ABSTRACT Low birth weight is an important public health indicator because of the strong association between birth weight and infant mortality and morbidity. The objectives were to determine the frequency of low birth weight, to describe the sociodemographic characteristics, to determine the risk factors associated with low birth weight and to determine the neonatal prognosis in the gynaecology and obstetrics department of the reference health center in Commune I of the Bamako district. Material and Methods: This was a cross-sectional, descriptive and analytical study in the department from 31 December 2020 to 30 June 2022. We carried out exhaustive sampling, taking into account all live newborns with a low birth weight. All newborns born in the department weighing between 500g and 2499g during the study period were included. Results: We recorded 4,292 births, 180 of which were low birth weight, giving an overall incidence rate of 4.2%. Of the 180 low birth weight babies, we found 111 cases of prematurity (61.7%) and 69 cases of hypotrophy (38.3%). We found that the proportion of low birth weight babies was higher in the young mothers in our study, at 60.5% for the under-19 age group. Our study showed that the extreme ages of the mother were a factor favouring or even predisposing to the occurrence of low birth weight. We noted a high frequency of primiparous women (38.7%) followed by multiparous women (32.5%). Other maternal risk factors included hypertension (8%) and a body mass index of less than 18.5% kg/m2 in 41.2% of cases. Half of the new borns (47.8%) weighed between [1501-2000g]. Among the transferred newborns, 53.3% received kangaroo mother care and 6.8% of the newborns died during the first thirty days of life. We recorded a mortality rate of 6.8%. Conclusion: Low birth weight is a public health problem because of its high prevalence and its harmful consequences, especially for infants.
ABSTRACT Acute ischemia is a vascular emergency that involves the functional and sometimes vital prognosis of the patient, it can have several etiologies including infective endocarditis. We discussed an acute ischemia of the left lower limb secondary to infective endocarditis in a 17-year-old patient.
ABSTRACT Introduction: Transverse fractures of the sacrum are rare and constitute less than 1% of all vertebral fractures. While the majority is longitudinal, only 3 to 5% are transverse fractures. Transverse fractures are usually seen following a fall by high-energy trauma, hence the name “Suicidal jumper’s fractures”. Neurological deficits involving the sacral roots are common and have been reported at rates of 96% to 100% in the literature. Material and Methods: We describe two uncommon cases of fracture-dislocation of the sacrum, the first at the S2-S3 level and the second at the S1-S2 level treated by isolated laminectomy without internal fixation with cauda equina syndrome, during the year 2020 in our department, including a review of the literature on the treatment of this type of fracture. Result: Our two patients on neurologically recovered at 7 months post laminectomy. Conclusion: Isolated decompression can be considered for patients who present a stable sacrum with non-displaced fracture or an old fracture that shows fracture healing. Favorable pelvic outcomes and neurological recovery, along with acceptable stability, can be acquired.
ABSTRACT The Omentum is a large flat adipose tissue layer nestling on the surface of the intra-peritoneal organs. Besides fat storage, omentum has key biological functions in immune-regulation and tissue regeneration. Omentum biological properties include neovascularization, haemostasis, tissue healing and regeneration and as an in vivo incubator for cells and tissue cultivation. Some of these properties have long been noted in surgical practice and used empirically in several procedures. we did 5 pedicular omental flap in 5 patients to prepare hemostasis in trauma with liver crash after resection and repairs.
ABSTRACT Background: As a leading global cause of death and disability, heart failure places a significant strain on the healthcare system. It has been observed that in some countries, there is a seasonal increase in the number of people admitted to hospitals with heart failure during winter. However, there is a dearth of population-based statistics for Southeast Asia and Bangladesh. with regards to this subject. Objective: To determine the number of patients with heart failure admitted during the winter and other seasons in Bangladesh's tertiary care hospitals. Materials and Methods: This study used a cross-sectional, observational design. The study was carried out at the Cardiology Department of Dhaka Medical College Hospital (DMCH). The research took place over the course of a year, from April 2015 to March 2016. Patients with heart failure who are admitted to the DMCH's Cardiology Department constitute the study population. This study made use of a systematic sampling strategy. All 584 patients who visited the hospital's cardiology department were counted. Patients' demographics, medical histories, symptoms, and test results were recorded on a standard data collection form. The statistical software package SPSS 22.0 was used to analyze the data (Statistical Package for Social Science). Results: Heart failure patients were most prevalent in the 41 to 60 age group, with 74.3% being men and 25.7% being women. The winter season saw the largest number of patient admissions (n=207, 35.5%). Compared to other seasons, the winter had higher concentrations of all risk variables. It is statistically significant, with the exception of thyroid issues and dyslipidemia (p-values of <0.222, <0.001, <0.001, <0.001, and <0.006). Conclusion: General practitioners might learn how to handle heart failure patients' responses to the cold and hone their abilities in this area. This research may also be useful for modifying the wintertime accessibility of hospital resources like emergency rooms.
ABSTRACT Background: The inability to conceive is emotionally distressing and indeed a very painful struggle in which the pain stays with the individual every day. Hormonal disorders are the leading cause of infertility globally. They do not only include the hypothalamic pituitary ovarian axis but also the none-reproductive endocrine glands. Hormonal management helps promote ovum maturation, which triggers ovulation, increasing the likelihood of conception. Case presentation: We report a 36-year-old African lady who presented with an inability to conceive for six years since marriage and it was associated with an irregular menstruation cycle length of twenty-four to thirty-six days. She had anovulatory cycles for seven years, and high Prolactin levels. Her body mass index was 34.4kg/m2. She had visited several hospitals in and outside Tanzania without success in conceiving. At Bugando Medical Centre we managed her case by diet, fertility awareness, and medical management. She conceived after three months of treatment. Conclusion: Anovulatory cycles with abnormal bleeding patterns are a major cause of infertility in reproductive woman. Basic hormonal profiles are essential to confirm where the problem is. Prolactinemia and insulin resistance affects ovulation. Fertility awareness, lifestyle changes, and medical management will bring back happiness to most women with subfertility secondary to hormonal disorders.
ABSTRACT Introduction: The circular umbilical cord corresponds to a winding of it in one or more turns of the whorl around the fetal neck. Case observation: She is a 25-year-old primigeste, married, a nurse by profession with no known medical-surgical history, who consulted for painful uterine contractions on pregnancy of 38 weeks of amenorrhea (AS). This is a pregnancy well followed by a gynecological-obstetrician with 06 quality antenatal consultations. The clinical and biological monitoring parameters were well documented in the antenatal diary and show no abnormalities. Conclusion: Fetal death in utero is a common pathology but association with umbilical cord circulars is rare. When the umbilical cord circular is double and tightened around the neck like a knot of the cord. It could be the cause of unexplained fetal death. It is always a tragedy for the parents and a failure for the obstetrician. It is necessary to reassure the woman and her family about the prognosis of subsequent pregnancies.
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Mst. Tanzina Islam
Nursing Instructor, Naogaon Nursing Institute, Naogaon, Rajshahi, Bangladesh
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