ScopeMed - RSShttp://www.scopemed.orgScopeMed RSSen-us Copyright © 2011 ScopeMed All rights reserved. ScopeMedhttp://www.scopemed.org/img/logo-scopemed-ttk.gifhttp://www.scopemed.org 2016-02-10T18-19-11Z Plasminogen Activator Inhibitor-1 4G/5G polymorphism and restenosis events after coronary stent placement in Iranian Azari Patients http://www.scopemed.org/?mno=214062 2016-02-10T18-19-13Z
Source: Ulutas Genetic Research Journal
Naser Aslanabadi, Amir Monfaredan, Gholamreza Niaei, Samad Ghaffari, Bahram Sohrabi, Fatemeh Jahanjoo.
Introduction: Plasminogen activator inhibitor-1 (PAI-1) has been described as a candidate risk factor for restenosis after coronary artery stenting. The 4G allele of the 4G/5G polymorphism in the promoter of the plasminogen activator inhibitor (PAI-1) gene is associated with increased PAI-1 activity. This study was therefore conducted to determine the association of the 4G/5G polymorphism of the PAI-1 gene with the development of restenosis after coronary stenting. Methods: This prospective study included 50 patients with coronary artery disease who underwent successful percutaneous transluminal coronary angioplasty, to perform an angiographic follow-up 12 months later. The 4G/5G alleles were identified on the basis of polymerase chain reaction (PCR) amplification of the respective fragments from allelic site. Results: The end point of the study, the PAI-1 genotypes association with restenosis simple logistic regression analysis was used. The value of p
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Wed, 10 Feb 2016 06:38:27 GMT -08:00 http://www.scopemed.org/?mno=214062
Do patients perform their exercises at home and why (not)? A survey on patients’ habits during rehabilitation exercises http://www.scopemed.org/?mno=216539 2016-02-10T18-19-13Z
Source: THE ULUTAS MEDICAL JOURNAL
Bruno Bonnechère, Bart Jansen, Lubos Omelina, Serge Van Sint Jan.
Introduction: The aim of this paper is to quantify the participation of patients during at-home exercises and also to understand why patients are not performing these exercises, which are nevertheless a major component of the rehabilitation, and find some perspectives to increase patients’ motivation and participation. Material and method: A self-reporting survey was conducted. 319 patients (mean age=42±15 years old, 147 female) having experience with different specialty of physiotherapy participated in this study. The main outcome measurement is the percentage of adherence to at-home exercises. Secondary outcomes of measurement are reasons why patients are not performing these exercises and finally what could stimulate them to do it. Results: 29% of the patients reports a total adherence, 54% are partially adherence and 17% of the patients do not perform any of the recommended exercises. Partially mean that patients only performed 33% of the right amount of repetitions and duration. The total percentage of participation is about 50% of the recommendation of physiotherapists. Lack of time and tedious exercises are the two main reasons why patients do not do these exercises. Conclusion: Guidelines recommend the use of exercises program as supplement of physiotherapy sessions. However, patient’s participation and adherence are quite low. Therefore specific solution must be developed to increase patient’s motivation and in fine the quality of treatment and care.
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Wed, 10 Feb 2016 06:28:56 GMT -08:00 http://www.scopemed.org/?mno=216539
Efficacy of Local Lactobacillus Casei Var Rhamnosus Döderlein Monotherapy for Bacterial Vaginosis http://www.scopemed.org/?mno=216967 2016-02-10T18-19-13Z
Source: THE ULUTAS MEDICAL JOURNAL
Stefan Kovachev, Rossitza Vatcheva-Dobrevska.
Introduction: The objective of this study was to establish the efficacy of local probiotic monotherapy for the treatment of bacterial vaginosis. Method: A total of 141 women with bacterial vaginosis, randomized into two groups, were examined. In the first group, 85 women were treated with local probiotic medicine (QD for 10 days) containing Lactobacillus casei var rhamnosus Döderlein (Lcr35®). In the second group, 56 patients received the same local probiotic treatment as those in the first group, in addition to treatment with an oral administration of metronidazol (500 mg tablet BID for 7 days). The efficacy of the monotherapeutic scheme was evaluated by comparing the number of clinical complaints and the results of clinical examinations and microbiological tests in the two groups. Results: One month after the probiotic monotherapy in the first group, the clinical efficacy was 47.1% and the microbiological efficacy was 41.1%. The combined treatment in the second group was more efficacious (clinical efficacy: 89.3%; microbiological efficacy: 76.7%). Conclusions: Thus, our results indicate that local probiotic monotherapy is less effective than combined metronidazole/probiotic scheme for the treatment of bacterial vaginosis.
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Wed, 10 Feb 2016 06:25:18 GMT -08:00 http://www.scopemed.org/?mno=216967
A 20 Years Delayed Diagnosis of Foreign Body Aspiration: Wishbone http://www.scopemed.org/?mno=211460 2016-02-10T18-19-13Z
Source: THE ULUTAS MEDICAL JOURNAL
Ahmet Ulusan, Ilknur Aytekin, Maruf Sanli, Levent Elbeyli.
Background: Foreign body aspiration (FBA) into the airway is an emergency condition, which is frequently encountered in emergency services, requires immediate intervention, and could lead to troublesome situation in case of delayed diagnosis and treatment. A detailed anamnesis plays an important role in diagnosis. Overlooked or delayed diagnosis could lead to unintended situations that might result in loss of lung tissue. Case Presentation: We presented a 71-year-old female patient who aspirated a wishbone 20 years ago and did not consult a physician due to regression of her complaints. The patient was referred to our clinic with hemoptysis. A foreign body was detected in her airway and accordingly she had to undergo left pneumonectomy, which suggested that delayed diagnosis of FBA leads to serious problems including loss of lung tissue, as was in the present case. Conclusion: In such cases, physical examination should be performed cautiously and a precise radiological scanning should be carried out. We recommend rigid or flexible bronchoscopy in the event of suspicious FBA into the airway.
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Wed, 10 Feb 2016 06:21:38 GMT -08:00 http://www.scopemed.org/?mno=211460
COCRYSTALS : A NOVEL APPROACH TO IMPROVE THE PHYSICOCHEMICAL AND MECHANICAL PROPERTIES http://www.scopemed.org/?mno=218105 2016-02-10T18-19-13Z
Source: Indo American Journal of Pharmaceutical Research
Pooja Vaghela*, Dr. H. M. Tank, Paun Jalpa.
Cocrystals consists of an API and stoichiometric amount of a pharmaceutically acceptable cocrystal former which may be an another API. Cocrystals can be made by different types of interaction like hydrogen bonding, π-π stacking, and van der waals forces. Cocrystals are nonionic supramolecular complexes and can be used to optimize physicochemical properties like solubility, dissolution rate, stability, and mechanical properties like flowability, compressibility, compactibility as well as pharmacokinetic properties like bioavailability of the API without changing its chemical composition and pharmacological action. Cocrystallization approach alters the molecular composition of active pharmaceutical ingredients and is considered better alternatives to improve physicochemical, mechanical, pharmacotechnical and pharmacokinetic drug properties. Factors affecting cocrystal stability and phase transformations are reported is only likely to form if it is thermodynamically more stable than the crystals of its individual components. Objective of pharmaceutical cocrystal formulation is to improve physicochemical and mechanical properties of BCS Class II drugs having poor flowability, and hence via cocrystallization approach directly compressible tablet dosage form can be prepared with greater improvement in pharmacokinetic and manufacturing parameters.
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Wed, 10 Feb 2016 02:49:45 GMT -08:00 http://www.scopemed.org/?mno=218105
A study on effect of tramadol hydrochloride on both mother and newborn in using labor pain http://www.scopemed.org/?mno=217151 2016-02-10T18-19-13Z
Source: International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Asha Rani K. N. M..
Background: The analgesic efficacy of intramuscular opioids versus epidural analgesia in labor and concluded that the analgesic efficacy and maternal satisfaction is better with epidural analgesia than with opioids. Hence in developing nations, where availability of facilities is the main limiting factor, intramuscular opioids can be considered suitable alternatives. Methods: A 200 primigravid women presenting with full term pregnancy at a tertiary care center constituted the study subjects. Results: Birth weights of babies’ shows maximum number (65%) of babies have birth weight of 2.5 to 2.9 Kg. About 28.5% have birth weight between 3 to 3.4 Kg, 6.5% of babies’ have birth weight of 2-2.4 Kg. Conclusions: This Drug has no adverse effects in the mothers/ on to newborn.
