International Journal of Human and Health Sciences (IJHHS)
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Published By International Journal Of Human And Health Sciences Ijhhs

2523-692x
Updated Wednesday, 21 July 2021

2021 ◽  
Vol 5 (4) ◽  
pp. 405
Author(s):  
Maide Barış

Germline genetic intervention (GGI) has been one of the most discussed topics within the bioethics literature since 2012, when the programming of CRISPR/Cas9 for a specifically targeted gene region has become possible. While some authors are optimistic about what GGI may offer, others strongly disagree and refute the use of this technology for different reasons. This paper will aim to examine one of the most widespread arguments against GGI, namely “heritability” argument, comprehensively. Firstly, it will aim to examine the moral importance of the germline. Secondly, it will try to understand three possible assumptions of the heritability argument. Then it will try to respond to these assumptions and argue that they are neither scientifically supportable nor rationally solid for rejecting GGI altogether.International Journal of Human and Health Sciences Vol. 05 No. 04 October’21 Page: 405-411


2021 ◽  
Vol 5 (4) ◽  
pp. 412
Author(s):  
Vaulin Vladimir Ivanovich ◽  
Singeev Sergey Aleksandrovich

Background: The article presents the results of a study of ensuring fire safety in medical and preventive institutions (LPI) on the example of the central city hospital.Objectives: Research is aimed at improving the fire safety of hospital complexes and hospitals in modern conditions.Materials and Methods: The study used the methods of system analysis of scientific research and statistical data on ensuring fire safety, methods of structural analysis of the practice of ensuring fire safety of hospital complexes, mathematical methods for calculating the evacuation of people from a building and the spread of a fire in a building, methods for calculating the economic efficiency of means of support fire safety.Results and Discussion: Based on the analysis of fire statistics in healthcare facilities in Russia, it is concluded that it is advisable to improve the fire safety of hospitals and hospital complexes in modern conditions. The point of view is expressed that along with the fact that fire safety in hospitals is observed, the analysis indicates the existing problems in the practice of implementation.Conclusion: In order to increase the level of fire safety, it is possible to introduce: a modern fire alarm system; video of control systems and monitoring of safety of objects on the territory of the medical facility; installation of automatic fire extinguishing systems in fire-hazardous premises; installation of additional emergency lighting and reflectors indicating the direction of evacuation in case of fire and smoke; carrying out organizational and practical measures to ensure the safety of patients in a medical institution in an emergency situation (ES), namely, it is proposed to develop a memo of actions for patients in the hospital complex on inpatient treatment in case of an emergency with a list in the instruction log; provision of medical facilities with individual rescue equipment and provision of hospitals and hospital complexes with highrise buildings with modern evacuation means.International Journal of Human and Health Sciences Vol. 05 No. 04 October’21 Page: 412-417


2021 ◽  
Vol 5 (4) ◽  
pp. 381
Author(s):  
Shaorin Tanira

Background: From health monitoring to health education and from behaviour change to falls sensing and health alerts to the simple pleasure of communication and connectedness, the mobile technologies (smartphone applications) are changing the lives of older adults.Objective: To examine current evidence of use of smartphones by older adults for health purposes (including communication, education, and health monitoring), and understand gaps and challenges in order to inform the design of future systems given the ubiquity of mobile phone technology.Methods: MEDLINE, CINAHL and Google scholar databases were searched from October 2016 to January 2017. Keywords used include ‘smartphone apps’, ‘mobile phone’, ‘chronic disease’, ‘chronic condition’, ‘older adults’ and ‘elderly’. A total of 12 articles were selected for quality assessment and grading of evidence.Results: Twelve different articles were found and categorized into nine different clinical domains with specific health related interventions. Articles were focused on diabetes care (2 articles), followed by COPD (2 articles), heart disease (1 article), Alzheimer’s/dementia Care (2 articles), osteoarthritis and pain management (1 article), fall prevention (1 article), colon cancer (1 article), palliative care (1 article), chronic kidney disease (1 article). Areas of interest studied included feasibility, acceptability, functionality and thereby determining their effectiveness. There were many different clinical domains; however, most of the studies were pilot studies. Current work in using mobile phones for older adult use are spread across a variety of clinical domains. Findings from different studies indicate that the use of mobile phone interventions has the potential to support successful management of chronic conditions and health behaviour change in older adults.Conclusion: Perceived benefits and willingness to use the smartphone apps are high; however, technical training and cost are main concerns. A common problem with elderly users was their reluctance to press buttons due to the fear of breaking something which has been resolved by touch screen technology of the smartphones. However, the advanced user clicked around the screen until he found what he was looking for, while the others spent a lot of time observing the screen and trying to determine the correct step. Promotion of user-friendly apps are expected especially for older adults having a diminished physical and cognitive abilities.International Journal of Human and Health Sciences Vol. 05 No. 04 October’21 Page: 381-387


