Pub Date : 2019-01-01DOI: 10.21767/2386-5180.100289
M. Bashir, B. K. Gupta, Omar Naushad, Nilesh Ch, ra, Abhishek Gupta
Aim: To compare serum calcium, serum phosphorous and serum 25 (OH)D2 levels in sedentary less exposed to sun and heavy working females exposed to sun. Materials and methods: The study was performed in the Biochemistry Department, Subharti Medical College, Swami Vivekananda Subharti University, Meerut. 50 females, 21-50 years of age as labourers (control); 50 other healthy females of same age group sedentary ( cases) were included. All the samples were processed in related automatic machines Vidas and Vitros 350/Fusion by Biomerieux. Results: In our study we found that the levels of serum calcium were 7.25 ± 1.14, serum phosphorous 3.99 ± 0.69 and vitamin D 8.39 ± 2.86 in cases and levels of serum calcium were 8.72 ± 0.58, phosphorous 4.44 ± 0.59 and vitamin D 32.51 ± 6.92 in the control group respectively. Conclusion: Our study perceived that the level of serum Calcium, Phosphorus and vitamin D were significantly decreased in females, less exposed to sun as compared to heavy working females exposed to sun. Thus we could conclude that the maintenance of normal levels of vitamin D is contributed not only by adequate exposure to sun light and exercise, but also to the dietary habits.
{"title":"Comparison of Calcium, Phosphorous and 25 (OH)D2 Levels in Sedentary and Labourer Females","authors":"M. Bashir, B. K. Gupta, Omar Naushad, Nilesh Ch, ra, Abhishek Gupta","doi":"10.21767/2386-5180.100289","DOIUrl":"https://doi.org/10.21767/2386-5180.100289","url":null,"abstract":"Aim: To compare serum calcium, serum phosphorous and serum 25 (OH)D2 levels in sedentary less exposed to sun and heavy working females exposed to sun. Materials and methods: The study was performed in the Biochemistry Department, Subharti Medical College, Swami Vivekananda Subharti University, Meerut. 50 females, 21-50 years of age as labourers (control); 50 other healthy females of same age group sedentary ( cases) were included. All the samples were processed in related automatic machines Vidas and Vitros 350/Fusion by Biomerieux. Results: In our study we found that the levels of serum calcium were 7.25 ± 1.14, serum phosphorous 3.99 ± 0.69 and vitamin D 8.39 ± 2.86 in cases and levels of serum calcium were 8.72 ± 0.58, phosphorous 4.44 ± 0.59 and vitamin D 32.51 ± 6.92 in the control group respectively. Conclusion: Our study perceived that the level of serum Calcium, Phosphorus and vitamin D were significantly decreased in females, less exposed to sun as compared to heavy working females exposed to sun. Thus we could conclude that the maintenance of normal levels of vitamin D is contributed not only by adequate exposure to sun light and exercise, but also to the dietary habits.","PeriodicalId":8195,"journal":{"name":"Annals of Clinical and Laboratory Research","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72919995","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 : 2019-01-01DOI: 10.21767/2386-5180.100288
A. Yektaş
Aim: This study was designed to compare the intraoperative, postoperative analgesic characteristics and adverse effects of intrathecal combinations of several adjuvant agents combined with hyperbaric bupivacaine in the cases who underwent spinal anaesthesia. Materials and methods: 180 cases were randomized to 9 groups of 20 cases (n=20). 15 mg of 0.5% hyperbaric bupivacaine and 0.5 ml of serum physiological were administrated to the control group (group-0). In the other groups, instead of serum physiological: Group-1 (2.5 mg hyperbaric bupivacaine), Group-2 (12.5 mg ketamine), Group-3 (25 μgr Fentanyl), Group-4 (2.5 μg sufentanyl), Group-5 (2 μg dexmedetomidine), Group-6 (250 μg neostigmine), Group-7 (500 μg midazolame), Group-8 (1.25 mg Droperidole) were combined with hyperbaric bupivacaine. Total spinal drug volume was 3.5 ml. Intraoperative and postoperative side effects, time to the first pain, and the characteristics of spinal anaesthesia were recorded. Results: Intrathecal adjuvant agents had no effects on the characteristics of the spinal anaesthesia (p>0.05). Time to the first pain was similar between the groups (p>0.05). The most common side effect was pruritus in Group-3 and Group-4 (p>0.05), nausea-vomiting in Group-6 (p>0.05), urinary retention in Group-2 and Group-4 (p>0.05), and PSBA in Group-1 and Group-3 (p>0.05). Discussion: No differences in the time to the first pain were found between intrathecal adjuvant agents. Their effects on the characteristics of spinal anaesthesia were similar. Each adjuvant agent causes specific side effects. However, postoperative analgesic requirement was not considered in our study, and dose-finding studies (which are performed to determine the adjuvant agent doses that cause minimal and maximal side effects) were not performed. Further studies should be performed to evaluate those factors.