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Wed, 10 Feb 2016 00:40:44 GMT -08:00 http://www.scopemed.org/?mno=217151
Effect of intramuscular tramadol hydrochloride as a labor analgesic in primagravidae http://www.scopemed.org/?mno=217149 2016-02-10T18-19-13Z
Source: International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Asha Rani K. N. M..
Background: Labour pain is among the most severe pain experienced by women. The need for analgesia to overcome pain in labour is highly requested by women today. In developing nations where availability of facilities is the main limiting factor, intramuscular opioids can be considered. Methods: This study was conducted in teaching. 200 low risk primigravidae who fulfilled the selection criteria with full-term pregnancy with vertex presentation with good uterine contractions and already in active phase of labour were given 100 mg tramadol hydrochloride intramuscularly. Results: 200 primigravidae before giving the drug, no patient had grade-I or no pain, 19% had grade-III and 81% had grade-IV pain. After administration of tramadol hydrochloride IM there was reduction of pain from grade-III and grade IV by 52.49% and all of the patients continued with grade-II pain in 2nd stage and delivered normally and only 6 women had minimal side effects like nausea and vomiting. Conclusions: In low risk primigravidae, IM tramadol hydrochloride appears to be effective with minimal side effects. Hence, in developing nations, where availability of facilities is the main limiting factor, IM opioids can be considered as suitable alternatives.
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Wed, 10 Feb 2016 00:37:20 GMT -08:00 http://www.scopemed.org/?mno=217149
Assessment of Low-Density Lipoprotein Cholesterol (LDL-C) Goal Achievement Rate among Type 2 Diabetic Patients in Security Forces Hospital Diabetic Center, Riyadh, Saudi Arabia http://www.scopemed.org/?mno=215825 2016-02-10T18-19-13Z
Source: International Journal of Medical Science and Public Health
Bader S Alzahrani, Medhat A Ghoraba.
Background: Diabetes mellitus is a cardiovascular risk equivalent and associated with a higher risk of cardiovascular mortality comparing with general population. Small low-density lipoprotein cholesterol (LDL-C) particle size, which is highly atherogenic, is significantly associated with progression of coronary artery disease. American Diabetes Association (ADA) and National Cholesterol Education Program (NCEP) Adult Treatment Panel (ATP) III recommend aggressive dyslipidemia management in diabetic patients with a primary of LDL-C level < 100 mg/dL (
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Wed, 10 Feb 2016 00:20:37 GMT -08:00 http://www.scopemed.org/?mno=215825
Knowledge, attitudes, and practices relating to dengue fever among high school students in Makkah, Saudi Arabia http://www.scopemed.org/?mno=218082 2016-02-10T18-19-13Z
Source: International Journal of Medical Science and Public Health
Sultan A Alhazmi, Nahla Khamis, Bahaa Abalkhail, Sultan Muafaa, Ahmad Alturkstani, Abdulhafiz M. Turkistani, Sameer Almahmoudi.
Background: The incidence of dengue fever (DF) is rapidly increasing globally, and now 128 countries are endemic by it. Today, DF is considered as one of the most important vector-borne diseases in terms of mortality and morbidity. The prevention and control of DF is one of the most important priorities because of the continuous increases in the number of cases globally. Objective: To evaluate the baseline level of knowledge, attitude, and practice (KAP) about DF and their predictors among high school students in Makkah City, Saudi Arabia. Materials and Methods: A cross-sectional study was designed and was conducted at Makkah high schools during the educational year 2014/2015. A multistage stratified random sample method with a proportional allocation technique was used in the study. The stratifications took into consideration the gender, school type, geographic educational district, specialty of the student, and educational year. Ten schools were randomly selected in Makkah to evaluate KAPs of students about DF. A total of 362 questionnaires were completed. Result: This study showed that knowledge about DF was deficient; 59%, 32.7%, and 8.3% of the students obtained poor, fair, and satisfactory knowledge scores, respectively. Having heard about DF was the strongest predictor for having high knowledge score (t test = 4.47, p < 0.001). This was followed by female gender (t test = 5.81, p < 0.001) and positive family history of DF (t test = 3.18, p < 0.01). The only factor that significantly affected the self-reported practices scores was their level of knowledge about the disease (t test = 3.16, p < 0.01). Conclusion: KAP toward DF was deficient among target populations. School-based educational campaigns and social mobilizations are needed to raise the awareness and to translate knowledge into sound practice within all schools in Makkah City.
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Wed, 10 Feb 2016 00:15:21 GMT -08:00 http://www.scopemed.org/?mno=218082
THE LEVEL OF ANXIETY AND COPING STRATEGIES AMONG THE PARENTS OF HOSPITALIZED CHILDREN http://www.scopemed.org/?mno=218080 2016-02-10T18-19-13Z
Source: NARAYANA NURSING JOURNAL
U.Sujatha.
Hospitalization is a very stressful situation in everyone’s life. It causes a distraction from the normal life patterns. Illness and hospitalization are the major crises children face, especially during the early years, because children are particularly vulnerable to the crises of illness and hospitalization. The study to assess the level of anxiety and coping strategies among the parents of hospitalized children at selected hospitals and compare the anxiety and coping strategies used by parents of hospitalized children at selected hospitals, Tirupati. Descriptive design was selected to do study among 100 parents of hospitalized infants who were selected by non-probability convenient sampling technique. Among 100 parents 31% (31) had severe anxiety, 34% (34) parents had moderate anxiety and 35% (35) had mild anxiety and among 100 parents 26% (26) had good coping, 44% (44) parents had moderate coping and 30% (30) had poor coping.
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Tue, 09 Feb 2016 23:41:51 GMT -08:00 http://www.scopemed.org/?mno=218080
THE KNOWLEDGE ON INTERNET ADDICTION AMONG ADOLESCENTS IN SELECTED COLLEGES http://www.scopemed.org/?mno=218073 2016-02-10T18-19-13Z
Source: NARAYANA NURSING JOURNAL
M. Lavanya..
The Internet is an exciting new medium that is evolved into an essential part of everyday life all over the world. It has opened a new domain in social interactivity with the promise of increasing efficiency and worldwide understanding. Though device primarily facilitates research, information seeking interpersonal communication and business interactions, for some internet users it has become the central focus for their lives and a temptation that is hard to resist. To assess the knowledge on internet addiction among students studying in selected colleges, Tirupati and to provide an informational booklet on internet addiction to adolescents. Descriptive research approach was adopted to do the study among 60 Intermediate students, from Sri Chaitanya Junior College, Tirupati selected by non-Probability convenient sampling technique. Data was collected using self structured questionnnaire. Findings of the study shows that among 60 adolescents, 31(51.67%) had inadequate knowledge, 28(46.67%) had moderate knowledge, 1(1.67%) had adequate knowledge.
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Tue, 09 Feb 2016 23:03:19 GMT -08:00 http://www.scopemed.org/?mno=218073
EVALUATION OF CYTOGENETIC AND GENOTOXIC POTENTIAL OF CRUDE AQUEOUS EXTRACT OF PEGANUM HARMALA L. SEEDS ON M2 GENERATION OF VICIA FABA PLANTS http://www.scopemed.org/?mno=218047 2016-02-10T18-19-13Z
Source: THE EGYPTIAN JOURNAL OF EXPERIMENTAL BIOLOGY (Botany)
Laila Mekki, Aziza Soliman El-kholy, Hanan Sayed Ahmed, Abdelfattah Badr.
