https://ephjournal.com/index.php/mhs/issue/feed EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063) 2019-08-25T18:38:12+00:00 Naveen Malik editor@ephjournal.com Open Journal Systems <p><strong><span id="cell-4-name" class="gridCellContainer"><span class="label">EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063) </span></span></strong> publishes a wide range of high quality research articles in the field (but not limited to) given below: Psychiatric and mental health nursing, Learning disability nursing, Pediatric nursing, Geriatric nursing, Nursing of people in acute care and long term care institutional settings, Home health nursing, Community and Home care, Critical and emergency care etc. <br><span style="font-size: 1.5em;"><strong> <span style="text-shadow: #ff6600 0px 0px 3px;">Current Impact Factor: 2.475</span></strong></span></p> https://ephjournal.com/index.php/mhs/article/view/1504 Epidemio-clinical profile of cervical spine trauma at CHU-JRA Madagascar 2019-08-25T18:38:12+00:00 BEMORA Joseph Synèse josbemora@yahoo.fr Tojo Hery Tsitovah Rakotondrainibe no-reply@gmail.com Patrick Rakotozanany no-reply@gmail.com Willy Francis Rakotondraibe no-reply@gmail.com Willy Ratovondrainy no-reply@gmail.com Mamiarisoa Rabarijaona no-reply@gmail.com Clément Andriamamonjy no-reply@gmail.com <p style="margin: 0px 0px 13.33px; text-align: justify; line-height: 200%;"><a name="OLE_LINK6"></a><span style="color: #000000;"><a name="OLE_LINK5"></a><span style="margin: 0px;"><span lang="EN" style="margin: 0px; line-height: 200%; font-family: 'Times New Roman',serif; font-size: 12pt;">The </span></span><a name="OLE_LINK4"></a><a name="OLE_LINK3"></a><span style="margin: 0px;"><span lang="EN" style="margin: 0px; line-height: 200%; font-family: 'Times New Roman',serif; font-size: 12pt;">cervical spine trauma </span></span></span><span style="margin: 0px;"><span lang="EN" style="margin: 0px; line-height: 200%; font-family: 'Times New Roman',serif; font-size: 12pt;">is a frequent and serious lesion involving not only the vital prognostic but also functional. The target of this work was to determinate the epidemiological clinical profile and the issue related to the management of cervical spine traumatism in Madagascar. It was the 3 years retrospective works with 41 cases of the cervical spine trauma hospitalized and supported in a department of neurosurgery and resuscitation at CHU-JRA Antananarivo Madagascar.&nbsp; We included all patients records for traumatized cervical spine and incomplete files have been excluded. While the targeted period, 41 cases of the cervical spine trauma has been studied, 24,39</span></span><span style="margin: 0px;"><span lang="EN-US" style="margin: 0px; line-height: 200%; font-family: 'Times New Roman',serif; font-size: 12pt;">%</span></span><span style="margin: 0px;"><span lang="EN" style="margin: 0px; line-height: 200%; font-family: 'Times New Roman',serif; font-size: 12pt;"> of traumatized&nbsp; was between 21-30 years old with a clear male predominance of </span></span><span style="margin: 0px;"><span lang="EN-US" style="margin: 0px; line-height: 200%; font-family: 'Times New Roman',serif; font-size: 12pt;">80,48% (sex ratio 4,1).&nbsp; The etiology is dominated by a fall and the majority was of domestic accident (46,34%).</span></span> <span style="margin: 0px;"><span lang="EN" style="margin: 0px; line-height: 200%; font-family: 'Times New Roman',serif; font-size: 12pt;">The cervical wounded was part of polytrauma, 58,53</span></span><span style="margin: 0px;"><span lang="EN-US" style="margin: 0px; line-height: 200%; font-family: 'Times New Roman',serif; font-size: 12pt;"> %&nbsp; of the case are &nbsp;brain injury</span></span><span style="margin: 0px;"><span lang="EN" style="margin: 0px; line-height: 200%; font-family: 'Times New Roman',serif; font-size: 12pt;">. </span></span><span style="margin: 0px;"><span lang="EN-US" style="margin: 0px; line-height: 200%; font-family: 'Times New Roman',serif; font-size: 12pt;">&nbsp;Clinically, 39,02% of the patients were tetraplegic and the standard radiograph represented the requested radiological tool in 82.92%. The mortality rate was 21,95%. The cervical spine trauma remains pathology difficult to manage because of the respiratory risk which requires a managing in reanimation and the prognostic vital is reserved for complete quadriplegics. </span></span></p> 2019-08-25T18:36:53+00:00 Copyright (c) 2019 EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063) https://ephjournal.com/index.php/mhs/article/view/1516 Descending necrotizing mediastinitis complicating cervico-facial cellulitis of dental gateway. 2019-08-25T18:38:12+00:00 Khaoula KARIM khaoulakarim@gmail.com Leila ESSAKALLI HOSSYNI no-reply@gmail.com <p>Mediastinitis during cervical cellulitis results from the extension of the cervical infectious process to the mediastinum. This cervico-mediastinal dissemination is favored by the anatomical continuity that exists between these two regions.</p> <p>The Anglo-Saxon nomenclature attributed the name of descending mediastinitis exclusively to this type of mediastinitis. The dental origin of cellulite is identified by most studies as a factor promoting the extension to the mediastinum especially when the second or third molars are infected.</p> <p>The initial clinical picture is sometimes poor and can lead to a diagnosis delay. The key examination is cervical CT scan and thoracic CTscan &nbsp;injected. The treatment consists of large and repeated tissue excisions combined with antibiotic therapy directed against the anaerobic and aerobic germs. We report the case a young, immunocompetent patient with cervical cellulitis of dental origin complicated by anterior and posterior mediastinitis.</p> 2019-08-25T18:37:56+00:00 Copyright (c) 2019 EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063)