scholarly journals Unusual cause for pacemaker threshold elevation

2014 ◽  
Vol 6 (1) ◽  
pp. 106-107
Author(s):  
Osman Can Yontar ◽  
Erhan Tenekecioglu ◽  
Kemal Karaagac ◽  
Ahmet Tutuncu
Keyword(s):  
Learning Objective ◽  
Medical Sciences ◽  
Threshold Elevation ◽  
Pacing Threshold

Pacing threshold is an important entity which should be tested during pacemaker follow up. Abnormal elevation of pacing threshold would end up with early exhaustion of pacemaker battery. In this report, we described a patient with an unusual cause for threshold elevation. Learning objective: Pacemaker follow-up has its own routines. Telecardiogram is one of them, however it is mostly underrated nowadays. Our objective is to teach value of this quick and inexpensive test for pacemaker patients. DOI: http://dx.doi.org/10.3126/ajms.v6i1.10801   Asian Journal of Medical Sciences Vol.6(1) 2015 106-107

scholarly journals Cyclophosphamide Versus Rituximab in Progressive Forms of Multiple Sclerosis

2020 ◽  
Author(s):  
Masoud Etemadifar ◽  
Shadi Ghourchian ◽  
Nazanin Mahinparvar ◽  
Mehri Salari ◽  
Fatemeh Etemadifar ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Progressive Multiple Sclerosis ◽  
The Other ◽  
Medical Sciences ◽  
Mri Findings ◽  
Disability Score ◽  
Radiologic Findings ◽  
Spss Software ◽  
And Gender

This study aimed to compare the efficacy of rituximab versus Cyclophosphamide on active secondary progressive multiple sclerosis (SPMS). The randomized clinical trial was performed from 2015 to 2017 in multiple sclerosis (MS) clinics affiliated to Isfahan MS society (IMSS). Patients were randomized to two groups, and one of them received Rituximab that was repeated every six months in case of medical indication. The other one received a monthly pulse of methylprednisolone plus cyclophosphamide (Endoxan, Baxter, UK) until two years. Expanded disabilities status scale (EDSS), clinical, and MRI findings were assessed every six months. Statistical analysis was performed using SPSS software. 39 patients in the Rituximab group and 30 in the Cyclophosphamide group with similar age and gender distribution were entered for analysis. At baseline, the mean number of attacks in the Rituximab group was significantly more than the Cyclophosphamide group (P=0.0001). After 6, 12, and 18 months of treatment, the rate of attacks was similar between groups although it increased significantly in the Rituximab group (P=0.030) after 24 months of treatment. EDSS was increased in the Rituximab group more than the other group at the end of the study. Both drugs were well-tolerated by patients. The EDSS was increased in the Rituximab group but the disability score did not worsen in the Cyclophosphamide group. Both therapies were associated with a reduction in disease attacks and improvement in radiologic findings in a two-year period of follow-up. © 2019 Tehran University of Medical Sciences. All rights reserved. Acta Med Iran 2019;57(8):484-491.

scholarly journals Tuberculous Abdominal cocoon in childern– A Single Centre Study in remote area in northern India

2017 ◽  
Vol 90 (2) ◽  
pp. 179-184 ◽  
Author(s):  
Rikki Singal ◽  
Satyashree B ◽  
Amit Mittal ◽  
Bhanu Pratap Sharma ◽  
Samita Singal ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Medical Sciences ◽  
Abdominal Cocoon ◽  
Northern India ◽  
Single Centre Study ◽  
Encapsulating Peritonitis ◽  
Operative Findings ◽  
A Prospective Study ◽  
Tomography Scan

