A Pseudotumoral Presentation of Pancreatic Tuberculosis: A Case Report
M. Haida, Y. Chait, A. N’khaili, A. Ait Errami, S. Oubaha2, Z. Samlani, K. Krati
Sch J App Med Sci | 1489-1492
DOI : 10.36347/sjams.2021.v09i10.001
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Pancreatic tuberculosis is very rare, but recently there has been an increase in the number of reports of pancreatic tuberculosis involvement. It closely mimics pancreatic cancer, and before the advent of better imaging modalities, it was often detected as a surprise histologic problem in patients resected for suspected pancreatic malignancy. The usual presentation includes abdominal pain, anorexia with loss of weight, jaundice which may be associated with cholestasis, fever and night sweats, a palpable abdominal mass and lymphadenopathy. Computed tomography (CT) of the abdomen is an important tool in the assessment of patients with pancreatic tuberculosis. This imaging gives valuable information on the size and nature of tuberculosis lesions as well as the presence of ascites and lymphadenopathy. However, there is no distinguishing feature that distinguishes it from pancreatic carcinoma. In this regard, we report a case of pancreatic tuberculosis in its pseudotumoral form, revealed during an etiological assessment of chronic abdominal pain in a 23-year-old girl who had type 1 diabetes on insulin for 5 years as ATCD. The diagnosis was confirmed by the demonstration of gigantocellular epithelioid granulomas centered by caseous necrosis on surgical biopsies of the pre-pancreatic peritoneum and lymphadenopathy. The outcome was clinically and radiologically favorable after initiation of anti-tuberculosis quadruple therapy.
Original Research Article
Oct. 2, 2021
Chronic Myeloid Leukemia Update: The experience of the Military Hospital of Marrakech
Skali H, Lazrak FZ, Yahyaoui H, Ait Ameur M, Chakour M
Sch J App Med Sci | 1493-1496
DOI : 10.36347/sjams.2021.v09i10.002
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Background: Chronic myeloid leukemia (CML) is a clonal BCR–ABL1-positive myelo-proliferative disorder resulting from an acquired genetic mutation, characterized by the presence of the Philadelphia chromosome. CML is associated with significantly high granulocyte numbers in the bone marrow and peripheral blood. Methods and Material: This retrospective study conducted at the Hematology Laboratory of the Military hospital Avicenna in Marrakech aimed to assess the epidemiological, clinical and cytological profile of the CML. We have evaluated the demographic, clinical, and hematological data of 42 patients from January 2013 to May 2019. Results: A total of 42 cases of CML were included. The average age was 42 years. The male gender was predominant with a sex-ratio (M/F) at 3. The most frequent reason for consultation was splenomegaly (90%) either isolated or associated with a deterioration of the general condition and / or a hemorrhagic syndrome and / or thrombosis. All patients were diagnosed in the chronic phase. The complete blood count (CBC) had showed hyperleukocytosis exceeding 20G / l in all our patients. A normochromic normocytic anemia was showed in 96% of cases. Thrombocytosis in 14% of cases. All patients had smear myelemia blood. All patients underwent a myelogram, which revealed hyperplasia of the granular line with the presence of numerous dystrophic megakaryocytes. A cytogenetic study was performed in 20 patients (47,6% of cases) and which revealed the Philadelphia chromosome, thus confirming the diagnosis of CML in these patients. Conclusion: A patient with an increased WBC count, abdominal pain, left side distension, and hepato-splenomegaly should clearly be evaluated for CML. Exploration of CML in diverse populations can provide a deeper understanding of its molecular characteristics and thereby help in finding better treatment opportunities.
Original Research Article
Oct. 5, 2021
Risk Factors Identification of Hypertension among the Population in a Selected Rural Area of Patuakhali, Bangladesh
Dr. Ajoy Kumar Biswas
Sch J App Med Sci | 1497-1502
DOI : 10.36347/sjams.2021.v09i10.003
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Introduction: Non-communicable disease causes over 36 million deaths globally each year. And among the NCD deaths, over 82% of premature deaths occur in underdeveloped and developing countries. Some of the non-communicable diseases like hypertension, diabetes and asthma are emerging as a major health problem in Bangladesh. The Bangladesh government has given high priority to research these particular diseases. But although there are many global studies regarding the risk factors of hypertension, not much research has been done regarding the increasing risk of hypertension in rural areas. Aim of the study: This study aims to determine the risk factors and case detection of hypertension among the adults in rural population of Bangladesh. Methods: This was a cross-sectional study conducted in the rural area of Dumki upazilla of Patuakhali district. Sample population was selected following simple random sampling technique. Socio-demographic information, information about smoking, family history of hypertension status were collected using a pre-prepared questionnaire. Blood pressure, body weight and height of 255 individuals between the age range of 40-90 years of both sexes were measured and collected. Result: The prevalence of hypertension was 25.6%. The male prevalence was 26.8% and the female 23.2%. The Mean±SD of age 45±15.26, SBP 129.71±10.22, DBP 74.49±11.68 and for BMI 24.1±4.45. Increasing age higher BMI were positively associated with hypertension. Conclusion: The prevalence of hypertension in the rural population was found to be on the increase compared to previous reports of Bangladesh and other Asian studies. Advanced age, BMI, family history of hypertension, smoking were recognized as significant risk factors for hypertension.
