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

Asymmetry in primary health-care system and its effects on prevention and early detection of non-communicable diseases in rural India

Asymmetry in primary health-care system and its effects on prevention and early detection of non-communicable diseases in rural India

Authors: Izhar Husain,
Year: 2017, Volume: 4, Number: 4
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Abstract

Background: Primary health care is a foundation of public health system, but it lacks efficiency in serving the huge population in India, consequently people prefer private health care over the public. Moreover, health services are unequally distributed among rural and urban area while former has more than twice population as compared to later. There is a shift from communicable diseases to non-communicable diseases (NCDs) which combined with increasing private health-care cost due to inadequacy pushes people into poverty. The present study analyzes the asymmetric status of primary health care and assesses its effectiveness in the prevention of NCDs which cause highest mortality and economic burden. Materials and Methods: The present study is a descriptive cross-sectional study conducted in 12 primary health centers (PHCs) in 6 blocks of district Rampur, Uttar Pradesh. Two-stage sampling was adopted. Data were collected from 874 patients through a pre-structured questionnaire with prior consent and analyzed using SPSS 20v. Since the majority of the variables were qualitative, a reliability test was done to ensure the quality of the data. Results: About 69.6% of respondents preferred private health care as the first choice. Reasons for not choosing government hospitals were dissatisfaction with services (35.6%), long distance (14.8%), and limited time of O.P.D (10.1%). More than 50% of respondents were unaware of NCDs and their risk factors. Conclusion: Primary health care is deficient resulting in a shift of patients to private health care and incautious attempts toward the management of NCDs at the level of PHC. It is imperative to strengthen primary health care to achieve universal health.

Keywords: Asymmetry, inequality, non-communicable diseases, primary health care, public health care, private health care
Hepatoprotective activity of aqueous and ethanol extracts of Feronia elephantum Correa. Stem bark and Root

Hepatoprotective activity of aqueous and ethanol extracts of Feronia elephantum Correa. Stem bark and Root

Authors: Santosh Kumar Verma,
Year: 2017, Volume: 4, Number: 4
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Abstract

In the present study, the hepatoprotective activity of aqueous and ethanol extracts of Feronia elephantum Correa. (Rutaceae) stem bark and root was evaluated against carbon tetrachloride (CCl4)-induced hepatic damage in rats. The CCl4 (5 ml/kg)-intoxicated rats were enhanced the serum transaminase (serum glutamic oxaloacetic transaminase [SGOT] and serum glutamic pyruvic transaminase [SGPT]), alkaline phosphatase (ALP), total bilirubin (TB), total cholesterol (TC), while total protein (TP) level was reduced. Treatment with aqueous and ethanol extracts of stem bark and root of F. elephantum (50 and 100 mg/kg) has brought back the altered levels of biochemical markers of hepatic damage such as SGOT, SGPT, ALP, TB, TC, and TP to the near normal levels in the dose-dependent manner as well as histopathological examination was carried out to evaluate hepatoprotection. The results of this study strongly indicate that F. elephantum has a potent hepatoprotective action against CCl4-induced hepatic damage in rats.

Keywords: Key words: Carbon tetrachloride, Feronia elephantum, hepatoprotective, LIV 52
Evolutionary steps of pediatric echocardiography in India

Evolutionary steps of pediatric echocardiography in India

Authors: Dr. Nihit Kharkwal,
Year: 2017, Volume: 4, Number: 4
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Abstract

In India, an estimated 26 millions of children had born every year and as per census 2011, the share of children (0–6 years) accounts 13.12% of the total population in the country. Approximately 1.8–2.0 lakh infants born every year with congenital heart disease, out of them 78,000 infants die due to inadequate heart care facilities and insufficient infrastructure which can bear only 10% of the patient load at its best. Congenital heart defects are seen in 8-10 children out of 1000 live-born children. However, the hopeful part of progressing pediatric echocardiography is that almost all of them can be treated if diagnosed early and majority of them would have a normal life in future. Hence, the higher life expectancy after surgical procedures are luring the Indian pediatric cardiologist for more efficient treatment. In past decade, India has taken a big leap which is a good indication of progress in pediatric cardiology.

