scholarly journals Tetanus with multiple wedge vertebral collapses: A case report in a 13 year old girl

2013 ◽  
Vol 40 (2) ◽  
pp. 189-191
Author(s):  
AR Nte ◽  
N Gabriel-Job
Keyword(s):  
Medical Advice ◽  
The Body ◽  
Vertebral Collapse ◽  
School Class ◽  
Traditional Health ◽  
Port Harcourt ◽  
Traditional Health Care ◽  
The University ◽  
Uncommon Complication

Data from the case records dary School Class two girl managed at the Department of Paediatrics of the University of Port Harcourt Teaching Hospital were extracted for presentation to highlight vertebral collapse as an uncommon complication of paediatric tetanus and the associated management challenges. The girl presented with complaints of back pains-11 days, inability to open her mouth- 9 days, jerking of the body- 8 days and upper back swelling-6 days following bruises from corporal punishment in her school. She was diagnosed to have tetanus with vertebral collapses of T3-T6. Tuberculosis and other causes of vertebral collapse were excluded. The tetanus was successfully treated but she left against medical advice and defaulted from follow-up for the management of the vertebral collapses. Poverty, ignorance and belief in traditional health care were major obstacles to her management.Key words: Multiple wedge vertebral collapses in tetanus

scholarly journals SCOPE OF AYURVEDA IN PREVENTING COVID-19

2020 ◽  
Vol 8 (11) ◽  
pp. 466-472
Author(s):  
Shah Nandini ◽  
◽  
Deepshikha a ◽  
Garg G.P ◽  
◽  
...  
Keyword(s):  
Immune System ◽  
Medical Science ◽  
The Body ◽  
Effective Vaccine ◽  
Traditional Health ◽  
Mainstream Medicine ◽  
Global Pandemic ◽  
Scientific Principles ◽  
Traditional Health Care ◽  
Global Concern

The world is facing global pandemic coronavirus which causes severe acute respiratory syndrome (SARS-CoV-2) infection mainly affecting the immune system of the body. In a very short span of time it has become a global concern due to its high R0.Many countries are still endeavoring to prevent the disease. Researches are still underway to develop effective vaccine or drugs for COVID 19 disease. Unfortunately, there is no definite preventive or curative medicine available for coronavirus in allopathic system of medicine. As no specific drugs are available in mainstream medicine for treating symptoms of COVID-19, prevention seems to be the best strategy.The traditional health care system can prove to be successful for prophylaxis.Ayurveda is a medical science with well-established scientific principles, practiced in India for several thousands of years. AcharyaCharak has explained the concept of Janpadodwansa which has a direct correlation with COVID pandemic. This article is an attempt to interpret direct correlation between pandemics and Janpadodwansa and provide viable options for COVID-19prevention byAyurvedic medicines like Guduchi, Ashwagandha, Yashtimadhu, Chayavanprash, Suwarna prashan etc.andenhancing the immune system.

Implementation of a community pharmacy-based pre-exposure prophylaxis service: a novel model for pre-exposure prophylaxis care

Sexual Health ◽  
2018 ◽  
Vol 15 (6) ◽  
pp. 556 ◽  
Author(s):  
Elyse L. Tung ◽  
Annalisa Thomas ◽  
Allyson Eichner ◽  
Peter Shalit
Keyword(s):  
Community Pharmacy ◽  
Drop Out ◽  
National Guidelines ◽  
Traditional Health ◽  
Sexually Transmissible Infections ◽  
Traditional Health Care ◽  
Legislative Changes ◽  
Exposure Prophylaxis ◽  
Lost To Follow Up

Background National guidelines for the provision of HIV pre-exposure prophylaxis (PrEP) to reduce a person’s risk of acquiring HIV were made available in 2014. We created a pharmacist-managed HIV PrEP clinic in a community pharmacy setting at Kelley-Ross Pharmacy in Seattle, WA, USA. Methods: The clinic operates under a collaborative drug therapy agreement based on these guidelines. This allows pharmacists to initiate and manage tenofovir disoproxil fumarate/emtricitabine under the supervision of a physician medical director. Results: Between March 2015 and February 2018, 714 patients were evaluated and 695 (97.3%) initiated PrEP. Five hundred and thirteen (74%) patients began medication the same day as their initial appointment. Of the prescriptions filled in our pharmacy, 90% of patients had a mean proportion of days covered (PDC) greater than 80%, and 98% had a zero-dollar patient responsibility per month, including uninsured individuals. 19% of patients were lost to follow up, with an effective drop-out rate of 25%. Two hundred and seven diagnoses of sexually transmissible infections were made. There were no HIV seroconversions in the service. Conclusion: The pharmacist-managed PrEP clinic proved to be a successful alternative model of PrEP care, with high initiation rates and low drop-out and lost-to-follow-up rates. This may benefit individuals who do not access PrEP in traditional health care settings or where PrEP access is scarce. Financial sustainability of the model was dependent on the ability of pharmacists in the clinic to bill insurance plans for their services in accordance with Washington State legislative changes requiring commercial insurances to recognise pharmacists as providers.

