Pub Date : 2024-05-22DOI: 10.9734/ajmah/2024/v22i71042
Hala Alhenaidi, Mohammed Almalki
This research explores the challenges encountered by staff at King Abdulaziz University Hospital (KAUH) in conducting health services research (HSR). A descriptive-analytical approach was employed, utilizing a structured questionnaire adapted from Karimian et al. [1]. A total of 334 staff members from an array of careers at King Abdulaziz University Hospital (KAUH) were involved in this study, representing diverse professional backgrounds. Among the 188 respondents with prior research experience, the study found that 83.5% of 188 respondents with prior research experience had conducted health services research, with 79.8% encountering difficulties. 52.1% had applied research outcomes in their practice, which was seen as an instrumental aspect of HSR. Findings revealed that the major obstacles included; administrative issues such as limited integration of research outcomes into practice and unfair evaluations (78%), followed, respectively, by professional challenges such as job burden, financial challenges with funding and budgeting, facility-related issues like outdated research databases, and obstacles related to research skills. Additionally, the findings revealed a significant difference (P<0.05), with academic staff facing fewer professional obstacles than non-academic staff, and Saudi researchers reporting more professional obstacles than non-Saudis. The findings emphasize the importance of addressing financial and facility-related obstacles to facilitate the practical utilization of HSR in health policy and community health services. Enhancing funding processes, clarifying budgeting regulations, and improving the research ecosystem are essential to overcoming these challenges and harnessing HSR's potential to improve healthcare access, quality, and cost-effectiveness.
{"title":"Unravelling the Hurdles of Health Services Research (HSR): Staff Perception at a Teaching Hospital","authors":"Hala Alhenaidi, Mohammed Almalki","doi":"10.9734/ajmah/2024/v22i71042","DOIUrl":"https://doi.org/10.9734/ajmah/2024/v22i71042","url":null,"abstract":"This research explores the challenges encountered by staff at King Abdulaziz University Hospital (KAUH) in conducting health services research (HSR). A descriptive-analytical approach was employed, utilizing a structured questionnaire adapted from Karimian et al. [1]. A total of 334 staff members from an array of careers at King Abdulaziz University Hospital (KAUH) were involved in this study, representing diverse professional backgrounds. Among the 188 respondents with prior research experience, the study found that 83.5% of 188 respondents with prior research experience had conducted health services research, with 79.8% encountering difficulties. 52.1% had applied research outcomes in their practice, which was seen as an instrumental aspect of HSR. Findings revealed that the major obstacles included; administrative issues such as limited integration of research outcomes into practice and unfair evaluations (78%), followed, respectively, by professional challenges such as job burden, financial challenges with funding and budgeting, facility-related issues like outdated research databases, and obstacles related to research skills. Additionally, the findings revealed a significant difference (P<0.05), with academic staff facing fewer professional obstacles than non-academic staff, and Saudi researchers reporting more professional obstacles than non-Saudis. The findings emphasize the importance of addressing financial and facility-related obstacles to facilitate the practical utilization of HSR in health policy and community health services. Enhancing funding processes, clarifying budgeting regulations, and improving the research ecosystem are essential to overcoming these challenges and harnessing HSR's potential to improve healthcare access, quality, and cost-effectiveness.","PeriodicalId":505327,"journal":{"name":"Asian Journal of Medicine and Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141110734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A major global health concern with a high recurrence rate is urolithiasis. Various in vivo and in vitro techniques have been effective in assessing the anti urolithiatic capacity of therapeutic plants. Renal stone production can be studied using in vitro models, whereas the pathological implications of urolithiasis are declared using in vivo models. Therefore, preventative management can be considerably and successfully evaluated using in vitro models, whereas urolithiasis treatment can be directed by using in vivo models. This study explains the benefits, drawbacks, and uses of both models, with a focus on the contribution of in vitro research to the assessment of preventive care. We done Physicochemical Tests for Phyllanthus acidus (fruits) Tinospora cordifolia (leaves) and Psidium gujava (fruits and leaves ) and also Preliminary Phytochemical Investigation of Phyllanthus acidus (fruits), Tinospora cordifolia (leaves) and Psidium gujava (fruits and leaves).
