Pub Date : 2022-07-28DOI: 10.53555/ephmhs.v8i7.1907
Andrianina Ismaël Razaka, Hanitrankasitrahana Amboara Sarobidy Rohimpitiavana, Ny Aina Miharisoa Ralaivao, Henri Jean Claude Razafimahandry, Gaëtan Duval Solofomalala
La prothèse totale de hanche (PTH) est une intervention fréquente et en progression constante dans les pays développés [1]. Etant donné la grande qualité des résultats de cette opération, les attentes des patients deviennent plus importantes, notamment en ce qui concerne leurs qualités de vie après PTH. L’objectif de cette étude est d’évaluer la qualité de vie des patients avant l’intervention chirurgicale et au recul minimum de 18 mois de la mise en place de PTH.
{"title":"QUALITE DE VIE APRES PROTHESE TOTALE DE HANCHE A ANTANANARIVO (MADAGASCAR)","authors":"Andrianina Ismaël Razaka, Hanitrankasitrahana Amboara Sarobidy Rohimpitiavana, Ny Aina Miharisoa Ralaivao, Henri Jean Claude Razafimahandry, Gaëtan Duval Solofomalala","doi":"10.53555/ephmhs.v8i7.1907","DOIUrl":"https://doi.org/10.53555/ephmhs.v8i7.1907","url":null,"abstract":"La prothèse totale de hanche (PTH) est une intervention fréquente et en progression constante dans les pays développés [1]. Etant donné la grande qualité des résultats de cette opération, les attentes des patients deviennent plus importantes, notamment en ce qui concerne leurs qualités de vie après PTH. L’objectif de cette étude est d’évaluer la qualité de vie des patients avant l’intervention chirurgicale et au recul minimum de 18 mois de la mise en place de PTH.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125007242","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}
Pub Date : 2022-07-28DOI: 10.53555/ephmhs.v8i7.1908
Andrianina Ismaël Razaka, Ny Aina Miharisoa Ralaivao, Hanitrankasitrahana Amboara Sarobidy Rohimpitiavana, J. C. Razafimahandry
La pratique traditionnelle est l’un des obstacles dans la prise en charge des fractures de membres dans la Région Nord Est de Madagascar et la sortie contre avis médical est très fréquente dans cette Région. L’objectif de cette étude est de déterminer les facteurs influençant la sortie contre avis médical des patients fracturés de membres.
{"title":"FACTEURS INFLUENÇANT LA SORTIE CONTRE AVIS MEDICAL DES FRACTURES DE MEMBRES AU CENTRE HOSPITALIER DE REFERENCE REGIONALE D’ANTSOHIHY (MADAGASCAR)","authors":"Andrianina Ismaël Razaka, Ny Aina Miharisoa Ralaivao, Hanitrankasitrahana Amboara Sarobidy Rohimpitiavana, J. C. Razafimahandry","doi":"10.53555/ephmhs.v8i7.1908","DOIUrl":"https://doi.org/10.53555/ephmhs.v8i7.1908","url":null,"abstract":"La pratique traditionnelle est l’un des obstacles dans la prise en charge des fractures de membres dans la Région Nord Est de Madagascar et la sortie contre avis médical est très fréquente dans cette Région. L’objectif de cette étude est de déterminer les facteurs influençant la sortie contre avis médical des patients fracturés de membres.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"425 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132663705","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}
Pub Date : 2022-06-29DOI: 10.53555/eijmhs.v8i2.176
AL Mutairi, Hind Mehmas, Al Shammari, Dalal Fehaid, Al Otaibi, Khadija Omar, Al Qahtani, Reem Nasser, Al Mutairi, Sami Mathkar
In an era where chronic diseases are on the rise and health concerns have taken center stage, the role of a healthy diet in preventing and managing these conditions has gained significant attention. This article explores the profound impact of nutrition on health, particularly in the context of chronic disease prevention. Chronic diseases, such as heart disease, diabetes, obesity, and cancer, are on the rise globally, necessitating a proactive approach to mitigate their impact. A balanced and nutrient-rich diet plays a pivotal role in shielding against these ailments. The article delves into the intricate relationship between nutrition and chronic diseases, elucidating the role of essential nutrients in maintaining bodily functions and bolstering the immune system. The Mediterranean diet is spotlighted as an exemplary nutritional strategy for disease prevention, while the detrimental effects of processed foods and excessive sugar consumption are also addressed. The article underscores the importance of holistic health, where nutrition aligns with physical activity, stress management, and sleep for optimal well-being. By empowering individuals to make informed dietary choices, this article advocates for nutrition as a formidable tool in the battle against chronic diseases.
