Pub Date : 2019-12-27DOI: 10.53555/eijmhs.v5i4.126
Sawadogo S, Kouldiaty J, Traoré Zoungrana C, Kissou A.S, Kafando E, D. S
Elliptocytosis at CHU Souro Sanou. This study is about elliptocytosis (anomaly of the Red Blood Cells membrane) in a family of the county of “Hauts Basins”. On the members’ blood smears, elliptocytes, at variable percentage according to the persons, have been found. The same images have been found among the descendants who have been examined. All (the propositus) have hemolysis offset and women had a visual defect. Materials and Methods The following examinations were made: CBC, smears on fresh blood, smears after 24 hours in a blood autoclave, results of hemolysis for some, ektacytometry, visual acuity, visual field. Some factors of significance were sought: Research of the anomalies of the Hemoglobin by capillary electrophoresis and high performance liquid chromatography, martial balance, balance sheet vitamin. Results: while some have presented a simple elliptocytosis, the other had a pyropoikilocytosis. The women presented for some a decrease in visual acuity and for other an amputation of the visual field in temporal. The relationship between the hematological’s disease and visual disturbances could not be performed because the molecular biology has not been able to be carried out.
{"title":"ELLIPTOCYTOSIS AT UNIVERSITY HOSPITAL SOURO SANOU (CHUSS)","authors":"Sawadogo S, Kouldiaty J, Traoré Zoungrana C, Kissou A.S, Kafando E, D. S","doi":"10.53555/eijmhs.v5i4.126","DOIUrl":"https://doi.org/10.53555/eijmhs.v5i4.126","url":null,"abstract":"Elliptocytosis at CHU Souro Sanou. \u0000This study is about elliptocytosis (anomaly of the Red Blood Cells membrane) in a family of the county of “Hauts Basins”. On the members’ blood smears, elliptocytes, at variable percentage according to the persons, have been found. The same images have been found among the descendants who have been examined. All (the propositus) have hemolysis offset and women had a visual defect. \u0000Materials and Methods \u0000 The following examinations were made: CBC, smears on fresh blood, smears after 24 hours in a blood autoclave, results of hemolysis for some, ektacytometry, visual acuity, visual field. Some factors of significance were sought: Research of the anomalies of the Hemoglobin by capillary electrophoresis and high performance liquid chromatography, martial balance, balance sheet vitamin. \u0000Results: while some have presented a simple elliptocytosis, the other had a pyropoikilocytosis. The women presented for some a decrease in visual acuity and for other an amputation of the visual field in temporal. \u0000The relationship between the hematological’s disease and visual disturbances could not be performed because the molecular biology has not been able to be carried out.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132878858","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 : 2019-12-27DOI: 10.53555/eijmhs.v5i4.129
Ramarokoto M, Rakotodranibe Wf, Bemora J S, Ratovondrainy W, R. M, Andriamamonjy C
Head trauma regroups every post-traumatic lesions surgical or not concerning the skul l, its envelopes and its contents especially. The aim of the study was to determine the epidemi ological, clinical and treatment profile of intra-cranial post traumatic hematoma at neurosurgi cal unit of PZaGa University Teaching Hospital. It is a retrospective, descriptive study about head injury with intra-cranial hematoma a dmitted and managed at the neurosurgical unit from December 2017 to July 2018. We had 244 cases of head trauma among 325 hospitalized patients with 34 cases of int ra-cranial hematoma (13, 93%). Patients with head trauma were young adults, with male pred ominance, living in Mahajanga town. The main risk factor found was alcoholic intoxication (52,94%). It was about benign head trauma (79, 41%), among main signs found was agitation.Brain CT Scan was used in 82,35% of cases. Surgical indication was almost confirmed by C T Scan but for the 17, 65% of cases, diagnosis was confirmed per-operatively. Main lesions o bserved were EDH (42, 86%) and chronic SDH (21,43%). Their management was early. Med ical treatment was sufficient in 20,59% of patients and 79,41% had surgical intervention. Evo lution was favorable but we had 2,94% deaths.Information, communication and education of a very socio professional stratus should be done.