Background. Amongst the numerous causes of intestinal obstruction listed in the literature, sclerosing encapsulating peritonitis also called Abdominal Cocoon (AC) is one of the rarest entities. Its characteristic feature is a thick fibrotic membrane encasing varying lengths of the small and large gut in a cocoon. In India, there is an increasing incidence of tuberculosis, especially in the rural areas.Aims and objectives. The aim of this study was to investigate the clinical presentation and evaluate the operative findings of tuberculous AC. We also evaluated the outcomes and response to anti tuberculous treatment (ATT) in all the patients diagnosed with this condition.Material and methods. This study was carried out at M.M. Institute of Medical Sciences and Research, Mullana, Ambala, India between April 2013 – March 2016 in the Department of Pediatric Surgery. This is a prospective study. A total of 17 patients diagnosed with abdominal cocoon secondary to tuberculosis have been included in the study.Results. A total of 17 patients presented to the emergency ward with features of acute intestinal obstruction. The average age was 15.3 years (range 9 years to 16 years). There were 14 females and 3 males. All patients presented with abdominal pain, bilious vomiting, constipation and abdominal distention. The patients were operated in our hospital and relieved of their obstruction. Based on their operative findings and after histopathological confirmation, patients were given ATT. In the follow-up, all patients did well, without recurrence of tuberculosis or intestinal obstruction. Conclusion. Tuberculosis as a cause of childhood AC is rather common in developing countries and is potentially a fatal condition. A strong clinical suspicion, sonographic and computed tomography scan findings help establish a pre-operative diagnosis. Tuberculous AC has a strong prevalence in females.  Surgery is the mainstay of treatment followed by anti-tuberculous drugs.

Non-Surgical Crigler massage for treatment of congenital nasolacrimal duct obstruction in infants below one year age.

2021 ◽  
Vol 28 (06) ◽  
pp. 804-807
Author(s):  
Mohammad Alam
Keyword(s):  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Medical Sciences ◽  
Congenital Nasolacrimal Duct Obstruction ◽  
Duct Obstruction ◽  
Topical Antibiotics ◽  
One Year ◽  
Medical University ◽  
Age Range

Objective: To analyse the efficacy of non-surgical Crigler massage for treatment of congenital nasolacrimal duct obstruction in infants below one year age. Study Design:  Setting: Khyber Medical University Institute of Medical Sciences (KMU-IMS) KDA Teaching Hospital Kohat. Period: April 2014 to June 2019.  Materials & Methods:  on Non-Surgical Crigler massage for conservative   treatment of congenital nasolacrimal duct obstruction in infants below one year age. Proper proforma was designed for documentation of patients and their follow up. Consents were taken from their parents. 93 patients with age range of 2-6 months with congenital nasolacrimal duct obstruction were included in the study out of which 51(54.83%) were male and 42(45.16%) were female. 79(84.94%) patients had unilateral while 14(15.05%) patients had bilateral congenital nasolacrimal duct obstruction. So total 107 eyes with congenital nasolacrimal duct obstruction were included. Parents were trained and educated for conservative non-surgical Crigler massage of the lacrimal sacs along with topical antibiotics. Parents were instructed to do 8-10 massage four times a day. Patients were followed up to one year of age. 11 patients were lost from complete follow up in which 9 had unilateral while 2 patients had bilateral congenital nasolacrimal duct obstruction. Cumulatively 13 eyes were missed from follow up. Final results of remaining 82 patients with 94 eyes were analysed. Results: Out of 94 eyes epiphora was abolished with negative regurgitation test in 68(72.34%) patients at the end of one year while in 26(27.65%) the procedure was failed. Conclusion: Non-surgical conservative Crigler massage is very successful in management of congenital nasolacrimal duct obstruction.

scholarly journals Management of Distal Humerus Fractures With Jess Fixator

2015 ◽  
Vol 3 (4) ◽  
pp. 16-20
Author(s):  
Prakriti Raj Kandel ◽  
Kishor Man Shrestha ◽  
Laxmi Pathak
Keyword(s):  
Distal Humerus ◽  
Humerus Fracture ◽  
Medical Sciences ◽  
Distal Humerus Fracture ◽  
Fixation Technique ◽  
Fixation Techniques ◽  
Humerus Fractures ◽  
The Mean ◽  
Distal Humerus Fractures

INTRODUCTION: Fractures of distal humerus are rare comprising approximately 2% of all fractures and a third of all humerus fractures. Even with the development of newer fixation techniques, the treatment of distal humerus fractures remains a great challenge to any orthopaedic surgeon. Thus this present study was conducted to evaluate the results of Joshi's External Stabilization System (JESS) in the management of distal humerus fracture with or without intercondylar extension. MATERIALS AND METHODS: This retrospective study was conducted by collecting records of thirty two adult patients who sustained distal humerus fracture and were managed with JESS fixation under anaesthesia over a period of two years in Universal College of Medical Sciences Teaching Hospital (UCMSTH) after obtaining permission from Institutional ethical committee. RESULTS: According to AO (Arbeitsgemeinschaft für Osteosynthesefragen) classification, 2 patients had C1 fracture and 30 patients had C2 fractures. The mean duration of JESS application was 16 weeks. The mean follow up was 8 months. The functional outcome was evaluated by using Cassebaum's functional rating system. Among C1 fractures, 50% showed fair and 50% showed good result whereas among C2 fractures, 40% showed good, 46.66% showed fair and 13.33% showed poor results.  CONCLUSIONS: JESS fixation technique represents a viable option in the management of open as well as close intercondylar fractures of the distal humerus.

