Introduction: Epilepsy can interfere with a child's cognitive development and may result in academic difficulty. Our objective is to identify and estimate the link between epilepsy and academic difficulties. Methods: This is a prospective descriptive and analytical case-control study carried out at the Antsakaviro Laboratory of Neurosciences and Mental Health for the cases and in the four Public Primary Schools of the rural commune of Anjepy for the controls from 1st October 2014 to 31st January 2015. The frequency of school difficulties in epileptic and non-epileptic children, the relationship between epilepsy and school difficulties were evaluated. Results: The frequency of school difficulty in children with epilepsy was 49.13% compared to 25% in non-epileptic children with an Odds Ratio of 2.90 with 95% specificity and a confidence interval of 1.87 to 4.43. Among the cases, 52.94% of the children had their first seizure before the age of 2 years with a predominance of generalized tonic-clonic seizures at 57.65%, the majority of which were of the idiopathic type (67.06%). The majority of children with epilepsy had a lack of concentration in 43.53% of cases and memory impairment in 31.76%, while memory impairment (38%), lack of concentration in 20% and repetition in 20% of non-epileptic children. Conclusion: Epilepsy is a serious illness for the child that can lead to a learning disability. Therefore, prevention of seizures and early detection are essential.
{"title":"EDUCATIONAL IMPACT OF EPILEPSY IN CHILDREN","authors":"Zodaly Noel, Lemahafaka jemissair glorien, Randrianantoandro Naliniaina robert, Rakotondramanana Andry, Tehindrazanarivelo Alain Djacoba","doi":"10.53555/eijmhs.v6i3.140","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i3.140","url":null,"abstract":"Introduction: Epilepsy can interfere with a child's cognitive development and may result in academic difficulty. Our objective is to identify and estimate the link between epilepsy and academic difficulties. \u0000Methods: This is a prospective descriptive and analytical case-control study carried out at the Antsakaviro Laboratory of Neurosciences and Mental Health for the cases and in the four Public Primary Schools of the rural commune of Anjepy for the controls from 1st October 2014 to 31st January 2015. The frequency of school difficulties in epileptic and non-epileptic children, the relationship between epilepsy and school difficulties were evaluated. \u0000Results: The frequency of school difficulty in children with epilepsy was 49.13% compared to 25% in non-epileptic children with an Odds Ratio of 2.90 with 95% specificity and a confidence interval of 1.87 to 4.43. Among the cases, 52.94% of the children had their first seizure before the age of 2 years with a predominance of generalized tonic-clonic seizures at 57.65%, the majority of which were of the idiopathic type (67.06%). The majority of children with epilepsy had a lack of concentration in 43.53% of cases and memory impairment in 31.76%, while memory impairment (38%), lack of concentration in 20% and repetition in 20% of non-epileptic children. \u0000Conclusion: Epilepsy is a serious illness for the child that can lead to a learning disability. \u0000Therefore, prevention of seizures and early detection are essential.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"52 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":"126800445","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.v6i3.143
Ayyub Mohammad F. Alwehaibi PhD
In modern society, medicine is one of the domains that have to face great challenges in many aspects. The major challenge in terms of quality in health care is the safety for patients. Besides the negative consequences caused by serious conditions of the diseases, many harmful occurrences are avoidable. The occurrence of avoidable harms sometimes deprive patients’ lives or abilities, which has created great fear for patients of being at risk more than in help. Such avoidable harms may be resulted by the healthcare professionals’ knowledge, skills, or behaviors. These harms may be caused by either human errors or violations. To prevent these errors from occurring in the future, some measurements need to be enforced on organizational level. Medical errors are unavoidable in every clinical unit as medicine is practiced by human, and human beings are not free from making mistakes. Yet, it does not mean that it is impossible to remedy the issue of medical error. Confronting the mistakes made by individuals are the organizations they work within. Organizations represent their individuals and play substantial roles of not only seeking for the solutions to the incidents but also preventing such incidents from re-occurring in the future. There are two important notions- human error and violations- which thoroughly influence on the strategies of management of unintended adverse incidents
