Users Online: 82
Home
About us
Editorial board
Search
Ahead of print
Current issue
Archives
Submit article
Instructions
Subscribe
Contacts
Login
Export selected to
Endnote
Reference Manager
Procite
Medlars Format
RefWorks Format
BibTex Format
Table of Contents
July-September 2015
Volume 10 | Issue 3
Page Nos. 81-104
Online since Wednesday, October 21, 2015
Accessed 6,019 times.
PDF access policy
Journal allows immediate open access to content in HTML + PDF
View issue as eBook
Author Institution Mapping
Issue statistics
RSS
Show all abstracts
Show selected abstracts
Export selected to
Add to my list
ORIGINAL ARTICLES
Clinical interactions of honey with antidiabetic drugs among some Sudanese diabetic patients in Khartoum, 2013
p. 81
Aimun A E Ahmed, Wadeaa A Fadl-Almawla, Amina A Gasm-El-Bari, Zuheir Osman
DOI
:10.4103/1858-5000.167864
Background:
The aim of the study was to assess the possible interactions of honey with anti-diabetic drugs used by the Sudanese diabetic patients attending two main hospitals in Khartoum, Sudan.
Methods:
The study was two month, cross-sectional, hospital-based study, during the period from April to May, 2013.
Results:
260 of diabetic patients were chosen and only 68 were enrolled in the study, 32 (47.1%) were male and 36 (52.9%) females, the majority were elderly 32(47%), the patients were from different tribes and different areas. The majority of the patients were from Khartoum 24 (35.2%) and central Sudan 23 (33.8%), 51 (75%)of the patients were clinically diagnosed with type 2 diabetes mellitus, Hypertension as complication was found in 39.7% of the patients whilst 39.7% were without complications.
Conclusions:
The use of the honey concurrently with anti-diabetic drugs was with significant positive effect. Our findings revealed that, the illiterate and university patients' represent the majority regarding the honey utilization. The majority of respondents use honey according to their own knowledge and did not inform her/his doctors.
[ABSTRACT]
[HTML Full text]
[PDF]
[Mobile Full text]
[EPub]
[Sword Plugin for Repository]
Beta
Study of bone markers in hyperthyroidism: Single center experience from South India
p. 87
Babulreddy Hanmayyagari, Mounika Guntaka, Rakesh Sahay, Jayanthy Ramesh, Sri Nagesh
DOI
:10.4103/1858-5000.167867
Aim:
To evaluate bone health markers and Vitamin D status in patients with hyperthyroidism comprehensively, and comparison of same with matched controls.
Materials and Methods:
The study has been done on 30 newly diagnosed hyperthyroid patients and matched controls. Cases were selected after careful exclusion of conditions which adversely affect bone health. Statistical comparisons were performed with Student's
t
-test.
Results:
The study group has shown normal calcium (20% had hypocalcemia), normal phosphorus, normal parathyroid hormone values, raised alkaline phosphatase levels, and significant rise in both bone formation (osteocalcin) and resorption (β-cross laps) markers (
P
< 0.05). In addition, 95% of our subjects (patients and controls) were Vitamin D deficient (mean - 17.2 ng/dl).
Conclusion:
Hyperthyroidism is associated with increased rate of bone remodeling and changes in mineral homeostasis, thereby increases fracture risk. Associated Vitamin D deficiency further deteriorates bone quality. Hence, we suggest therapeutic Vitamin D and calcium supplementation is needed in addition to antithyroid medication.
[ABSTRACT]
[HTML Full text]
[PDF]
[Mobile Full text]
[EPub]
[Sword Plugin for Repository]
Beta
REVIEW ARTICLE
An overview of neonatal conjuctivitis
p. 91
Mohammed Abdulsalam, M Ibrahim, MO Asani
DOI
:10.4103/1858-5000.167868
Neonatal conjunctivitis has been recognized for several centuries and it is one of the most common infections occurring in the 1
st
month of life and remains an important cause of ocular morbidity of great health concern especially in developing countries. This article attempts to review the current epidemiology, etiology, risk factors, pathogenesis, investigations, and treatment and offer possible preventive measures to avert this potentially crippling disease. Most epidemiological reports have focused on gonococcal and chlamydial neonatal conjunctivitis because both are associated with sexually transmitted diseases and are therefore of general public health importance. The risk of conjunctivitis in newborns depends on frequencies of maternal infections, prophylactic measures, circumstances during labor and delivery, and postdelivery exposures to microorganisms. The etiological agents implicated as causes of Neonatal conjunctivitis can be classified into chemical and infective. Laboratory studies used in the diagnosis of neonatal conjunctivitis include smears, stains, cultures, and serological tests. Current World Health Organisation (WHO) guidelines for the management of sexually transmitted infections recommend that all cases of neonatal conjunctivitis be treated for both
Neisseria gonorrhoeae
and
Chlamydia trachomatis
. Four levels of intervention can be used to prevent childhood blindness and ocular morbidity from neonatal conjunctivitis. These strategies may reduce the prevalence of sexually transmitted disease, which in turn may reduce the risk to infants of exposure to agents that cause neonatal conjunctivitis.
