Objectives: This study investigated levels of measured parameters; bio-elements (zinc, copper, selenium, chromium, and manganese), heavy metals (cadmium and lead), oxidative stress biomarkers (vitamin C, Vitamin E, reduced Glutathione-GSH and malondialdehyde-MDA) and lipid profile (cholesterol-CHOL, triglyceride- TG, high-density lipoprotein- HDL, low-density lipoprotein- LDL and VLDL) in primary hypertensive individuals.
Materials and Methods: A total of 74 confirmed hypertensive individuals (30 males, 44 females) of 30-55 years (test subjects) and 46 (22males, 24 females) age-matched apparently healthy normotensive individuals (control) were involved in this study. Atomic absorption spectrophotometer was used to determine the concentrations of bio-elements and toxic metals while spectrophotometric methods were used for the concentrations of oxidative stress biomarkers and lipid fractions.
Results: Comparative analysis between test and control subjects showed significantly reduced concentrations of vitamins C and E, GSH, the bio-elements, HDL and Zinc/Copper ratio. Significantly elevated concentrations of the toxic metals, MDA, CHOL, TG, LDL, and VLDL, the atherogenic indices- LDL/HDL, TC/HDL, and TG/HDL as well as Cadmium/ Zinc ratio. There was indirect association between the bio-elements and atherogenic lipid fractions but a direct correlation with HDL. Also, negative correlations were observed between the heavy metals and the antioxidants biomolecules.
Conclusion: The concentrations of the measured bio-elements, vitamins C and E, GSH and HDL were significantly lower in hypertensive individuals while the levels of heavy metals, cholesterol, TG, LDL and MDA were significantly higher.
{"title":"Atherogenicity, Oxidative Stress, Heavy Metals and Bioelements Status in Hypertensive Nigerians in an Urban Population","authors":"Oyedeji Samuel Oyewole, Adesina Adeyemi Adeleke, Oke Olusegun Taiwo, Adeosun Oyebola Ganiyu, Awe Kunle","doi":"10.9734/ajmah/2023/v21i11934","DOIUrl":"https://doi.org/10.9734/ajmah/2023/v21i11934","url":null,"abstract":"Objectives: This study investigated levels of measured parameters; bio-elements (zinc, copper, selenium, chromium, and manganese), heavy metals (cadmium and lead), oxidative stress biomarkers (vitamin C, Vitamin E, reduced Glutathione-GSH and malondialdehyde-MDA) and lipid profile (cholesterol-CHOL, triglyceride- TG, high-density lipoprotein- HDL, low-density lipoprotein- LDL and VLDL) in primary hypertensive individuals.
 Materials and Methods: A total of 74 confirmed hypertensive individuals (30 males, 44 females) of 30-55 years (test subjects) and 46 (22males, 24 females) age-matched apparently healthy normotensive individuals (control) were involved in this study. Atomic absorption spectrophotometer was used to determine the concentrations of bio-elements and toxic metals while spectrophotometric methods were used for the concentrations of oxidative stress biomarkers and lipid fractions.
 Results: Comparative analysis between test and control subjects showed significantly reduced concentrations of vitamins C and E, GSH, the bio-elements, HDL and Zinc/Copper ratio. Significantly elevated concentrations of the toxic metals, MDA, CHOL, TG, LDL, and VLDL, the atherogenic indices- LDL/HDL, TC/HDL, and TG/HDL as well as Cadmium/ Zinc ratio. There was indirect association between the bio-elements and atherogenic lipid fractions but a direct correlation with HDL. Also, negative correlations were observed between the heavy metals and the antioxidants biomolecules.
 Conclusion: The concentrations of the measured bio-elements, vitamins C and E, GSH and HDL were significantly lower in hypertensive individuals while the levels of heavy metals, cholesterol, TG, LDL and MDA were significantly higher.","PeriodicalId":49491,"journal":{"name":"Southeast Asian Journal of Tropical Medicine and Public Health","volume":"51 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136158775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-26DOI: 10.9734/ajmah/2023/v21i11933
None Hulathduwa S. R., None Priyanath W. A. K. M.
