Mediterranean Journal of Medical Sciences

1-8

Authors: Syed Atiqur Rahman, Md Rahman, Shahidul Islam

Background: The adequacy of mini-plate fixation for the repair of angle fractures is a continuing subject of debate. Despite advances, treatment of mandibular fractures has continued to be associated with multiple complications. Objectives: The current prospective study aimed to compare the complications between two surgical intervention groups. Methods: The study group receiving one mini-plate for rigid fixation of simple angle fractures of mandible were 21 in numbers and 25 patients received two mini-plates. Results: Overall complication rate was 19.04% in case of single plate group whereas 16% cases in double mini-plate. But infection rate in single mini-plate intervention group was little less than double plate intervention group. Malocclusion was not reported in double plate intervention group where as approximately in 5 % cases of single plate intervention group reported malocclusion in this study. Statistical analysis and p-value showed no significant difference between two surgical intervention groups. Interpretation & Conclusion: For better compliance of the patients having fracture at the angle of mandible, either one or two mini-plate can be applied. Key words: mandibular fracture, miniplates, antibiotic therapy

13-18

Authors: Selam Shkurti

Background: & Objectives: Urinary tract infection is one of the most commonly occurring infections among the patients with diabetes mellitus. Methods This investigation was based to evaluate the incidence of UTI in patients with DM. Between January, 2013 to November, 1000 diabetic urine samples were collected. All urine samples were processed in the lab following standard laboratory protocol. Results: A total of 25 UTI organisms were isolated from 361 urine samples collected from the diabetic patients attending the Department of Emergency, University Hospital Center "Mother Theresa” (QSUT) from. The incidence of UTI was recorded to 36.1%. Escherichia coli (54%) was found to be the major cause of UTI. About 5 different types of organisms isolated from the UTI samples were randomly chosen to test against the UTI antibiotics. Interpretation & Conclusion: The antibiotic susceptibility pattern revealed that ciprofloxacin and nitrofurantoin were most effective to e.coli 79.6%, and 89.4%. These data may be used to determine trends in antimicrobial susceptibilities, to formulate local antibiotic policies and to assist clinicians in the choice of antibiotic therapy to prevent misuse, or overuse of antibiotics. Key Words: Diabetes mellitus (DM), Urinary Tract Infection (UTI), Bacteria, antimicrobial resistance

23-36

Authors: Najam Afaq Qureshi, Ghulam Muhammad Kundi, Qamar Afaq Qureshi, Robina Akhtar, Liaquat Hussain

Background & Objectives:The use of eHealth technologies, including mobile health, is spreading rapidly in the developing countries. According to World Health Organization (WHO), the use of mobile phones and computers is growing in these countries. Methods: Majority of the programs that WHO looked at in developing countries are identified as "technology enabled," meaning they used "information and communications technology" (ICT) to improve healthcare. The leading technologies in this context are phones, computers, and texting. The later fell into third place because so many people in these countries are illiterate. Interpretation & Conclusion: E-health systems are extending geographic access, data management, facilitating communications between patients and providers, and improving treatment and diagnosis. Among the leading types of tele-health in developing countries are "video chat" programs and phone "hotlines" that provide remote access to physicians. This research paper highlights the different aspects of eHealth systems with regard to adoption and use in developing countries. Keywords: ICTs, Adoption, Use and Developing States.