{"title":"ETHICAL ROLE OF HEALTHCARE ORGANIZATIONS IN CHANGING BEHAVIORS OF INDIVIDUAL HEALTHCARE PROFESSIONALS IN ATTEMPT TO IMPROVE PATIENT SAFETY","authors":"Ayyub Mohammad F. Alwehaibi PhD","doi":"10.53555/eijmhs.v6i3.143","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i3.143","url":null,"abstract":"In modern society, medicine is one of the domains that have to face great challenges in many aspects. The major challenge in terms of quality in health care is the safety for patients. Besides the negative consequences caused by serious conditions of the diseases, many harmful occurrences are avoidable. The occurrence of avoidable harms sometimes deprive patients’ lives or abilities, which has created great fear for patients of being at risk more than in help. \u0000Such avoidable harms may be resulted by the healthcare professionals’ knowledge, skills, or behaviors. These harms may be caused by either human errors or violations. To prevent these errors from occurring in the future, some measurements need to be enforced on organizational level. Medical errors are unavoidable in every clinical unit as medicine is practiced by human, and human beings are not free from making mistakes. Yet, it does not mean that it is impossible to remedy the issue of medical error. Confronting the mistakes made by individuals are the organizations they work within. Organizations represent their individuals and play substantial roles of not only seeking for the solutions to the incidents but also preventing such incidents from re-occurring in the future. There are two important notions- human error and violations- which thoroughly influence on the strategies of management of unintended adverse incidents","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"130 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":"133517092","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.v6i3.141
Ayman Abdualgabbar Raweh, Enas Abdualteef Helmy, Mohammed Ahmed Abdu al-sater, Abdu Mohammed Alkolaibe
The prevalence and distribution of fungi involved in otomycosis in children of primary school at Taiz city were studied using two types of isolation media. The obtained results revealed the confirmation of fungal otomycosis in 76. 7 % of suspected patients. Ear infection in relation to age the results showed that the group with age between 10- 15 years were highly infected with fungi and the female patients were more affected than male. Patients with excellent and good healthy state were less infected. Also, the majority of ear infection were found in children of poor occupation and decreased with raising of the family occupation and disappeared in rich families. On the other hands, there are no relationship between ear infection and the level of family education. Twelve species and one variety belonging to 5 genera were isolated from 60 children patients on Czapeck,s and Sabouraud,s dextrose agar at 28°C. Members of Aspergillus were the most prevalent. From the genus 8 species were identified of which A. niger, A. sydowii and A. versicolor were the most predominant. The second incidence fungi in children ears was represented by Penicillium. The other 3 genera identified, represented each by one species, wereisolated in less frequency of occurrence at least on one isolation medium. About 17 isolates appertaining to 10 species related to 5 genera were tested for their abilities to produce lipase and protease enzymes on solid medium. The results indicated that 12 isolates could produce the two enzymes. Isolates related to A. flavus, A. niger, A. sydowii, Penicillium sp. were the most producers for lipase and protease enzymes. Thus, critical diagnosis of the causative agent by employing aseptic and proper culture techniques and susceptibility testing for proper treatment of this disease is the need of the hour.
