{"title":"Application of the Clinical Reasoning Process for the Rehabilitation of a Case with Cervicogenic Pain","authors":"Md Waliul Islam, Md. Kutub Uddin, Faruq Ahmed, Md Shujayt Gani, Mohammad Nazmul Hasan, Md Jubair Hassan","doi":"10.26502/fjhs.081","DOIUrl":"https://doi.org/10.26502/fjhs.081","url":null,"abstract":"Background: The method through which a therapist engages with a patient is known as clinical reasoning. During this process, the therapist gathers data, develops, and tests hypotheses, and then uses this data to determine the best course of action for diagnosis and therapy. It is described as an inferential procedure used by practitioners to gather and assess information and make decisions on the diagnosis and treatment of patient problems. Aim: The aim of this study is to describe the rehabilitation of a solo case with cervical radiculopathy by using clinical reasoning process Method: A case study of typical cervical radiculopathy managed by using clinical reasoning process and advance evidence-based physiotherapy treatment to reduce pain, increase ROM and improve functional ability. Result: After six weeks of treatment, there was a reduction in pain, an increase in range of motion, and a change in disability status as measured by the neck disability index. Conclusion: Finally, this case study states that application of the clinical reasoning process is beneficial for rehabilitation programs.","PeriodicalId":73052,"journal":{"name":"Fortune journal of health sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69347264","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}
Mohammad Majid Paracha, Abdul Qayum khan, F. Sagheer, Hina Zahoor
{"title":"Efficacy of Methotrexate versus Azathioprine and Their Steroid Sparing Role in the Treatment of Chronic Actinic Dermatitis: A Randomized Control Trial","authors":"Mohammad Majid Paracha, Abdul Qayum khan, F. Sagheer, Hina Zahoor","doi":"10.26502/fjhs.047","DOIUrl":"https://doi.org/10.26502/fjhs.047","url":null,"abstract":"Background Azathioprine is first line immunosuppressive agent in treatment of chronic actinic dermatitis. Steroid sparing role of methotrexate has been effective in different dermatosis and it seems reasonable to use it in the treatment of chronic actinic dermatitis. Methods Patients with chronic actinic dermatitis were randomized to receive methotrexate and systemic steroids in group A and azathioprine and systemic steroids in group B. Tapering of systemic steroids was started at 4 weeks. The response to treatment, exacerbation of disease and side effects of medications were assessed at 4, 8 and 16 weeks follow-up by calculating percentage PASI reduction. Result Among 168 patients, 35(38.09%) patients in group A and 37(44%) patients in group B showed efficacy to the treatment at 4 weeks. On follow-up at 16 weeks, exacerbation of skin lesions was observed in total of 14 (19.44%) patients on tapering of systemic steroids among 72 (42.9%) patients previously showing efficacy to the combination therapy, with 9(24.71%) patients in group A and 5(13.51%) patients in group B.","PeriodicalId":73052,"journal":{"name":"Fortune journal of health sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69346935","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":"Role of Laparoscopy in Female Infertility","authors":"Laila Zeb, A. Malik","doi":"10.26502/fjhs.054","DOIUrl":"https://doi.org/10.26502/fjhs.054","url":null,"abstract":"Background: Infertility is the failure of couple to achieve a clinical pregnancy after 12 months or more of unprotected sexual intercourse. Laparoscopy is an important diagnostic procedure to identify the causes for infertility. Aim and Objective: Emphasis on role of laparoscopy in diagnosing causes for female infertility. Material and method: This Cross-sectional study was conducted in Obstetrics and Gynecology A Unit of Medical Teaching Institute, Lady Reading Hospital, Peshawar from 1st January 2019 till 31st December 2019. Sample size was 221 calculated by using Open-Epi calculator. The patients who refused procedure or with male factor infertility or having medical disorders like hypertension, cardiac disease, un- controlled diabetes were excluded. Non-probable convenient sampling technique used and a structured questionnaire filled. P-value > 0.005 and 95% Confidence interval considered as significant. Data analyzed using SPSS version 20. For statistical analysis, frequencies, percentages and Mean ± SD were used for continuous variables. Results: Total 221 patients were selected. (71.4%) patients had primary, 63 (28.5%) secondary infertility. Mean age at presentation 27.6 years and 28.8 years in primary and secondary infertility. The mean duration of marriage was 4.51 years in primary and 5.05 years in secondary infertility. 180 (81.4%) (30%), Endometriosis 27 (12.2%) and fibroid uterus 10(4.5%). Conclusion: Laparoscopy is minimally invasive, convenient, safe and economic procedure for diagnosis of infertility in females.","PeriodicalId":73052,"journal":{"name":"Fortune journal of health sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69347046","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}
