June 2022

In order to determine the epidemiological profile of neonatal infection in Kindu, this retrospective study was conducted on 116 cases of neonatal infection recruited in neonatology from the general reference hospital of Kindu. The clinical picture was marked by the frequency of severe forms. The bacteriological assessment allowed the confirmation of neonatal infection in 92 cases and showed the predominance of gram-negative bacilli, streptococcus B and the absence of listeria monocytogenes.Neonatal infection remains a worrying pathology in terms of its frequency and severity. Its frequency is estimated at 10 to 15% of live births.The incidence of maternal-fetal infection is around 0.6% to 1% at birth. Its severity is linked to the immuno-incompetence of the newborn and to the risk of mortality which is around 10 to 30% depending on the series.Its diagnosis is of variable difficulty highlighting the importance of the paraclinical assessment, in particular the bacteriological samples. Treatment is based on antibiotic therapy adapted to the sensitivity of the responsible germs, based on 3rd generation cephalosporin, amino penicellin and aminoglycoside associated with symptomatic treatment.

With the popularization of the Internet, the new thing of "campus online loan" has quietly emerged. Due to the special consumption psychology of college students, this consumption method has become popular among college students. In order to understand the situation of college students' online loan on campus, we conducted an in-depth investigation with the students of Hainan Medical University.The survey results showed that most students have some understanding of campus online loans and can treat campus online loans rationally.

Takotsubo Cardiomyopathy (aka Stress-induced cardiomyopathy) is characterized by a regional, usually transitory systolic disfunction of the left ventricle which is clinically difficult to differentiate from an acute myocardial infarction with no angiographic evidence of acute coronary obstruction. It occurs in approximately 1-2% of patients with probable myocardial infarction with troponin elevation. Electrocardiograms usually present dynamic changes compatible with myocardial infarction such as elevation of ST segment or may present Pointes Torsade or ventricular tachycardia. A 93-year-old woman admitted in the emergency room with a right hip fracture that requires surgical treatment. She is separated from her family members and taken to the operating room. She gets emotionally distraught on the way to the operating room due to separation anxiety and, upon arrival, refers chest pain and nausea. Immediately after, the patient becomes unresponsive without a pulse. Ventricular Tachycardia is documented, and the patient is defibrillated and there is a return to sinus rhythm. A 12-lead electrocardiogram shows ST elevation. Surgery is cancelled and an angiography is urgently performed with no evidence of coronary disease. Takotsubo Cardiomyopathy is diagnosed. The patient dies 7 days later. Takotsubo Cardiomyopathy, as well as its complications, is not always a reversible and transitory condition and may be deadly even with appropriate management and surveillance.

Background: Cataracts are among the main causes of blindness in middle- and low-income countries; however, their incidence has decreased in recent years due to an increase in cataract removable surgery (phacoemulsification). The anesthesia management for phacoemulsification has changed throughout the years; currently, most cataract removable surgeries are performed under topical anesthesia and intravenous sedation. Dexmedetomidine at high doses (0.5-1 mcg/kg) has been used for sedation for cataract removable surgery with a significant decrease in postoperative pain, low incidence of nausea and vomiting with a significant hypotension and bradycardia as well as a delay in hospital discharge. Low doses of dexmedetomidine (0.2 mcg/kg) have not been studied for cataract surgery (phacoemulsification). Objective: The objective of this study is to evaluate low dose dexmedetomidine (0.2 mcg/kg) to diminish postoperative pain in cataract removable surgery. Materials and Methods: 100 patients undergoing phacoemulsification under topical anesthesia and sedation, ages 40 to 92, ASA 1-II were included. Patients were randomized into two groups: group with dexmedetomidine and group without dexmedetomidine. Both groups received midazolam 20 mcg/kg and fentanyl 1 mcg/kg as well as topical tetracaine 0.5% on surgical site. The group with dexmedetomidine received a single dose of dexmedetomidine 0.2 mcg/kg over 10 minutes. Sociodemographic data was collected from both groups and vital signs were recorded. A trained nurse documented the incidence of postoperative pain in the recovery room until hospital discharge, as well as time spent in the recovery room. Results: Patients had an average age of de 68.8 ± 10.6 years. Ten patients in the dexmedetomidine group (20%) had postoperative pain compared with 2 patients (4%) without dexmedetomidine [OR 6.0; 1.2 - 29; p =0.028]. The incidence of hypotension was statistically significant in the group with dexmedetomidine [RR 1.5 (0.9-2.3); p<0.01]. The group with dexmedetomidine had a recovery time of 70.2 ± 50.9 minutes vs.51.6 ± 26.7 in the group without dexmedetomidine group (p=0.02). Conclusion: Low dose dexmedetomidine (0.2 mcg/kg) is associated with a lower incidence of postoperative pain in patients undergoing phacoemulsification and is therefore an effective adjuvant for this type of surgery.

