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<![CDATA[Problematics of Transanal Evisceration ]]>
<![CDATA[Boris, Hrbatý]]>
<![CDATA[ Journal of Medical Biomedical and Applied Sciences Vol 5 No 06 (2017) ]]>
Publisher : <![CDATA[Journal of Medical Biomedical and Applied Sciences ]]>
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DOI: 10.15520/.v5i06.68
<![CDATA[Authors of this paper deal with rare surgical entity named transanal eviscerationâ. This term isâ horribleâ and its clinical picture and view itself even worse. Meeting this condition in clinical practice brings a challenge for the attending surgical staff to quickly commence with the proper management of arised situation. Even been so rare (evisceration) to be met in everyday practice, the authors think, that a knowledge about the possibility of existence of this disastrous condition, could be helpfull for emergent surgical wards. The authors give a short review of this topic and present a personal experience with this clinical entity.]]>
<![CDATA[Risky Sexual Practices and Associated Factors among Preparatory School Students in Nifas Silk Lafto Sub-City, Addis Ababa, Ethiopia ]]>
<![CDATA[Chekole, Alemu]]>;
<![CDATA[Gebrehana, Ewunat]]>;
<![CDATA[Terefe, Fiseha]]>
<![CDATA[ Journal of Medical Biomedical and Applied Sciences Vol 5 No 07 (2017) ]]>
Publisher : <![CDATA[Journal of Medical Biomedical and Applied Sciences ]]>
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DOI: 10.15520/.v5i07.69
<![CDATA[Background: Increasing premarital sex and its consequences are the issues of global concern and related to broad social, economic and health issues. Because of the risky sexual practice and non-voluntary nature of their sexual activities, adolescents and youths are more likely to contract HIV and other STIs. The objective of this study was to assess the magnitude of Risky Sexual Practices and Associated Factors among Preparatory School.Methods: Cross-sectional school based study was conducted among 1238 preparatory school students in Nifas Silk Lafto sub city in Addis Ababa from November 2012 to April 2013. Multistage cluster sampling method was used. Data were analyzed using univariate, bivariate and multivariate analysis. P-value was used to test the association of independent variables with risky sexual practice.Results:Â Four hundred twenty six (34.4%) of students reported being engaged in to at least one risky sexual practice related to HIV and other STIs. About 493(39.8%) of respondents reported having previous sexual experience. Of these, 456(92.5%) had sexual intercourse and 309(67.8%) of them had unprotected sex in the past 12 months. Of sexually experienced students, 254(51.5%) of them had multiple sexual partners and 21(4.3%) of them reported ever having sex with commercial sex workers. Out of this, 11(52.4%) had sex with sex workers in the previous 12 months. About 16(3.2%), 20(4.1%) of students reported ever having anal and oral sex. Of these, 10(62.5%) had anal sex and 11(55%) had oral sex in the past 12 months. The result of multivariate analysis showed that Students who drank alcohol (AOR [95% CI] = 13.32 [4.08-43.47]), chewed Khat (AOR [95% CI] = 2.39 [1.34-4.28]) and used substance other than Khat (AOR [95% CI] = 7.17 [4.0-12.86]) were significantly associated with risky sexual practice.Conclusion Significant numbers of students were engaged in risky sexual practice. Strategies and programs should be design targeting factors which exposes school youths to undesirable reproductive health outcomes.]]>
<![CDATA[Tuberculosis Treatment Outcome at Becho Health Center, Oromia Region, Ilubabor zone, Ethiopia ]]>
<![CDATA[Negesa, Lemma]]>;
<![CDATA[Ayana, Daba]]>
<![CDATA[ Journal of Medical Biomedical and Applied Sciences Vol 5 No 07 (2017) ]]>
Publisher : <![CDATA[Journal of Medical Biomedical and Applied Sciences ]]>
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DOI: 10.15520/.v5i07.70
<![CDATA[Background: Tuberculosis (TB) is a serious public health problem in the developing countries. Early diagnosis, effective treatment and continues assessment of treatment outcome are important indicators of TB control. Thus, the main objective of this study was to assess the treatment outcome of tuberculosis at Becho health center from September 1, 2011 to August 30, 2016.Methods: A five-year retrospective cross-sectional study was employed and data were collected through medical record review who registered at Becho health center from September 1, 2011 to August 30, 2016. Finally data were analyzed using SPSS version 16. We presented descriptive analysis of TB treatment outcome.Results: This study revealed that, out of the 212 pulmonary TB patients (115 males and 97 females), 88.2% had successful TB treatment outcome and 11.8% had unsuccessful TB treatment outcome. About 62 smear positive pulmonary tuberculosis patients were registered. The cure rate and treatment success rate was 22.6% and 65.6% respectively treatment success. In the final multivariate logistic model, the numbers of unsuccessful treatment outcome was higher among patients of weight category 30â39.9âkg and smear negative pulmonary TB 29.2% and extra pulmonary TB 28.3% and HIV positive TB patients 3.04% and unknown HIV status TB patients 7% as compared to their respective comparison groups.Conclusion: In this study, high proportion of successful treatment outcome was documented. Therefore emphasis has to be given for patients with high risk of unsuccessful TB treatment outcome and targeted interventions should be carried out.]]>