The deployment of airbags in vehicles has significantly contributed to occupant safety during accidents. This review article discusses their history, evolution, types, chemical composition, mechanisms, defects, safety issues and hazardous practices by vehicle occupants. The evolution of airbags, from early designs to advanced designs is presented highlighting their life-saving impact and defects. The article addresses common hazardous practices by vehicle occupants that could lead to airbag-related injuries such as resting hands or feet on the dashboard. A series of typical and atypical airbag-related injuries from Sri Lanka is given in the latter part of the article. These cases include incidents of metal objects detaching from airbags causing fatal injuries, fractures resulting from improper hand placement during airbag deployment, burns, cranio-facial and dental injuries and so on.
{"title":"Review of Airbag Injuries: A Sri Lankan Case Series","authors":"None Hulathduwa S. R., None Priyanath W. A. K. M.","doi":"10.9734/ajmah/2023/v21i11933","DOIUrl":"https://doi.org/10.9734/ajmah/2023/v21i11933","url":null,"abstract":"The deployment of airbags in vehicles has significantly contributed to occupant safety during accidents. This review article discusses their history, evolution, types, chemical composition, mechanisms, defects, safety issues and hazardous practices by vehicle occupants. The evolution of airbags, from early designs to advanced designs is presented highlighting their life-saving impact and defects. The article addresses common hazardous practices by vehicle occupants that could lead to airbag-related injuries such as resting hands or feet on the dashboard. A series of typical and atypical airbag-related injuries from Sri Lanka is given in the latter part of the article. These cases include incidents of metal objects detaching from airbags causing fatal injuries, fractures resulting from improper hand placement during airbag deployment, burns, cranio-facial and dental injuries and so on.","PeriodicalId":49491,"journal":{"name":"Southeast Asian Journal of Tropical Medicine and Public Health","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134908466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-25DOI: 10.9734/ajmah/2023/v21i11932
Mawlid Abdirisak Muse, Joseph Juma, Teresia Ngonjo
Introduction: Existence of anaemia pregnancy women is when it comes to this hematologic abnormality. Hemoglobin deficiency during pregnancy has serious effect on maternal and fetus development, which could prompt high maternal mortality rates.
Purpose of the Study: The purpose of the study was to assess obstetric characteristics associate with anemia disease among pregnant women attending antenatal clinics at Garowe general hospital.
Methods: A hospital based cross-sectional study design was conducted. Systematic random sampling method was used to select 266 pregnant women. Mothers who attended Antenatal Clinic during the study period and who met the inclusion criteria were interviewed and a capillary blood sample was taken. Hemoglobin level was determined by using HemoCue photometer. A structured questionnaire as well as focus group discussions were held in collecting data. Qualitative data was analyzed using a content technique and quantitative data was analyzed using descriptive and inferential statistics.
Results: The inferential statistics entailed a bivariate chi-square analysis and odds ratio (OR) with corresponding 95% confidence intervals (CI) computed to find association between independent and dependent variables. The study found that 46% of the pregnant women in the study were anemic. Obstetric characteristics such as the interval or space between births and the abortion history of the mother was significantly associated with anemia disease.
Recommendation: The study recommends that stakeholders including governments, Non-Governmental Oganization and the private sector in Somalia should seek to increase access to iron and folic acid supplements, should increase education on nutrition. In addition, the study recommends that sanitation and access to clean water should also be enhanced. Finally, the study recommends that the underlying socio-economic factors such as poverty, lack of education, unemployment and poor housing that lead to anemia should be addressed.
{"title":"Assessment of Obstetric Characteristics Associate with Anemia Disease among Pregnant Women Attending Antenatal Clinics at Garowe General Hospital, Somalia","authors":"Mawlid Abdirisak Muse, Joseph Juma, Teresia Ngonjo","doi":"10.9734/ajmah/2023/v21i11932","DOIUrl":"https://doi.org/10.9734/ajmah/2023/v21i11932","url":null,"abstract":"Introduction: Existence of anaemia pregnancy women is when it comes to this hematologic abnormality. Hemoglobin deficiency during pregnancy has serious effect on maternal and fetus development, which could prompt high maternal mortality rates.
 Purpose of the Study: The purpose of the study was to assess obstetric characteristics associate with anemia disease among pregnant women attending antenatal clinics at Garowe general hospital. 
