Open Access Case Report

A Case of Diffuse Pulmonary Calcification with Multiple Myeloma

Ya-Wen Chuang, Chien-Chin Hsu, Chin-Chuan Chang, Chia-Yang Lin, Ying-Fong Huang, Yu-Chang Tyan

Journal of Advances in Medicine and Medical Research, Page 1-5
DOI: 10.9734/JAMMR/2017/34070

A 40 year old male with a 4-year history of multiple myeloma (MM) had recurrent episodes of extensive bone involvement. A 99mTc-MDP bone scan revealed unusual radiotracer accumulations within bilateral pulmonary fields. There was no radiographic evidence of calcification in the lungs. It may represent metastatic pulmonary calcification and can be clinically correlated with hypercalcemia in MM.

Open Access Opinion Article

Dress Code for Students in Dental Colleges

Eva Goyal, Esha Goyal

Journal of Advances in Medicine and Medical Research, Page 1-3
DOI: 10.9734/JAMMR/2017/34771

“The joy of dressing is an art”.

Clothing affects several kinds of judgments people make. A positive self-image defines character, boosts self-confidence, expresses individuality, portrays social status, and supplies the satisfaction of dressing according to one's beliefs and culture. With some colleges asking students “to wear dignity on their sleeves”, we have tried to decode the dress code.

Open Access Original Research Article

Perceived Parental Behaviour as Predictor of In-school Adolecent Sexual Risk Behaviour in Ibadan, Nigeria

Aderonke A. Akintola

Journal of Advances in Medicine and Medical Research, Page 1-8
DOI: 10.9734/JAMMR/2017/33667

Sexual risk behavior among youth, defined as early sexual initiation, unprotected intercourse, or sex with multiple partners, is a major area of concern to parents or caregivers and the health professionals given the many associated negative consequences. There is dearth of literature on the influence of perceived parental behavior on adolescent sexual risk behavior in the country-Nigeria. This study therefore investigated the prediction of sexual risky behavior of the youth by their perception of their parental behaviors. A cross sectional survey involving 1,589 participants, male (n=753), female (n=836) aged 13 to 19 years drawn from 10 private and 19 public secondary schools in three of the five Local Government Areas (LGA) in Ibadan Metropolis was carried out. Regression analysis revealed significant prediction by parental psychological control  (β=.10, t=3.99, p<.01) while the other parental behavioural dimensions were not significant. Implication is an overuse of psychological control. Efforts should be geared towards eliciting healthy parental behavior through teaching parenting skills and also giving the adolescents cognitive therapy.

Open Access Original Research Article

Nosocomial-acquired Non-fermenting Gram-negative Bacilli: Impact on Morbidity and Mortality in a Brazilian University Hospital

Guilherme Luiz Milanez, Rafaela Oliveira França, Cristina Dutra Vieira, Simone Gonçalves dos Santos, Vandack Nobre

Journal of Advances in Medicine and Medical Research, Page 1-10
DOI: 10.9734/JAMMR/2017/34535

Aims: To investigate non-fermenting Gram-negative bacilli (NFGNB), Acinetobacter baumannii and Pseudomonas aeruginosa, recovered from clinical isolates and surveillance cultures, accessing their role on morbidity and hospital mortality.

Study Design: This observational case-control study was conducted in the Hospital of the Universidade Federal de Minas Gerais, between March 2012 and September 2013.

Methodology: We included 102 patients categorized by 51 study group (those infected or colonized by multidrug resistant NFGNB, mainly A. baumannii) and 51 controls (patients colonized or infected by other multiresistant Gram-negative bacteria). Demographic (gender and age) and clinical data (diagnosis of sepsis, antimicrobial intake during hospitalization, among others) were compared between groups. Hospital mortality and length of hospital stay were investigated.

Results: The average age was of 61 years (± 15) in the case group and of 54 (± 18) in the control group (P= .004). Male represented 54.9% of the case group and 43.1% of the control (P= .32). It was observed higher mortality rates in the case group (33.3% vs. 9.8%; P=.008), which also had longer periods of hospital stay (57.5 days vs. 29.9; P< .001), longer antimicrobials intake (28.7 days vs. 15; P<.001) and more complex treatment regimens than the control group. Multivariate analysis showed that NFGNB colonization was associated with mortality during hospital stay (OR 4.60; CI 95% [1.54 to 13.69]).

Conclusion: Recovery of NFGNB seems to be associated with poor outcomes in hospitalized adult patients, even when the analysis is adjusted for other potential risk factors. Other studies involving larger samples of patients are necessary in an attempt to better understand the meaning of these preliminary findings.

