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Splenogonadal Fusion Presenting as Acute Torsion of Testis
Sam Aruputha John,
Ahamed Faiz Ali,
Sunil Kumar,
Rasha Kassem,
Ali Hussain Ashkanani,
Nawal Yakoub Akbar
Issue:
Volume 3, Issue 5, September 2017
Pages:
28-31
Received:
1 June 2017
Accepted:
17 August 2017
Published:
10 October 2017
Abstract: Splenogonadal fusion (SGF) is a rare congenital anomaly noticed mainly in boys. The usual presentation is of testicular swelling and is managed most of the time with avoidable orchidectomy. Here we report a case of SGF in a one year old boy presenting with tender swelling on the left inguinal region and empty left scrotum. With the suspicion of torsion left inguinal testis, left inguinal exploration with laparoscopy was done as emergency procedure. It revealed left inguinal testis adherent to a torted segment of continuous type of spleenunculi which extended up to the spleen intra abdominally. Child underwent excision of this splenunculi with left orchidopexy. Pathology of the specimen was reported as torsion of splenunculi. Most of the SGF are incidental finding that are noticed during elective herniotomy or orchidopexy. But there are few cases reported in literature where SGF can present as an acute condition mimicking torsion of testis. A testis preserving excision of splenunculi should be done in these patients as there is usually a clear demarcating plane between them.
Abstract: Splenogonadal fusion (SGF) is a rare congenital anomaly noticed mainly in boys. The usual presentation is of testicular swelling and is managed most of the time with avoidable orchidectomy. Here we report a case of SGF in a one year old boy presenting with tender swelling on the left inguinal region and empty left scrotum. With the suspicion of tor...
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The Use of Insecticide Treated Bed Net in Children Under Five Years of Age in Alakahia Community, Rivers State
Nalley Joy Chinwe,
George Innocent Ocheyana,
Opara Peace Ibo,
Yaguo-ide Lucy Eberechukwu
Issue:
Volume 3, Issue 5, September 2017
Pages:
32-41
Received:
24 May 2017
Accepted:
14 August 2017
Published:
17 October 2017
Abstract: Insecticide Treated bed Net (ITN) is considered to be the most efficacious of all currently feasible interventions for malaria control in Africa. However, its use is still low in Rivers State. This study sought to evaluate the use of insecticide treated bed net, in under-five children in Alakahia, Rivers State. This was a cross-sectional study carried out from 1st August to 31st October 2014, over a period of 3 months. Three hundred and ninety-nine children-parent/caregiver pairs were recruited. Children, aged 6-59 months were selected using systematic and simple random sampling methods. The data were collected using a structured interviewer-administered questionnaire. A general examination was done followed by collection of blood samples for estimation of packed cell volume and malaria parasitaemia. ITN ownership per household was 60.2%. Of the 240 respondents who owned ITN, 157 (65.4%) used them for their under-five children, but only 50 (31.8%) children slept under an ITN the night before the study. The factors found to influence the use of ITN were number of nets owned and where the net was got. However, purchasing an ITN was the strongest predictor of ITN use (OR =14.091, P= 0.000). The most common reason for non-use of ITN was ‘too hot’ (19.3%). Ownership and use rates were fair, however consistency in the use of the nets was poor. More efforts should be put into health education for behaviour modification.
Abstract: Insecticide Treated bed Net (ITN) is considered to be the most efficacious of all currently feasible interventions for malaria control in Africa. However, its use is still low in Rivers State. This study sought to evaluate the use of insecticide treated bed net, in under-five children in Alakahia, Rivers State. This was a cross-sectional study carr...
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A Rare Sporadic Polymalformative Syndrome with Congenital Abdominal Wall Defects. Caregivers and Parents Working Together Make Shared Ethical Decisions
Eduardo Alfredo Duro,
Maria Eva Pereyra
Issue:
Volume 3, Issue 5, September 2017
Pages:
42-45
Received:
10 April 2017
Accepted:
8 May 2017
Published:
18 October 2017
Abstract: Improvements in ultrasound technology and the appropriate timing of antenatal ultrasound has led to refined prenatal diagnosis and enhanced accuracy of diagnosis of fetal anomalies and makes it possible to treat or not at birth, because they have diverse etiology and prognosis. They has severe congenital common finding as thoracoabdominal defects, spinal cord abnormalities, positional limb deformities, abnormalities of umbilical cord and ectopia cordis. The technological revolution and radical new treatment modalities in patient care cause ethical dilemmas when therapeutic possibilities are very varied. Healthcare workers at all levels of care, after detection of fetal defects need to get involved to provide better family management to reduce pain and suffering. Avoid a futile treatment is ethical obligation since the time of Hippocrates.
Abstract: Improvements in ultrasound technology and the appropriate timing of antenatal ultrasound has led to refined prenatal diagnosis and enhanced accuracy of diagnosis of fetal anomalies and makes it possible to treat or not at birth, because they have diverse etiology and prognosis. They has severe congenital common finding as thoracoabdominal defects, ...
