Original Research Article
Nov. 4, 2021
Prevalence of Bacterial Biofilms in Patients of Chronic Rhino Sinusitis (CRS) with or Without Nasal Polyposis
Bashir Ahmad Malik, Rashad Rafiq Matto, Saba Fatima Khanam
Sch J App Med Sci | 1642-1645
DOI : 10.36347/sjams.2021.v09i11.001
Abstract
PDF
Full Texts
e-Pub
Background: Objective. There is growing evidence that bacterial biofilms may play a role in certain cases of recalcitrant CRS that do not respond to traditional medical and surgical therapies. Aim: The aim of this study was to determine the prevalence of biofilm-forming bacteria in clinical isolates of CRS patients with or without nasal polyposis. Methods: A Prospective observational study conducted in the Department of ENT & HNS GMC Srinagar and Department of Microbiology, from September 2018 to August 2020. 60 patients were enrolled in this study who reported to ENT & HNS OPD of Govt. Medical College Srinagar and diagnosed with CRS according to “clinical practice guidelines” 2015 criteria, and were willing to participate in the study. Samples were harvested in the OPD and/or intraoperatively for microscopic examination to determine biofilm presence. Statistical analysis was performed. For all statistical tests, P = .05 was considered significant. Results: In this study on 60 patients Biofilms were present in 32 (53.3%) patients whereas in 28 (46.7%) patients Biofilms were absent (includes 14 culture positive and 14 culture negative patients). Biofilm formation was detected by three different phenotypic methods. Biofilm detection rate were highest by Tissue Culture Plate (TCP) method (56.3%) followed by Tube method (TM) as (46.9%) and Congo Red Agar (CRA) method as (43.8%). Conclusion: This study further elucidates the prevalence of bacterial Biofilms in sinonasal mucosa of CRS patients as Biofilms existed in 53% of the patients under study.
Management of Vitamin D Deficiency
Dr. Omar Al-Qubaisy, Dr. Nabel Al-Shishachi
Sch J App Med Sci | 1646-1656
DOI : 10.36347/sjams.2021.v09i11.002
Abstract
PDF
Full Texts
e-Pub
Vitamin D is a steroid hormone classically involved in the calcium metabolism and bone homeostasis. Vitamin D is produced by skin exposed to ultraviolet B radiation or obtained from dietary sources, including supplements. Vitamin D Deficiency is the most common nutritional deficiency worldwide, characterized by serum 25-hydroxyvitamin D <20 nanograms/mL. Vitamin D insufficiency is regarded as a serum 25-hydroxyvitamin D level between 21-29 nanograms/mL. The causes for vitamin D deficiency include those with inadequate sun exposure, limited oral intake, or impaired intestinal absorption .The other causes of D deficiency might be inherited disorders that either reduce or prevent the metabolism of 25-hydroxyvitamin D to 1,25-dihydroxyvitamin D, these disorders are present with biochemical and skeletal abnormalities, but in a more severe form. Most patients are asymptomatic. Severe prolonged vitamin D deficiency causes growth retardation and rickets in children and osteomalacia, osteopenia, and osteoporosis in adults. Moreover, in the last decades, several extra skeletal effects which can be attributed to vitamin D have been shown. These beneficial effects will be here summarized, Both vitamin D deficiency and vitamin D insufficiency are corrected by giving vitamin D2 or vitamin D3 in treatment doses followed by lifelong maintenance doses; adequate, sensible sunlight exposure should be encouraged. This review outlines strategies to prevent, diagnose, and treat vitamin D deficiency in adults and children.
Original Research Article
Nov. 6, 2021
To Determine the Predisposing Factors, Clinical Features, Bacteriological, Radiological Features of Community Acquired Pneumonia and its Complications
Dr. Kothapally Sai Dhedeepyaa, Dr. K. Ramesh Kumar, Dr. Ranganath D, Dr. Mohd Ansar Hussain, Dr. G. Shreya Reddy
Sch J App Med Sci | 1657-1664
DOI : 10.36347/sjams.2021.v09i11.003
Abstract
PDF
Full Texts
e-Pub
Community acquired pneumonia is one the most common acute infections requiring admission in hospital. It is major cause of mortality and morbidity. Incidence of community acquired pneumonia is increased with age, Smoking and Diabetes. Communtiy acquired Pneumonia with Parapneumonic effusion is common feature. High index of suspicion, good clinical examination and necessity intervention in ICU are life saving with low mortality. We made an attempt to understand the mode of presentation, its clinical features, bacteriological and radiological features for the early detection of disease and emphasis is given to know causative agent and its complications.
