ORIGINAL RESEARCH ARTICLE | June 25, 2017
Auricular Keloids: When Should We Start Corticosteroid Therapy?
Ozinko M. O., Otei O. O., Ekpo R. G., Eighekhin I. E.
Page no 85-87
Auricular keloids are common skin disease among the Negro race which complicates ear piercing, trauma and post burns injury. Injection corticosteroid (triamcinolone) is a simple modality of treatment that is being used we aim at finding out the more appropriate time to start triamcinolone injection after surgery of fresh or recurrent keloids. We prospectively recruited 43 patients with 59 keloids who had new and recurrent keloids from Jan, 2014 to Dec. 2015. The patients had one to three keloids per each auricle or bilaterally. The patients were randomized into two groups, viz: group 1 were 21 patients who were injected intra-operatively while group 2 were 22 patients who were first injected on the seventh day post-surgery. We administered 10-40mg of triamcinolone into the wounds every 3weeks with a total of 3-4 doses. The follow-up period was between 6months and 2 years. Recurrence was seen in 1 (4.8%) in the intra-operative triamcinolone injected patients while the postoperatively healed wounds before commencement of injection showed 5(22.8%) recurrence rate. Cosmetic acceptance was equally better in the intra-operative commencement than in the post-operative ones. The administration of cortico-steroids therapy for the prevention of keloids in post-surgical patients should be commenced at surgery because of its reduced recurrent rate, good cosmetic appearance as well as no exposure to radiotherapy.
ORIGINAL RESEARCH ARTICLE | June 25, 2017
Marjolin’s Ulcer: A Complication of Chronic Ulcers and Scars in A University Teaching Hospital in Southern Nigeria
Ozinko M. O., Otei O. O., Ekpo R. G., Isiwele E.
Page no 88-92
Marjolin’s ulcer (MU) represents malignant degeneration or transformation that typically occurs over a period of time in chronic ulcers, post-burned lesions and scars. It is a rare occurrence but a serious complication of chronic ulcers and scars. The aim of this study was to evaluate the epidemiology, clinico-pathological pattern, treatment outcome of patients with Marjolin’s ulcer in a Teaching Hospital in Southern Nigeria. We evaluated patients who presented with ulcers resulting from chronic wounds, post- burned lesions and scars who had histologically proven skin cancers between January, 2013 and 2015 .All chronic ulcers lasting more than 6 months with clinical evidence of malignancy were biopsied for histology. The patients ’case notes and cancer register were also assessed. Patients with negative biopsy results for malignancy were excluded in the study. A total of 13 patients were diagnosed Marjolin’s ulcer within 3 years of the study period. 10 patients were males while three were females with age range of 24 to 72years, the mean was 38years, and peak age was 36- 42 years. Squamous cell carcinoma was the leading cause constituting 9(69.2%), baso-squamous carcinoma 3(23.1%) followed by basal cell carcinoma 1(7.7%). Aetiologically, trauma is the leading cause making up of 10 (76.9%) and followed up by post-burned injuries 3 (23.1%). The commonest site of lesions were the lower limbs 9(69.2%), the upper limb 2(15.4%), the head/neck 1(7.7%) and the trunk 1(7.7%). The tumour types were exophytic 5(38.5%) while the infiltrative type was 8(61.5%). The tumour size less than 5cm were 4(30.8%) while size greater than 5cm 9(69.2%). The most common reason for late presentation was poverty and treatment by traditional healers. Surgical resection with skin graft or flap was the main modality of treatment followed by radiotherapy and chemotherapy. Two patients had amputation of the limbs because of bony involvement. In conclusion, Marjolin’s ulcer is a malignant degeneration of chronic ulcers and scars. Late presentation is a common feature. Delayed presentation was mainly due to economic problems and treatment by traditional healers. Therefore, health education and early closure of wounds would help to prevent the development of marjolin’s ulcers among our patients.
CASE REPORT | June 27, 2017
Congenital Constriction Band Syndrome: A Case Report and Literature Review
Ozinko MO, Otei OO, Ekpo RG, Ebri OI
Page no 93-97
Congenital constriction band syndrome is a congenital disorder caused by entrapment of parts in fibrous band while in utero. A review of the operating register revealed only two cases in three years. We are presenting a case report of a patient and a literature review pointing out the rarity, aetiology, mechanisms, diagnosis and different treatment options. The condition has good prognosis.
ORIGINAL RESEARCH ARTICLE | July 15, 2017
HIV/AIDS Related Knowledge, Attitudes and Risk Perception among the Physiotherapist in Chennai and Suburban
Bina Gurung, P. Kamalanathan
Page no 98-107
The aims of the present investigation were to evaluate (1) HIV/AIDS related knowledge, attitudes and risk perception among the physiotherapist in Chennai, Tamilnadu, India (2) to identify predictors of willingness to provide care for patients with HIV infection. A cross sectional survey was done among 300 physiotherapists working in different hospitals, physiotherapy clinics and institutions offering physiotherapy services in Chennai, Tamilnadu, India. The internal constancy for HIV/AIDS related knowledge was found to be 0.717. The attitudes and risk perception among the participated physiotherapists was found to be 0.723. The results indicated that HIV/AIDS related knowledge, attitudes and risk perception among the physiotherapist in Chennai Tamilnadu, India was acceptable. From the present investigation it was also found that there was significant association between physiotherapist’s attitude towards HIV/AIDS and their willingness to treat HIV/AIDS patients.
ORIGINAL RESEARCH ARTICLE | July 18, 2017
Telephone Recognition System of Chinese Herbal Medicine
Chen Yuan, Chuanmeng Wang, Minmin Tang, Kun Han, Yuan Liu, Baobao Chai, Wenwen Zhang, Yuan Li, Ju Huang, Fenghua Zuo, Lanhua Zhang
Page no 108-111
In order to recognize Chinese herbal medicine quickly and conveniently, we development telephone recognition platform by Java language. Object to the focus on health and Chinese herbal medicine, we put forward the system idea based on Android telephone to meet the requirement of herbal medicine recognition and help people recognize Chinese herbal medicine in travelling or outsides. The telephone application software developed by Java platform of micro edition can recognize Chinese herbal medicine by similar key word retrieving in the condition of plant characters and environment conditions
CASE REOPRT | July 22, 2017
An undetected Cornelia De Lange Syndrome: A rare cause of erosive oesophagitis in an adult
Dinushi Dilanka Dikowita, Perinpanathan Niranjini, A.N.R Fernandopulle, Thirunavukarasu Kumanan
Page no 112-113
Cornelia De Lange Syndrome is a rare syndrome with multiple congenital abnormalities, characteristic facial appearance, prenatal and postnatal growth delay, behavioral changes and numerous gastrointestinal manifestations, out of which gastroesophagial reflux disease (GERD) contributes to high degree of disease burden. The syndrome rarely persists into adulthood. Though isolated diagnosis of GERD in a young adult in a general medical ward is a common encounter, arriving at a syndromic diagnosis considering the detailed history, clinical features and endoscopic evidence of severe reflux oesophagitis, in a 26 year old male who presented with recurrent bouts of haemetemesis, highlights the importance of pattern recognition; an important tool in clinical diagnosis even in modern day practice