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

Awareness of hypertension and factors associated with uncontrolled hypertension among nigerian adults; a community-based study

Awareness of hypertension and factors associated with uncontrolled hypertension among nigerian adults; a community-based study

Authors: FE Omotoye
Year: 2018, Volume: 5, Number: 1
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Abstract

Background: Despite the high burden of hypertension (HTN), most affected persons are not aware of its presence. This study was aimed at determining the awareness status about HTN and the risk factors associated with uncontrolled HTN among adults in Ekiti State, Nigeria. Method: A cross-sectional study was carried out in six local government areas in Ekiti State, Nigeria. Random sampling method was used to select participants and data collection was by researcher administered questionnaire. Blood pressure (BP) was measured on three occasions using standard methods (WHO criteria BP <140/90 considered normal and ≥140/90 as high). Anthropometric indices of height and weight were assessed to determine body mass index. Data were analyzed using descriptive statistics and student t-test at P ≤ 0.05. Result: A total of 1590 respondents (20–70 years) with mean age 43.9 ± 16.4 years participated in the study. Participants diagnosed as hypertensive were 524 and HTN prevalence was 33.0%. Among the hypertensive, 214 (40.8%) were aware of their HTN status. Awareness was higher in females 163 (31.1%) than males 51 (9.7%), increased with age and decreased with higher educational status. Although 40 (7.6%) of hypertensive participants were on antihypertensive medications 27 (67.5%) had uncontrolled BP. uncontrolled BP was found to be high (37%) among participants that take alcohol and it was associated with overweight and obesity in 37% and 18.5% of the participants, respectively. Conclusion: HTN awareness was low in the study area. Uncontrolled HTN was associated with risk factors of HTN and lifestyle and was more prominent in the female gender.

Keywords: Awareness, blood pressure, body mass index, uncontrolled hypertension
The effect of forward head posture on spinal curvatures in healthy subjects

The effect of forward head posture on spinal curvatures in healthy subjects

Authors: Drashti Talati
Year: 2018, Volume: 5, Number: 1
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Abstract

Background: Forward head posture also known as scholar’s neck is nowadays considered to be most common musculoskeletal postural imbalance causing protrusion of head anterior to trunk. It is still unclear how age-related habitual changes such as forward head posture having an influence on thoracic kyphosis and lumbar lordosis in normal healthy adults. The aim of this study was to explore the effect of forward head posture in association with spinal curvatures in healthy subjects. In this study, we used craniovertebral angle, cranial-rotational angle, and flexicurve meter. Materials and Methods: Hundred and eight adults (24.98 ± 5.45) participated in the study, out of which 60.15% were males and 49.07% were females. The subjects were assessed for forward head posture using the digital method lateral-side photograph of each subject; for thoracic kyphosis and lumbar lordosis flexicurve method was used. Result: There was decreased kyphotic index with lesser craniovertebral angle, also, statistically thoracic kyphosis was extremely significant (P = < 0.0001) in normal adults. As well as the correlation between craniovertebral angle, cranial-rotational angle, thoracic kyphosis, and lumbar lordosis had shown extreme significance (P = < 0.0001) in normal adults, although the correlation between forward head posture and kyphosis was found to be insignificant with P = 0.067. Conclusion: Thus, there is no significant correlation between forward head posture, thoracic kyphosis, and lumbar lordosis in normal adults aged 18–35 years.

Keywords: Flexicurve, forward head posture, lumbar lordosis, photographic method, thoracic kyphosis
Clinico-Epidemiological and Diagnostic  Profile of Extra Pulmonary Tuberculosis  Among Population in North Andhra, South India

Clinico-Epidemiological and Diagnostic Profile of Extra Pulmonary Tuberculosis Among Population in North Andhra, South India

Authors: Kodandarao Kuna
Year: 2018, Volume: 5, Number: 4
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Abstract

Background & Objectives : Extra pulmonary tuberculosis (EPTB) constitutes 15 to 20% of total cases of tuberculosis in India. It is high in incidence among HIV and Pediatric group and involves almost all systems of the body. Cbnaat (Catridge-based nucleic acid amplification test) is of definitive value in its diagnosis. The present study aims at knowing the prevalence of EPTB among the population of Visakhapatnam of North Andhra. Material & methods: 12,372 cases of EPTB out of total cases (old & new) of 67,017 are studied from the data at District Tuberculous Center, Visakhapatnam for the period 2007 to Aug 2018. Results & Discussion: FNAC samples of lymph nodes and others reported highest (177) among EPTB followed by pleural effusion (28) and pus & abscess (30) showing similar and bronchial wash (26). In the present study EPTB showed overall prevalence of 18.80 similar to Indian average of 15 to 20%. PTB : EPTB is 4 : 1 in males and 2 : 1 in females showing more in incidence in the latter. Hence the target group for EPTB is more of female population as they are vulnerable due to anaemia, malnutrition and low immunity. Conclusion: Though the emphasis is more on PTB case finding, EPTB is also significant and has to be paid attention in the control of tuberculosis.

