IMJ Health : December 2017

Medical Journal: Published volume-3, Issue-12, December 2017 with ad publications

Communication on Educational-therapeutic method in language development in children with trisomy 21: A review

Abstract— This paper provides general information on the language of children with Trisomy 21, on their development and on the methods of educational-therapeutic intervention. I defined the means of applying of Total Communication in the development of communication and of the language in 21-trisomic children. Mental retardation in 21-trisomic children impairs learning ability in many fields, with a negative impact on children’s communication ability; these communication possibilities should be improved throughout their entire life. This paper highlights the methods of intervention using Total Communication, the evolution throughout therapy; the therapy will continue in order to attain the objectives determined within the complex educational therapy program. An early educative intervention contributes to the systematisation of all chances of obtaining a more rapid psychological development of 21-trisomic children until the level becomes easy to achieve.

Keywords: Communication, Trisomy 21, Language.

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A rare case of unruptured ectopic pregnancy in a rudimentary horn with a dead foetus of Fifteen weeks: A Case Report

Abstract— Pregnancy in non-communicating rudimentary horn is very rare and life threatening. It is often not diagnosed unless it terminates by rupture in the second trimester. Prerupture diagnosis of rudimentary horn pregnancy with USG is technically difficult, with sensitivity of 30%. Here a case of unruptured ectopic pregnancy in non-communicating rudimentary horn of unicornuate uterus at 15 weeks of gestation is presented. This patient presented in emergency department as a case of intrauterine fetal death. Laparotomy was carried out and excision of rudimentary horn was done.

Keywords: Ectopic Pregnancy, Rudimentary Horn, Unicornuate Uterus Foetal Death.

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Knowledge attitude and practices regarding animal bites and rabies in urban population of North-Goa

Abstract Rabies is an endemic zoonotic disease in India. Dog is the main reservoir of rabies in India and other developing countries? An estimated 20565 deaths are reported in India due to rabies annually. It is a universally fatal disease but preventable by timely post-exposure prophylaxis. The current study was undertaken to assess the knowledge, attitude and practices towards animal bites and rabies in an urban community catered to Urban Health Centre, Santa Cruz, North Goa. 150 adult family members, one from each randomly selected family from the urban community catered to Urban Health Centre, Santa Cruz, North Goa were interviewed using a semi-structured questionnaire regarding their personal details and their knowledge attitude and practices about animal bites and towards rabies. Out of the 150 study participants, 132 (88%) were aware of the disease rabies and majority i.e. 140 (93%) knew that dog bites lead to rabies. However only 60 (40%) were aware of other animal bites causing rabies. 116 (77%) of study subjects preferred a hospital for wound treatment. However a significant 34 (22%) preferred traditional remedy or healer. Nearly one third i.e. 44 (29%) of the study subjects preferred to observe the dog for at least ten days following dog bite before being advised the same at health facility. 47 (31.33%) of the study participants had been bitten by a dog in the past of which 35 (74.47%) were bitten by a stray dog. 62 (41.33%) owned a pet dog of which 32 (51%) were vaccinated.

Keywords: Knowledge, Attitude and Practices, Rabies, Dog bites.

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Central Neuropathic Pain after Acute Spinal Cord Injury (NP in SCI): A Case series of 494 SCI cases

Abstract Pain following Spinal Cord Injury (SCI) is very common. So this study was conducted to find out prevalence, associated factors and pattern of Neuropathic Pain (NP) among SCI patients, for which 494 consecutive eligible patients of Spinal Cord Injury (SCI) admitted in the Department were evaluated for NP. It was observed that 13.76% of SCI patients complained of neuropathic pain. In 21 to 30 years age group 23.13% and 61.76% cases of neuropathic pain had dorso-lumbar injury. 48.30% cases of neuropathic pain had onset in 2­nd and 3rd week. Discomfort was more at night (36.76%), in below the knee area and dorsum of the foot. Hot burning type of sensation was the commonest descriptor of NP and range of movement (ROM) exercises and tepid cold water sponging were relieving factors.

Keywords: Spinal cord injury, Neuropathic pain.

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