The cytotgenetic and genotoxic potentials of aqueous extract of Peganum harmala L. seeds were evaluated in the M2 generation of Vicia faba plants, following parent plants seeds exposure to different concentrations 12.5, 25, 50, and 100% of the aqueous extract for 3, 6, 12 and 24 hr., using three endpoints i.e. cytogenetic abnormalities, seed proteins and DNA simple sequence repeats (SSRs) fingerprinting. Chromosomal abnormalities were observed in the M2 plant roots due to actions on the spindle apparatus leading to c-mitosis, vagrant chromosomes and laggards, sticky chromosomes and anaphase-telophase bridges, disordered anaphase, as well as micronuclei in interphase cells. Some of these abnormalities may result in stable structural modifications that are transmissible across generations. The SDS-PAGE analysis showed distinctive qualitative and quantitative alterations in number of polypeptide bands, molecular weights, and intensities of polypeptide bands. The production of different proteins entails a vast array of DNA binding proteins that act in various combinations to either activate or repress gene expression. Twenty-five SSR alleles were detected in the control and M2 plants using 11 SSR primer pairs. The number of alleles in the control plants was much lower than the number of alleles in the M2 plants. The changes in SSR fingerprinting might be connected to structural rearrangements in the chromosomes and DNA caused by different types of DNA damages. Such changes validate the mutagenic potential that was indicated by abundance of chromosomal abnormalities and alterations in the SDS-PAGE analysis of seed proteins.
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Tue, 09 Feb 2016 13:22:19 GMT -08:00 http://www.scopemed.org/?mno=218047
A Study of Prevalence of Various Ophthalmic Problems in Policemen and Their Family Members of Vadodara, Gujarat http://www.scopemed.org/?mno=217421 2016-02-10T18-19-13Z
Source: National Journal of Medical Research
Jyotindra Natwarlal Brahmbhatt, Dipak B. Patel, Sheril Shah, Ruta Shah, Poonam Rana, Aakash Patel.
Purpose: To find out the incidence of eye disorders amongst policemen and their family members in Vadodara district and create awareness about common eye problems. Methods: Prospective study of 167 patients attending eye OPD, Dhiraj Hospital and eye camps organised by the hospital from July 2015 to October 2015 with the help of Snellen’s chart, near vision chart, colour vision chart, slit lamp, trial set, torch, auto-refractometer,Lensometer,schiotztonometer, NCT, and ophthalmoscope.We utilised ophthalmic OT for surgical management. Results: Out of 167 patients, refractive error was seen in 19, watering in 7, itching in 5 and redness in 2. Conclusion: Police officers are prone to work intensively for long hours in sunlight. They are exposed to work in wind, dust and pollutants so in our study we found majority of them with refractive error and ocular allergies.
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Tue, 09 Feb 2016 05:10:53 GMT -08:00 http://www.scopemed.org/?mno=217421
X-Ray and MRI Correlation of Bone Tumours http://www.scopemed.org/?mno=217426 2016-02-10T18-19-13Z
Source: National Journal of Medical Research
Mitesh D. Ghadiali, Mahesh. K. Vadel, Purvi Desai, Bhagwati V Ukani, Yash N Jardosh.
Introduction: The evaluation of all skeletal lesions should begin with plain radiographic imaging. These images give basic information about its site, its location,its morphology, its aggressiveness. After the initial plain radiographic evaluation, the next imaging modality of choice is MRI. its clinical applications in the form of diagnostic and therapeutic monitoring has reached a new height in musculoskeletal imaging1. Method: Correlating x-ray findings with mri findings to know the sensitivity and specificity of each diagnostic modality and to know role of each in planning management 30 patients were studied,The plain film included at least 2 projection depending on location and then patients underwent MRI. Result: MRI is useful for information regarding soft tissue component, periosteal reaction where as XRAY is useful for information regarding bone and tumour calcification
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Tue, 09 Feb 2016 05:06:29 GMT -08:00 http://www.scopemed.org/?mno=217426
Case Report of Atypical presentation of SSPE with ADEM http://www.scopemed.org/?mno=217432 2016-02-10T18-19-13Z
Source: National Journal of Medical Research
Nirali J Mehta, Binita M Surti, Deepak B Gamit.
Sub-acutesclerosing panencephalitis (SSPE) is chronic encephalitis of childhood and young adolescents due to persistent measles virus infection of the central nervous system. In majority of cases, onset occurs from 5-15yrs of age. In a non-immunise population, the average onset is 8yrs.SSPE generally occurs 5-10years after measles infection. In the early stage of the disease, behaviour and personality changes is followed by myoclonic jerks and convulsion. In late stages dementia, stupor and coma develops. Diagnosis is achieved by typical clinical finding, increase measles antibody titre in cerebrospinal fluid and serum, high amplitude slow sharp waves in EEG. Prognosis is poor and death ensues in about 3 yrs. after the diagnosis.Atypical form of SSPE occurs in about 10% of patients and a high index of suspicion is needed to detect these atypical cases. We report a patient of SSPE who presented to us as ADEM. Effectiveimmunisation against measles is the only solutionpresently available to the problem of this dreadeddisease.
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Tue, 09 Feb 2016 05:00:27 GMT -08:00 http://www.scopemed.org/?mno=217432
SYNTHESIS AND CHARACTERIZATION OF SILVER NANOPARTICLES USING ALLIUM CEPA AND ITS ANTI-INFLAMMATORY ACTIVITY AGAINST HUMAN BLOOD CELLS http://www.scopemed.org/?mno=217987 2016-02-10T18-19-13Z
Source: Indo American Journal of Pharmaceutical Research
P. Anitha, P. Sakthivel*.
In this paper, we report for the first time the use of onion leaf (Allium cepa) in the biosynthesis of silver nanoparticles (AgNPs) under microwave irradiation. Influence of various reaction parameters such as microwave irradiation power and microwave irradiation time was analyzed. The synthesized nanomaterial was characterized by UV-visible absorption spectroscopy and Fourier transforms infrared spectrum analysis. X-ray diffraction (XRD) and transmission electron microscopy (TEM) analysis confirms the formation and the crystalline nature of the synthesized nanomaterial. The average size of particle is found to be 22.62nm and 22.2nm by XRD and TEM analysis respectively. Further, these nanoparticles were found to exhibit AgNPs which may also be efficiently employed in Anti-inflammatory activity of Pharmaceutical research to obtain better result of plant as shown by our study. The anti-inflammatory activity of silver nanoparticles was tested and confirmed against human blood cells. The leaf of Allium cepa has good anti-inflammatory activity. Hence, the present research aims to open new avenues for the improvement of medicinal uses with the synthesis of silver nanoparticles by using Allium cepa extract for various ailments and to bring the anti-inflammatory medicinal plant to the scientist’s notice, to educate awareness and add values to the resources.
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Tue, 09 Feb 2016 03:28:12 GMT -08:00 http://www.scopemed.org/?mno=217987
STABILITY-INDICATING STRESS DEGRADATION STUDIES OF RILPIVIRINE HYDROCHLORIDE USING UV SPECTROPHOTOMETRIC METHOD http://www.scopemed.org/?mno=217986 2016-02-10T18-19-13Z
Source: Indo American Journal of Pharmaceutical Research
K. Vijaya Sri*, G. Vinay Jain, M. Madhuri.
To develop a simple, precise, accurate, and stability indicating a UV-method for estimation of rilpivirine hydrochloride. Method A involves the method development and solvent was used as a methanol and water (8:2). Linearity in the concentration range of 0.5–3.5 μg/ml and absorbance was measured at 305 nm. Method B involves forced degradation studies of rilpivirine hydrochloride were carried out under hydrolytic, oxidation and photolytic as per stability indicating assay methods at different time intervals 0.5, 1, 2, 3,4,6, 12 and 24 hr and different temperature like room temp, 600 and 90.0 The low % RSD values are indicates the accuracy and precise of the method. The proposed methods can be successfully applied for method development, validation and stability study of rilpivirine hydrochloride. Degradation of rilpivirine hydrochloride was found to occur in alkaline, oxidation and neutral conditions whereas it was found to be stable in acidic and photolytic condition. The kinetic parameters (rate constant, t1/2, and t90) of the degradation of rilpivirine hydrochloride were calculated.
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Tue, 09 Feb 2016 03:26:54 GMT -08:00 http://www.scopemed.org/?mno=217986
ASSESSMENT OF COPING STRATEGIES AMONG BREAST CANCER PATIENTS ON CHEMOTHERAPY. http://www.scopemed.org/?mno=217973 2016-02-10T18-19-13Z
Source: NARAYANA NURSING JOURNAL
N.Subhashini.
