Pub Date : 2021-01-01DOI: 10.36648/1791-809X.15.3.814
W. Homenda, Szymon Kukulski
The POEMS syndrome is a rare disorder manifesting with polyneuropathy and plasma cell dyscrasia accompanied by other multisystemic symptoms. Sensorimotor demyelinating, axonal and mixed types of polyneuropathy are the most disturbing problems of patients often leading to disability. Here we present two patients successfully treated with autologous hematopoietic stem cells transplantation. Symptoms of the POEMS syndrome entirely resolved after the treatment. Nerve conduction studies were used to follow-up patients in complete remission for few years to analyze dynamics of nerves regeneration. Despite patients clinical performance improvement, the recovery of nerve conduction was not complete. In both patients nerves of upper limbs function was restored to the greater extent than in lower limbs. Improvement or stabilization of impairment of sensory nerves conduction was followed by similar motor nerves conduction dynamic in a given limb. In addition, worsening of the electrophysiological features was observed, completing the picture of complex and subtle changes of conduction after the POEMS syndrome treatment.
{"title":"Long-Term Nerve Conduction Changes after Successful Treatment of Poems Syndrome: Two Case Reports","authors":"W. Homenda, Szymon Kukulski","doi":"10.36648/1791-809X.15.3.814","DOIUrl":"https://doi.org/10.36648/1791-809X.15.3.814","url":null,"abstract":"The POEMS syndrome is a rare disorder manifesting with polyneuropathy and plasma cell dyscrasia accompanied by other multisystemic symptoms. Sensorimotor demyelinating, axonal and mixed types of polyneuropathy are the most disturbing problems of patients often leading to disability. Here we present two patients successfully treated with autologous hematopoietic stem cells transplantation. Symptoms of the POEMS syndrome entirely resolved after the treatment. Nerve conduction studies were used to follow-up patients in complete remission for few years to analyze dynamics of nerves regeneration. Despite patients clinical performance improvement, the recovery of nerve conduction was not complete. In both patients nerves of upper limbs function was restored to the greater extent than in lower limbs. Improvement or stabilization of impairment of sensory nerves conduction was followed by similar motor nerves conduction dynamic in a given limb. In addition, worsening of the electrophysiological features was observed, completing the picture of complex and subtle changes of conduction after the POEMS syndrome treatment.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"os-12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87191021","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 : 2021-01-01DOI: 10.36648/1791-809X.15.2.810
H. Ngouakam, J. Fru-cho, B. Tientche
Background: Malaria in pregnancy (MiP) remains a major health problem in Cameroon, with an unacceptably high annual maternal mortality rate pegged at 782 maternal deaths per 100,000 live births. Despite the gains made through the free distribution of Long Lasting Insecticide Treated Nets (LLITNs) during the antenatal visit and the mass campaign, there is a paucity of data about how pregnant women effectively care for LLITNs. Methods: This was a hospital-based descriptive cross-sectional study conducted from June 2016 to September 2017 among consecutive consenting pregnant women attending antenatal clinics in Bonassama Health District (BHDa) and Buea Health Districts (BHD) located in Douala and Buea respectively using structured questionnaires. Results: Seventy-eight point two (78.2%) of participants never used LLITNs in BHD compared to 7.0 % in BHDa. A greater proportion of participants in both health districts declared having acquired LLITNs during antenatal visits 502 (65.2%) and LLITNs acquisition were facilitated mostly by health workers (77.92 %) in BHD and (53.5%) BHDa. In BHD, 125 (32.5%) never washed their ITNs and the reasons cited were the difficulties to mount when removes 72 (18.7%) in BHD and 47 (12.2%) in BHDa. The majority of pregnant women do self-repaired 383(99.5%) their LLITNs when their damaged than taking them to the tailor 138(17.9%). Conclusion: The high level of knowledge of LLITNs in protecting pregnant women against mosquito bites does not parallel the use of LLITNs in the study population. Forgetfulness and heat were the main reasons for not using the LLITNs in both Health Districts. Continuous health education and sensitization on the use of LLITNs as an effective preventive method for malaria during pregnancy should be accelerated especially during an antenatal visit.
