Open Access Case Study

Erosive Cervico-occipital Arthritis Caused by Enthesitis in a Patient with Axial Spondylathritis

Miladi Saoussen, Kaffel Dhia, Maatallah Kaouther, Zouch Imen, Hamdi Wafa, Kchir Med Montacer

Journal of Advances in Medical and Pharmaceutical Sciences, Page 1-5
DOI: 10.9734/JAMPS/2017/32668

Abstract: The occipito-cervical junction may be affected during the course of spondyloarthritis (SpA). However it is not usual be an inaugural manifestation of SpA. We report herein a case of axial SA in a young patient discovered by O-C1 arthritis.

Case Report: A 29 years-old man with no particular past medical history of trauma, psoriasis, tumor, inflammatory bowel disease, eye redness or inflammatory rheumatic disease in family complained about persistent discomfort of the upper cervical spine for 2 years. Physical examination revealed a limited range of motion in rotation of the cervical spine with no other abnormalities. X-rays of the cervical spine and of the cranio-cervical hinge were unremarkable. MRI showed a low signal intensity on T1-weighted imaging around lateral facets of O-C1 joints and high signal intensity on STIR sequences. Searching for etiology, plain radiography of the pelvis revealed sarco-iliitis grade IV of New York's criteria and the patient was also positive for HLA B27. The diagnosis of axial SpA was retained.

Conclusion: This is the second case of SpA revealed by O-C1 arthritis. As the craniocervical junction is not well analyzed in X-rays, persistent upper cervical pain should be investigated by MRI. Diagnosis of SpA should be considered and discovering of O-C1 arthritis should lead to performance of a pelvis X-rays.

Open Access Original Research Article

Assessing the Prevalence and Patterns of Elder’s Abuse in Imo State, Nigeria: A Rural – Urban Comparative Study

R. U. Oluoha, C. N. Obionu, K. A. Uwakwe, K. C. Diwe, C. B. Duru, I. A. Merenu, A. C. Iwu, T. B. Ogunniyan, U. Onyeonoro, I. Ohale, E. U. Ndukwu

Journal of Advances in Medical and Pharmaceutical Sciences, Page 1-11
DOI: 10.9734/JAMPS/2017/33089

This study highlighted the 12-months prevalence of elder abuse in rural and urban communities in Imo State and also compared the pattern of elder abuse in both communities.

A cross-sectional study of 371 rural and 314 urban participants aged 60 years and above was conducted between first week of April and last week of June, 2015. Information collated was on abuse types using interviewer administered questionnaire. Data were analysed using descriptive statistics and chi-square. The level of statistical significance (p- value) was set at < 0.05. Participants were recruited using multi-stage random sampling technique.

The prevalence of elder abuse in the previous 12 months was 14.7% and 9.8% in the rural and urban communities respectively. The pattern of abuse types was financial abuse 30.2%, emotional abuse 26.0%, physical abuse 16.7%, neglect 11.9%, social abuse 1.8% and sexual abuse 1.6% in the rural communities. The pattern in urban communities was financial abuse 29.6%, neglect 13.0%, emotional abuse 8.3%, physical abuse 5.7%, sexual abuse 1.3% and social abuse 0.9%.

In conclusion, this study has shown that abuse of the elderly is quite prevalent in both the rural and urban communities. Policies geared towards protecting these vulnerable senior citizens at both state and federal level will help to minimize this menace.

Open Access Original Research Article

Assessing the Effectiveness of Using Simulation in Cupping Therapy Training Course for Undergraduate Medical Students: A Study in Riyadh, KSA

Abdullah M. Al-Bedah, Tamer S. Aboushanab, Meshari S. Alqaed, Naseem Akhtar Qureshi, Ibrahim Al-subai, Ahmed T. El-Olemy, Mohamed Khalil

Journal of Advances in Medical and Pharmaceutical Sciences, Page 1-7
DOI: 10.9734/JAMPS/2017/32800

Aim: To assess effectiveness of using cupping therapy simulation for the training of undergraduate medical students.

