Clinical Medicine Research

ISSN Online: 2326-9057 ISSN Print: 2326-9049

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Volume 3, Issue 1, January 2014

  • Authors: Soheila Rabiyeepoor, Shahsanam Gheibi, Saeideh Jafari

    Abstract: Background: Neonatal jaundice (NNJ) is one of the most common disorders worldwide. In time and proper management to reduce serious neurological complications depends on mothers’ knowledge and beliefs about NNJ. Objective: To determine knowledge and attitude on neonatal jaundice of postnatal mothers in Motahari Hospital, Urmia, Iran. Methods: In this descriptive-analytical study, 200 mothers who delivered in Motahari Hospital, Urmia, Iran, were interviewed in the first 3 days of delivery, using a structured questionnaire. Results: The mean knowledge score was 6.65 (SD=3.5) out of 15 and the mean attitude score was 25.9 (SD=4.48) out of 35. The knowledge of mothers on causes, treatment and complications of neonatal jaundice was not adequate. Knowledge and attitude scores were correlated with the past experiences of neonatal jaundice and educational levels. Conclusion: There are still misconceptions on the risk factors, treatments and complications of neonatal jaundice among mothers. Special educational programs are needed to increase the awareness of mothers.

    Received: Nov. 16, 2013 Accepted: Published: Dec. 30, 2013

    DOI: 10.11648/j.cmr.20140301.11 View: Downloads:

  • Author: Michael D. Innis

    Abstract: “Tissue Scurvy” is an autoimmune disorder in which there is an abundance of Vitamin C in the body(unlike the Seafarer Scurvy of yesteryear) but it is inhibited from entering the tissue cells to perform its functions of maintaining the integrity of the blood vessels and skeletal tissue and partaking in several enzymatic reactions because of the lack of insulin which is essential for the transfer of Vitamin C into the cell. The result is the development of fractures, hemorrhages and other lesions of Scurvy. Here it is shown a child alleged to have been murdered by being shaken to death was found to have hyperglycemia, implying insulin deficiency and concomitant Tissue Scurvy. It is concluded that the diagnosis Shaken Baby Syndrome, and all examples of unexplained fractures, bruises, retinal and subdural hemorrhages with encephalopathy – the so-called “TRIAD” - are in fact an autoimmune disorder following antigenic stimulation in a genetically susceptible child. Vaccines administered within 4 weeks of the onset of symptoms are the most common cause. The Shaken Baby Syndrome is a fabricated diagnosis and has no place in medical jurisprudence.

    Received: Jan. 6, 2014 Accepted: Published: Jan. 30, 2014

    DOI: 10.11648/j.cmr.20140301.12 View: Downloads:

  • Authors: Erdogan Aglamis, Cemal Tasdemir, Mehmet Ozgur Yucel, Mehmet Sezai Ogras, Ercan Erdogan

    Abstract: Priapism is a prolonged penile erection without sexual stimulation. Two forms of priapism are recognized: veno-occlusive or low-flow priapism and arterial or high-flow priapism. High-flow (arterial) priapism is usually the result of straddle injury. Treatment of high-flow priapism may be elective Low-flow priapism is usually related to sickle cell disease, haemoglobinopathies, neoplastic syndrome, psychotropic medication, anticoagulant therapy, or idiopathic causes. Low-flow priapism is a case of urologic emergency and priapism must be treated as emergency. A 52-year-old man was admitted to the neurology intensive care unit with the diagnosis of stroke. Glyceryl trinitrate was applied to the patient for the treatment of hypertension. In our case, Low-flow priapisms were completely due to glyceryl trinitrate therapy applied at the insensive care. We report a case of prolonged low-flow priapism induced by Glyceryl trinitrate. In literature, this is the first report of glyceryl trinitrate-associated priapism.

    Received: Jan. 6, 2014 Accepted: Published: Jan. 30, 2014

    DOI: 10.11648/j.cmr.20140301.13 View: Downloads:

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