Ahmad Alhamid, A. Zazo, Rima Salem, Dina Alfarra, Zain Douba, Haya Jawish, Zainab Zeino, Fatima Muzayek, Rama Zazo, Rayan Hamada, Hala Alayyoubi, A. Mohamad, Rand Massri, Joud Shiekhoni, Dania Khudro, Ayla Baghdadi, Tasnim Altenji, Rama Aldakhil, Ziad Aljarad, Anwar Chammout
{"title":"Breast cancer awareness and the prevalence of breast cancer risk factors and warning signs among women in Aleppo, Syria: A cross-sectional study","authors":"Ahmad Alhamid, A. Zazo, Rima Salem, Dina Alfarra, Zain Douba, Haya Jawish, Zainab Zeino, Fatima Muzayek, Rama Zazo, Rayan Hamada, Hala Alayyoubi, A. Mohamad, Rand Massri, Joud Shiekhoni, Dania Khudro, Ayla Baghdadi, Tasnim Altenji, Rama Aldakhil, Ziad Aljarad, Anwar Chammout","doi":"10.4103/ijhas.ijhas_251_20","DOIUrl":"https://doi.org/10.4103/ijhas.ijhas_251_20","url":null,"abstract":"BACKGROUND: Breast cancer (BC) is classified as the most prevalent cancer worldwide. The incidence and prevalence of BC in Syria are not determined but expected to be high. Lack of awareness toward BC leads to higher incidence and mortality. There are no studies measuring BC awareness in Syria. Our study aims to evaluate BC awareness and attitudes, the obstacles preventing women from receiving BC-related medical care, and the prevalence of BC warning signs and risk factors among women in Aleppo. METHODS: A cross-sectional, survey-based study was conducted during August 2019 in Aleppo, Syria. Participants were randomly recruited from multiple health-care and social facilities. We targeted adult females aged and avoided current or previous cancer patients and the visitor of oncology and pathology departments. The questionnaire had six main sections: (1) demographic characteristics; (2) knowledge of basic symptomatology and epidemiology of BC; (3) similar previous symptoms that the participant ever experienced; (4) attitude and behavior related to BC screening; (5) obstacles from seeking medical consultation related to BC, and (6) the prevalence of some BC risk factors among participants. RESULTS: BC awareness levels are disappointing. About 9.3% of the participants are confident that they have not ever heard of BC, and only 0.4% know the age-related risk of BC. About 8.7% of the respondents never or rarely self-examine their breasts, and only 10% of the 40 years or older participants screened for BC by the mammogram. Emotional barriers, especially feeling scared about what the doctor might find, were the main barriers preventing women from seeking medical help related to BC. Lack of enough physical activity and smoking headed the list of the prevalent risk factors. CONCLUSIONS: BC awareness levels in Aleppo-Syria are worrying. It is recommended to launch more awareness campaigns, with a concentration on the weak points in women's knowledge.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"17 1","pages":"268 - 274"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81278809","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":"Children as adherence enhancing agents in management of primary hypertension of adult family members","authors":"S. Monteiro, M. Hariharan","doi":"10.4103/ijhas.ijhas_267_20","DOIUrl":"https://doi.org/10.4103/ijhas.ijhas_267_20","url":null,"abstract":"BACKGROUND: Self-management of hypertension requires timely medication, prescribed diet, consistent exercise, and daily monitoring of health parameters to avoid its fatal consequences. Compliance is often difficult without family support, and this study aims to explore the agency of children in the mitigation of the disease. OBJECTIVES: To examine the effectiveness of children in their family member's hypertension management, an antihypertensive educational module was provided to them. METHODS: A sample of 43 children between 11 and 14 years of age, who had each identified a hypertensive family member, was provided with holistic information about hypertension through a video, information booklet, and interactive discussions reinforced at three intermissions over a span of 6 weeks. Children and adults were assessed for hypertension knowledge before and following intervention. Change in hypertension compliance and blood pressure (BP) was observed for the adults. RESULTS: The results showed that children had a significant improvement in overall hypertension knowledge test including its domains. The monitoring records reported to highlight the efforts put by the children during the course of the study. Assuming its intended effects, a significant reduction in the systolic and diastolic BP reading was observed with an overall improvement in compliance. Interestingly, the knowledge status in adult participants had not increased. CONCLUSION: The results have been discussed which highlight the role of children in influencing “their patients.” It unlocks a gateway of research involving children, especially in primary and tertiary approaches to secure chronic disease prevention and management.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"10 1","pages":"280 - 286"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78970775","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}
S. Nilakantam, Dayananda Melanahalli, Nisarg Karanth, S. Adarsh, N. Kumar
