B. Kavitha, L. Geetha, T. Usharani, A. Ramadevi, K. Madhuri, Y. Ramadevi
{"title":"Ectopic Pregnancy, Still A Life Threatening Emergency - A Clinical Study Of 100 Cases","authors":"B. Kavitha, L. Geetha, T. Usharani, A. Ramadevi, K. Madhuri, Y. Ramadevi","doi":"10.15419/AJHS.V2I1.424","DOIUrl":"https://doi.org/10.15419/AJHS.V2I1.424","url":null,"abstract":"Ectopic pregnancy is still a major challenge & its incidence is on the rise due to changes in lifestyle & advances in medical practice. The objective was to study incidence, clinical presentation, risk factors & management of cases that presented in our hospital over a four -year period. A Prospective study of 100 cases presenting as ectopic pregnancy from 15-1-2010 to 15-1-2014.During this period total of 3176 deliveries & 1347 gynaecological surgeries were recorded. 100 patients had ectopic gestations accounting for 3.1% of all deliveries & 7.4% of gynaecological surgeries. Peak age group was 20-29y in 59cases(59%). Gestational age at presentation was 6-8weeks for most of the cases (62%). 59 cases (59%) were multiparous & 41(41%) were nulliparous. All had symptoms suggestive of ectopic pregnancy (amenorrhea, abdominal pain, giddiness, bleeding pervaginum). Diagnosis was confirmed by urine pregnancy test & USG. Common risk factors present were previous surgery ie LSCS-30(30%), Tubectomy-19(19%); Abortions-32(32%); Infertility-36(36%); PID-16(16%).Out of 100cases, 93 (93%) were ruptured & 7(7%) unruptured. Unruptured cases were treated medically using Methotrexate. Laparotomy was done for ruptured cases. Commonest site of Ectopic was ampulla (60%). Salpingectomy was done for most cases (73%).Although case-fatality has decreased, ruptured Ectopic gestation continues to be a common life-threatening emergency making tubal conservation inapplicable. This is of concern in a society with high premium on child-bearing.","PeriodicalId":214238,"journal":{"name":"Asian Journal of Health Sciences","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126503522","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}
{"title":"Effectiveness Of Topical Application Of Chlorhexidine And Prevailing Practices On Episiotomy Wound Among Postnatal Mothers","authors":"R. Michael, S. Toppo, V. Hariharan","doi":"10.15419/AJHS.V2I1.422","DOIUrl":"https://doi.org/10.15419/AJHS.V2I1.422","url":null,"abstract":"Puerperium is a period when the mother experiences intense physical and emotional stress due to exhaustion, anxiety and excitement. Each mother has to adjust to physical changes in her own body due to involution and lactation as well as cope up with the new demands on her time and emotions made by the new born baby. Episiotomy, despite evidences that it is an unnecessary intervention, is one of the most common surgical procedures performed during the second stage of labour, especially in primigravida woman. Thus, a randomized controlled trial to assess the effectiveness of topical application of chlorhexidine and prevailing practices on episiotomy wound among postnatal mothers at selected hospital of Indore was undertaken. True experimental approach with pre test post test research design was adopted. Simple random sampling was taken to select 40 postnatal mothers with episiotomy wound and three days postpartum hospital stay in Choithram Hospital & Research Centre, Indore as per the inclusion criteria. Data was collected with help of questionnaire for socio demographic data and obstetrical data and the wound healing was assessed by REEDA wound healing assessment scale. Samples in the experimental group were applied with chlorhexidine on episiotomy wound and the samples in the control group received routine care with betadine or nadoxin. Post assessment score was taken on third day (evening) by REEDA wound assessment scale. Finding of the study related to effectiveness of chlorhexidine among postnatal mothers in experimental group revealed that there was a significant difference in the healing of episiotomy wound by the application of chlorhexidine among postnatal mothers in experimental group at t19 = 11.40 at the level of p< 0.001. Hence it was inferred that topical application of chlorhexidine on episiotomy wound promotes wound healing.","PeriodicalId":214238,"journal":{"name":"Asian Journal of Health Sciences","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133113402","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}