scholarly journals ANTERIOR ABDOMINAL WALL ENDOMETRIOMA: A DIAGNOSTIC CHALLENGE

2016 ◽  
Vol 3 (2) ◽  
pp. 44-46
Author(s):  
Salamat Khan ◽  
Krishna Bhasyal ◽  
Bhusan Raj Timilsina
Keyword(s):  
Computed Tomography ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Lower Abdominal Pain ◽  
Radical Resection ◽  
Rectus Abdominis Muscle ◽  
Medical Sciences ◽  
Diagnostic Challenge ◽  
History Of

We are reporting a case of abdominal wall endometrioma (AWE) in a 32-year-old woman who had an 8 months history of lower abdominal pain and lump. The physical examination revealed an ill-defined mass without tenderness. Computed tomography (CT) showed an enhancing is odense mass at the level of umbilicus right to mid line in right rectus abdominis muscle. The patient was treated with a wide radical resection with a 1 cm margin. There was no postoperative complication. The histological examination confirmed endometriosis. The patient is now on regular follow-up and doing well without any recurrence, five months after her operation.Journal of Universal College of Medical Sciences (2015) Vol.03 No.02 Issue 10Page: 44-46 

scholarly journals Extrapulmonary tuberculosis: Are we barking up the wrong tree? A 4 year naturalistic follow up study

2020 ◽  
Vol 8 (1) ◽  
pp. 253
Author(s):  
Ravi Ganji ◽  
Bushra Khan ◽  
Mohammad Jalaluddin ◽  
Haneefa Khan ◽  
Swaroop Ganji
Keyword(s):  
Local Community ◽  
Soft Tissues ◽  
Communicable Disease ◽  
Extrapulmonary Tuberculosis ◽  
Medical Sciences ◽  
Nodal Disease ◽  
Orthopaedic Department ◽  
Extra Pulmonary Tuberculosis ◽  
Deccan College

Background: Aim of the study was to determine if extra-pulmonary tuberculosis (EPTB) is a communicable disease as commonly perceived or a disease of host immune dysfunction.Methods: Patients with clinical suspicion of EPTB, in general surgery and orthopaedic department of twin hospitals of Deccan College of Medical Sciences, between the period of January 2015 and December 2017, were investigated appropriately and those found to have confirmed TB were enrolled in the study and followed up for 1 year.Simultaneously patient’s details registered under RNTCP in the two local community health centres were collected and compared with the hospital based study.Results: Of 319 patients with clinical features, 267 were confirmed with EPTB- maximum number with lymph nodal disease (127) followed by extremity bone and joint (63), spine (38), skin and soft tissues (25) and abdominal tb (19). Method of confirmation differed for each site. Detection by AFB being the least sensitive followed by AFB culture. The best method of diagnosis being histopathological examination.Conclusions: Immunity plays a major role in site of reactivation of TB and healing of disease irrespective of duration of anti-tuberculous chemotherapy or surgical intervention.

scholarly journals Investigating News Sources and Effective Factors in Their Selection among Faculty Members of North Khorasan University of Medical Sciences

2021 ◽  
Author(s):  
Morteza Rastegar ◽  
Hassan Saadati ◽  
Niloufar Borhani yazdi ◽  
Ehsan Abouee Mehrizi
Keyword(s):  
Statistical Tests ◽  
Assistant Professor ◽  
Survey Study ◽  
Academic Rank ◽  
Medical Sciences ◽  
News Sources ◽  
Emerging Media ◽  
Initial Questionnaire ◽  
Descriptive Survey