Original Research Article
Nov. 8, 2021
To Study the Role of Gene Xpert in the Diagnosis of Tuberculous Cervical Lymphadenitis
Dr. Prashanti Repalle, Dr. K. Ramesh Kumar, Dr. Ranganath Deshpanda, Dr. Stephen Anand
Sch J App Med Sci | 1665-1673
DOI : 10.36347/sjams.2021.v09i11.004
Abstract
PDF
Full Texts
e-Pub
Role of Gene Xpert in the diagnosis of Tuberculous Cervical Lymphadenitis was determined and compared with FNAC. Female preponderance is seen in present study in the cases of cervical lymphadenopathy. Caseous material of the lymph nodes had a higher yield. CBNAAT with FNAC is highly effective in the diagnosis of Tuberculosis. CBNAAT has an important role in the diagnosis of Extra Pulmonary Tuberculosis.
Original Research Article
Nov. 11, 2021
Docosahexaenoic Acid Prevents SiNPs Induced Alterations in Male Reproductive Hormones in Rats
Raghev Langeh, Manoj K Maurya, J Anuradha, R Sanjeevi, Rohin Sanjeevani, Sandeep Tripathi, Dushyant Singh Chauhan
Sch J App Med Sci | 1674-1679
DOI : 10.36347/sjams.2021.v09i11.005
Abstract
PDF
Full Texts
e-Pub
Silica nanoparticles (SiNPs) are found to be toxic during excessive exposure for both human and animals (Fan et al., (2006). The main routes of exposure are air, drinking water and other environmental factors (Leung et al., 2012). It is reported that SiNPs decreased the sperm number and sperm motility rate, sperm malformation and apoptosis in the testicle spermatogenic cells in rats (Ying et al., 2014). Aim of the present study is to evaluate deterioration induced by SiNPs in male reproductive hormones. In the present study, 40 and 80 mg SiNPs were exposed to rats for 60 days. At the end of the exposure period serum were removed from the blood for the investigation of reproductive hormones such as Folicle stimulating Hormones (FSH), Leutinizing Hormones (LH), Testosterone (TT) and Prolactin (PROL) in both control and experimental rats. In the present study it was found that LH, FSH, Testosterone and Prolactin values significantly alters SiNPs exposed groups when compared with control groups. We also found that epididymal sperm count was decreased significantly in the experimental groups. On the basis of results it may be concluded that the interperitoneal injection of SiNPs alters the male reproductive hormones, which further deteriorate the spermatogenesis.
Original Research Article
Nov. 12, 2021
The Prevalence of Fetal Growth Restriction in Pre-Eclampsia Patients Kustia Medical College and Hospital
Dr. Monorama Sarkar, Dr. Bipul Kumar Biswas, Dr. Jesmeen Akhtar, Dr. Mst. Jesmin Sultana
Sch J App Med Sci | 1680-1684
DOI : 10.36347/sjams.2021.v09i11.006
Abstract
PDF
Full Texts
e-Pub
Objective: In this study our main goal is to evaluate the prevalence of fetal growth restriction in pre-eclampsia patients Kustia Medical college and hospital. Method: This cross-sectional study was conducted from March 2018 to 1st May 2019. A total of 312 with complicated pregnancy complicated by pre-eclampsia were included as sample populations. During data collection, severe pre-eclampsia was defined according to the ACOG guidelines were followed. Results: During the study, majority were belonging to 18-21 years age group. 96.15% patients were housewife and 48.72% patients just passed their secondary level of educations. 73.3% cases were 35-37 weeks of gestational age. According conditions they were faced where 48.07% patients undergone disturbance of sleep followed by 48.07% cases face oedema of leg, 46.47% had headache, 48.71% had Epigastria pain, 9.62% had eye symptoms. Conclusion: While severe early-onset pre-eclampsia is a rare pregnancy complication, concurrent FGR complicates a large proportion. In terms of clinical reassurance, the presence of FGR was not related with a more severe maternal pre-eclamptic presentation in our group, but it was associated with newborn mortality. The precise underlying aetiology that results in their common appearance is still being studied.
