ongoing disease conditions alone. With this study we aim to assess the possibility of the existence of subclinical malabsorption in children with undernutrition. Methods: A cross sectional study was conducted on a sample of 161 children from a birth cohort of 377 children who were under follow up from birth for health and disease in three of the urban slums of Vellore. The prevalence of small intestinal enteropathy, as assessed by a 5 hour urinary d-xylose excretion test, was compared between undernourished and well-nourished children. Correlation between undernutrition, d-xylose malabsorption and previous documented illnesses including viral, bacterial or parasitic infections/ infestations was also studied. Results: Xylose test result was abnormal in 41% (25 of 61) of undernourished children as against 26% (26 of 100) of well-nourished children, with p value of 0.047 and Odds ratio of 1.976 with 95% confidence interval between 1.003 and 3.895. Conclusion: There is a statistically significant association between undernutrition and small intestinal enteropathy","PeriodicalId":51699,"journal":{"name":"International Journal of Medical Research & Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71080432","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 satisfaction in peritoneal equilibration test: a study on the validity and reliability of the peritoneal equilibration satisfaction scale 腹膜平衡测试满意度的评估:腹膜平衡满意度量表效度和信度的研究

International Journal of Medical Research & Health Sciences Pub Date : 2016-01-01 DOI: 10.5958/2319-5886.2016.00012.6

Eylem Topbaş, G. Can, M. R. Ataman

{"title":"Assessment of satisfaction in peritoneal equilibration test: a study on the validity and reliability of the peritoneal equilibration satisfaction scale","authors":"Eylem Topbaş, G. Can, M. R. Ataman","doi":"10.5958/2319-5886.2016.00012.6","DOIUrl":"https://doi.org/10.5958/2319-5886.2016.00012.6","url":null,"abstract":"Aim: This study has been designed to develop an assessment tool to be used in determining the patients’ satisfaction level with the peritoneal equilibration test (PET) procedure. Materials and Methods: The development and validation of the peritoneal equilibration test Satisfaction Scale (PETSS) was completed in two phases. Phase I focused on instrument construction and included item development and establishment of concurrent validity. Phase II included the factor analysis and psychometric assessment of the scale. In statistical evaluation of the data descriptive statistics and non-paratmetric tests were used. Results: The first version of the scale that has 3.62 Content Validity Index value was composed of 20 items. It was found that the latest version of the scale that has 14 items explained 46% of the variance. It was found that the Cronbach alfa value of this scale, which has 0.52-0.89 coefficient of item-total correlation was 0.96. Psychometric assessment of the scale revealed that except for type of the PET application, none of the demographic and clinical characteristics effect patients level of satisfaction during the PET application. Conclusion: This preliminary study showed that PETSS was a valid and reliable scale that can be used for determining satisfaction level of patients during PET application.","PeriodicalId":51699,"journal":{"name":"International Journal of Medical Research & Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71080481","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

SIGNIFICANCE OF PLATELET COUNT AND PLATELET INDICES IN PATIENTS WITH SOME THROMBOCYTOPENIC CONDITIONS 血小板计数和血小板指数在某些血小板减少性疾病患者中的意义

International Journal of Medical Research & Health Sciences Pub Date : 2016-01-01 DOI: 10.5958/2319-5886.2016.00009.6