{"title":"THE POWER OF NUTRITION: HOW A HEALTHY DIET CAN SHIELD AGAINST CHRONIC DISEASES","authors":"AL Mutairi, Hind Mehmas, Al Shammari, Dalal Fehaid, Al Otaibi, Khadija Omar, Al Qahtani, Reem Nasser, Al Mutairi, Sami Mathkar","doi":"10.53555/eijmhs.v8i2.176","DOIUrl":"https://doi.org/10.53555/eijmhs.v8i2.176","url":null,"abstract":"In an era where chronic diseases are on the rise and health concerns have taken center stage, the role of a healthy diet in preventing and managing these conditions has gained significant attention. This article explores the profound impact of nutrition on health, particularly in the context of chronic disease prevention. Chronic diseases, such as heart disease, diabetes, obesity, and cancer, are on the rise globally, necessitating a proactive approach to mitigate their impact. A balanced and nutrient-rich diet plays a pivotal role in shielding against these ailments. The article delves into the intricate relationship between nutrition and chronic diseases, elucidating the role of essential nutrients in maintaining bodily functions and bolstering the immune system. The Mediterranean diet is spotlighted as an exemplary nutritional strategy for disease prevention, while the detrimental effects of processed foods and excessive sugar consumption are also addressed. The article underscores the importance of holistic health, where nutrition aligns with physical activity, stress management, and sleep for optimal well-being. By empowering individuals to make informed dietary choices, this article advocates for nutrition as a formidable tool in the battle against chronic diseases.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114266446","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}
Pub Date : 2022-06-22DOI: 10.53555/eijmhs.v8i2.173
Al Anazi, Abdulrahman Kaseb, Al Muterie, Eissa Alhumaidi, Al Daajani, Mohammed Zaid, Al Otaibi, Mohammed Sattam, Al Mutairi, Sami Nazal, Al Jolail, Mohammed Abdullah
Fluoride compounds play a crucial role in dental care by aiding in the prevention of tooth decay and promoting oral health. This article aims to explore the benefits and potential risks associated with the use of fluoride compounds in dental care. The benefits encompass the prevention of tooth decay, reduced tooth sensitivity, suitability for all age groups, widespread accessibility, and cost-effectiveness. However, the article also addresses important considerations such as dental fluorosis, potential health concerns, fluoride allergies, water fluoridation debates, and the necessity of proper dosage. By examining these aspects, the article seeks to provide readers with a balanced understanding of the advantages and potential drawbacks of using fluoride compounds in dental care. The emphasis lies on informed decision-making and consulting dental professionals for tailored recommendations to ensure optimal oral health.