Pattern of Otorhinolaryngological Disorders in HIV Positive Paediatric Patients at the University of Port Harcourt Teaching Hospital (UPTH)

2019 ◽  
pp. 1-9
Author(s):  
C. M. Vincent ◽  
O. B. da Lilly-Tariah ◽  
L. O. Onotai ◽  
N. I. Paul
Keyword(s):  
Teaching Hospital ◽  
Cervical Lymphadenopathy ◽  
The Body ◽  
Clinical Staging ◽  
Systematic Sampling ◽  
Hiv Positive ◽  
Paediatric Patients ◽  
Port Harcourt ◽  
The University ◽  
Hiv Negative

Background: HIV is a worldwide disease and affects all systems of the body. Despite the high burden of Paediatric HIV in Nigeria, few studies have been done on Otolaryngological disorders in children living with HIV. This study aimed to determine the pattern and prevalence of Otorhinolaryngological disorders among HIV positive paediatric patients and to compare them with age and sex-matched control. Methods: This was a descriptive cross-sectional case-control study carried out among 130 HIV positive and 130 HIV negative children aged 6 to 15 years at the University of Port Harcourt Teaching Hospital (UPTH). Eligible patients were recruited via a systematic sampling method and matched with HIV negative controls and an interviewer-administered questionnaire was used to extract relevant information. All patients had Otorhinolaryngological examination and CD4 count determination, while children with tonsillar enlargement underwent X-ray of the post nasal space. HIV patients were graded for severity using WHO clinical Staging. Results: A higher proportion of the HIV positive patients had allergic rhinitis (66.9% vs.30.8%, p=0.01), pharyngitis (40.8% vs.18.5%, p=0.01), tonsillitis (34.6% vs.20.8%, p=0.013), adenotonsilar disease (24.6% vs. 13.8%, p=0.028), cervical lymphadenopathy (15.4% vs. 5.4%, p=0.001) and otitis media (5.4% vs. 0.8%, p=0.031). There was a significantly higher prevalence of ORL disorders among HIV positive children (95.4%) compared to HIV negative children (78.5%). (P=0.001). Conclusion: Pattern of ORL disorder appeared similar in both HIV-positive and -negative children. However, the overall high prevalence of the findings among the HIV-positive children required regular ORL assessment in these children.

Prospective evaluation for gastrointestinal bleedings at the University Hospital St. Pölten – one year of follow-up

2019 ◽  
Author(s):  
M Stättermayer ◽  
F Riedl ◽  
S Bernhofer ◽  
A Stättermayer ◽  
A Mayer ◽  
...  
Keyword(s):  
University Hospital ◽  
Prospective Evaluation ◽  
One Year ◽  
The University

Socioeconomic patient benefits of a pediatric neurosurgery telemedicine clinic

2020 ◽  
Vol 25 (2) ◽  
pp. 204-208 ◽  
Author(s):  
Kelsey Hayward ◽  
Sabrina H. Han ◽  
Alexander Simko ◽  
Hector E. James ◽  
Philipp R. Aldana
Keyword(s):  
Travel Time ◽  
Cost Savings ◽  
Transportation Cost ◽  
Pediatric Neurosurgery ◽  
University Of Florida ◽  
Remote Location ◽  
Socioeconomic Data ◽  
The University ◽  
Time Away

OBJECTIVEThe objective of this study was to examine the socioeconomic benefits to the patients and families attending a regional pediatric neurosurgery telemedicine clinic (PNTMC).METHODSA PNTMC was organized by the Division of Pediatric Neurosurgery of the University of Florida College of Medicine–Jacksonville based at Wolfson Children’s Hospital and by the Children’s Medical Services (CMS) to service the Southeast Georgia Health District. Monthly clinics are held with the CMS nursing personnel at the remote location. A retrospective review of the clinic population was performed, socioeconomic data were extracted, and cost savings were calculated.RESULTSClinic visits from August 2011 through January 2017 were reviewed. Fifty-five patients were seen in a total of 268 initial and follow-up PNTMC appointments. The average round-trip distance for a family from home to the University of Florida Pediatric Neurosurgery (Jacksonville) clinic location versus the PNTMC remote location was 190 versus 56 miles, respectively. The families saved an average of 2.5 hours of travel time and 134 miles of travel distance per visit. The average transportation cost savings for all visits per family and for all families was $180 and $9711, respectively. The average lost work cost savings for all visits per family and for all families was $43 and $2337, respectively. The combined transportation and work cost savings for all visits totaled $223 per family and $12,048 for all families. Average savings of $0.68/mile and $48.50/visit in utilizing the PNTMC were calculated.CONCLUSIONSManaging pediatric neurosurgery patients and their families via telemedicine is feasible and saves families substantial travel time, travel cost, and time away from work.

scholarly journals When less is more: a daring conservative approach to postpneumonectomy oesophago-pleural fistula

2019 ◽  
Vol 30 (1) ◽  
pp. 146-148
Author(s):  
Lara Girelli ◽  
Elena Prisciandaro ◽  
Niccolò Filippi ◽  
Lorenzo Spaggiari
Keyword(s):  
Clinical Presentation ◽  
Clinical Status ◽  
High Morbidity ◽  
Conservative Approach ◽  
Chronic Fistula ◽  
Less Is More ◽  
Primary Surgery ◽  
History Of ◽  
Uncommon Complication

Abstract Oesophago-pleural fistula is an uncommon complication after pneumonectomy, usually related to high morbidity and mortality. Due to its rarity and heterogeneous clinical presentation, its diagnosis and management are challenging issues. Here, we report the case of a patient with a history of pneumonectomy for a tracheal tumour, who developed an asymptomatic oesophago-pleural fistula 7 years after primary surgery. In consideration of the patient’s good clinical status and after verifying the preservation of respiratory and digestive functions, a bold conservative approach was adopted. Five-year follow-up computed tomography did not disclose any sign of recurrence of disease and showed a stable, chronic fistula.

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