{"title":"INTRA-CRANIAL HEMATOMAS SECONDARY OF HEAD INJURIES SEEN AT CHU PZAGA OF MAHAJANGA","authors":"Ramarokoto M, Rakotodranibe Wf, Bemora J S, Ratovondrainy W, R. M, Andriamamonjy C","doi":"10.53555/eijmhs.v5i4.129","DOIUrl":"https://doi.org/10.53555/eijmhs.v5i4.129","url":null,"abstract":"Head trauma regroups every post-traumatic lesions surgical or not concerning the skul l, its envelopes and its contents especially. The aim of the study was to determine the epidemi ological, clinical and treatment profile of intra-cranial post traumatic hematoma at neurosurgi cal unit of PZaGa University Teaching Hospital. It is a retrospective, descriptive study about head injury with intra-cranial hematoma a dmitted and managed at the neurosurgical unit from December 2017 to July 2018. We had 244 cases of head trauma among 325 hospitalized patients with 34 cases of int ra-cranial hematoma (13, 93%). Patients with head trauma were young adults, with male pred ominance, living in Mahajanga town. The main risk factor found was alcoholic intoxication (52,94%). It was about benign head trauma (79, 41%), among main signs found was agitation.Brain CT Scan was used in 82,35% of cases. Surgical indication was almost confirmed by C T Scan but for the 17, 65% of cases, diagnosis was confirmed per-operatively. Main lesions o bserved were EDH (42, 86%) and chronic SDH (21,43%). Their management was early. Med ical treatment was sufficient in 20,59% of patients and 79,41% had surgical intervention. Evo lution was favorable but we had 2,94% deaths.Information, communication and education of a very socio professional stratus should be done.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127684528","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 : 2019-11-20DOI: 10.53555/eijmhs.v5i4.130
Randimbinirina Zl, F. Rasoaherinomenjanahary, Solo Ce, Meliny Za, R. Mla, Samison Lh
Although intussusception is always seen in children, its occurrence in adults is an exceptional situation. Postoperative intussusception is uncommon and few cases have been reported in the literature. We present the case of a 51-year-old woman with jejunal postoperative intussusception. She underwent gastrojejunal anastomosis for pyloric stenosis two weeks earlier. The symptomatology was a bowel obstruction, which was initially thought to be an early postoperative adhesions. The lack of improvement despite medical treatment led to a surgical exploration that helped to the right diagnosis. Intussusception has been related to jejunal adhesions. Manual reduction was made with removal of adhesions. Postoperative period was uneventful. Adult intussusception is uncommon, often caused by tumors. Early surgical revision is the rule to avoid nutritional impact of a chronic postoperative subocclusion.
{"title":"INTESTINAL INTUSSUSCEPTION SECONDARY TO JEJUNAL ADHESIONS IN ADULT: A RARE CAUSE OF POSTOPERATIVE OBSTRUCTION","authors":"Randimbinirina Zl, F. Rasoaherinomenjanahary, Solo Ce, Meliny Za, R. Mla, Samison Lh","doi":"10.53555/eijmhs.v5i4.130","DOIUrl":"https://doi.org/10.53555/eijmhs.v5i4.130","url":null,"abstract":"Although intussusception is always seen in children, its occurrence in adults is an exceptional situation. Postoperative intussusception is uncommon and few cases have been reported in the literature. We present the case of a 51-year-old woman with jejunal postoperative intussusception. She underwent gastrojejunal anastomosis for pyloric stenosis two weeks earlier. The symptomatology was a bowel obstruction, which was initially thought to be an early postoperative adhesions. The lack of improvement despite medical treatment led to a surgical exploration that helped to the right diagnosis. Intussusception has been related to jejunal adhesions. Manual reduction was made with removal of adhesions. Postoperative period was uneventful. Adult intussusception is uncommon, often caused by tumors. Early surgical revision is the rule to avoid nutritional impact of a chronic postoperative subocclusion. ","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127371054","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 : 2019-10-19DOI: 10.53555/eijmhs.v6i1.132
S. Rakotonomenjanahary, Nmp Rahanitriniaina, T. Razafindrainibe, T. Randriamandrato, At Rajaonera
Aim of the work: To describe clinical and epidemiological profile of patients with difficult intubation in maxillofacial surgery and stomatology. Methods: This is a descriptive retrospective study over a period of two years (April 2017 to May 2019) at the University Hospital Joseph Dieudonné Rakotovao (CHU - JDR) Antananarivo. This includes all patients whose intubation lasted more than 10 minutes and / or more than three attempts, or could not be performed. Results: Twenty-eight (28) patients were collected with difficult intubation rate of 8%. A male predominance was found (sex ratio = 2.25) and the lesions are mainly of tumoral origin (54%), sitting at the level of the mandible (43%) and locating on the right side (54%). The classification of Mallampati and measurement of mouth opening could not be evaluated in 39% and 18% of cases respectively. For the classic criteria that were able to evaluate: the classification of mallampati III and IV = 59%, the mouth opening less than 3.5 cm = 26% and the mento - thyroid distance less than 6cm = 4%. Conclusion: Although the classical predictive criteria for difficult intubation are reliable, they cannot always be correctly assessed in maxillofacial surgery. And particular features of the lesion have been found in patients who presented with difficult intubation. Hence the interest of carrying out an analytical study in order to elaborate a predictive score based on the classic criteria and the characteristics of the lesion.
