EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063) 2019-10-10T07:08:59+00:00 Naveen Malik 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> Elliptocytosis at University hospital Souro Sanou (CHUSS) 2019-10-01T12:45:37+00:00 Sawadogo S Kouldiaty J. Traoré/Zoungrana C. Kissou A.S. Kafando E. Diop S. <p>This study is about&nbsp;elliptocytosis&nbsp;(anomaly of the Red Blood Cells membrane)&nbsp;in a family of the county&nbsp;of “<em>Hauts Basins”.</em> On the members’ blood smears, elliptocytes, at variable percentage according to the persons, have been found. The same images have been found&nbsp;among the descendants who have been examined. All (the propositus)&nbsp;have hemolysis offset and&nbsp;women&nbsp;had a visual defect.&nbsp;</p> <p>Materials and Methods</p> <p>&nbsp;The following examinations were made: CBC, smears on fresh blood, smears&nbsp;after&nbsp;24 hours in&nbsp;a blood autoclave,&nbsp;results of hemolysis for some,&nbsp;ektacytometry, visual acuity, visual field.&nbsp;Some factors of significance were sought:&nbsp;Research of the&nbsp;anomalies&nbsp;of the Hemoglobin by&nbsp;capillary electrophoresis&nbsp;and&nbsp;high performance liquid chromatography,&nbsp;martial balance, balance sheet vitamin.</p> <p>Results: while some have presented a simple elliptocytosis, the other&nbsp;had a pyropoikilocytosis. The women presented&nbsp;for some a decrease in visual acuity and for other an amputation of the&nbsp;visual field in temporal.</p> <p>The relationship between the disease hematological and visual disorders could not be performed because the molecular biology has not been able to be carried out.</p> <p>&nbsp;</p> 2019-10-01T12:34:25+00:00 Copyright (c) 2019 EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063) SECOND AUDIT OF THE IMPROVED REHABILITATION AFTER CAESAREAN SECTION AT THE MOTHER-CHILD COMPLEX AT THE MILITARY HOSPITAL OF ANTSIRANANA. 2019-10-01T12:45:37+00:00 RAELISON JG, RABARIKOTO HF RAHANITRINIAINA NMP VELOMORA A RAVOAVY SA RAMAROLAHY RA RAJAONERA AT <p><strong>Introduction:</strong> The first audit shows the difficulty of implementing early feeding, oral analgesia, removal of the urinary catheter as well as stopping the infusion, with a median duration of 3.5 days. Our objectives are to evaluate adherence to the protocol after the audit and to determine the impact on the stay hard.</p> <p><strong>METHOD</strong>: This is a prospective observational audit study, from February to July 15, 2019, at the Mother-Child Complex of the Antsiranana Military Hospital. Parturients operated for caesarean section under spinal anesthesia, ASA 1 or 2 are included in this study.</p> <p><strong>Results:</strong> Seventy-four patients were retained. Intraoperatively, optimization of vascular filling was performed in 60 patients (81%). All patients received prevention of postoperative nausea / vomiting and intrathecal morphine. In the post-intervention ward, oral analgesia is started within one hour after surgery in all patients (100%). The peripheral venous route is obstructed in 71 cases (96%). The urinary catheter was removed from 71 patients (96%). Seventy-two cases (97%) resumed drinking in unlimited quantities and a light diet at the fourth hour. Two cases (3%) had postoperative nausea and urinary retention requiring an evacuating catheter. The median length of stay of the mother / newborn couple in hospital was 3 (2-3) days.</p> <p><strong>Conclusion:</strong> there is an increase in the adhesion of the protocol. It decreases the length of stay of hospitalization.</p> 2019-10-01T12:39:48+00:00 Copyright (c) 2019 EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063) Diagnostic and therapeutic difficulties in the neurosurgical management of Pott’s disease in Madagascar 2019-10-01T12:45:38+00:00 Tsiaremby MG Bemora JS Rakotozanany PS Ratovondrainy W Rabarijaona M Andriamamonjy C <p><strong>Introduction:</strong> Pott’s disease or spinal tuberculosis is feared by its neurological damages. The study aimed to indicate and solve the diagnostic and therapeutic problems met in its neurosurgical management.</p> <p><strong>Methods:</strong> It was a retrospective study conducted during 3 and half years (2015-2018) about 36 patients from three neurosurgical centers in Madagascar: CHUJRA, CENHOSOA and CHU FIANARANTSOA.</p> <p><strong>Results:</strong> Pott’s disease had an incidence of 10 cases/year. The mean age was 37 years and the sex ratio was 0.9. Most of the patients came from rural regions (65%). The average of consultation delay was about 16 months. Neurological deficits were observed at 69.4 % and complete paraplegic at 47.2 % at the beginning of hospitalization. The delay of consultation upper to 6 months was significantly correlated &nbsp;in the paraplegia (p-value = 0,002). Spinal injuries had shown by MRI only in 19.4 % and by a spinal CT in 69.4 %. Over 83.3 % of patients needed a neurosurgical intervention while only 52.8 % were able to be operated. Anterior approach offered best results with 83.3 % of neurological recuperation in 3 months.</p> <p><strong>Conclusion:</strong> The insidious installation of the disease, the diagnostic delay, the pecuniary insufficiency, the expensive cost of MRI and surgical implants are the main difficulties met in neurosurgical management of Pott’s disease. Anterior approach is the surgical technique the most adapted to the advanced Pott’s disease.</p> 2019-10-01T12:40:42+00:00 Copyright (c) 2019 EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063) INTRA-CRANIAL HEMATOMAS SECONDARY OF HEAD INJURIES SEEN AT CHU PZAGA OF MAHAJANGA 2019-10-10T07:08:59+00:00 Ramarokoto M Rakotodranibe WF Bemora J S Ratovondrainy W Rabarijaona M Andriamamonjy C <p style="text-align: justify;">Head trauma regroups every post-traumatic lesions surgical or not concerning the skull, its envelopes and its contents especially. The aim of the study was to determine the epidemiological, clinical and treatment profile of intra-cranial post traumatic hematoma at neurosurgical unit of&nbsp; PZaGa University Teaching Hospital.</p> <p>It is a retrospective, descriptive study about head injury with intra-cranial hematoma admitted and managed at the neurosurgical unit from December 2017 to July 2018.</p> <p>We had 244 cases of head trauma among 325 hospitalized patients with 34 cases of intra-cranial hematoma (13,93%). Patients with head trauma were young adults, with male predominance, living in Mahajanga town. The main risk factor found was alcoholic intoxication (52,94%). It was about benign head trauma (79,41%), among main signs found&nbsp; was agitation. Brain CT Scan was used in 82,35% of cases.&nbsp; Surgical indication was almost confirmed by CT Scan but for the 17,65% of cases, diagnosis was confirmed per-operatively. Main lesions observed were&nbsp; EDH (42,86%) and chronic SDH (21,43%). Their management was early. Medical treatment was sufficient in 20,59% of patients and 79,41% had surgical intervention. Evolution was favorable but we had 2,94% deaths.</p> <p>Information, communication and education of a very socio professional stratus should be done.</p> 2019-10-08T17:36:34+00:00 Copyright (c) 2019 EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063)