Chronic maxillary osteomyelitis secondary to chronic maxillary sinusitis in non-immunocompromised patient – a rare case report and its management

Osteomyelitis is an inflammation of medullary portion of bone along with cortex and periosteum. It is one of most difficult infectious diseases to treat. Facial bones are prone to osteomyelitis due to various predisposing condition. Osteomyelitis of maxilla is rare disease and less frequently encountered. Objective: The aim of the article is to present an unusual case of chronic maxillary osteomyelitis secondary to rhinogenic which are rarely clinically causes. Case report: We hereby report a case of chronic maxillary osteomyelitis in 70-year-old non-immunocompromised patient secondary to chronic maxillary sinusitis. Complete resolution of chronic maxillary osteomyelitis was achieved by combination of antimicrobial therapy and surgical treatment. Conclusion: Clinician should identify such risk and provide the aggressive treatment modalities to avoid subsequent dreaded consequences.Osteomyelitis is an inflammation of medullary portion of bone along with cortex and periosteum. It is one of most difficult infectious diseases to treat. Facial bones are prone to osteomyelitis due to various predisposing condition. Osteomyelitis of maxilla is rare disease and less frequently encountered. Objective: The aim of the article is to present an unusual case of chronic maxillary osteomyelitis secondary to rhinogenic which are rarely clinically causes. Case report: We hereby report a case of chronic maxillary osteomyelitis in 70-year-old non-immunocompromised patient secondary to chronic maxillary sinusitis. Complete resolution of chronic maxillary osteomyelitis was achieved by combination of antimicrobial therapy and surgical treatment. Conclusion: Clinician should identify such risk and provide the aggressive treatment modalities to avoid subsequent dreaded consequences

Mapping the Research Productivity of Three Medical Sciences Journals Published in Saudi Arabia: A Comparative Bibliometric Study

Introduction: The purpose of this study was to compare the progress of research outcomes specifically of three old and new established Saudi medical research journals: Saudi Journal of Medicine and Medical Sciences (SJMMS), Journal of Saudi Heart Association (JSHA), and Journal of Infection and Public Health (JIPH) for the period of 2013 to 2017. Materials and Methods: Scientific papers under the titles of original and review articles, short communications, case and short reports were downloaded from the websites of these journals. The data was analyzed according to three parameters: the growth of publication, the types of publication, and the authorship pattern. Results: The findings of the study revealed that 827 articles were contributed by 3808 authors with an average of 4.6 authors per article, and 12.9% articles were published in 64 issues of SJMMS (n=600, 15.7%) , JSHA (n=951, 24.9%), and JIPH (n=2257, 59.2%) during 2013–2017. The majority of articles (n=746, 90.2%) included more than one author, leaving only 81 articles (9.7%) were prepared by single (or solo) authors. The authors have been collaborated with national and international authors for their scholarly work. Conclusions: The comparison of bibliometric indicators of the three medical journals showed the rising tendency of research publications and the high rate of collaborative research output. These journals contributed a massive number of research papers during the period of five years. Collaboration among researchers facilitates sharing knowledge and techniques and brings a mixture of positive scientific thoughts. The unified bylaws for faculty in Saudi universities should give more weight to multi-authored papers

Integrated computational intelligent paradigm for nonlinear electric circuit models using neural networks, genetic algorithms and sequential quadratic programming

© 2019, Springer-Verlag London Ltd., part of Springer Nature. In this paper, a novel application of biologically inspired computing paradigm is presented for solving initial value problem (IVP) of electric circuits based on nonlinear RL model by exploiting the competency of accurate modeling with feed forward artificial neural network (FF-ANN), global search efficacy of genetic algorithms (GA) and rapid local search with sequential quadratic programming (SQP). The fitness function for IVP of associated nonlinear RL circuit is developed by exploiting the approximation theory in mean squared error sense using an approximate FF-ANN model. Training of the networks is conducted by integrated computational heuristic based on GA-aided with SQP, i.e., GA-SQP. The designed methodology is evaluated to variants of nonlinear RL systems based on both AC and DC excitations for number of scenarios with different voltages, resistances and inductance parameters. The comparative studies of the proposed results with Adam’s numerical solutions in terms of various performance measures verify the accuracy of the scheme. Results of statistics based on Monte-Carlo simulations validate the accuracy, convergence, stability and robustness of the designed scheme for solving problem in nonlinear circuit theory

Knowledge, attitudes and practices study of dengue viral infection and its association with environmental factors and health issues, Lahore Pakistan

This study was designed to assess and compare the awareness, approach, and practices of dengue positive and dengue negative patients regarding dengue fever in a tertiary care hospital of Lahore district, Pakistan from April to May 2012. A total of 250 samples (125 dengue positive and 125 dengue negative) were collected and tested for Dengue IgM and IgG antibodies test by ELISA technique. Pretested questionnaire was used for data collection after the informed consent of the patients. Out of 250 study participants, 78% stated fever as major symptom of dengue virus, 70% had knowledge about the vector, 76% had idea about mosquitoes breeding sites and 80% considered dengue a treatable disease. For 50%, the main source of information about dengue was their TV/Radio. Regarding preventive practices, out of 80% who stored water at home, 52% used to cover their water containers, 64% used to wear protective clothing and 22% used mosquito repellents. Overall, 32% were satisfied from Governmental efforts against the spread of dengue fever. The study indicated that the community was quite familiar with Dengue, but there were some confusion about vaccination and water storage for domestic use.Key words: Dengue fever, knowledge, attitudes, environment, IgM, IgG

Prevalence of psychiatric illnesses after major limb amputation and early recognition and treatment in economically lower income group patients