Original Research Article
Oct. 5, 2021
Determination of Low Birth Weight using Mid Upper Arm Circumference and Chest Circumference
Fardush T, Shirin M, Ahmed F
Sch J App Med Sci | 1503-1510
DOI : 10.36347/sjams.2021.v09i10.004
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Introduction: Birth weight is a sensitive and reliable predictor of health in newborn babies. Determining the birth weight is extremely important because it can help in identifying babies who need emergency or special care after birth. According to WHO, a birth weight of <2.5kg is considered low birth weight for babies. But it is not always possible to measure the weight after birth, as, in many developing countries including ours, most childbirths happen at home, by the hands of traditional birth attendants, who don’t always have weighing scales with them. Also, in many health care centers, babies are not regularly weighed because of the lack of weighing scales. Because of this, anthropometric measurements are used to determine the LBW babies with very few tools that can be found almost everywhere. The present study was conducted to see different types of anthropometric measurements and their use in determining birth weight. Aim of the study: The aim of the study was to determine substitute methods for recognizing low birth weight babies where weighing scales are not readily available. Methods: This was a cross-sectional study conducted at the Dhaka Shishu Hospital during the period of July 2013 to December 2013 with a sample size of 306. Anthropometric measurements including weight, mid-upper arm circumference, and chest circumference were taken within 24 hours of life. The correlation coefficient was used to assess the association between birth weight and other anthropometric measurements. ROC was used. A p-value <0.05 was considered statistically significant. Result: This study was conducted with 306 neonates aged within 24 hours. The male-female ratio was 1.73:1. 56.9% of the neonates were aged between 7-12 hours. A total of 126 were preterm, and 180 were term neonates. Total low birth weight neonates were 48.4% and mean birth weight was 2.405±0.613 kg. Mid-upper arm circumference (r=0.936) and Chest circumference (r=0.922) had a significant correlation .......
Original Research Article
Oct. 6, 2021
Problematics in Medical Management of Digestive Cancers in Ziguinchor
M. A Thioubou, O. Sow, K. Diallo, M. L Bassène, Diallo S, M. N Gueye, M. P Fall, Dia D, Mbengue M
Sch J App Med Sci | 1511-1514
DOI : 10.36347/sjams.2021.v09i10.005
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Background: In Senegal, digestive cancers often cause an issue in their management, especially in semi-urban areas. The aim of our study was to evaluate the medical management of digestive cancers at Peace hospital in Ziguinchor. Patients and methodology: It was a retrospective study during 20 months, including all patients of medicine, general surgery and digestive endoscopy departments, with a diagnosis of primary digestive cancer. Data’s were collected and analyzed with Microsoft Excel. Results: Seventy and fourteen patients were included. There were 49 men and 25 women (sex-ratio 1,96). The average age was 45,2 years. Thirty and five patients (47,3%) presented a hepatocellular carcinoma. They all had a symptomatic treatment. Twelve patients died. An oesophageal cancer was diagnosed for 10 patients (13,5%). The tumor was located at upper third for 4 patients, middle third for 1 patient and lower third for 5 patients. The treatment was a feeding gastrostomy. A gastric cancer was diagnosed in 12 patients (16,2%). The tumor was in antrum for 8 patients (66,7%). A jejunostomy and a gastro-entero-anastomosis were realized for 2 patients. Ten patients (13,5%) had a colorectal cancer. The tumor was in lower rectum for 3 patients, middle rectum for 4 patients, upper rectum for 1 patient, rectosigmoid junction for 1 patient and right colon for 1 patient. A monobloc resection was realized for 1 patient. Four (4) patients had a colostomy. A pancreatic cancer was diagnosed for 7 patients (9,5%). Five patients (5) had a head cancer, one (1) had a tail cancer and another one (1) had a body-tail cancer. They all had a symptomatic treatment. Conclusion: In Senegal, primary digestive cancers are frequent in semi-urban areas especially hepatocellular carcinoma. The diagnosis is often delayed and the treatment is symptomatic. The primary prevention and a better local technical equipment would improve their management.
Original Research Article
Oct. 11, 2021
The three-stage Forehead Flap: A Gold Standard in Nasal Reconstruction
S. El Mazouz, S. El Harrak, J. Hafidi, N. Gharib, A. Abbassi
Sch J App Med Sci | 1515-1519
DOI : 10.36347/sjams.2021.v09i10.006
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The causes of nasal defects are dominated by skin tumors; surgical excision of these tumors sometimes leaves a large skin defect, which represents a challenge to the plastic surgeon for reconstruction. In this article, we will describe from a clinical case, the particularities of the three-stage forehead flap in nasal reconstruction as described by F. Menick, and we compare it with the classic technique in terms of aesthetic result.
Original Research Article
Oct. 11, 2021
Spectrum of MRI Findings of Brain Among Patients Attended in a Tertiary Level Hospital of Bangladesh.
Dr. Marufa Yasmin, Dr. A.K.M. Mizanur Rahman, Dr. Atiquzzaman, Dr. Mohammad Afjal Hossain
Sch J App Med Sci | 1520-1524
DOI : 10.36347/sjams.2021.v09i10.007
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Background: MRI can distinguish a variety of pathological conditions of brain like infarcts, tumors, haemorrhage, developmental and structural abnormalities, infections, inflammations, and vascular abnormalities. It can also detect functional status of V-P shunt, whether working or not. Aim of the study to assess the spectrum of MRI findings of the brain among the patients presenting with various clinical conditions. Methods & Materials: It was a prospective observational study conducted in the Dept. of Radiology & Imaging, Dr. Sirajul Islam Medical College and Hospital, Dhaka, Bangladesh during the period from January 2018 to December 2018. A total of 136 patients with several health problems were attended in the hospital and underwent diagnostic brain MRI. The ethical committee of the mentioned hospital has approved this study. Properly written consent was taken from each participant before starting data collection. A pre-designed questionnaire was used in patent data collection. All data were processed, analyzed, and disseminated by MS Office and SPSS version as per need. Result: Majority (58.82%) of the patients were of male sex. Elderly (>60 years) population comprised 38.2% of the participants. A significant number of patients had more than one pathological MRI findings. 49.6% participants had deep white matter ischemic changes. Mild to moderate degree of generalized cortical atrophy was found in 41.2% patients. Unilateral (8.4%) or bilateral maxillary sinusitis was evident in 17.6%. Acute infarcts were found in left/right (7.6%)/both cerebral hemisphere (6.9%); old infarcts were identified in right/left (5.3%)/both cerebral hemisphere (3.8%). Right-sided vestibular schwannoma were found in 2.3% participants. Besides these, some other minor MRI findings were observed among 45% of participants. MRI findings were unremarkable in 20.6% patients. Conclusion: Deep white matter ischemic changes (DWMI), mild to moderate degree of generalized cortical atrophy .....