{"title":"MYCOTIC INCIDENCE OF EAR INFECTION AMONG PRIMARY SCHOOL STUDENTS AT TAIZ - CITY, YEMEN","authors":"Ayman Abdualgabbar Raweh, Enas Abdualteef Helmy, Mohammed Ahmed Abdu al-sater, Abdu Mohammed Alkolaibe","doi":"10.53555/eijmhs.v6i3.141","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i3.141","url":null,"abstract":"The prevalence and distribution of fungi involved in otomycosis in children of primary school at Taiz city were studied using two types of isolation media. The obtained results revealed the confirmation of fungal otomycosis in 76. 7 % of suspected patients. Ear infection in relation to age the results showed that the group with age between 10- 15 years were highly infected with fungi and the female patients were more affected than male. Patients with excellent and good healthy state were less infected. Also, the majority of ear infection were found in children of poor occupation and decreased with raising of the family occupation and disappeared in rich families. On the other hands, there are no relationship between ear infection and the level of family education. \u0000Twelve species and one variety belonging to 5 genera were isolated from 60 children patients on Czapeck,s and Sabouraud,s dextrose agar at 28°C. Members of Aspergillus were the most prevalent. From the genus 8 species were identified of which A. niger, A. sydowii and A. versicolor were the most predominant. The second incidence fungi in children ears was represented by Penicillium. The other 3 genera identified, represented each by one species, wereisolated in less frequency of occurrence at least on one isolation medium. \u0000 About 17 isolates appertaining to 10 species related to 5 genera were tested for their abilities to produce lipase and protease enzymes on solid medium. The results indicated that 12 isolates could produce the two enzymes. \u0000Isolates related to A. flavus, A. niger, A. sydowii, Penicillium sp. were the most producers for lipase and protease enzymes. Thus, critical diagnosis of the causative agent by employing aseptic and proper culture techniques and susceptibility testing for proper treatment of this disease is the need of the hour. ","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"42 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":"121563850","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 : 2020-06-27DOI: 10.53555/eijmhs.v6i2.138
Sammy Kagoiyo Njeru
Study Objective: To determine factors influencing high child mortality rates at Karemo sub-County, Siaya County Kenya Study Design: A descriptive cross sectional study Study Setting: Karemo Sub-County, Siaya County Kenya Study Subjects/participants: Three hundred and twenty six (326) caregivers of children under five years at house hold levels
{"title":"FACTORS INFLUENCING HIGH CHILD MORTALITY IN KAREMO SUBCOUNTY, SIAYA COUNTY –KENYA","authors":"Sammy Kagoiyo Njeru","doi":"10.53555/eijmhs.v6i2.138","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i2.138","url":null,"abstract":"Study Objective: To determine factors influencing high child mortality rates at Karemo sub-County, Siaya County Kenya \u0000Study Design: A descriptive cross sectional study \u0000Study Setting: Karemo Sub-County, Siaya County Kenya \u0000Study Subjects/participants: Three hundred and twenty six (326) caregivers of children under five years at house hold levels","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"11 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123663601","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 : 2020-06-27DOI: 10.53555/eijmhs.v6i2.136
Lemahafaka jg, Razafimahefa J, Raharimaminjatovosoa D, Tehindrazanarivelo Ad
Introduction: Occipital epilepsy occurs when the initial site of epileptic discharge involves part or all of the occipital lobe. Occipital epilepsy is the least common of the other types of epilepsy and is rarely described in the literature. However, the manifestation located initially in the occipital cortex, which is a functional zone of vision, leads to its protean aspect. It can be a source of diagnostic wandering. The purpose of this study is to describe the electroencephalographic clinical characteristics of patients seen for occipital epilepsy at the Laboratory of Neurosciences and Mental Health, Antsakaviro, Madagascar. Methods: This is a retrospective and descriptive study that took place over a one-year period (January 2016 to December 2016). Included in this study were all patients diagnosed with clinically and EEG-confirmed occipital epilepsy. A correlation between clinical manifestations and electroclinical data is sought. Results: We retained 66 patients with male predominance (sex ratio: 1.4). The age of the patients ranged from 3 to 55 years with a mean age of 13.77 years. Patients reside in urban areas and the majority are of non-school age. The clinical manifestations of occipital epilepsy are mainly paroxysmal visual hallucinations lasting on average 3 minutes and of variable frequency. EEG signs are predominantly paroxysmal activities with a predominant or occipital starting point. Conclusion: The clinical and electroencephalographic manifestations of occipital epilepsy deserve special attention in order to make a proper diagnosis.