{"title":"Anti-Urolithiasis Activity of Selected Plant Extracts by Titrimetry Method and Aggregation Assay","authors":"Siddhartha Lolla, Harika Peddinti, Sravanthi Gojuvaka, Samrin Saba, Uma Devi Dasari, Madhavi Pillalamarri","doi":"10.9734/ajmah/2024/v22i71039","DOIUrl":"https://doi.org/10.9734/ajmah/2024/v22i71039","url":null,"abstract":"A major global health concern with a high recurrence rate is urolithiasis. Various in vivo and in vitro techniques have been effective in assessing the anti urolithiatic capacity of therapeutic plants. Renal stone production can be studied using in vitro models, whereas the pathological implications of urolithiasis are declared using in vivo models. Therefore, preventative management can be considerably and successfully evaluated using in vitro models, whereas urolithiasis treatment can be directed by using in vivo models. This study explains the benefits, drawbacks, and uses of both models, with a focus on the contribution of in vitro research to the assessment of preventive care. We done Physicochemical Tests for Phyllanthus acidus (fruits) Tinospora cordifolia (leaves) and Psidium gujava (fruits and leaves ) and also Preliminary Phytochemical Investigation of Phyllanthus acidus (fruits), Tinospora cordifolia (leaves) and Psidium gujava (fruits and leaves).","PeriodicalId":505327,"journal":{"name":"Asian Journal of Medicine and Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141125267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-17DOI: 10.9734/ajmah/2024/v22i61038
Keren-Happuch Twumasiwaa Boateng, Foster Twum, Samuel Kwame Amoako Asirifi
Background: A newborn’s inability to initiate and maintain breathing immediately after birth is referred to as birth asphyxia. In developed countries, the incidence of Birth Asphyxia is 2 per 1000 births, but in developing countries, the rate can be up to 10 times higher than that figure. Globally, 130 million babies are born each year, with Birth Asphyxia accounting for 20.9 percent of all neonatal deaths occurring within the first four weeks of life during this period. Approximately 10% of these babies require some form of assistance to breathe when they are born. Nurses and midwives must have a high level of expertise in the management of birth asphyxia in order to avoid further complications. Methods: A quantitative descriptive, cross-sectional study design was used to assess the management of Birth Asphyxia among Nurses and Midwives at the maternity department of War Memorial Hospital. Convenient sampling technique was used to select study subjects and the sample size was determined using sample size determination table. Results: Of the total 80, 79 (98.8%) of the respondents had knowledge on the standard guidelines and protocols for the management of Birth Asphyxia. Nurses and midwives who were trained, thus 60 out of the total 80 respondents (75%), were more likely to have knowledge of Birth Asphyxia management as compared to those who didn’t get training. The study revealed that 98.8% of nurses and midwives had knowledge of birth asphyxia management. Conclusions: More than half of these health professionals had training on the management of Birth Asphyxia. Frequent trainings were recommended to improve knowledge of nurses and midwives on Birth Asphyxia management.
