International Medical Journal

Journal ID : IMJ-17-04-2023-1607

Total View : 416

Title : Effectiveness of visual inspection and acetic acid in screening cervical cancer in Iraq, 2022

Abstract : Cancer is a disease characterized by the uncontrolled growth and spread of abnormal cells. Cervical cancer is considered nearly preventable due to slow progression, the availability of screening tests, and provision of Human Papilloma Virus (HPV) vaccine. Different screening and diagnostic modalities have been used for early detection. To determine the diagnostic values of visual inspection with acetic acid for cervical cancer. A total of 85 women aged 21 – 78 years were participated. Case files were reviewed. Screening was done by PAP smear, VIA, and colposcopy. PAP smear was used as standards for identifying the diagnostic ability of VIA test and its accuracy. About 59 (69.4%) of participants showed positive VIA test and 26 (30.6%) of them showed negative VIA test findings. Parity showed a significant effect on VIA test (p = 0.05). The diagnostic values of VIA with colposcopy were 88.5%, 39%, 39%, 88.5%, and 54.1% respectively. The sensitivity, specificity, positive and negative predictive values, and accuracy of VIA with PAP smear findings were 87%, 51.3%, 67.8%, 76.9%, and 70.6% respectively. Sensitivity and specificity of VIA test are low. Therefore, it is not suited for screening in developing countries..
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International Medical Journal

Journal ID : IMJ-09-04-2023-1606

Total View : 373

Title : Current Trends in Septic Abortion & Sequelae in a Teaching Hospital of Eastern India

Abstract : Septic abortion is still a challenging problem and a major cause of maternal mortality and morbidity in developing countries. In spite abortion has been legalized in India over three decades, unsafe abortion continues to be a significant contributor of maternal mortality and morbidity. The aim of the present study was to assess the magnitude of septic abortion in a tertiary care referral hospital and study their complications. A single centred, institution based study were carried out from January 2022 to December 2022 at the department of Obstetrics and Gynaecology in Medical College and Hospital, Kolkata after obtaining ethical clearance. Among 597 women <20 to > 40 years of age with abortion were included in this study. The data was tabulated in Microsoft Excel software and analysed with SPSS V.24 software. Incidence of septic abortion was 4.86. Majority of patients were in the age group of 21-30 years 361 (60.47%). spontaneous abortion was 279 (46.73%), criminal abortion was 38 (6.37%) and MTP was 280 (46.90%). Grade I infection was 382 (63.99%), Grade II infection was 212 (35.51%). Conservative treatment given was 85 (14.24%), Surgical (D&E) was 510 (85.43%). Drainage of pus from peritoneal cavity and subtotal hysterectomy was done to 1 (0.17%%) each, ccomplications in case of septic abortion was occurred in 2 (0.34%). Endotoxic Shock for the cause of death was 2 (0.34%) and number of death was 2 (0.34%). Maximum hospital was two to three days was 550 (92.13%). Increasing awareness, making legal abortion services easily available to the masses at cheaper cost, and stringent laws to contain quackery are required to decrease the incidences of illegal and septic abortions, and related maternal morbidity and mortality..
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International Medical Journal

Journal ID : IMJ-05-04-2023-1604

Total View : 371

Title : A Prospective Study of the Occurrence of Avascular Necrosis of the Skeletal System in Post Covid 19 Infected Patients with Corticosteroid Use

Abstract : COVID-19 can have an impact on various biological systems. Avascular necrosis (AVN) as a consequence of "long COVID-19" has not yet been documented in many studies. We predict that the widespread use of life-saving corticosteroids in COVID-19 cases will lead to an increase in AVN cases. We conducted a study documenting the occurrence of AVN in post covid 19 infected patients who had taken corticosteroids during the course of their treatment. The incidence in the current study was 6.5 %. Prednisolone was given to these patients in a mean dose of 760 mg (400–1300 mg) over the course of their treatment, which is less than the mean cumulative dose of around 2000 mg steroid mentioned in the literature for the development of AVN. The average number of days it took for symptoms to appear after the last steroid use was 178 days, or almost six months. According to a literature analysis, developing avascular necrosis on an MRI following steroid treatment in non- covid circumstances takes six to twelve months. The early onset and progression of AVN are accelerated by COVID 19 infection and corticosteroid usage..
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International Medical Journal

Journal ID : IMJ-29-03-2023-1603

Total View : 479

Title : Association of Serum Vitamin D status with gestational diabetes mellitus and other laboratory parameters : A Prospective birth cohort study

Abstract : Diabetes is the most common medical complication of pregnancy. Vitamin D deficiency which was initially considered only to influence bone metabolism, is now known to exert a wide spectrum of extra-skeletal effects. Vitamin D deficiency is closely associated with gestational diabetes mellitus, it also leads to adverse maternal and child outcome. Only few Indian studies are available in this regard. The present study was undertaken to find association of Serum Vitamin D status with gestational diabetes mellitus and other laboratory parameters. A single centred, institution based, prospective birth cohort study was carried out from January 2022 to December 2022 at the department of biochemistry, Jalpaiguri Government Medical College, West Bengal, India after obtaining ethical clearance. 150 patients with GDM and 150 patients with normal blood sugar were involved in this study. The data was tabulated in Microsoft Excel software and analysed with SPSS V.24 software. Mean age of patients with GDM was 23.45±5.361and mean age without GDM was 23.19±5.51. Mean BMI was higher in case (28.16±4.6) group compared to that in control group (24.63±4.1). Mean FBS was higher in case (117.85±6.7) group compared to that in control group (85.55±0.5), mean PPBS was also higher in case (175±1.4) group compared to that in control group (103.11±0.6). The mean serum vitamin D level was lower in case group case (17.43±0.8) compared to that in control group (27.14±1.07). Women with vitamin D deficiency have an increased risk of developing GDM and other complications as compared to those who had normal level of vitamin D..
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International Medical Journal

Journal ID : IMJ-16-03-2023-1601

Total View : 437

Title : The investigation of the deficiency of vitamin D in Moroccan healthy population and the linkage with prostate specific antigen.

Abstract : It was suggested that the risk of prostate cancer is associated with vitamin D deficiency. In this case, one has investigated the hypothesis that the 25 (OH) D statuses affect prostate specific antigen levels. In this regard we studied the association of vitamin D blood status with serum prostate specific antigen (PSA) concentrations. A total of 491 healthy men were diagnosed through the project. We have enlisted 491 Moroccan men of good health. The vitamin D status and serum PSA have been evaluated. The deficiency of Vitamin D (less than 30 ng /ml) was found in 81.7% of the study population. The mean vitamin D level in this population was 22.5 ±9.56 ng /ml. Serum vitamin D and PSA levels, respectively, were significantly negatively associated with age (p < 0.001, 0.005), while no correlation was found linking PSA and vitamin D levels. Our results show that even in regions like ours where there is a lot of sunlight all year round, vitamin D deficiency is widespread. Nevertheless, variations in vitamin D have shown no impact on healthy men's serum PSA levels..
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Submission Deadline ( Vol 30 , Issue 09 )
20 Sep 2023

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Publish On ( Vol 30 , Issue 07 )
31 Jul 2023