Abdullah Chahin, Ghulam Dhabaan, Abdulrahman Buhaish, Mahmoud Shorman
{"title":"Medications and Supplements Prescription Patterns during COVID 19 Pandemic in Yemen: A Questionnaire-Based Study.","authors":"Abdullah Chahin, Ghulam Dhabaan, Abdulrahman Buhaish, Mahmoud Shorman","doi":"10.26502/fjhs.079","DOIUrl":"10.26502/fjhs.079","url":null,"abstract":"<p><strong>Introduction: </strong>the study aims to better understand the COVID-19 prescription treatments and over the counter regimens in Yemen in view of limited published data and limited availability of COVID-19 testing.</p><p><strong>Methods: </strong>A 34 question web-based survey was distributed on social media outlets targeting people in Yemen. Data aggregation, analysis, and visualization were performed using Tableau and Microsoft Excel.</p><p><strong>Results: </strong>2341 individuals reported symptoms concerning for COVID-19 infection, with 25.4% reporting a chronic medical condition. Female patients were less likely to receive medications for treatment in all age groups examined. Azithromycin was the most prescription medication prescribed (32.8%) and vitamin C being the most supplement used (62%). Around 5.5% were on Hydroxychloroquine prophylaxis prior to their diagnosis and only 12.9% of them continued using after diagnosis.</p><p><strong>Conclusions: </strong>This study provides some important information about the commonly observed treatments and prescription patterns during the COVID-19 pandemic in Yemen during May- July of 2020. The study reflects the influence of global trends in medication prescription even in resource-limited countries.</p>","PeriodicalId":73052,"journal":{"name":"Fortune journal of health sciences","volume":"5 3","pages":"522-528"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9835554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9104903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Steward Mudenda, Patrick Mainza, R. Mfune, W. Mufwambi, Jimmy M. Hangoma, R. Mutati, Kampamba, T. L. Muungo, C. Hikaambo, M. Kampamba, V. Daka
{"title":"Psychological Impact of COVID-19 on Community Pharmacists: A Cross-Sectional Study in Lusaka District, Zambia","authors":"Steward Mudenda, Patrick Mainza, R. Mfune, W. Mufwambi, Jimmy M. Hangoma, R. Mutati, Kampamba, T. L. Muungo, C. Hikaambo, M. Kampamba, V. Daka","doi":"10.26502/fjhs.087","DOIUrl":"https://doi.org/10.26502/fjhs.087","url":null,"abstract":"Introduction The coronavirus disease 2019 (COVID-19) pandemic has caused serious health problems globally. This has included increased psychological challenges among frontline healthcare workers (HCWs). Community pharmacists are critical in the fight against COVID-19 and in sensitising the public about vaccinations and other public health interventions. However, little is known about the psychological impact of COVID-19 and the acceptance of vaccinations among community pharmacists in Zambia. Therefore, this study assessed the psychological impact of COVID-19 among community pharmacists in Lusaka, Zambia. Materials and Methods: This cross-sectional study was conducted among 188 community pharmacists from August to October 2021 using a structured questionnaire. Statistical Package for Social Sciences (SPSS) version 22.0 was used to analyse the data. The statistical significance was conducted at a 95% confidence level. Results: Of the 188 participants, 108 (57.4%) were male, while 80 (42.6%) were female. Most of the participants were in the age group of 20−30 years (n=109, 58.0%). The study found that 36.7% of the participants experienced anxiety, while 50.5% experienced depression. Anxiety was associated with fear of dying from COVID-19 if one contracted it (p=0.001), fear of infecting loved ones if infected (p=0.003) and experiencing a traumatic event (p=0.036). Depression was associated with a fear of dying if one contracted COVID-19 (p=0.001). Overall, about 70.2% of the participants expressed willingness to receive the COVID-19 vaccine. Conclusion: Community pharmacists experienced anxiety and depression due to the COVID-19 pandemic. Most of the community pharmacists were willing to receive the COVID-19 vaccine. There is a need for urgent interventions to address the mental health challenges of community pharmacists during pandemics.","PeriodicalId":73052,"journal":{"name":"Fortune journal of health sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69347683","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}
