-
Clinical Analysis of Nonfungal Nail Disease Among Children and Adolescents- a Descriptive Cross-Sectional Study
Sushmita Pradhan,
Yaling Dai,
Lin Xiong
Issue:
Volume 6, Issue 4, July 2017
Pages:
46-52
Received:
29 May 2017
Accepted:
12 June 2017
Published:
26 July 2017
Abstract: Background: Nonfungal nail disease in children and adolescents is a limited part of general practice. There is a wide spectrum of viral, traumatic, infectious, inflammatory and congenital conditions that may affect the nail condition in children and adolescents. Therefore assessing nonfungal nail disease and its factors will help the practitioner to recognize and treat the nail disease and determine the necessity to refer a dermatologist when indicated. This study is aimed to assess the magnitude of nonfungal nail disease, to identify the clinical characteristics and factors associated with nonfungal nail disease in children and adolescents from 1 to 18 years old. Methods: The data were collected from all cases with nonfungal nail diseases with the use of descriptive cross-sectional study, under the age of 19 years old in West China Hospital, Sichuan University. Interview, nail sample for direct microscopy and culture along with clinical pictures were taken. Finally collected data was analyzed using the Software Package for Social Science (SPSS) version 21. Results: A total of 187 patients fulfilled the inclusion criteria for the study. The mean age of the cases was 5.5 years (SD±3.8), female 96 (51.3%) and male 91 (48.90%). The majority of 113 (60.40%) were at the age category <5 years of age. A large number of patients, 175 (93.6%) were residing in the urban area. Around 77 (41.20%), 44 (23.50%), 37 (19.78%) cases were identified to have a history of the common cold disease, hand-foot-mouth disease, and skin diseases, respectively. Among all cases, the magnitude of onychomadesis was 50 (26.70%). On binary logistic regression age (P value 0.001), hand-foot-mouth disease (P value 0.0001) and skin disorder (P value 0.020) were significantly associated with onychomadesis. Finally on multiple logistic regression only age and hand-foot-mouth disease were significantly associated at, (P value 0.006) and (P value 0.0001) respectively. Conclusion: This study determines that the occurrence of nonfungal nail disease decreases with the increase in the age of children. Onychomadesis was the most common nonfungal nail disease found in children and it affected both the hands. The age and hand-foot-mouth disease were statistically significant to onychomadesis. However, more powerful and precise studies are needed in future.
Abstract: Background: Nonfungal nail disease in children and adolescents is a limited part of general practice. There is a wide spectrum of viral, traumatic, infectious, inflammatory and congenital conditions that may affect the nail condition in children and adolescents. Therefore assessing nonfungal nail disease and its factors will help the practitioner t...
Show More
-
Dietary Diversity and Associated Factors Among Infants and Young Children in Wolaita Zone, Southern Ethiopia
Getu Gamo Sagaro,
Mihiretu Alemayehu
Issue:
Volume 6, Issue 4, July 2017
Pages:
53-59
Received:
8 June 2017
Accepted:
21 June 2017
Published:
25 August 2017
Abstract: Background: Increasing the variety of foods and food groups in the diet ensures that there is adequate intake of essential nutrients. Lack of dietary diversity especially for children 6-23 months is specifically critical because they require energy and nutrient-dense foods for both physical and mental growth and development. Encouraging children aged 6–23 months for appropriate complementary feeding practices reduces the incidence of stunting and leads to better health and growth outcome. A community based cross sectional study was conducted from May-June 2016, among children aged 6-23 months residing in rural districts of Wolaita Zone. Multi-stage sampling technique was applied to select 944 child-mother/caregiver paired study population. Data was collected through a pre-tested and structured interviewer administered questionnaire consisting of demographic characteristics variables, household wealth indicators, and dietary assessment tool and entered using Epi-data manager and client entry version 1.4.4.0 and exported to SPSS Version 20 for analysis. Variables having p < 0.25 at bivariate analysis were fitted to multivariate analysis. Odds ratio, P-value and 95% CI were computed to show the association of variables. The proportion of children who consumed minimum acceptable dietary diversity was 43.2% (95% CI: 40.0 – 46.6). The Diary and dairy products, meat, Vitamin A rich fruits and vegetables were less commonly consumed food groups. Older children (AOR = 2.49, 95% CI: 1.71, 3.64), maternal education of primary and secondary and above (AOR = 3.32, 95% CI: 2.01, 5.22) and (AOR = 4.78, 95% CI: 2.55, 8.95) were independent predictors of dietary diversity. Conclusion: Even though feeding practice of infants and young children is encouraging, plenty of children are still suffering from consuming inadequate dietary diversity. Hence, due attention has to be given to improve feeding practice of older children. Furthermore, improving parental education and economy result in proper child feeding practice.