Open Access Original Research Article

The Benign Joint Hypermobile Syndrome among Sudanese's Children in Al-Khartoum State from November 2011-May 2012

Rufida Said Thabet Kamal Eldeen, Fath El-Rahman El-Ahmed, Mohammad Diab Hussein

Journal of Advances in Medicine and Medical Research, Page 1-7
DOI: 10.9734/JAMMR/2017/33561

Background: Joint hyper mobility (JH) defines as ligamentous laxity, it is due to a primary genetic disorder of connective tissue matrix proteins, Moreover, it is highly associations with the risk of soft tissue injury, chronic widespread pain, and early degenerative disease.

The aim at the study to assess the frequency of hyper mobility syndromes in Sudanese 'children, and the knowledge of mother toward to the disease, morbidity and importance of treatment else.

Methodology: This is, Hospital- based descriptive cross sectional study conducted at 4 hospital at Khartoum state in Sudan at(November-2011/may-2012), randomly selection 100 children their age between 3-13Y seen in the outpatient clinic or admitted to hospital namely above, receive the questioner about general information about on child and mother's ,also clinical measurement  by Brighton criteria and Beighton score.

Results: Children had benign hyper mobile syndrome (BJHS) according to Beighton score 63%, while 56% of children according to Brighton criteria moreover, 45% of mother notice the BJHS while 9% of mother consider about the symptoms.

Conclusion: Hyper mobility syndromes are common in Sudanese children while the poor knowledge about this condition might lead to delay in diagnosis and application of treatment.

Open Access Original Research Article

Profile of Infective Endocarditis in Nigerian Children

O. O. Ige, C. S. Yilgwan, U. Diala, H. O. Akhiwu, F. Baba, M. Bok, F. Bode-Thomas

Journal of Advances in Medicine and Medical Research, Page 1-9
DOI: 10.9734/JAMMR/2017/34955

Background: Infective endocarditis (IE) was initially thought to be uncommon in children but is on the increase due to improved cardiac services in the developing world.

Aims: Aims of this study is to describe the profile of IE in children in Jos, Nigeria and identify the peculiarities of the disease in the locality.

Methods: Case records of children diagnosed with IE based on the modified Duke’s criteria over a seven year period were retrospectively reviewed in a tertiary hospital. Their clinical manifestations, blood culture isolates, presence or absence of vegetations and clinical outcomes were documented and analyzed using Epi Info 7.  

Results: Case records of thirty children were reviewed. The number of children managed increased yearly with 10 (33.3%) of them seen in the last year of the study. The clinical features were mainly non-specific - fever (70.0%), congestive cardiac failure (63.3%) and anorexia (63.3%) being the major findings. Staphylococcus aureus was the commonest isolate, present in 5 (45.5%) of the 11 blood culture-positive cases. Other organisms isolated were Klebsiella species in 3 (27.3%), Pseudomonas aeruginosa in 2 (18.2%) and Acinetobacter baumami in 1 (9.1%) child. Vegetations were detected in 12 (40.0%) children, most of them located on the mitral valve. Mortality occurred in 8 (26.7%) children and was significantly higher in males – P = 0.02.

Conclusion: There is a marked increase in the number of children admitted and managed for IE in the last year of the study possibly due to an increased index of clinical suspicion of IE. A high index of suspicion is required for diagnosis because many children presented with nonspecific clinical features.

Open Access Original Research Article

Knowledge, Attitude and Willingness to Use mHealth Technology among Doctors at a Semi Urban Tertiary Hospital in Nigeria

Olufunmilayo Victoria Adebara, Idowu Oluwaseyi Adebara, Raji Olaide, Gabriel Olusegun Emmanuel, Onigbogii Olanrewaju

Journal of Advances in Medicine and Medical Research, Page 1-10
DOI: 10.9734/JAMMR/2017/33232

Context: Mobile Health technology emerged as an innovative and important Information Communication Technology tool with which to impact health for all.

Aims: This study aimed at assessing the knowledge, attitude and willingness to use mHealth technology in medical management and patient follow-up by doctors at the Federal Teaching Hospital, Ido-Ekiti.

Settings and Design: Descriptive cross sectional questionnaire based study.

Methods and Materials: Proportionate sampling was used to select 220 doctors; data were obtained with a self-administered questionnaire. Ethical approval was obtained from LUTH HREC. Data analysis was performed using SPSS 21.

Results: The mean age was 35.2 ± 7.3 years with a Male: Female ratio of 2.39:1. Knowledge of mHealth technology was high, with a mean score of 94.31 ± 11.26, majority of respondents (97.6%) had positive attitude.

A weak association was observed between respondents’ attitude and the statistically significant variables with multiple correlation coefficient of determination of 0.022.

Although 80% of respondents were willing to use mHealth, just about half were willing to expand the use of mHealth in bridging the digital divide even with higher fee charges. There was a significant association between the years of experience and willingness to use mHealth (p=0.049).

Conclusions: Although knowledge was high and attitude of respondents’ positive, willingness to expand mHealth use was low. There is therefore a need to expand mHealth coverage in Nigeria.