Original Research Article
Oct. 11, 2021
Comparison of Efficacy between Sildenafil Alone and Sildenafil with Milrinone for Treatment of Persistent Pulmonary Hypertension of the Newborn
Maksudur Rahman, Nondini Rahman Nupur, Mohammad Abdulla Al Mamun, Md. Monir Hossain
Sch J App Med Sci | 1525-1532
DOI : 10.36347/sjams.2021.v09i10.008
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Introduction: In persistent pulmonary hypertension of the newborn (PPHN), some neonates do not response to single pulmonary vasodilator drug, so recently combination therapy is being tried to decrease pulmonary artery systolic pressure (PASP). The aim of the study was to compare the efficacy of oral sildenafil alone with combination of oral sildenafil and milrinone in neonates suffering from PPHN. Methods: This RCT study was conducted in Dhaka Shishu (Children) Hospital, from July 2018 to June 2020. Sixty eight (68) term and near term neonates aged <10 days (34 cases in each group) with moderate to severe PPHN were taken. Monotherapy with oral sildenafil was given in group-A and combined therapy with oral sildenafil and i/v milrinone in Group-B. Serial echocardiography was done at before starting the therapy, at 3 days and at 5 days of treatment. Data regarding baseline characteristics, clinical features, PASP, PO2, Spo2, hospital stay, mortality and others investigations were recorded and analyzed with SPSS version-26. Results: Post treatment PASP was significantly reduced in group A (sildenafil) and group-B (sildenafil plus milrinone) (p<0.05). But in combination group PASP was more reduced than monotherapy group (p<0.05). Within the group, the oxygen saturation and PO2 significantly improved in both groups (p<0.05) but no significant difference was found in between two groups (p>0.05). Adrenaline infusion, hypotension and less hospital stay were significantly seen (P<0.05) in combination group. Conclusion: Combined therapy with oral sildenafil and milrinone are more effective than monotherapy with oral sildenafil in reduction of PASP. Both therapies are effective in improvement of oxygenation.
Original Research Article
Oct. 11, 2021
Topical Testosterone Therapy Prior to Hypospadias Repair (Our experience at Queen Rania Al-Abdullah Hospital for Children)
Bahaa Abdallah, Salim Masadeh, Amer Alibrahim, Salameh Samawi, Omar Alyabrodi, Ahmd Alremony
Sch J App Med Sci | 1533-1536
DOI : 10.36347/sjams.2021.v09i10.009
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Objective: As hypospadias is one of the most common congenital male anomalies, furthermore, multiple approaches and methods of treatment were mentioned over the references, we tried to put our thumbs on one of the most preoperative steps which can be missed or has multiple debates during a discussion about it. Here in our study, we focused on the rule of topical testosterone treatment on multiple patients as an advantageous step to get a higher rate of success postoperatively side by side to achieve a good penile size intraoperatively. Deep detailed analysis of side effects of topical testosterone balanced with the duration of surgery, short and long-term outcome. Methodology: The study was carried out from January 2014 to January 2019 at Queen Rania Hospital for children, Amman, Jordan. The overall number was 182 patients. We divided them into two groups: (group A) 98 boys who did not receive the hormonal treatment and (group B) were referred to the patients who underwent the topical treatment and their number was 84. The age group was between 6 months and 6 years. Testosterone gel 1% was applied as a thin layer over the ventral aspect of the penis once daily for 3 weeks before surgery. The patient’s degree of hypospadias as glandular, coronal, distal shaft, and midshaft to illustrate the benefits on each group. The local and systemic side effects of the gel were documented. Concomitantly we measure the difference in penile length, glans width along with serum testosterone level before and after applying it. After that, the mean duration of surgery was measured. The common complications of surgery were listed as fistula, glans dehiscence, meatal stenosis and the number of each complication for each group was documented and analyzed. Results: There were good results related to the mean penile length and glans width no significant change related to the serum testosterone level. No valuable change upon the duration of surgery. Local skin pigmentation with ............
Radiosurgical Management of Sacral Chordoma: About a Case
A. Bazine, M. Elmarjany, M. Benlemlih, A. Maghous, A. Marnouche, M. Houmadi, KH. Andaloussi, KH. Haddadi, H. Sifat
Sch J App Med Sci | 1537-1540
DOI : 10.36347/sjams.2021.v09i10.010
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Chordoma is a locally aggressive malignant tumour originating from ectopic notochordal cells. The sacrum is a frequent anatomical site of chordoma and represents approximately 50% of all chordomas. Due to the richness in nerve structures, surgery for sacral chordoma is often incomplete, radiotherapy is generally indicated as adjuvant treatment. We report in this work the case of a 52-year-old man, who presented a sacral chordoma treated with surgery and radiation therapy on residual disease. We shed light on the place of combined treatment, combining surgery and radiotherapy in the treatment of sacred chordomas.