 Methods: A hospital based cross-sectional study design was conducted. Systematic random sampling method was used to select 266 pregnant women. Mothers who attended Antenatal Clinic during the study period and who met the inclusion criteria were interviewed and a capillary blood sample was taken. Hemoglobin level was determined by using HemoCue photometer. A structured questionnaire as well as focus group discussions were held in collecting data. Qualitative data was analyzed using a content technique and quantitative data was analyzed using descriptive and inferential statistics.
 Results: The inferential statistics entailed a bivariate chi-square analysis and odds ratio (OR) with corresponding 95% confidence intervals (CI) computed to find association between independent and dependent variables. The study found that 46% of the pregnant women in the study were anemic. Obstetric characteristics such as the interval or space between births and the abortion history of the mother was significantly associated with anemia disease.
 Recommendation: The study recommends that stakeholders including governments, Non-Governmental Oganization and the private sector in Somalia should seek to increase access to iron and folic acid supplements, should increase education on nutrition. In addition, the study recommends that sanitation and access to clean water should also be enhanced. Finally, the study recommends that the underlying socio-economic factors such as poverty, lack of education, unemployment and poor housing that lead to anemia should be addressed.","PeriodicalId":49491,"journal":{"name":"Southeast Asian Journal of Tropical Medicine and Public Health","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135113548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-16DOI: 10.9734/ajmah/2023/v21i11931
None Kumar H. R., None Soma M., None Saw M. O.
Endometriosis of the appendix is condition that is seen in young women, and it clinically presents with chronic lower abdominal pain. It is one of the sites of extra pelvic endometriosis and it is confirmed on histopathological evaluation of the appendix. The dilemma for the surgeon is if an appendectomy is to be performed or not. The introduction of laparoscopic surgery has made visualization of the pelvis and appendix easier, and we have conducted this narrative review article to see if an appendectomy should be performed in all cases of endometriosis.
{"title":"Endometriosis of the Appendix: A Narrative Review","authors":"None Kumar H. R., None Soma M., None Saw M. O.","doi":"10.9734/ajmah/2023/v21i11931","DOIUrl":"https://doi.org/10.9734/ajmah/2023/v21i11931","url":null,"abstract":"Endometriosis of the appendix is condition that is seen in young women, and it clinically presents with chronic lower abdominal pain. It is one of the sites of extra pelvic endometriosis and it is confirmed on histopathological evaluation of the appendix. The dilemma for the surgeon is if an appendectomy is to be performed or not. The introduction of laparoscopic surgery has made visualization of the pelvis and appendix easier, and we have conducted this narrative review article to see if an appendectomy should be performed in all cases of endometriosis.","PeriodicalId":49491,"journal":{"name":"Southeast Asian Journal of Tropical Medicine and Public Health","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136114175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-12DOI: 10.9734/ajmah/2023/v21i11930
None Bello S. S., Aliu Abdulhameed
Introduction: Vascular variations in the liver are significant to surgeons in liver transplantations, radiological procedures, laparoscopy and penetrating abdominal injuries. These variations are important in liver transplantation procedure, in addition to being an ideal opportunity for surgical anatomy study, their detailed identification is crucial to the success of the procedure.
Case Report: During a routine cadaveric dissection of the abdomen for medical students at the department of Anatomy Usmanu Danfodiyo University, Sokoto Nigeria. A male adult cadaver with unknown identity and cause of death, was found to have four arterial branches to the liver, one each from the left gastric artery and common hepatic artery, a branch from the gastro-duodenal artery and the hepatic artery.
Conclusion: Detailed knowledge of the variations of hepatic arterial anatomy is of utmost importance to surgeons who perform surgeries in this area, particularly in liver transplantation, since their identification and proper management are critical to the success of the procedure.
{"title":"Quadruple Arterial Blood Supply to the Liver: A Rare Variation","authors":"None Bello S. S., Aliu Abdulhameed","doi":"10.9734/ajmah/2023/v21i11930","DOIUrl":"https://doi.org/10.9734/ajmah/2023/v21i11930","url":null,"abstract":"Introduction: Vascular variations in the liver are significant to surgeons in liver transplantations, radiological procedures, laparoscopy and penetrating abdominal injuries. These variations are important in liver transplantation procedure, in addition to being an ideal opportunity for surgical anatomy study, their detailed identification is crucial to the success of the procedure.