Haftom Taame Desta, N. Mayet, Alex Riolexus Ario, R. Tajudeen
{"title":"Role of National Public Health Institutes for a Stronger Health System in Africa","authors":"Haftom Taame Desta, N. Mayet, Alex Riolexus Ario, R. Tajudeen","doi":"10.26502/fjhs.090","DOIUrl":"https://doi.org/10.26502/fjhs.090","url":null,"abstract":"","PeriodicalId":73052,"journal":{"name":"Fortune journal of health sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69347726","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":"Poor Management Skills: “A Contributing Factor to High Turnover Rate in Nursing Homes”","authors":"Obianuju C Efobi","doi":"10.26502/fjhs.056","DOIUrl":"https://doi.org/10.26502/fjhs.056","url":null,"abstract":"Undeniably, long-term healthcare facilities have been linked to having high turnover rates and this, in turn, hurts the company’s resources and the quality of care for senior citizens. Stabilizing the workforce and updating training standards are imperative to reforming long-term healthcare facilities and support systems in the United States. This retrospective quantitative study aims to analyze if there are connections between employee turnover and poor organizational skills in nursing homes. Employees of concern are caregivers employed in the homecare industry in various parts of the USA. Further analysis of several materials implied that there is a negative link between employee turnover and poor management skills. Moreover, an increase in turnover rate impacts the organization in different ways as the organization loses the expertise of experienced employees and its reputation in the community. The conclusion of this study suggested that managers must switch leadership styles to create a conducive environment for employees which will lead to plummeting figures in caregiver turnover rates, which will ultimately stabilize the physical well-being of residents.","PeriodicalId":73052,"journal":{"name":"Fortune journal of health sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69347054","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}
Nath Mc, Rahman Akms, Dutta A, Khan Zh, Ghosh E, Akhter S, Islam Ms, S. S, B. R, Rahman Mm
{"title":"The Effect of Cigarette Smoking on Fasting Lipid Profile: A Single Center Study","authors":"Nath Mc, Rahman Akms, Dutta A, Khan Zh, Ghosh E, Akhter S, Islam Ms, S. S, B. R, Rahman Mm","doi":"10.26502/fjhs.067","DOIUrl":"https://doi.org/10.26502/fjhs.067","url":null,"abstract":"Background: Cigarette smoking is one of the leading causes of preventable death globally. Smoking causes dyslipidemia prone to atherosclerosis that is associated with cardiovascular disease (CVD) risk. Objectives: The aim of this study was to assess the effect of cigarette smoking on lipid profile in healthy adult male smokers. Methods: This cross sectional study was conducted at the Department of Physiology, Rajshahi Medical College, Rajshahi, Bangladesh, from July 2017 to June 2018. A total of 160 healthy male subjects aged above 30 years were selected; among them 80 were smokers and 80 were age matched apparently healthy non smokers for comparison. The smokers were regularly smoking for at least 1 year. Fasting blood samples from all study subjects were collected and analyzed for lipid profile [Total cholesterol (TC), High Density Lipoprotein-cholesterol (HDL- C), Low Density Lipoprotein-cholesterol (LDL- C), and Triglyceride (TG)] using enzymatic-colorimetric method. in moderate smokers and least in heavy smokers. Conclusion: Continuous cigarette smoking is associated with dyslipidemia. Smoking increases levels of total cholesterol, triglyceride, LDL- C and decrease HDL- C level. All components of lipid profile are affected by the heaviness of smoking.","PeriodicalId":73052,"journal":{"name":"Fortune journal of health sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69347139","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}
Nyangono Biyegue Christine Fernande, Ntentie Françoise Raïssa, D. William, Magne Naoussi Diana, Ngobe Ewanke Elisabeth Martine, Nga Mang Glwadys Nadege, Guimatio Teugou Michelle, Salamatou ., Dang A Bep Eunice, Ngondi Judith Laure