Abstract: Background: Increasing the variety of foods and food groups in the diet ensures that there is adequate intake of essential nutrients. Lack of dietary diversity especially for children 6-23 months is specifically critical because they require energy and nutrient-dense foods for both physical and mental growth and development. Encouraging children ag...
Show More
-
Fatal Massive Air Embolism During Holmium Laser Enucleation of the Prostate (HoLEP)
Issue:
Volume 6, Issue 4, July 2017
Pages:
60-62
Received:
15 January 2017
Accepted:
17 February 2017
Published:
18 October 2017
Abstract: Massive air embolism occured during holmium laser enucleation of the prostate (HOLEP) for prostatic hyperplasia (BPH). A 65 years patient with BPH was scheduled to undergo elective HoLEP. After anesthetic of intrathecal 15 mg hyperbaric ropivocaine was administered in the left lateral decubitus position, then the patient was turned in supine position. The surgery started when the patient was placed in a 10 degree head down tilt. Two hours and 40 min later, while the hypertrophic prostate was almost enucleated, the patient complained of abdominal distension. Immediately, he was not breathing and his eyes were glazed. The heart rate abruptly decreased from 82 to 35 beats per min and cardiac arrest happened. After intubation, it showed the end-tidal carbon dioxide partial pressure (PetCO2) was 6 mmHg. When took a blood sample from external jugular vein for blood gas analysis, some air existed in the syringe. VAE was suspected.
Abstract: Massive air embolism occured during holmium laser enucleation of the prostate (HOLEP) for prostatic hyperplasia (BPH). A 65 years patient with BPH was scheduled to undergo elective HoLEP. After anesthetic of intrathecal 15 mg hyperbaric ropivocaine was administered in the left lateral decubitus position, then the patient was turned in supine positi...
Show More
-
Microalbuminuria in Diabetic Patients in the Bamenda Health District
Marie Ebob Agbortabot Bissong,
Gerald Ngo Teke,
Moses Samje,
Harris Goneh,
Frank Eric Tatsing Foka,
Henri-Lucien Kamga
Issue:
Volume 6, Issue 4, July 2017
Pages:
63-67
Received:
15 March 2017
Accepted:
19 April 2017
Published:
18 October 2017
Abstract: Diabetic nephropathy (DN) is the most common cause of end stage renal disease (ESRD) and it accounts for one third of all patients requiring renal replacement therapy in Africa. Diabetic patients with microalbuminuria (MA) have an increased risk of progression to macroalbuminuria and later to ESRD. So detecting MA which is a marker of DN helps to alert the clinician to intervene at a time when future renal damage is still preventable. The main goal of this study was to determine the prevalence of MA in diabetic patients at the Bamenda Regional Hospital. This study was a prospective cross sectional study involving diabetic patients at the Bamenda Regional Hospital. A random (spot) or first morning urine specimen was collected and MA was measured by a semi quantitative dipstick method using the URS-14H urine test strips. The prevalence of MA in the present study was 34.6%, which is high but similar to the results of other studies done in sub-Saharan Africa. Although MA was more common (50%) in individuals with diabetes more than 16 years, a high proportion (42.85%) of patients with MA had a duration of diabetes of ≤ 5years. There was no significant difference in the occurrence of MA with respect to age, gender and duration of diabetes. This study showed a high prevalence of MA in the diabetic population presenting at the Bamenda Regional Hospital. Consequently, measures of glycemic control should be enhanced in this population to prevent the progression to macroalbuminuria and ESRD.
Abstract: Diabetic nephropathy (DN) is the most common cause of end stage renal disease (ESRD) and it accounts for one third of all patients requiring renal replacement therapy in Africa. Diabetic patients with microalbuminuria (MA) have an increased risk of progression to macroalbuminuria and later to ESRD. So detecting MA which is a marker of DN helps to a...
Show More