Original Research Article
Oct. 14, 2021
Quality of Life from the Perspectives of Older People Living in Nursing Home in Taif City, KSA
Suheir A.M.Sayed, Mona Mudhayyif Alqurashi
Sch J App Med Sci | 1541-1546
DOI : 10.36347/sjams.2021.v09i10.011
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In medical science, the quality of life has become increasingly relevant as an outcome. In order to enhance the quality of life, it is crucial to recognize what the elderly consider essential in their understanding of the quality of life. Descriptive cross-sectional facility passed study, Total coverage was taken (n=34), during 3 weeks, for female elderly residence in nursing home. Data collected through interview questionnaire ،Data collection by the researcher Study produced both qualitative and quantitative interview data. The 34 survey respondents were interviewed in their own homes with a semi-structured survey Instrument. The main quality of life themes that emerged were: 11.7 % from total defined the constituents of quality of life as a whole was very bad while 8.8 Considers as very good, Almost all respondents stated that their Life overall was bad, because of poor psychological wellbeing and outlook were sometimes associated with adverse life events , health of respondent was bad to very bad (32.3 % ), good health gave them a good quality of live, elderly women was a good social relationships, having enough money to meet basic needs, 23.5% from Respondents said she was bad control over life and freedom ‘she was depends on nurses. Our conclusion and recommendations was elderly women needs psychological and social support to enjoy life and to retain one’s independence and control over life.
Original Research Article
Oct. 15, 2021
Nurses Competences Regarding Nursing Care of Neonatal Sepsis 2019
Widad Ibrahim Abdelgadir, Suheir .A.M. Sayed, Salma Ammar Hassan
Sch J App Med Sci | 1547-1552
DOI : 10.36347/sjams.2021.v09i10.012
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Background: Neonatal sepsis is a serious problem causing high mortality in neonates. Neonatal sepsis has 2 type’s early onset neonatal sepsis which develop before 72 hours, and late onset neonatal sepsis which develop after 72 hours of birth. Methodology: This study aimed at assessing pediatric nurses' knowledge about neonatal sepsis. The sample size: was the total coverage consists of 30 nurses" which is the available number of pediatric nurses at the hospital during the study. The data collected: by using questionnaire and check list designed for the purpose of the study, and the data analyzed by using "SPSS". The result showed: (86.7%) of nurses knew the main cause of sepsis and mode of transmission of neonatal sepsis. Only (.16.7%) knew the prevention of neonatal sepsis, the nurses showed excellent performance (100%) advices mothers for cleaning. The study concluded the nurses have good knowledge and an excellent performance.
Original Research Article
Oct. 15, 2021
Prevalence of Bacterial Isolates Specimens from Suspected Patients of Urinary Tract Infection in Both Outpatient Department and in Patient Department in MMCH, Mymensingh, Bangladesh
Mahbuba Sultana, Shyamal Kumar paul, Md. Sharif Hossain, S. K. Saiful Alam, Md. Abdus Sabur Khan, M. A. Aziz
Sch J App Med Sci | 1553-1558
DOI : 10.36347/sjams.2021.v09i10.013
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Background: Urinary tract infection (UTI) is among the most common bacterial infections and posses significant healthcare burden. Escherichia coli is the most common cause of UTI accounting for about 70%% and a variable contribution from Proteus mirabilis, Pseudomonas aeruginosa and Klebsiella pneumoniae Patients are often treated as soon as bacteria are shown to be present by microbiological culture. Objective: To identify the prevalence of bacterial isolates specimens from suspected patients of urinary tract infection in both outpatient department and in patient department. Methods: This study was carried out in the department of Microbiology, Mymensingh Medical College during the period from July 2016 to June 2017. Urine specimens were collected and isolation and identification of major uropathogens (Escherichiacoli Klehsiella pneumonias, Proteusmirabilis, and Pseudomonas aeruginosa) were done by standard microbiological procedure a biochemical tests. The antibiotic sensitivity pattern of the isolate according to age and sex. Results: Out of 250 urine specimens, 200 specimens were isolated and identified by culture and different biochemical methods which were supported by microscopical examination and at the same time PCR could detect species specific genes in 201 specimens directly from urine of suspected UTI patient Escherichia coli was responsible as a leading causative pathogen in both outpatient department and in patient department with a higher prevalence of 71.8% for outpatient department. On the other hand prevalence of Proteus mirabilis was lowest and it was 1.8 % in outpatient population. Culture positivity of urine specimens was higher in female in both out patient population and inpatient population. Culture positivity of in patient population among the male (45.5%) was slighty higher than that of outpatient population (34.5%). The predominant age group suffered from UTI in case of outpatient population was >15-30 but for the in patient ..............
Original Research Article
Oct. 15, 2021
Evaluation the Pattern of Urosepsis and Bacteriuria after PCNL and URS in BSMMU, Dhaka, Bangladesh
Faruk Hossain, Selina Rahman, Mst. Habiba Khatun, Kazi Monisur Rahman, Col. Md. Ashif Chowdhury
Sch J App Med Sci | 1559-1564
DOI : 10.36347/sjams.2021.v09i10.014
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Introduction: In recent year, the incidence of sepsis and urosepsis has even increased, but the associated mortality has decreased suggesting improved management of patients. It is proven that the larger the stones, the greater the chance of acquiring infection (6%-10%), as well as an increased chance of postoperative sepsis. Objective: To assess evaluation the pattern of urosepsis and bacteriuria in patients undergoing PCNL and URS. Methods: This cross sectional study was carried out in Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh during the period of January 2018 to December 2019. Sampling technique was purposive and sample size was 71. Among them 24 patients for PCNL and 48 patients for URS were selected by selection criteria. Data were collected by interview of the patients, clinical examinations and laboratory investigations using the research instrument. Data were processed and analyzed using software SPSS (Statistical Package for Social Sciences) version 19.0. Incidence of bacteriuria and urosepsis were measured according to urine and blood culture report. Sensitivity pattern was also observed. Results: According to this study, the incidence of bacteriuria and urosepsis were (16.90%) and (5.6%) respectively, Of the 71 patients, 12 (16.90%) exhibited bacterial growth on urine culture, These 12 patients were then subjected to blood culture and 4(33.3%) of them were found positive. Most (83.4%) of the urine and blood infections (75%) were caused by E. coli. Some widely used antibiotics like moxicillin, Cephalexin and Ciprofloxacin were found 100% resistant in urine culture. Few sensitive antibiotics were Tobramycin (100 %), Amikacin and Ceftazidime (75%). Almost same sensitivity pattern was found in blood culture. In urosepsis, as in other types of sepsis. Urosepsis after PCNL and URS is an important and potentially catastrophic complication. Percuteneousne phrolithotomy (PCNL), Ureterorenoscopy (URS) occurs frequently in this .........