<![CDATA[Effectiveness of Modified Constraint Induced Movement Therapy along with Conventional Physiotherapy on upper extremity function for children with hemiplegic type of cerebral palsy ]]>
<![CDATA[Rahman, Ehsanur]]>
<![CDATA[ Journal of Medical Biomedical and Applied Sciences Vol 5 No 07 (2017) ]]>
Publisher : <![CDATA[Journal of Medical Biomedical and Applied Sciences ]]>
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DOI: 10.15520/.v5i07.71
<![CDATA[Objectives To determine the effectiveness of modified CIMT on upper extremity function for children with hemiplegic type of cerebral palsy(CP).DesignQuasi experimental research designParticipants and interventionsTwelve(12) children (age: 2 to 8 years) from pediatric physiotherapy clinics from Savar, CRP with hemiplegic type of cerebral palsy were included in this study. Modified constraint was applied to unaffected hand.The intervention was given for 3 hours/day including 30 minutes of therapy time and home program which could split into different sessions of no less than 30 minutes duration for consecutive two(2) weeks. Conventional physiotherapy treatment was also given this experimental group in official therapy session timeperiod.Main outcome measuresPre and Post outcome measure by using QUEST (Quality of upper extremity skill test) and PMAL (pediatric motor activity log) were taken.ResultsSignificant differences between Pre and Post values of all components of QUEST and PMAL (P<0.05) showing the effectiveness of MCIMT in improving upper extremity function and in ADL activities.ConclusionMCIMT is involved of intensive training of the affected arm and restriction of unaffected arm. It is used for improving manual function or ability in children with hemiplegic CP. This is statistically as well as clinically significant improvements in both motor function and functional use of the affected upper extremity in children between the ages of 2 and 8 years with hemiplegic CP.It is statistically proved that MCIMT therapy was effective for all QUEST components except protective extension.]]>
<![CDATA[The fatal outcome of a child with a delayed posterior urethral valve diagnosis in a low income country: a case report and take home messages ]]>
<![CDATA[M. Metogo, Jacqueline Ze Minkande, Francky Teddy A. Endomba, Jan René Nkeck, Joel Noutakdie Tochi]]>
<![CDATA[ Journal of Medical Biomedical and Applied Sciences Vol 5 No 08 (2017) ]]>
Publisher : <![CDATA[Journal of Medical Biomedical and Applied Sciences ]]>
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DOI: 10.15520/.v5i08.72
<![CDATA[Introduction: When faced with early urinary tract infections in infants, there is a need to do diagnostic imaging to exclude urinary tract malformations. Delayed diagnosis of this condition could lead to serious complications.Case presentation: We received a 2 months old male infant referred for better management of an acute kidney injury (AKI) with septicemia. He had a past medical history of febrile urinary tract infection. Our diagnosis was that of acute kidney injury and septicemia associated to a posterior urethral valve. The initial treatment included broad spectrum antibiotics, management of AKI complications and vesicostomy to relief the urinary obstruction prior to valve ablation. We unfortunately lost the infant on day 3 following surgery from severe refractory hyperkaliemia and a uremic syndrome.Conclusion: This case is a call to cliniciansâ attention in low income countries to always check for urinary tract malformations when confronted with an infant presenting a febrile urinary tract infection.Key-words: Acute kidney injury, child, diagnosis delay, posterior urethral valve, Cameroon.]]>
<![CDATA[The diagnostic and therapeutic challenges of Spontaneous Bacterial Peritonitis in a low income country: A case report ]]>
<![CDATA[J.R. Nkeck , S. F Fru., A. Chiabi, Aurelie T. Sibetcheu, F. T. A. Endomba,]]>
<![CDATA[ Journal of Medical Biomedical and Applied Sciences Vol 5 No 08 (2017) ]]>
Publisher : <![CDATA[Journal of Medical Biomedical and Applied Sciences ]]>
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DOI: 10.15520/.v5i08.73
<![CDATA[Background: Spontaneous bacterial peritonitis is an uncommon condition. It has a non-specific clinical presentation which leading sometimes to an unnecessary laparotomy especially in a low income country.Case presentation: We received a 19-months old child, with an unremarkable past medical history, admitted in our service for a 2-day history of abdominal distension and fever. She presented with guarding and abdominal tenderness. Abdominal ultrasound revealed a peritoneal effusion and signs of intestinal occlusion without obstacle to peristalsis. A blood culture revealed Streptococcus sp as etiology and we made a diagnosis of spontaneous bacterial peritonitis. The patient recovered after medical treatment.Conclusion: Spontaneous bacterial peritonitis is a possible diagnosis that clinicians should bear in mind during investigation of an acute abdomen. Accurate initial diagnosis can avert unnecessary surgery, since treatment is medical.]]>