Keywords: EPTB, Cbnaat, prevalence, percentage, ratio, tuberculosis.
Antimicrobial susceptibility of coagulase negative Staphylococci isolates from suspected cases of bovine subclinical mastitis in parts of Bundelkhand region

Antimicrobial susceptibility of coagulase negative Staphylococci isolates from suspected cases of bovine subclinical mastitis in parts of Bundelkhand region

Authors: Balendra Singh
Year: 2018, Volume: 5, Number: 4
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Abstract

Background: Increasing importance of Coagulase negative Staphylococci as etiological agent in health concerns of domestic animals is recognized in various studies. A significant concern of CoNS isolates from bovine subclinical mastitis is development of resistance towards antimicrobials routinely used in management diseases like mastitis. Isolates from study area had not been worked out properly in previous reports. Methodology: 125 Staphylococci sp. isolates identified in previous study by the authors were screened for resistance against 9 antimicrobials of common use using the Kirby Bauer disk diffusion method. Minimal inhibitory concentrations of 8 antibiotics were measured by using EzyTM Strips supplied by Himedia. Multiple drug resistance was also determined by analyzing results with individual antimicrobial agent. Results: Significant resistance towards β-lactam group of antibiotics penicillin and oxacillin was observed in isolates with 85.6 and 41.40 % respectively. Trimethoprim was second group of antibiotics for which isolates were found resistant with 81.60%. 20.8, 12, 10.40, 8.80, and 3.20% isolates were found resistant to erythomycin, tetracyclin, gentamycin, ciprofloxacin and ofloxacin respectively. Thus highest susceptibility was observed to fluoroquinolones. Data analysis also revealed multiple drug resistance in isolates as 44% of isolates was also found resistant to 3 or more antibiotics. On regional basis highest number of antibiotic resistant CoNS isolates was reported from Jhansi followed by Lalitpur and Jalaun. Conclusion: The study revealed the incidence of multiple antibiotic resistances in Coagulase negative Staphylococci isolates from possible cases of bovine subclinical mastitis and if not managed properly may be responsible for horizontal transfer of resistance from animal to man through food born infections.

Keywords: CoNS, Antibiotic resistance, Staphylococci, Mastitis, Bovines.
Awareness, perception, and utilization of insecticides treated nets and intermittent preventive treatment of malaria among pregnant women in Sokoto, Nigeria

Awareness, perception, and utilization of insecticides treated nets and intermittent preventive treatment of malaria among pregnant women in Sokoto, Nigeria

Authors: UM Ango
Year: 2018, Volume: 5, Number: 1
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Abstract

Background: Malaria during pregnancy is a major public health problem in Nigeria and other sub-Saharan African countries, and it is one of the leading contributors to the unacceptably high maternal mortality ratio in the developing countries. This study aimed to determine the awareness, perception, and utilization of insecticides treated nets (ITNs) and intermittent preventive treatment of malaria (IPTp) among pregnant women in Sokoto, Nigeria. Materials and Methods: This was a cross-sectional study among 307 pregnant women (selected by multi-stage sampling technique) attending the antenatal clinics of the health facilities in Sokoto State, Nigeria. A structured interviewer-administered questionnaire was used to collect data on the research variables. Data were analyzed using IBM SPSS version 20 statistical computer software package. Results: The mean age of respondents was 27 ± 5.6 years, and a majority of them (63.8%) were aged 20–29 years. Most, 264 (86.0%) of the 307 respondents were aware of ITNs, and a majority of them (60.6%) were also aware of IPTp. Whereas most of the respondents perceived the use of ITN to be safe in pregnancy (93.2%), and protects both mother and baby from malaria in pregnancy (91.5%), the reverse is true of IPTp. Only about half of respondents (52.8%) own an ITN, and barely a third of respondents use ITN (33.8%) and IPTp (37.5%). Conclusion: The findings of this study underscore the need for government to ensure universal access to ITNs, while healthcare workers should re-invigorate and sustain education of pregnant women on the benefits and safety of use of ITNs and IPTp.