Original Research Article
Oct. 16, 2021
Biomarker Level of Oxidative Stress after Oral Supplementation of Vitamin C in Patients with Type 2 Diabetes Mellitus
Maksuda Akter, A. N. M. Jane Alam, Nafiz Imtiaz Uddin Ahmed
Sch J App Med Sci | 1565-1568
DOI : 10.36347/sjams.2021.v09i10.015
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Background: Diabetes mellitus is one of the most widespread endocrine disorders and its complications are increasing all over the world. Hyperglycemia causes excess free radicals generation leading to oxidative stress which is responsible for micro vascular and macro vascular complications. Serum malondialdehyde (MDA) level may reflect oxidative stress in type 2 DM. Vitamin C has been suggested to be an important antioxidant for scavenging oxygen-derived free radicals. Objective: To observe the effects of oral supplementation of vitamin C on biomarker level of oxidative stress in patients with type 2 diabetes mellitus. Method: From July 2015 to June 2016, a prospective interventional study was conducted in the Department of Physiology, Dhaka Medical College, Dhaka. A total of 33 diagnosed type 2 diabetic patients of both sexes with age ranging from 40 to 55 years were chosen. The study group consisted of 17 type 2 diabetic patients who received vitamin C (1000 mg/day) supplements for 6 weeks. Another 16 age-matched type 2 diabetic patients were used as a control group for comparison, with no vitamin C supplementation. All subjects in both groups were studied twice, once at the beginning of the study (baseline) and once after 6 weeks of study. Result: At the beginning of the study, the mean MDA level was almost identical, and the difference between the control and study groups was not statistically significant (baseline). The mean serum MDA level in diabetic patients was significantly (p<0.001) reduced after six weeks of vitamin C supplementation compared to their baseline value. Again, after 6 weeks, serum MDA level was significantly (p=0.002) lower in vitamin C supplemented patients compared to control group who were not supplemented with vitamin C. Conclusion: Supplementation of vitamin C is found effective in reducing the biomarker level of oxidative stress.
Original Research Article
Oct. 22, 2021
Contribution of Tomodensitometry in the Management of Cranio-Encephalic Trauma in Chme Luxembourg
Camara Mamoudou, Cisse Issa, Kone Abdoulaye Chomba, Camara Toumin, Diarra Amadou, Mariko Mahamane, Sanogo Souleymane, Konate Moussa, Sidibe Siaka
Sch J App Med Sci | 1569-1573
DOI : 10.36347/sjams.2021.v09i10.016
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Goal: We initiated this work with the aim of evaluating the cost and benefit of computed tomography in the management of craniocerebral trauma. Patients and Methods: This was a prospective study of 340 head trauma patients who underwent a brain scan at Luxembourg Hospital during the study period from April 1 to December 1, 2019. Result: During this study we collected 340 cases of cerebral CT scans for cranio-encephalic trauma, ie 10.36%. The average age of our patients was 22.14 years. Male dominated the study with a sex ratio of 2H / 1F. Pupils and students were the most affected socio-professional layer, ie 44.4% of cases. The most frequent aetiology was road accidents, ie 83.8% of cases. The symptoms that prompted the request for the CT scan were dominated by headache, ie 93.2% of cases. The time to complete the CT scan was between the 2nd and 6th hour after their admission to the ward. The cost of the brain scan of these patients amounted to 15, 300,000 FCFA (45,000F per person). On CT, a predominance of bone fractures was noted, ie 37.6% of cases. Intracerebral lesions were dominated by edema-hemorrhagic contusions (6.5%). Conclusion: The CT scan is the primary examination of an emergency head trauma patient. It provides a better understanding of the different types of cranio-encephalic injuries of traumatic origin, their topography and their importance. But the high cost of the scanner in our health facilities and the lack of an emergency aid service are factors that delay the urgent care of trauma patients.
Original Research Article
Oct. 22, 2021
Evaluate and Outcome Safety of Epidural Analgesia in Surgical Practice for Labour Pain: Study on Tertiary Hospital in Bangladesh
Dr. Mohammad Ali Chowdhury, Dr. A. K. M. Tanvirul Haque, Dr. Md. Abul Ehsan, Dr. Mithun Mahbub Khan, Dr. Jannatul Fardous, Dr. Abu Sayeed Al Mamun, Dr. Md. Ashraful Alam
Sch J App Med Sci | 1574-1580
DOI : 10.36347/sjams.2021.v09i10.017
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Background: It is possible to use epidural analgesia as a standard and efficient, reducing labor pain. Nevertheless, it might interfere with the body's natural process of giving birth. We wanted to see how labor went on behalf of female epidural analgesic patients that worked well in labor time, delivery method, and baby's health. Methods: This quasi-experimental study was conducted in the Department of Anaesthesia, Rajshahi Medical College Hospital, and Tertiary Hospital in Rajshahi, Bangladesh. From June 2018 to December 2020. We used a non-probability handy sampling approach to pick one hundred pregnant ladies. It was more convenient to split the participants into two groups of 50 each. The study included women of any time between conception and delivery at 37-41 weeks of pregnancy as a potential data source. This study examined the impact on labor progress, delivery method, and Apgar ratings of newborns using epidural analgesia in group B and non-epidural in group A in the lumber area. The second stage was normal for 77 Among individuals who underwent treatment. However, the second stage was extended for 23. Result: The epidural group consisted of 18 patients (36%), whereas the non-epidural group had 5 patients (10%). 4 patients (8%) experienced intrapartum problems in terms of epidural anesthesia, whereas the non-epidural group did not. In all, 65 Mothers gave birth to their children naturally by vaginal delivery, while 35 women gave birth using artificial means. The epidural group consisted of 29 patients (58%), while the non-epidural group had just 6 individuals (12%). Both groups of newborns had the Apgar test results: 8/10 (74.3%) and 9/10 (24.8%) at five minutes, and none of the babies in either group required bag or mask resuscitation. The average Apgar score for both groups was 8/10 (74.3%) and 9/10 (24.8%). Conclusion: Epidural analgesia improves an instrument's rate of delivery while prolonging the stages of childbirth. Epidural analgesia has minimal..