{"title":"SENSITIZING TO THE BENEFITS AND RISKS OF USING FLUORIDE COMPOUNDS IN DENTAL CARE","authors":"Al Anazi, Abdulrahman Kaseb, Al Muterie, Eissa Alhumaidi, Al Daajani, Mohammed Zaid, Al Otaibi, Mohammed Sattam, Al Mutairi, Sami Nazal, Al Jolail, Mohammed Abdullah","doi":"10.53555/eijmhs.v8i2.173","DOIUrl":"https://doi.org/10.53555/eijmhs.v8i2.173","url":null,"abstract":"Fluoride compounds play a crucial role in dental care by aiding in the prevention of tooth decay and promoting oral health. This article aims to explore the benefits and potential risks associated with the use of fluoride compounds in dental care. The benefits encompass the prevention of tooth decay, reduced tooth sensitivity, suitability for all age groups, widespread accessibility, and cost-effectiveness. However, the article also addresses important considerations such as dental fluorosis, potential health concerns, fluoride allergies, water fluoridation debates, and the necessity of proper dosage. By examining these aspects, the article seeks to provide readers with a balanced understanding of the advantages and potential drawbacks of using fluoride compounds in dental care. The emphasis lies on informed decision-making and consulting dental professionals for tailored recommendations to ensure optimal oral health.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124615346","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}
Pub Date : 2022-02-25DOI: 10.53555/eijmhs.v8i1.174
AL Mogrin, Maha Mohammed, Al Khleb, Aseel Abdulziz, Al Shehri, Bshayer Mohammed, Al Shreeaf, Khalid Abdulrahman, Al Busaysi, Khaled Farhan, Al Rashidi, Ahmed Mueallath, Al Harbi, Abdulmohsen Hamdan
The evolution of pharmaceutical care services has undergone a significant transformation, shifting from a product-focused approach to a patient-centered model. This article explores the historical development, patient-centered approach, Medication Therapy Management (MTM) programs, collaborative care, technological integration, challenges, and future directions in pharmaceutical care services. Pharmacists now play a pivotal role in optimizing medication therapy, conducting comprehensive assessments, and working collaboratively with healthcare providers. Advancements in technology, such as electronic health records and automated systems, have further enhanced the quality of care provided. Despite challenges related to reimbursement and scope of practice, the trajectory of pharmaceutical care services is moving toward greater recognition and integration within healthcare systems.
{"title":"EVOLUTION AND ADVANCEMENTS IN THE DEVELOPMENT OF PHARMACEUTICAL CARE SERVICES","authors":"AL Mogrin, Maha Mohammed, Al Khleb, Aseel Abdulziz, Al Shehri, Bshayer Mohammed, Al Shreeaf, Khalid Abdulrahman, Al Busaysi, Khaled Farhan, Al Rashidi, Ahmed Mueallath, Al Harbi, Abdulmohsen Hamdan","doi":"10.53555/eijmhs.v8i1.174","DOIUrl":"https://doi.org/10.53555/eijmhs.v8i1.174","url":null,"abstract":"The evolution of pharmaceutical care services has undergone a significant transformation, shifting from a product-focused approach to a patient-centered model. This article explores the historical development, patient-centered approach, Medication Therapy Management (MTM) programs, collaborative care, technological integration, challenges, and future directions in pharmaceutical care services. Pharmacists now play a pivotal role in optimizing medication therapy, conducting comprehensive assessments, and working collaboratively with healthcare providers. Advancements in technology, such as electronic health records and automated systems, have further enhanced the quality of care provided. Despite challenges related to reimbursement and scope of practice, the trajectory of pharmaceutical care services is moving toward greater recognition and integration within healthcare systems.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"484 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132162614","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}
Pub Date : 2022-02-08DOI: 10.53555/eijmhs.v8i1.179
AL Amri, Abdulhadi Mohammed, Al Anazi, Abdulrahman Kaseb, Al Otaibi, Hamad Marshud, Hamran, Abdullah Ibrahim, Al Hafi, Waleed Khalaf, Al Harbi, Faleh Shaman, Al Anazi, Faisal Mansour
The cyclical interplay between seasons and diseases has long intrigued researchers and health professionals alike. With each seasonal transition, certain infectious diseases rise to the forefront, influenced by dynamic factors such as environmental conditions, shifts in human behavioral patterns, and varying biological rhythms. This article delves deep into the intricate relationship between these changes and the consequent surge in specific diseases, underlining the critical importance of timely and consistent vaccinations. Beyond the evident health implications, seasonal diseases exert tremendous socioeconomic pressures, stretching the capacities of healthcare facilities, causing productivity losses, and even impacting school attendance and business operations. Vaccinations, a marvel of modern medicine, emerge as a paramount defense mechanism. Through herd immunity, they not only protect the vaccinated individual but also reduce the overall transmission, especially when formulas adapt annually to the anticipated strains, as seen with influenza. Despite the undoubtable benefits, the global community grapples with challenges like public hesitancy towards vaccines, often fueled by misinformation, and logistical hurdles that affect distribution, especially in remote or underserved regions. Emphasizing the universal acceptance and enhanced accessibility of seasonal vaccines is pivotal for safeguarding global health. By ensuring widespread vaccination, societies can fortify their defense against the cyclical threat of seasonal diseases, promising a healthier future for all.