{"title":"In Vitro Antifungal Susceptibility Of Griseofulvin, Fluconazole, Itraconazole And Terbinafine Against Clinical Isolates Of Trichophyton Rubrum And Trichophyton Mentagrophytes","authors":"K. Reddy, S. Reddy","doi":"10.15419/AJHS.V2I1.420","DOIUrl":"https://doi.org/10.15419/AJHS.V2I1.420","url":null,"abstract":"Investigations on antifungal drug susceptibility were carried out on 90 clinical isolates of Trichophyton rubrum, and Trichophyton mentagrophytes with four antifungal drugs, namely griseofulvin, fluconazole, itraconazole and terbinafine as suggested by National Committee for Clinical Laboratory Standards (NCCLS) M27–A (1997) document by broth macrodilution method to standardize in vitro antifungal susceptibility testing and to find out the Minimum Inhibitory Concentration (MIC) of the drugs. In this study, terbinafine was found to be the most efficient drug for all isolates. Terbinafine had the lowest MIC range of 0.001 g/ml to 0.09 g/ml and MIC50 was low at 0.005 g/ml and MIC90 was also low at 0.04 g/ml against T.rubrum; and MIC range of 0.001μg/ml to 0.19μg/ml with a MIC50 of 0.01μg/ml and MIC90 at 0.09μg/ml against T.mentagrophytes. Itraconazole showed antifungal activity superior to that of fluconazole, with a MIC range of 0.04g/ml to 1.56g/ml, with MIC50 at 0.19μg/ml and MIC90 at 1.56g/ml against T.rubrum; and MIC range of 0.04μg/ml to 1.56μg/ml, with MIC50 at 0.19μg/ml and MIC90 at 0.78μg/ml against T.mentagrophytes. Griseofulvin appears to be still a potent drug for management of dermatophytoses. Griseofulvin had a MIC range of 0.15g/ml to 5.07 g/ml with MIC50 at1.26 g/ml and MIC90 at 2.53 g/ml against T.rubrum; and MIC range of 0.31μg/ml to 5.07μg/ml with MIC50 at 1.26μg/ml and MIC90 at 2.53μg/ml against T.mentagrophytes. Fluconazole showed a high MIC range of 0.19 g/ml to 50 g/ml and MIC50 was high at 1.56g/ml and MIC90 was also high at 12.5 g/ml against T.rubrum; and a high MIC range of 0.09μg/ml to 25.0μg/ml, with MIC50 at 1.56μg/ml and MIC90 at 12.5μg/ml towards T.mentagrophytes. The technique was found to be easy to perform and reliable with consistent results.","PeriodicalId":214238,"journal":{"name":"Asian Journal of Health Sciences","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115242852","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}
Abdul Rahiman Rahmath, Pattath Sadanandhan Krishnaprabha, V. Sana, Pichakacheri Suresh Kumar, Edakkot Sreekumaran
{"title":"Study Of Dementia With Particular Reference To Mini Mental State Examination And Geriatric Depression Scale In Diabetic Patients","authors":"Abdul Rahiman Rahmath, Pattath Sadanandhan Krishnaprabha, V. Sana, Pichakacheri Suresh Kumar, Edakkot Sreekumaran","doi":"10.15419/AJHS.V1I1.428","DOIUrl":"https://doi.org/10.15419/AJHS.V1I1.428","url":null,"abstract":"To detect the effect of dementia related problems on a person's cognitive functions, especially memory and the occurrence of depression like symptoms by using Mini Mental State Examination (MMSE) and Geriatric Depression Scale (GDS). The subjects were divided into three, one as general group who are non- diabetic, second as control group who are diabetic and non- neuropathic and the third as test group, who are diabetic as well as neuropathic. The six parameters analyzed were age, gender, duration of diabetes, family history of diabetes, Body Mass Index (BMI) and food habits. The scores were then statistically analyzed using SPSS (Statistical Package for Social Sciences, 12.0.1). The results in the present study reveal that there is a decline in the cognitive performance in MMSE based on gender, but in the case of age and duration of diabetes, the test group subjects showed a poorer performance. A decline in MMSE score shows greater risk for cognitive impairment. Similarly GDS scores also support this result.Diabetic neuropathic patients poorly performed in MMSE and GDS when compared to non- neuropathic patients. Diabetes has a significant role in the deterioration of cognitive function. Females showed poor performance than males. As age and duration of diabetes progresses, the chance for memory loss and depression increases. Food habits have no significant role as per this study.","PeriodicalId":214238,"journal":{"name":"Asian Journal of Health Sciences","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115044584","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}
R. Usha, K. Sailesh, D. Divya, K. MohamedJasiraV, J. Angel, K. MukkadanJ