Caesarean Myomectomy - Intracavitary Enucleation through Lower Segment Incision
Dr. Indrani Roy, Dr. Punam Jain
Sch J App Med Sci | 1685-1686
DOI : 10.36347/sjams.2021.v09i11.007
Abstract
PDF
Full Texts
e-Pub
Routine caesarean myomectomy is not a standard procedure and has been condemned in the past due to fear of uncontrolled haemorrhage and peripartum hysterectomy. However, it may be considered a safe option in carefully selected cases in the hands of an experienced obstetrician. In this case, we describe a 35-year-old primigravida posted for elective caesarean section in view of breech presentation. Intraoperatively a 6 *7 cm anterior intramural fibroid was noted which was removed by intracavitary approach through lower segment uterine incision, thus reducing uterine scar and future adhesions. Increasing evidence suggests that myomectomy can be performed concurrently with caesarean section without an increased risk of blood transfusion or hysterectomy.
Original Research Article
Nov. 13, 2021
Gabapentin and Prevention of Post-Operative Nausea and Vomiting (PONV)
Dr. Saiful Mahmud Tusher, Dr. Panna Lal Saha, Dr. MD. Nazmus Sakeb Chowdhury, Dr. MD. Emdad Hossain, Dr. Nuzhat Ara, Dr. Sushmita Biswas, Dr. Sultana Nasrin, Dr. Halima Khanam, Dr. Sazia Afrin
Sch J App Med Sci | 1691-1697
DOI : 10.36347/sjams.2021.v09i11.009
Abstract
PDF
Full Texts
e-Pub
Background: Postoperative nausea and vomiting (PONV) is a major complication after abdominal surgery. Gabapentine has versatile role in case of convulsion and neuropathic pain management. Recently it has been used for the prevention of PONV. Objective: To evaluate the action of prophylactic gabapentin in preventing PONV in Laparoscopic cholecystectomy patients. Methods: It was a randomized placebo-controlled, double-blind study conducted in the Department of Anesthesiology, Dhaka Medical College Hospital from August 2016 to January 2017. A total number of 220 patients were selected by purposive sampling. They were divided into 2 Each group 110. After obtaining a detailed history, General physical and systemic examinations were done for all enrolled patients, after obtaining a detailed history and relevant investigations were done. The results were tested by chi-square test to see their level of significance level at <0.05. Results: Of the 220 patients, 51.81% male and 48.18% were female patients respectively belonged to the study group whereas 55.45% and 44.54% were male and female patients. The mean age of the study group and control group were 45.31±13.63 and 47.03±15.51. The mean BMI in both groups was 23.69±3.12 and 24.17±4.73. The mean arterial pressure in both groups was 96.73±8.19 and 93.35±6.37. The total mean of intravenous fluid study and control group were 1233.7±29.5 and 1139.83±55.69. The total duration of surgery in the study group was 51.77±3.95 and the control group was 46.63±7.89. From the point of view of PONV, gabapentine has shown significantly higher efficacy than placebo (P=<0.05). Out of 53 patients affected by PONV in the study group 13(24.52%), 30(56.60%), and 10(18.86%) patients were categorized as mild-moderate and severe PONV whereas 29(26.36%) 71(64.54%) and 20(18.18%) were upholder as their counterpart in the control group. In severe grade, there was no statistically significant difference found between the groups but in mild...........
Original Research Article
Nov. 16, 2021
Study on Repeat CT Scans in the Traumatic Brain Injury Management
Dr. Tofael Hossain Bhuiyan, Dr. Hafiza Sultana, Dr. Md. Ruhul Moktadir, Dr. Md. Taifur Rahman
Sch J App Med Sci | 1698-1703
DOI : 10.36347/sjams.2021.v09i11.010
Abstract
PDF
Full Texts
e-Pub
Introduction: In recent trauma practice, a Computed Tomography (CT) scan is the initial study of choice to regulate the type, extent and severity of traumatic brain injury as well as to control the management protocol. There are no guidelines on the necessity of repeat CT scan. Objective: Our main aim in this present study was to determine whether serial CT scans demonstrated momentous change from the findings in the first CT scan and whether repeat scans had influence on management possibilities. Methodology: This cross sectional study was carried out at Department of Neurosurgery, Rangpur Medical College Hospital, from January 2016 to June 2017 where 80 patients’ data were evaluated on the basis of their history, clinical examination. On admission, a detailed history of the illness was taken from the patient or attendant, thorough neurological and general examinations were carried out, and findings of the performed investigations were recorded. On admission GCS were recorded. Result: In the study, out of all patients of group I maximum 40% patients belonged to 25 to 34 years age range and in group II maximum 35% belonged to 25 to 34 years age group. Also group I, 95% were male and 5% were female and in group II, 92.5% were male and 7.5% were female. Conclusion: From our result, we can conclude that for detecting new lesions or enlargement of existing lesions in traumatic brain injury repeat CT scans were found to be of significance which results in changing of management in a substantial percentage of patients.