{"title":"FROM SPRING TO WINTER: THE NEED FOR CONSISTENT SEASONAL VACCINATIONS","authors":"AL Amri, Abdulhadi Mohammed, Al Anazi, Abdulrahman Kaseb, Al Otaibi, Hamad Marshud, Hamran, Abdullah Ibrahim, Al Hafi, Waleed Khalaf, Al Harbi, Faleh Shaman, Al Anazi, Faisal Mansour","doi":"10.53555/eijmhs.v8i1.179","DOIUrl":"https://doi.org/10.53555/eijmhs.v8i1.179","url":null,"abstract":"The cyclical interplay between seasons and diseases has long intrigued researchers and health professionals alike. With each seasonal transition, certain infectious diseases rise to the forefront, influenced by dynamic factors such as environmental conditions, shifts in human behavioral patterns, and varying biological rhythms. This article delves deep into the intricate relationship between these changes and the consequent surge in specific diseases, underlining the critical importance of timely and consistent vaccinations. Beyond the evident health implications, seasonal diseases exert tremendous socioeconomic pressures, stretching the capacities of healthcare facilities, causing productivity losses, and even impacting school attendance and business operations. Vaccinations, a marvel of modern medicine, emerge as a paramount defense mechanism. Through herd immunity, they not only protect the vaccinated individual but also reduce the overall transmission, especially when formulas adapt annually to the anticipated strains, as seen with influenza. Despite the undoubtable benefits, the global community grapples with challenges like public hesitancy towards vaccines, often fueled by misinformation, and logistical hurdles that affect distribution, especially in remote or underserved regions. Emphasizing the universal acceptance and enhanced accessibility of seasonal vaccines is pivotal for safeguarding global health. By ensuring widespread vaccination, societies can fortify their defense against the cyclical threat of seasonal diseases, promising a healthier future for all.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115340498","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}
Pub Date : 2020-12-27DOI: 10.53555/eijmhs.v6i4.146
Jean Baptiste Ramampisendrahova, Andriamanantsialonina Andrianony, Andrianina Ismaël Razaka, R. Razafimahatratra, Gaëtan Duval Solofomalala
Introduction: The recognition of perioperative blood loss as a factor in patient mortality and morbidity led to the operating room patient safety checklist recommended by the World Health Organization. Methods: This was a prospective, descriptive study over a ten-month period from January to October 2019 including all the patients hospitalized in the Orthopedic Surgery and Traumatology department of the CHU Anosiala. All patients operated on for an orthopedic or trauma pathology were included in this study, patients having undergone percutaneous surgery were excluded and not included patients not operated on. Results: One hundred and twelve patients were collected. The average age of the patients was 32.9 years, there is a male predominance with a sex ratio of 2.5. Screw-retained plate osteosynthesis was the most frequent intervention (29.5%) in traumatology, in Orthopedics the installation of the total hip arthroplasty (THA) (6.3%) and sequestrectomy (11.6%) in osteo-articular infection. The mean blood loss for the whole procedure was 508 milliliters (ml) of which in orthopedics, the placement of the total knee arthroplasty (TKA) had the highest mean loss (1630 ml) followed by THA and open reduction neglected dislocations with a respective loss of and 1101 ml and 623.3 ml. In trauma, screw-retained plate osteosynthesis of the femur was the most hemorrhagic with an average blood loss of 820.3 ml and in osteoarticular infections, sequestrectomy with an average loss of 596.2 ml. Conclusion: The amount of blood loss in orthopedic and trauma surgery varies depending on the type of surgery performed. Arthroplasty, open reduction of a neglected dislocation, screw-retained femoral plate osteosynthesis and sequestrectomy were the most hemorrhagic type of procedure in the perioperative period