{"title":"Initial Steps in Resuscitation of Suspected Birth Asphyxia in the Context of Nursing and Midwifery: A Quantitative Study in Upper East Region of Ghana","authors":"Keren-Happuch Twumasiwaa Boateng, Foster Twum, Samuel Kwame Amoako Asirifi","doi":"10.9734/ajmah/2024/v22i61038","DOIUrl":"https://doi.org/10.9734/ajmah/2024/v22i61038","url":null,"abstract":"Background: A newborn’s inability to initiate and maintain breathing immediately after birth is referred to as birth asphyxia. In developed countries, the incidence of Birth Asphyxia is 2 per 1000 births, but in developing countries, the rate can be up to 10 times higher than that figure. Globally, 130 million babies are born each year, with Birth Asphyxia accounting for 20.9 percent of all neonatal deaths occurring within the first four weeks of life during this period. Approximately 10% of these babies require some form of assistance to breathe when they are born. Nurses and midwives must have a high level of expertise in the management of birth asphyxia in order to avoid further complications. \u0000Methods: A quantitative descriptive, cross-sectional study design was used to assess the management of Birth Asphyxia among Nurses and Midwives at the maternity department of War Memorial Hospital. Convenient sampling technique was used to select study subjects and the sample size was determined using sample size determination table. \u0000Results: Of the total 80, 79 (98.8%) of the respondents had knowledge on the standard guidelines and protocols for the management of Birth Asphyxia. Nurses and midwives who were trained, thus 60 out of the total 80 respondents (75%), were more likely to have knowledge of Birth Asphyxia management as compared to those who didn’t get training. The study revealed that 98.8% of nurses and midwives had knowledge of birth asphyxia management. \u0000Conclusions: More than half of these health professionals had training on the management of Birth Asphyxia. Frequent trainings were recommended to improve knowledge of nurses and midwives on Birth Asphyxia management.","PeriodicalId":505327,"journal":{"name":"Asian Journal of Medicine and Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140962542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-15DOI: 10.9734/ajmah/2024/v22i61037
Nkiruka Lauretta Nwangene
Introduction: Post-Intensive Care Syndrome (PICS) refers to the collective effects of prolonged physical and cognitive impairments and mental health problems during or after the stay in intensive care unit (ICU). PICS significantly affect patients’ quality of life and ability to return to their normal routines. The challenges of PICS have become more pervasive since the Covid-19 pandemic. The aim of this study is to examine the challenges to effective management of PICS and suggest tangible ways of addressing them so as to reduce the prevalence of PICS, and improve on patients’ wellbeing, quality of life and satisfaction with care services. Methods: The descriptive survey is employed to make a brief systematic review of selected 2019—2024 literatures on PICS, the challenges, and the measures for managing the challenges effectively. Results: There is a consensus on lack of awareness and inability to recognize the condition among healthcare professionals; the difficulty of predicting and managing the long-term effects of PICS; the significant emotional toll of PICS on patients and their families; and the fragmentation of healthcare systems, which together constrain effective management of PICS. Conclusion: To attain effective management of PICS, a comprehensive multidisciplinary approach, which can address cognitive, physical, and psychological aspects of the condition, has to be adopted. Resorting to a meaningful interdisciplinary collaboration among healthcare professionals, widespread awareness about PICS, the symptoms, and the need for early interventions would guarantee patients’ attainment of maximal outcomes and improved quality of life.
{"title":"Mitigating Challenges to Effective Management of Post-Intensive Care Syndrome (PICS)","authors":"Nkiruka Lauretta Nwangene","doi":"10.9734/ajmah/2024/v22i61037","DOIUrl":"https://doi.org/10.9734/ajmah/2024/v22i61037","url":null,"abstract":"Introduction: Post-Intensive Care Syndrome (PICS) refers to the collective effects of prolonged physical and cognitive impairments and mental health problems during or after the stay in intensive care unit (ICU). PICS significantly affect patients’ quality of life and ability to return to their normal routines. The challenges of PICS have become more pervasive since the Covid-19 pandemic. The aim of this study is to examine the challenges to effective management of PICS and suggest tangible ways of addressing them so as to reduce the prevalence of PICS, and improve on patients’ wellbeing, quality of life and satisfaction with care services. \u0000Methods: The descriptive survey is employed to make a brief systematic review of selected 2019—2024 literatures on PICS, the challenges, and the measures for managing the challenges effectively. \u0000Results: There is a consensus on lack of awareness and inability to recognize the condition among healthcare professionals; the difficulty of predicting and managing the long-term effects of PICS; the significant emotional toll of PICS on patients and their families; and the fragmentation of healthcare systems, which together constrain effective management of PICS. \u0000Conclusion: To attain effective management of PICS, a comprehensive multidisciplinary approach, which can address cognitive, physical, and psychological aspects of the condition, has to be adopted. Resorting to a meaningful interdisciplinary collaboration among healthcare professionals, widespread awareness about PICS, the symptoms, and the need for early interventions would guarantee patients’ attainment of maximal outcomes and improved quality of life.","PeriodicalId":505327,"journal":{"name":"Asian Journal of Medicine and Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140975016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-14DOI: 10.9734/ajmah/2024/v22i61036