Original Research Article
Nov. 16, 2021
A Comparative Study between Knowledge and Practice of New-Borne Care and Child Health Care by the Rural Mothers and to Seek its Relationship with the Selected Demographic Variables in Tripura, India
Dr. Ashok Kumar Dhanwal, Maitri Chaudhuri
Sch J App Med Sci | 1704-1709
DOI : 10.36347/sjams.2021.v09i11.011
Abstract
PDF
Full Texts
e-Pub
Background: More than half of child deaths are due to conditions that could be easily prevented or treated given access to health care and improvements to their quality of life. Materials and Methods: The descriptive approach was thought to be most appropriate for the present study. A Structured Interview Schedule for collecting information regarding knowledge of rural mothers regarding new-borne care and child Health care which consist of back ground data of the study participants. The study period was from March’ 2021 to July’ 2019. Results: There is significant association between knowledge score with socio-demographic variables except caste (8.31) and occupation of the rural mothers (5.14). There is significant association between practice score with socio-demographic variables except caste (10.58) and education (7.05) of the rural mothers. There is a significant comparison at 0.05 levels between knowledge and practice of the study participants regarding new-borne care and child health care. Conclusions: 451(90.2%) participants have excellent knowledge for new-born care and child health care.327 (65.4) participants are practicing the new-born care and child health care effectively.
Original Research Article
Nov. 18, 2021
BMI Status in Hypertensive Patients: Study in a district level hospital, Rangpur, Bangladesh
Dr. Md. Liakat Ali, Dr. Umme Habiba, Dr. Md. Mahfuzer Rahman, Dr. Ashraful Haque, Dr. Md. Ruhul Amin Sarkar, Dr. Md. Al Fatah Al Adiluzzaman
Sch J App Med Sci | 1710-1715
DOI : 10.36347/sjams.2021.v09i11.012
Abstract
PDF
Full Texts
e-Pub
Introduction: Coronary and cardiovascular illnesses are among the leading causes of death globally. Cardiovascular illnesses have several causes and risk factors, one of which is hypertension, often known as high blood pressure. It is one of the illnesses for which there are no obvious symptoms or a cure. As a result, it is frequently identified in its advanced form, with severe symptoms. Socioeconomic variables, among many others, are one of the causes of hypertension. However, the specific relationship between socioeconomic level and hypertension has not been determined, as numerous researches provide contradictory results. Body weight has often been connected to hypertension and cardiac damage, and the present study was conducted to observe the. Aim of the study: The aim of the study was to observe and evaluate the effects of body weight in select hypertensive patients. Methods: This was a cross-sectional analytical study conducted at the Department of Medicine, Rangpur Medical college Hospital, Rangpur, Bangladesh during the period from January 2016 to December 2016. The study was conducted with 252 participants selected by random selection method among the participants admitted into the study hospital. The study only contained participants of Hypertension Stage 1 or above. Result: The age range of the participants was from 18-67 years, with 57.14% belonging to the age group of 21-39 years. The male: female ratio was 5.14:1. 67.86% of the participants had a sedentary work life, and 46.03% of the participants were overweight, with only 8.73% being obese. Excessive salt intake, family history of hypertension and smoking were some of the major additional risk factors. A good level of knowledge regarding HTN was present in only 50% of the participants, with excellent knowledge present in 13.10%. Conclusion: Increasing bodyweight has a positive relation with hypertension prevalence, and leading a sedentary lifestyle also increases the risk of hypertension. ..........
Glomus Tumor of the Posteromedial Face of the Wrist: A Case Report
Mbarek Akanou, A. Neqrachi, S. Mouktabis, T. Ahuary, F. Zouaidia, R.A. Bassir, M Boufettal, M. Kharmaz, M.O. Lamrani, M. S. Berrada
Sch J App Med Sci | 1716-1718
DOI : 10.36347/sjams.2021.v09i11.013
Abstract
PDF
Full Texts
e-Pub
Glomus tumors are very rare benign neuro-myoarterial proliferations. They are often located in the fingers in 35% of cases, the extra-digital location of glomus tumors are extremely rare and difficult to diagnose because of their atypical clinical signs and the absence of specific imaging, leading to a delay in diagnosis and treatment. Surgical treatment by complete removal of these tumours ensures a total disappearance of pain and therefore of their functional repercussions. No recurrence in 89.5%. We report a case of glomus tumor of the posteromedial aspect of the wrist, discovered by chance after surgical removal in a 71-year-old woman.