{"title":"Post-operative Analgesic Characteristics of Intrathecal Adjuvant AgentsIncluding Ketamine, Fentanyl, Sufentanyl, Neostigmine, Dexmedetomidine, Midazolame and Droperidole and their Effects on Spinal Anesthesia","authors":"A. Yektaş","doi":"10.21767/2386-5180.100288","DOIUrl":"https://doi.org/10.21767/2386-5180.100288","url":null,"abstract":"Aim: This study was designed to compare the intraoperative, postoperative analgesic characteristics and adverse effects of intrathecal combinations of several adjuvant agents combined with hyperbaric bupivacaine in the cases who underwent spinal anaesthesia. Materials and methods: 180 cases were randomized to 9 groups of 20 cases (n=20). 15 mg of 0.5% hyperbaric bupivacaine and 0.5 ml of serum physiological were administrated to the control group (group-0). In the other groups, instead of serum physiological: Group-1 (2.5 mg hyperbaric bupivacaine), Group-2 (12.5 mg ketamine), Group-3 (25 μgr Fentanyl), Group-4 (2.5 μg sufentanyl), Group-5 (2 μg dexmedetomidine), Group-6 (250 μg neostigmine), Group-7 (500 μg midazolame), Group-8 (1.25 mg Droperidole) were combined with hyperbaric bupivacaine. Total spinal drug volume was 3.5 ml. Intraoperative and postoperative side effects, time to the first pain, and the characteristics of spinal anaesthesia were recorded. Results: Intrathecal adjuvant agents had no effects on the characteristics of the spinal anaesthesia (p>0.05). Time to the first pain was similar between the groups (p>0.05). The most common side effect was pruritus in Group-3 and Group-4 (p>0.05), nausea-vomiting in Group-6 (p>0.05), urinary retention in Group-2 and Group-4 (p>0.05), and PSBA in Group-1 and Group-3 (p>0.05). Discussion: No differences in the time to the first pain were found between intrathecal adjuvant agents. Their effects on the characteristics of spinal anaesthesia were similar. Each adjuvant agent causes specific side effects. However, postoperative analgesic requirement was not considered in our study, and dose-finding studies (which are performed to determine the adjuvant agent doses that cause minimal and maximal side effects) were not performed. Further studies should be performed to evaluate those factors.","PeriodicalId":8195,"journal":{"name":"Annals of Clinical and Laboratory Research","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79085424","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 : 2019-01-01DOI: 10.21767/2386-5180.100286
Bedih Balkan, A. Yektaş
Aim: The main aim of this study is to investigate the effect of levobupivacaine at different doses with fentanyl added on intrathecal anaesthesia in cesarean section. Materials and methods: This study is randomized, prospective and double-blind. Patients were divided into 3 groups (n=24 per group). Group 1: 11 mg levobupivacaine intrathecal, Group 2: 8 mg levobupivacaine+25 microgram fentanyl intrathecal and Group 3: 6 mg levobupivacaine+25 mg fentanyl intrathecal. Spinal anaesthesia start time, sensorial block time, motor block time, satisfaction of surgeon, satisfaction of patient, and analgesic consumption was recorded. The three groups were compared in terms of these values. Results: Motor block time in Group 1 was statistically longer than Group 3. Additional analgesic requirements in Group 1 were statistically less than Group 2 and 3 at the end of surgery. Conclusion: CSEA is gold standard for cesarean section. If local anesthetic dose is reduced anesthetic quality decreases, analgesic requirements increase and motor block recovery is shortened.