{"title":"Evaluation of Glycemic Index of Some Cameroonian Local Meals: A Contribution to the Management of Metabolic Syndrome","authors":"Nyangono Biyegue Christine Fernande, Ntentie Françoise Raïssa, D. William, Magne Naoussi Diana, Ngobe Ewanke Elisabeth Martine, Nga Mang Glwadys Nadege, Guimatio Teugou Michelle, Salamatou ., Dang A Bep Eunice, Ngondi Judith Laure","doi":"10.26502/fjhs.068","DOIUrl":"https://doi.org/10.26502/fjhs.068","url":null,"abstract":"Laure.Evaluation of Glycemic Index of Some Cameroonian Local Meals: A Contribution of Management of Metabolic Syndrome. Fortune Journal of Health Sciences 5 (2022): 407-425. Abstract Aim of the study : This study aimed at proposing a strategy of the management of metabolic syndrome through the determination of the glycemic index of some Cameroonian local meals. Methodology : The study was carried out amongsix traditional communities living in Yaounde Haussa, Eton and Dschang communities had GI<55.Meals with the lowest GI were:HLFCo (GI: 1.21) and YCFSFCo (GI 1.51) for Bafia community; YSSC (GI : 3.03) for Dschang community; KM (GI: 4.17) for Mbo community; FLBMFR (GI: 4.17) and DOBMFCo (GI: 2.08) for Haussa community; BSOFCo (GI= 8.33) and YSEPC (GI: 4.17) for Bamougoum community; and YSSCaT (GI: 16.67) for Eton community. Conclusion : Every community is rich in low GI meals whose consumption should be encouraged in the management of metabolic syndrome and its components.","PeriodicalId":73052,"journal":{"name":"Fortune journal of health sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69347149","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}
Ali Kudamba, Hussein M. Kafeero, M. Lubowa, Shaban A. Okurut, Hakimu Nsubuga, T. Abiti, Joweria Kayendeke, A. Walusansa, Jamilu E. Ssenku
{"title":"Phytochemical Profiles of Albizia coriaria, Azadirachta indica, and Tylosema fassoglensis Used in the Management of Cancers in Elgon Sub-Region","authors":"Ali Kudamba, Hussein M. Kafeero, M. Lubowa, Shaban A. Okurut, Hakimu Nsubuga, T. Abiti, Joweria Kayendeke, A. Walusansa, Jamilu E. Ssenku","doi":"10.26502/fjhs.073","DOIUrl":"https://doi.org/10.26502/fjhs.073","url":null,"abstract":"Background: Cancer is one of the serious health burdens in the 21st century with a steady rise in cases and deaths. The current interventions used in cancer management are chemotherapy, radiation, and surgery, which have not only proved effective but also marred with several shortcomings. Preliminary studies indicated that residents in the Elgon sub-region highly rely on Albizia coriaria, Azadirachta indica & Tylosema fassoglensis as alternative cancer therapies to meet their cancer healthcare. But data are scarce on their phytochemical profiles as a basis for scientific backup in this regard. Therefore, our study documented the phytochemistry of Albizia coriaria, Azadirachta indica & Tylosema fassoglensis. Materials & Methods: We adopted an experimental study design. The collected plant materials were cleaned, air dried, ground into a coarse powder, and extracted by serial extract of aqueous and ethanol. Ultraviolet spectrometry and gravimetry methods were used to determine the phytochemical profiles and data was analyzed with MedCalc version 20.008. The current study revealed that the three plant species exhibited varied phytochemical constituents. The highest mean concentrations were 10174, 748, 17751 & 8060 mg/100ml for polyphenols, flavonoids, tannins, and alkaloids respectively. Flavonoids from root extracts of Tylosema fassoglensis and Albizia coriaria were insignificant (P= 0.1060 & P= 0.4983) respectively and the rest of the phytochemical compositions significantly (P < 0.0001) varied. Conclusions: The phytochemical profiles of plant species in the current study exhibited higher concentrations than the same species harvested in different parts of Uganda. Therefore, there is a need to carry out a study on the isolation & characterization of the phytochemical constituents; efficacy tests on anticancer activity against cancer cellline, and safety in animal models. Affiliation: 1Faculty of Health Sciences, Habib Medical School, Islamic University in Uganda, Kampala 2Faculty of Science, Department of Biological Sciences, Islamic University in Uganda, Mbale 3Faculty of Science, Department of Chemistry and Biochemistry, Islamic University in Uganda, Mbale 4Faculty of Science, Department of Chemistry, Muni University 5Faculty of Science, Department of Food Science and Nutrition, Islamic University in Uganda, Mbale *Corresponding author: Ali Kudamba, Faculty of Health Sciences, Habib Medical School, Islamic University in Uganda, Kampala. Citation: Ali Kudamba, Muhammad Lubowa, Hussein M. Kafeero, Shaban A. Okurut, Hakim Nsubuga, Twaha Abiti, Abdul Walusansa, Joweria Kayendeke, Hasifah Nanyingi, Muhamad S. Mubajje, and Jamilu E. Ssenku. Phytochemical Profiles of Albizia coriaria, Azadirachta indica, and Tylosema fassoglensis Used in the Management of Cancers in Elgon Sub-Region. Fortune Journal of Health Sciences 5 (2022): 461-471. Received: July 17, 2022 Accepted: July 28,2022 Published: August 20, 2022","PeriodicalId":73052,"journal":{"name":"Fortune journal of health sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69347207","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}