{"title":"Awareness, Use, Care of Insecticide-treated Bed Nets among Pregnant Women in Buea (Buea) and Bonassama (Douala)","authors":"H. Ngouakam, J. Fru-cho, B. Tientche","doi":"10.36648/1791-809X.15.2.810","DOIUrl":"https://doi.org/10.36648/1791-809X.15.2.810","url":null,"abstract":"Background: Malaria in pregnancy (MiP) remains a major health problem in Cameroon, with an unacceptably high annual maternal mortality rate pegged at 782 maternal deaths per 100,000 live births. Despite the gains made through the free distribution of Long Lasting Insecticide Treated Nets (LLITNs) during the antenatal visit and the mass campaign, there is a paucity of data about how pregnant women effectively care for LLITNs. Methods: This was a hospital-based descriptive cross-sectional study conducted from June 2016 to September 2017 among consecutive consenting pregnant women attending antenatal clinics in Bonassama Health District (BHDa) and Buea Health Districts (BHD) located in Douala and Buea respectively using structured questionnaires. Results: Seventy-eight point two (78.2%) of participants never used LLITNs in BHD compared to 7.0 % in BHDa. A greater proportion of participants in both health districts declared having acquired LLITNs during antenatal visits 502 (65.2%) and LLITNs acquisition were facilitated mostly by health workers (77.92 %) in BHD and (53.5%) BHDa. In BHD, 125 (32.5%) never washed their ITNs and the reasons cited were the difficulties to mount when removes 72 (18.7%) in BHD and 47 (12.2%) in BHDa. The majority of pregnant women do self-repaired 383(99.5%) their LLITNs when their damaged than taking them to the tailor 138(17.9%). Conclusion: The high level of knowledge of LLITNs in protecting pregnant women against mosquito bites does not parallel the use of LLITNs in the study population. Forgetfulness and heat were the main reasons for not using the LLITNs in both Health Districts. Continuous health education and sensitization on the use of LLITNs as an effective preventive method for malaria during pregnancy should be accelerated especially during an antenatal visit.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87736474","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 : 2021-01-01DOI: 10.36648/1791-809X.21.S3.009
Dabessa Mosissa, S. Alemu, M. Rad, E. Yesuf
Background: Intensive Care Unit is a part of a hospital where critically ill patients that required advanced airways, respiratory or homodynamic support are admitted. However, the patterns of admission and outcome of the critical surgical patients admitted to Intensive Care Unit of Jimma University Medical Center not well understood. Therefore, the aim of this study was to assesspatterns of admission and outcome of surgical patients admitted the intensive care unit of Jimma University Medical Center. Methodology: A cross-sectional retrospective study was conducted in Jimma University Medical Center. Records of surgical patients admitted to intensive care unit from Sept1, 2016-Sept1, 2017 were reviewed. Data abstracted from patient records include diagnosis at admission and outcome of admission. Descriptive statistic, such as frequencies, proportions and means were calculated. Possible association patients’ outcome and predictor variables were determined using Chi- Square Test. Result: Duringone year, 113 surgical patients admitted to intensive care unit of Jimma University Medical Center. Males accounted 61.1% of the admission. Commonest diagnosis at admission was isolated head trauma accounting 36 out of 113 admissions (31.9%). Overall ICU complication rate was 46.9 %. Overall ICU mortality rate was 39.8%. The highest mortality rate was recorded for head injury at 52.8% Conclusion: High complication rate and mortality rate is indicative of poor quality of care in the intensive care unit of Jimma University Medical Center. Head injury mortality rate is particularly higher and need preventive measures.