{"title":"Effects of Levobupivacaine at Different Doses with Fentanyl added on Intrathecal Anaesthesia for Cesarean Section","authors":"Bedih Balkan, A. Yektaş","doi":"10.21767/2386-5180.100286","DOIUrl":"https://doi.org/10.21767/2386-5180.100286","url":null,"abstract":"Aim: The main aim of this study is to investigate the effect of levobupivacaine at different doses with fentanyl added on intrathecal anaesthesia in cesarean section. Materials and methods: This study is randomized, prospective and double-blind. Patients were divided into 3 groups (n=24 per group). Group 1: 11 mg levobupivacaine intrathecal, Group 2: 8 mg levobupivacaine+25 microgram fentanyl intrathecal and Group 3: 6 mg levobupivacaine+25 mg fentanyl intrathecal. Spinal anaesthesia start time, sensorial block time, motor block time, satisfaction of surgeon, satisfaction of patient, and analgesic consumption was recorded. The three groups were compared in terms of these values. Results: Motor block time in Group 1 was statistically longer than Group 3. Additional analgesic requirements in Group 1 were statistically less than Group 2 and 3 at the end of surgery. Conclusion: CSEA is gold standard for cesarean section. If local anesthetic dose is reduced anesthetic quality decreases, analgesic requirements increase and motor block recovery is shortened.","PeriodicalId":8195,"journal":{"name":"Annals of Clinical and Laboratory Research","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83085059","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 : 2019-01-01DOI: 10.21767/2386-5180.100301
F. Pitkin
Physicians have received test results from laboratories which they deemed questionable and believe accepting such results could pose variable risk to the care of patients. The purpose of this study is to evaluate the physicians’ acceptance and confidence in results generated by the laboratories in Mandeville and to identify the factors contributing to or associated with the determined level of acceptance and confidence. The study used a population survey to collect data from twenty –six (26) participants from the public and private medical practices around the town of Mandeville. The correlation between the number of repeated tests (dependent variable) and the level of acceptance of patient result was evaluated, r=1, p<0.001. Approximately 100% of the participants scored their level of acceptance of patient results between 7 and 9 out of 10 with a mean score of 8.5 and median score 9. There was a strong correlation (r= 1, p<0.001) between years of experience and the frequency with which tests were repeated. Laboratory accreditation and compliance with standards are two of the most important tools influencing accuracy of laboratory tests and ultimately test result. The quality of laboratory test result impact patient treatment and will determine physicians’ level of acceptance and confidence in the report generated.