{"title":"A study on comparison of random blood glucose levels in alcoholic and non- alcoholic males of Ernakulam district, Kerala","authors":"R. Usha, K. Sailesh, D. Divya, K. MohamedJasiraV, J. Angel, K. MukkadanJ","doi":"10.15419/AJHS.V1I1.431","DOIUrl":"https://doi.org/10.15419/AJHS.V1I1.431","url":null,"abstract":"The present study was undertaken to create awareness among the general population about the relation between random blood glucose levels and alcoholism.The present study has been performed at Little Flower Medical Research Centre, Angamaly, and Kerala, India. Two hundred and twenty males and females of Kerala with mean age 41 +/- 21 were enrolled. Alcoholics are included in the present study and their blood glucose levels are compared with the people who never use alcohol. Random blood glucose levels are estimated by using one touch glucometer.Mean random-blood glucose values in Non-alcoholics are higher (102 +/- 33 mg/dl) than in alcoholics is (99 ± 29mg/dl), however it is not statistically significant (p value 0.615).In the present study we have observed slightly higher random blood glucose levels in non-alcoholic males than alcoholic males. However this difference is not statistically significant. We suggest to continue the study with higher sample size to confirm the results and to identify the cause for this difference.","PeriodicalId":214238,"journal":{"name":"Asian Journal of Health Sciences","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126380487","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}
{"title":"Welcome to Asian Journal of Health Sciences","authors":"J. Mukkadan, G. SaisaileshKumar","doi":"10.15419/AJHS.V1I1.427","DOIUrl":"https://doi.org/10.15419/AJHS.V1I1.427","url":null,"abstract":"Asian Journal of health sciences in collaboration with Angamaly charter of APPI at LFMRC, is the official journal of Little Flower Medical Research Centre (LFMRC), Angamaly, Kerala, India. This is a multidisciplinary, peer reviewed, open access, half yearly journal which publishes a wide range of scientific works including original research papers, case reports, reviews, audits, editorials, book reviews and articles from medical students. The submitted articles in various fields of health sciences are fully peer- reviewed. These articles are only published after the referees careful consideration and opinion and other necessary corrections. The policy of the journal is to encourage the new generation of Healthcare Professionals to publish articles in time. Finally I'd like to express my gratitude to all who have worked hard to come up with the first issue of AJHS.","PeriodicalId":214238,"journal":{"name":"Asian Journal of Health Sciences","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121019205","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}
{"title":"Does Rural to Urban Migration Improves Indian Women's Health Status and Knowledge of AIDS","authors":"S. Agrawal, P. Agrawal","doi":"10.15419/AJHS.V1I1.429","DOIUrl":"https://doi.org/10.15419/AJHS.V1I1.429","url":null,"abstract":"The present paper explores the effect of patterns and duration of migration upon health and morbidity condition of women and knowledge and awareness of AIDS. Cross-sectional data from India's second National Family Health Survey (NFHS-2, 1998-99) is used for this study. Analysis is based on 73,558 women age 15-49 years who belonged to different streams of migration. Bivariate as well as multivariate techniques have been used for data analysis.Women migrating towards rural area are more underweight than migrating towards urban area whereas reverse for overweight. However, women migrating from rural to rural area were more anaemic than women migrating from rural to urban area. Significant differences were also found for morbidity conditions like Asthma, Tuberculosis, Jaundice, Malaria and some reproductive health problems according to streams of migration. Knowledge of AIDS also significantly differs according to the stream and duration of migration. We found stream of migration and duration of migration plays a key role in health, morbidity condition and knowledge of AIDS among women. Therefore, quality of health care in urban areas should be more widely disseminated in rural areas to improve the health status of women. Also the information-education-communication (IEC) programmes related to AIDS should be made more strengthened and effective through television, radio and also through the school teachers to reach the rural masses in India.","PeriodicalId":214238,"journal":{"name":"Asian Journal of Health Sciences","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114926915","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}