背景:重症监护室是医院收治需要先进气道、呼吸或动态支持的危重患者的一部分。然而,Jimma大学医学中心重症监护室收治的外科危重患者的入院模式和预后尚不清楚。因此,本研究的目的是评估Jimma大学医学中心重症监护室外科患者的入院方式和预后。方法:在吉马大学医学中心进行横断面回顾性研究。回顾2016年9月1日至2017年9月1日入住重症监护病房的外科患者记录。从患者记录中提取的数据包括入院时的诊断和入院结果。计算描述性统计量,如频率、比例和平均值。采用卡方检验确定可能的关联、患者预后和预测变量。结果:一年内,113例外科患者在吉马大学医学中心重症监护室住院。男生占录取率61.1%。入院时最常见的诊断是孤立性头部创伤,占113例入院患者中的36例(31.9%)。ICU总并发症发生率为46.9%。ICU总死亡率为39.8%。结论:Jimma University Medical Center重症监护病房的高并发症发生率和高死亡率表明重症监护病房的护理质量较差。头部受伤死亡率特别高,需要采取预防措施。
{"title":"Outcomes of Surgical Patients Admitted to the Intensive Care Unit of Jimma University Medical Center","authors":"Dabessa Mosissa, S. Alemu, M. Rad, E. Yesuf","doi":"10.36648/1791-809X.21.S3.009","DOIUrl":"https://doi.org/10.36648/1791-809X.21.S3.009","url":null,"abstract":"Background: Intensive Care Unit is a part of a hospital where critically ill patients that required advanced airways, respiratory or homodynamic support are admitted. However, the patterns of admission and outcome of the critical surgical patients admitted to Intensive Care Unit of Jimma University Medical Center not well understood. Therefore, the aim of this study was to assesspatterns of admission and outcome of surgical patients admitted the intensive care unit of Jimma University Medical Center. Methodology: A cross-sectional retrospective study was conducted in Jimma University Medical Center. Records of surgical patients admitted to intensive care unit from Sept1, 2016-Sept1, 2017 were reviewed. Data abstracted from patient records include diagnosis at admission and outcome of admission. Descriptive statistic, such as frequencies, proportions and means were calculated. Possible association patients’ outcome and predictor variables were determined using Chi- Square Test. Result: Duringone year, 113 surgical patients admitted to intensive care unit of Jimma University Medical Center. Males accounted 61.1% of the admission. Commonest diagnosis at admission was isolated head trauma accounting 36 out of 113 admissions (31.9%). Overall ICU complication rate was 46.9 %. Overall ICU mortality rate was 39.8%. The highest mortality rate was recorded for head injury at 52.8% Conclusion: High complication rate and mortality rate is indicative of poor quality of care in the intensive care unit of Jimma University Medical Center. Head injury mortality rate is particularly higher and need preventive measures.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85697773","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 : 2021-01-01DOI: 10.36648/1791-809X.21.15.826
Victor Ijaja John Mosugu Tegan Zacchaeus
The dissemination of public information during pandemics leads to fear mongering and misinformation. In the context of health communication, this paper suggests that health communication ought to be as clear as possible and easily interpretable. This can be achieved by broadcasting public service announcements through radio, television, and billboard platforms in local dialects and official languages. Furthermore, clear and effective messaging would empower people with the necessary tools to prevent infectious diseases and take control of their well-being. Moreover, this paper also explores the mental health burden that people have during the pandemic and the role that foreign aid can play in alleviating human suffering. In Africa, very little is known or researched when it comes to mental health which becomes a great issue of concern during the COVID-19 pandemic. As people experience different forms of anxiety and depression resulting from fear, uncertainty, and loneliness, there are very limited resources for seeking help. When compared to the global rate, the number of Africans who receive care for their mental health is extremely low due to cultural norms and the limited number of mental health facilities and professionals. Nonetheless, the ability to achieve desirable health outcomes can significantly be boosted by foreign aid. Foreign aid has proven to be a tool for alleviating human suffering during pandemics. Most developing countries rely on foreign aid in the wake of a pandemic either through monetary (bilateral/multilateral) assistance or relief items. In addition to providing emergency relief measures in highly informal sectors, foreign aid can be used as a tool to channel liquidity to small and medium-sized enterprises (SMEs), households, and informal workers. This paper takes a systems approach in highlighting the ways in which some of the aforementioned factors can be efficiently leveraged to curb the rate of disease spread, which in turn alleviates the burden of human suffering.