K. Geetha, Deshapaka Pravalika, R Shireesh Kiran, Simmu, Thatikonda Rajitha
The most prevalent form of blood cell is the red blood cell. RBCs resemble biconcave discs with a 7.8 mm diameter and a thickness of about 2.2 mm. There are two ways that erythrocytes can be used as carriers: Targeting a specific tissue or organ, for continuous or extended medication release. For the delivery of medications, various kinds of mammalian erythrocytes have been employed. There are numerous techniques, including the hypo-osmotic method, the dilution method, the dialysis method, the press well method, the isotonic osmotic lyses, the electrical breakdown method, the endocytosis method, the membrane perturbation method, the normal transport method, and the lipid fusion method. After erythrocytes have been loaded with the therapeutic drug, carrier cells are subjected to physical, cellular, and biological examinations. Several invitro tests have shown the value of carrier RBCs. The RBC mediated microinjection that occurs most frequently invitro. Today, a wide range of uses for resealed erythrocytes as medication carriers, enzyme replacement treatment, etc. have been proposed.
{"title":"A Review on Resealed Erythrocytes as a Novel Drug Delivery System","authors":"K. Geetha, Deshapaka Pravalika, R Shireesh Kiran, Simmu, Thatikonda Rajitha","doi":"10.9734/ajmah/2024/v22i61036","DOIUrl":"https://doi.org/10.9734/ajmah/2024/v22i61036","url":null,"abstract":"The most prevalent form of blood cell is the red blood cell. RBCs resemble biconcave discs with a 7.8 mm diameter and a thickness of about 2.2 mm. There are two ways that erythrocytes can be used as carriers: Targeting a specific tissue or organ, for continuous or extended medication release. For the delivery of medications, various kinds of mammalian erythrocytes have been employed. There are numerous techniques, including the hypo-osmotic method, the dilution method, the dialysis method, the press well method, the isotonic osmotic lyses, the electrical breakdown method, the endocytosis method, the membrane perturbation method, the normal transport method, and the lipid fusion method. After erythrocytes have been loaded with the therapeutic drug, carrier cells are subjected to physical, cellular, and biological examinations. Several invitro tests have shown the value of carrier RBCs. The RBC mediated microinjection that occurs most frequently invitro. Today, a wide range of uses for resealed erythrocytes as medication carriers, enzyme replacement treatment, etc. have been proposed.","PeriodicalId":505327,"journal":{"name":"Asian Journal of Medicine and Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140980881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-07DOI: 10.9734/ajmah/2024/v22i61035
A. Alaka, A. Iyanda
BMI percentile is a good index of nutritional status among pediatric patients. Yet there is a dearth of information about the relationship between this important anthropometric parameter and specific severity indices among pediatric patients. The study is designed to explore the possibility of such a relationship. Methods: Pediatric study participants were divided into test [HbSS, HbSC] and control [HbAA] groups. The questionnaire was administered to obtain information on age, gender, and clinical features of the disease [pain frequency, leg ulcer, priapism]. The anthropometry indices were determined. BMI as well as BMI percentiles were calculated. Data were summarized using relative frequency, mean, and standard deviation while analysis of variance, LSD post hoc tests and Chi‑squared tests were used for inferential statistics. Significant levels were set with P < 0.05. Results: There were significant differences in the body weight, height and BMI of HbAA, HbSC and HbSS. The distribution of the BMI percentiles for the three genotypes showed that 5% of HbAA, 20% of HbSC, and 35.7% of HbSS were in unhealthy categories. The occurrence of leg ulcers and priapism among the two SCD genotypes was 0% and 3.57% respectively. The Chi-square tests showed a significant difference between BMI percentiles (X2=72.51; P=<.001) or painful episodes (X2=15.992; P=.003) and hemoglobin genotypes [HbSS, HbSC]. Among SCD patients there was a relationship between BMI percentiles and pain frequency (X2=50.59; P=<.001). Conclusion: The study suggests that SCD impacts BMI percentiles. Also, the frequency of occurrence of priapism and leg ulcers varied widely, indicating that priapism among the SCD patients may be a more common SCD complication than leg ulcer in the region. The fact that there was a higher frequency of pain among HbSS than HbSC suggests a bias in distribution of pain frequency in the 2 hemoglobinopathies.