Original Research Article
Nov. 23, 2021
A Comparative Study on the Effect of Regular Intake of Caffeine on Hand Steadiness Test in Right Hand Dominant Females
Dr. Madiha Mehvish
Sch J App Med Sci | 1719-1722
DOI : 10.36347/sjams.2021.v09i11.014
Abstract
PDF
Full Texts
e-Pub
Caffeine is a CNS stimulant affecting normal cellular functions and increase energetic metabolism throughout the brain by enhancing alertness. Steadiness Tester – 9 Holes measures one of the aspect of psychomotor phenomena of steadiness. Our study was done to find out the difference in hand steadiness between caffeine users and non -caffeine users. Our study was done on 60 subjects aged between 18-45 years. All the subjects were females. 30 subjects were included in group A as only caffeine users and 30 were Tee totaller acting as controls under Group B. consent was obtained from all the volunteers. All the subjects were tested on a standard laboratory 9 hole steadiness tester. Subjects were asked to hold a stylus in a series of holes decreasing from 12.5 mm to 2.5 mm without touching the sides of the holes. The number of contacts or errors during the test were noted. The results showed that group B were steadiest in comparison to Group A. Statistically significant differences was found in the hole 4 at p< 0.05 and highly statistical significant results obtained from holes 5 to 9 at p≤0.001. Group B controls were steadier than Group A due to non-consumption of tobacco, alcohol, caffeine and any type of drug abuse.
The Fundamentals of Imaging with Cone Beam Computed Tomography
Yagnik Nisarg Sunilkumar
Sch J App Med Sci | 1723-1726
DOI : 10.36347/sjams.2021.v09i11.015
Abstract
PDF
Full Texts
e-Pub
In the last few decades, the need for three-dimensional imaging in dentistry has been realized. Because of this, computed tomography, initially applied to medical imaging, started to be used in dentistry. This allowed the dental conditions to be diagnosed with 3D images. But computed tomography was hospital-based, expensive, and resulted in high radiation dose to the patients. In the late 1990’s, a new technology cone beam computed tomography was developed specifically for the dental radiographic imaging. This enables a wider use of 3D imaging for dentists worldwide. This article describes the history of CBCT, fundamentals, position, image intensifiers, field of view, and measurements with CBCT. It also discusses the ethical and legal considerations with CBCT.
Original Research Article
Nov. 24, 2021
Has Locally Consumed Grasshopper in Abuja, Nigeria, Any Therapeutic Value on Arthritis Disease, Public Health Wise?
Ajobiewe JO, Ajobiewe HF, Ajobiewe CD, Umeji L, Ogundeji A, Alexander P, Ajobiewe P
Sch J App Med Sci | 1727-1735
DOI : 10.36347/sjams.2021.v09i11.016
Abstract
PDF
Full Texts
e-Pub
Arthritis is fast becoming chronic disease of rheological and compromised public health consequences, most especially on the quality of human corporate life and existence. The aim of this current study is simply to consider the level of awareness of the therapeutic effects, if any, of Grasshoppers on Arthritis. To some ethnic groups, insects provide 5–10% of protein, fat, calories, vitamins and minerals per year. This work’s main objective is to critically appraise the level of awareness of the food value of Grasshoppers and its therapeutic potentials on arthritis patients. As useful information on these parameters could suggest the fountain and the basis of these claims and assertions. The method adopted in this current study randomly assigned and administered informed consent questionnaires to unisex participants attending some four hospitals’ orthopedic departments within F.C.T. Abuja in Nigeria. Also they were fed with 25g of fifteen roasted grasshopper daily as afternoon snacks for eight months continuously without break. Using the unpaired t-test, we observed that the percentage curative rate in these unisex volunteers, though very high, showed no significant difference among the male and female participants aged 40 to 80 years (P>0.05). Majority of those interviewed within the community randomly selected actually seem to know about the importance and the usefulness of Grasshopper as far as therapeutic and food potentials are concerned.