Breast cancer is the most common malignancies and leading cause of death in women. The breast cancer diagnosis entails the stigma of pain, suffering and death mainly because it is associated with losing one’s breast which is highly valued and significant in most of the cultures, respecting a part of female identity. The breast cancer diagnosis and its treatment motivate changes in the woman’s body image and are also responsible for distancing from their daily activities. Objectives: To assess the coping strategies among breast cancer patients. Methods: 100 breast cancer patients were interviewed by using Modified folk man and Lazarus ways of coping scale for assessing the coping strategies. Results and conclusion: Findings revealed that, 52% had moderate level of coping, 28% had adequate level of coping and 20% had low level of coping. There was an association between the escape avoidance and residence with the chi square value of 9.619,and positive reappraisal and second stage of breast cancer with the chi square value of 17.67 significant at P
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Tue, 09 Feb 2016 02:40:32 GMT -08:00 http://www.scopemed.org/?mno=217973
SWINE INFLUENZA http://www.scopemed.org/?mno=217971 2016-02-10T18-19-13Z
Source: NARAYANA NURSING JOURNAL
Mary Vineela.P.
Swine influenza virus is common throughout pig populations worldwide. Transmission of the virus from pigs to humans is not common and does not always lead to human flu, often resulting only in the production of antibodies in the blood. If transmission does cause human flu, it is called zoonotic swine flu. Symptoms of zoonotic swine flu in humans are similar to those of influenza and of influenza-like illness in general, namely chills, fever, sore throat, muscle pains, severe headache, coughing, weakness and general discomfort.
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Tue, 09 Feb 2016 02:29:46 GMT -08:00 http://www.scopemed.org/?mno=217971
Clinical profile of patients with peritonitis due to hollow viscous perforation http://www.scopemed.org/?mno=217035 2016-02-10T18-19-13Z
Source: International Surgery Journal
Vinayak N. Tukka, Nagaraj Bhalki.
Background: Peritonitis due to hollow viscous perforation has been documented by many historians. .Previously the disease was inevitably fatal due to lack of knowledge of surgical procedures, lack of availability of good quality post operative care. Methods: After obtaining detailed history, complete general physical examination and systemic examination ,the 52 patients will be subjected to relevant investigations. The complete data is collected in a specially designed case recording form. The data collected will be transferred into a master chart which is then subjected for statistical analysis. Results: 52 patients with diagnosis of secondary peritonitis were included. The mean age of patients was 45.72 (SD 14.26) years ranging from 15 to 75 and majority of patients (44%) belonged to age group of 46-60 years. There was male preponderance (70%). Conclusions: majority of patients presented to the hospital after 24 hrs of onset of symptoms and the mortality of those patients who presented within 2 to 5 days and after 5days was higher than as compared to mortality in patients who presented on the first day of onset of symptoms.
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Tue, 09 Feb 2016 00:21:15 GMT -08:00 http://www.scopemed.org/?mno=217035
Effectiveness of Mannheim peritonitis index scoring system in predicting the morbidity and mortality in peritonitis due to hollow viscous perforation http://www.scopemed.org/?mno=217033 2016-02-10T18-19-13Z
Source: International Surgery Journal
Vinayak N. Tukka, Rahul N..
Background: This study attempts to evaluate the prognostic value of MPI scoring system in patients with peritonitis due to hollow viscous perforation, to assess it as a clinical tool in stratifying these patients according to individual surgical risk. Methods: 52 patients with hollow viscous perforation admitted in Navodaya hospital from June 2013 to June 2015 were included in the study. Necessary data was collected; MPI score was calculated for each patient and analysis done. Results: The number of post operative complications, duration of ICU and hospital stay proportionately increased with the MPI score. Out of the 8 variables used in this scoring system, duration of pain, intra peritoneal fluid and organ failure on admission carried more significance in predicting the morbidity in the post op period than the other variables. Conclusions: Mannheim peritonitis index is a simple and effective method in predicting the morbidity and mortality of patients with peritonitis due to hollow viscous perforation.
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Tue, 09 Feb 2016 00:17:48 GMT -08:00 http://www.scopemed.org/?mno=217033
A clinical study of duodenal ulcer perforation http://www.scopemed.org/?mno=216876 2016-02-10T18-19-13Z
Source: International Surgery Journal
Girish S. Noola, Shivakumar C. R..
Background: Time trends in the epidemiology of perforated peptic ulcer disease reflect complex, multifactorial etiologies. Based on today’s fast and instant life style it is evident that the epidemiology of peptic ulcer disease largely reflects environmental factors, primarily Helicobacter pylori infection, NSAID use, and smoking. Methods: Surgery was defined as urgent less as 4 hours between admission and surgery, same day (4-24 hours) and delayed at a later time during the same admission. This study comprises of 60 cases of duodenal ulcer perforation admitted in the Department of Surgery, Tertiary care Hospital. Operative details included the site and nature of operation performed. Results: Highest incidence was found in 40 – 49 years of age (25%) followed by 20 – 29 years (21.67%), 30 – 39 years (20%), and 50 – 59 years (15%). Conclusions: Duodenal ulcer perforation was more common in the age group of 40-49 years.
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Tue, 09 Feb 2016 00:12:23 GMT -08:00 http://www.scopemed.org/?mno=216876
A comparative study of conventional cholecystectomy and laparoscopic cholecystectomy http://www.scopemed.org/?mno=216875 2016-02-10T18-19-13Z
Source: International Surgery Journal
Shivakumar C. R., Girish S. Noola.
Background: Laparoscopic surgery is rapidly becoming popular alternative to traditional operative procedure for a variety of diseases. Endoscopic surgery is associated with diminished pain and cosmetic disfigurement as well as quicker resumption of normal activities has accelerated its acceptance by surgeons. This is exemplified by the recent introduction of Laparoscopic Cholecystectomy. The present study shows the compassion between conventional Cholecystectomy and Laparoscopic Cholecystectomy. Methods: This series consists of a study of our first 25 cases of laparoscopic cholecystectomy in Basaveshwara Teaching General Hospital (BTGH) and 25 cases of conventional cholecystectomy done in BTGH. Results: Postop stay in hospital is most important factor which makes lapchole, more favourable than conventional chole. In our study the average stay of lap chole was 3.4 days and that of conventional chole cases was 11.4. So patients who underwent lap chole returned to their routine job/work much earlier then those who underwent conventional. Chole. This advantage enables lap chole to be more cost. Conclusions: The patients interest should not be sacrificed in ones urge to boost their ego by being on of the “small select group”, who practice laparoscopic surgery.
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Tue, 09 Feb 2016 00:07:57 GMT -08:00 http://www.scopemed.org/?mno=216875
PREGNANCY AND MRI SAFETY http://www.scopemed.org/?mno=217943 2016-02-10T18-19-13Z
Source: NARAYANA NURSING JOURNAL
M. Sasi Kala..
Magnetic resonance (MR) imaging has been used to evaluate obstetrical, placental and fetal abnormalities in pregnant patients for more than 25 years. MR imaging is recognized as a beneficial diagnostic tool and is utilized to assess a wide range of diseases and conditions that affect the pregnant patient as well as the fetus. Unfortunately, there have been few studies directed toward determining the relative safety of using MR procedures in pregnant patients.
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Mon, 08 Feb 2016 23:06:47 GMT -08:00 http://www.scopemed.org/?mno=217943
Arterial Puncture Technique http://www.scopemed.org/?mno=217940 2016-02-10T18-19-13Z
Source: NARAYANA NURSING JOURNAL
Sheela.
Radial artery puncture is a medical procedure that is performed in order to obtain arterial blood sampling for gas analysis. A needle is inserted into the radial artery and spontaneously fills with blood. Arterial blood gas sampling will provide information about lung ventilation through interpretation of the PCO2 and tissue oxygenation through interpretation of the PO2.
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Mon, 08 Feb 2016 22:50:53 GMT -08:00 http://www.scopemed.org/?mno=217940
Knowledge and practice on Directly Observed Treatment Short course among tuberculosis patients attending TB clinic http://www.scopemed.org/?mno=217938 2016-02-10T18-19-13Z
Source: NARAYANA NURSING JOURNAL
K.Kantha.