{"title":"ELECTROCLINICAL ASPECTS OF OCCIPITAL EPILEPSY SEEN IN THE NEUROSCIENCES AND MENTAL HEALTH LABORATORY ANTSAKAVIRO","authors":"Lemahafaka jg, Razafimahefa J, Raharimaminjatovosoa D, Tehindrazanarivelo Ad","doi":"10.53555/eijmhs.v6i2.136","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i2.136","url":null,"abstract":"Introduction: Occipital epilepsy occurs when the initial site of epileptic discharge involves part or all of the occipital lobe. Occipital epilepsy is the least common of the other types of epilepsy and is rarely described in the literature. However, the manifestation located initially in the occipital cortex, which is a functional zone of vision, leads to its protean aspect. It can be a source of diagnostic wandering. The purpose of this study is to describe the electroencephalographic clinical characteristics of patients seen for occipital epilepsy at the Laboratory of Neurosciences and Mental Health, Antsakaviro, Madagascar. \u0000Methods: This is a retrospective and descriptive study that took place over a one-year period (January 2016 to December 2016). Included in this study were all patients diagnosed with clinically and EEG-confirmed occipital epilepsy. A correlation between clinical manifestations and electroclinical data is sought. \u0000Results: We retained 66 patients with male predominance (sex ratio: 1.4). The age of the patients ranged from 3 to 55 years with a mean age of 13.77 years. Patients reside in urban areas and the majority are of non-school age. The clinical manifestations of occipital epilepsy are mainly paroxysmal visual hallucinations lasting on average 3 minutes and of variable frequency. EEG signs are predominantly paroxysmal activities with a predominant or occipital starting point. \u0000Conclusion: The clinical and electroencephalographic manifestations of occipital epilepsy deserve special attention in order to make a proper diagnosis. ","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122477164","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}
Survival of the newborn demands care by professionals who are sound in knowledge and practice of neonatal care so as to give quality care. This study focused on assessment of neonatal care services by nurses in tertiary health institutions in South Eastern Nigeria. It was a descriptive cross-sectional research design. Multistage sampling technique was used to select 440 nurse respondents for the study. Two research questions and one null hypothesis guided the study. The Instruments used for data collection were questionnaire on neonatal care services by nurses in tertiary health Institutions and checklist on assessment of available and functional equipment, drugs and nursing staff strength in tertiary health institutions. Standard descriptive statistics of frequency distribution, mean and standard deviation were used to summarize the variables and answer the research questions. Kruskal Wallis test was used in testing the null hypothesis at 0.05 level of significance. The result indicated good quality of neonatal care given by nurses in the tertiary health institutions (mean =2.88; SD = 0.69). There was generally poor attitude by the nurses (mean = 2.42; SD = 0.38). Staff strength of the nurses significantly influenced the attitude displayed by the nurses in their care of the neonates (x2= 9.293; p-value = 0.026).
