Asian Pacific Journal of Health Sciences

Asian Pacific Journal of Health Sciences

Basic info

  • Publisher: IJPMR Publishing Press, India.
  • Country of publisher: india
  • Date added to EuroPub: 2019/Sep/29

Subject and more

  • LCC Subject Category: Medicine, Health and Wellness
  • Publisher's keywords: Medicine, Health
  • Language of fulltext: english
  • Time from submission to publication: 6 weeks

Publication charges

  • Article Processing Charges (APCs): No
  • Submission charges: No
  • Waiver policy for charges? No

Open access & licensing

  • Type of License: CC BY
  • License terms
  • Open Access Statement: Yes
  • Year open access content began: 2014
  • Does the author retain unrestricted copyright? False
  • Does the author retain publishing rights? False

Best practice polices

  • Permanent article identifier: DOI
  • Content digitally archived in: Other
  • Deposit policy registered in: None

This journal has '459' articles

Role of image guided fine needle aspiration cytology in diagnosis of hepatic lesions-study at a tertiary care centre of Kashmir valley

Role of image guided fine needle aspiration cytology in diagnosis of hepatic lesions-study at a tertiary care centre of Kashmir valley

Authors: Nuzhat Samoon
Year: 2017, Volume: 4, Number: 2
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Abstract

Background and aim: Liver diseases are common causes of mortality and morbidity worldwide. Image guided fine needle aspiration cytology(FNAC) is a rapid and reliable method for diagnosis of hepatic mass lesions. It provides a predictive diagnosis of benign and malignant lesions and in most of them provides the tumor type. Ours is a prospective study of three years. Material and methods: A three year prospective study of image guided FNAC of lesions of liver was done from May 2014 to April 2017. The study included total 130 cases which were selected irrespective of age and sex. USG or CT guided FNAC was done using 18-22 gauge needle. Air dried and alcohol fixed smears were stained with May-Grünwald Giemsa(MGG)and hematoxylin and eosin(H&E)stain respectively. Results: The diagnostic yield was 92.8%. Out of the 130 cases 84.6% were malignant and 15.3% were benign. Metastatic malignany was the most common diagnosis seen in 80.2% of the patients adenocarcinoma(73.1%),neuroendocrine carcinoma(9.2%), squamous cell carcinoma(10.7%) and pleomorphic sarcoma (2.1%). Metastasis of malignant melanoma, medullary carcinoma thyroid and non hodgkins lymphoma was seen in one patient (.1.07%) each. Cytological diagnosis of hepatocellular carcinoma was made in 15 patients (13.6%). Conclusion: Image guided FNAC is a quick, minimally invasive and economically effective procedure which helps in accurately diagnosing liver lesions without major complications.

Keywords: hepatic lesions, image guided, FNAC
Design and Development of Dual Drug Loaded Niosomes Containing Amoxicillin and Clavulanic acid

Design and Development of Dual Drug Loaded Niosomes Containing Amoxicillin and Clavulanic acid

Authors: B Kumar
Year: 2017, Volume: 4, Number: 2
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Abstract

Niosomes formulation for the fixed dose combinations of amoxicillin-clavulanic acid were prepared using Span 60 and cholesterol by the ether injection method. Span 60 and cholesterol were added in various molar ratios to affect the vesicle membrane rigidity. Drugs combinations of amoxicillin-clavulanic acid entrapped in the bilayer of niosomes were quantified and the entrapment efficiency was found to be reaching up to 76%. The size and size distribution of niosomes were determined on light microscopy and transmission electron microscopy. The accelerated stability testing was used to predict the stability of the formulations. The test revealed changes in the characteristics of the liposomes. The in-vitro antibacterial assay of amoxicillin-clavulanic acid, revealed that niosomes formulations have stronger inhibitory activity.

Keywords: Niosomes, drug, amoxicillin, clavulanic acid
A comparative study of x-ray chest and lung ultrasonography characteristics among community acquired pneumonia in children

A comparative study of x-ray chest and lung ultrasonography characteristics among community acquired pneumonia in children

Authors: Mohan Makwana
Year: 2017, Volume: 4, Number: 2
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Abstract