{"title":"Covid-19 Messages, Mental Health and Foreign Aid","authors":"Victor Ijaja John Mosugu Tegan Zacchaeus","doi":"10.36648/1791-809X.21.15.826","DOIUrl":"https://doi.org/10.36648/1791-809X.21.15.826","url":null,"abstract":"The dissemination of public information during pandemics leads to fear mongering and misinformation. In the context of health communication, this paper suggests that health communication ought to be as clear as possible and easily interpretable. This can be achieved by broadcasting public service announcements through radio, television, and billboard platforms in local dialects and official languages. Furthermore, clear and effective messaging would empower people with the necessary tools to prevent infectious diseases and take control of their well-being. Moreover, this paper also explores the mental health burden that people have during the pandemic and the role that foreign aid can play in alleviating human suffering. In Africa, very little is known or researched when it comes to mental health which becomes a great issue of concern during the COVID-19 pandemic. As people experience different forms of anxiety and depression resulting from fear, uncertainty, and loneliness, there are very limited resources for seeking help. When compared to the global rate, the number of Africans who receive care for their mental health is extremely low due to cultural norms and the limited number of mental health facilities and professionals. Nonetheless, the ability to achieve desirable health outcomes can significantly be boosted by foreign aid. Foreign aid has proven to be a tool for alleviating human suffering during pandemics. Most developing countries rely on foreign aid in the wake of a pandemic either through monetary (bilateral/multilateral) assistance or relief items. In addition to providing emergency relief measures in highly informal sectors, foreign aid can be used as a tool to channel liquidity to small and medium-sized enterprises (SMEs), households, and informal workers. This paper takes a systems approach in highlighting the ways in which some of the aforementioned factors can be efficiently leveraged to curb the rate of disease spread, which in turn alleviates the burden of human suffering.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"65 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89668814","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 : 2021-01-01DOI: 10.36648/1791-809X.21.S3.007
Niki Sadeghipor, Babak Heidari Aghdam
Importance: Coronavirus disease (COVID-19) is an infectious disease which caused by a newly discovered coronavirus Objective: The aim of this study was to investigate the effect of access to personal protective equipment on the level of stress of care workers in epidemic conditions. Design, settings, and participants: This study is hospital - based and which has been donein two stages. The first phase was performed in February 2020, when the disease had justspread and there were insufficient personal protective equipment, and the second phase wasperformed in February 2021, when it was more than 1 year since the outbreak. The disease wasover and personal protective equipment of sufficient quality was provided to the hospital staff.Census method was used to determine the number of participants in the study. In this study,the researchers conducted their research on all people. They gave the questionnaire to allfront-line care worker second-line care worker of Jam Hospital, which was 537 people. In thefirst stage, 472 questionnaires were filled out. In the second stage, 342 questionnaires werefilledout. Main outcomes and measures: We focused on symptoms of job stress in Jam Hospital staff. The same questionnaire was used in both stages. Data collection tool is a questionnaire (ENSS) Scale is a revised version of the NSS Nursing Stress Scale developed by Gary Taft andAnderson (1981). NSS is the first tool designed to measure nursing stress instead of overall jobstress. Thirty-four items of the NSS questionnaire measure the frequency and main sources ofstressin thepatientcaresituation. Results: In the first stage of the research, the level of satisfaction with the quality and availability of personal protective equipment Was 2.9%, stress level was high in 69.6% of employees (stress level was high in 65.3% of front line employees and 74% of second line employees).In the second phase of the study, when the level of employee satisfaction with personal protective equipment reached 97.3%, the level of stress was high in 44.1% of employees (the level of stress was high in 57.2% of front line employees and 31.1% of second line employees). That is, it decreased by 25.5%. In both stages of the research, the amount of stress has a significant relationship with the place of work (first stage p valu=0.013 , second stage p valu= 0.01) and there is no significant relationship between the amount of stress, gender, shift work and education
{"title":"Investigating the Effect of Appropriate Personal Protective Equipment on the Stress Level of Care Workers in the Covid19 Epidemic","authors":"Niki Sadeghipor, Babak Heidari Aghdam","doi":"10.36648/1791-809X.21.S3.007","DOIUrl":"https://doi.org/10.36648/1791-809X.21.S3.007","url":null,"abstract":"Importance: Coronavirus disease (COVID-19) is an infectious disease which caused by a newly discovered coronavirus Objective: The aim of this study was to investigate the effect of access to personal protective equipment on the level of stress of care workers in epidemic conditions. Design, settings, and participants: This study is hospital - based and which has been donein two stages. The first phase was performed in February 2020, when the disease had justspread and there were insufficient personal protective equipment, and the second phase wasperformed in February 2021, when it was more than 1 year since the outbreak. The disease wasover and personal protective equipment of sufficient quality was provided