Keywords: Awareness, intermittent preventive treatment for malaria in pregnancy, insecticides treated nets, perception, pregnant women, utilization
Energy Expenditure Index (EEI) for Single Limb Stand Non Weight Bearing Stair case Climbing Using Axillary Crutches and Standard Walker in Healthy Individuals

Energy Expenditure Index (EEI) for Single Limb Stand Non Weight Bearing Stair case Climbing Using Axillary Crutches and Standard Walker in Healthy Individuals

Authors: Siddharth S Mishra PT
Year: 2018, Volume: 5, Number: 4
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Abstract

Background: Stair climbing and walking is a part of high level functional activity. Stairs provide a ubiquitous and cost effective opportunity to incorporate physical exercise into the daily routine which in turn increases the quality of life. The choices of assistive ambulatory devices are limited to crutches and walkers, for patients with a NWB gait. Objective: To assess Energy Expenditure Index while using Axillary Crutches and Standard Walker single limb stand non weight bearing stair climbing in healthy participants.Materials and Methods: There were 340 participants (160 males and 180 females) with age group of 18-25 years and with normal BMI 18-22kg/m2. All the participants had undergone 5 phases of stair climbing using adjustable standard walker and axillary crutches single limb non weight bearing stair climbing. Energy expenditure index of each phase was calculated. Results: The results of the study were generated using ‘SPSS version 23. The study shows that, the Energy Expenditure Index during stair climbing on non weight bearing by using standard walker is 10.81±3.14 beats/meter. Stair climbing on non weight bearing by using crutch is 6.76±1.92 beats/ meter. EEI for stair climbing without any assistive device is 1.9±0.39 beats/ meter. Conclusion: This study concluded that, energy expenditure during single limb stand non weight bearing stair climbing using standard walker is more than axillary crutch.

Keywords: Energy Expenditure Index; Walker and Axillary Crutch Ambulation; Physiological Cost Index; Stair Climbing.
A profile of poisoning cases attending to Pondicherry Institute of Medical Sciences, Puducherry

A profile of poisoning cases attending to Pondicherry Institute of Medical Sciences, Puducherry

Authors: P Ravikumar
Year: 2018, Volume: 5, Number: 1
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Abstract

Introduction: Poisons are regarded as the silent weapons which can be easily used without arousing suspicion and without violence. Over the counter availability of poisons, knowledge regarding the fatality of poisons among the population, stress of the environment, and the quality of emergency medical care are the variety of factors which lead to poisoning in a community. Aim: The ami is to study the distribution of the sociodemographic factors of agricultural poisoning cases admitted to Pondicherry Institute of Medical Sciences, Puducherry. Methodology: A prospective study conducted at Pondicherry Institute of Medical Sciences, Pondicherry, from July 2013 to July 2016 and included 122 cases of poisoning. Results: Of the 122 cases of poisoning cases, 82.78% were due to acts of suicidal poisoning, which constitute the major problem in poisoning. Organophosphate pesticide contributed for 68.85% cases of poisoning. Financial burden is responsible for suicidal poisoning in 73% of cases. Psychiatric illness contributed for poisoning in 11.5% of cases.

Keywords: Accident, epidemiological factors, outcome, poison, suicide
Papillary Thyroid Carcinoma Presenting as Fungating Cutaneous Mass

Papillary Thyroid Carcinoma Presenting as Fungating Cutaneous Mass

Authors: Dr. Anil Kumar SV
Year: 2018, Volume: 5, Number: 4
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Abstract

Papillary Thyroid Carcinoma (PTC) is the most common type of thyroid malignancy making up to 70-80% of all thyroid malignancies. PTC presenting with extrathyroidal cutaneous fungating mass is unusual. We report the management of a neglected fungatingPTC in a 70yr old female. After thorough preoperative evaluation,she underwent total thyroidectomy with en-bloc resection of the fungating mass along with adequate skin margin and ipsilateral selective neck dissection. Postoperative period was uneventful.

Keywords: Papillary carcinoma thyroid,cutaneousfungating mass.
Diagnostic accuracy of fine needle aspiration cytology for thyroid lesions in correlation to histopathology

Diagnostic accuracy of fine needle aspiration cytology for thyroid lesions in correlation to histopathology

Authors: V. Sivasankara Naik
Year: 2018, Volume: 5, Number: 1
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Abstract