Original Research Article
Nov. 24, 2021
Seroprevalence of HIV Infection among Pregnant Women Attending Antenatal Clinic in General Hospital Kumo, Gombe State Nigeria
Ajobiewe JO, Ajobiewe HF, AjobieweCD, Yashim NA, Oguji C, Ogundeji AA, Sidi II, Omogah PO
Sch J App Med Sci | 1736-1739
DOI : 10.36347/sjams.2021.v09i11.017
Abstract
PDF
Full Texts
e-Pub
Seroprevalence of HIV among pregnant women attending antenatal clinic in Kumo General Hospital was studied in 350 sera. The sera were obtained from women of different age group, occupation, social background including tradition (by tradition we mean people’s ways of life common in that locality). Screening was carried out using Abbot determine test strips and Gene 11 HIV 1 and 2. The Bio-data information of the women was gathered through questionnaire administration. Out of the 350 sera collected, 12(3.4%) were reactive for HIV. There was high prevalence among age group 21-30 (2.1%) followed by age group 11-20 (0.9%). High prevalence was also observed among the unemployed pregnant women (2.1%). Women who had no risk factor were also noted to have had high prevalence (1.7%); Spouses of seropositive pregnant women and those with no risk factor had 42% and (33%) prevalence respectively.
Original Research Article
Nov. 24, 2021
Healing Potency of Different Honey on Wound and Skin Infections Collected from Three Selected Hospitals in Nigeria
Ajobiewe PT, Malaan YD, Ajobiewe JO, Yashim NA, Sidi II, Nwodo PT, Ajobiewe HF, Alexander P, Eke KI, Oguji C, Ogundeji AA
Sch J App Med Sci | 1740-1744
DOI : 10.36347/sjams.2021.v09i11.018
Abstract
PDF
Full Texts
e-Pub
The remarkable activity of honey varieties in inflammatory complications is increasingly favorable due to its ability to induce antibodies to produce cytokines in eliminating bacterial infection and other related skin irritations. We investigated this assertion earlier documented in different studies about the potency of honey varieties in four selected hospitals within Nigeria. We also observed in this current work that the potency of honey obtained from different sources varied due to its composition of acids and proteins. Statistical technique, such as ANOVA was used to compare the mean difference of potency of honey in four selected hospitals within Nigeria. The test showed that the mean difference of the potencies of honey in three selected hospitals are not significant (P>0.05). The result of our in-vitro studies showed that honey had powerful antibacterial activities against different species of bacteria. We thus, concluded and suggested that among the countless varieties of honeys produced worldwide, some might have superior antibacterial activities that were yet to be discovered.
An Interesting Case of Acute Chorioretinitis Due to Ocular Toxoplasmosis
Dr. K. EzhilVendhan, Dr. Aparajita Gautam, Dr. Harshitha S Logesh, Dr. Kamala Balakrishnan
Sch J App Med Sci | 1745-1749
DOI : 10.36347/sjams.2021.v09i11.019
Abstract
PDF
Full Texts
e-Pub
Ocular Toxoplasmosis is a recurrent and progressive necrotizing retinitis that can cause blindness. In most cases, it manifests as a localised retinochoroidal lesion and is the most prevalent cause of posterior uveitis worldwide. Ocular infection is relatively common, with the majority of cases being asymptomatic. As a result, it's important to draw attention to this blinding disease that might go undetected, as well as the preventative actions that can be taken to avoid vision impairment. We report a case of a 35 years old female came with complaints of defective vision in both eyes for past 2 months which was acute in onset and painless in nature. There was history of similar episode 1 year back with no history of any treatment taken and there was a history of eating undercooked meat in the past. Right eye fundus showed a typical headlight in the fog appearance and left eye fundus showed exudative sheathing of vessel wall and multiple pigmented old retinochoroidal scars. Blood investigation showed elevated total count and an elevated ESR level. Peripheral smear report suggested dimorphic anemia and thrombocytosis. Antinuclear antobody- positive.Toxoplasm igG antibody- 511.90IU/ml (positive for toxoplasmosis).
Original Research Article
Nov. 27, 2021
Seroprevalence of Viral Markers at the Blood Transfusion Center of Mohammed V Military Teaching Hospital of Rabat, Morocco
Houari M, Rochdi J, Bighouab F, MAMAD H, X Ennefah H, Ennefah L, Ejeaidi A, Belmekki A
Sch J App Med Sci | 1750-1753
DOI : 10.36347/sjams.2021.v09i11.020
Abstract
PDF
Full Texts
e-Pub
Introduction: Blood transfusion therapy has a huge role in management of various hematological and other diseases. The prevention of transfusion-transmitted infections remains a key component of blood safety. The main objective of this study is to study the seroprevalence of viral markers on donated blood at the Blood Transfusion Center, Mohammed V Military Hospital in Rabat. Material and methods: This is a retrospective study conducted with military donors aged 19 to 50 at the Blood Transfusion Center (CTS) of the Mohammed V Military Hospital of Instruction (HMIMV), Rabat (Morocco), carried out over a period of four years from January 1, 2017 to December 31, 2020. Biological screening was carried out by a technique…. based on the principle of Results: Out of 49,703 samples tested, 48,175 were valid for transfusion and 1,528 were not valid for transfusion, among these invalid bags, 101 donations were confirmed positive for HBV (2 ‰), with an HCV seroprevalence of 1.2 ‰ (58 donations) and a seroprevalence of 0.5 ‰ (25 cases) of HIV 1 + 2 with a seroprevalence of 0.5 ‰ (25 cases). Discussion: The low rates of seroprevalence of viral markers in our study show improved preventive measures with regard to donor selection and screening tests. Conclusion: This perceived prevalence encourages the maintenance of the use of the combined reagent, which is the only alternative to molecular biology for developing countries.