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Substantiation Stages of Rehabilitation at the Patients with Metaepiphyseal Osteomyelitis
Lukianenko Dmytro Mykolaiovych
Issue:
Volume 3, Issue 5, September 2017
Pages:
46-50
Received:
3 May 2017
Accepted:
22 May 2017
Published:
18 October 2017
Abstract: Surgeons and orthopedists, which carried out medical and rehabilitative measures at the patients with metaepiphyseal osteomyelitis did not pay attention to the socio-psychological rehabilitation. Purpose of research is determination volume of methods for rehabilitation this group of patients. In our study we carried out sociological survey, using own questionnaire. On the basic question of the questionnaire – does the disease influence to the realization of vital important plans in a patient’s life, 8 (15.1%) respondents had been answered, that osteomyelitis destroyed all plans in their life. The given conclusion was shown primary among male - patients – 18.2%, than among female – only 10% (p >0.05). Volume of rehabilitation we combined with issues of abilitation – the system of therapeutic measures, which should prevent and eliminate pathological conditions at the children with metaepiphyseal osteomyelitis.
Abstract: Surgeons and orthopedists, which carried out medical and rehabilitative measures at the patients with metaepiphyseal osteomyelitis did not pay attention to the socio-psychological rehabilitation. Purpose of research is determination volume of methods for rehabilitation this group of patients. In our study we carried out sociological survey, using o...
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Elevated Blood Pressure Among Zimbabwean Urban Primary School Children Aged 5–11 Years
Dube Adiele,
Gundani Patrick Dube Morgan
Issue:
Volume 3, Issue 5, September 2017
Pages:
51-57
Received:
13 February 2017
Accepted:
1 April 2017
Published:
23 October 2017
Abstract: Following few publications available with data on blood pressure profiles of Zimbabwean population, especially children and adolescents, few data exist on urban and rural school going children. The aims of this study were to examine the incidence of hypertension (HT) among Zimbabwean urban children residing in Kwekwe; and to determine the relationship between body mass index (BMI) and blood pressure (BP) among them. The study involved 480 primary school children (230 boys and 250 girls) aged 5–11 years. Stature and body weight were measured using standard procedures. BMI for gender and age defined overweight. BP was monitored for thrice consecutively using validated electronic devices (Omron 7051T). HT was determined as the average of three separate BP readings where the systolic or diastolic blood pressure was ≥ 95th percentile for age and sex. The incidence of overweight among the girls (3.6%) was higher compared with the boys (2.7%). Both systolic and diastolic pressures (SBP and DBP) increase with age in both sexes. Potential development of hypertension among the children is noticeable at Early Childhood Development (ECD) level for both boys and girls; 1.8% and 1.5% respectively and ranged from 0.8% to 1.8% for boys and 2.0% to 5.3% for girls. The overall incidence of hypertension was 1.5% and 2.6% in boys and girls, respectively. The highest noticeable value for boys was at ECD and decreased with increase in grade level. The incidence of hypertension (SBP > 95th percentile) was 0.4% and 0.2% in boys and girls, respectively. For the girls there was a progressive increase in the tendency towards development of hypertension from ECD to 6th grade except a small decrease in 3rd and 4th grade levels. Girls in the 6th grade level showed the highest value of incidence of hypertension (5.3%). The blood pressures (SBP and DBP) significantly correlated with age, stature, body mass and BMI (P<0.05). The findings demonstrate that elevated blood pressure is prevalent among urban Zimbabwean children and that there is need for routine measurement of BP to children residing in this region as part of physical examination for physical activity in schools. The use of BMI cutoffs tailored to metabolic risks may be vital for assessment of overweight. BP increased with age in both sexes, and this significantly correlated with age, stature, body weight and BMI.
Abstract: Following few publications available with data on blood pressure profiles of Zimbabwean population, especially children and adolescents, few data exist on urban and rural school going children. The aims of this study were to examine the incidence of hypertension (HT) among Zimbabwean urban children residing in Kwekwe; and to determine the relations...
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Some Data on Surgical Treatment of Gastroesophageal Reflux
Issue:
Volume 3, Issue 5, September 2017
Pages:
58-61
Received:
28 December 2016
Accepted:
6 February 2017
Published:
24 October 2017
Abstract: Gastroesophageal refluxis such a terminal illness it’s solution is surgical intervention that has been a challenge for therapeutic treatment. This type of treatment has started properly by positioning the child during breastfed, by the use of drugs, such as omeprazole. Purpose of the study: determining the efficiency of surgical techniques for gastroesophageal reflux, comparison of two methods: open and laparoscopic, determination of the advantages and disadvantages of techniques. The study was conducted over a 4 year period, from 1 october 2011 to 20 february 2015. The study involved 59 children, operated for gastroesophageal reflux with laparoscopic method and for the same period, 14 children operated by the open method. The duration of the operation (48 min) is greater in the group treated with laparoscopy, compared with open method (14min). In the open method we had 2 cases of wound inflamation. In both groups, a significant statistical difference is seen at the use of antibiotics. The duration of stay of patients with laparoscopic method (2 days), is significantly lower. In conclusion, it is seen that sparing incision, infant morbidity of fundoplication by Nissen, performed with laparoscopy, has the same success as it was conducted by the open method. Regime and placement of food is in both cases,at the same efficiency, in both operated groups.
Abstract: Gastroesophageal refluxis such a terminal illness it’s solution is surgical intervention that has been a challenge for therapeutic treatment. This type of treatment has started properly by positioning the child during breastfed, by the use of drugs, such as omeprazole. Purpose of the study: determining the efficiency of surgical techniques for gast...
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