Open Access Case Study

Flummoxed Presentation of Paratyphoid Fever: A Case Report

Shadan Akhtar, Lenah Bashir, Bashir A. Fomda, Yawar Nissar

Journal of Advances in Medicine and Medical Research, Page 1-5
DOI: 10.9734/jammr/2019/v31i1030329

Enteric fever remains a major disease burden in developing countries. Paratyphoid fever has been described as a less severe infection than typhoid fever. Salmonella serovar Paratyphi A has been however seen as an increasing problem in many areas in Asia and can cause a disease with severity proportional to that of Salmonella serovar Typhi.

Among Asian countries China, India, Indonesia, Pakistan, and Vietnam are considered to be endemic for typhoid.

This case describes female infant presenting with long standing lymphadenopathy in the cervical and axillary area. Considering the duration of clinical feature she was investigated for Tuberculosis and Hodgkins lymphoma. The extensive course of investigations ruled out both. Sampling of gastric aspirate in pursuit of diagnosing tuberculosis incidentally revealed Salmonella Paratyphi B repeatedly as the cause of the generalized lymphadenopathy.This is a first report which describes such a case in the best of our knowledge.

Open Access Original Research Article

Perceptions and Intent to Promote Exclusive Breastfeeding by Significant Others in Umuokanne Community Imo State, Nigeria

O. I. Douglas, S. N. O. Ibe, C. R. Nwufo

Journal of Advances in Medicine and Medical Research, Page 1-18
DOI: 10.9734/jammr/2019/v31i1030325

Perception and intent of significant others to promote exclusive breastfeeding is important in understanding their perceived behaviour and their state of mind toward exclusive breastfeeding practice.  It also helps to identify what intentions this significant other had toward the promotion of exclusive breastfeeding practice (EBF). This study aimed to determine the perceptions and intentions of significant others to promote exclusive breastfeeding in Umuokanne Community, Imo State, Nigeria. The descriptive study design was employed to elicit information from 245 significant others (mothers of the nursing mother, mothers-in-law and husbands) within the six villages in Umuokanne Community. Instruments for data collection were structured on the questionnaire and focus group discussions (FGDs). And finally, the reliability test was established (r = 0.68) between them. 20 significant others participated in the FGDs. Results of the study revealed that significant others had positive perceptions and indicate readiness towards the promotion of exclusive breastfeeding. 120(80%) of grandmothers and 69(73%) of husbands had positive perceptions on the elements of EBF, 100(100%) of grandmothers and 74(78%) of husbands had positive perceptions of the essential roles to play in the promotion EBF, 75(50%) of grandmothers and 57(60%) of husbands had negatively perceived not giving of colostrum to an infant, early introduction of any feed in less than six months of an infant life,  early introduction of fluid to an infant, giving off water and water mixed with medicinal herbs/roots, were not believed to be a barriers to EBF promotion. The description could be based on three key concepts namely, perceived insufficiency of breast milk, low income and cultural practices. Age, education, income and parity were also statistically significant (P = 0.05). However, 136(91%) of grandmothers and 78(82%) of husbands showed a positive intention towards the promotion of EBF practice. Hence, this study concluded that a positive perception shows the willingness to take action and a positive intention indicate readiness toward the promotion of EBF. Therefore, there is need to expand the current strategies employed in the promotion of EBF to include significant others and their cultural perspectives.

Open Access Original Research Article

Factors Affecting Age of Onset of Menopause at Child Birth, Birth Control of Nigerian Women

Ojeka Sunday Ogbu, Zabbey Victor Zigabelbari, Saronee Friday

Journal of Advances in Medicine and Medical Research, Page 1-6
DOI: 10.9734/jammr/2019/v31i1030326

Introduction: Menopause simply refers to the time when a woman stops having monthly period. There have been numerous systematic studies into the age at onset of menopause and the factors affecting it, in different parts of the world. However, the establishment of this age and factors affecting it in Rivers state has been scanty.

Aim: This research was therefore undertaken to ascertain the age at onset of menopause in women of Rivers state, residing in Port Harcourt and the effect of parity, age at last child birth and form of birth control on it.

Methodology: This study used data from over 380 postmenopausal women from populations in Port Harcourt, Rivers state. Different ages specified by the respondents through structural questionnaires were used. The data was collected and analyzed using the ANOVA method. It was used to obtain a percentage frequency which was presented in a table.

Results: The result shows the mean menopausal age among Rivers state women to be 49.1 years. It was also found that menopausal age was affected by subjects’ parity, age at last child birth and form of birth control.

Conclusion: The mean menopausal age of women of Rivers State, living in Port Harcourt has been found to be 49.1 years. This age has also been found to be positively affected by a woman’s parity, age at last child birth and form of birth control.