Introduction: Academics are among the most influential and important citizens in the culture and scientific security of a society. As a result, this study was based on the hypothesis that the existence of a constant concern about the effect of emerging media provides the ground for misleading this group. Methods: This research is a descriptive-survey study. A total of 101 professors from North Khorasan University of Medical Sciences were selected by convenience sampling and entered into the study. The data collection tool included a researcher-made questionnaire. The initial questionnaire was prepared based on the study of texts and review of various sources. To determine the validity of the questionnaire, the content validity method was used. Data analysis was performed by SPSS16 statistical software using descriptive and inferential statistical tests. Results: Among the participants, 36 were female and 65 were male, 68 were married and 29 were single. Also, in terms of academic rank, the majority of the subjects had the academic rank of instructor or assistant professor. In terms of the use of social networks to obtain news and information, the findings showed that about 48% of the subjects used Telegram messenger as a source of their news and information.  Conclusion: Based on the results, it can be stated that the rate of national news follow-up by the studied units has exceeded the follow-up of provincial and international news.

scholarly journals Curricular change in a medical school: a new method for analysis of students’ academic pathways

2020 ◽  
Author(s):  
Damián Canales Sánchez ◽  
Tomás Bautista Godínez ◽  
J. Gerardo Moreno Salinas ◽  
Manuel García-Minjares ◽  
Melchor Sánchez-Mendiola
Keyword(s):  
Medical School ◽  
Natural Experiments ◽  
Medical Sciences ◽  
Educational Impact ◽  
Cross Sectional ◽  
Time Period ◽  
Evaluation Strategies ◽  
Student Cohorts ◽  
The Life Course

AbstractBackgroundCurricular changes in medical schools occur due to advances in medical sciences, but its evaluation is limited and fragmented, with scant data of students’ success as they progress through the program. Longitudinal follow-up can be “natural experiments” to explore innovative methodologies.ObjectiveTo propose a method for analyzing students’ academic pathways, and identify changes associated with a medical school curricular reform.MethodsWe analyzed the academic pathways of students throughout the program in two different curricula (1993 and 2010), at the National Autonomous University of Mexico (UNAM) Faculty of Medicine. Advancement of each student in the program was calculated with the “academic trajectory” using the accumulated credits in a defined time period, and the percentage of students that completed the credits for each stage of the curriculum. The theoretical framework is based on the “life course” approach, applying concepts of trajectory, transition and state. Data was analyzed with R software and TraMineR algorithm.ResultsFive student cohorts of the older curriculum were studied (classes of 1994, 1995, 1996, 2004 and 2005), and two cohorts of the new curriculum (2011, 2012), a population of 6829 students. Students in the newer curriculum had a faster, more timely and efficient advancement in academic pathways, than cohorts in the older one. There was a higher percentage of students with “regular” trajectory (without failed courses) in the newer curriculum. Regularity is a straightforward metric that allows identification of complex curricular changes’ associated effects.ConclusionsAnalysis of students’ academic pathways offers valuable information to evaluate curricular changes, which is difficult to obtain with traditional cross-sectional studies. The study does not provide proof of causality regarding the educational impact of different programs, although it can be useful to complement the array of program evaluation strategies in higher education.

scholarly journals Patients and Nursing Students’ Viewpoints on the Importance of Caring Behaviors in a Hospital Affiliated to Shahrekord University of Medical Sciences in Iran

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Shahriyar Salehitali
Keyword(s):  
Nursing Students ◽  
Sampling Method ◽  
Analytic Study ◽  
Self Report ◽  
Patient Needs ◽  
Medical Sciences ◽  
Caring Behaviors ◽  
Clinical Nursing ◽  
Convenience Sampling

Background: Effective caring depends on the agreement between patients and nurses’ care behaviors. Objectives: The purpose of this study was to evaluate patients and nursing students’ viewpoints about the importance of caring behaviors in a hospital affiliated to Shahrekord University of Medical Sciences in Iran. Methods: In this descriptive and analytic study, 50 patients and 50 nurses were selected using the convenience sampling method. Data were collected by the Larson questionnaire. This self-report questionnaire was completed by the patients and students, and then the data were analyzed by descriptive and analytical statistics in SPSS. Results: The patients considered availability, education, and communication as the most important caring behaviors in caring, while the nursing students deemed comfort and convenience, appropriate communication, and monitoring and follow-up as the most significant behaviors in caring. Nursing students and patients’ viewpoints were not in agreement in the most important and relatively most important caring behaviors (P > 0.05). However, their viewpoints concorded regarding insignificant caring behaviors (P > 0.05). Conclusions: Based on the results of this study, further attention should be focused on patient needs in clinical nursing students’ education is necessary.

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