Tuberculosis, once almost eradicated has emerged as a serious public health problem. It is a communicable diseases spread by droplet nuclei in air, caused by mycobacterium tuberculosis bacilli. DOTS is the WHO recommended strategy for tuberculosis control based on modern management technique. A Study is aimed to assess the knowledge and practice on directly observed treatment Short course among tuberculosis patients attending TB clinic. Quantitative research approach and descriptive design are used to conduct the study. A non probability convenient sampling method was adopted to select a sample of 50 TB patients attending S.V.R.R G.G.H. 10(20%) TB patients had in adequate, 32(64%) had moderate, 8(16%) had adequate knowledge on DOTS therapy. 36(72%) had unsatisfactory practice and 14(28%) had satisfactory practice of DOTS therapy among TB patients.
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Mon, 08 Feb 2016 22:35:07 GMT -08:00 http://www.scopemed.org/?mno=217938
An Overview of the Health and Management Challenges of Rural Poultry Stock in North Central Nigeria. http://www.scopemed.org/?mno=215239 2016-02-10T18-19-13Z
Source: Journal of Advanced Veterinary and Animal Research
JULIUS OLANIYI AIYEDUN, OLADAPO OYEDEJI OLUDAIRO.
Rural poultry production is a very important source of livelihood for most rural communities. Poultry production has developed and occupies a place of pride among the livestock enterprise. The major factors affecting the production of rural poultry were investigated using structured questionnaire to gather data on health and management practices between January to December 2014. The socio-economic characteristics of respondents show that majority of rural poultry farmers are women and illiterate, that sourced fund from their personal savings, relations and friends. The study also shows that seasonal variation and disease significantly influences poultry production and its marketability. There is the need to put in place enabling environment to encourage commercialization of rural poultry production in Nigeria and globally.
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Mon, 08 Feb 2016 20:38:49 GMT -08:00 http://www.scopemed.org/?mno=215239
A case of infant accidental hanging caused by a toy strap http://www.scopemed.org/?mno=211843 2016-02-10T18-19-13Z
Source: European Journal of Forensic Sciences
Mehdi Ben Khelil, Maha Shimi, Anis Benzarti, Moncef Hamdoun.
Infant hanging remains a relatively rare but no less interesting to analyze cause of death. In fact, it may be difficult to confirm whether hanging was accidental or not. Thus, through this case we will highlight the importance of modeling the commemoratives on site with a toy if examination of the death scene is not possible. Besides, pathologist can through the study of such cases detect manufacturing defects of certain childcare articles and identify potential risk situations facing infants. The victim was an eighteen-months-old girl. She was found dead, hanging from one of her bed’s pillars by a toy’s belt. At autopsy we observed an ecchymotic incomplete neck’s furrow, and a fracture of the thyroid cartilage. No other violence signs were observed. Toxicological screening was negative. A reconstitution with a doll was performed in the death scene illustrated that an accidental hanging was possible.
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Mon, 08 Feb 2016 06:14:09 GMT -08:00 http://www.scopemed.org/?mno=211843
DNA Fingerprinting: A substantial and imperative aid to forensic investigation http://www.scopemed.org/?mno=204929 2016-02-10T18-19-13Z
Source: European Journal of Forensic Sciences
Pankaj Shrivastava, Toshi Jain, Veena Ben Trivedi.
Over the last three decades, the DNA profiling is based on a set of core short tandem repeat [STR] loci that are being widely used for forensic DNA testing, which provide sufficient discrimination power for most applications. Today’s forensic DNA tests employ PCR and capillary electrophoresis [CE] based fragment analysis methods to detect length variation in STRs. Presently most of the forensic laboratories are generating biparental autosomal STR based DNA profile on 16 to 20 and uniparental Y STR profile on 17 or 23 STR markers. A variety of commercial kits enable hassle free, fast and accurate multiplex amplification of these core STR loci. With the advanced 6 dye matrix supporting Genetic Analyser 3500/3500Xl, simultaneous amplification of much more STR markers is possible now, which is motivating kit provider companies to increase markers in a single multiplex for increased discrimination power. Besides the increase in number of markers in a single multiplex, the master mix in the preformulated kit is also improved for inhibitor tolerance as well as enabling fast PCR. In the last few years there has been growing interest in DNA phenotyping which is expected to enable investigation in solving blind cases by providing clues in cases where DNA typing fails. However, much more research is required to make this an established technology like DNA fingerprinting. The new arrival in forensic DNA typing is the launch of pre-formulated NGS based multiplex kits, providing option for simultaneous amplification of different types and more number of STR markers along with ancestry based SNPs in a single run, thus besides saving cost and time both, are more informative too. The article reviews diverse variants of DNA fingerprinting technology, its status and application in forensic case work.
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Mon, 08 Feb 2016 06:10:28 GMT -08:00 http://www.scopemed.org/?mno=204929
Heart failure and limit to cardiomyocyte hypertrophy: Lessons from autopsies http://www.scopemed.org/?mno=206225 2016-02-10T18-19-13Z
Source: European Journal of Forensic Sciences
richard e tracy.
Objective: An overworked ventricle faces a limit to hypertrophy; it cannot be forced into a size appropriate for a horse, and this effect needs an explanation. Methods: The data file analyzed here was generated by merging two series of cases, (1) dynamic LV dimensions abstracted from published echocardiographic reports (Clin) and (2) myocyte transverse size measured in postmortem hearts (Path) (excluding ischemic, valvular, and assorted uncommon conditions). Results: With increasing volume overload from growth and obesity stroke work and LV chamber diameter increased up to impassible limits where three effects were noted: 1—Progressively declining systolic sarcomere excursion approached the limit of zero contraction when systolic sarcomere length drew equal to diastolic length. 2 – Midwall stress rose to exceed the known capability for isolated myofibrils to generate maximal isometric stress. 3 – Endocardial fractional shortening declined to reach an impassible minimum. Conclusions: When systolic heart failure is provoked by volume overload it should be feasible to test these hypotheses: 1 – The limits to hypertrophy may be imposed by LV geometry constrained by a fixed number of myocytes. 2 – After reaching these limits, only then might contractile weakening supervene.
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Mon, 08 Feb 2016 06:06:39 GMT -08:00 http://www.scopemed.org/?mno=206225
The Effectiveness of Telepsychiatry Interventions for Families of The Schizophrenic Patients http://www.scopemed.org/?mno=214902 2016-02-10T18-19-13Z
Source: Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry
Birgül Özkan, Reyhan Eskiyurt.
This study is systematic collection aims to evaluate efficacy of tele psychiatry interventions to family members who are source of primary care and support of person with schizophrenia. This study is performed with controlling Ulakbim Medicine Database, Cınahl Complete, Web of Science, Science Direct, Pubmed and Wiley Online Library Databases. For English keywords, terminology Cochrane Schizophrenia Group and Central Register of Controlled Trials are used. Total of six articles which meet evaluation criterions are examined. According to findings of evaluated articles, it is found that depression level of caregivers with interventions via web-based, videoconference and telephone decreases, their family burden and level of emotion expression decreases, information related disease increases, perception of stress decreases and perception of social support develops. This systematic collection exhibits that results of interventions via web-based, videoconference and telephone are useful.
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Mon, 08 Feb 2016 05:06:36 GMT -08:00 http://www.scopemed.org/?mno=214902
The Third Wave Of Cognitive Behavioral Therapies http://www.scopemed.org/?mno=215084 2016-02-10T18-19-13Z
Source: Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry
Sevginar Vatan.
The psychological functioning of an individual is the whole of well-being, cognitions, emotions and behaviors . In the current models of psychopathologies, as similar to well-being, reciprocal interaction between emotions, behaviors and cognitions is emphasized. Notwithstanding that the effects of these three components on cognitive behavior therapies can be mentioned too,, it can be claimed that emotions were remained in the backround by the behaviors and cognitions until The Third Wave of Cognitive Behavior Therapies. Emotions have became prominent with The Third Wave approaches in the field of Cognitive Behavior Therapy. In this review article, similarities and differences of Third Wave of Cognitive Behavior Therapy with other waves, the constructs of emotion and emotion regulation in the Third Wave and the impacts of these on treatment were included. Additionaly, throughout this perspective, treatment processes focusing on emotion regulation skills were discussed.