 Case Report: During a routine cadaveric dissection of the abdomen for medical students at the department of Anatomy Usmanu Danfodiyo University, Sokoto Nigeria. A male adult cadaver with unknown identity and cause of death, was found to have four arterial branches to the liver, one each from the left gastric artery and common hepatic artery, a branch from the gastro-duodenal artery and the hepatic artery.
 Conclusion: Detailed knowledge of the variations of hepatic arterial anatomy is of utmost importance to surgeons who perform surgeries in this area, particularly in liver transplantation, since their identification and proper management are critical to the success of the procedure.","PeriodicalId":49491,"journal":{"name":"Southeast Asian Journal of Tropical Medicine and Public Health","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135968300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-06DOI: 10.9734/ajmah/2023/v21i11928
Augustine Adomah-Afari, Akua Kyekye Addo-Kwafo
Aims: To assess factors associated with the utilization of quality hernia care among female adults seeking healthcare.
Study Design: A descriptive cross-sectional design was used.
Place and Duration of Study: Nsawam Government Hospital in the Nsawam-Adoagyiri Municipality of the Eastern Region of Ghana between May 15th and June 15th, 2022.
Methodology: We applied a quantitative research method where both self-administered and interviewer-administered strategies were applied to administer a structured questionnaire. A consecutive sampling approach was used to recruit a total of 180 women who sought surgical care. Data was analyzed using STATA version 15 Software. Descriptive statistics, chi-square test, and multiple logistic regression analysis were applied to determine the relationship between the dependent and independent variables. The level of significance was accepted at P=.05 at a 95% confidence interval.
Results: Overall, 180 women took part in the study out of the estimated sample size of 189, giving a response rate of 95.2%. The proportion of hernia among the women was 56% out of which the common types were umbilical hernia (32%) and incisional hernia (12%). The rate of utilization of hernia care was 75%. Logistic regression showed that marital status (being single) (aOR = 0.03; 95% CI = 0.002-0.20; P =.001), occupation (traders) (aOR = 0.03; 95% CI = 0.003-0.35; P = .004), and reliance on traditional healers (aOR = 0.11; 95% CI = 0.02-0.74; P = .024) were significant predictors of utilization of hernia care.
Conclusion: The study showed a high proportion of hernia cases among women seeking surgical care. The majority of these hernias were inguinal hernia followed by umbilical and incisional hernia. The study suggests that managers at the hospital level, policymakers, and stakeholders in the health sector should ensure the provision of affordable hernia care for women such that early detection would be one of the key strategies to prevent imminent complications or limitations to daily activity.
目的:评估寻求医疗保健的成年女性疝气护理质量的相关因素。
研究设计:采用描述性横断面设计。
学习地点和时间:2022年5月15日至6月15日，加纳东部地区恩萨瓦姆-阿多agyiri市的恩萨瓦姆政府医院。方法:我们采用定量研究方法，采用自我管理和访谈者管理两种策略来管理结构化问卷。采用连续抽样方法，共招募180名寻求手术治疗的妇女。数据分析采用STATA version 15软件。采用描述性统计、卡方检验和多元逻辑回归分析确定因变量和自变量之间的关系。在P=时接受显著性水平。0.05, 95%置信区间。
结果:总体而言，在估计的189个样本量中，有180名妇女参加了研究，回复率为95.2%。妇女疝的比例为56%，其中常见的类型为脐疝(32%)和切口疝(12%)。疝护理使用率为75%。Logistic回归显示婚姻状况(单身)(aOR = 0.03;95% ci = 0.002-0.20;P =.001)、职业(贸易商)(aOR = 0.03;95% ci = 0.003-0.35;P = 0.004)，对传统治疗师的依赖(aOR = 0.11;95% ci = 0.02-0.74;P = 0.024)是疝护理使用率的显著预测因子。& # x0D;结论:该研究显示，在寻求手术治疗的女性中，疝气病例的比例很高。以腹股沟疝居多，其次为脐疝和切口疝。该研究表明，医院一级的管理人员、政策制定者和卫生部门的利益相关者应确保为妇女提供负担得起的疝气护理，以便早期发现将成为防止即将发生的并发症或限制日常活动的关键策略之一。
{"title":"Factors Influencing Utilisation of Hernia Care among Women Seeking Surgical Healthcare: A Study of a Peri-urban Health Facility in Eastern Ghana","authors":"Augustine Adomah-Afari, Akua Kyekye Addo-Kwafo","doi":"10.9734/ajmah/2023/v21i11928","DOIUrl":"https://doi.org/10.9734/ajmah/2023/v21i11928","url":null,"abstract":"Aims: To assess factors associated with the utilization of quality hernia care among female adults seeking healthcare.