{"title":"CLINICAL AND EPIDEMIOLOGICAL PROFILE OF PATIENTS WITH DIFFICULT INTUBATION IN MAXILLOFACIAL SURGERY AND STOMATOLOGY.","authors":"S. Rakotonomenjanahary, Nmp Rahanitriniaina, T. Razafindrainibe, T. Randriamandrato, At Rajaonera","doi":"10.53555/eijmhs.v6i1.132","DOIUrl":"https://doi.org/10.53555/eijmhs.v6i1.132","url":null,"abstract":"Aim of the work: To describe clinical and epidemiological profile of patients with difficult intubation in maxillofacial surgery and stomatology. \u0000Methods: This is a descriptive retrospective study over a period of two years (April 2017 to May 2019) at the University Hospital Joseph Dieudonné Rakotovao (CHU - JDR) \u0000Antananarivo. This includes all patients whose intubation lasted more than 10 minutes and / or more than three attempts, or could not be performed. \u0000Results: Twenty-eight (28) patients were collected with difficult intubation rate of 8%. A male predominance was found (sex ratio = 2.25) and the lesions are mainly of tumoral origin (54%), sitting at the level of the mandible (43%) and locating on the right side (54%). The classification of Mallampati and measurement of mouth opening could not be evaluated in 39% and 18% of cases respectively. For the classic criteria that were able to evaluate: the classification of mallampati III and IV = 59%, the mouth opening less than 3.5 cm = 26% and the mento - thyroid distance less than 6cm = 4%. \u0000Conclusion: Although the classical predictive criteria for difficult intubation are reliable, they cannot always be correctly assessed in maxillofacial surgery. And particular features of the lesion have been found in patients who presented with difficult intubation. Hence the interest of carrying out an analytical study in order to elaborate a predictive score based on the classic criteria and the characteristics of the lesion. ","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131385923","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}
S. Rakotonomenjanahary, T. Razafindrainibe, Nadia Marie Philibertine Rahanitriniaina, T. Randriamandrato, T. Rajaonera, J. B. Razafindrabe
Objectifs : Décrire la pratique sur la gestion des voies aériennes difficiles prévues en chirurgie maxillo – faciale et proposer une ébauche d’algorithme de prise en charge selon notre contexte de travail. Méthodes: Il s’agit d’une étude rétrospective descriptive et observationnelle sur deux ans, incluant tous patients ayant un ou plusieurs critères prédictifs d’intubation difficile. Résultats: Nous avons retenu 63 patient’s avec 08% d’intubation difficile dont 02% intubation impossible. Une prédominance masculine a été notée (sex – ratio = 1,3) avec un âge moyen de de 38,93 ans et un poids moyen de 59,6 kg. L’intervention réalisée est dominée par l’exérèse tumorale (49%). Le score de Mallampati n’a pas pu être évalué dans les 41% des cas, et l’ouverture buccale inférieure à 6 cm est de 57% des cas évalués. Les grades de Cormack III et IV est de 40%. L’intubation naso - trachéale (INT) a été réalisé chez 47 patients; l’intubation oro – trachéale (IOT) chez 25 patients et la trachéotomie chez 08 patients ; et il y a eu un cas de patient réveillé. Le taux de succès du mandrin d’Eschmann a été de 86% et la fibroscopie, de 67%. Conclusion: La contiguïté des voies aériennes et l’atteinte anatomique de la lésion requièrent une prise en charge spécifique d’une difficulté à l’accès aux voies aériennes lors de l’anesthésie pour chirurgie maxillo - faciale. Et la décision des matériels et techniques utilisés est dictée par l’ouverture buccale, l’extension de la lésion en intrabuccale et l’abord chirurgicale.
