International Medical Journal

Journal ID : IMJ-14-03-2020-345

Total View : 141

Title : Hemolitic Disease Of New Born (HDN) with Minimal Sign and Laboratory Finding

Abstract : The state of hemolysis in newborns has a variety of causes. One of them is due to the immunological reactions of the mother's erythrocytes antibodies to the baby's erythrocytes antigens. The hemolysis can occur after the baby born. This condition is called the hemolysis of a newborn with clear clinical or laboratory findings. The following case showed minimal signs that needed further discussion. This following case was a 2-days-old infant with jaundice and anemia confirmed by a physical examination. Laboratory results found a decreased hemoglobin concentration, increased indirect bilirubin, non-reactive CRP, B Rh-positive blood group, negative Coombs test and negative antibody screening result. The peripheral blood smear showed mild anemia. Mother's blood group was O Rh-positive. The doctors programmed a blood transfusion, but the crossmatch results from various blood bags corresponding to the infant's blood group showed positive major incompatibility results. The diagnosis of hemolytic newborns with minimal signs was made. Blood transfusions are not carried out in this case, but monitoring was required to see the hemolytic state of the infant. Administering corticosteroid therapy is recommended as a first step towards this situation. The hemolytic state of newborns needs a complete clinical and laboratory examination to conclude the diagnosis carefully and cautiously.
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International Medical Journal

Journal ID : IMJ-14-03-2020-343

Total View : 172

Title : C-MAC VIDEO LARYNGOSCOPY VERSUS FIBER OPTIC LARYNGOSCOPY IN PATIENTS UNDERGOING SURGERIES FOR CANCERS OF THE HEAD AND NECK

Abstract : This study aimed to investigate intubation success using the new C-MAC video laryngoscope (VL) in comparison with the traditional flexible fiber-optic laryngoscopy (FFL) in patients with head and neck cancer with an anticipated difficult airway. This prospective study included 72 patients scheduled for major surgery due to cancers involving the head and neck. Routine preoperative assessment was done in addition to the LEMON scoring system to predict difficult intubation. The participants were randomized into two groups; C-MAC Group intubated with a C-Mac VL and Fiberoptic Group intubated with FFL. Hemodynamic variables, intubation time, number of intubation attempts, and attacks of hypoxia during intubation. LEMON score of all patients ranged from 7 to 9, with no significant difference between the two groups (p = 0.463). The intubation success rate was 100% in the Fiberoptic Group from the first attempt in all patients compared to 94.4% in the C-MAC group (p= 0.493). Four patients out of the 34 successful cases in the C-MAC group needed a second attempt of intubation. Intubation time was 32.4±4.9 seconds in the Fiberoptic Group compared to 14.9±3.9 seconds in the C-MAC group (p < 0.001). The hemodynamic characteristics were within the clinically accepted range in the two groups 1 and 5 minutes after intubation. C-MAC video laryngoscopy can be a useful alternative to fiberoptic bronchoscope for the management of difficult intubation in patients with head and neck cancers. It has similar efficacy and safety and shorter intubation time.
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International Medical Journal

Journal ID : IMJ-14-03-2020-342

Total View : 170

Title : Alcohol Abuse as A risk Factor for Developing Pancreatitis

Abstract : The association between alcohol consumption and pancreatitis has been well known. However, the threshold of an individual's differences in vulnerability and duration of alcohol consumption is not well established. This study aimed at investigating other factors that support alcohol in developing pancreatitis. About 25 published articles that discussed the association between alcohol consumption and developing pancreatitis were critically reviewed. It was found that alcohol abuse per se is not sufficient to cause pancreatitis, the type of alcoholic beverage, the amount consumed, the duration of consumption, and the drinking style, all coordinate together to develop the disease. The mortality rate was found to be 63 %, and 23 % in men and women respectively. It was concluded that pancreatitis is a major complication of alcohol abuse. However, it is not clear why don’t all alcohol abusers develop pancreatitis. This indicated that additional risk factors were involved. This issue demands further investigation to identify these factors.
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International Medical Journal

Journal ID : IMJ-13-03-2020-341

Total View : 191

Title : Anti Fungal Resistance of Some Yeasts Recovered in a Group of Immuno Compromised Patients

Abstract : Fungal infection is not life threatening to patients due to blood malignancies and as a result of intensive chemotherapy, solid tumor and the use of immunosuppressive drugs for organ transplant patients. The samples were mostly blood, sputum, urine, bronchi-alveolar lavage, CSF and wound swabs. Each sample was examined by conventional methods as wet mount and stained smears to culture on various media like Dextrose agar, brain heart infusion agar and blood agar, diagnosed by APE 20 Candida to be cultured on SDA using 20μ, 50μ [microns] concentration disks of drug amphotracin B and fluconazole 20μ for all patients, and was tested after 18 hours of incubation, rings above 20 mm considered positive while less 5 mm were all negative according to NICM standards. The commonest yeasts recovered were Cryptococcus neoformans Candida albicans,and Geotrichum candidum ,most of those isolates yeasts showed resistance to both concentration of amphotracine B disks mostly in cryptococcus neoformans, the fungal infection in patients being used in a massive way to protect from invasive fungal infections the incidence of resistant strains of various of yeasts showed a higher rate of drug resistance in vivo and in vitro as well endangering the drug use in daily practice as a safe drug in daily medical practice. Many types of yeast are resisting the broad spectrum anti-fungal drug as amphotracine-B, in vitro reflecting an alarming sign on the use of this drug in medical practice as preemptive or empirical strategies of IFI management.
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International Medical Journal

Journal ID : IMJ-13-03-2020-340

Total View : 136

Title : Prediction of Hand-Grip Strength in Egyptian Healthy Mid-Adolescents

Abstract : Grip strength is a simple tool used to rapidly assess muscle strength. It can provide diagnostic information and be used to assess clinical outcomes. The purpose of this study was to find out an equation that could predict hand-grip strength in relation to age, weight, height, mid upper arm circumference, hand length and hand span in Egyptian healthy mid-adolescents. Two hundred and forty volunteer healthy adolescents of both sexes participated in this cross sectional study. Their Body Mass Indices (BMI) followed normal values. EuroQol 5-Dimension Questionnaire for youth (EQ-5D-Y) was applied to determine participant’s health status. A JAMAR plus hand held dynamometer was used for measuring handgrip strength. Independent t-test, Pearson correlation co-efficient and Linear regression equation were used (p<0.05). We found positive correlation between handgrip strength and all measured parameters. Also, hand-grip strength could be predicted according to age, weight, height, mid upper arm circumference, hand length and hand span. we demonstrated that, hand-grip strength is positively correlated to general and anthropometric characteristics in Egyptian healthy mid adolescents.
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International Medical Journal

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Submission Deadline ( Vol 30 , Issue 04 )
20 Apr 2023

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Publish On ( Vol 30 , Issue 03 )
31 Mar 2023