{"title":"An Assessment of Acceptance of Results as Generated by Clinical Laboratories in Mandeville Jamaica: A Perspective of Physicians Operating in Mandeville","authors":"F. Pitkin","doi":"10.21767/2386-5180.100301","DOIUrl":"https://doi.org/10.21767/2386-5180.100301","url":null,"abstract":"Physicians have received test results from laboratories which they deemed questionable and believe accepting such results could pose variable risk to the care of patients. The purpose of this study is to evaluate the physicians’ acceptance and confidence in results generated by the laboratories in Mandeville and to identify the factors contributing to or associated with the determined level of acceptance and confidence. The study used a population survey to collect data from twenty –six (26) participants from the public and private medical practices around the town of Mandeville. The correlation between the number of repeated tests (dependent variable) and the level of acceptance of patient result was evaluated, r=1, p<0.001. Approximately 100% of the participants scored their level of acceptance of patient results between 7 and 9 out of 10 with a mean score of 8.5 and median score 9. There was a strong correlation (r= 1, p<0.001) between years of experience and the frequency with which tests were repeated. Laboratory accreditation and compliance with standards are two of the most important tools influencing accuracy of laboratory tests and ultimately test result. The quality of laboratory test result impact patient treatment and will determine physicians’ level of acceptance and confidence in the report generated.","PeriodicalId":8195,"journal":{"name":"Annals of Clinical and Laboratory Research","volume":"98 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76103427","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 : 2019-01-01DOI: 10.21767/2386-5180.100305
O. Hope, O. E. Ifeanyi, N. AnaeboQueenBraxton
This study was conducted to investigate some haematological parameters in pregnant women with Gestational Diabetes at FMC, Owerri, Imo state. Seventy (70) pregnant women were recruited in the study of which fifty (50) are suffering from gestational diabetes, while twenty (20) are normal pregnant women serving as the control. Haematoloical parameters were determined using standard haematological procedures, data obtained from the study were analysed using the SSPS package. Haemoglobin concentration was significantly (p 0.05) in the mean value of eosinophil count in gestational diabetic women (0.28 + 0.54%) when compared with the control subjects (0.20 + 0.41%). Basophils were not seen in gestational diabetic women and the control subjects. Lymphocyte count was significantly (p<0.05) r educed in gestational diabetic women (45.78 ± 09.92%) when compared with the control subject (56.70 + 5.32%). There was no statistically significant difference (p<0.05) in the mean value of lymphocyte count in gestational diabetic women (0.10 + 0.00%) when compared with the control subjects (0.30 + 0.00%). In conclusion, gestational diabetes has a significant effect on some haematological parameters.
{"title":"Investigation of Some Haematological Parameters in Pregnant Women with Gestational Diabetes at Federal Medical Center, Owerri, Imo State, Nigeria","authors":"O. Hope, O. E. Ifeanyi, N. AnaeboQueenBraxton","doi":"10.21767/2386-5180.100305","DOIUrl":"https://doi.org/10.21767/2386-5180.100305","url":null,"abstract":"This study was conducted to investigate some haematological parameters in pregnant women with Gestational Diabetes at FMC, Owerri, Imo state. Seventy (70) pregnant women were recruited in the study of which fifty (50) are suffering from gestational diabetes, while twenty (20) are normal pregnant women serving as the control. Haematoloical parameters were determined using standard haematological procedures, data obtained from the study were analysed using the SSPS package. Haemoglobin concentration was significantly (p 0.05) in the mean value of eosinophil count in gestational diabetic women (0.28 + 0.54%) when compared with the control subjects (0.20 + 0.41%). Basophils were not seen in gestational diabetic women and the control subjects. Lymphocyte count was significantly (p<0.05) r educed in gestational diabetic women (45.78 ± 09.92%) when compared with the control subject (56.70 + 5.32%). There was no statistically significant difference (p<0.05) in the mean value of lymphocyte count in gestational diabetic women (0.10 + 0.00%) when compared with the control subjects (0.30 + 0.00%). In conclusion, gestational diabetes has a significant effect on some haematological parameters.","PeriodicalId":8195,"journal":{"name":"Annals of Clinical and Laboratory Research","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76163838","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 : 2019-01-01DOI: 10.21767/2386-5180.100306
Vaishali B. Mahajan, Anjali P. Kharade, Deepak Y. Kudekar, B. More, K. V. Kulkarni
It is difficult to identify a criminal just by examining the trace of blood on crime site and the garments. In sexual offences, specifically semen on victim’s clothes or biological samples proves involvement of accused in the crime. But in some cases where contraceptive devices are used or semen stains are not detected during investigation, the victim’s blood or body fluid on the accused’s garments helps to prove the crime. It is difficult to prove the evidence by routine ABO grouping in most of the cases because of the less quantity of blood. Further, discrimination power of ABO Blood group system is less. Here, DNA profiling technique has created wonders from the time it has been invented. Once the DNA technique proves involvement of the accused, there is provision of ‘Protection of Children from Sexual Offences ’ (POCSO) Act 2012 in the court to effectively address the heinous crimes. Also, there is provision of Atrocity Act to provide justice to SC/ST communities in order to enable them to live in the society with dignity without suppression from the dominant castes. In the instant case, a girl aged 11, promising to drop to the school on motor cycle was raped by Police Constable aged 41. Just 2 cm blood stain was found on his undergarment and few blood stains were found on his handkerchief at the crime scene. As the DNA profiling proved his involvement in the crime, Hon ’ ble court convicted him with rigorous imprisonment for 10 years and to pay a fine of Rs. 2000/- under the provision of POCSO Act and Atrocity Act.