Keywords: Congenital heart disease, echocardiography, pediatric cardiology, diagnosis
An analysis of frontal extradural hematoma and its radiographic features

An analysis of frontal extradural hematoma and its radiographic features

Authors: S. Tamijeselvan,
Year: 2017, Volume: 4, Number: 4
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Abstract

Background: The extradural hematoma is the most important expanding lesion due to head injury with high indexes of mortality and morbidity when the correct management is not done. Frontal extradural hematoma (FEH) is considered rare, representing about 10% of the whole extradural hematoma. They are usually unilateral and may present with subacute and chronic evolution in 40% of the cases. Objective: The aim is to study fifteen cases of FEH and analyze the causes, clinical findings, and radiographic appearance. Materials and Methods: A totsl of 15 patients were studied retrospectively, FEH from the picture archiving and communication system of computed tomography (CT) scanner and magnetic resonance imaging (MRI). 12 cases were male and three female. The age ranged from 10 to 32 years, with a mean of 18 years. Results: The main causes were traffic accidents and falls. In two cases, the hematoma was bilateral. Acute collection occurred in 9 cases, subacute in 3, and chronic in 3. The most important clinical findings were headaches, vomiting, and seizures. Skull X-rays detected fracture in 9 cases, and CT was positive in demonstrating the hematoma. Conclusions: (1) The FEH is more frequent in young adults, (2) its evolution is slow, usually subacute or chronic, in majority of the cases, (3) the clinical findings of the FEH course with few neurological symptoms during its evolution, and (4) the FEH appears hyperdense in CT images and hypo- to hyper-dense in MRI.

Keywords: Computed tomography, extradural hematoma, head injury, magnetic resonance imaging, radiographical features
Placental thickness estimation by ultrasonography and its correlation with gestational age in normal pregnancies in late 2nd and 3rd trimester

Placental thickness estimation by ultrasonography and its correlation with gestational age in normal pregnancies in late 2nd and 3rd trimester

Authors: Rajlakshmi Yadav,
Year: 2017, Volume: 4, Number: 4
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Abstract

Introduction: At present, the most effective way to date pregnancy is by the use of ultrasound. Placental thickness can be used as a new parameter to estimate gestational age. Aim: The aim is to study placental thickness as a parameter for estimation of the gestational age of the fetus and assess the placental growth pattern with the advancement of gestational age. Methods: A total of 298 antenatal women between 18th week and 40th week of gestation (GA) by last menstrual period (LMP) were included who were sure of their LMP. Pregnancies with a history of medical disease, fetal anomalies, placental anomalies, and poly/oligohydramnios were excluded from the study. Pregnancies with poor visualization of placenta were also excluded. Placental thickness was measured at the level of insertion of umbilical cord, and gestational age was calculated by LMP. Correlation of mean placental thickness with GA age by ultrasonography was studied. Results and Discussion: We observed that mean placental thickness gradually increased from 18.7 mm at 18th week to 30.5 mm at 40th week of GA. From 18th to 32th weeks of GA, placental thickness (mm) almost matchs the gestational age (weeks), and thereafter, placental thickness slightly decreases and remains nearly constant till 40th week of GA with an average value of 31 mm. Findings were consistent with the previous studies where several authors have found that mean placental thickness (mm) increases with gestational age and coincides almost with gestational age (weeks). Conclusion: Placental thickness measurement can be an important parameter for estimating gestational age.

Keywords: Gestational age, last menstrual period, placental thickness, ultrasonography
Intraosseous angiolipoma of head of humerus - An extremely rare entity, with review of literature

Intraosseous angiolipoma of head of humerus - An extremely rare entity, with review of literature

Authors: Dr. Nupur Rastogi,
Year: 2017, Volume: 4, Number: 4
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Abstract

Lipoma is a common soft tissue tumor. There are only very few reported cases of intraosseous lipoma in the literature. Intraosseous angiolipomas are even rarer. Angiolipomas are benign tumors consisting of mature adipose tissue and abnormal vessels that occur in patients during their teens or early twenties. Most are found as multiple lesions, often located on the arm or trunk. Predominantly, they are subcutaneous lesions; intraosseous angiolipomas are primarily found in the mandible, ribs, and calvarium. Exact nature of these lesions is debatable. To the best of our knowledge, this is the first reported case of intraosseous angiolipoma of the head of humerus and 9th in the series of reported cases of intraosseous angiolipoma including four of mandible, two of ribs, and two of skull.