Original Research Article
Nov. 30, 2021
Preference of Types of Oil for Oil Massage among Infant Caregivers
Dr. Abu Naser Mohammad Al-Amin, Dr. Ashis Kumar Ghosh, Dr. Ismot Ara Zannat, Dr. Marufa Akter Panna
Sch J App Med Sci | 1754-1758
DOI : 10.36347/sjams.2021.v09i11.021
Abstract
PDF
Full Texts
e-Pub
Background: Since time immemorial, most Asian cultures have practiced baby massage.[1],[2] Studies employing massage alone as a kind of tactile stimulation or massage with some type of vegetable oil revealed the effect of massage on development in preterm newborns.[1] Depending on area availability, several oil-based formulations have been utilized.[2] However, the oils utilized may range from possibly useful to potentially poisonous. Aim of the study: The aim of the study was conducted to observe the preference of different oil types among the caregivers for infant massage. Methods: This cross-sectional descriptive study was conducted at the Out Patient Department of Pediatrics, Sir Salimullah Medical College, Mitford Hospital, Dhaka, Bangladesh. The study duration was one year, from July 2010 to June 2011. All the mothers/caregivers of infants who attended Pediatric OPD of Sir Salimullah Medical College, Mitford Hospital, Dhaka during the study period were initially selected for this study. Result: The mean ±SD age of the babies was 6.04+3.97 months. The age range of the babies was 8 days-12 months. Fifty-four (37.0%) participant babies were in age group 9-12 months, 52(35.6%) babies in age group 0-4 months and 40(27.4%) in age group 5-8 months. Among the participants 82 (56.9%) babies were male and 62 (43%) babies were female. The male-female ratio is 1.3:1. Majority of the caregivers found no problem with massage oil (94.44%). Rashes developed in 3(2.08%) cases, vomiting in 2(1.39%) cases and fever in 2(1.39%) cases and cold in 1(0.69%) case. Conclusion: The study showed a preference of using mustard oil for oil massage among participants. Most of the infants received oil massage twice or thrice daily.
Original Research Article
Nov. 30, 2021
“A Clinical Study on Chronic Pelvic Pain in Gynecology”
Naireen Sultana, Nahid Sultana, Rawshan Ara, Farzana Islam Khan, Rabeya Sultana, Israt Zahan Sarna, Hasinatul Ferdous Lopa
Sch J App Med Sci | 1759-1766
DOI : 10.36347/sjams.2021.v09i11.022
Abstract
PDF
Full Texts
e-Pub
Introduction: Pelvic pain is a poorly understood phenomenon. Acute pain is a protective mechanism that alerts the central nervous system to impending peripheral Injury. Previously pain was believed to be a simple, signal from peripheral pain neurons to the brain (the ‘somatic theory’). Eventually, it became clear that pain is much more complex. Objective: To assess the clinical study on chronic pelvic pain in gynecology. Methodology: The descriptive cross sectional study was conducted in the Department of Obstetrics & Gynaecology, Tairunnessa Memorial Medical College and Hospital, Gazipur, Bangladesh over a period of 6 months between August 2015 to January 2016. A total of 50 cases within the study period were consecutively included in the study. Female patients with chronic pelvic pain admitted at IPD (in patient department) of the above mentioned hospital during the study period. Results: A total number of 50 cases were studied. Two-third (62%) of the patients were 35 or > 35 years and 38% below 35 years old. Majority (90%) of the patients was married and housewife (88%). About 32% were illiterate, 44% primary level educated. Seventy percent of patients belonged to low socioeconomic class. Majority (98%) of the patients complained of lower abdominal pain and 2% backache. Nearly 60% of the patients had pain for >1.5 years or more. Very few (8%) patients complained of severe pain. Dysmenorrhoea was the predominant complaint (90%) menorrhagia (76%), dysparunia (48%) and polymenorrhagia (12%). Forty two percent cases were clinically diagnosed as PID and endometriosis with chocolate cyst were 38%. About 60% of deliveries were conducted by UTBA (Untrained birth attendant), 40% terminated pregnancy by MR, and 8% had history of spontaneous abortion. Laboratory investigations showed leucocytosis in 14% cases and raised ESR in 4% cases. Of the 50 cases, 18 were tested for endocervical swab. Of them 4(22.2%) were found positive, while out of 28 Paps Smear Test, 46.4% .......