{"title":"A Jot of Blood Sends Constable behind the Bars - Justice by DNA Profiling","authors":"Vaishali B. Mahajan, Anjali P. Kharade, Deepak Y. Kudekar, B. More, K. V. Kulkarni","doi":"10.21767/2386-5180.100306","DOIUrl":"https://doi.org/10.21767/2386-5180.100306","url":null,"abstract":"It is difficult to identify a criminal just by examining the trace of blood on crime site and the garments. In sexual offences, specifically semen on victim’s clothes or biological samples proves involvement of accused in the crime. But in some cases where contraceptive devices are used or semen stains are not detected during investigation, the victim’s blood or body fluid on the accused’s garments helps to prove the crime. It is difficult to prove the evidence by routine ABO grouping in most of the cases because of the less quantity of blood. Further, discrimination power of ABO Blood group system is less. Here, DNA profiling technique has created wonders from the time it has been invented. Once the DNA technique proves involvement of the accused, there is provision of ‘Protection of Children from Sexual Offences ’ (POCSO) Act 2012 in the court to effectively address the heinous crimes. Also, there is provision of Atrocity Act to provide justice to SC/ST communities in order to enable them to live in the society with dignity without suppression from the dominant castes. In the instant case, a girl aged 11, promising to drop to the school on motor cycle was raped by Police Constable aged 41. Just 2 cm blood stain was found on his undergarment and few blood stains were found on his handkerchief at the crime scene. As the DNA profiling proved his involvement in the crime, Hon ’ ble court convicted him with rigorous imprisonment for 10 years and to pay a fine of Rs. 2000/- under the provision of POCSO Act and Atrocity Act.","PeriodicalId":8195,"journal":{"name":"Annals of Clinical and Laboratory Research","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83279909","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 : 2019-01-01DOI: 10.21767/2386-5180.100307
Obeagu Ei, Okoroiwu Il, N. Hu, N. Dc
Tuberculosis has been a great threat to mankind and has been defying treatments. Tuberculosis presents with a lot of changes in the system of the patients. This study was done to determine the levels of interferon-gamma, interleukins of the tuberculosis patients in TB directly observed treatmentshort course (TB DOTS) center of FMC, Umuahia. A total of 150 subjects aged 18-60 years were enlisted for this study. The subjects were grouped into: Group A (50 control subjects) and Group B (100 TB Subjects). About 4.5 ml of blood were collected into plain tubes for assay of interferon gamma and interleukins (6 and 10). The cytokines were measured using MELNI ELISA Kits. The results were expressed as mean ± SD. The data was analyzed with the statistical package for social science (SPSS) version 20 using ANOVA the level of significance set at P 0.05) in TB group on 6 months treatment (8.66 ± 1.12 pg/ml) compared to the control group (7.98 ± 0.22 pg/ml).There was significant decrease (P<0.05) in IL-10 with increasing months of treatment (2 months, 4 months, 6 months on treatment) for TB subgroups based on the duration of treatment (21.06 ± 2.84 pg/ml, 18.93 ± 1.34 pg/ml, 15.08 ± 1.12 pg/ml, 10.62 ± 1.19 pg/ml). The results showed significant decrease in IFN-γ, IL-6 and IL-10 with increase in duration of treatment of the TB patients. The study shows that IFN-γ, IL-6 and IL-10 are some of the biomarkers in the pathogenesis of TB The cytokines can be used as prognostic and diagnostic markers as their levels decreased with increased duration of treatment of the patients.