{"title":"ASSESSMENT OF NEONATAL CARE SERVICES BY NURSES IN TERTIARY HEALTH INSTITUTIONS IN SOUTH EASTERN NIGERIA","authors":"Agu Earnest Emeka, Ndie Elkenah Chibuike, Chiejina Edith Nkechi","doi":"10.53555/eijmhs.v6i2.134","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i2.134","url":null,"abstract":"Survival of the newborn demands care by professionals who are sound in knowledge and practice of neonatal care so as to give quality care. This study focused on assessment of neonatal care services by nurses in tertiary health institutions in South Eastern Nigeria. It was a descriptive cross-sectional research design. Multistage sampling technique was used to select 440 nurse respondents for the study. Two research questions and one null hypothesis guided the study. The Instruments used for data collection were questionnaire on neonatal care services by nurses in tertiary health Institutions and checklist on assessment of available and functional equipment, drugs and nursing staff strength in tertiary health institutions. Standard descriptive statistics of frequency distribution, mean and standard deviation were used to summarize the variables and answer the research questions. Kruskal Wallis test was used in testing the null hypothesis at 0.05 level of significance. The result indicated good quality of neonatal care given by nurses in the tertiary health institutions (mean =2.88; SD = 0.69). There was generally poor attitude by the nurses (mean = 2.42; SD = 0.38). Staff strength of the nurses significantly influenced the attitude displayed by the nurses in their care of the neonates (x2= 9.293; p-value = 0.026).","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117007190","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 : 2020-02-26DOI: 10.53555/eijmhs.v6i2.135
Mohamed Ali Gliti, Omar Laasikri, S. Nitassi, Bencheikh Razika, B. Anas, L. Houssyni
Objectif: Describe the different unusual clinical presentation of the acoustic neuroma. Material and method: We report the case of a 51-year-old man who presented with a acoustic neurinoma revealed by vertigo. Clinical case: Mr. Z.M presented presented progressively the instalation of an intense rotational non-positional vertigo, without concept of tinnitusthe, the evolution may show a deafness of transmission, discordant with the attack cochlear retrehearing .The vestibular test results showed a left vestibular deficit with a right preponderance. And the MRI finally objectified an Acoustic Neuroma (NA). Conclusion: The unforeseen development of the NA should make evoke in certain forms of rotary vertigo, even without obvious otological signs, a hypothesis of retro cochlear involvement, in locurance an acoustic neuroma. Vestibular tests can be a means of evaluating the evolution of the size of these tumors.
{"title":"ACOUSTIC NEUROMA REVEALED BY VERTIGO: A CASE REPORT","authors":"Mohamed Ali Gliti, Omar Laasikri, S. Nitassi, Bencheikh Razika, B. Anas, L. Houssyni","doi":"10.53555/eijmhs.v6i2.135","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i2.135","url":null,"abstract":"Objectif: Describe the different unusual clinical presentation of the acoustic neuroma. \u0000Material and method: We report the case of a 51-year-old man who presented with a acoustic neurinoma revealed by vertigo. \u0000Clinical case: Mr. Z.M presented presented progressively the instalation of an intense rotational non-positional vertigo, without concept of tinnitusthe, the evolution may show a deafness of transmission, discordant with the attack cochlear retrehearing .The vestibular test results showed a left vestibular deficit with a right preponderance. And the MRI finally objectified an Acoustic Neuroma (NA). \u0000Conclusion: The unforeseen development of the NA should make evoke in certain forms of rotary vertigo, even without obvious otological signs, a hypothesis of retro cochlear involvement, in locurance an acoustic neuroma. Vestibular tests can be a means of evaluating the evolution of the size of these tumors. \u0000 ","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123567245","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 : 2020-02-26DOI: 10.53555/eijmhs.v6i2.137
H. RambelAndrianisa, Harioly Nirina Moj, F. Rasoaherinomenjanahary, Rakototiana Af, Rantomalala Hyh
Background: Chronic inflammation of the prostate has been observed on prostatic specimen after resection or a biopsy. The aim of this study was to determine the factors that can predict its existence in benign prostatic hyperplasia (BPH) and the consequences after open surgery. Method: We carried out a retrospective, observational, transversal study of patients who underwent prostatic adenomectomy in 2017 and 2018 in our department. Specimen with prostatic adenocarcinoma were excluded. Results: Of 51 operated patients, 31 (60.78%) had chronic inflammation within BPH. The mean delay between the beginning of symptoms and the surgery was 23.14 ± 35.62 months. Acute urinary retention was the main reason for consultation (78.43%). The mean duration of bladder catheter wear before surgery was 82.41 ± 220.36 months. Postoperative course was uneventful in 26(50.99%) patients. The mean postoperative stay was 5.86 ± 3.42 days. Surgical treatment delay (p = 0.000001), surgical wound infection (p = 0.002) and the length of postoperative stay (p = 0.002) had a significant correlation with prostatic chronic inflammation. Conclusion: The delay in surgical management was the main predictor of chronic inflammation in BPH. This factor increase the risk of surgical wound infection and an extended of postoperative stay.
