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Hypocalcaemia and Stridor: An Unusual Presentation of Acute Necrotizing Pancreatitis
Naouel Guirat-Dhouib,
Fatma Derbali,
Afifa Charfi,
Lobna Aissa,
Zohra Sassi,
Hammouda Taieb,
Ezzeddine Chouaibi
Issue:
Volume 3, Issue 6, November 2017
Pages:
78-80
Received:
11 May 2017
Accepted:
8 September 2017
Published:
1 November 2017
Abstract: The differential diagnosis of stridor in the pediatric population is broad and should include hypocalcaemia with resultant laryngospasm. We present the case of a 10-year-old Tunisian girl, with no particular family or personal history, who presented with stridor secondary to profound hypocalcaemia. The diagnosis of acute pancreatitis was made after dosing systematically pancreatic amylases for elevation of blood sugar and glucosuria. Necrotizing pancreatitis was confirmed by abdominal CT scan.
Abstract: The differential diagnosis of stridor in the pediatric population is broad and should include hypocalcaemia with resultant laryngospasm. We present the case of a 10-year-old Tunisian girl, with no particular family or personal history, who presented with stridor secondary to profound hypocalcaemia. The diagnosis of acute pancreatitis was made after...
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Anterior Ectopic Anus in Scrotum with Subcoronal Hypospadias in a Neonate: A Case Report
Prashant Patil,
Abhay Gupta,
Shahaji Deshmukh,
Prasad Bansod
Issue:
Volume 3, Issue 6, November 2017
Pages:
81-84
Received:
30 September 2016
Accepted:
14 January 2017
Published:
10 November 2017
Abstract: Ectopic anus is an atypical uncommon variant of broad spectrum of anorectal malformation. We present a case of a 22 day old neonate with anus placed within scrotum. After surgical intervention a neoanus was created within sphincter complex and good functional result was achieved. Patient had urethral injury intraoperatively which was managed by urethrostomy. Subcoronal hypospadias and urethrostomy was corrected in second setting.
Abstract: Ectopic anus is an atypical uncommon variant of broad spectrum of anorectal malformation. We present a case of a 22 day old neonate with anus placed within scrotum. After surgical intervention a neoanus was created within sphincter complex and good functional result was achieved. Patient had urethral injury intraoperatively which was managed by ure...
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Prevalence and Intensity of Gastro-Intestinal Helminthiasis Among School Age Children in Nkondjock, Littoral-Cameroon
Ngangnang Ghislain Roméo,
Vincent Khan Payne
Issue:
Volume 3, Issue 6, November 2017
Pages:
85-89
Received:
27 February 2017
Accepted:
24 March 2017
Published:
11 November 2017
Abstract: Gastro-intestinal helminthiasis is an infection which affects at least one person in two in the world and mainly school age children. Our study was conducted with the objective of determining the prevalence and intensity of these infections among pupils in Nkondjock Sub-Division. So, 417 faecal specimens randomly collected from 185 (44.3%) boys and 232 (55.6%) girls were examined, following physical flotation method (Willis’s technique) for qualitative analysis and the numeration method (Stoll’s method) for quantitative analysis. An overall prevalence of 24.5% was observed in the entire population. Three species of gastro-intestinal helminths were identified, principally geohelminths (STH) such as Ascaris lumbricoides (12.0% and 975.00 ± 643.35 epg) which was the most common, followed by Hookworm (Ancylostoma duodenale or Necator americanus) (9.4% and 970.59 ± 578.81 epg) and lastly Trichuris trichiura (4.1% and 833.33 ± 452.82 epg). Multiple helminthic infection were recorded with Ascaris lumbricoides + Trichuris trichiura (0.50%) having the highest prevalence among the children. Gastro-Intestinal helminths were most predominant among children aged 16-20 years (44.2%) than those within age group 11-15 years (17.1%). Boys were more infected (27.0%) than girls (24.2%) without a difference statistically significant. This study shows that the prevalence of infection may not be influenced by age and sex and, education of the population on hygienic habits and periodic deworming programme should be done routinely as this would reduce prevalence and intensity of intestinal worm infection among school children.
Abstract: Gastro-intestinal helminthiasis is an infection which affects at least one person in two in the world and mainly school age children. Our study was conducted with the objective of determining the prevalence and intensity of these infections among pupils in Nkondjock Sub-Division. So, 417 faecal specimens randomly collected from 185 (44.3%) boys and...