to the hospital staff.Census method was used to determine the number of participants in the study. In this study,the researchers conducted their research on all people. They gave the questionnaire to allfront-line care worker second-line care worker of Jam Hospital, which was 537 people. In thefirst stage, 472 questionnaires were filled out. In the second stage, 342 questionnaires werefilledout. Main outcomes and measures: We focused on symptoms of job stress in Jam Hospital staff. The same questionnaire was used in both stages. Data collection tool is a questionnaire (ENSS) Scale is a revised version of the NSS Nursing Stress Scale developed by Gary Taft andAnderson (1981). NSS is the first tool designed to measure nursing stress instead of overall jobstress. Thirty-four items of the NSS questionnaire measure the frequency and main sources ofstressin thepatientcaresituation. Results: In the first stage of the research, the level of satisfaction with the quality and availability of personal protective equipment Was 2.9%, stress level was high in 69.6% of employees (stress level was high in 65.3% of front line employees and 74% of second line employees).In the second phase of the study, when the level of employee satisfaction with personal protective equipment reached 97.3%, the level of stress was high in 44.1% of employees (the level of stress was high in 57.2% of front line employees and 31.1% of second line employees). That is, it decreased by 25.5%. In both stages of the research, the amount of stress has a significant relationship with the place of work (first stage p valu=0.013 , second stage p valu= 0.01) and there is no significant relationship between the amount of stress, gender, shift work and education","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"59 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84083711","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 : 2021-01-01DOI: 10.36648/1791-809X.21.S3.011
Neeraj Kumar, P. Singh, R. Dewan, Neihenuo Chuzho, Shreya Chauhan, K. Khayyam
The re-emergence of novel coronavirus variant has grappled the world and imposed a halt across the globe. Since, its identification as a novel pathogen, the SARS-Coronavirus-2 has caused more than 2 million deaths worldwide. This novel virus against which humans have vastly variable immune response is still expanding its reach all over the globe. Hence, it is really critical to understand the important facts about such a lethal entity. Here, in this review, we bring together the pieces of the puzzle to understand the origin, epidemiology, pathogenesis, prevention and treatment strategies of this novel disease COVID-19. Important references to the previous SARS-coronavirus have been made to better understand the re-emergence pattern. This comparison will also help us to understand the crucial drivers of such re-emergence and the important lessons that we need to learn for prevention of any such future outbreaks.
{"title":"A Review of Novel Coronavirus Infection: COVID-19","authors":"Neeraj Kumar, P. Singh, R. Dewan, Neihenuo Chuzho, Shreya Chauhan, K. Khayyam","doi":"10.36648/1791-809X.21.S3.011","DOIUrl":"https://doi.org/10.36648/1791-809X.21.S3.011","url":null,"abstract":"The re-emergence of novel coronavirus variant has grappled the world and imposed a halt across the globe. Since, its identification as a novel pathogen, the SARS-Coronavirus-2 has caused more than 2 million deaths worldwide. This novel virus against which humans have vastly variable immune response is still expanding its reach all over the globe. Hence, it is really critical to understand the important facts about such a lethal entity. Here, in this review, we bring together the pieces of the puzzle to understand the origin, epidemiology, pathogenesis, prevention and treatment strategies of this novel disease COVID-19. Important references to the previous SARS-coronavirus have been made to better understand the re-emergence pattern. This comparison will also help us to understand the crucial drivers of such re-emergence and the important lessons that we need to learn for prevention of any such future outbreaks.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85790358","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 : 2021-01-01DOI: 10.36648/1791-809X.15.3.822
Shahriar Hadaegh
Extraction of a broken tooth root is often a traumatic involvement for both the specialist and the patient. To extract broken roots, generally, invasive approaches as open window surgeries or mucoperiosteal flap and/or removal of buccal bone are performed. Expandable micro-motor bur (EMB) is a practical dental instrument proposed for the removal of broken teeth roots that cannot be extracted by the routine closed methods. The device comprises a micro-motor, spacers, needles, bur base, and a round bur that drills halfway through the root canal, expands to make a spherical cavity around itself, and behaves as an efficient extraction aiding anchor. The utilization of EMB would introduce a new technique in the removal of broken teeth roots in which surgical trauma is minimized and so are post-extraction disorders. The use of EMB would also eliminate surgical invasion to the surrounding tissues, and it would eliminate profound hand forces by the practitioner, consequently reduces stress for both the practitioner and the patient. It would also eliminate high-risk aftermaths of the surgery such as operative morbidity (due to bone loss), maxillary sinus exposure, and probable need for additional surgery which are some of the implications of the conventional open access approaches. We have tested the prototype of EMB on the molar tooth root of a dog in his upper jaw (M1) in the Medical Sciences and Technologies Research Institute of Shahid Beheshti University. No injuries to the buccal bone and surrounding nerves were observed and the root was successfully extracted. Further studies are needed to confirm its effectiveness in clinical cases.