Fires in the operating room are relatively rare and may be catastrophic. Most are mild, however, some result in severe damage, disfiguration and even death. All surgeries are at risk of fire specially in high oxygen concentration areas. Fires in the operating room can be preventable with adequate attention to oxygen supply. Jett Plasma Medical is a DC low-power electrocauter used in dermatology and ophthalmology for aesthetic treatments. Unlike other similar products, Jett Plasma covers a surface area of 1 mm2 per beam. A 67-year-old woman scheduled for a blepharoplasty and Jett Plasma in periocular area under sedation. The patient is provided with supplementary oxygen at 3 L/min through nasal cannula. Sedation is initiated maintaining a Ramsay 3 and spontaneous ventilation with supplementary oxygen. ChloraPrep is used to clean the surgical areas before starting the blepharoplasty. After this procedure is done, the surgical drapes are removed. ChloraPrepis used to clean skin before using Jett Plasma. A spark of Jett Plasma starts a fire on the patient’s face which rapidly expands towards the nasal cannula, immediately burning them. The anesthesiologist quickly removes the burning nasal cannula while turning the oxygen off and the surgeon removes the Jett Plasma from the patient. A nasal and oropharyngeal exploration is performed which revealed burnt nostrils and philtrum, the rest is normal. In the recovery room the patient refers pain at inspiration and when swallowing; her vital signs remain normal and her oxygen saturation without supplementary oxygen is normal. The patient is referred to otorhinolaryngologist who diagnoses second degree burns in both nostrils and continues with outpatient treatment. The incidence of fire in the operating room associated to Jett Plasma had not been reported previously; however, it must be used cautiously considering it may potentially ignite a fire especially if applied on patients with supplementary oxygen.

Introduction: A large proportion of the public in some countries are known to patronize the private sector for their health needs, and some users even consider these services to be more attractive. Objective: The study aims to explore the experiences and issues associated with private health service delivery among private health practitioners in Nigeria. Methodology: A descriptive cross-sectional study was carried out among private health professional at two national events, using self-administered semi-structured questionnaires. Data obtained was formed into tables and analysed using the IBM Statistical Package for the Social Sciences (SPSS) version 20.0. Results: Eighty-one (48.8%) respondents used rented facility for their private healthcare practice. The net worth of private health facilities (all-inclusive in naira) was stated by 53 (31.9%) respondents to be less than 10 million (23,980.24 USD). While some new health facilities were being established, others were closing down for various reasons. There were some concerns expressed on multiple taxations,third-party mode of payment/health management organization (HMO), public power supply and security in area of private health businesses. It was the wish of 89 (53.6%) respondents that government should provide enabling environment for private health businesses to thrive. Conclusion: Small-and-medium-size businesses that used rented apartments with a relatively low net worth dominated the private healthcare industry. Some of such businesses have failed for several reasons. We advocate for healthcare reforms in Nigeria that should encourage growth in the private health sector.

In the course of our long-term practice in the clinical application of the principles of systematic approach and those of Integrative Oncology we purposefully and gradually began to develop all available achievements of integrative biophysics. In 2018, after a long study period, we created the IPT & BPT method, which is a combined application of Insulin Potentiation Therapy and Biomagnetic Therapy with Magnetic Pairs. The first successful results of the application of this method were presented in two consecutive publications (1,2). The development and achievements of quantum physics offered the opportunity to build the concept of biological energy and information transfer in the field of medicine. Our research in this field using scalar energy was reflected in our literature review (3) . Based on these scientific advances, we focused initially on streamlining the application of Biomagnetic Therapy with Magnetic Pairs using scalar information transfer to correct magnetic depolarization. Subsequently, we developed the protocol for scalar IPT & BPT replacing the intravenous administration of chemotherapeutics with scalar transfer of the same drugs. The treatment is initially aimed only at patients in the final stages of the disease who are subject to palliative care and those who refuse to use conventional methods. In the period from July 2020 to January 2022 the treatment was administered to 17 patients. Our first results showed that it proceeds without any side effects and with a significant improvement in the condition of patients. Three cases from our clinical practice on the application of Scalar IPT & BPT are presented demonstrating real possibilities for the application of the method for the treatment of oncological diseases. Initial clinical experience in the application of scalar energy and information transfer and the presented results demonstrate a new opportunity and perspective for the need to integrate methods of modern biophysics in the complex treatment of cancer.