{"title":"EVALUATION DE LA PERTE SANGUINE DURANT LA PÉRIODE PÉRIOPÉRATOIRE EN CHIRURGIE ORTHOPÉDIQUE ET TRAUMATOLOGIQUE ASSESSMENT OF BLOOD LOSS DURING THE PERIOPERATIVE PERIOD IN ORTHOPEDIC AND TRAUMA SURGERY","authors":"Jean Baptiste Ramampisendrahova, Andriamanantsialonina Andrianony, Andrianina Ismaël Razaka, R. Razafimahatratra, Gaëtan Duval Solofomalala","doi":"10.53555/eijmhs.v6i4.146","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i4.146","url":null,"abstract":"Introduction: The recognition of perioperative blood loss as a factor in patient mortality and morbidity led to the operating room patient safety checklist recommended by the World Health Organization. \u0000Methods: This was a prospective, descriptive study over a ten-month period from January to October 2019 including all the patients hospitalized in the Orthopedic Surgery and Traumatology department of the CHU Anosiala. All patients operated on for an orthopedic or trauma pathology were included in this study, patients having undergone percutaneous surgery were excluded and not included patients not operated on. \u0000Results: One hundred and twelve patients were collected. The average age of the patients was 32.9 years, there is a male predominance with a sex ratio of 2.5. Screw-retained plate osteosynthesis was the most frequent intervention (29.5%) in traumatology, in Orthopedics the installation of the total hip arthroplasty (THA) (6.3%) and sequestrectomy (11.6%) in osteo-articular infection. The mean blood loss for the whole procedure was 508 milliliters (ml) of which in orthopedics, the placement of the total knee arthroplasty (TKA) had the highest mean loss (1630 ml) followed by THA and open reduction neglected dislocations with a respective loss of and 1101 ml and 623.3 ml. In trauma, screw-retained plate osteosynthesis of the femur was the most hemorrhagic with an average blood loss of 820.3 ml and in osteoarticular infections, sequestrectomy with an average loss of 596.2 ml. \u0000Conclusion: The amount of blood loss in orthopedic and trauma surgery varies depending on the type of surgery performed. Arthroplasty, open reduction of a neglected dislocation, screw-retained femoral plate osteosynthesis and sequestrectomy were the most hemorrhagic type of procedure in the perioperative period","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133948192","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}
Pub Date : 2020-12-27DOI: 10.53555/eijmhs.v6i4.145
Joe Clario Rabemanahaka, Jean Baptiste Ramampisendrahova, Hanitrankasitrahana Amboara Sarobidy Rohimpitiavana, Ny Aina Miharisoa Ralaivao, Alexandrio Zo Lalaina Andrianina Rabemazava, Henri Jean Claude Razafimahandry
Introduction: the unicompartmental knee arthroplasty (UKA) is a globally recognized procedure for the treatment of osteoarthritis of a tibiofemoral compartment. It was carried out in Madagascar since 2012 at the Joseph Ravoahangy Andrianavalona University Hospital Center (CHU-JRA) and this study is the first study concerning the UKA carried out in the country. The objective of this study is to assess the medium-term results of PUCs in Madagascar. Methods: this was a six-year prospective study from 2012 to 2017 carried out in the Department of Orthopedic Surgery and Traumatology of the CHU-JRA Antananarivo including all patients who received a UKA. Results: twelve UKA were placed in eight patients. The mean age of the patients was 73.5 years. Mechanical pain in the internal compartment of the knee was the complaint of all patients, and the diagnosis of internal tibial osteoarthritis was confirmed after the x-ray. An improvement in the IKS (International Knee Society) score was found, with the average overall score which had gone from 132.5 preoperatively to 190 at the last follow-up, an IKS knee average score increased from 65 to 95 and an IKS score function increased from 67.5 to 95. After a mean follow-up of four years, the quality of life of the patients was excellent with the KOOS (Knee Injury and Osteoarthritis Outcome Score) which went from 26/100 before the operation to 98/100. Apart from a loosened prosthesis no other complication were found. Conclusion: UKA is an ideal treatment for isolated osteoarthritis of a tibiofemoral compartment. It offers better physiological function, a less invasive surgical approach, a faster recovery time. This first study in Madagascar concerning the PUC found excellent mediumterm results but long-term patient follow-up will be necessary.