Background: Pneumonia is the leading cause of childhood morbidity and mortality worldwide. Each year, approximately 1.6 million children die from pneumonia. According to the estimates of the World Health Organization (WHO), pneumonia accounts for almost one-fifth of overall childhood mortality Methods: The study was conducted in Department of Paediatric Medicine, SMS Medical College, Jaipur. Study Design: This study is a Hospital based analytical type of observational study, Sample size:139 patients. Inclusion criteria: Children between 2 months to 18 years admitted with suspicion for pneumonia on the basis of sign and symptoms were enrolled. Results: Mean age of study subjects was 3.28 ± 0.62 years with median age was 1.5 years. Out of these, 48 (34.5%) were female and 91 (65.5%) were male. Majority 75(53.95%) of patients were below 5th centile of their weight for age, almost all 138 (99.23%) patients had tachypnoea on clinical examination. According to Chest X-ray findings, 97 (69.78%) patients had consolidation, 12 (8.63%) had peribronchial thickening, 7 (5.03%) had pleural effusion while 2 (1.43%) had consolidation as well as peribronchial thickening and 8 (5.75%) had both pleural effusion and consolidation. On LUS findings on day-1,43 (30.93%) patients had sub pleural lung consolidation, 44 (31.65%)had confluent B-line with consolidation. 2 (1.43%) had confluent B- Lines with pleural line abnormalities. 22 (15.82%) had consolidation with pleural line abnormalities. 21 (15.01%) had pleural effusion with consolidation while 3 (2.15%) had focal or multiple confluent B-line and only 1 (0.72%) had confluent B-line with pleural effusion. 3 (2.15%) patients had no changes in their lung ultrasound. Consolidation was reported in 130 (93.52%) patients. LUS characteristic findings reported that 97 (71.3%) patients had involvement of right lung, 26 (19.1%) patients had involvement of left lung and 13 (9.6%) had involvement of bilateral lung fields. The two characteristic findings common in chest X-ray and LUS are consolidation and pleural effusion. Consolidation was reported in LUS findings of 130 (93.53%) patients and chest X-ray findings of 107 (76.97%) patients. this difference was statistically significant. Conclusion: Though chest radiograph (CXR) has been considered the 'gold standard for the diagnosis of pneumonia in children, Lung ultrasound (LUS) is a very easy and versatile application. It is rapid, portable, repeatable, and non-ionizing.

Keywords:
Factors responsible for prolong waiting time of patients seeking eye care at a tertiary health facility

Factors responsible for prolong waiting time of patients seeking eye care at a tertiary health facility

Authors: O.J Omotoye
Year: 2017, Volume: 4, Number: 2
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Abstract

Prolong waiting time can cause poor utilization of health facility because it causes discontent among patients. The purpose of this study was to determine waiting time of patients attending the eye department of the tertiary centre and to assess the factors responsible for prolong waiting time and give recommendations on how to improve the uptake of the health facility by reducing waiting time of patients. Methods: A quantitative, descriptive, observational study of all patients both old and new attending ophthalmology department of the tertiary centre between January and February 2017was done. Results: A total of 171 respondents were seen, out of which 72(42.1%) were new patients and the others were follow up patients. There were 71 males and 100 females with male: female ratio of 1:1.4. The respondents waiting time from registration to doctors consulting room ranged from11minutes to 5.24hours with mean time of 2.67 hours ±1.04 hours. Almost two-third of the patients111 (64.9%) waited for over an hour before being seen by eye doctors. The total time spent with the eye doctors ranged from 3mins to 3.50hours with mean time of 1.09hours ±1.02hours. Socio-demographic characteristics of the patients did not significantly influence the time spent in the eye facility. Majority of follow up patients( 84.7%)spent lesser time with the eye specialist compared with new patients(15.3%). Two third of the patients 66% that spent 0-1hour with eye specialists were very satisfied compared with7% of patients that were dissatisfied. Conclusion: Despite the prolonged waiting and time spent with eye specialist caused by plethora of factors, the level of patient satisfaction was still high .To reduce this prolonged waiting time and, government through the hospital management needs to provide a reliable alternative power supply to the department, employ more qualified staff and improve the existing workers both the eye specialists and other allied health professionals through capacity building. This will ultimately improve the uptake of this facility.

Keywords: Eyecare, Prolong, Satisfaction, Tertiary, Waiting time
Correlation of dental anxiety with oral health status among 12-15 year adolescents

Correlation of dental anxiety with oral health status among 12-15 year adolescents

Authors: G. Shailaja
Year: 2017, Volume: 4, Number: 2
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Abstract

Background:. Dental anxiety is considered to be the main reason for behavior management problems and avoiding dental care resulting in lack of regular dental care and delay in necessary treatments. Materials and method:. The present cross-sectional study was performed among 12-15 year old in the private schools, Mahaboobnagar, Telangana State. To determine the association between Dental Anxiety using Modified Child Dental Anxiety Scale (MCDAS) With Oral Health Status. The sample size taken for the study was 500. Results: A sample of 500 school children/ adolescents comprising of 250 (50%) males and 250 (50%) females participated in the study. The majority of the study population had no history of previous dental visits (320; 64%) and had the habit of brushing once daily (350; 70%). Conclusion: There was a significant difference between the means from Q3-Q8. There was no difference between the means from Q1-Q2.

