International Invention Journal of Medicine and Medical Sciences

Number Vol. 3(2), 2016

21-31
Prevalence of Dysmenorrhea and Menstrual Bleeding in Relation to Packed Cell Volume among Female Students of Bingham University

Authors: Olutunde Ademola Adegbite1, Blessing Omolaso2, *Samuel Adinoyi Seriki2, Nsikan Akpabio2

Abstract

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Menstruation is the regular discharge of blood and mucosal tissue through the vagina. It is a natural phenomenon that indicates a woman’s sexual health. Its disorders affect 40-95% of menstruating women. This study aims at determining the prevalence of dysmenorrhea among female students of Bingham University, Nigeria, and to compare premenstrual and postmenstrual hematocrit in adult females. A cross-sectional study was used to determine the prevalence of dysmenorrhea among the students, while for the comparison of haematocrit, a random selection of normal healthy women was made. A total of 282 women consented to participate in the research. 35 participants were included in the second part of the study. A detailed multiple choice questionnaire was used to elicit the various responses. The Packed Cell Volume (PCV) of dysmenorrhic and eumenorrhic premenopausal females was collected from each participant 48 hours prior to menstruation and three days following the end of menstruation. The results indicate that dysmenorrhea is common among the students, and the prevalence is 78%. The study also observed that the mean value of haematocrit measured during the premenstrual period was significantly higher than that observed in the postmenstrual period for dysmenorrhic participants (p< 0.05). Similarly, the mean difference in haematocrit was higher in the eumenorrhic participants compared to the dysmenorrhic ones (p< 0.05). Dysmenorrhea is a common problem among female population of Bingham University and it adversely affects their performance. Both eumenorrhic and dysmenorrhic women experience cyclic variation in haematocrit and the effect of estrogen rather than menstrual blood loss is the most likely cause.

32-39
Assessing the Awareness Regarding Disaster Management Plan among an Interprofessional Team in a University Hospital

Authors: Ibrahim Hegazy1, Monira Taha2, Ahmed Abou Zeid2, Ezzat El-Taher3, Nahla Hassan4*

Abstract

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Number of views: 608

Disaster can be defined as a sudden extraordinary event that brings great damage, loss, destruction and injury to people and their environment. Interprofessional collaboration can have a positive impact on the quality of patient care. All employees need to be oriented with the disaster management plan of their organization. The aim of the study is to assess the awareness of the health team members about disaster management plan in the Suez Canal University Hospital. The study conducted at Suez Canal University Hospital using a cross-sectional design. It included medical staff and non-medical staff members (doctors, nurses, laboratory, radiology technicians, security officers, registration officers, and housekeepers n=400). The data collection tool is a questionnaire that included 22 questions categorized into seven sections. According to the study, the awareness of various categories of the study candidates about the emergency response plan of the hospital was generally low. There was a low awareness of the meaning of disaster among all categories. There is a high awareness among doctors, nurses, laboratory, radiology technicians regarding infection control section, while the awareness was low among security officers, registration officers, and housekeepers. There is a lack of awareness of hospital staff members regarding emergency response plan and the meaning of disaster at the Suez Canal University Hospital. The study recommends that hospital administrations should give more attention to the problem of disasters, disaster plan. More emphasis should be paid for training programs regarding disaster management for all responsible team in the hospital.

40-43
Bilateral Radical Neck Dissection with Unilateral Internal Jugular Vein Reconstruction by Autologous Saphenous Vein

Authors: Seyed Reza Mousavi MD, PhD

Abstract

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To evaluate the functional and patency results of one internal jugular vein replacement after bilateral radical neck dissection among head and neck cancer patients. We reviewed data from 32 patients undergoing bilateral RND with resection of both internal jugular veins since 1994 to 2010. They also had a reconstruction of one internal jugular vein (IJVs). In every case a vascular reconstruction was performed with an autologous saphenous vein graft (ASVG). 27 patients needed radiation therapy. All patients received anticoagulant therapy. Functional results were evaluated in terms of postoperative head and neck and neurological complications. In some patients a Doppler scan was performed to assess vein patency. Patients did not report neurological complaints after the postoperative period. Facial edema was noted in three patients. Two patients were alive and could be followed up upto 8 years. Five patients were dead, without any evidence of recurrence. In patients with long-term survival a Doppler scan confirmed the patency of the vein graft. Very few postoperative complications were reported and absence of neurological complaints made a unilateral internal jugular vein replacement after bilateral RND attractive. It could be suggested to use this complete excision in head and neck cancer.