 Study Design: A descriptive cross-sectional design was used.
 Place and Duration of Study: Nsawam Government Hospital in the Nsawam-Adoagyiri Municipality of the Eastern Region of Ghana between May 15th and June 15th, 2022.
 Methodology: We applied a quantitative research method where both self-administered and interviewer-administered strategies were applied to administer a structured questionnaire. A consecutive sampling approach was used to recruit a total of 180 women who sought surgical care. Data was analyzed using STATA version 15 Software. Descriptive statistics, chi-square test, and multiple logistic regression analysis were applied to determine the relationship between the dependent and independent variables. The level of significance was accepted at P=.05 at a 95% confidence interval.
 Results: Overall, 180 women took part in the study out of the estimated sample size of 189, giving a response rate of 95.2%. The proportion of hernia among the women was 56% out of which the common types were umbilical hernia (32%) and incisional hernia (12%). The rate of utilization of hernia care was 75%. Logistic regression showed that marital status (being single) (aOR = 0.03; 95% CI = 0.002-0.20; P =.001), occupation (traders) (aOR = 0.03; 95% CI = 0.003-0.35; P = .004), and reliance on traditional healers (aOR = 0.11; 95% CI = 0.02-0.74; P = .024) were significant predictors of utilization of hernia care. 
 Conclusion: The study showed a high proportion of hernia cases among women seeking surgical care. The majority of these hernias were inguinal hernia followed by umbilical and incisional hernia. The study suggests that managers at the hospital level, policymakers, and stakeholders in the health sector should ensure the provision of affordable hernia care for women such that early detection would be one of the key strategies to prevent imminent complications or limitations to daily activity.","PeriodicalId":49491,"journal":{"name":"Southeast Asian Journal of Tropical Medicine and Public Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135351674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-06DOI: 10.9734/ajmah/2023/v21i11927
None Kumar H. R., None Soma M., None Saw M. O.
Perforated peptic ulcer is a complication of peptic ulcer disease with its incidence being stable despite the introduction of proton pump inhibitors. This condition is seen in older patients with comorbidities and early diagnosis improves the mortality of this condition. The treatment of perforated peptic ulcer is performed by closure of the perforated peptic ulcer, and this procedure can be performed by open or laparoscopic surgery. The current trend over the last few years has been the use of laparoscopic surgery in the management of perforated peptic ulcer and we have conducted this narrative review article to investigate the current trend in management of this condition.
{"title":"Perforated Peptic Ulcer-Current Management: A Narrative Review","authors":"None Kumar H. R., None Soma M., None Saw M. O.","doi":"10.9734/ajmah/2023/v21i11927","DOIUrl":"https://doi.org/10.9734/ajmah/2023/v21i11927","url":null,"abstract":"Perforated peptic ulcer is a complication of peptic ulcer disease with its incidence being stable despite the introduction of proton pump inhibitors. This condition is seen in older patients with comorbidities and early diagnosis improves the mortality of this condition. The treatment of perforated peptic ulcer is performed by closure of the perforated peptic ulcer, and this procedure can be performed by open or laparoscopic surgery. The current trend over the last few years has been the use of laparoscopic surgery in the management of perforated peptic ulcer and we have conducted this narrative review article to investigate the current trend in management of this condition.","PeriodicalId":49491,"journal":{"name":"Southeast Asian Journal of Tropical Medicine and Public Health","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135351460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Menopause, a natural physiological transition, has been associated with various health and psychosocial challenges. This study aimed to explore the association between menopausal symptoms and the occurrence of domestic violence in Bangladesh, considering a range of socio-economic and demographic determinants.