Original Research Article
Oct. 23, 2021
Prevalence and Risk Factors for Head Lice Infestation at Kaima Sunday School Children, Kauditan District, and North Minahasa Regency
Fransiska Lintong, Herlina Wungouw, Sonny Kalangi, Wahidah Ma’ruf
Sch J App Med Sci | 1581-1583
DOI : 10.36347/sjams.2021.v09i10.018
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The majority of head lice infestations occur in children, which results in social, economic and psychological impacts. Patients with louse infestation tend to experience psychological problems such as feeling ashamed, low self-esteem, isolated, fearful, and even frustrated due to the stigma of society that considers head lice infestation is synonymous with poor hygiene, poverty, and in children it is associated with a lack of attention from the sufferer's parents. Head lice are blood-sucking insects with a specific host that lives on the human head. This parasite cannot live outside the head for more than a certain period of time, because it must get food from the blood of its host. The prevalence of head lice infestation is still occurring throughout the world, especially developing countries. This study aims to identify the prevalence and factors causing head lice infestation in elementary school children. The research method is an analytical survey of Sunday school children in the village of Kaima, Kauditan District. After getting permission from the parents, children who met the inclusion criteria were examined with a fine comb and manually brushed the child's hair systematically from the temporal part of one side of the head to the other side. The examination was carried out on 99 Sunday school children consisting of 51 boys and 48 girls. The total number of children infected with head lice was 39 children (39.80 percent). Among the number of children infested, the girls amounted to 74.36% (29 children). Several factors were examined related to head lice infestation, namely gender, hair length, number of siblings, parental income, and parental education. Factors that were significantly related to head lice infestation were gender (p=000), hair length (p-0.009) and parental income (p=0.000). As conclusion, the prevalence of head lice infestation is still high with several risk factors. Management of the infestation needs to be done thoroughly by taking into ....
Original Research Article
Oct. 24, 2021
Study on P53 Expression in Association with Histopathological Grading of Ovarian Serous Carcinoma
Dr. Most. Fatema Khatun, Dr. Md. Zahangir Alam, Dr. Md. Bani Amin, Dr. Milan Kumar Saha, Dr. Shamima Hamid, Dr. Md. Samsuzzaman Khan
Sch J App Med Sci | 1584-1590
DOI : 10.36347/sjams.2021.v09i10.019
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Background: Ovarian cancer is a disease of significant morbidity and mortality. It is the most common cancer among women worldwide. Early and accurate detection and grading of ovarian serous carcinoma is of utmost significance for prolongation of patient survival. Panels of immunomarkers have been tested to overcome limitation of histopathology. Immunomarker p53 is commonly used among them. This study was undertaken to evaluate the significance of p53 immunomarker in ovarian serous carcinoma. Objective: Objective of this study to see p53 expression and its association with different histopathological grading of ovarian serous carcinoma. Method: This cross-sectional study was conducted in the Department of Pathology, Rajshahi Medical College, over a period of two years from July 2017 to June 2019. A total of 32 clinically suspected cases of ovarian carcinoma admitted in the RMCH and later on histologically confirmed as ovarian serous carcinoma were included in the study. Histories of the patient were obtained from the hospital records. Tissue biopsy from the site of lesion or operated specimen of tissue was fixed with 10% formalin and was processed stained with haematoxyline and eosin stain and was examined. Result: Immunohistochemistry was done for p53 from significant paraffin embedded block. Of the 32 cases 20 were histologically confirmed as high grade and the rest 12 were low grade ovarian serous carcinoma. In this present study, age distribution showed that, about 60% of the patients were within 2nd to 5thdecades.The mean age of the patients was 41.34 years. The sensitivity of p53 was found high (80.2%) in case of serous ovarian carcinoma and its different grade. Conclusion: The study concluded that p53 is a highly sensitive immunomarker for detecting the grade of ovarian carcinoma specially serous ovarian carcinoma.
Original Research Article
Oct. 24, 2021
Outcome of Fixation of Spondylolisthesis Grade I and Fusion with Bone Graft without Metallic Cage, Experiences in Private Hospitals
Dr. Md Mizanur Rahman, Dr. Md Mahfuzur Rahman, Dr. Sajedur Reza Faruquee, Dr. Mohammad Sadequr Rahman
Sch J App Med Sci | 1591-1594
DOI : 10.36347/sjams.2021.v09i10.020
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Background: Hard working people seldomly suffer from backpain may caused from spondylolisthesis. Objectives: The purpose of the present study was to find out the Clinical results and Status of radiological fusion of spondylolisthesis in Lumbar Spine. Methodology: This cross-sectional study was conducted at two private Hospitals, Islami Bank Hospital, Motijheel and Islamia General Hospital, Jatrabari, Dhaka, Bangladesh from January 2013 to June 2017for a period of 4.5 years and average follow up period is 5 years. Patients with diagnosed cases of Spondylolisthesis irrespective of age and sex were selected as study population. An elaborate history of the selected patient was taken with an emphasis of occupation, time of symptoms, past history of hard working. Inclusion criteria was unstable, degenerative spondylolisthesis grade I irrespective of age and sex, not previously treated by surgery and did not use metallic cages are recruited in this Study. Exclusion criteria was grade II and above grade, traumatic spondylolisthesis, previously surgically treated patients and planning to use metallic cage. Every patient was treated by fixation of listhetic spines, decompression by laminectomy and giving autogenous bone graft from spinous process and lamina without metallic cages. Result: A total number of 40 patients with Spondylolisthesis in lumbar spine were recruited. Out of 40 patients, 32(80%) patients were in the age group of 31-60 years that is active age group, The mean age was 45.92 years. Immediate post operative pain relief Significant and moderate (28+11) 97.5%, Post operative Radiating pain Improves almost Nil and mild (31+8) 97.5%, after six months follow up post operative radiological fusion achieved (36) 90%. Conclusion: In the management of unstable, degenerative spondylolisthesis grade I, Fixation, Decompression and putting autogenous bone graft without metallic cage is good option of treatment.