{"title":"Study On Risk Taking Behavior To HIV/AIDS Among Injecting Drug User's In Easter Region Of Nepal","authors":"B. Bhatta, Shaheen Sd, N. Koirala","doi":"10.15419/AJHS.V2I1.413","DOIUrl":"https://doi.org/10.15419/AJHS.V2I1.413","url":null,"abstract":"Drug abuse is the Universal Problem and Nepal is not the exception. Different study and report have reported high prevalence of HIV/AIDS among the IDUs in Nepal. According to the estimated data, there are eighty thousands drug addicts in Nepal and 50 % of them inject drugs through syringe. In Morang district, there are 1316 reported IDUs and 5000 to 7000 estimated IDUs. To assess the risk talking behavior among IDUs with respect to needle syringe exchange and unprotected sex.Cross sectional study design was applied to study the risk talking behavior among IDUs users in eastern region of Nepal. A non-probability, snowballing sampling technique was adopted. SPSS and Epi-Info was used to analyze the data of the study. Majority of injecting drug users in eastern region were from the age group 21-30 years (62.7 %), unmarried (64.9 %) and living in nuclear family (80 %). Despite of the fact that most of the IDUs were unmarried most of them were sexually active (72.7 %). The study revealed that condom use during sexual intercourse was high(87.5%)the consistent and regular use was low(57.5%). Sharing of syringe and reuse of needle was high among the IDUsi.e.40 % of the respondent. In general the study had revealed that the harm reduction approaches among IDUs were low.The findings suggest that the majority of injecting drug users in eastern region were from the age group 21-30 years, unmarried and living in nuclear family. The study had further highlight that unsafe sex, sharing of syringe and needle and improper cleaning of needle and syringes before sharing is indication of unsafe behavior practices by IDUs. Finally, the study highlighted statistically significant relationship between HIV/AIDS knowledge and uses of condom during sexual intercourse and high rate of syringe sharing among married respondents.","PeriodicalId":214238,"journal":{"name":"Asian Journal of Health Sciences","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115710807","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}
{"title":"Quality of life in substance dependence syndrome","authors":"N. Lamichhane, T. D.K, Tamrakar B.K","doi":"10.15419/ajhs.v1i1.414","DOIUrl":"https://doi.org/10.15419/ajhs.v1i1.414","url":null,"abstract":"","PeriodicalId":214238,"journal":{"name":"Asian Journal of Health Sciences","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125351685","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}
{"title":"Premenstrual Symptoms And Academic Performance Among Adolescent Girls","authors":"P. Padmavathi, S. Sankar, N. Kokilavani","doi":"10.15419/AJHS.V2I1.417","DOIUrl":"https://doi.org/10.15419/AJHS.V2I1.417","url":null,"abstract":"Premenstrual syndrome is a psychophysiological stress induced disorder. Stress disturbs the balance of sympathetic and parasympathetic nervous system. Changes in heart rate and blood pressure are the most important physiological response following stress.To correlate the premenstrual symptoms and academic performance among adolescent girls. A correlational survey was adopted for the study Setting: Higher secondary school, NamakkalDistrict. 60adolescentgirlsfulfillingtheinclusioncriteriawereselectedbysimplerandomsamplingtechnique.Allparticipantsweregiven a questionnaire to complete; questions were related to Baseline Proforma of adolescent girls, rating scale on the common premenstrual symptoms, Student life stress Inventory, Academic Demand Distress were given 40 minutes to complete the questionnaire. The findings revealed that, there was significantly higher numbers of symptoms perceived 8.46±2.9 follicular and 7.14±2.8, luteal, p=.001 and higher distress (1.25±0.41 follicular and 1.52±0.31 luteal, p=.003) in the follicular phase than in the luteal phase. The academic demand component of academic stress measured daily frequency and distress associated with assignments, papers, projects/presentation and time studying. Within the follicular phase number of assignments due was significantly correlated to symptom perception and distress (.41, .31, respectively) and the number of projects/presentations due was correlated to symptom distress (.29) at p<.05. There were significant correlations between follicular phase symptom perception and distress, and luteal phase symptom distress with academic demand distress. There was significant correlation between premenstrual symptoms and academic performance.","PeriodicalId":214238,"journal":{"name":"Asian Journal of Health Sciences","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126394285","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}