Background: Thyroid enlargement is a common problem and causes various pressure symptoms. Majority of swellings does not require surgery. Fine needle aspiration cytology (FNAC) is considered the gold standard diagnostic test in the evaluation of thyroid swellings. In the present study we correlated the FNAC findings with histopathology so that rate of unnecessary thyroidectomise in benign pathologies could be avoided. Materials and Methods: The present study is a retrospective and prospective analysis of 298 cases of thyroid swellings which were done over a period of 12 years from August 2001 to July 2012. These cases were underwent FNAC followed by surgery. Correlation of histopathological findings was performed with FNAC. Sensitivity, specificity, accuracy, positive predictive value, and negative predictive value were calculated for neoplastic and malignant lesions. Results: Statistical analysis of neoplastic lesions showed sensitivity, specificity, accuracy, false positive rate, false negative rate, positive predictive values, negative predictive value of FNAC 88.6%, 96%, 92.9%, 4%, 11.4%, 94% and 92.3%, respectively whereas statistical analysis of carcinomatous lesions showed sensitivity, specificity, accuracy, false positive rate, false negative rate, positive predictive values, negative predictive value of FNAC 85.4%, 97.3%, 95.7%, 2.7%, 14.6%, 83.3% and 97.8%. Conclusion: FNAC of thyroid nodules provides the most accurate pre-operative diagnosis than any other diagnostic modality. FNAC is a valuable and minimally invasi

Keywords: Fine needle aspiration cytology, histopathology, thyroid lesions
Management of mandibular first premolar with vertucci type III root canal configuration

Management of mandibular first premolar with vertucci type III root canal configuration

Authors: Maj(Dr) Lakinepally Abishek
Year: 2018, Volume: 5, Number: 4
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Abstract

Mandibular premolars exhibit a complex and variable root canal morphology and the identification of these variations requires thorough knowledge of root canal morphology and proper interpretation of radiographs for successful root canal treatment. These teeth may require skillful root canal preparation and obturation techniques. This article reports an unusual case of a mandibular first premolar with Vertucci Type III root canal pattern which is seen in 3% of cases.

Keywords: bifurcation, mandibular premolar, root canal vertucci classification.
Comparison of the Montreal Cognitive Assessment and 7minute Screen Test to Assess Mild Cognitive Impairment Among Geriatric Population

Comparison of the Montreal Cognitive Assessment and 7minute Screen Test to Assess Mild Cognitive Impairment Among Geriatric Population

Authors: S. Nanda Kumar
Year: 2018, Volume: 5, Number: 4
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Abstract

Background: Ageing is associated with various cognitive changes which can differ considerably both inter- and intra-individually. Mild cognitive impairment is an intermediate clinical state between normal cognitive ageing and mild cognitive impairment is a precursor to Alzheimer Disease. Screening for Mild Cognitive Impairment is an important aspect when it comes to neurological rehabilitation. TheMoCA and 7MS have shown to be superior to the MMSE in detecting Mild Cognitive Impairment. However there is lack of information on comparison of 7MS withMoCA which could be considered in screening mild cognitive among geriatric patients. Aim of the Study: To compare the 7MS to the MoCA for assessing MCI in a geriatric population. Methods: An Observational Prospective type of study was conducted with sample size of 95 geriatric populations. On day one the MoCA was administered and on day two screening was done using the 7MS. The scores were compared for data analysis. Dataanalysis: Descriptive statistical analysis of total score of the MoCAand 7MS was carried out and results were expressed in terms of mean and standard deviation. Diagnostic test to validate 7MS test for sensitivity and specificity was calculated. Results: The sensitivity of 7MS was found to be 100% but the specificity was only 1.8% compared to the MoCA which has a sensitivity of 100% to a very good to excellent specificity of 87%.Conclusion: The results indicate thatMoCA is a more sensitive and specific tool than the 7MS to assess Mild Cognitive Impairment in a geriatric population.

Keywords: Mild Cognitive Impairment, Montreal Cognitive Assessment, 7 Minute Screen.
The prevalence and determinant factors of post-stroke cognitive impairment

The prevalence and determinant factors of post-stroke cognitive impairment

Authors: Rizaldy Taslim Pinzon
Year: 2018, Volume: 5, Number: 1
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Abstract