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Assessment of Immunomodulatory Activity of the Biofield Energy Treated Novel Herbomineral Formulation After Oral Administration in Female Sprague Dawley Rats
Mahendra Kumar Trivedi,
Alice Branton,
Dahryn Trivedi,
Gopal Nayak,
Cathryn Dawn Nykvist,
Celine Lavelle,
Daniel Paul Przybylski,
Dianne Heather Vincent,
Dorothy Felger,
Douglas Jay Konersman,
Elizabeth Ann Feeney,
Jay Anthony Prague,
Joanne Lydia Starodub,
Karan Rasdan,
Karen Mie Strassman,
Leonid Soboleff,
Maire Mayne,
Mary M. Keesee,
Padmanabha Narayana Pillai,
Pamela Clarkson Ansley,
Ronald David Schmitz,
Sharyn Marie Sodomora,
Sambhu Charan Mondal,
Snehasis Jana
Issue:
Volume 3, Issue 6, November 2017
Pages:
90-99
Received:
30 October 2017
Accepted:
14 November 2017
Published:
30 November 2017
Abstract: The use of an herbomineral formulation in the healthcare sector for different chronic diseases is gaining popularity due to its fewer side-effects, high safety profile, and cost effectiveness. A new proprietary herbomineral formulation was formulated, consisting of four essential ingredients viz. herbal (ashwagandha root extract) and minerals (zinc chloride, magnesium gluconate, and sodium selenate). The objective of this study was to evaluate the immunomodulatory effect of the Biofield Energy Treated test formulation on female Sprague Dawley (SD) rats. The test formulation was divided into two parts; one was represented as control, while the other part was treated with the Biofield Energy Healing Treatment remotely by renowned Biofield Energy Healers (The Trivedi Effect®) and defined as the Biofield Energy Treated formulation. The effect of the test formulation was monitored using humoral immune response, delayed type hypersensitivity, hematology, biochemistry, relative organ weight, and histopathology. The primary hemagglutination (HA) antibody titre level was significantly (p≤0.05) increased by 185.88% in the Biofield Energy Treated group (G3); while 41.18% increased in the untreated test formulation group (G4) as compared to the disease control group (G2). The secondary HA titre was significantly increased by 540% (p≤0.001) and 166.7% in the G3 and G4 groups, respectively as compared to the G2 group. The secondary HA titre was also increased significantly (p≤0.05) by 193% in the Biofield Energy Treated group per se at day -15 (G6), as compared to the G2 group. The paw volume data showed an alteration in the G3 and G6 groups as compared to the G2 group. The platelet count was significantly increased by 11.16% and 8.69% in the G3 and G4 groups, respectively as compared to the G2 group. The magnesium level was increased by 9.31% in the G3 group as compared to the G2 group. The uric acid was significantly reduced by 23.88% in the G3 group; while it was increased by 17.47% in the G4 group as compared to the G2 group. Since, the relative organ weight and histopathological findings did not produce any signs of toxicity as compared to the normal control group (G1). These data suggested that the Biofield Energy Treated herbomineral formulation was found to be safe and showed better immunomodulatory response as compared to the untreated formulation. Thus, it is assumed that the Biofield Energy Treated herbomineral formulation could be better and more useful to boost-up the immune system in healthy human and patients.
Abstract: The use of an herbomineral formulation in the healthcare sector for different chronic diseases is gaining popularity due to its fewer side-effects, high safety profile, and cost effectiveness. A new proprietary herbomineral formulation was formulated, consisting of four essential ingredients viz. herbal (ashwagandha root extract) and minerals (zinc...
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Clinical Mimicry and Dermatofibrosarcoma Protuberans: A Case Report with a Point to Ponder
Ghazal Ahmed,
Dharmendra Kumar Mishra,
Shrenik Balegar,
Mohammed Zahir
Issue:
Volume 3, Issue 6, November 2017
Pages:
100-102
Received:
26 February 2017
Accepted:
3 May 2017
Published:
4 December 2017
Abstract: Dermatofibrosarcoma protuberans (DFSP) is a very rare cutaneous neoplasm which usually affects the torso. The clinical presentation is nonspecific and can mimic many benign as well as malignant skin lesions. We present a case with clinical diagnostic dilemma which was located over an unusual site to be suspected as DFSP with deceiving feature of cookie cutter sign. Moreover, the skin colored lesion was above a superficial bone, nearly immobile and hard in consistency; which even was mimicking underlying bony lesion on first impression. We have also reviewed the recently published DFSP case presentations and discussed with context to the mimicking nature of the disease.