<![CDATA[Post-Traumatic Diaphragmatic Hernia Late Diagnosed: A Case Report ]]>
<![CDATA[Drumond, João Paulo Nunes]]>;
<![CDATA[Allegro, Bruna Bianca]]>;
<![CDATA[Favaro, Murillo de Lima]]>;
<![CDATA[Ribeiro-Jr, Marcelo Augusto Fontenelle]]>
<![CDATA[ Journal of Medical Biomedical and Applied Sciences Vol 5 No 10 (2017) ]]>
Publisher : <![CDATA[Journal of Medical Biomedical and Applied Sciences ]]>
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DOI: 10.15520/.v5i10.75
<![CDATA[The Post-Traumatic Diaphragmatic Hernia (PTDH) is relatively uncommon and may be caused by blunt, penetrating or iatrogenic trauma. The most commonly herniated abdominal structures are stomach, omentum and colon. The diagnosis is challenging because of nonspecific and low sensibility clinical features; so most cases are diagnosed after an asymptomatic or oligosymptomatic period, allowing visceral strangulation and higher morbidity in chronic phase. This report presents a case of a left posterolateral PTDH diagnosed late in latency phase, after 19 years of the trauma occurrence, manifesting clinically with unspecific and progressive respiratory symptoms.Keywords: diaphragm, diaphragmatic hernia, diagnosis, diagnostic imaging. Â Â ]]>
<![CDATA[Cardiovascular Disease Admissions in Medical Wards of a Tertiary Hospital in North - Western Nigeria ]]>
<![CDATA[Saidu, Dr. Hadiza]]>
<![CDATA[ Journal of Medical Biomedical and Applied Sciences Vol 5 No 9 (2017) ]]>
Publisher : <![CDATA[Journal of Medical Biomedical and Applied Sciences ]]>
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DOI: 10.15520/.v5i9.76
<![CDATA[Introduction: Cardiovascular disease (CVD) is a leading cause of death worldwide and has shown increase in its prevalence since the 19th century. The increase in prevalence was attributable to epidemiologic transition with westernization and changing life style patterns with resultant increase in the risk factors for cardiovascular diseases. This study was carried out to determine the pattern of cardiovascular disease admissions in Murtala Muhammad Specialist hospital, (MMSH) Kano, North â west Nigeria.Methods: Methods: The study was retrospective covering the period from January 2013 to December 2015. Statistical Package for Social Sciences (SPSS) version 19 software was used to analyze data.Results: Out of 4834 patients (males, 2526 and females, 2308) admitted in to the medical wards, 2,119 were recruited in to the study. Stroke (54.6%), congestive cardiac failure (CCF)(26.6%) and hypertension(15.7%) were the most prevalent admitted CVDs.Conclusion: Cardiovascular diseases contributed significantly to medical admissions with the elderly accounting for significant proportion. There is the need for planning to accommodate health problems with emphasis to primary preventive measures for cardiovascular diseases.Key words: Cardiovascular disease, Admissions, North â western Nigeria.]]>
<![CDATA[Bleeding feature in the Hematology department in Brazzaville, Congo ]]>
<![CDATA[Felix Malanda, Irene Ondzoto Ibata, Alexis Elira Dokekias, Lydie Ocini Ngolet, Jennie Dorothée Ok]]>
<![CDATA[ Journal of Medical Biomedical and Applied Sciences Vol 5 No 9 (2017) ]]>
Publisher : <![CDATA[Journal of Medical Biomedical and Applied Sciences ]]>
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DOI: 10.15520/.v5i9.77
<![CDATA[Background: Epidemiological and clinical characteristics data of patients with bleeding symptoms are unknown.Methods: a total of 6961 medical records of patients admitted in the hematology department in a teaching hospital from 2000 to 2016 were reviewed. We enrolled in the study all patientsâ medical records that were reporting bleeding complications and analyzed retrospectively their epidemiological data, severity, clinical and biological characteristics.Results: A total of 35 people (20 men and 15 women), with a median age of 29 (range 3 and 76) years had bleeding complications. The overall incidence of bleeding complication in the hematology department was 0.56%. The bleeding was significantly minor (51.23%). Among this group, petechiae was the most common hemorrhage symptoms: 31.71%.The bleeding was major in 48.77%. In this group, the principal cause of the bleeding events was acute leukemia (n=13; 37.41%); that was the main likely cause of intracranial hemorrhage which accounted for 29.27%. Hemophilia was the second cause of bleeding episode (n=5; 14.29%) followed by bone marrow failure (n=4; 11.43%). The median platelet count was 39.92 (range 10 and 253) G/L.Conclusion: Bleeding event is rare and mostly associated with acute leukemia. The high proportion of intracranial hemorrhage in this group of pathology requests further studies on the outcome and predictive factors of it.Key words: bleeding complications, epidemiology, clinical characteristics, Congo]]>