Keywords: Angiolipoma, head of humerus, intraosseous
Evolutionary role of the community pharmacist: A review

Evolutionary role of the community pharmacist: A review

Authors: Firdous Fatima,
Year: 2017, Volume: 4, Number: 4
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Abstract

Pharmacy is a science related to the preparing and dispensing of drugs. In the past pharmacist, only dispense the medicines. With the passage of time, pharmacists gained his position in multidisciplinary provision of health-care system (HCS). In 1948, in Pakistan, pharmacy course was introduced in universities. After attaining main position in HCS, pharmacist started work as community pharmacist, clinical pharmacist, hospital pharmacist, and many others in different settings. In past decades, in many countries, pharmacist’s role has changed from dispensing services into patient-oriented services. In developing countries, community pharmacists are facing some problems such as lack of great quality pharmaceuticals, drug regulatory structure, and irrational use of medicine and not trained according to their roles. There is less number of community pharmacists which are not according to the WHO criteria. Now roles of pharmacists are going strengthened and extended effectively. Role of community pharmacist has evolved like now they are involved in treating diseases, managing chronic diseases, immunization programs, initiating drug therapy in the pharmacy, providing medicines and advice without appointment, and focused services are provided to decrease adverse events to patients health. In future, pharmacist’s role and job responsibilities will be increased which result in enhanced quality of care and control health-care cost.

Keywords: Adverse events, community pharmacist, community pharmacy, health-care system, immunization program
Fluoride level in drinking water and prevalence of dental fluorosis and dental caries among the school children: A descriptive cross-sectional study

Fluoride level in drinking water and prevalence of dental fluorosis and dental caries among the school children: A descriptive cross-sectional study

Authors: Abdulrahman Hamoud Alanazi,
Year: 2017, Volume: 4, Number: 4
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Abstract

Background: Fluoride is very critical for the normal development and caries resistance of enamel. However, fluoride level above 1 part per million (PPM) will result in enamel hypoplasia. Aim: The study aims to estimate the fluoride level in the drinking water and the prevalence of dental fluorosis and dental caries among the schoolchildren in Al-Zulfi and Majmaah areas in Riyadh province of Saudi Arabia. Materials and Methods: Drinking water samples were analyzed from the study area, and screening camps were conducted for schoolchildren between 7 and 15 years of age, and 157 children were included in the study using simple random sampling. Written consent from the parents was obtained. The collected data were subjected to statistical analysis using SPSS version 21. Results: The drinking water sample showed a fluoride level between 0.56 PPM and 0.09 PPM and 39 children (24.8%) had fluorosis. 9 (23%) of them had fluorosis in primary dentition and 30 in permanent dentition (76.9%). A mean of total number of caries in permanent teeth is 1.87 and 2.35 in primary teeth. Conclusion: The drinking water in the study area had fluoride below the optimal level with an increased prevalence of dental caries. However, the presence of dental fluorosis could be attributed to other sources of dietary fluorides. This research highlights the necessity for maintaining optimum level of fluoride in drinking water and monitoring fluoride intake from other dietary sources.

Keywords: Key words: Children, dental caries, drinking water, fluorides, fluorosis, hypoplasia
Outcome of children with diabetic ketoacidosis treated with a modified protocol

Outcome of children with diabetic ketoacidosis treated with a modified protocol

Authors: Dr. K. Suma,
Year: 2017, Volume: 4, Number: 4
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Abstract

Introduction: The majority of children with moderate diabetic ketoacidosis (DKA) and all children with severe DKA should be treated in a medical facility. This is unique issues that arise in DKA in the young. Aim: Study was undertaken to analyze the outcome of children with DKA treated with a modified protocol. Materials and Methods: We have analyzed 35 patients with DKA admitted in our Pediatric Intensive Care Unit. Patients were managed according to a modified protocol. Laboratory parameters measured were blood glucose, urinary ketones, electrolytes, urea creatinine, and arterial blood gas. Results: Over a period of 12 months, 35 patients of DKA are admitted, out of these, 10 (29%) were male and 25 (71%) were female. Age group ranged between 4 months and 13 years with mean age of 5.63 years. Diabetes mellitus was newly diagnosed at presentation in 40% (14 cases) of cases, 43% (15 cases) of cases were due to non-compliance, and 17% (6 cases) were due to fever (stress). The presenting most common symptoms were polyuria/polydipsia (68.5%). Most commonly observed clinical sign was 54.2% (19 cases) had dehydration, majority of the cases (42%) presented in our institute are due to poor compliance. 40% of cases are newly diagnosed. Of these newly diagnosed cases, 5.7% (2 cases) of cases who were infants, presented in severe respiratory distress, thought to be severe bronchopneumonia had come out to be DKA. Out of 35 cases hospitalized, 32 cases (91.4%) recovered without any complications of DKA. Average recovery time in these patients is 23.15 h. 2 cases died due to uncontrolled septicemia despite good glucose control and stabilization of their ketoacidosis state. Conclusions: There should be high index of suspicion necessary on the part of the clinician.

Keywords: Key words: Cerebral edema, children, diabetic ketoacidosisdiabetic ketoacidosis

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