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Mon, 08 Feb 2016 05:06:13 GMT -08:00 http://www.scopemed.org/?mno=215084
Transition to Adulthood: A Theoretical Review in the Context of Demographic Criteria in Turkey http://www.scopemed.org/?mno=210980 2016-02-10T18-19-13Z
Source: Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry
Hasan Atak, Cemre Erten Tatlı, Gökçe Çokamay, Hanife Büyükpapuşcu, Figen Çok.
Transition to adulthood has been experienced a complex and varied process in the modern societies. These continuous changes in the age and criteria of transition to adulthood. Scientific studies have been studied adulthood and transition to adulthood with various theories. Among these, a new distinguished approach “Emerging “Adulthood” is especially interesting with its suggestion of a different life period. In this paper based on, Turkey’s demographic indicators such as population structure, growth rate, people’s transition to adulthood is presented and discussed in terms of employment-unemployment, education, overage marriage and parenting ages.
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Mon, 08 Feb 2016 05:05:56 GMT -08:00 http://www.scopemed.org/?mno=210980
A STUDY ON THE ASSESSMENT OF BMI AND ITS ASSOCIATION WITH IQ AMONG RURAL PRIMARY SCHOOL CHILDREN IN WEST BENGAL, INDIA http://www.scopemed.org/?mno=217865 2016-02-10T18-19-13Z
Source: International Journal of Current Research and Review
Koushik Bhowal, Indrani Mukherjee, Debnath Chaudhuri.
Background: Malnutrition, both under and over, is a serious public health problem related to increased risk of mortality, morbidity and overall development of children. Coexistence of undernutrition and overnutrition among Indian children has been reported. Objective: To investigate the association between body mass index and IQ of rural primary school children. Methods: A community based cross-sectional and descriptive study was undertaken in Government rural primary schools of Shimulpur, Salka, Kumarhut, Ramnagar in the districts 24 Parganas North and South, West Bengal, India among 560 children aged 6 to 8 years (class II to IV). Anthropometric measurements were taken to assess body mass index. Raven’s Progressive Matrices Test was done to determine IQ grades of these students. Results: 28.03% and 28.75% of rural primary school children under study were wasted and severely wasted, respectively while 3.39% and 1.08% were overweight and obese according to BMI. Only 0.37% and 50.71% of rural children had 95th (intelligently superior) and 5th (intelligently impaired) percentile of IQ grades. Body mass index of children has significant positive correlation with IQ (P≤ 0.05). Conclusions: Higher body mass index is associated with lower IQ grades in rural children.
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Mon, 08 Feb 2016 04:13:19 GMT -08:00 http://www.scopemed.org/?mno=217865
Non-Invasive Prenatal Testing for Aneuploidy: A Review of the Literature http://www.scopemed.org/?mno=214006 2016-02-10T18-19-13Z
Source: Medicine Science | International Medical Journal
Ayse Kirbas, Korkut Daglar, Nuri Danisman.
Aneuploidy is one of the leading causes of perinatal deaths and childhood handicaps. An important issue that has led to heated debates in the agenda of maternal-fetal medicine and that has been widely investigated in recent years is ‘the isolation of fetal deoxyribonucleic acid (DNA) from maternal blood. It is agreed that fetal DNA can be used in fetal aneuploidy screening and in predicting some pregnancy complications that are considered to be of placenta-based such as preeclampsia and preterm labor. The fetal DNA testing of maternal blood is regarded as an advanced screening test and generally named as ‘noninvasive prenatal test’ (NIPT). In this meta-study, we will review the accumulated data on the increasing clinical use of NIPT in perinatology as well as the other presently used conventional noninvasive aneuploidy screening methods.
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Mon, 08 Feb 2016 01:30:41 GMT -08:00 http://www.scopemed.org/?mno=214006
Physiotherapy Students’ Attitude towards Physiotherapist-Patient Relationship http://www.scopemed.org/?mno=217848 2016-02-10T18-19-13Z
Source: Journal of Riphah College of Rehabilitaion Sciences
Maryam Shabbir, Faryal Aftab, Sarah Ehsan, Usman Janjua.
Background: The physician-patient relationship has been bedrock of care since all the times. This relationship is essential in the transference of health care facilities, treatment plans, diagnosis and improvement in the medical fields. Objectives: The objectives of the study are; to explain and quantify the attitudes of physiotherapy students, undergoing pre-clinical rotations, towards patient-centred approach and to measure the association/statistical significance in these attitudes and demographic data and to determine the factors associated with patient centered attitude. Methodology: This is an observational cross sectional study. It was done at department of physical therapy Azra Naheed Medical College, University of Lahore and School of Allied Health Sciences. Study was completed in 4 months after the approval of synopsis. Non-probability, purposive sampling was used. Sample size was calculated to be of 215 students. Self-administered questionnaire consisting of validated 18-items, Patient Practitioner Orientation Scale (PPOS) was used to find out the attitude of physiotherapy students towards physiotherapist-patient relationship. Results: The total mean score and standard deviation of all the 18- items of PPOS scale was 3.025 ± 0.46. The mean and standard deviation of sharing item was 3.08 ±0.62, while the mean and standard deviation for caring items appeared to be 2.94 ± 0.59. The range of total PPOS score was 3.42, maximum value being 4.68 and minimum 1.26. Females showed more patient centered approach with a value of 3.05 ± 0.55 than males (Mean ± SD=2.92 ± 0.45). The mean and standard deviation of family in medical profession for PPOS had almost same values. The gender*year interaction was not statistically significant because the P-value was greater than 0.05 (P-value=0.067). But the gender and year individually had statistically significant difference as the P-values of both variables were less than 0.05. Gender (p = 0.04) and year (p = 0.02). Conclusion: The total Patient Practitioner Orientation Scale (PPOS) mean was high for female gender and early years of medical school. This showed that the factors that were responsible for the patient-centered attitude of physiotherapy students, these were female gender and early years of medical school. Male gender was found to be associated with physiotherapist-centered approach irrespective of the year of medical school.
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Mon, 08 Feb 2016 01:09:17 GMT -08:00 http://www.scopemed.org/?mno=217848
Test-retest Reliability of a Questionnaire to Assess the Ergonomic Knowledge of Computer Professionals http://www.scopemed.org/?mno=217847 2016-02-10T18-19-13Z
Source: International Journal of Health and Rehabilitation Sciences (IJHRS)
Mohamed Sherif Sirajudeen, Padmakumar Somasekharan Pillai.
Background: Questionnaire is one of the efficient tool to gather health-related data. Measuring and reporting validity and reliability of research tool are important. Objectives: To establish the test-retest reliability of a questionnaire to assess ergonomic knowledge of Computer professionals. Materials and Methods: An Ergonomic knowledge questionnaire was administered twice at 2 weeks interval to the same set of Computer professionals (N = 20). Pearson correlation coefficients at 95% confidence interval were computed. Results: The test-retest reliability of the sections of the Knowledge questionnaire seems to be fair to high. The results also showed that Correlation values (r) were highly significant for all the sections of the questionnaire (P
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Mon, 08 Feb 2016 01:09:03 GMT -08:00 http://www.scopemed.org/?mno=217847
Effect of Chest Physical Therapy on Pediatrics Hospitalized With Pneumonia http://www.scopemed.org/?mno=217845 2016-02-10T18-19-13Z
Source: International Journal of Health and Rehabilitation Sciences (IJHRS)
Walid Kamal Mohammed Abdelbasset, Tamer Emam Hassan Elnegamy.
Background: Pneumonia is a major cause of death among all age groups resulting in 4 million deaths yearly especially in those under five years. Chest physical therapy has been used to treat pediatrics hospitalized with pneumonia with lack of scientific evidence for the beneficial effect in pediatrics. Objectives: The aim of this study was to evaluate the effect of chest physiotherapy on pediatrics hospitalized with pneumonia. Method and Materials: A randomized controlled study was conducted in Pediatric University Hospital and Cairo University Hospitals. Fifty children aged 29 days to 5 years hospitalized with pneumonia between October 2014 and January 2015 was obtained, 25 were randomly allocated to the study group (chest physical therapy and standard treatment for pneumonia) and 25 to the control group (standard treatment for pneumonia alone without chest physical therapy). The primary measurement was time to clinical resolution. The secondary measurements were changes of respiratory rate and arterial oxygen saturation. Results: There were significant differences in terms of median time to clinical resolution (4.0 vs 7.0 days, p = 0.012) and the study group had greater improvement in respiratory rate (40 to 30 b/m vs 39 to 34 b/m) and in arterial oxygen saturation (93 to 98% vs 93 to 95%) than the control group. Conclusion: It was concluded that chest physical therapy showed significant improvements in pediatrics hospitalized with pneumonia.