Open Access Original Research Article

Sleep Quality and Perception of the Disease in Fibromyagic Patients at the School of Physiotherapy Clinic of Gurupi University

Rafaela de Carvalho Alves, Eliara Firmina Alves Maria Silva, Leivia Lima de Morais, Lara Ponce Brito, Elizangela Sofia Ribeiro Rodrigues, Anny Pires de Freitas Rossone, Jacqueline Aparecida Philipino Takada, Geovane Rossone Reis, Janne Marques Silveira, Marcella Soares Carreiro Sales, Sávia Denise Silva Carlotto Herrera, Florence Germaine Tible Lainscek, Amanda Aguiar Barros, Victor Rodrigues Nepomuceno

Journal of Advances in Medicine and Medical Research, Page 1-14
DOI: 10.9734/jammr/2019/v31i1030328

Introduction: Fibromyalgia is a rheumatic syndrome that mainly affects women, being more common in the age group between 30 and 55 years of age, with reports of diffuse and chronic pain for more than three months. Despite the presence of hyperalgic points called "tender points" there is no evidence of deformities to organs and joints. Its confirmation is clinical after the exclusion of other pathologies.

Objective: The objective of this research aims to analyze the clinical picture and sleep quality in patients with fibromyalgia, coming from the School of Physiotherapy Clinic of Gurupi University.

Materials and Methods: The research has a qualiquantitative character, consisting of 22 female participants, divided into 2 groups: Experimental Group (EG – 11 participants) and Control Group (CG – 11 participants), all of whom came from the School of Physiotherapy Clinic of Gurupi University. For the collection of information, questions were used semi-structured, which were: 1) Identification form (preparedby academics to register participants and identify information about the previous history of the disease); 2) Questionnaire of perception of the disease (collected through an interview directed and recorded by undergraduates and later transcribed) and, 3) Pittsburgh’s sleep qua-dealing index. The entire protocol was performed after 20 treatment sessions, both for the experimental group and for the control group, according to inclusion and exclusion criteria. The results were descriptively analyzed according to the tabulation in Microsoft Office® (2010) and inferential with significance p<0.05, through the Program SPSS 18.0.

Results: The results show a decrease in the perception of the quality of life, through sleep quality. Discursive findings show the binding of fibromyalgia with depression, chronic pain and discouragement. The statistical results show a picture of little quality of restorative sleep because more than half of the interviewees say they take to sleep, have bad dreams and raise several times during the night. It is noteworthy that most volunteers said they could sleep more than 6 hours a night with sleep efficiency greater than 85%, only half of the sample confirmed eating, between 3 or more times, sleeping medications.

Conclusion: The reports analyzed showed the relevance in improving the quality of life of the participants undergoing treatment. However, the statistical data alone did not present a significant differentiation between the participants of the control group and the experimental group. Only when observing, sleep quality tends to be better for participants who are having a physiotherapeutic follow-up.

Open Access Original Research Article

Intimate Esthetics: Radiofrequency and the Vitamin C Association

Florence Germaine Tible Lainscek, Áller Pires da Silva, Amaraina Maia Armiato, Sávia Denise Silva Carlotto Herrera, Larissa dos Santos Nascimento Oliveira, Rafaela de Carvalho Alves, Elcyane Bechara Santos Lacerda, Argentina França Buarque Machado, Andrielly dos Santos Pereira, Joaquim Celito Lopes Batista

Journal of Advances in Medicine and Medical Research, Page 1-9
DOI: 10.9734/jammr/2019/v31i1030330

Introduction: Aging is a natural event, however for women the effects are more drastic, interfering directly in their sexual health, leading to intimate changes such as vulvovaginal sagging and hyperchromic.

Objective: To investigate whether the use of radiofrequency associated with vitamin C reduces the signs of aging and decreases the cutaneous hyperpigmentation of the vulvar zone.

Materials and Methods: Forty women divided into Radiofrequency (RF) and Radiofrequency associated with Vitamin C (RFC) were selected to meet the inclusion criteria to perform 4 treatment sessions. Data were collected from the photographic visual evaluation of a gynecologist, a dermatologist, and a specialist physiotherapist, from the pre and post-procedure, in addition to the participant's intimate self-assessment through a questionnaire. At the end of treatment, 35 women with the age group of 40.8 RF and 34.2 RFC were left.

Results: Participants reported improvement in sexual satisfaction, however, there was no significant difference between the RF and RFC groups regarding sagging and whitening and the inter-evaluator evaluation was unagreed.

Conclusion: If necessary, more sessions are performed for possible evidence of vitamin C use.