Herpes Zoster about 14-Month-Old Immunocompetent Infant
Ouajid Bakkali, Nour Mekaoui, Lamya Karboubi, Badr Sououd Benjelloun Dakhama
Sch J App Med Sci | 1595-1597
DOI : 10.36347/sjams.2021.v09i10.021
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Herpes zoster in children is a rare but often mild disease requiring only symptomatic treatment. Antivirals are exceptionally used for complicated forms, for ophthalmic localization or for immunocompromised patients. For the infant, it is most often an in utero contamination during a maternal chickenpox. We report a rare case of HZ in an immunocompetent 14-month-old infant with no history of chickenpox or its exposure in babies, other siblings, and the mother during or after pregnancy.
Original Research Article
Oct. 28, 2021
Impact of Mastectomy on Quality of Life and Sexuality in Moroccan Women: About 100 Cases with a Mini Review of the Literature
Mohamed Réda Khmamouche, Choukri Elmhadi, Tarik Mahfoud, Lamia Aalaoui, Anouar Mokhlis, Khaoula Alaoui Slimani, Rachid Tanz, Mohamed Fetohi, Karima Oualla, Aziz Bazine, Mehdi Toreis, Nawfel Mellas, M
Sch J App Med Sci | 1598-1604
DOI : 10.36347/sjams.2021.v09i10.022
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It is well known that breast cancer treatment and especially mastectomy can affect body image, and sexuality of women with breast cancer, as well as to provide a general understanding of their quality of life .A descriptive exploratory study was conducted in department of Medical oncology in Morocco with a sample of 100 post mastectomy women. Disturbance of body image with loss of self-confidence was reported in 58% of our patients and the feeling of depression was found in 48% of the patients. Sexual unsatisfaction was reported in 50% of the patients. The results of this study could contribute to the medical oncologists and other physicians of the QOL and sexuel side of women with breast cancer.
Twisting an Ectopic Spleen: About A Case in the General Surgery Department of Sikasso Hospital (Mali)
Diassana M, Coulibaly M, Traore B, Diallo A, Coulibaly MB, Sacko A, Kante M, Traore SA, Cissouma A, Sidibe M
Sch J App Med Sci | 1605-1607
DOI : 10.36347/sjams.2021.v09i10.023
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Pedicle torsion is the most common complication of ectopic spleen. The observation we bring was the case of a 20 year old lady admitted to the emergency room with an acute surgical abdomen picture evolving for about two years. Clinical examination revealed generalized abdominal pain and a mass in the right iliac fossa. The torsion of the spleen was suspected by the clinic, the abdomino-pelvic ultrasound and confirmed during an exploratory laparotomy. Intraoperatively the spleen was necrotic on a long twisted pedicle indicating a splenectomy.
Original Research Article
Oct. 28, 2021
Assessment of Cholelithiasis in Obese Patients on Grayscale Ultrasonography
Muhammad Farooq, Narjis Batool, Nosheen Arshad, Rehan Afsar, Abid Ali
Sch J App Med Sci | 1608-1618
DOI : 10.36347/sjams.2021.v09i10.024
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Background: Gallstones are concretions that can develop in any section of the biliary system, and cholelithiasis is when they affect the gall bladder. Gallstones are made up of bile that has built up in the gallbladder. Gallstones are one of the most common and costly gastroenterological disorders, posing a significant financial burden. Obesity and gallstone formation have been linked. The gold standard for cholelithiasis diagnosis is ultrasonography. Aim: To assess the cholelithiasis in obese patients on grayscale ultrasonography. Method: A prospective cross-sectional study sample of 151 patients, visited the hospital, during the research data collection period in Aziz Bhatti Shaheed Teaching Hospital, Gujrat. The results were evaluated by Ultrasound. Results: By performing ultrasound it has been evaluated that 89 patients had gall stones. In total, 25 patients had single G.B stone, 64 patients had multiple G.B stones, and 62 patients showed negative findings of G.B stone. 90 were females and 61 were male patients. The mean value of the age was calculated 49.64 ± 12.24 with a minimum age of 30 years and 80 years as a maximum of age. The mean value of the Height was calculated as 1.66 ± 0.07 in meters with minimum height of 1.55 meters and 1.85 meters as maximum height. The mean value of the weight was calculated as 86.3 ± 8.70 in kg with minimum weight of 73 kg and 110 kg as maximum weight. The mean value of the BMI was calculated as 30.85 ± 0.96 with minimum BMI of 30 and 34 as maximum BMI. In total, 5 patients had positive findings of sludge. Conclusion: In current study, feminine gender, a high BMI, and advanced age may all be risk factors for gallstone development. Females were spotted in greater numbers. The severity of cholelithiasis was exacerbated by a lack of awareness, information, and dietary education, as well as ignorance of the symptoms. If left untreated, it can lead to a variety of problems, including gallbladder cancer and other serious ...........