Abstract: Dermatofibrosarcoma protuberans (DFSP) is a very rare cutaneous neoplasm which usually affects the torso. The clinical presentation is nonspecific and can mimic many benign as well as malignant skin lesions. We present a case with clinical diagnostic dilemma which was located over an unusual site to be suspected as DFSP with deceiving feature of co...
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Assessment of Knowledge, Attitude and Practice on Initiation of Complementary Feeding Among Under Two Years Children in Fiche Town, North Showa Zone, Ethiopia
Issue:
Volume 3, Issue 6, November 2017
Pages:
103-109
Received:
4 February 2017
Accepted:
27 February 2017
Published:
14 December 2017
Abstract: Background: - Healthy complementary feeding is critical for the achievement of a healthy growth and development of children. In Ethiopia inappropriate complementary feeding practices, combined with poverty, are major determinants of the high prevalence of malnutrition among young children. Community based a prospective cross- sectional study was conducted from December to January 2015/2016. Almost two-third of the mothers initiated complementary feeding at the sixth month of child's age. Factors like maternal and husband educational level, family size, place of delivery, ANC follow up, and PNC follow up were significantly. Most mothers initiate complementary feedings timely. Maternal literacy, family size and relation of mothers affect timely initiation of complementary feeding. Educating the mothers by mass media and house to house by health extension workers is important to increase timely initiation of complementary feeding.
Abstract: Background: - Healthy complementary feeding is critical for the achievement of a healthy growth and development of children. In Ethiopia inappropriate complementary feeding practices, combined with poverty, are major determinants of the high prevalence of malnutrition among young children. Community based a prospective cross- sectional study was co...
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The Role of Predictors Parameters in the Management Policy and Outcome of Congenital Diaphragmatic Hernia with the Lack of Resources in Single Pediatric Surgery Unit
Issue:
Volume 3, Issue 6, November 2017
Pages:
110-118
Received:
3 April 2017
Accepted:
21 April 2017
Published:
8 January 2018
Abstract: Background: The objective of this study is to have the interest to know how far the present study underscores the improved survival rate for patients with CDH and risk factors affecting the outcome with the lack of many essential facilities. Our inquiries: shall we proceed without ECMO and related resources! Patients and Methods: The records of patients admitted with CDH to the pediatric surgery unit at the Maternity and Children Teaching Hospital Al Qadisiya, Iraq, from January 1, 2005, to the end of December 2014 were retrospectively reviewed. Reports obtained about operative findings, respiratory complications, although attempts were made to confirm a suspected diagnosis of pulmonary hypertension using echocardiography. Despite that, the permissive hypercapnia and ECMO were not practiced during the study period (these facilities still unavailable in our unit), we considering that the studied patients suspected to have such facilities according to ECMO protocol. All presentation factors with some of the predictive parameters are studied and taken as background to analyze our study. Statistical analyses performed using the Statistical Package for Social Sciences (SPSS) version 20 software and Excel 2016. Independent t-test used for analysis of normally distributed continuous data. A p-value of <.0001 considered statistically significant. Results: Thirty-one patients (26 neonates) were managed at our unit with an overall survival 19 of the total patients 73.07% and 14 (53.84%) of the neonates. Male presented 18 (69.23%) out of the total. Birth weight in grams (range) 3100 (2100 to 4390). Apgar (mean) at 5 min. after delivery (range) 6.2±2.1. At the level of Prenatal factors, chest to head circumference ratio <0.80 presented as the most important risk factor (Odd ratio 27.50, 95% confidence intervals (CI) upper 289.13 and p-value <.0001). At birth factors, associated major anomalies (Odd ratio 3.50, 95% CI upper 17.89 and p-value <.0001) formed risk parameter. Overall, both favorable and unfavorable factors had significant correlation and predictive effects on both survival and mortality groups respectively. Conclusion: A composite of prognostic and predictive parameters, however, organize our workup and can magnify our management future policy despite that, these prognostic indicators measure different aspects of CDH.
Abstract: Background: The objective of this study is to have the interest to know how far the present study underscores the improved survival rate for patients with CDH and risk factors affecting the outcome with the lack of many essential facilities. Our inquiries: shall we proceed without ECMO and related resources! Patients and Methods: The records of pat...
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