{"title":"Sickle Cell Disease Complications and BMI Percentiles of Pediatric Patients","authors":"A. Alaka, A. Iyanda","doi":"10.9734/ajmah/2024/v22i61035","DOIUrl":"https://doi.org/10.9734/ajmah/2024/v22i61035","url":null,"abstract":"BMI percentile is a good index of nutritional status among pediatric patients. Yet there is a dearth of information about the relationship between this important anthropometric parameter and specific severity indices among pediatric patients. The study is designed to explore the possibility of such a relationship.\u0000Methods: Pediatric study participants were divided into test [HbSS, HbSC] and control [HbAA] groups. The questionnaire was administered to obtain information on age, gender, and clinical features of the disease [pain frequency, leg ulcer, priapism]. The anthropometry indices were determined. BMI as well as BMI percentiles were calculated. Data were summarized using relative frequency, mean, and standard deviation while analysis of variance, LSD post hoc tests and Chi‑squared tests were used for inferential statistics. Significant levels were set with P < 0.05.\u0000Results: There were significant differences in the body weight, height and BMI of HbAA, HbSC and HbSS. The distribution of the BMI percentiles for the three genotypes showed that 5% of HbAA, 20% of HbSC, and 35.7% of HbSS were in unhealthy categories. The occurrence of leg ulcers and priapism among the two SCD genotypes was 0% and 3.57% respectively. The Chi-square tests showed a significant difference between BMI percentiles (X2=72.51; P=<.001) or painful episodes (X2=15.992; P=.003) and hemoglobin genotypes [HbSS, HbSC]. Among SCD patients there was a relationship between BMI percentiles and pain frequency (X2=50.59; P=<.001).\u0000Conclusion: The study suggests that SCD impacts BMI percentiles. Also, the frequency of occurrence of priapism and leg ulcers varied widely, indicating that priapism among the SCD patients may be a more common SCD complication than leg ulcer in the region. The fact that there was a higher frequency of pain among HbSS than HbSC suggests a bias in distribution of pain frequency in the 2 hemoglobinopathies.","PeriodicalId":505327,"journal":{"name":"Asian Journal of Medicine and Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-06DOI: 10.9734/ajmah/2024/v22i61034
H. A. Waribo, MaryJane Oluomachi Emenike, Ngozi Brisibe
Aim: Transfluthrin is a fast-acting insecticide used in household mainly against mosquites. Its uses have not been without health risk to humans. The study aims at evaluating the effect of onion juice on follicle stimulating hormone and leutinizing hormone levels in mice exposed to transfluthrin smoke. Study Design: This is an animal study conducted in the Animal House, College of Medical Science in Rivers State University. Materials and Methods: Thirty( 30) female mice were used in this study. They were divided into six groups of five mice each; Group 1(negative control, exposed to normal environmental air), Group 2(exposed to 6g of transfluthrin coated insecticide paper smoke and given 0.2ml of onion juice), Group 3(exposed to 6g of transfluthrin coated insecticide paper smoke only), Group 4(exposed to 12g of transfluthrin coated insecticide paper smoke and given 0.2ml of onion juice), Group 5(exposed to 12g of transfluthrin coated insecticide paper smoke only), Group 6(given 0.2ml of onion juice only) through the oral gavage method daily. The smoke inhalation lasted for 15minutes daily for 28 days using the already formulated packaged transflutrin coated insecticide papers in the market. Results: There was a significant difference in the mean values of Follicle Stimulating Hormone in groups 2, 3, 4, 5 & 6 when compared to group 1 (P=0.004). There was no significant difference observed in the mean values of Leutinizing Hormone in the various groups (P=0.068). The ovaries in groups 2, 3, 4, 5 & 6 showed several distortion and fluid congestion, which could be attributed to auto regulatory mechanisms leading to biochemical derangement. Conclusion: This study shows that the exposure significantly altered the hormonal levels and the ovarian cyto architecture of the mice. It also reveals that exposure to transfluthrin is detrimental to the reproductive functions of female mice however, the Onion juice administered to the mice in this study showed no ameliorative effect on the ovarian distortion, hence not improving the reproductive status of the mice.