{"title":"GESTION DES VOIES AÉRIENNES DIFFICILES PRÉVUES EN CHIRURGIE MAXILLO – FACIALE AU CHU – JDR ANTANANARIVO MADAGASCAR PREDICTED DIFFICULT AIRWAYS MANAGEMENT IN MAXILLOFACIAL SURGERY. CHU – JDR ANTANANARIVO MADAGASCAR","authors":"S. Rakotonomenjanahary, T. Razafindrainibe, Nadia Marie Philibertine Rahanitriniaina, T. Randriamandrato, T. Rajaonera, J. B. Razafindrabe","doi":"10.53555/eijmhs.v4i4.49","DOIUrl":"https://doi.org/10.53555/eijmhs.v4i4.49","url":null,"abstract":"Objectifs : Décrire la pratique sur la gestion des voies aériennes difficiles prévues en chirurgie maxillo – faciale et proposer une ébauche d’algorithme de prise en charge selon notre contexte de travail. \u0000Méthodes: Il s’agit d’une étude rétrospective descriptive et observationnelle sur deux ans, incluant tous patients ayant un ou plusieurs critères prédictifs d’intubation difficile. \u0000Résultats: Nous avons retenu 63 patient’s avec 08% d’intubation difficile dont 02% intubation impossible. Une prédominance masculine a été notée (sex – ratio = 1,3) avec un âge moyen de de 38,93 ans et un poids moyen de 59,6 kg. L’intervention réalisée est dominée par l’exérèse tumorale (49%). Le score de Mallampati n’a pas pu être évalué dans les 41% des cas, et l’ouverture buccale inférieure à 6 cm est de 57% des cas évalués. Les grades de Cormack III et IV est de 40%. \u0000 L’intubation naso - trachéale (INT) a été réalisé chez 47 patients; l’intubation oro – trachéale (IOT) chez 25 patients et la trachéotomie chez 08 patients ; et il y a eu un cas de patient réveillé. Le taux de succès du mandrin d’Eschmann a été de 86% et la fibroscopie, de 67%. \u0000Conclusion: La contiguïté des voies aériennes et l’atteinte anatomique de la lésion requièrent une prise en charge spécifique d’une difficulté à l’accès aux voies aériennes lors de l’anesthésie pour chirurgie maxillo - faciale. Et la décision des matériels et techniques utilisés est dictée par l’ouverture buccale, l’extension de la lésion en intrabuccale et l’abord chirurgicale.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129922038","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 : 2019-10-01DOI: 10.53555/eijmhs.v5i4.127
Rabarikoto Hf Raelison Jg, Rahanitriniaina Nmp, A. Velomora, Ravoavy Sa, Ramarolahy Ra, Rajaonera At
Introduction: The first audit shows the difficulty of implementing early feeding, oral analgesia, removal of the urinary catheter as well as stopping the infusion, with a median duration of 3.5 days. Our objectives are to evaluate adherence to the protocol after the audit and to determine the impact on the stay hard. METHOD: This is a prospective observational audit study, from February to July 15, 2019, at the Mother-Child Complex of the Antsiranana Military Hospital. Parturients operated for caesarean section under spinal anesthesia, ASA 1 or 2 are included in this study. Results: Seventy-four patients were retained. Intraoperatively, optimization of vascular filling was performed in 60 patients (81%). All patients received prevention of postoperative nausea / vomiting and intrathecal morphine. In the post-intervention ward, oral analgesia is started within one hour after surgery in all patients (100%). The peripheral venous route is obstructed in 71 cases (96%). The urinary catheter was removed from 71 patients (96%). Seventy-two cases (97%) resumed drinking in unlimited quantities and a light diet at the fourth hour. Two cases (3%) had postoperative nausea and urinary retention requiring an evacuating catheter. The median length of stay of the mother / newborn couple in hospital was 3 (2-3) days. Conclusion: there is an increase in the adhesion of the protocol. It decreases the length of stay of hospitalization.