{"title":"RÉSULTATS À MOYEN TERME DES PROTHÈSES UNICOMPARTIMENTALES DU GENOU À MADAGASCAR MEDIUM-TERM RESULTS OF UNICOMPARTMENTAL KNEE ARTHROPLASTY IN MADAGASCAR","authors":"Joe Clario Rabemanahaka, Jean Baptiste Ramampisendrahova, Hanitrankasitrahana Amboara Sarobidy Rohimpitiavana, Ny Aina Miharisoa Ralaivao, Alexandrio Zo Lalaina Andrianina Rabemazava, Henri Jean Claude Razafimahandry","doi":"10.53555/eijmhs.v6i4.145","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i4.145","url":null,"abstract":"Introduction: the unicompartmental knee arthroplasty (UKA) is a globally recognized procedure for the treatment of osteoarthritis of a tibiofemoral compartment. It was carried out in Madagascar since 2012 at the Joseph Ravoahangy Andrianavalona University Hospital Center (CHU-JRA) and this study is the first study concerning the UKA carried out in the country. The objective of this study is to assess the medium-term results of PUCs in Madagascar. \u0000Methods: this was a six-year prospective study from 2012 to 2017 carried out in the Department of Orthopedic Surgery and Traumatology of the CHU-JRA Antananarivo including all patients who received a UKA. \u0000Results: twelve UKA were placed in eight patients. The mean age of the patients was 73.5 years. Mechanical pain in the internal compartment of the knee was the complaint of all patients, and the diagnosis of internal tibial osteoarthritis was confirmed after the x-ray. An improvement in the IKS (International Knee Society) score was found, with the average overall score which had gone from 132.5 preoperatively to 190 at the last follow-up, an IKS knee average score increased from 65 to 95 and an IKS score function increased from 67.5 to 95. After a mean follow-up of four years, the quality of life of the patients was excellent with the KOOS (Knee Injury and Osteoarthritis Outcome Score) which went from 26/100 before the operation to 98/100. Apart from a loosened prosthesis no other complication were found. \u0000Conclusion: UKA is an ideal treatment for isolated osteoarthritis of a tibiofemoral compartment. It offers better physiological function, a less invasive surgical approach, a faster recovery time. This first study in Madagascar concerning the PUC found excellent mediumterm results but long-term patient follow-up will be necessary.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133850935","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}
Pub Date : 2020-09-27DOI: 10.53555/eijmhs.v6i3.139
Randimbinirina Zl, R. T., Rakotorahalahy Rnal, Ravalisoa Aml, Rakotoarisoa Ajc
Background: The prevalence of traumatic arterial of limbs in Antananarivo is unknown, and there is not a protocol for management of vascular trauma. The aim of this study was to describe epidemiology and surgical management of traumatic arterial of limbs in Antananarivo. Material and methods: This was a retrospective and descriptive study for a period of 10 years from January 2008 to December 2017 performed at the Cardiovascular Surgery Unit in JRA Teaching Hospital Antananarivo, including all patients who underwent a surgery for traumatic arterial injury of limbs. Results: Ninety-two cases of traumatic arterial of limbs has been recorded. The most victims were young (mean age=34.68), male (88.04%). The most mechanism of arterial injury was a civilian liability accident (63.04%) which 53.26% was due to stabs wounds. There were 82 cases of arterial wounds and 10 cases of blunt arterial trauma. Clinical signs were bleeding (89.12%), pulseless (46.73%) and hematoma (10.86%). Lesion were laceration (n=36), complete transection (n=32), avulsion (n=7), pseudoaneurysm (n=5), arteriovenous fistula (n=2), contusion (n=10). The most involved vessel were the brachial artery (29.34%) in the upper extremity and the femoral artery (15.21%) in lower extremity. Surgical procedure were revascularization (84.78%), ligation (9.78%) and primary amputation (5.43%). The overall limb salvage rate was 96.73% of arterial injuries successfully repaired. Conclusion: Revascularization is important in traumatic arterial injury of limbs. It must giving early to prevent an amputation of limbs.