{"title":"INFLAMMATION CHRONIQUE ET HYPERPLASIE BÉNIGNE DE LA PROSTATE: FACTEURS PRÉDICTIFS ET CONSÉQUENCES APRÈS CHIRURGIE OUVERTE CHRONIC INFLAMMATION AND BENIGN PROSTATIC HYPERPLASIA: PREDICTIVE FACTORS AND CONSEQUENCES AFTER OPEN SURGERY","authors":"H. RambelAndrianisa, Harioly Nirina Moj, F. Rasoaherinomenjanahary, Rakototiana Af, Rantomalala Hyh","doi":"10.53555/eijmhs.v6i2.137","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i2.137","url":null,"abstract":"Background: Chronic inflammation of the prostate has been observed on prostatic specimen after resection or a biopsy. The aim of this study was to determine the factors that can predict its existence in benign prostatic hyperplasia (BPH) and the consequences after open surgery. Method: We carried out a retrospective, observational, transversal study of patients who underwent prostatic adenomectomy in 2017 and 2018 in our department. Specimen with prostatic adenocarcinoma were excluded. \u0000Results: Of 51 operated patients, 31 (60.78%) had chronic inflammation within BPH. The mean delay between the beginning of symptoms and the surgery was 23.14 ± 35.62 months. \u0000Acute urinary retention was the main reason for consultation (78.43%). The mean duration of bladder catheter wear before surgery was 82.41 ± 220.36 months. Postoperative course was uneventful in 26(50.99%) patients. The mean postoperative stay was 5.86 ± 3.42 days. Surgical treatment delay (p = 0.000001), surgical wound infection (p = 0.002) and the length of postoperative stay (p = 0.002) had a significant correlation with prostatic chronic inflammation. \u0000Conclusion: The delay in surgical management was the main predictor of chronic inflammation in BPH. This factor increase the risk of surgical wound infection and an extended of postoperative stay.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134348097","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 : 2020-01-27DOI: 10.53555/eijmhs.v6i1.131
T. Razafindrainibe, S Rakotonomenjanahary, JG Raelison, Nmp Rahanitriniaina, M. Andrianirina, MS Razafindrabe, A. Rajaonera
Introduction: Preeclampsia is a major cause of maternal and newborn morbi-mortality mostly through eclampsia and its complications. Magnesium sulphate is now approved to prevent eclamptic seizures. Our survey is aimed at showing the benefits and risks of its use in the management of severe preeclampsia. Methods: A prospective and descriptive study was led for nine months from April to December 2016 at CHUGOB about 90 severe preeclamptic women up to 28 weeks of gestation with imminent eclampsia and/or decision of delivery (or in labor); treated by magnesium sulphate before, during and/or after delivery. Results: The prevalence of this pathology was 1, 9%. It occurred before 37 weeks of gestation in 62, 22% of the cases, with middle age of 28, 89 years old. Systolic arterial blood pressure was greater than 160 mmHg (92, 22%), accompanied by significant proteinuria (61, 11%), and clinical signs of imminent eclampsia (65, 56%). Fifty five of them (61, 11%) needed antihypertensive therapy. The mainly side effects were minor (feeling of warmth in 54, 44%). There were six overdoses which regressed when treatment was stopped and calcium gluconate administered. No patients had eclampsia nor death. The newborn morbi-mortality hadn’t been affected. Conclusion: Magnesium sulphate is effective especially in imminent eclampsia. The benefits from its use were above the risks for the mother and her baby with rigorous clinic follow up. We recommend it.