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Mon, 08 Feb 2016 00:50:04 GMT -08:00 http://www.scopemed.org/?mno=217845
Problems Faced by Hearing Impaired Children in Getting Medical Services http://www.scopemed.org/?mno=217836 2016-02-10T18-19-13Z
Source: Journal of Riphah College of Rehabilitaion Sciences
Atqia Qureshi, Muhammad Sikander Ghayas Khan, Ikram Ullah Qureshi.
Background: Problems of hearing impairment are the segment of medical domain which is faced by student with special needs. Verity of medical services available for children with hearing impairment but a very common problem, which exit in Pakistan that the patient has lack of awareness about the importance of medical services and their diagnosis. Objective: Purpose of study is to identify the problems faced by children with hearing impairment in getting medical services in private clinic. Methodology: A cross-sectional study was conducted and the convenient sampling techniques were used. Population of the study was children with hearing impairment of class 7th to 10th of public and private sector in Lahore. The instrument of study was questionnaire which was developed in the light of literature review and expert opinion. Results: The results showed that 93% (65 out of 70) participants reported that doctors do not understand sign language and all the participants (100 %) documented that doctors do not provide them with sign language interpretors. 60 % said that doctors do not understand them, 68 % said that they do not understand doctors and 71 % said they can not tell the doctors about their disease. Conclusion: The study revealed that there is doctors do not understand the sign language and there is no sign language interpreter. Doctor could not understand the problems of HIC clearly and most of the HIC are not satisfied with the treatment.
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Sun, 07 Feb 2016 23:24:31 GMT -08:00 http://www.scopemed.org/?mno=217836
Effectiveness of Plantar Fasciitis Taping and Calcaneal Taping in Plantar Heel Pain http://www.scopemed.org/?mno=217834 2016-02-10T18-19-13Z
Source: Journal of Riphah College of Rehabilitaion Sciences
Bushra Khan, Muhammad Salman Bashir, Rabiya Noor.
Background: Heel pain is one of the most common foot problems especially among older individuals. Mechanical factors plays very important role in heel pain. Pain under the heel on weight bearing can cause disability towards movement. Objective: To compare the effectiveness of planter fasciitis taping and calcaneal taping along with stretching and therapeutic ultrasound on heel pain. Methodology: It was a Qausai experimental study in which data was collected from Canada Orthopedic and Rehabilitation Centre. Non Probability convenience sampling technique was used for sample collection and patient were assigned in two groups. Research data was recorded by using prescribed validated questionnaire, which include Standardized Visual Analogue Scale (VAS) and Foot Function Index Scale (FFI). Results: The Comparison of percentage of pain decrease post-treatment after evaluation on VAS and FFI in both groups. The decrease of pain in both indicators was significantly higher in group-A (Planter fasciitis tapping group) as compared to group-B (Calcaneal taping group). The decrease of pain in VAS significant at P=0.019 and in FFI at P =0.000 level showing that plantar fasciitis taping is more effective than calcaneal taping. Conclusions: Plantar fasciitis taping is more effective than Calcaneal taping in planter heel pain.
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Sun, 07 Feb 2016 23:05:50 GMT -08:00 http://www.scopemed.org/?mno=217834
Wound healing properties of ethyl acetate fraction of Moringa oleifera in normal human dermal fibroblasts http://www.scopemed.org/?mno=211090 2016-02-10T18-19-13Z
Source: Journal of Intercultural Ethnopharmacology
Sivapragasam Gothai, Palanisamy Arulselvan, Woan Sean Tan, Sharida Fakurazi.
Background/Aim: Wounds are the outcome of injuries to the skin that interrupt the soft tissue. Healing of a wound is a complex and long-drawn-out process of tissue repair and remodeling in response to injury. A large number of plants are used by folklore traditions for treatment of cuts, wounds and burns. Moringa oleifera is an herb used as traditional folk medicine for the treatment of various skin wounds and associated diseases. The underlying mechanisms of wound healing activity of ethyl acetate fraction of M. oleifera leaves extract are completely unknown. Methods: In the current study, ethyl acetate fraction of Moringa oleifera leaves was investigated for its efficacy on cell viability, proliferation and migration (wound closure rate) in human normal dermal fibroblast cells. Results: Results revealed that lower concentration (12.5 µg/ml, 25 µg/ml, and 50 µg/ml) of ethyl acetate fraction of M. oleifera leaves showed remarkable proliferative and migratory effect on normal human dermal fibroblasts. Conclusion: The present study suggested that ethyl acetate fraction of M. oleifera leaves might be a potential therapeutic agent for skin wound healing by promoting fibroblast proliferation and migration through increasing the wound closure rate corroborating its traditional use.
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Sun, 07 Feb 2016 22:17:25 GMT -08:00 http://www.scopemed.org/?mno=211090
Effects of Extension, SIJ and Secondary Segment Mobilization in a Chronic Disabling Lumbar Discogenic Pain http://www.scopemed.org/?mno=217823 2016-02-10T18-19-13Z
Source: Journal of Riphah College of Rehabilitaion Sciences
Pir Zada Khattak, Keramat Ullah Keramat, Ikram Ali.
Forty six years old female was assessed in physiotherapy OPD of Helping hand institute of rehabilitation Sciences Mansehra complaining of back pain. She had history of the same for 15 years. Her back pain aggravated 4 years ago after lifting a heavy weight. At that time she was treated by orthopedic surgeon through lumbar traction and pain medication. The severe pain resolved for more than two years. Her back pain recurred 3 months ago in an excruciating manner and disabling form. No remedy was relieving her pain. Key finding during objective examination were: Decrease SLR Right more than left; decrease range of motion of lumbar spine on all planes; severe pain on passive inter vertebral movement; decrease myotomal strength within the distribution of L5 and decrease mobility. Findings on MRI were: grade 2 spondylolisthesis, multiple level disc herniation and bulges. Out of the box and novel Physiotherapy interventions such as specific extension maneuver at L5S1 level, Mobilization of SIJ and segment above L5were useful in reduction of pain and restoration of her mobility. She received 24 physiotherapy sessions extended over 2 month’s duration and became asymptomatic. The case was initially seen in April 2014 and last seen was June 2015.
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Sun, 07 Feb 2016 21:39:02 GMT -08:00 http://www.scopemed.org/?mno=217823
Acute myocardial infarction in a 36-year-old man from embolized left atrial myxoma http://www.scopemed.org/?mno=207638 2016-02-10T18-19-13Z
Source: Rawal Medical Journal
Nasir Ali, Shah Zeb.
Atrial myxoma has been reported as source of coronary emboli, a rare complication, causing acute myocardial infarction (MI). We report case of a 36-year-old male, who presented with acute chest pain, radiating to left arm, with sweating and palpitation. Emergency coronary angiography revealed recanalized RCA. Transthoracic echocardiography (TTE) showed an irregular homogenous pedunculated mass of size 3.3 × 3.4 cm attached to the interatrial septum towards the base of the anterior mitral leaflet, prolapsing into left ventricle (LV) during diastole, partially obstructing the flow. The patient was diagnosed as acute inferior MI due to right coronary artery (RCA) embolization originating from left atrial myxoma. Surgical resection of friable myxomatous mass was done. Histopathological examination was consistent with atrial myxoma. Present case justifies that atrial myxomas should be considered as a differential diagnosis while dealing with MI in young patients.
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Sun, 07 Feb 2016 08:20:28 GMT -08:00 http://www.scopemed.org/?mno=207638
Students’ academic motivational level in clinical and non-clinical setting http://www.scopemed.org/?mno=196416 2016-02-10T18-19-13Z
Source: Rawal Medical Journal
Sana Khalid Mirza, Arshad Nawaz Malik, Somiya Naz.
