International Medical Journal

Journal ID : IMJ-19-01-2022-1205

Total View : 362

Title : Clinical characteristics and Causative Agents of Acute Meningitis in Hospitalized Febrile patients

Abstract : Meningitis is a serious deadly disease with high mortality if not rapidly treated. The typical clinical features of fever, neck stiffness and headache had poor diagnostic sensitivity. The need of rapid early detectection methods are needed to rescue patients. Few studies are conducted in Egypt for early detection of acute meningitis. The aim of this study is to determine the clinical charateristics and causative agents of acute meningitis among hospitalized febrile patients. A prospective cross sectional observational study. The study included 350 cases admitted with suspected meningitis. Lumbar puncture: for collection of cerebrospinal fluid (CSF) samples. CSF analysis, microbiological examination of CSF, and blood culture and antibiotic sensitivity test were done. Brain magnetic resonant imaging (MRI) was performed before lumbar puncture in some patients. Detailed analysis of epidemiologic characteristics, clinical data and laboratory findings, the causative organisms, prognosis of all the patients with acute bacterial meningitis (ABM) were studied. Meningitis occurred at all age groups. A significant proportion of meningitis patients (60%) reported a positive history of antibiotic intake in the few days (3-5) before admission to the hospital. 79.1% of ABM patients had a CSF leukocyte count in the range of > 100 up to 1,000 cell/mm3 and 80% had CSF neutrophil percentage > 50%. The pathogens were detected by direct Gram-stained smear in 86.4% of patients. Gram +ve bacteria was detected in 55/110 (50%) of cases. Gram -ve bacteria detected in 40/110 (36.4%) of cases. ABM carried a high mortality rate (22.7%). ABM had 22.7% mortality rate. Meningitis is endemic in Egypt with a significant mortality rate. Strept. pneumonia was the most common offending organism. Clinicians should be aware of the dynamic changes of acute meningitis for rapid diagnosis and earky administration of suitable therapy..
Full article

International Medical Journal

Journal ID : IMJ-17-01-2022-1204

Total View : 444

Title : Is There Acorrelation Between Screen Time And Weight Status In School Aged Children?

Abstract : Excessive time spending on screens has been associated with negative health outcomes which might include children obesity and unhealthy weight gain. The main objective of this study is to find the relationship between screen time and weight status, in school aged children.200 children of both sexes (boys and girls) with age ranged from 8 to 10 years old were selected from governmental schools in Zagazig city, Egypt, assessment of weight status was by body mass index (B.M.I) equation, weight and height were assessed using a height weight measuring scale, while screen time was assessed by using screen questionnaire (screen-Q). The Results showed that There was a significant association between screen time and weight status (p = 0.04) in weekday. (p = 0.03) in weekend days. There was increase in the percentage of screen time more than 4 hrs in weekday of overweight and obese children compared with that in normal and underweight children. There was decrease in the percentage of screen time more than 4 hrs in weekend day of normal children compared with that of other categories. We Concluded that The correlation between screen time (ST) and body mass index (BMI) was weak positive significant correlation at the selected age..
Full article

International Medical Journal

Journal ID : IMJ-15-01-2022-1202

Total View : 475

Title : A Study Of Factors Affecting Post-Operative Complications In Abdominal Surgeries

Abstract : Any surgery carries with it the risk of complications. Complications were defined as any deviation from the normal postoperative course. The post-operative complications are always of concern to surgeons. These complications can result in increased morbidity and mortality. Early identification of risk allows for targeted, anticipatory, appropriate and supportive medical care, which will reduce both the incidence and severity of such complications. The identification of modifiable risk factors gives possibility for early perioperative care, leading to improved outcomes of a surgery. Identification of risk factors can help in improvising the existing ERAS (Enhanced recovery after surgery) protocols. Early identification of postoperative complications and prompt management can reduce the morbidity and mortality. Wound infection (27) was the most common complication among study subjects. Burst abdomen was observed in 7 patients. These complications were mostly associated with emergency abdominal surgeries and in contaminated cases. Hence, care must be taken intraoperatively as well as immediate postoperative period to avoid/minimise such complications. Phlebitis (24) was the second most common complication in our study which in turn is a common cause for postoperative fever. DVT and urinary retention were the least common postoperative complication which occurred in only 2 patients each in our study. Among the risk factors associated with the incidence of postoperative complications, age above 50 years was the major risk factor followed by addictions, which include smoking and alcohol abuse. Hence, it is important to counsel the patient about abstinence of smoking and alcohol consumption for avoiding postoperative complications and early recovery..
Full article

International Medical Journal

Journal ID : IMJ-15-01-2022-1200

Total View : 476

Title : A COMPARATIVE STUDY OF EFFICACY OF SUPEROXIDIZED SOLUTION AGAINST POVIDONE IODINE IN THE TREATMENT OF DIABETIC ULCERS

Abstract : Diabetes is a chronic non communicable disease that is currently the leading cause of morbidity and mortality in the world. Diabetes mellitus is expected to be the seventh leading cause of mortality by 2030, according to the world health organization (WHO). This Prospective Comparitive study was conducted to mainly compare the management of diabetic foot ulcers with Superoxidized solution and Povidone Iodine solution at Dr. D. Y. Patil hospital and research center, Pune during the period of September 2019 to August 2021. This prospective study was conducted among 60 patients with diabetic lower limb ulcers. The mean age in group A was 58.33 years where as in group B it was 55.43years. 82% of the patients were males and 18% were females. The mean random blood sugar level was 254.27mg/dl and 254.90mg/dl in group A and group B respectively. The mean HbA1c was 8.0% and 8.22% in group A and group B respectively. The most common organism isolated was staphylococcus aureus followed by pseudomonas. Mean healing time for wound was significantly lower in group A (37.11 days) than group B (52.76 days). The mean time for nil growth on culture for group A was 15.12 days and group B was 15.58 days. The current study shows that superoxidized solution had statistically significant advantages over povidone iodine in healing of diabetic ulcers. In present study, with moistening properties, cost effectiveness, rapid wound healing, non-irritability and reduced hospital stay of superoxidized solution has advantage over the traditional povidone iodine..
Full article

International Medical Journal

Journal ID : IMJ-15-01-2022-1199

Total View : 382

Title : Clinico-demographic study of periorbital hyperpigmentation in a tertiary care centre in western India

Abstract : Periorbital hyperpigmentation (POH) or melanosis with brown pigmented macules around the eyes is a common condition with limited scientific data on its clinical profile and pathogenesis. It has a multifactorial etiology including deposition of melanin in the dermis, post inflammatory hyperpigmentation (PIH) due to contact or atopic dermatitis, shadow effect due to skin laxity and superficial vascularity. An observational study of one hundred clinically diagnosed cases of POH was carried out and demographic data as well as clinical patterns of involvement were noted. The highest prevalence of 42% was in the 21-30 years age group. Sixty-nine patients were female while 31 were male. Their occupational profile included housewives, students and agriculturists. The most common aggravating factor was sleep deprivation reported by 28% of patients. Family history of POH was noted in 27%. Atopic diathesis was observed in 8%. Symmetrical distribution was observed in 61%. The types of POH included the constitutional type in 34%, the shadow effects type in 22%, the PIH type in 20% and the vascular type in 17%. POH is a common aesthetic facial concern that variably affects those of different ethnicities. The most common type in those of Indian ethnicity is the constitutional type..
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 06 )
20 Jun 2023

Day

Hour

Min

Sec

Publish On ( Vol 30 , Issue 05 )
31 May 2023