{"title":"Assessing the Impact of Onion Juice on the Levels of Leutinizing Hormone and Follicle Stimulating Hormone in Female Mice Exposed to Transfluthrin Smoke","authors":"H. A. Waribo, MaryJane Oluomachi Emenike, Ngozi Brisibe","doi":"10.9734/ajmah/2024/v22i61034","DOIUrl":"https://doi.org/10.9734/ajmah/2024/v22i61034","url":null,"abstract":"Aim: Transfluthrin is a fast-acting insecticide used in household mainly against mosquites. Its uses have not been without health risk to humans. The study aims at evaluating the effect of onion juice on follicle stimulating hormone and leutinizing hormone levels in mice exposed to transfluthrin smoke.\u0000Study Design: This is an animal study conducted in the Animal House, College of Medical Science in Rivers State University.\u0000Materials and Methods: Thirty( 30) female mice were used in this study. They were divided into six groups of five mice each; Group 1(negative control, exposed to normal environmental air), Group 2(exposed to 6g of transfluthrin coated insecticide paper smoke and given 0.2ml of onion juice), Group 3(exposed to 6g of transfluthrin coated insecticide paper smoke only), Group 4(exposed to 12g of transfluthrin coated insecticide paper smoke and given 0.2ml of onion juice), Group 5(exposed to 12g of transfluthrin coated insecticide paper smoke only), Group 6(given 0.2ml of onion juice only) through the oral gavage method daily. The smoke inhalation lasted for 15minutes daily for 28 days using the already formulated packaged transflutrin coated insecticide papers in the market. \u0000Results: There was a significant difference in the mean values of Follicle Stimulating Hormone in groups 2, 3, 4, 5 & 6 when compared to group 1 (P=0.004). There was no significant difference observed in the mean values of Leutinizing Hormone in the various groups (P=0.068). The ovaries in groups 2, 3, 4, 5 & 6 showed several distortion and fluid congestion, which could be attributed to auto regulatory mechanisms leading to biochemical derangement.\u0000 Conclusion: This study shows that the exposure significantly altered the hormonal levels and the ovarian cyto architecture of the mice. It also reveals that exposure to transfluthrin is detrimental to the reproductive functions of female mice however, the Onion juice administered to the mice in this study showed no ameliorative effect on the ovarian distortion, hence not improving the reproductive status of the mice.","PeriodicalId":505327,"journal":{"name":"Asian Journal of Medicine and Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141008159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-04DOI: 10.9734/ajmah/2024/v22i61033
Kumar Hari Rajah
Laparoscopic cholecystectomy is the gold standard for the management of gallstone disease, but it has recently been incorporated into the treatment of acute cholecystitis. It is divided into early and delayed laparoscopic cholecystectomy. Early laparoscopic cholecystectomy is done within 72 hours of the onset of symptoms, and delayed laparoscopic cholecystectomy is done after eight weeks. As there is no consensus on the timing of early laparoscopic cholecystectomy in adults and elderly patients, we have conducted this review article to examine the timing of early laparoscopic cholecystectomy, the risk factors for conversion to open cholecystectomy, and the role of laparoscopic subtotal cholecystectomy in the management of acute cholecystitis.