Methods: A cross-sectional study was conducted among 500 Bangladeshi women aged 40-60. Data were collected using structured questionnaires, and the severity of menopausal symptoms was categorized as low, moderate, and severe. Chi-Square tests were utilized to establish associations.
Results: Women with severe menopausal symptoms reported the highest occurrence of domestic violence at 58%. Emotional and psychological violence was most prevalent at 55%, followed by physical violence at 42%, economic deprivation at 28%, and sexual violence at 14%.
Conclusion: The study underscores the pressing need for comprehensive interventions to address domestic violence against menopausal women in Bangladesh. A holistic approach, encompassing medical, psychological, socio-economic, and educational strategies, is crucial for effective mitigation.
{"title":"Menopause-Related Domestic Violence in Bangladesh and Its Associated Factors","authors":"Md. Azim Rana, Sazin Islam, Sharmin Akter, Mst. Shamsun Naher, Md. Shariful Islam, Sonia Afroz Mukta, Sadia Afroz Rikta","doi":"10.9734/ajmah/2023/v21i11926","DOIUrl":"https://doi.org/10.9734/ajmah/2023/v21i11926","url":null,"abstract":"Background: Menopause, a natural physiological transition, has been associated with various health and psychosocial challenges. This study aimed to explore the association between menopausal symptoms and the occurrence of domestic violence in Bangladesh, considering a range of socio-economic and demographic determinants.
 Methods: A cross-sectional study was conducted among 500 Bangladeshi women aged 40-60. Data were collected using structured questionnaires, and the severity of menopausal symptoms was categorized as low, moderate, and severe. Chi-Square tests were utilized to establish associations.
 Results: Women with severe menopausal symptoms reported the highest occurrence of domestic violence at 58%. Emotional and psychological violence was most prevalent at 55%, followed by physical violence at 42%, economic deprivation at 28%, and sexual violence at 14%.
 Conclusion: The study underscores the pressing need for comprehensive interventions to address domestic violence against menopausal women in Bangladesh. A holistic approach, encompassing medical, psychological, socio-economic, and educational strategies, is crucial for effective mitigation.","PeriodicalId":49491,"journal":{"name":"Southeast Asian Journal of Tropical Medicine and Public Health","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135830346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-30DOI: 10.9734/ajmah/2023/v21i11925
Babatope Lanre Awosusi, Adam Tolulope Rahman
Inverted sinonasal papilloma is a benign neoplasm that usually affects the intra-nasal cavity and adjacent paranasal sinuses. Inverted papillomas have three unique features that distinguishes them from other sinonasal tumors including; a propensity for local destructive growth, a high rate of recurrence and risk of malignant transformation. The reported yearly incidence is about 0.6 to 1.5 cases per 100,000 people per year and they usually account for 0.5% to 4% of all nasal tumors. They occur at the following locations; both lateral nasal walls, ethmoidal cells, maxillary sinus, the frontal sinus, sphenoid sinuses and the nasal septum in decreasing order. It occurs most commonly in the fifth and sixth decades of life with a male-to-female ratio of 2-3:1. Inverted papilloma can arise from the entire Schneiderian membrane and molecular genetics have confirmed that it is an actual neoplasm that arises from a single progenitor cell. Most cases are diagnosed from clinical history and thorough physical examination. However, complete removal of all affected tissue with thorough histopathological evaluation is recommended to ensure a correct diagnosis. While there is yet no established pathognomonic histopathological feature to predict recurrence with all certainty, there is ongoing investigation for predictive markers of recurrence. Smoking seems to be a recognized risk factor for developing multiple recurrences and there is evidence that the presence of HPV serotypes 16 and 18 could be predictive of malignant transformation. The main aim of treatment is to achieve compete surgical resection and to prevent recurrence and malignant transformation. A period of clinical follow up is recommended after treatment. The aim of this review is to provide a comprehensive and updated overview of the clinical presentation, diagnosis, management and prognosis of this unique lesion.