Background: Stroke is the main health problem in Indonesia. Cognitive impairment is one of the post-stroke problems. Research on cognitive impairment prevalence and the related risk factors in Indonesia is not yet satisfied. Objective: This study aimed to measure the prevalence and determinant factors of cognitive impairment in post-stroke patients. Methods: This study was a cross-sectional study. The subjects were post-ischemic stroke patients at Bethesda Hospital, Yogyakarta. Cognitive impairment was measured by Montreal Cognitive Assesment-Indonesian Version (MoCA-INA) instrument and clock drawing test (CDT). Cognitive impairment defined as MoCA-INA <26 dan CDT >1, whereas good cognitive function defined as MoCA-INA ≥26 dan CDT = 1. Other data were obtained from electronic stroke registry. All data were analyzed with univariate test, Chi-square test, and logistic regression test. Results: There are 110 subjects consist of 72 (65.5%) male patients and 38 (34.5%) female patients. There were 75 (68.2%) patients with cognitive impairment and 35 (31.8%) patients with good cognitive function. Logistic regression test showed time to hospital (odds ratio [OR]: 52.723, 95% confidence interval [CI]: 3.982–698.07, P: 0.003), multiple lesions (OR: 9.878, 95% CI: 1.093–89.314, P: 0.041), and temporal lesion (OR: 26.102, 95% CI: 2.146–317.43, P: 0.010) was significant factors to cognitive impairment on post-ischemic stroke patients. Conclusion: The prevalence of cognitive impairment on post-ischemic stroke patients is high. The determinant factors of post-stroke cognitive impairment are stroke onset, multiple lesions, and temporal lesion.

Keywords: Clock drawing test, cognitive impairment, ischemic stroke, Montreal Cognitive Assesment-Indonesian Version
Prevalence of preschooler behavioural problems

Prevalence of preschooler behavioural problems

Authors: Samundeeswari A
Year: 2018, Volume: 5, Number: 4
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Abstract

Healthy behavior makes perfect human and makes the country to be healthy and wealthy. Unhealthy behavior pattern is common among children because of lack of understanding due to age factor and poor parenting, environmental influences and so on. This present study was a focus on the assessment of behavioral problems of preschooler among mothers who were attending the pediatric outpatient department. Quantitative approach with descriptive research design was adopted and study sample was chosen by purposive sampling technique. The data was collected from 60 mothers by a standard checklist. The collected data were analyzed by a descriptive statistical method. The results show that Preschooler had the higher frustration level, it shows female children comparatively had a higher level of frustration (64%) than the male children (62%). Male children had a high level of shyness (58.73%), guilt and shame (45.23%) when compared to female children (36.33%& 39.80% respectively). Female children had a higher fear level (62.2%) compared to male children (60%). Compared to female children male children had a high score in the area of inhibitory control (58.7%) and low-intensity pleasure (63.8%). The preschool children have some range of behavioral problems like anger and frustration, shyness, guilt and shame, fear inhibitory control, low-intensity pleasure.

Keywords: Preschooler, Behavioral Problems, Health
Transabdominal ultrasound features and limitations in diagnosis of intra- and extra-uterine pregnancy: A pictorial essay

Transabdominal ultrasound features and limitations in diagnosis of intra- and extra-uterine pregnancy: A pictorial essay

Authors: A B Umredkar
Year: 2018, Volume: 5, Number: 1
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Abstract

Transabdominal ultrasonographic examination is the imaging modality of choice in the diagnosis and confirmation of intra- and extra-uterine pregnancy. Still, it has its own limitations as the imaging appearances may vary. In this article, we present a pictorial review of ectopic pregnancy at different sites and intrauterine pregnancy associated with uterine malformations during which we experienced diagnostic dilemma regarding the origin of ectopic pregnancy and type of uterine malformations.

Keywords: Ectopic pregnancy, transabdominal ultrasound, uterine malformation
A study to determine the validity of mesiodistal dimensions of anterior teeth in dental identification

A study to determine the validity of mesiodistal dimensions of anterior teeth in dental identification

Authors: S F Shaikh
Year: 2018, Volume: 5, Number: 1
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Abstract

Identification of deceased individuals is usually the most frequent role of a forensic dentist. The importance of teeth in human identification is well documented and established; however, there is a need for a simple method of identification to make dental identification more practical and user-friendly. The mesiodistal dimensions of teeth have been studied by various researchers in forensic dentistry, but none of these studies have used these measurements as an identification tool. This study was intended to find if mesiodistal dimensions can be used as an identification tool. A sample of 70 patients was taken, and mesiodistal diameter (m-d) of each tooth was obtained with digital calipers. A universal sequence for the mesiodistal widths of all anteriors was compared with the sequences obtained from the sample casts to check for uniqueness. The sequence of each sampling unit was significantly different from the universal sequence, as well as from each other. None of the sequences in the given data were similar to one another, and hence, we concluded that such a sequence can be used to identify an individual. Mesiodistal dimensions of teeth have been used in forensic dentistry for gender discrimination and as indicators of ancestry. Mesiodistal dimensions were utilized in our study to make a sequence which can be used to identify an individual. The use of dental metrics as a sequence for identification has been done for the first time ever, and the results suggest that this can be a very useful tool for dental identification

Keywords: Anterior teeth, calipers, dental identification, forensic dentistry, mesiodistal width

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