{"title":"Laparoscopic Cholecystectomy in Acute Cholecystitis: An Updated Review","authors":"Kumar Hari Rajah","doi":"10.9734/ajmah/2024/v22i61033","DOIUrl":"https://doi.org/10.9734/ajmah/2024/v22i61033","url":null,"abstract":"Laparoscopic cholecystectomy is the gold standard for the management of gallstone disease, but it has recently been incorporated into the treatment of acute cholecystitis. It is divided into early and delayed laparoscopic cholecystectomy. Early laparoscopic cholecystectomy is done within 72 hours of the onset of symptoms, and delayed laparoscopic cholecystectomy is done after eight weeks. As there is no consensus on the timing of early laparoscopic cholecystectomy in adults and elderly patients, we have conducted this review article to examine the timing of early laparoscopic cholecystectomy, the risk factors for conversion to open cholecystectomy, and the role of laparoscopic subtotal cholecystectomy in the management of acute cholecystitis.","PeriodicalId":505327,"journal":{"name":"Asian Journal of Medicine and Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141013196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: We conducted this study to investigate the impact of social restrictions on chronotype categories, social jetlag, and sleep parameters in the Indian population. Materials and Methods: A cross-sectional study was conducted in 2021 with 139 participants. We used an online questionnaire (Google Form) enclosing respondents' sociodemographic information Social jetlag and sleep parameters were measured with the µ-MCTQ and chronotype was assessed by the r-MEQ. Chi-square, paired t-tests, and One-way ANOVA were used to analyse the data. Pearson correlation was used to determine the strength of the relationship between the variables. Results: Our results highlighted that a total of 23.8% of volunteers reported social jetlag before social restriction and it significantly reduced to 13.7% (P = .001) in the social restricted condition. There is no significant difference in sleep duration during the workday and free days of socially restriction (P = .11). We found a difference between midsleep free day (MSf) and midsleep free day corrected (MSfsc) (mean of 13 min before restrictions (P = .05) and 10 min during restrictions; P = .001). Conclusion: Our findings provide crucial insights into variations in sleep/wake schedule stability, as seen by changes in the decrease of social jetlag between restriction. It was established that the individuals had significantly equivalent total sleep at both time points, as well as a later sleep-wake time under the social restriction.
{"title":"Variation in Sleep Traits in the Indian Population During Social Restriction","authors":"Saurabh Jaiswal, Nishi Soni, Arjita Yadav, Sudhir Kumar, Shalie Malik, Sangeeta Rani","doi":"10.9734/ajmah/2024/v22i61027","DOIUrl":"https://doi.org/10.9734/ajmah/2024/v22i61027","url":null,"abstract":"Aim: We conducted this study to investigate the impact of social restrictions on chronotype categories, social jetlag, and sleep parameters in the Indian population.\u0000Materials and Methods: A cross-sectional study was conducted in 2021 with 139 participants. We used an online questionnaire (Google Form) enclosing respondents' sociodemographic information Social jetlag and sleep parameters were measured with the µ-MCTQ and chronotype was assessed by the r-MEQ. Chi-square, paired t-tests, and One-way ANOVA were used to analyse the data. Pearson correlation was used to determine the strength of the relationship between the variables.\u0000Results: Our results highlighted that a total of 23.8% of volunteers reported social jetlag before social restriction and it significantly reduced to 13.7% (P = .001) in the social restricted condition. There is no significant difference in sleep duration during the workday and free days of socially restriction (P = .11). We found a difference between midsleep free day (MSf) and midsleep free day corrected (MSfsc) (mean of 13 min before restrictions (P = .05) and 10 min during restrictions; P = .001).\u0000Conclusion: Our findings provide crucial insights into variations in sleep/wake schedule stability, as seen by changes in the decrease of social jetlag between restriction. It was established that the individuals had significantly equivalent total sleep at both time points, as well as a later sleep-wake time under the social restriction.","PeriodicalId":505327,"journal":{"name":"Asian Journal of Medicine and Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140664915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-20DOI: 10.9734/ajmah/2024/v22i61026
ML John, CA Ogbaini, AG Ajao, AA Aboyewa, O.A. Aboyewa