Omer Abdalla, T. Elsayed, H. Waggiallah

{"title":"SIGNIFICANCE OF PLATELET COUNT AND PLATELET INDICES IN PATIENTS WITH SOME THROMBOCYTOPENIC CONDITIONS","authors":"Omer Abdalla, T. Elsayed, H. Waggiallah","doi":"10.5958/2319-5886.2016.00009.6","DOIUrl":"https://doi.org/10.5958/2319-5886.2016.00009.6","url":null,"abstract":"Background: Thrombocytopenia is one of the most frequent causes for hematologic consultation in the practice of medicine and can result from a wide variety of conditions. Objective: The study was conducted on behave of platelets count in tie with platelet volume indices to measure their consistency. Methods: The study was “prospective cross-sectional hospital based design” and conducted at Khartoum hospitals (A.Gasim, Jafar I A, and R.ICK). Studied populations texture has stipulated concurred diagnosis of heart disorders (HD), lymphoid neoplasms (LN), hypoplastic bone marrow (HPB), renal transplantation (RT), patients under chemotherapy (CT), and fully checked healthy Sudanese population (HSP). Platelet (PLT) count and platelet volume index (PVI) were measured using automated method of Sysmex KX-21N and the data was analyzed using SPSS. Results: does established (24) mean and standard for the study population among which (HSP) was platelet distribution width (PDW) (11.4±1.5 fl), mean platelet volume (MPV) (9.3±0.8 fl), platelet large cell ratio (PLCR) (20.6±6.7%) and PLT count (245±45 X109/L), and established correlations between PLT count and PVI in thrombocytopenic conditions. Conclusion: we conclude that, PVI has the ability to change from normal to higher or lower than (HSP) in thrombocytopenic conditions and Sudanese has PVI mean lower than the mean of reference range, and there are inverse and reverse correlations between PLT count and PVI but not in (HSP) and reverse correlation in between PVI except between PDW and P-LCR in (HPB)","PeriodicalId":51699,"journal":{"name":"International Journal of Medical Research & Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71079872","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

Diaphragmatic eventration: Review of current knowledge, diagnostic, and management options 横膈膜脱位:回顾当前的知识、诊断和治疗方案

International Journal of Medical Research & Health Sciences Pub Date : 2016-01-01 DOI: 10.20431/2349-0365.0403001

J. Cordeiro, A. Almeida, Senival Alves de Oliveira JÃƒÂºnior, B. Fern, Es, Amália Cinthia Menezes Rêgo, Irami AraÃƒÂºjo-Filho

引用次数: 7

Properties of a high rate of MRSA colonization in the nasal cavity of intensive care unit doctors 重症监护室医生鼻腔中高MRSA定植率的特性

International Journal of Medical Research & Health Sciences Pub Date : 2016-01-01 DOI: 10.5958/2319-5886.2016.00005.9

Ikue Shamoto, Yuka Ishihara, M. Ohta

{"title":"Properties of a high rate of MRSA colonization in the nasal cavity of intensive care unit doctors","authors":"Ikue Shamoto, Yuka Ishihara, M. Ohta","doi":"10.5958/2319-5886.2016.00005.9","DOIUrl":"https://doi.org/10.5958/2319-5886.2016.00005.9","url":null,"abstract":"Background: Methicillin-resistant Staphylococcus aureus (MRSA) is a major causative agent of healthcare-associated infections. Aims: To survey S. aureus/MRSA colonization in the nasopharyngeal cavities of intensive care unit (ICU) doctors at a university hospital. Methods: Surveys on nasopharyngeal S. aureus/MRSA colonization in 29 ICU doctors at a university hospital were conducted during July 2011 and January 2012. Polymerase chain reaction (PCR) analysis revealed mecA-positive strains as MRSA. The antimicrobial susceptibilities and toxin gene profiles of the isolates were additionally examined. Results: A total of 52% of the doctors examined during the first survey and 64% during the second survey showed S. aureus colonization, and 81% of the isolates were confirmed to be MRSA. Most of the MRSA strains had partially mutated mecA, as determined by PCR. The MRSA isolates, except for three, were susceptible to oxacillin, suggesting that these isolates could be misidentified as methicillin-sensitive S. aureus (MSSA) in hospital laboratories, whereas several resistant colonies appeared after an additional 3 days of incubation in the presence of oxacillin. Among the MRSA isolates, only four were tst-positive, and none were eta/etb-positive. Conclusion: A high rate of MRSA colonization in the nasal cavity of ICU doctors at a university hospital was observed. Most MRSA isolates, as determined through mecA detection, were susceptible to oxacillin, but produced resistant mutants in the presence of oxacillin. Therefore, we strongly suggest monitoring and/or eradication of colonized MRSA in the nasal cavity of ICU doctors.","PeriodicalId":51699,"journal":{"name":"International Journal of Medical Research & Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71079728","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