{"title":"Prehospital emergency care model using short code access number for refining dispatching of ambulances and clinical communication for patient transfer–Insights from a Private Medical College and Hospital, Mysuru, India","authors":"S. Nilakantam, Dayananda Melanahalli, Nisarg Karanth, S. Adarsh, N. Kumar","doi":"10.4103/ijhas.ijhas_180_20","DOIUrl":"https://doi.org/10.4103/ijhas.ijhas_180_20","url":null,"abstract":"BACKGROUND: In healthcare, effective communication is essential, particularly in emergency situations, it is critical and important. This article suggests a prehospital emergency care model using short code access number, through which method of communication from dispatching of ambulances to arrival and handover of patients to hospital is facilitated in emergency instances. We also attempted to elaborate the procedure, we followed for establishing this emergency access number for this private medical college in South India. Practical recommendations are also provided for policymakers who wish to initiate such facilities. OBJECTIVES: To strengthen our prehospital emergency care with ambulance short code, to guarantee that it is flawlessly incorporated into the healthcare system and to promote public responsiveness in prehospital Emergencies. PROJECT METHODS: Establishment of in-hospital ambulance command center, using a project management cycle framework in the phases of planning, designing, training, and implementation. A needs assessment was conducted and a committee was developed with a multidisciplinary team for planning and implementing out this initiative. RESULTS: It was possible to implement hospital emergency short code access number for hospital ambulance operations along with the establishment of ambulance command center with a trained interdisciplinary team and achieve best practices by participating on refining existing infrastructure and human resources. CONCLUSION: Timely arrival of an ambulance can make the difference between survival and death, in life-threatening emergency situations in which every second counts. Our prehospital emergency care model will respond to the patient needs from the initial emergency request of ambulance and its dispatching to arrival of patient and his/her admission to the emergency medicine department of the hospital. Data generated by the program will be used to guide and design appropriate interventions.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"67 1","pages":"257 - 262"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79101134","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":"Knowledge of herbal medicines among pregnant women attending some antenatal clinics in Eastern Nigeria","authors":"M. Akunne, C. Anene-Okeke, A. Mosanya","doi":"10.4103/ijhas.ijhas_3_21","DOIUrl":"https://doi.org/10.4103/ijhas.ijhas_3_21","url":null,"abstract":"BACKGROUND: There are no studies assessing the knowledge of herbal medicines among pregnant women in Eastern Nigeria despite a universal increase in herbal medicines used by this population who usually are at risk from their adverse effects. The purpose of this study was to investigate the knowledge of herbal medicines among expectant mothers in Eastern Nigeria in order to estimate any need for education on the safety and effectiveness of herbal medicines use in pregnancy. METHODS: A cross-sectional and descriptive method was adopted, and data were collected with a validated questionnaire between June and August 2018 in three health facilities in Nsukka among pregnant women who attended antenatal clinics. A total of 300 participants were conveniently sampled. Descriptive and inferential statistical analyses were performed using SPSS 23. For statistical significance, P < 0.05. RESULTS: Out of the 300 respondents who gave their consent, 93.3% were married, 89.9% were within the age range of 18–34 years old, and 82.8% of them had postprimary education. The mean percentage knowledge score of herbal medicine was 63.196%. More than half of the women scored below the mean score and were considered to have poor knowledge (57.9%). The respondents' sociodemographics had a nonsignificant statistical relationship with the level of knowledge of herbal medicines (P > 0.05). CONCLUSIONS: Most of the pregnant women assessed in this study had poor knowledge of herbal medicine and no association with their sociodemographic characteristics was observed.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"80 1","pages":"287 - 292"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81533404","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":"Understanding migrants' reaction to the COVID-19 pandemic from evolutionary psychology","authors":"Ishita Akula, M. Kishor","doi":"10.4103/ijhas.ijhas_269_20","DOIUrl":"https://doi.org/10.4103/ijhas.ijhas_269_20","url":null,"abstract":"","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"73 1","pages":"316 - 317"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84338504","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":"Risk communication in COVID-19 pandemic: A note for health-care workers","authors":"A. El-Gilany, Nesrine S Farrag","doi":"10.4103/ijhas.ijhas_1_21","DOIUrl":"https://doi.org/10.4103/ijhas.ijhas_1_21","url":null,"abstract":"The concept of risk communication (RC) in the era of COVID-19 pandemic needs to be highlighted. Basic definitions, steps, principles, cycles, benefits, barriers, and harms of RC were briefly outlined. This brief review is intended to be a quick guide for health-care workers and risk communicators. It will be useful for busy health-care workers in providing information and counseling regarding COVID-19.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"36 1","pages":"227 - 230"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86942324","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}
D. Rokka, S. Paudel, P. Kayastha, Saroj Chhetry, Sudil Paudyal, S. Suwal
