International Medical Journal

Journal ID : IMJ-18-03-2022-1333

Total View : 453

Title : COMPARATIVE EVALUATION OF HEMODYNAMIC RESPONSE WITH FASTRACH INTUBATING LARYNGEAL AIRWAY AND LARYNGOSCOPIC INTUBATION

Abstract : Airway managements by direct laryngoscopy and endotracheal intubation during general anaesthesia are known to induce clinical changes in hemodynamic variables such as tachycardia, hypertension, and arrhythmias, which can cause myocardial ischemia. In order to prevent adverse cardiovascular responses, laryngeal mask airway can be used instead of laryngoscopy and tracheal intubation during airway management. The aim of our study is to compare the hemodynamic response with FASTRACH intubating laryngeal mask airway (ILMA) and Macintosh laryngoscopic intubation. Institute Ethics Committee Clearance was obtained before start of study. Study was carried out on 78 patients belonging to ASA grade I and II, aged between 18 to 65 years, including either gender. Patients were divided into Group M:Intubation using Macintosh laryngoscope and Group L:Intubation using FASTRACH LMA. After obtaining informed written consent from patients in their own understandable language, they were randomly assigned to one of the two groups based on WINPEPI APP. Mean heart rate when compared showed significant increase in group M whereas there was slight increase noted in group L. Systolic blood pressure and mean arterial blood pressure showed increase in both group after intubation. Diastolic blood pressure showed significant increase in group M whereas in group L significant decrease was observed. There were no ECG abnormalities noted in both groups. Based on our study we concluded that intubation using FASTRACH ILMA is associated with less cardiovascular response and hemodynamic changes when compared with Macintosh laryngoscope..
Full article

International Medical Journal

Journal ID : IMJ-17-03-2022-1332

Total View : 443

Title : Knowledge, Attitude, and Practices of Infant Weaning among Caregivers in the Kingdom of Bahrain

Abstract : Although weaning forms a crucial phase of an infant's life, there exists a data vacuum in the scientific literature regarding the awareness, perception, and onset of weaning among caregivers in the Kingdom of Bahrain. This study aimed to fill in these gaps and expand the information base of caregivers and clinicians by providing valuable insights on the Knowledge, attitude, potential factors, including sociodemographic aspects and the current trends/practices of weaning among caregivers in Bahrain. The cross-sectional study was carried out at fourteen randomly selected local Mother and Child Health Clinics (CHCs) in the Kingdom of Bahrain. A total of 253 caregivers capable of communicating in Arabic and English and with infants between 6-24 months were included. Detailed demographic data was collected, and all study subjects were instructed to fill the knowledge, attitude and practice assessment questionnaire. Responses were analyzed using software R v4.1.0 and Microsoft Excel. A Chi-square test was used to check the association of demographic variables with knowledge, attitude and practice. P-value ≤ 0.05 was considered statistically significant. Although a significant number of the subjects had an excellent positive attitude (67.59%), a high number of the subjects had inadequate knowledge (58.89%) and followed inappropriate practices (54.94%) concerning the introduction of supplementary food. The mother's education level and order of the child were significantly associated with knowledge, attitude, and practice. More prenatal and postnatal health promotion activities are required to shed light on the benefits of the timely and appropriate introduction of supplementary food..
Full article

International Medical Journal

Journal ID : IMJ-16-03-2022-1330

Total View : 423

Title : To study the effect of addition of Nalbuphine to intrathecal Bupivacaine in lower limb surgery under spinal anaesthesia –A randomized double blind study.

