Current Issue ( Vol. : 7, Issue: 2, April-June 2020)   


Title: ATRIAL FIBRILATION MIMICKING ACUTE RENAL REJECTION
Author: Mehmet Fatih Yüzbasioglu, Hatice Güzel, Arzu Tuna, Gülay Oyur Çelik, Sezgin Topuz, Alper Boz
Keyword: Atrial Fibrilation, Rejection, Renal Transplantation
Page No: 7-10
DOI: 10.30876/JOHR.7.2.2020.07-10
Abstract: Purpose: Atrial fibrillation in renal transplant patients is a cardiac pathology that should be treated. A year ago, the patient underwent cadaveric transplantation. The patient was discharged normall y. During the 1-year follow-up period no rejection was observed. However, the patient was hospitalized because of the 3.3 mg / dL creatinine value in the first follow-up year Material and method: Pulse steroid therapy was initiated with pre-diagnosis of rejection. Beta blocker therapy, due to the high value of creatinine, started low dose because the patient had ECG in atrial fibrillation. On the second day of the treatment, the patient requested Dopler USG. It was stated that the residual index (RI) value was slightly increased when the posterior artery and vein were open. In the meantime, due to the lack of urine output and the increased potassium value of the patient, nephrology has planned dialysis treatment. But the patient did not accept the dialysis treatment. The patient was scheduled for a biopsy on the third day of the pulse steroid, assuming no response to treatment. Cardiac enzymes, ECG and cardiology consultation were requested on the patient with severe respiratory distress and retrosternal pain due to increase in volume load and exacerbation of atrial fibrillation. It is recommended that chronic atrial fibrillation needed full-dose Beta blockers in the acute phase if there was not an obstacle Findings: Treatment of cardiology has begun. Effective therapy resulted in patient fibrillation to normal rhythm. On the next day, the patients creatinine level reached 1.4 and the urine output increased to normal level. The patient was discharged after 1 week. Conclusion(s): It should be remembered that patients with atrial fibrillation may have increased creatinine levels due to hypoperfusion. Early and effective treatment is important. Download PDF


Title: DETERMINANT OF MANISTRATUION RELATED PROBLEM AMONG ADOLESCENT HIGH SCHOOL GIRLS IN CASE OF TEPI TOWN SOUTH WEST ETHIOPIA
Author: Tesfaledet Tsegay Mena* and Yewulseht Mengistu Haile
Keyword: Adolescent, Menstruation, Multistage sampling, Logistic regression
Page No: 11-19
Abstract: Adolescent girls often lack knowledge regarding reproductive health including menstruation hygiene which can be due to socio-cultural barriers in which they grow up This study was undertaken to examin e the knowledge, perception, practices and experiences of adolescent females between the ages of 10-19 years old on issues regarding menstruation and menstrual hygiene. This study is cross sectional using a non-experimental descriptive survey research. The sample size was selected using a multistage sampling technique: stratified, simple random and purposive sampling technique. The study found out that most of the adolescents used sanitary pads as absorbent during their last menses, changed menstrual dressings 2-4 times per day; most increased the frequency of bathing. Institutionalizing sexuality education in Tepi high schools; developing and disseminating sensitive adolescent reproductive health messages targeted at both; parents and their adolescent females and improving access of the young females to youth health services are vital means of meeting the reproductive health needs of the adolescent females in Tepi. Download PDF