Objective: To compare the motivational level of clinical and non clinical physical therapy students. Methodology: A sample of 400 students (70% female & 30% male) was recruited through purposive sampling from different institutes of Rawalpindi and Islamabad. Half of the students belonged to clinical and half to non clinical category. The study was conducted from January 1, to January 31, 2015. A standardized academic motivational (AMS) questionnaire was used to assess the motivational level of student along with demographic data. Result: Students’ level of extrinsic motivation (p=0.00) and intrinsic motivation (p=0.008), but not Amotivation was significantly related to their academic behavior and perceptions. Conclusion: The clinical environment enhanced the motivational level of students. Both extrinsic and intrinsic factors were associated with motivation. Students going through clinical rotation were driven through extrinsic motivation while students having just university based education had intrinsic motivation.
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Sun, 07 Feb 2016 08:20:28 GMT -08:00 http://www.scopemed.org/?mno=196416
Psychogenic nonepileptic seizures in a patient with non-communicating hydrocephalus http://www.scopemed.org/?mno=200993 2016-02-10T18-19-13Z
Source: Rawal Medical Journal
Kang Min Park, Bong Ju Lee.
We report a 24-year-old female, who had already been diagnosed with non-communicating hydrocephalus, presenting with repeated paroxysmal-altered behaviors that resembled epileptic seizures. An examination showed no definite findings for supporting epileptic seizures. However, positive responses to an antiepileptic drug and progressive changes in motor manifestations with abnormality on her brain MRI exacerbated the diagnosis of her symptoms. Repeated observation and examinations, including video-EEG monitoring, revealed that her symptoms resulted not from epileptic seizures but rather from psychogenic nonepileptic seizures.
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Sun, 07 Feb 2016 08:20:28 GMT -08:00 http://www.scopemed.org/?mno=200993
Bilateral tension pneumothorax during augmentation mammoplasty http://www.scopemed.org/?mno=202537 2016-02-10T18-19-13Z
Source: Rawal Medical Journal
Myoung Jin Ko, Young Gyun Choi, Yong Han Kim, Sang Eun Lee, Eunsu Kang, Hyun-Seong Lee, Jae-Wook Jung.
A 40-year-old female patient underwent augmentation mammoplasty under general anesthesia. An abrupt elevation of airway pressure and significant hypotension were developed during the operation. We identified bilateral tension pneumothorax and emergent chest tubes were inserted therefore. The patient improved after the placement of two chest tubes, which were removed without further problem 8 days postoperative.
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Sun, 07 Feb 2016 08:20:28 GMT -08:00 http://www.scopemed.org/?mno=202537
Radiotherapy is not exclusively indicated in acinic cell carcinoma of the parotid gland; a rare neoplasm http://www.scopemed.org/?mno=202319 2016-02-10T18-19-13Z
Source: Rawal Medical Journal
Shi Nee Tan, Primuharsa Putra SHA, MS Kenali.
We present a case of 46 years lady who presents with slowly enlarging right parotid mass, which was surgically removed. The mass was confirmed to be acinic cell carcinoma by pathology. No adjuvant radiotherapy was given and there was no evidence recurrence after 2 years of post operative follow up. This case report highlights a rare parotid gland tumour, presenting the treatment options for this entity.
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Sun, 07 Feb 2016 08:20:28 GMT -08:00 http://www.scopemed.org/?mno=202319
Severity of stress in Pakistani medical students http://www.scopemed.org/?mno=202576 2016-02-10T18-19-13Z
Source: Rawal Medical Journal
Haider Ghazanfar, Ibad ul Haq, Joshua Rahat Aleman Bhatti, Saad Hameed, Muhammad Saeed Shafi, Ashraf Hussain, Arshad Javaid, Sajida Naseem.
Objective: To determine the effect and severity of stress on medical students. Methodology: We conducted a cross-sectional study on Pakistani medical students from May 2012 to January 2015. Questionnaire was distributed among medical students all over Pakistan in 8 government and 8 private medical colleges. Medical students fulfilling the inclusion criteria were enrolled through consecutive non-probability sampling. The data obtained was analyzed by SPSS version 21. Results: Among the 6231 medical students, who filled the questionnaire 49.3% were unable to concentrate/focus on study, 43.4% were restless and 40.9% were angry most of the time because of stress. Gender, year of medical education, interaction with family members, choosing medical profession with free will and significant health problems were found to be significantly (p< 0.05) associated with severity of stress. Conclusion: A large number of medical students are suffering from different effects of stress with varying severity. The study highlights all these effects of stress which affect the physical, mental and social well-being and also the level of severity of stress of the individual.
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Sun, 07 Feb 2016 08:20:28 GMT -08:00 http://www.scopemed.org/?mno=202576
Emotional Intelligence: Predictor of empathy in medical students http://www.scopemed.org/?mno=206472 2016-02-10T18-19-13Z
Source: Rawal Medical Journal
Maqbool Ahmad Khan, Iram Mansoor Niazi, Amna Rashdi.
Objective: To explore of predictive relationship of trait emotional intelligence and empathy and explore gender differences in trait emotional intelligence and empathy in medical students. Methodology: This cross-sectional study was conducted in the CMH, Lahore Medical College, Lahore, Pakistan from April 2015 to October 2015. Participants were medical students from 1st to final years of MBBS and were selected by simple random sampling technique after obtaining informed consent. The sample consisted of 300 students (150 males & 150 females) comprising of 60 students (30 males & 30 females) from each year of MBBS. Two scales were administered, including adapted and translated Urdu version by Shahzad (2014) of Trait Emotional Intelligence Short Form (TEIQue-SF; Petrides, & Furnham, 2006), and locally developed reliable and valid scale of empathy in Urdu, Emotional Empathy Scale (EES; Ashraf, 2004). Results: There was significant predictive relationship between emotional intelligence and empathy by using the regression analysis (R2 =.529, F= 334.4, p
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Sun, 07 Feb 2016 08:20:28 GMT -08:00 http://www.scopemed.org/?mno=206472
Standard of diabetes care provided by physicians as per American Diabetes Association guidelines at tertiary care centers of Karachi, Pakistan http://www.scopemed.org/?mno=187290 2016-02-10T18-19-13Z
Source: Rawal Medical Journal
Bushra Rehman, Mohammed Yahya Aziz, Syeeda Fozia Qasim.
Objective: To assess the standard of care provided to the diabetic patients by physicians as per American Diabetes Association (ADA) guidelines at tertiary centers of Karachi, Pakistan. Method: This cross sectional study was conducted on type 2 diabetic patients visiting two tertiary care hospitals of Karachi, over a period of six months (June to December 2012). All adults of either gender with the history of diabetes for more than 5 years were included. A structured questionnaire was used to collect data from patients. Data was analyzed with SPSS version 19. Results: A total of 250 patients were included in this study in which, 102(40.8%) had their regular follow up while 148(59.2%) were irregular in their follow up. Regular patients maintained their blood sugar levels with mean HbA1c of 6.99±0.13, whereas irregular patients had mean HbA1c levels of 7.25±0.16. Only 162(64.6%) patients had dietary advice and 11 (6.7%) were referred to a dietitian. Eighty eight (35.2%) patients did not receive any dietary advice. BMI of 156(62.4%) patients ranged from 27.3-30.2 and thus were categorized as obese, however weight reduction and walking was advised in only 127(88.4%) patients. Smoking cessation was advised to 122(88.4%) out of 138 smokers. Regular foot care was advised to only 72(28.8%) individuals and just 4(5.5%) were referred to chiropodist. 70(28%) patients had ocular complaints and thus had their eye examined, whilst 180(72%) never had an eye examination. For nephropathy screening, urine for proteinuria was checked in 154(61.6%) patients on their first visit and annually in 96(38.4%) patients. Lipid profile for dyslipidemia was advised in 172(68.8%) patients at their first visit and annually in 78(31.2%) patients. Conclusion: This study concluded that the care provided to our diabetic population is inadequate and ADA guidelines are not being followed optimally.
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Sun, 07 Feb 2016 07:47:36 GMT -08:00 http://www.scopemed.org/?mno=187290