Original Research Article
Oct. 30, 2021
Frequency of Knee Joint Pathologies on Magnetic Resonance Imaging (MRI) In Lahore, Pakistan
Mahar Dawood Khan, Narjis Batool, Rehan Afsar, Nosheen Arshad, Abid Ali
Sch J App Med Sci | 1619-1628
DOI : 10.36347/sjams.2021.v09i10.025
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Background: The knee is the body's largest joint, and it can be affected by a variety of conditions including meniscal tears, ligament and bone damage, ulcerations, ruptures, and dislocations. Magnetic resonance imaging (MRI) is defined as a screening tool for identifying Knee Pathologies without the need for arthroscopy. Objective: To determine the frequency of knee joint pathologies on Magnetic Resonance Imaging (MRI) in Lahore, Pakistan. Material and Methods: Data was collected following inclusion criteria using convenient sampling technique. A total of 140 Patients undergone Knee MRI scans on MRI Machine 1.5T Phillips. Data was collected from Radiology Department of Sharif Medical city and analyzed on SPSS version 22. Frequencies of Knee pathologies were mentioned. For Categorical Data like Age Groups and Gender Mean, Median and Standard Deviation was applied. Results: Results were based on 140 Participants who had Knee Scan. In which the Male Patients were 57.1% and 42.9% Females. The highest frequency was in 36-45 among four Age groups having 54.3%. In Knee Pathologies the common Meniscal Injuries in Medial & Lateral have Longitudinal Tear as 18.6% & Horizontal tear as 12.9%. In Collateral Ligaments MCL have 7% Mesniscofemoral and LCL has 5.7% Mesniscofemoral Ligament Injuries. In ACL injuries 21.4% have complete rupture and 10% Partial Rupture in PCL. Patella has 27.1% chondromalacia while popliteal tendon has complete rupture of 8.6%. 15.7 Patients have Irregular Cartilage and 12.9% Ulceration. General and Local Synovitis in Synovia was 8.6%. Conclusion: In conclusion MRI diagnosis will enable patients to avoid arthroscopic interventional contrast procedures. The finding of this research supports the use of magnetic resonance imaging (MRI) in the diagnosis of internal knee diseases.
Original Research Article
Oct. 30, 2021
Haematological Effect of Ethanolic Extract of Earth Ball (Icacinia manni) in Wistar Rats: The Result of Vitamin C Co-Administration
Aribo, E. O, Udokang N. E, Udom U. G
Sch J App Med Sci | 1629-1636
DOI : 10.36347/sjams.2021.v09i10.026
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Background of study: Earth ball (Icacinia manni), a tuberous plant has found its application in the preparation of animal and bird feeds. Unfortunately there are conflicting information on its hematological effects when consumed by animals. So we decided to independently verify this and the possible effect of vitamin C on any haematological derangement since an earlier study suggests its reproductive toxicity could be due to oxidative stress. Methodology: Twenty male wistar rats were randomly assigned into four groups of 5 rats each. Group 1 was control, group 2 the low dose Icacinia manni, group 3 the high dose Icacinia manni while group 4 was the high dose Icacinia manni + vitamin C groups. All rats had access to potable water and rat feeds ad libitum. At the end of the treatment period (28 days) animals were anaesthesized and blood collected for evaluation of hematological indices Results: Our results showed a significantly increased hemoglobin concentration in the high dose group compared with each of control, low dose and high dose + vitamin C groups (P<0.05 in each case). Red blood cell count was significantly higher in the high dose extract-treated (P<0.05) and high dose extract-treated + vitamin C (P<0.05) groups compared with control. Hematocrit level was significantly increased in the high dose group compared with control (P<0.05). There were no significant differences in the mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, red cell distribution width, platelet count, total white blood cell count, neutrophil count and lymphocytes count. Monocyte count in all Icacinia manni treated groups was significantly decreased (P<0.05 each) compared with control. Eosinophil count was significantly decreased in high extract treated group compared with control (P<0.05). Conclusion: In conclusion, extract of high dose Icacinia manni tuber has negative and in other cases positive effects on some hematological indices, ......
Original Research Article
Oct. 30, 2021
The Fate of Double J Stent Used in Pyelolithotomy and Uretero Lithotomy
Dr. Md. Abu Bakar Siddiq Faysal, Dr. Biplab Kumar Barman, Dr. Md. Iftakhar Alam, Dr. Dipannita Biswas, Dr. Md. Kamrul Hasan, Dr. Muhammad Mehedi Hasan
Sch J App Med Sci | 1637-1641
DOI : 10.36347/sjams.2021.v09i10.027
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Background: In Bangladesh there is no complete data which would reflect the idea about the fate of double J stent used in pyelolithotomy and ureterolithotomy. Methods: This was a prospective observational study, conducted at the Department of Surgery, Comilla Medical College Hospital, Comilla, during the 6-month period of June 2013 to November 2013. Fifty patients diagnosed with Nephrolithiasis & ureterolithiasis admitted at the respective hospital were selected as the study sample. Proper informed consent was taken before the data collection from the concerns. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences (SPSS-22). Result: Among the 50 patients studied, >50% of the patients were distributed among the age group of 31-40 years and next was 21-30 years. 35 patients of the series were male (70%) and 15 were female (30%). In this series, male to female ratio was 2.33:1. Among the 50 stented patients, stone was located in kidney in 30 pts (60%), in upper ureter in 10 pts (20%), in mid and lower ureter in 4(8%) and 6(12%) patients respectively. In this study, the commonest indications of D J stenting were after pyelolithotomy, following ureteroscopy for obstructive uropathy due to ureteric stone. In this study, irritative voiding symptoms like dysuria, frequency/urgency occurred in 20% and 24% respectively, and haematuria in 10% of patients. Stent encrustation in 1 (2%), stent migration in 3 (6%), stent fracture in 1 (2%), urinary infection in 2(4%) and stent colic in 1(2%) were the complications noted. Conclusion: Ureteral stents are a convenient means of drainage for the upper urinary tract. However, their use is not devoid of side effects. Stent placement results in considerable morbidity in the form of irritative lower urinary tract symptoms. The side effects associated with ureteral stents must be kept in mind when deciding on stent placement and dwell time. ............