{"title":"Normative assessment of renal dimensions from computed tomography","authors":"D. Rokka, S. Paudel, P. Kayastha, Saroj Chhetry, Sudil Paudyal, S. Suwal","doi":"10.4103/ijhas.IJHAS_78_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_78_20","url":null,"abstract":"BACKGROUND: The values measured by ultrasound for normal renal dimensions in adults are well established, but not much is known about the normal renal size of Nepalese subjects from computed tomography (CT). This study aimed to establish normal CT values for kidney dimensions from patients undergoing contrast-enhanced CT (CECT) abdomen examination. MATERIALS AND METHODS: This was a cross-sectional study carried out in patients undergoing CECT scan with different clinical history excluding abnormalities with the urinary system. The study consisted of the measurement of 212 bilateral kidneys in 106 adults. The kidney length (KL) from pole to pole, kidney width (KW), and cortical widths (CW) at the upper, middle, and lower pole were measured. For measuring length, axes were adjusted for each kidney in double oblique sagittal planes, for the width of kidney and cortex in double oblique coronal planes using a 3D-software available in the scanner (Neosoft). Analyses for normal distribution, t-tests, and correlation were performed using SPSS version 20 (IBM, USA). RESULTS: KL was 95.52 ± 8.91 mm for the right kidney (RK), and 98.22 ± 8.85 mm for the left kidney (LK). CW at the upper, middle, and lower poles on RK was 5.33 ± 0.97 mm, 5.29 ± 0.97, and 5.03 ± 0.88 mm, whereas on the LK was 5.30 ± 0.94 mm, 5.19 ± 0.97, 5.03 ± 0.96 mm, respectively. The KW was 49.15 ± 5.76 mm and 49.11 ± 5.52 mm on RK and LK, respectively. The most significant independent factors for KL and KW were age, body surface area (BSA), gender, height, and weight and were found to be statistically significant (P< 0.05 each). CONCLUSIONS: We established the normal references of various renal measurements which provide the radiologists and the referring clinicians an insight about the normal range of different renal parameters. Since there are several influencing factors on kidney size, the assessment should be made individually. The major influencing factors found are BSA, height, gender, age, and weight.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"7 1","pages":"222 - 226"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74688455","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":"Impact of physical activity levels on length of hospital stay in patients with severe COVID ARDS","authors":"H. Mistry, Akhila Natesan","doi":"10.4103/ijhas.IJHAS_271_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_271_20","url":null,"abstract":"SARS-CoV2 is a lethal virus that primarily affects the respiratory system causing severe pneumonia leading to ARDS. This case series describes the cases of two middle-aged men suffering from severe coronavirus disease-19 ARDS presenting to hospital with similar clinical signs who were given similar treatments. Pre infection activity levels of both patients were assessed using Global Physical Activity Questionnaire and length of hospital stay was observed for both patients. Patient with sedentary lifestyle prior to infection had a longer length of hospital stay of 25 days whereas the second patient who had an active lifestyle had a shorter length of hospital stay of 11 days. Based on our observations, we conclude that pre infection physical activity levels positively influences the severity of disease and helps to reduce length of hospital stay. With lockdown being declared in many parts of the world on account of the second wave of infection, it is important to encourage people to adopt a healthy lifestyle while adhering to the norms of lockdown.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"34 1","pages":"242 - 244"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85618511","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":"COVID-19-positive health-care workers in an oncology setup: Considerations for return to work","authors":"V. Bhat, P. Chavan, P. Bhat, N. Khattry","doi":"10.4103/ijhas.IJHAS_240_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_240_20","url":null,"abstract":"","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"26 1","pages":"249 - 251"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78616704","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":"Factors affecting accessibility of maternal health-care institutions in Meghalaya: A hospital-based study","authors":"Bibiana Momin, P. Dutta","doi":"10.4103/ijhas.IJHAS_188_20","DOIUrl":"https://doi.org/10.4103/ijhas.IJHAS_188_20","url":null,"abstract":"BACKGROUND: The present study determines to understand the maternal health-care infrastructure in Meghalaya, a state of Northeast India. The state has large number of population of 2,964,007 (Census 2011), however, the state has only two public District Hospitals related to maternal health-care services – one in East Khasi Hills District and the other one in West Garo Hills District. Furthermore, according to the National Rural Health Mission (2015–2016), the maternal mortality ratio of Meghalaya is 211/100,000 live births which is higher than the national average. MATERIALS AND METHODS: A hospital-based mixed method study has carried out to identify the problems faced by the women during their maternity period and to assess the quality and availability of maternal care infrastructure in Meghalaya. To conduct the interview, the present study covered all 80 pregnant women who were admitted in the major two district maternal health-care hospitals of Meghalaya for maternity care (i.e., delivery and postdelivery period) during the period of hospital visit in October 2019. RESULTS: The study shows that majority of the admitted women came from different villages of different districts of Meghalaya as those remote areas have no adequate maternal health-care institutions nearby other than dispensary or subcenter. The study also revealed that women who came to get treatment in hospital during pregnancy had to face difficulties like to travel a long distance, use public transport, bad road conditions, and financial problems. CONCLUSION: To improve the health scenario of health-care system in the remote village areas, the Government should give more focus on infrastructure development in terms of availability of adequate facilities for handling any emergency cases of maternal care in remote areas of Meghalaya.","PeriodicalId":54094,"journal":{"name":"International Journal of Health and Allied Sciences","volume":"1 1","pages":"189 - 196"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73122724","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}