{"title":"Evaluation of Interferon-Gamma, Interleukin 6 and Interleukin 10 in TuberculosisPatients in Umuahia","authors":"Obeagu Ei, Okoroiwu Il, N. Hu, N. Dc","doi":"10.21767/2386-5180.100307","DOIUrl":"https://doi.org/10.21767/2386-5180.100307","url":null,"abstract":"Tuberculosis has been a great threat to mankind and has been defying treatments. Tuberculosis presents with a lot of changes in the system of the patients. This study was done to determine the levels of interferon-gamma, interleukins of the tuberculosis patients in TB directly observed treatmentshort course (TB DOTS) center of FMC, Umuahia. A total of 150 subjects aged 18-60 years were enlisted for this study. The subjects were grouped into: Group A (50 control subjects) and Group B (100 TB Subjects). About 4.5 ml of blood were collected into plain tubes for assay of interferon gamma and interleukins (6 and 10). The cytokines were measured using MELNI ELISA Kits. The results were expressed as mean ± SD. The data was analyzed with the statistical package for social science (SPSS) version 20 using ANOVA the level of significance set at P 0.05) in TB group on 6 months treatment (8.66 ± 1.12 pg/ml) compared to the control group (7.98 ± 0.22 pg/ml).There was significant decrease (P<0.05) in IL-10 with increasing months of treatment (2 months, 4 months, 6 months on treatment) for TB subgroups based on the duration of treatment (21.06 ± 2.84 pg/ml, 18.93 ± 1.34 pg/ml, 15.08 ± 1.12 pg/ml, 10.62 ± 1.19 pg/ml). The results showed significant decrease in IFN-γ, IL-6 and IL-10 with increase in duration of treatment of the TB patients. The study shows that IFN-γ, IL-6 and IL-10 are some of the biomarkers in the pathogenesis of TB The cytokines can be used as prognostic and diagnostic markers as their levels decreased with increased duration of treatment of the patients.","PeriodicalId":8195,"journal":{"name":"Annals of Clinical and Laboratory Research","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88922098","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 : 2019-01-01DOI: 10.21767/2386-5180.100292
Tillyashaykhov Mn, B. Ye, Aloev Bb, Abdusamatov Nt, T. KhasanovSh, Tillyashaykhova Rm, Ziyaev Yf, Ubaydullaeva Ho
We report a case of 21-year-old man with scrotal lymphedema which weight was 36 kg. The patient has been undergone surgery where we completely removed the affected tissue, after this intervention we achieved good outcomes and increased the quality of patient’s life. Giant Scrotal lymphedema is ill health which inflict physical and psychological damage on the patient. So total surgical excision the affected tissue with reconstruction is a principal method of advanced scrotal lymphedema.
{"title":"Giant Scrotal Lymphedema: A Presentation of Rare Urogenital Disease - A Case Report","authors":"Tillyashaykhov Mn, B. Ye, Aloev Bb, Abdusamatov Nt, T. KhasanovSh, Tillyashaykhova Rm, Ziyaev Yf, Ubaydullaeva Ho","doi":"10.21767/2386-5180.100292","DOIUrl":"https://doi.org/10.21767/2386-5180.100292","url":null,"abstract":"We report a case of 21-year-old man with scrotal lymphedema which weight was 36 kg. The patient has been undergone surgery where we completely removed the affected tissue, after this intervention we achieved good outcomes and increased the quality of patient’s life. Giant Scrotal lymphedema is ill health which inflict physical and psychological damage on the patient. So total surgical excision the affected tissue with reconstruction is a principal method of advanced scrotal lymphedema.","PeriodicalId":8195,"journal":{"name":"Annals of Clinical and Laboratory Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79789559","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 : 2019-01-01DOI: 10.21767/2386-5180.100282
Harsh Deora, Nishant S. Yagnick, M. Tripathi, Ram, E. Singh, eep Mohindra, A. Suri, SUNIL K Gupta
{"title":"Thrift Shop Hemostasis: Iâm Going To Pop Some Hemostats, Only Got 20 Dollars In My Pocket!","authors":"Harsh Deora, Nishant S. Yagnick, M. Tripathi, Ram, E. Singh, eep Mohindra, A. Suri, SUNIL K Gupta","doi":"10.21767/2386-5180.100282","DOIUrl":"https://doi.org/10.21767/2386-5180.100282","url":null,"abstract":"","PeriodicalId":8195,"journal":{"name":"Annals of Clinical and Laboratory Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76531241","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 : 2019-01-01DOI: 10.21767/2386-5180.100277