Abstract : Spinal anaesthesia is the most popular regional anaesthesia technique for lower limb orthopaedic and lower abdominal surgery. Localanaesthetic agents as sole doesn’t have the advantage of postoperative prolonged analgesia. Nalbuphine being an opioid agonist antagonist was studied as adjunct to intrathecal Bupivacaine in different doses by different authors. We have decided to study intrathecal Nalbuphine 0.5 mg added to Bupivacaine against plain Bupivacaine. We conducted study to know effectiveness of intrathecal Nalbuphine on characteristics of subarachnoid block such as sensory block, motor block and postoperative analgesia. After randomization Group A patient received intrathecal Bupivacaine 0.5% heavy whereas Group B patients received intrathecal Bupivacaine 0.5% heavy with Nalbuphine 0.5 mg. Sensory and motor onset characteristics are significantly faster in Group B as compared to Group A. Duration of analgesia was significantly prolonged in Group B as compared to Group A with significantly less number of post operative analgesic requirement. Side effects are minimal and easily treatable in both groups. We recommend that 0.5 mg Nalbuphine as an adjunct to 0.5% Bupivacaine significantly produce favorable sensory and motor characteristics with good post operative analgesia with negligible side effects..
Full article

International Medical Journal

Journal ID : IMJ-12-03-2022-1325

Total View : 564

Title : Childhood and adolescent cancers in Morocco Epidemiological profile and risk factors

Abstract : Cancer in children and adolescents represents only a small fraction of the global cancer burden. However, the different characteristics of adult cancers require the construction of large-scale studies, conducted mainly on a national and even international scale, in order to collect statistically significant data. Our research is part of this effort to provide a reference of knowledge on this type of cancer in Morocco. This is a descriptive retrospective epidemiological study at the two public oncology centers from the records of patients under 20 years of age with cancer diagnosed between January 2014 and December 2018 at the oncology center in Marrakech and between January 2014 and 30/06/2019 at the oncology center in Agadir. Data collection concerned gender, age, origin (city), setting (urban/rural and cancer location. The data were entered and analyzed on SPSS version 24. The incidence of cancer in children and adolescents under 20 years of age was estimated at (7.26/100 000) in the Marrakech Safi region and (8.87/100 000) in the Souss Massa region. They represented respectively 2% and 3% of all registered cases. Among children aged between 0 and 14 years, the incidence of cancer in the global population is estimated at (4.17/100,000) in the Marrakech Safi region and (5.49/100,000) in the Souss Massa region. They represented respectively 1% and 1.6% of all registered cases. The patients are mainly of both sexes without dominance of one over the other, coming from urban areas and from rural areas. Among the most frequent types of cancers among cancer patients under 20 years of age are leukemia, brain and nervous system, bone, Hodgkin's lymphoma. This study has increased knowledge of childhood and adolescent cancers in Morocco and accelerated research towards a better understanding of the most likely risk factors and to strengthen prevention efforts..
Full article

International Medical Journal

Journal ID : IMJ-10-03-2022-1322

Total View : 366

Title : A Prospective study of Conservative versus Operative management of intra-abdominal solid organ injury in Tertiary care center.

Abstract : Trauma is a major worldwide problem. It is one of the major causes of death in industrial and civilized countries. Trauma is the most common cause of death between the age of 15 & 44 years and 3rd most common cause of death worldwide regardless of age. The most significant change in trauma patient's care over the last decades is represented by the switch to selective non-operative management (NOM)7. This was a study done among the patients admitted with alleged history of blunt abdominal trauma in tertiary care hospital. Total 50 patients were taken in the present study. The study participants are evaluated and recorded various variables like mechanism of injury, hemodynamic stability, and organ injured, grading of injury etc. All patients with hemodynamic stability were managed in surgical ICU with close observation, serial investigations & immobilization. Only 3(6%) patients required operative management later on in NOM group. Total 15(30%) patients were managed operatively. All patients were kept in surgical ICU. In OP group incidence of spleenic injuries is highest (47%). Hemodynamic instability remains the most important parameter in decision making between conservative and operative management of trauma patients with solid organ injury. Most of the patients were managed conservatively in intensive care unit with regular monitoring and serial CT scan. Non operative line of management is now considered the line of treatment for patients with intra-abdominal organ injury that are hemodynamically stable..
Full article

Dear respected authors,

If you can't find our response by email, please check your spam box as well.

It is our great pleasure to announce to tie up a new bonding with a new correspondence: Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery.

Homepage: https://www.zhebyhk-periodicals-cn.net .This journal is indexed in scopus and pubmed.It publishes all sorts of medical papers.

International Medical Journal

Scopus indexed

jicef

Google Scholar

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

Day

Hour

Min

Sec

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