{"title":"Using Expandable Micro-Motor Bur (EMB) forExtraction of Molar Tooth Root of Dog's UpperJaw","authors":"Shahriar Hadaegh","doi":"10.36648/1791-809X.15.3.822","DOIUrl":"https://doi.org/10.36648/1791-809X.15.3.822","url":null,"abstract":"Extraction of a broken tooth root is often a traumatic involvement for both the specialist and the patient. To extract broken roots, generally, invasive approaches as open window surgeries or mucoperiosteal flap and/or removal of buccal bone are performed. Expandable micro-motor bur (EMB) is a practical dental instrument proposed for the removal of broken teeth roots that cannot be extracted by the routine closed methods. The device comprises a micro-motor, spacers, needles, bur base, and a round bur that drills halfway through the root canal, expands to make a spherical cavity around itself, and behaves as an efficient extraction aiding anchor. The utilization of EMB would introduce a new technique in the removal of broken teeth roots in which surgical trauma is minimized and so are post-extraction disorders. The use of EMB would also eliminate surgical invasion to the surrounding tissues, and it would eliminate profound hand forces by the practitioner, consequently reduces stress for both the practitioner and the patient. It would also eliminate high-risk aftermaths of the surgery such as operative morbidity (due to bone loss), maxillary sinus exposure, and probable need for additional surgery which are some of the implications of the conventional open access approaches. We have tested the prototype of EMB on the molar tooth root of a dog in his upper jaw (M1) in the Medical Sciences and Technologies Research Institute of Shahid Beheshti University. No injuries to the buccal bone and surrounding nerves were observed and the root was successfully extracted. Further studies are needed to confirm its effectiveness in clinical cases.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82969888","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 : 2021-01-01DOI: 10.36648/1791-809X.21.15.840
Samruddhi S Bhakare
Peutz - Jeghers syndrome is an autosomal dominant disease, with an incidence of 1/15,000 characterised by hamartomatous polyps of the gastrointestinal tract, melanin deposits in the lips, buccal mucosa, perioral area and/or facial skin and a family history of PJS. The author reports a case of PJS in a 9 year old child admitted to a super specialty hospital in India, who presented with complaints of recurrent cramping in abdomen, abdominal pain, vomiting, loss of appetite and oral lesions. The USG and CT scan abdomen revealed multiple polyps in the small intestine. Laprotomy was done, but the child had recurrent admission in hospital due to constipation and vomiting and burning sensation in oral cavity with oral lesions. This report describes about this rare condition.