Bodzewan Emmanuel Fonyuy, M. Sirri, Mme Kyeng Mercy, Dymphna Bi Ndifor
Community-directed Intervention (CDI) is an intervention approach in which communities themselves direct and execute the planning and implementation of a health intervention. The success of this approach for the intervention of Onchocerciasis led to the extension of the strategy for the intervention of the other diseases in Africa. Community Health Workers (CHWs) working under the CDI of malaria program play a vital role in primary health care of the community. Local health services and partners initially introduce the intervention and explain the community-directed approach and how it can be planned, run and controlled by the community. This project was aimed at assessing the effectiveness of the implementation of the CDI in the roll-back of malaria among under-five children in the Ndop Health District, with special emphasis of the home management of malaria (HMM) by the Community Health Workers (CHWs). Among the CHW involved in the study, 94.7% of them accepted to receive monetary incentive for their services as CHW. Up to 39.8% of them had no other source of income. Furthermore, 74.3% of the participants reported that they have regular monthly meetings with their supervisor while 25.6% of them had either irregularly-scheduled meetings or none. While 76.1% of respondents accepted to have had at least one refresher course since working under the CDI of malaria program, 23.9% reported to have never had one. While 43.3% of the respondents found their workload okay, 8.9% of them reported they were overworked. A majority (47.8%) of the respondents reported that they found their workload as community health workers manageable. While majority of the respondents reported irregularity in the supply of both antimalarial drugs (64.6%) and RDT kits (73.5%), a majority of them said the supply of registers for records and the provision of transportation means were regular (71.7% and 69% respectively).
{"title":"Effectiveness of Community-Directed Intervention in the Roll-Back Malaria among the Under-Five Population of the Ndop Health District in North West Cameroon","authors":"Bodzewan Emmanuel Fonyuy, M. Sirri, Mme Kyeng Mercy, Dymphna Bi Ndifor","doi":"10.21767/2386-5180.100277","DOIUrl":"https://doi.org/10.21767/2386-5180.100277","url":null,"abstract":"Community-directed Intervention (CDI) is an intervention approach in which communities themselves direct and execute the planning and implementation of a health intervention. The success of this approach for the intervention of Onchocerciasis led to the extension of the strategy for the intervention of the other diseases in Africa. Community Health Workers (CHWs) working under the CDI of malaria program play a vital role in primary health care of the community. Local health services and partners initially introduce the intervention and explain the community-directed approach and how it can be planned, run and controlled by the community. This project was aimed at assessing the effectiveness of the implementation of the CDI in the roll-back of malaria among under-five children in the Ndop Health District, with special emphasis of the home management of malaria (HMM) by the Community Health Workers (CHWs). Among the CHW involved in the study, 94.7% of them accepted to receive monetary incentive for their services as CHW. Up to 39.8% of them had no other source of income. Furthermore, 74.3% of the participants reported that they have regular monthly meetings with their supervisor while 25.6% of them had either irregularly-scheduled meetings or none. While 76.1% of respondents accepted to have had at least one refresher course since working under the CDI of malaria program, 23.9% reported to have never had one. While 43.3% of the respondents found their workload okay, 8.9% of them reported they were overworked. A majority (47.8%) of the respondents reported that they found their workload as community health workers manageable. While majority of the respondents reported irregularity in the supply of both antimalarial drugs (64.6%) and RDT kits (73.5%), a majority of them said the supply of registers for records and the provision of transportation means were regular (71.7% and 69% respectively).","PeriodicalId":8195,"journal":{"name":"Annals of Clinical and Laboratory Research","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79229121","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}