{"title":"SECOND AUDIT OF THE IMPROVED REHABILITATION AFTER CAESAREAN SECTION AT THE MOTHER-CHILD COMPLEX AT THE MILITARY HOSPITAL OF ANTSIRANANA.","authors":"Rabarikoto Hf Raelison Jg, Rahanitriniaina Nmp, A. Velomora, Ravoavy Sa, Ramarolahy Ra, Rajaonera At","doi":"10.53555/eijmhs.v5i4.127","DOIUrl":"https://doi.org/10.53555/eijmhs.v5i4.127","url":null,"abstract":"Introduction: The first audit shows the difficulty of implementing early feeding, oral analgesia, removal of the urinary catheter as well as stopping the infusion, with a median duration of 3.5 days. Our objectives are to evaluate adherence to the protocol after the audit and to determine the impact on the stay hard. \u0000METHOD: This is a prospective observational audit study, from February to July 15, 2019, at the Mother-Child Complex of the Antsiranana Military Hospital. Parturients operated for caesarean section under spinal anesthesia, ASA 1 or 2 are included in this study. \u0000Results: Seventy-four patients were retained. Intraoperatively, optimization of vascular filling was performed in 60 patients (81%). All patients received prevention of postoperative nausea / vomiting and intrathecal morphine. In the post-intervention ward, oral analgesia is started within one hour after surgery in all patients (100%). The peripheral venous route is obstructed in 71 cases (96%). The urinary catheter was removed from 71 patients (96%). Seventy-two cases (97%) resumed drinking in unlimited quantities and a light diet at the fourth hour. Two cases (3%) had postoperative nausea and urinary retention requiring an evacuating catheter. The median length of stay of the mother / newborn couple in hospital was 3 (2-3) days. Conclusion: there is an increase in the adhesion of the protocol. It decreases the length of stay of hospitalization.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124277135","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 : 2019-10-01DOI: 10.53555/eijmhs.v5i4.128
M. Tsiaremby, J. S. Bemora, P. Rakotozanany, W. Ratovondrainy, M. Rabarijaona, C. Andriamamonjy
Introduction: Pott’s disease or spinal tuberculosis is feared by its neurological damages. The study aimed to indicate and solve the diagnostic and therapeutic problems met in its neurosurgical management. Methods: It was a retrospective study conducted during 3 and half years (2015-2018) about 36 patients from three neurosurgical centers in Madagascar: CHUJRA, CENHOSOA and CHU FIANARANTSOA. Results: Pott’s disease had an incidence of 10 cases/year. The mean age was 37 years and the sex ratio was 0.9. Most of the patients came from rural regions (65%). The average of consultation delay was about 16 months. Neurological deficits were observed at 69.4 % and complete paraplegic at 47.2 % at the beginning of hospitalization. The delay of consultation upper to 6 months was significantly correlated in the paraplegia (p-value = 0,002). Spinal injuries had shown by MRI only in 19.4 % and by a spinal CT in 69.4 %. Over 83.3 % of patients needed a neurosurgical intervention while only 52.8 % were able to be operated. Anterior approach offered best results with 83.3 % of neurological recuperation in 3 months. Conclusion: The insidious installation of the disease, the diagnostic delay, the pecuniary insufficiency, the expensive cost of MRI and surgical implants are the main difficulties met in neurosurgical management of Pott’s disease. Anterior approach is the surgical technique the most adapted to the advanced Pott’s disease.