{"title":"Inverted Sinonasal Papilloma: Update and Literature Review","authors":"Babatope Lanre Awosusi, Adam Tolulope Rahman","doi":"10.9734/ajmah/2023/v21i11925","DOIUrl":"https://doi.org/10.9734/ajmah/2023/v21i11925","url":null,"abstract":"Inverted sinonasal papilloma is a benign neoplasm that usually affects the intra-nasal cavity and adjacent paranasal sinuses. Inverted papillomas have three unique features that distinguishes them from other sinonasal tumors including; a propensity for local destructive growth, a high rate of recurrence and risk of malignant transformation. The reported yearly incidence is about 0.6 to 1.5 cases per 100,000 people per year and they usually account for 0.5% to 4% of all nasal tumors. They occur at the following locations; both lateral nasal walls, ethmoidal cells, maxillary sinus, the frontal sinus, sphenoid sinuses and the nasal septum in decreasing order. It occurs most commonly in the fifth and sixth decades of life with a male-to-female ratio of 2-3:1. Inverted papilloma can arise from the entire Schneiderian membrane and molecular genetics have confirmed that it is an actual neoplasm that arises from a single progenitor cell. Most cases are diagnosed from clinical history and thorough physical examination. However, complete removal of all affected tissue with thorough histopathological evaluation is recommended to ensure a correct diagnosis. While there is yet no established pathognomonic histopathological feature to predict recurrence with all certainty, there is ongoing investigation for predictive markers of recurrence. Smoking seems to be a recognized risk factor for developing multiple recurrences and there is evidence that the presence of HPV serotypes 16 and 18 could be predictive of malignant transformation. The main aim of treatment is to achieve compete surgical resection and to prevent recurrence and malignant transformation. A period of clinical follow up is recommended after treatment. The aim of this review is to provide a comprehensive and updated overview of the clinical presentation, diagnosis, management and prognosis of this unique lesion.","PeriodicalId":49491,"journal":{"name":"Southeast Asian Journal of Tropical Medicine and Public Health","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136280342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-29DOI: 10.9734/ajmah/2023/v21i11923
Shubham Darda, Aarjuv Majmundar, Puneet Upadhyay, Harshita H. Nouni, Sucheta Lakhani, Jitendra D. Lakhani
Kikuchi-Fujimoto disease is a self-limiting illness characterised by non-specific symptoms, most commonly reported symptoms being fever and lymphadenopathy. Unknown in its cause, Kikuchi-Fujimoto disease (KFD) is a benign, uncommon disorder usually presenting under the age of 30 years in women. This disease is mainly seen in Asian population mainly in Japan but it is rare in Indian population. The etiological cause of this disease remains unknown. This condition needs to differentiated from other closely resembling conditions such as tuberculosis, lymphoma, Systemic Lupus Erythematosus (SLE) and adenocarcinoma. The physician needs to be aware about this condition to avoid misdiagnosis and improper treatment. This case report is about a female of age 26 years who was diagnosed as having Kikuchi Fujimoto Disease on the basis of clinical and biopsy findings.
{"title":"A Rare Case of Kikuchi-Fujimoto Disease in an Indian Female","authors":"Shubham Darda, Aarjuv Majmundar, Puneet Upadhyay, Harshita H. Nouni, Sucheta Lakhani, Jitendra D. Lakhani","doi":"10.9734/ajmah/2023/v21i11923","DOIUrl":"https://doi.org/10.9734/ajmah/2023/v21i11923","url":null,"abstract":"Kikuchi-Fujimoto disease is a self-limiting illness characterised by non-specific symptoms, most commonly reported symptoms being fever and lymphadenopathy. Unknown in its cause, Kikuchi-Fujimoto disease (KFD) is a benign, uncommon disorder usually presenting under the age of 30 years in women. This disease is mainly seen in Asian population mainly in Japan but it is rare in Indian population. The etiological cause of this disease remains unknown. This condition needs to differentiated from other closely resembling conditions such as tuberculosis, lymphoma, Systemic Lupus Erythematosus (SLE) and adenocarcinoma. The physician needs to be aware about this condition to avoid misdiagnosis and improper treatment. This case report is about a female of age 26 years who was diagnosed as having Kikuchi Fujimoto Disease on the basis of clinical and biopsy findings.","PeriodicalId":49491,"journal":{"name":"Southeast Asian Journal of Tropical Medicine and Public Health","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135247747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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