Continuing professional development in radiography: practice, attitude and barriers 放射学的持续专业发展:实践、态度和障碍

International Journal of Medical Research & Health Sciences Pub Date : 2016-01-01 DOI: 10.5958/2319-5886.2016.00015.1

W. Elshami, A. Elamrdi, S. Alyafie, M. Abuzaid

引用次数: 21

GUT MICROBIOTA CHANGE AND TIME OF RESTORE IN INTENSIVE CARE THERAPY: A CASE REPORT 重症监护治疗中肠道菌群变化与恢复时间1例报告

International Journal of Medical Research & Health Sciences Pub Date : 2016-01-01 DOI: 10.5958/2319-5886.2016.00024.2

F. Borgo, E. Borghi, S. Marzorati, G. Iapichino, G. Morace

引用次数: 0

RELATIONSHIP BETWEEN BODY MASS INDEX (BMI) AND DUAL-ENERGY X- RAY ABSORPTIOMETRY (DXA) DETERMINED ADIPOSITY INDICES IN KOREAN CHILDREN AND ADOLESCENTS; THE INFLUENCE OF GENDER, AGE GROUPS, AND PHYSIQUE 韩国儿童和青少年体重指数(bmi)与双能x线吸收仪(dxa)测定肥胖指数的关系性别、年龄、体质的影响

International Journal of Medical Research & Health Sciences Pub Date : 2016-01-01 DOI: 10.5958/2319-5886.2016.00026.6

Eun Young Kim

{"title":"RELATIONSHIP BETWEEN BODY MASS INDEX (BMI) AND DUAL-ENERGY X- RAY ABSORPTIOMETRY (DXA) DETERMINED ADIPOSITY INDICES IN KOREAN CHILDREN AND ADOLESCENTS; THE INFLUENCE OF GENDER, AGE GROUPS, AND PHYSIQUE","authors":"Eun Young Kim","doi":"10.5958/2319-5886.2016.00026.6","DOIUrl":"https://doi.org/10.5958/2319-5886.2016.00026.6","url":null,"abstract":"Aim: Dual-energy X-ray absorptiometry (DXA) is considered a reference method for adiposity measurements in epidemiologic studies. The purpose of this study was to evaluate the influence of gender, age, and physique in the relationship between body mass index (BMI) and DXA derived adiposity indices for Korean children and adolescents. Methods: Using a nationally representative sample taken from the Korean National Health and Nutrition Examination Survey (KNHANES), 2009 to 2011, BMI of Korean children and adolescents was compared with DXA determined adiposity indices (fat mass index, FMI and percentage body fat, PBF). The correlation was subsequently evacuated according to the genders, age groups (children aged 10-12.9 yrs, early adolescents aged 13-15.9 yrs, and late adolescents aged 16-18.9 yrs.) and BMI level (< or ≥85th percentile for age and sex). Results: In 1919 (1024 boys) Korean children and adolescents, BMI was more strongly correlated with FMI than PBF (r = 0797 and r = 0.519, respectively all study subjects, P < 0.05), across all age groups, gender, and physiques. Conclusions: BMI is more highly correlated with FMI than PBF in Korean children and adolescents.","PeriodicalId":51699,"journal":{"name":"International Journal of Medical Research & Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71080389","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

BENEFITS VERSUS RISKS OF PROTON PUMP INHIBITORS: ARE WE OPENING THE CAN OF WORMS 质子泵抑制剂的益处与风险:我们是否打开了一罐蠕虫

International Journal of Medical Research & Health Sciences Pub Date : 2016-01-01 DOI: 10.5958/2319-5886.2016.00018.7