Background: There is high prevalence of psychiatric illness after major limb amputation and need for early recognition and treatment should be the goal but often is overlooked. Psychological support by the treating physician and the surgeon can help in adaptation to the disability but unfortunately is often overlooked.Methods: A total of 120 patients were screened for psychiatric disorder using HADS criteria Anxiety was found to be in 38 (32%) patients and depression was found to be in 27 (23%) (Table 1) (Figure 1) 55 patients had no psychiatric illness. Psychiatric illness either depression or anxiety was found to be in 65 patients.Results: In our state which is a zone of conflict between two countries prevalence of anxiety was 32% and depressive symptoms were 23%, respectively. Causative factors associated with high prevalence of psychological symptoms included unmarried young females, lower socioeconomic status, single earning member, lack of social support, unemployment, traumatic amputation. These findings were confirmed by a significant reduction of anxiety and depression scores in patients who received social support, patients with amputation due to disease, and patients with above the knee amputation.Conclusions: Our study showed higher prevalence of psychological symptoms in association with lower socioeconomic status, single earning member, lack of social support, unemployment, traumatic amputation vs amputation secondary to chronic disease. Extensive rehabilitation with the use of an interdisciplinary team approach is one of the most successful ways to return the amputee to the work place. Surgeons should give proper attention to the psychological state of amputees. Because of high prevalence of psychiatric illness after major limb amputation. It is suggested that psychiatric evaluation and adequate rehabilitation should form a part of treatment

Landslide Investigation at Phata Village on Rudraprayag-Kedarnath Road, Uttaranchal — A Case Study

Phata village on the Guptakashi-Gaurikund road in the Mandakini valley of Garhwal Himalaya was affected by a major landslide on 16th July 2001 due to heavy rainfall. The debris flow not only swept away several houses but it also claimed 15 lives. A detailed landslide investigation was carried out to assess the present stability condition. Geotechnical investigation was carried out to determine the soil properties. Seismic refraction survey to determine the overburden thickness was also carried out using Engineering Seismograph. Slope stability analysis was carried out to ascertain the existing stability of the slope. It was found that with rise in pore pressure the slope is marginally stable. The seismic stability analysis showed that seismicity of the order of 0.15g may trigger slips on the slope. The human settlement on the downhill slope may get effected in the eventuality of slide due to seismicity or rain. The paper presents the results of the geological and geotechnical studies which helped to assess the present stability condition

Complication rates in managing hepatic trauma: a cross-sectional study stratifying their outcomes

Background: Liver trauma is the most commonly observed injured organ in abdominal trauma. The objectives of this study was to determine and evaluate the rates of complication in the management of liver traumaMethods: This cross-sectional observational study using non-probability convenient sampling technique was done at surgical unit of Liaquat University of Medical and Health Sciences, Jamshoro, for 06 months. After ethical approval from Institute’s Institutional Review Board (IRB), patients presenting to surgical emergency of the hospital between ages 16 to 60 years having blunt or penetrating liver trauma within 04 hours of incident, either road traffic accident, sustaining a fall, sporting injury, knife or stab wound were include while patients of liver trauma conservatively managed or had severe co-morbid, not fit for anesthesia, with multiple organs lesions (polytrauma) and all hepatic injury patients that were hemo-dynamically stable were excluded. SPSS version 23 was used for data analysis keeping p-value <0.05 as significant.Results: Among 136 patients with mean age 32.33±11.23 years, 120(88.2%) were males. 122(89.7%) of the patients were admitted due to liver trauma of blunt variety while 14(10%) with penetrating liver injury. Overall mean duration of hospital stay was 13.1±4.58 days. 41(30%) patients reported intra-abdominal sepsis, followed by recurrent hemorrhage in 33(24%) of patients while in 22(16%) of patients, biliary leakage was observed. An insignificant difference persisted in either surgical intervention in terms of the complication rates.Conclusions: Higher complication rates were observed in patients with peri-hepatic packing, however outcome of both surgical techniques in terms of complication rates were found to be insignificant. Further studies are needed to shed light upon the findings or this study

General geology and groundwater quality analysis of domestic wells around Kampung Panglima Bayu, Tanah Merah District, Kelantan, Malaysia

The current research project focuses on geological mapping and groundwater quality analysis of domestic wells in and around Kampung Panglima Bayu, in Tanah Merah district, Kelantan. The objective of this research is to produce an updated geological map of the study area at a scale of 1:25000 and to conduct groundwater quality analysis in the research region. Groundwater samples were obtained from 12 domestic wells for the analysis of physicochemical parameters. Temperature, pH, electrical conductivity, turbidity, and total dissolved solids were measured using a multiparameter and turbidity meter on site. Atomic Absorption Spectroscopy (AAS) was used to analyse major trace elements such as potassium, sodium, calcium, magnesium, iron, and manganese, while the titration method was used to analyse bicarbonate and chloride. While spectrophotometer methods were used to analyse fluoride, sulphate, and nitrate. Based on the data analysis of the geology of Kampung Panglima Bayu, three rock units can be found: granite is the most common kind of rock detected in the research region, followed by schist and alluvium. Furthermore, the geomorphology of the study area revealed elevation differences consisting of low land to high hills. The petrographic analysis revealed principle minerals like quartz, alkali feldspar, plagioclase and biotite with the granitic rocks identified as ‘biotite granite porphyry’ due to the high amount of biotite mineral present in the thin section. In addition, the results of our analysis for groundwater quality were compared to World Health Organization (WHO) and Ministry of Health Malaysia (MoHM) standards values. It was observed that 7 of the 12 wells were contaminated because the pH values were below the normal level. Turbidity was high in wells 4, 5, and 11, and sodium ion levels surpassed the standard allowable limit in well 11