Study Design: This study assessed the experience of the cupping simulation for undergraduate medical students as a part of cupping training course. The place of the study was the simulation laboratory of the College of Medicine, Dar Al-Uloom University.

Methodology: NCCAM developed cupping simulation training course in the form of two scenarios that addressed the various types of cupping procedure. Fourth year undergraduate medical students; 16 males, and 25 females who attended the cupping simulation training course as a part of the complementary medicine and integrative health elective course are the target population. The number of participants was 25 out of 41. Post simulation survey was conducted by using a slightly modified Simulation Effectiveness Tool [SET].

Results: Showed positive responses on all items of the post-simulation survey. Developing a better understanding of cupping, building confidence, improving skills, and feeling better prepared for performing cupping for real patient were the most strongly agreed items.

Conclusion: Cupping simulation is a promising learning tool in the field of integrative medicine. It may improve the cupping clinical skills, and build the confidence of participants in a safe environment. It can be the first step of training for beginners. Future large-scale studies and post-simulation evaluation of performance are recommended.

Open Access Original Research Article

Retrospective Study on the Prevalence of Surgical Wound Infections in Specialist Hospital Sokoto – North West Nigeria

A. S. Shuaibu, Y. K. E. Ibrahim, B. O. Olayinka, R. F. Atata, J. Oyeniyi, B. A. Shuaibu

Journal of Advances in Medical and Pharmaceutical Sciences, Page 1-7
DOI: 10.9734/JAMPS/2017/31291

Introduction: Nosocomial surgical site infections remain a key drawback in health care facilities, resulting in extended length of stay, significant morbidity and mortality, elevated excess of cost, and less regular basis of death in the surgical patient.

Aim: The objective of the study is to determine the rate of occurrence of surgical site nosocomial infections in surgical patients in Specialist Hospital Sokoto, Nigeria.

Study Design: Retrospective study.

Place and Duration of Study: A 2-year retrospective study of nosocomial surgical site infections (June 2011 to May 2013) was carried out in Specialist Hospital Sokoto, Nigeria.

Methodology: Patients' folders and microbiology laboratory records were used for the determination of prevalence of nosocomial infections in.  Data was analyzed using SPSS version 20.

Results: Result of the retrospective study of surgical site infection in the hospital showed that surgical site nosocomial infections are frequent in the hospital, with a prevalence rate of 4.7% (2011/2012) and 7.6% (2012/2013).

Conclusion: Despite the fact that this study is limited to nosocomial surgical site infections in three surgical wards only, surgical site infection exists as a major problem hospital. The results of this study are consistent with reports of similar studies in Nigeria and other parts of the world.

Open Access Original Research Article

The Correlation between Types of Hipospadia and Hypospadias Objective Penile Evaluation Score in Padang

Hendra Praja, Yevri Zulfiqar, Etriyel Myh, Hafni Bachtiar

Journal of Advances in Medical and Pharmaceutical Sciences, Page 1-5
DOI: 10.9734/JAMPS/2017/33265

Introduction: Hypospadia was an abnormal growth of the penis where the uretral fold failed to grow led to the meatus urethra located on the proximal ventral penis with or without chorde. The incidence of hypospadias was 1 per 250-300 of male children. The treatment is urethroplasty. The purpose of the hypospadia repair is to create functional, validity, and cosmetically outcome neourethra.

Methods: This is an analysis observational study with cross sectional comparative design. Total of the sample was 26. The HOPE score was calculated using physical examinations and the picture taken by a DLSR D 5300 camera.

Results: The percentage of satisfied patient based on HOPE score was higher in distal hypospadia compared to the proximal hypospadia (69,2%) and there was a significant difference between the types of hypospadia and HOPE score (p<0,05).

Conclusion: There is a significant difference between the hypospadia types and HOPE Score, where the distal hypospadia had better HOPE Score.