Keywords: Dental Anxiety; Modified child Dental Anxiety Scale; School children
Prevalence of obesity among apparently healthy school children aged5– 15years of shimoga town

Prevalence of obesity among apparently healthy school children aged5– 15years of shimoga town

Authors: Raghotham Reddy K
Year: 2017, Volume: 4, Number: 2
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Abstract

Developing countries are undergoing nutritional transition due to increased economic development and market globalization leading to rapid changes in lifestyle and dietary habits. Malnutrition, in every form, presents significant threat to human health. Developing countries like India are facing the peculiar situation of having to deal with both ends of the spectrum (under-nutrition and over nutrition) of nutritional disorders. Girls were found to be more obese than boys and the difference is statistically significant.

Keywords: Obesity,BMI , Anthropometry, Shimoga
Oligohydramnios maternal & fetal outcome in pregnant females

Oligohydramnios maternal & fetal outcome in pregnant females

Authors: Dr.Isha Bansal
Year: 2017, Volume: 4, Number: 2
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Abstract

Oligohydramnios is considered to be one of the most common complication diagnosed more frequently these days due to frequent usage of ultrasonography. Due to oligohydramnios , risk of intrapartum complications, perinatalmorbidity and mortality increases. The aims of this study are to study the maternal and fetal effects ofoligohydramnios, to evaluate the causesof oligohydramnios and to evaluate the perinatal morbidity andmortality.

Keywords: Maternal,fetal,, amniotic, fluid, oligohydramnios
Evaluation of effectiveness of trabeculectomy in patients suffering with primary adult onset open angle glaucoma

Evaluation of effectiveness of trabeculectomy in patients suffering with primary adult onset open angle glaucoma

Authors: Mahesh G
Year: 2017, Volume: 4, Number: 2
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Abstract

Glaucoma is one of the chief cause for irreversible blindness in the world that results from raise in intraocular ocular pressure. trabeculectomy is one the oldest and good standard surgical method for reducing intraocular tension and thereby aiding the effective management of Primary Adult Open Angle Glaucoma(POAG), evening the current era of advanced techniques like laser trabeculectomy. The current study prospective study was conducted at Government Medial College and General Hospital, Anantapuramu and is aimed at studying the efficacy of Trabeculectomy procedure as a modality of treatment for managing Primary Adult Onset Open Angle Glaucoma. The results obtained from the suggested that still the procedure can be followed as a front-line procedure for managing POAG

Keywords: Intraocular Pressure, Primary Adult Onset open angle Glaucoma(POAG), Trabeculectomy
Study of Factors associated with anaemia in pregnant females belonging to rural Haryana

Study of Factors associated with anaemia in pregnant females belonging to rural Haryana

Authors: Dr.Isha Bansal
Year: 2017, Volume: 4, Number: 2
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Abstract

Anemia is the most common nutritional deficiency disorder found in about 56% of all women living in developing countries as per World Health Organization. It is the second most common cause in India and is responsible for 20% of total maternal deaths. Aims and Objectives: To study the factors associated with anemia in pregnant females and To study the prevalence of anaemia in rural pregnant women. Material and Methods:538 participants were interviewed by using a pre- structured and pretested questionnaire including prime gravida, second gravida and> second gravida over a period of 1year from November 2015 to November 2016 in a tertiary care centre in district Sonipat, Haryana. Anaemia was classified as per the World Health Organization (WHO) grading criteria which is taken as 11g/dl anaemia in pregnancy which is further classified in to mild anaemia (haemoglobin 10-10.9 g/dl), moderate anaemia (haemoglobin7.0-9.9 g/dl) and severe anemia (haemoglobin <7 g/dL as per WHO. Purposive sampling technique was used to select the sample. Inclusion criteria: The study subjects of age< 20 years to 30 and > 30 years were included. the prevalence of anaemia was observed in all the three trimesters. Exclusion criteria: Females with history of recent blood transfusion, chronic renal disease and ante partum haemorrhage were excluded. The diagnosis of anemia was undertaken by peripheral blood smear examination and standard haemoglobin estimation by Sahli’s method. Results: Among 538 subjects, the prevalence of anemia was found to be 58.48% classified in mild, moderate & severe categories. Mother‘s age, parity, education, socio-economic status, and dietary habits were found to be highly significant factors associated with maternal anemia. Other factors like family structure, size and attainment of menarche were found to be of least significance so far anemia is concerned Conclusion: High prevalence of anemia (59.3) calls for strict implementation of National Nutrition Anemia prophylaxis programme.