This study investigated the impact of direct attention training on aggressiveness of healthcare workers in Kogi State, Nigeria. Quasi-experimental design was adopted for this study. Multi-stage sampling technique was used to select forty-seven male and female health workers in Kogi State. The first stage of the multi-stage sampling process was the selection of two health care services: Prince Abubakar Audu University Teaching Hospital Ayinba and Peace Hospital Ayingba Kogi State. The second stage involved the identification of aggressive health workers using Buss-Perry Aggression Questionnaire (BPAQ). Forty-seven (47) health workers scoring 70 % or higher on the aggression assessment were identified as displaying aggressive behavior. The third stage involved the selection of health care services into experimental group using simple random sampling technique. Prince Abubakar Audu University Teaching Hospital Ayingba which comprised twenty-three (23) participants belonged to Group A and were given Direct attention training while Peace Hospital Ayingba with twenty-four (24) participants belonged to Group B (control group). The control group were not given any treatment during the study. Data collected for this study were analysed using descriptive and inferential statistics. The hypothesis was analyzed using analysis of covariance (ANCOVA) statistics at 0.05 level of significance. The results revealed a significant impact of direct attention training on the aggressiveness of both the experimental and control groups among healthcare workers in Kogi State, Nigeria. The health workers in direct attention and control groups had mean scores of 92.07 and 91.02 respectively on aggressiveness. On exposure to treatment, those in the control group had higher posttest mean score of 86.91 than their counterparts in the direct attention group (mean = 50.72, SD = 5.81). Direct attention had significant effect on health workers’ aggressiveness in the experimental and control groups (F1, 27 = 208.350, P < 0.05). On the other hand, control group had the higher estimated marginal mean of 87.92 than those in the direct attention group with an adjusted mean score of 51.43. The study suggests that Kogi State should consider employing health psychologists to manage and control aggressive behavior among healthcare workers.
{"title":"Effect of Direct Attention Training on Aggressiveness among Healthcare Workers in Kogi State, Nigeria","authors":"ML John, CA Ogbaini, AG Ajao, AA Aboyewa, O.A. Aboyewa","doi":"10.9734/ajmah/2024/v22i61026","DOIUrl":"https://doi.org/10.9734/ajmah/2024/v22i61026","url":null,"abstract":"This study investigated the impact of direct attention training on aggressiveness of healthcare workers in Kogi State, Nigeria. Quasi-experimental design was adopted for this study. Multi-stage sampling technique was used to select forty-seven male and female health workers in Kogi State. The first stage of the multi-stage sampling process was the selection of two health care services: Prince Abubakar Audu University Teaching Hospital Ayinba and Peace Hospital Ayingba Kogi State. The second stage involved the identification of aggressive health workers using Buss-Perry Aggression Questionnaire (BPAQ). Forty-seven (47) health workers scoring 70 % or higher on the aggression assessment were identified as displaying aggressive behavior. The third stage involved the selection of health care services into experimental group using simple random sampling technique. Prince Abubakar Audu University Teaching Hospital Ayingba which comprised twenty-three (23) participants belonged to Group A and were given Direct attention training while Peace Hospital Ayingba with twenty-four (24) participants belonged to Group B (control group). The control group were not given any treatment during the study. Data collected for this study were analysed using descriptive and inferential statistics. The hypothesis was analyzed using analysis of covariance (ANCOVA) statistics at 0.05 level of significance. The results revealed a significant impact of direct attention training on the aggressiveness of both the experimental and control groups among healthcare workers in Kogi State, Nigeria. The health workers in direct attention and control groups had mean scores of 92.07 and 91.02 respectively on aggressiveness. On exposure to treatment, those in the control group had higher posttest mean score of 86.91 than their counterparts in the direct attention group (mean = 50.72, SD = 5.81). Direct attention had significant effect on health workers’ aggressiveness in the experimental and control groups (F1, 27 = 208.350, P < 0.05). On the other hand, control group had the higher estimated marginal mean of 87.92 than those in the direct attention group with an adjusted mean score of 51.43. The study suggests that Kogi State should consider employing health psychologists to manage and control aggressive behavior among healthcare workers.","PeriodicalId":505327,"journal":{"name":"Asian Journal of Medicine and Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140680975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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