{"title":"INTRODUCTION DU SULFATE DE MAGNESIUM DANS LA PRISE EN CHARGE DE LA PREECLAMPSIE SEVERE AU CHUGOB","authors":"T. Razafindrainibe, S Rakotonomenjanahary, JG Raelison, Nmp Rahanitriniaina, M. Andrianirina, MS Razafindrabe, A. Rajaonera","doi":"10.53555/eijmhs.v6i1.131","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i1.131","url":null,"abstract":"Introduction: Preeclampsia is a major cause of maternal and newborn morbi-mortality mostly through eclampsia and its complications. Magnesium sulphate is now approved to prevent eclamptic seizures. Our survey is aimed at showing the benefits and risks of its use in the management of severe preeclampsia. \u0000Methods: A prospective and descriptive study was led for nine months from April to December 2016 at CHUGOB about 90 severe preeclamptic women up to 28 weeks of gestation with imminent eclampsia and/or decision of delivery (or in labor); treated by magnesium sulphate before, during and/or after delivery. \u0000Results: The prevalence of this pathology was 1, 9%. It occurred before 37 weeks of gestation in 62, 22% of the cases, with middle age of 28, 89 years old. Systolic arterial blood pressure was greater than 160 mmHg (92, 22%), accompanied by significant proteinuria (61, 11%), and clinical signs of imminent eclampsia (65, 56%). Fifty five of them (61, 11%) needed antihypertensive therapy. The mainly side effects were minor (feeling of warmth in 54, 44%). There were six overdoses which regressed when treatment was stopped and calcium gluconate administered. No patients had eclampsia nor death. The newborn morbi-mortality hadn’t been affected. \u0000Conclusion: Magnesium sulphate is effective especially in imminent eclampsia. The benefits from its use were above the risks for the mother and her baby with rigorous clinic follow up. \u0000We recommend it. ","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121778668","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}
Reconstructive surgery in case pelvis defect is a technical challenge. It takes into account the etiology, the general condition of the patient; the location and size of the defect. Pedicled musculocutaneous flaps is necessary in case of deep and large defect. The rectus abdominis flap is frequently used. Our observation demonstrates the difficulties and technical particularities of reconstructing a large traumatic defect. It is a rupture of the hemipelvis following a traffic accident, exposing the peritoneum, part of the bladder and the anal canal. The use of fasciocutaneous flap was doomed to necrosis. Our recourse was the use of the "vertical rectus abdominis myocutaneous flap" (VRAM) by making a technical modification. The muscle was dissected separately from the fascia. This allowed us to spread it out and cover a wider area. Complete cutaneous coverage was provided by using two fasciocutaneous flaps: hypogastric and perineal. Good healing was obtained, and the patient received a prosthesis.
{"title":"USE OF THE “VERTICAL RECTUS ABDOMINIS MYOCUTANEOUS FLAP” MODIFIED FOR PELVIC RECONSTRUCTION AFTER TRAUMATIC REMOVAL OF THE HEMIPELVIS","authors":"Raherison A.R, Ralahy M.F, Nirinaharimanitra V.S, Andriamanarivo L.R.C, Hunald F.A, Andriamanarivo M.L","doi":"10.53555/eijmhs.v6i1.133","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i1.133","url":null,"abstract":"Reconstructive surgery in case pelvis defect is a technical challenge. It takes into account the etiology, the general condition of the patient; the location and size of the defect. Pedicled musculocutaneous flaps is necessary in case of deep and large defect. The rectus abdominis flap is frequently used. Our observation demonstrates the difficulties and technical particularities of reconstructing a large traumatic defect. It is a rupture of the hemipelvis following a traffic accident, exposing the peritoneum, part of the bladder and the anal canal. The use of fasciocutaneous flap was doomed to necrosis. Our recourse was the use of the \"vertical rectus abdominis myocutaneous flap\" (VRAM) by making a technical modification. The muscle was dissected separately from the fascia. This allowed us to spread it out and cover a wider area. Complete cutaneous coverage was provided by using two fasciocutaneous flaps: hypogastric and perineal. Good healing was obtained, and the patient received a prosthesis.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"390 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131943691","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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