Keywords: Pregnancy, Anemia
A study on cases of breast cancer attending to government general hospital, Anantapuramu

A study on cases of breast cancer attending to government general hospital, Anantapuramu

Authors: Dr. Adinatesh Katta Viswanath
Year: 2017, Volume: 4, Number: 2
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Abstract

Breast cancer accounts for one of the chief cause for morbidity and mortality in women both in India and abroad. It has age adjusted rate as high as 28.5 per one lakh women and mortality of 12.7 per one lakh women. The intensity of the disease is projected to as high as 1797900 sufferers by 2020.The current study was carried out to asses the incidence of breast cancer in relation of various parameters among the sufferers attending to Department of Radiotherapy for management purposes which revealed that the incidence of breast cancer is high in rural population, women with obesity, high body mass index, poor literacy rate, low parity, younger age group and who are hailing from good socio-economic status. Creation of better health awareness, provision for screening programmes, Establishment of dedicated palliative care centers can reduce the incidence of breast cancer in the community.

Keywords: Breast cancer, Government General Hospital, Anantapuramu, India, Risk factors.
A STUDY OF MANAGEMENT OF TIBIAL SHAFT FRACTURES BY INTRAMEDULLARY INTERLOCKING NAILING

A STUDY OF MANAGEMENT OF TIBIAL SHAFT FRACTURES BY INTRAMEDULLARY INTERLOCKING NAILING

Authors:
Year: 2017, Volume: 4, Number: 2
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Abstract

Fractures of diaphysis of tibia is quite common in orthopedic practice and are common entities that occur in road traffic accidents. However, management of these fractures are quite problematic and are challenging for orthopedic Surgeons. In current times intramedullary interlocking nailing is quite promising surgery to deal with tibial shaft fractures. The current study was taken up analyze cases of tibial shaft fractures with its epidemiological fractures with special emphasis on out come with intramedullary interlocking nailing. The study conducted over 25 cases indicated that the right sided middle 1/3rd tibial shaft fractures are common in young males. Medullary interlocking nailing surgery for tibial shaft fractures is very promising procedure with not only effectively promotes early healing of the fracture but also reduces hospital stay, infections nonunion and malunions. Key words:

Keywords: Intramedullary Interlocking Nailing, Overall functional result, Tibial Shaft fracture, Thorsen Criteria
A study on varicose veins cases attending to Government General Hospital, Anantapur

A study on varicose veins cases attending to Government General Hospital, Anantapur

Authors: Dr. M. Ramaswamy Naik
Year: 2017, Volume: 4, Number: 4
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Abstract

Background: Varicose veins are dilated, elongated, and torturous veins usually seen over the lower extremities of the body. They are usually asymptomatic in most of the subjects but may present with complications like edema, pain ulceration or sometimes even systemic complications. surgical management is the available choice when conservative management is failed. Relatively new surgeries like Radio Frequency ablation, Endovenous Laser ablation therapy are gaining importance over conventional surgeries like stripping. Aims: Current prospective study was undertaken to study epidemiological factors and also an attempt is made to compare between available modalities of treatment. Results: The results indicated that in our center incidence of varicose veins are common in male persons in their middle age who are in occupations that require long term standing. RFA and EVLA are novel surgical techniques for managing varicose veins that reduces hospital stay and promote earlier rehabilitation. Early detection and proper initiation of conservative management will reduce the requirement of surgery.

Keywords: Endovenous laser ablation therapy, radiofrequency ablation, varicose veins
Paravertebral block versus unilateral spinal anesthesia for inguinal hernia repair - A comparative clinical trial

Paravertebral block versus unilateral spinal anesthesia for inguinal hernia repair - A comparative clinical trial

Authors: Eeshwar Rao Madishetti
Year: 2017, Volume: 4, Number: 4
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Abstract