{"title":"Case Report on PeutzJegherandrsquo;s Syndrome (PJS)","authors":"Samruddhi S Bhakare","doi":"10.36648/1791-809X.21.15.840","DOIUrl":"https://doi.org/10.36648/1791-809X.21.15.840","url":null,"abstract":"Peutz - Jeghers syndrome is an autosomal dominant disease, with an incidence of 1/15,000 characterised by hamartomatous polyps of the gastrointestinal tract, melanin deposits in the lips, buccal mucosa, perioral area and/or facial skin and a family history of PJS. The author reports a case of PJS in a 9 year old child admitted to a super specialty hospital in India, who presented with complaints of recurrent cramping in abdomen, abdominal pain, vomiting, loss of appetite and oral lesions. The USG and CT scan abdomen revealed multiple polyps in the small intestine. Laprotomy was done, but the child had recurrent admission in hospital due to constipation and vomiting and burning sensation in oral cavity with oral lesions. This report describes about this rare condition.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80286248","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 : 2021-01-01DOI: 10.36648/1791-809X.15.2.811
K. Chetty
Purpose: The purpose of this paper is to share insights, research findings and discuss key issues related to workload factors and their influence on the wellbeing of ICU nurses working in a Saudi Arabian hospital. Design/methodology/approach: The authors used a mixed method approach and using a convergent parallel mixed methods design which included separate analysis of the quantitative and the qualitative data, which were collected separately. Within this mixed methods design, the two different types of the data were synthesized for a deeper understanding of the current topic.his paper will focus on the qualitative dataset of the study. A purposive, non-probability sampling strategy was used to recruit nurses to participate in the semi-structured interviews about their workplace experiences.All consenting registered nurses, with a current and valid Saudi Council Registration, who were able to speak English, were included in the study. Tesch’s method of data analysis was used to code and categorize data to construct a shared understanding reflective of the experiences of participants and the researcher as both constructing the meanings given. Findings: The findings from the study were aligned to the JDR Model and provided evidence that ICU nurses experienced various workload factors influencing their wellbeing and productivity. These high job demands lead to strain and health impairment, associated with decreased job satisfaction amongst staff working in the ICUs of Saudi Arabian hospitals. The researcher was therefore able to propose and develop guidelines for the implementation of a comprehensive managerial framework that explicated workload factors and its influence on well-being among the ICU nurses. Research limitations/implications: The limitation that was faced by the researcher was the timeline for conducting the current research, which was governed by the University’s policies and protocol. The recruitment of participants, included ICU nurses within a group of critical care units of one hospital and excluded nurse managers. This could potentially limit the generalizability of the findings to managers at other clinical areas in the hospital regarding their perceptions of the workload and well-being among nurses in general. Despite some of these limitations, the following conclusions could be drawn and recommendations made based on these conclusions. Practical implications: Healthcare organisation across the globe is challenged to achieve nurse workforce stability, safety, and well-being. It was evident that the participants experienced many workload challenges that influenced their wellbeing within the various ICUs. This study sets out the key messages for health care managers to empower and to meet the needs of ICU nurse related to health and well-being. The findings formed the foundation for management contribution to provide improved and seamless support to the health and well-being of ICU nurses. This approach is a guide to support
{"title":"The Cost of Caring: ICU workload stressors and the Saudi Arabian nurse","authors":"K. Chetty","doi":"10.36648/1791-809X.15.2.811","DOIUrl":"https://doi.org/10.36648/1791-809X.15.2.811","url":null,"abstract":"Purpose: The purpose of this paper is to share insights, research findings and discuss key issues related to workload factors and their influence on the wellbeing of ICU nurses working in a Saudi Arabian hospital. Design/methodology/approach: The authors used a mixed method approach and using a convergent parallel mixed methods design which included separate analysis of the quantitative and the qualitative data, which were collected separately. Within this mixed methods design, the two different types of the data were synthesized for a deeper understanding of the current topic.his paper will focus on the qualitative dataset of the study. A purposive, non-probability sampling strategy was used to recruit nurses to participate in the semi-structured interviews about their workplace experiences.All consenting registered nurses, with a current and valid Saudi Council Registration, who were able to speak English, were included in the study. Tesch’s method of data analysis was used to code and categorize data to construct a shared understanding reflective of the experiences of participants and the researcher as both constructing the meanings given. Findings: The findings from the study were aligned to the JDR Model and provided evidence that ICU nurses experienced various workload factors influencing their wellbeing and productivity. These high job demands lead to strain and health impairment, associated with decreased job satisfaction amongst staff working in the ICUs of Saudi Arabian hospitals. The researcher was therefore able to propose and develop guidelines for the implementation of a comprehensive managerial framework that explicated workload factors and its influence on well-being among the ICU nurses. Research limitations/implications: The limitation that was faced by the researcher was the timeline for conducting the current research, which was governed by the University’s policies and protocol. The recruitment of participants, included ICU nurses within a group of critical care units of one hospital and excluded nurse managers. This could potentially limit the generalizability of the findings to managers at other clinical areas in the hospital regarding their perceptions of the workload and well-being among nurses in general. Despite some of these limitations, the following conclusions could be drawn and recommendations made based on these conclusions. Practical implications: Healthcare organisation across the globe is challenged to achieve nurse workforce stability, safety, and well-being. It was evident that the participants experienced many workload challenges that influenced their wellbeing within the various ICUs. This study sets out the key messages for health care managers to empower and to meet the needs of ICU nurse related to health and well-being. The findings formed the foundation for management contribution to provide improved and seamless support to the health and well-being of ICU nurses. This approach is a guide to support","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"94 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83891971","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 : 2021-01-01DOI: 10.36648/1791-809X.21.15.837
Oduma Audu, B. Musa, Mukhtar Abdulmajid Adeiza, A. Muhammed, A. Ahmad, B. Ega, Suraju Ahmad Opaluwa, B. Shuaib
Background: Antisperm antibodies (ASA) have been implicated in some male with infertility especially those in which a definite cause could not be found. Also, some studies have attributed a causal relationship to the presence of antisperm antibodies and male infertility. Objective: This study investigated the prevalence of serum antisperm antibodies in men with infertility seen in two Hospitals in Zaria, Nigeria Materials and Methods: A total of 91 infertile men and 45 fertile men (as controls) were enrolled and follow up for 5 months. Blood samples and semen were collected, processed and analysed for serum IgA and IgG ASA using ELISA kits. Results: The study revealed the sero-prevalence of antisperm antibodies among infertile men in Zaria to be 57.1%, which varied significantly with that of the fertile male (11.1%). The prevalence of IgA and IgG antisperm antibodies were significantly higher in infertile male compared to fertile male (27.5% vs 4.4% for IgA ASA; 53.8% vs 8.9% for IgG ASA). Conclusion: The study demonstrated that IgA and IgG ASA are associated with male infertility in Zaria and as such screening for serum antisperm antibodies in the evaluation of men infertility is recommended in our environment.
背景:抗精子抗体(ASA)已涉及一些男性不育,特别是那些在一个明确的原因不能找到。此外,一些研究认为抗精子抗体的存在与男性不育有因果关系。目的:调查尼日利亚扎里亚两家医院男性不育症患者血清抗精子抗体的流行情况。材料和方法:入选91例不育症男性和45例有生育能力男性(对照组),随访5个月。采集血样和精液,用ELISA试剂盒处理和分析血清IgA和IgG ASA。结果:扎里亚不育男性血清抗精子抗体阳性率为57.1%,与可育男性血清抗精子抗体阳性率(11.1%)差异显著。与可育男性相比,不育男性IgA和IgG抗精子抗体的患病率明显更高(27.5% vs 4.4%;IgG ASA 53.8% vs 8.9%)。结论:本研究表明,IgA和IgG ASA与Zaria男性不育有关,因此在我国环境下推荐筛查血清抗精子抗体来评估男性不育。
{"title":"Sero-prevalence of IgG and IgA AntispermAntibodies in Men with Infertility AttendingTwo Major Hospitals in Zaria, Nigeria","authors":"Oduma Audu, B. Musa, Mukhtar Abdulmajid Adeiza, A. Muhammed, A. Ahmad, B. Ega, Suraju Ahmad Opaluwa, B. Shuaib","doi":"10.36648/1791-809X.21.15.837","DOIUrl":"https://doi.org/10.36648/1791-809X.21.15.837","url":null,"abstract":"Background: Antisperm antibodies (ASA) have been implicated in some male with infertility especially those in which a definite cause could not be found. Also, some studies have attributed a causal relationship to the presence of antisperm antibodies and male infertility. Objective: This study investigated the prevalence of serum antisperm antibodies in men with infertility seen in two Hospitals in Zaria, Nigeria Materials and Methods: A total of 91 infertile men and 45 fertile men (as controls) were enrolled and follow up for 5 months. Blood samples and semen were collected, processed and analysed for serum IgA and IgG ASA using ELISA kits. Results: The study revealed the sero-prevalence of antisperm antibodies among infertile men in Zaria to be 57.1%, which varied significantly with that of the fertile male (11.1%). The prevalence of IgA and IgG antisperm antibodies were significantly higher in infertile male compared to fertile male (27.5% vs 4.4% for IgA ASA; 53.8% vs 8.9% for IgG ASA). Conclusion: The study demonstrated that IgA and IgG ASA are associated with male infertility in Zaria and as such screening for serum antisperm antibodies in the evaluation of men infertility is recommended in our environment.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"99 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80579633","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}