[ABSTRACT]
[HTML Full text]
[PDF]
[Mobile Full text]
[EPub]
[Sword Plugin for Repository]
Beta
CASE REPORTS
Inadvertent premature human chorionic gonadotropin administration does not prevent folliculogenesis and
in vitro
fertilization
p. 99
Zeev Blumenfeld
DOI
:10.4103/1858-5000.167872
A 41.9-year-old patient, G 10101 was referred to fertility preservation 2 weeks before chemotherapy, due to metastatic liver malignancy. Her past history was positive for laparoscopic sigmoidectomy, 5 years ago due to the stage I colon carcinoma. She has undergone a normal vaginal delivery in her previous marriage, 15 years ago and a septic abortion, 2 days after amniocentesis, a year ago, in her current marriage. Despite high follicle-stimulating hormone (FSH), she started ovarian stimulation with high dose recombinant gonadotropins and gonadotropin-releasing hormone antagonist, on the 6
th
day of her cycle, in the presence of two antral follicles. By mistake, she injected 250 μg of human chorionic gonadotropin (hCG), in addition to 450 units FSH/luteinizing hormone (Pergoveris, Merck Serono) on the 1
st
day of stimulation. The Controlled Ovarian Stimulation (COS) continued and on the 18
th
cycle day, 250 μg of hCG was administered and 35.5 h afterward, two metaphase II ova were retrieved by vaginal follicular aspiration. The ova have undergone intracytoplasmic sperm injection, and fertilization was documented after 20 h, and two embryos were cryopreserved on the 2
nd
day. This unusual case suggests that premature exposure to supraphysiologic concentrations of hCG and progesterone, may not interfere with normal folliculogenesis, oocyte maturation, and
in vitro
fertilization.
[ABSTRACT]
[HTML Full text]
[PDF]
[Mobile Full text]
[EPub]
[Sword Plugin for Repository]
Beta
Intraoperative neurophysiological monitoring during separation of conjoined caudal spinal cords in pygopagus twins
p. 101
Ashima Malhotra, Vikas Gupta, Umesh Kumar Valecha, Meenu Batra
DOI
:10.4103/1858-5000.167875
We describe the intraoperative neurophysiological monitoring that was performed in the separation of 11-month-old pygopagus conjoined twins with fused spinal cords. The spines of the patients were fused below S2 level and they shared their thecal sac and spinal cord below that level. They also shared a common anal opening and closely placed urethral and vaginal opening. Transcranial motor evoked potentials (MEPs), electromyography (EMG), and triggered EMG (T-EMG) were recorded throughout the neuroseperation. Baseline MEP in one of the twins was suboptimal and continued to be suboptimal throughout the procedure. The other twin continued to show good MEP responses. T-EMG and EMG are guided during the successful separation and detethering of the cord. There was no fresh sensory or motor neurological deficit postoperatively. Both the patients recovered from their preoperative status as evaluated 4 months after the surgery. Monitoring two spinal cords at the same time is a challenging job. However, good monitoring systems, communication with the operating team and choice of monitoring, and utmost vigilance at crucial times helps getting the fruitful results.
[ABSTRACT]
[HTML Full text]
[PDF]
[Mobile Full text]
[EPub]
[Sword Plugin for Repository]
Beta
Feedback
Subscribe
Next Issue
Previous Issue
Sitemap
|
What's New
|
Feedback
|
Disclaimer
© Sudan Medical Monitor | Published by Wolters Kluwer -
Medknow
Online since 5 Mar, 2014