Original Research Article
Nov. 30, 2021
Clinical Profile of Children with Acute Kidney Injury in a Tertiary Care Hospital, Dhaka, Bangladesh
Ahmed F, Hanif M, Fardush T
Sch J App Med Sci | 1767-1771
DOI : 10.36347/sjams.2021.v09i11.023
Abstract
PDF
Full Texts
e-Pub
Introduction: Acute Kidney Injury (AKI), formerly known as Acute Renal Failure, is defined by a reversible rise in creatinine and nitrogenous waste product concentrations in the blood, as well as the kidney's inability to control fluid and electrolyte balance correctly. Whether the cause of AKI differs in different regions of the world, the incidence of AKI in children appears to be growing. Over the last several decades, the etiology of AKI in hospitalized children has changed from primary renal disease to multiple reasons, particularly in hospitalized children. As a result, research is required to identify the most current trends in AKI in this region. Because it continues to be associated with significant mortality and morbidity in poor nations with inadequate resources, including renal replacement treatment. Aim of the study: The aim of the study was to observe the clinical profiles of hospitalized acute kidney injury children. Methods: This prospective longitudinal study was performed in the Department of Pediatrics, Dhaka Shishu Hospital, Dhaka, during the period of 12 months from January 2015 to December 2015. A total of 50 children were selected from the ones admitted into the hospital following the inclusion and exclusion criteria. A detailed history was taken, thorough physical examination and relevant laboratory investigations were done in all enrolled patients. All underwent necessary supportive care as needed until discharge or death. Result: In the present study, the mean age of the children was 2.8 ± 1.9 years, with the youngest one being 4 days and the oldest, 12.5 years. Male: female ratio was 1.8:1. Children in the age group of 1-5 years were most commonly affected. The most common clinical feature was oliguria 88%. Diarrhea and peripheral edema were other common presenting complaints. Etiology of AKI was mainly pre-renal 64%, followed by renal 26% and post-renal 10% causes. The overall mortality rate was 22%. Conclusion: It was observed ..........
Original Research Article
Nov. 30, 2021
Hospital outcome of Children with Acute Kidney Injury in a Tertiary Care Hospital
Ahmed F, Hanif M, Fardush T
Sch J App Med Sci | 1772-1776
DOI : 10.36347/sjams.2021.v09i11.024
Abstract
PDF
Full Texts
e-Pub
Introduction: Acute Kidney Injury (AKI), formerly known as Acute Renal Failure, is characterized by a reversible increase in creatinine and nitrogenous waste product concentrations in the blood, as well as the kidney's failure to maintain proper fluid and electrolyte balance. Whether the etiology of AKI varies by area, the incidence of AKI in children appears to be increasing. The etiology of AKI in hospitalized children has shifted from primary renal disease to various causes during the last several decades, particularly in hospitalized children. As a result, further study is needed to determine the most recent trends in AKI in this region. Because it is still connected with significance. Aim of the study: The aim of the study was to observe the hospital outcome of hospitalized acute kidney injury children. Methods: This prospective longitudinal study was performed in the Department of Pediatrics, Dhaka Shishu Hospital, Dhaka, during the period of 12 months from January 2015 to December 2015. A total of 50 children were selected from the ones admitted into the hospital following the inclusion and exclusion criteria. A detailed history was taken, thorough physical examination and relevant laboratory investigations were done in all enrolled patients. All underwent necessary supportive care as needed until discharge or death (p<0.01). Result: The mean age of the children was 2.8 ± 1.9 years, with the youngest one being 4 days and the oldest, 12.5 years. Male: female ratio was 1.8:1. Children in the age group of 1-5 years were most commonly affected. Pre-renal cause was the most common cause of acute kidney injury, present in 64% of the cases. 62% had complete recovery by hospital discharge, and 22% died. The most common cause of death was multi-organ failure and was statistically significant (p<0.01). At 6-month follow up, 4 patients had chronic kidney disease and 2 patients died. Conclusion: It was observed that, AKI was more common in early childhood ..............