{"title":"DIAGNOSTIC AND THERAPEUTIC DIFFICULTIES IN THE NEUROSURGICAL MANAGEMENT OF POTT’S DISEASE IN MADAGASCAR","authors":"M. Tsiaremby, J. S. Bemora, P. Rakotozanany, W. Ratovondrainy, M. Rabarijaona, C. Andriamamonjy","doi":"10.53555/eijmhs.v5i4.128","DOIUrl":"https://doi.org/10.53555/eijmhs.v5i4.128","url":null,"abstract":"Introduction: Pott’s disease or spinal tuberculosis is feared by its neurological damages. The study aimed to indicate and solve the diagnostic and therapeutic problems met in its neurosurgical management. \u0000Methods: It was a retrospective study conducted during 3 and half years (2015-2018) about \u000036 patients from three neurosurgical centers in Madagascar: CHUJRA, CENHOSOA and CHU FIANARANTSOA. \u0000Results: Pott’s disease had an incidence of 10 cases/year. The mean age was 37 years and the sex ratio was 0.9. Most of the patients came from rural regions (65%). The average of consultation delay was about 16 months. Neurological deficits were observed at 69.4 % and complete paraplegic at 47.2 % at the beginning of hospitalization. The delay of consultation upper to 6 months was significantly correlated in the paraplegia (p-value = 0,002). Spinal injuries had shown by MRI only in 19.4 % and by a spinal CT in 69.4 %. Over 83.3 % of patients needed a neurosurgical intervention while only 52.8 % were able to be operated. Anterior approach offered best results with 83.3 % of neurological recuperation in 3 months. Conclusion: The insidious installation of the disease, the diagnostic delay, the pecuniary insufficiency, the expensive cost of MRI and surgical implants are the main difficulties met in neurosurgical management of Pott’s disease. Anterior approach is the surgical technique the most adapted to the advanced Pott’s disease.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129861612","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 : 2019-09-27DOI: 10.53555/eijmhs.v5i3.125
Syamsiar S. Russeng, Lalu Muhammad Saleh, Yahya Thamrin, S. SitiAuliaUtami
Fatigue is a particular situation accompanied by a drop in efficiency and durability of work. Fatigue showed differences in physical and mental, but all the result caused decrease of power and reduction body's resistance to work. In the apron area, the intensity of noise is quite high due to several types of work that cause noise. Workers will feel fatigue if they are exposed to the noise. In addition, age factors, workload, length of work and years of service are some of the causes of work fatigue in apron workers. This study aims to determine the relationship of age, workload, and length of work, work period, and noise intensity with the fatigue of Apron Section workers at Sultan Hasanuddin Airport, Makassar. It uses observational analytic research with a cross sectional study approach. The data collection was conducted in against 71 workers as a sample of 242 populations taken using the proportionate random sampling technique. Work fatigue data is taken by using measurement of reaction timer, measurement of pulse, measurement of noise intensity, data on age, length of work and length of service with the questionnaire. The data analysis was univariate and bivariate with chi square test. The results showed that workers who experienced work fatigue were 48 people (67, 6%) and workers who did not experience work fatigue were 23 people (32, 4%). The statistical test results show that there is a relationship between age (p=0,001) (p˂0, 05), workload (p=0,001) (p˂0, 05), length of work (p=0,001) (p˂0, 05), work period (p=0,001) (p˂0, 05) and noise intensity (p=0,017) (p˂0, 05) with fatigue of Apron Section workers at Sultan Hasanuddin Airport Makassar. The company is advised that the length of work of the workers is according to established standards and to workers to use the Personal Protective Equipment (earplug) provided by the company.
{"title":"RELATIONSHIP OF NOISE AND FATIGUE AT SULTAN HASANUDDIN AIRPORT APRON WORKERS","authors":"Syamsiar S. Russeng, Lalu Muhammad Saleh, Yahya Thamrin, S. SitiAuliaUtami","doi":"10.53555/eijmhs.v5i3.125","DOIUrl":"https://doi.org/10.53555/eijmhs.v5i3.125","url":null,"abstract":" Fatigue is a particular situation accompanied by a drop in efficiency and durability of work. Fatigue showed differences in physical and mental, but all the result caused decrease of power and reduction body's resistance to work. In the apron area, the intensity of noise is quite high due to several types of work that cause noise. Workers will feel fatigue if they are exposed to the noise. In addition, age factors, workload, length of work and years of service are some of the causes of work fatigue in apron workers. This study aims to determine the relationship of age, workload, and length of work, work period, and noise intensity with the fatigue of Apron Section workers at Sultan Hasanuddin Airport, Makassar. It uses observational analytic research with a cross sectional study approach. The data collection was conducted in against 71 workers as a sample of 242 populations taken using the proportionate random sampling technique. Work fatigue data is taken by using measurement of