{"title":"SURGICAL MANAGEMENT OF TRAUMATIC ARTERIAL OF LIMBS IN ANTANANARIVO","authors":"Randimbinirina Zl, R. T., Rakotorahalahy Rnal, Ravalisoa Aml, Rakotoarisoa Ajc","doi":"10.53555/eijmhs.v6i3.139","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i3.139","url":null,"abstract":"Background: The prevalence of traumatic arterial of limbs in Antananarivo is unknown, and there is not a protocol for management of vascular trauma. The aim of this study was to describe epidemiology and surgical management of traumatic arterial of limbs in Antananarivo. \u0000Material and methods: This was a retrospective and descriptive study for a period of 10 years from January 2008 to December 2017 performed at the Cardiovascular Surgery Unit in JRA Teaching Hospital Antananarivo, including all patients who underwent a surgery for traumatic arterial injury of limbs. \u0000Results: Ninety-two cases of traumatic arterial of limbs has been recorded. The most victims were young (mean age=34.68), male (88.04%). The most mechanism of arterial injury was a civilian liability accident (63.04%) which 53.26% was due to stabs wounds. There were 82 cases of arterial wounds and 10 cases of blunt arterial trauma. Clinical signs were bleeding (89.12%), pulseless (46.73%) and hematoma (10.86%). Lesion were laceration (n=36), complete transection (n=32), avulsion (n=7), pseudoaneurysm (n=5), arteriovenous fistula (n=2), contusion (n=10). The most involved vessel were the brachial artery (29.34%) in the upper extremity and the femoral artery (15.21%) in lower extremity. Surgical procedure were revascularization (84.78%), ligation (9.78%) and primary amputation (5.43%). The overall limb salvage rate was 96.73% of arterial injuries successfully repaired. \u0000Conclusion: Revascularization is important in traumatic arterial injury of limbs. It must giving early to prevent an amputation of limbs.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114511136","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}
Pub Date : 2020-09-27DOI: 10.53555/eijmhs.v6i3.142
Mohamed Ali Gliti, N. Benkhraba, S. Nitassi, Bencheikh Razika, Benbouzid Mohamed Anas, A. Oujilal, Leila Essakalli Houssyni
Frontal sinuses that present with abnormally large size are often clinically described as a deformity of the forehead, caused by Pneumosinus dilatans (PD). We report a rare case of Pneumosinus dilatans frontalis which was accidentally discovered by a paranasal sinus CT scan requested following frontal headaches, and thus revealing diffuse osteoporosis. Pneumosinus dilatans is often an unexpected radiological finding; however, in most cases, it is diagnosed by recognition of a frontal deformity.
{"title":"PNEUMOSINUS DILATANS: A CASE REPORT","authors":"Mohamed Ali Gliti, N. Benkhraba, S. Nitassi, Bencheikh Razika, Benbouzid Mohamed Anas, A. Oujilal, Leila Essakalli Houssyni","doi":"10.53555/eijmhs.v6i3.142","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i3.142","url":null,"abstract":" Frontal sinuses that present with abnormally large size are often clinically described as a deformity of the forehead, caused by Pneumosinus dilatans (PD). We report a rare case of Pneumosinus dilatans frontalis which was accidentally discovered by a paranasal sinus CT scan requested following frontal headaches, and thus revealing diffuse osteoporosis. Pneumosinus dilatans is often an unexpected radiological finding; however, in most cases, it is diagnosed by recognition of a frontal deformity.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116823448","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}
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