Background: Inguinal hernia repair can be performed under satisfactory anesthetic conditions using general, regional, and peripheral nerve block anesthesia. Aims and Objectives: The aim of this study is to evaluate whether two-segment paravertebral block (PVB) can sustain as a viable alternative to unilateral spinal anesthesia (SA) as well by comparing the time to ambulation (primary outcome), duration of post-operative analgesia, and incidence of adverse events. Materials and Methods: We carried our study in 60 male patients, of the American Society of Anesthesiologists physical status I and II, aged 18–65 years, scheduled for a unilateral inguinal hernia repair procedure. The patients were divided randomly into two groups of 30 each. Experienced anesthesiologist gave unilateral SA and PVB, and the outcome measures of this study recorded were time to ambulation, time to first analgesic (duration of post-operative analgesia), total rescue analgesic consumption in the first 24-h period, and incidence of adverse events. Results: Demographic characteristics in both the groups were comparable. The time to ambulation in unilateral SA was significantly more prolonged (P < 0.001) than PVB. The time to the first analgesic in Group-P was significantly longer than PVB. Total rescue analgesic (IV tramadol) consumption in the first 24 h was significantly lower (P < 0.05) in Group-P in comparison to Group-S. Adverse events were fewer but not significant in Group-P than in Group-S. Conclusion: Two-segment PVB is a safe alternative to spinal anesthesia in unilateral inguinal hernia.

Keywords: Early ambulation, inguinal hernia repair, paravertebral block, spinal anesthesia
Effect of dexmedetomidine on propofol requirement during elective spine surgery in adolescents

Effect of dexmedetomidine on propofol requirement during elective spine surgery in adolescents

Authors: Dr. M. N. Mallika
Year: 2017, Volume: 4, Number: 4
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Abstract

Background: Total intravenous anesthesia with propofol and a synthetic opioid is a frequently chosen anesthetic technique for posterior spinal fusion. Aims and Objectives: The aim of this study is to evaluate the effect of dexmedetomidine on propofol requirement for induction and maintenance of desired depth of anesthesia. Materials and Methods: We carried our study on 80 patients aged 20–60 years, scheduled for elective spinal surgeries under general anesthesia. The patients were divided randomly into two Groups D and P of 40 each. Patients of Group D received an initial loading dose of dexmedetomidine at 1 µg/kg over 10 min, started 15 min before induction of anesthesia followed by an infusion at a rate of 0.2 µg/kg/h. Patients of Group P received the same volume of 0.9% normal saline solution as placebo. Results: Mean induction dose of propofol was found to be significantly lesser in Group D (63.68 ± 11.368 mg) when compared with Group P (118 ± 17.042 mg). Mean maintenance dose of propofol in Group D was 148.55 ± 42.08 mg and that in Group P was 398.24 ± 64.62 mg. The total requirement of propofol and mean requirement in Group D (215.24 ± 43.652 mg) was lesser than the requirement in Group P (521.29 ± 71.098 mg). Conclusion: Administration of dexmedetomidine significantly reduces the requirement of propofol while maintaining desired depth of anesthesia without any significant complication.

Keywords: Dexmedetomidine, intubation, propofol, spine surgery
Health challenges of adopted persons

Health challenges of adopted persons

Authors: Amara C. Onoka,
Year: 2017, Volume: 4, Number: 4
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Abstract

Background: Adoption of persons has been a commonly practised by human for centuries. Despite its popularity, little attention has been given to the health challenges faced by adopted persons as a result of the adoption. Objectives: Given the increasing acceptance and practice of adoption in Nigeria, this study aims at determining the health challenges adopted persons may be exposed to as a result of adoption. Method: Systematic review of literature and interview were adopted for the study. Results: Despite its huge benefits, the process of adoption severes the natural relationship between a child and his birth mother and exposes the child to a life-long trauma known as a primal wound. Primal wound and other biological and environmental factors expose the adopted person to various health challenges. Adopted persons therefore face physical, emotional, mental, social, and religious health challenges. Some physical health challenges include asthma, brain damage, developmental delay, mental (attention-deficit/hyper-activity, oppositional-defiance, major depression, separation anxiety disorders), and emotional (loss and grief about birth family, loss of access to health records and sense of rejection and abandonment). In Igboland Southeast Nigeria, adopted persons are exposed to social challenges as child negligence and abuse, inferiority complex, and denial of inheritance. In addition, adopted persons may also experience religious challenges where they might be compelled to change from the religious inclination of their birth parents to that of their adoptive parents. Recommendations: To ensure the health of adopted persons, it is suggested that adoptive parents should ensure proper documentation and maintenance of records relevant to adopted persons, ensure proper adoptive-parent to child bonding, and make adoption open adoption as against closed. The government, non-governmental organizations and adoption agencies should sensitize individuals and the public on the need to accept adopted persons and treat them like every other normal individual with human rights. They should also ensure that adequate record concerning the adopted person is maintained in addition to enacting a legislation to protect the rights of adopted persons. Furthermore, adopted persons are encouraged to handle some social and psychological issues of adoption when they W-I-S-E Up (walk away, it’s private, share some information in confidence as well as educate others about adoption.

Keywords: Key words: Adoption, adopted person, adoptive parents, birth parents, primal wound, health challenges

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