reaction timer, measurement of pulse, measurement of noise intensity, data on age, length of work and length of service with the questionnaire. The data analysis was univariate and bivariate with chi square test. The results showed that workers who experienced work fatigue were 48 people (67, 6%) and workers who did not experience work fatigue were 23 people (32, 4%). \u0000 The statistical test results show that there is a relationship between age (p=0,001) (p˂0, 05), workload (p=0,001) (p˂0, 05), length of work (p=0,001) (p˂0, 05), work period (p=0,001) (p˂0, 05) and noise intensity (p=0,017) (p˂0, 05) with fatigue of Apron Section workers at Sultan Hasanuddin Airport Makassar. The company is advised that the length of work of the workers is according to established standards and to workers to use the Personal Protective Equipment (earplug) provided by the company.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126501126","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}
Background: Routine immunization coverage in the developing world is low at 60% compared to the developed world above 80%. Due to the low coverage many children die from lack of immunization while others have been disabled. In Kenya, infant’s mortality rate is currently estimated to be 77 per 1000 live births while under five mortality rate is 115 per live births. Objective: To determine factor influencing routine immunization coverage among children in Kwale sub-District hospital Design: A descriptive cross-sectional study. Setting: Kwale sub-District Hospital, Kwale County, Kenya. Subjects: Mothers/caretakers of children brought to the health facility for immunization
{"title":"FACTORS INFLUENCING ROUTINE IMMUNIZATION COVERAGE AMONG CHILDREN IN KWALE COUNTY","authors":"Sammy Kagoiyo Njeru, Monicah Wangechi DCM, Sabina Wanjiru Kagoiyo","doi":"10.53555/eijmhs.v5i3.124","DOIUrl":"https://doi.org/10.53555/eijmhs.v5i3.124","url":null,"abstract":"Background: Routine immunization coverage in the developing world is low at 60% compared to the developed world above 80%. Due to the low coverage many children die from lack of immunization while others have been disabled. In Kenya, infant’s mortality rate is currently estimated to be 77 per 1000 live births while under five mortality rate is 115 per live births. \u0000Objective: To determine factor influencing routine immunization coverage among children in Kwale sub-District hospital \u0000Design: A descriptive cross-sectional study. \u0000Setting: Kwale sub-District Hospital, Kwale County, Kenya. \u0000Subjects: Mothers/caretakers of children brought to the health facility for immunization ","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120917222","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}
Mediastinitis during cervical cellulitis results from the extension of the cervical infectious process to the mediastinum. This cervico-mediastinal dissemination is favored by the anatomical continuity that exists between these two regions. The Anglo-Saxon nomenclature attributed the name of descending mediastinitis exclusively to this type of mediastinitis. The dental origin of cellulite is identified by most studies as a factor promoting the extension to the mediastinum especially when the second or third molars are infected. The initial clinical picture is sometimes poor and can lead to a diagnosis delay. The key examination is cervical CT scan and thoracic CTscan injected. The treatment consists of large and repeated tissue excisions combined with antibiotic therapy directed against the anaerobic and aerobic germs. We report the case a young, immunocompetent patient with cervical cellulitis of dental origin complicated by anterior and posterior mediastinitis.
{"title":"DESCENDING NECROTIZING MEDIASTINITIS COMPLICATING CERVICO-FACIAL CELLULITIS OF DENTAL GATEWAY.","authors":"K. Karim, Leila Essakalli Hossyni","doi":"10.53555/eijmhs.v5i3.83","DOIUrl":"https://doi.org/10.53555/eijmhs.v5i3.83","url":null,"abstract":"Mediastinitis during cervical cellulitis results from the extension of the cervical infectious process to the mediastinum. This cervico-mediastinal dissemination is favored by the anatomical continuity that exists between these two regions. \u0000The Anglo-Saxon nomenclature attributed the name of descending mediastinitis exclusively to this type of mediastinitis. The dental origin of cellulite is identified by most studies as a factor promoting the extension to the mediastinum especially when the second or third molars are infected. \u0000The initial clinical picture is sometimes poor and can lead to a diagnosis delay. The key examination is cervical CT scan and thoracic CTscan injected. The treatment consists of large and repeated tissue excisions combined with antibiotic therapy directed against the anaerobic and aerobic germs. We report the case a young, immunocompetent patient with cervical cellulitis of dental origin complicated by anterior and posterior mediastinitis.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131138750","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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