N. Tadvi, Sajid T Hussain, U. Ghaffar

{"title":"BENEFITS VERSUS RISKS OF PROTON PUMP INHIBITORS: ARE WE OPENING THE CAN OF WORMS","authors":"N. Tadvi, Sajid T Hussain, U. Ghaffar","doi":"10.5958/2319-5886.2016.00018.7","DOIUrl":"https://doi.org/10.5958/2319-5886.2016.00018.7","url":null,"abstract":"Proton pump inhibitors (PPIs) are one of the most commonly used drugs worldwide They are indicated for treatment of Gastro-esophageal Reflux Disease (GERD), acid peptic disorders, stress ulcers and prophylaxis of NSAID induced ulcers.[1] PPIs are more efficacious than other drugs like histamine -2 receptor blockers for the treatment of these disorders.[1] Though PPIs are highly potent and effective acid suppressors they are often misused and prescribed irrationally. The incidence of irrational use of PPIs varies from 40-70 % in different studies. [2] In one of our previous studies 58 % of PPIs prescriptions were irrational. [2] These findings become much more significant in the light of recent findings which suggest correlation of long term use of PPIs to myocardial infarction and kidney injury. [3,4] The PPIs may be deemed safe for short term use but chronic use carries risk of hip fractures, infection with clostridium difficle, community acquired pneumonia.[2] PPIs exposure in elderly population was also found to be associated with hyperparathyroidism in one recently conducted study.[5] The ongoing long term studies for assessing the safety and association of PPIs with various serious outcomes may open up a new can of worms. Keeping in mind the benefits as well as risks of proton pump inhibitors, clinicians should judiciously use these drugs in practice. The patients should also be educated regarding the adverse outcomes of PPIs on long term therapy as these drugs are easily available without prescription.","PeriodicalId":51699,"journal":{"name":"International Journal of Medical Research & Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71080188","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

THE IMPACT OF DIAGNOSTIC DISCREPANCIES IN AORTIC DISSECTION MANAGEMENT 诊断差异对主动脉夹层处理的影响

International Journal of Medical Research & Health Sciences Pub Date : 2016-01-01 DOI: 10.5958/2319-5886.2016.00023.0

Abdalla Hassan, Ahmad Zabad, C. Mercy, rasekaran, Abdul S Mohammed, Shafaq Mahmoud, P. Boddu

{"title":"THE IMPACT OF DIAGNOSTIC DISCREPANCIES IN AORTIC DISSECTION MANAGEMENT","authors":"Abdalla Hassan, Ahmad Zabad, C. Mercy, rasekaran, Abdul S Mohammed, Shafaq Mahmoud, P. Boddu","doi":"10.5958/2319-5886.2016.00023.0","DOIUrl":"https://doi.org/10.5958/2319-5886.2016.00023.0","url":null,"abstract":"Aortic dissection is uncommon with high mortality rate if untreated. We report a challenging case of long segment aortic dissection in which the dissection type was very difficult to identify due to limitations of the available imaging studies. 66-year-old male presented to us with 3 days history of chest pain and difficulty breathing. He is known to be hypertensive. In the emergency room, patient has systolic blood pressure >190. Chest X-ray showed widening of mediastinum. CT angiography of chest and abdomen showed an acute dissection of the thoracic aorta extending from the mid ascending aorta to the infra-renal aorta suggestive of Stanford type A aortic dissection. Transthoracic and Trans-esophageal echocardiography revealed a partially calcified intimal flap in the distal portion of the arch and in the descending thoracic aorta suggestive of Stanford type B aortic dissection. Medical treatment started, and repeated CT angiography was obtained and it confirmed type B aortic dissection. One week after discharge, patient was readmitted with severe neck pain and difficulty breathing. CT chest without contrast showed grossly stable appearance of type A dissection consistent with the first CT angiography. Cardiothoracic surgery immediately reevaluated the situation and recommended surgical intervention.","PeriodicalId":51699,"journal":{"name":"International Journal of Medical Research & Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71080320","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