2021 ◽  
Vol 5 (4) ◽  
pp. 377
Author(s):  
Abdus Salam

Abstract not availableInternational Journal of Human and Health Sciences Vol. 05 No. 04 October’21 Page: 377-380


2021 ◽  
Vol 5 (4) ◽  
pp. 424
Author(s):  
ND Withanage ◽  
S Perera ◽  
H Peiris ◽  
S Prathapan ◽  
LV Athiththan

Objective: Present study was aimed to develop a regression model for selected sociodemographic, behavioural and occupational factors with lumbar disc herniation (LDH) and lumbar disc hearniation and degeneration (LDHD) in a selected population in comparison to healthy individuals.Materials & Methods: The study was conducted using 104 cases with disc herniation and controls (n=104) without LDH. Analysis was conducted in sub groups of patients with LDH (n=67) and LDHD (n=37) in comparison to control subjects. Pre-tested questionnaire was administered to all participants to gather information.Results & Discussion: Among the cases 35.6 % presented with LDHD while 64.4 % had only LDH. Among the socio-demographic characters, body mass index <25 kgm-2 was a significant protective factor for both LDHD (OR=0.31; 95% CI=0.13-0.72) and LDH (OR=0.39; 95% CI=0.20-0.77). Involvement in daily activities with heavy (OR=5.1; 95 % CI=2.1-11.8) and moderate strain (OR=3.1; 95 % CI=1.5-6.6) to back, sitting more than eight hours per day (OR=5.1; 95 % CI=1.0-25.7), smoking (OR=5.0; 95 % CI=1.5-16.4) and sleeping in supine position (OR=2.09; 95% CI=1.09-4.06) were significant risk factors for LDH. Only daily physical activities with heavy strain act as a significant risk factor (OR=3.1; 95 % CI=1.1-8.5) for the development of LDHD. Types of mattresses used did not have a significant difference among cases and controls. Majority of cases (56.7 %) did not know the causative factor that led to LDH. According to the regression model, BMI, smoking and involvement in physical activities with moderate and heavy strain to back were considered as significant risk factors for the development of LDH or LDHD.Conclusion: In regression model BMI, smoking and daily physical activities with moderate and heavy strain to back were found to be the significant risk factors for development of LDH or LDHD.International Journal of Human and Health Sciences Vol. 05 No. 04 October’21 Page: 424-434


2021 ◽  
Vol 5 (4) ◽  
pp. 388
Author(s):  
Mohd Akhtar Ali ◽  
Hamiduddin

Qarābādhīn can be termed as pharmacopoeia, contains compiled form of compound formulations or recipes. Importance of Qarābādhīn gradually increased and acquired an imperative status. The history of Qarābādhīn starts from Chiron, Aesculapius, Hippocrates, Dioscorides and Galen in Greco-Roman era. Many of early and medieval Islamic and Arab physicians play vital role and immense original contribution in this discipline and authored important and essential Qarābādhīn with systemic and scientific approaches. Although some of them could not reach the present day, many of the manuscripts can be found in various libraries across the world. Since the Arab Caliphates appreciated and patronized the fields of medicine acquired from Greeks and worked for its development, this period also known as “Greco-Arabic era”. In this work the evaluation of Qarābādhīn (particularly written in Arabic or Greek language) was done in historical and regulatory perspective particularly in Greek era and later on in Medieval Islamic era. The findings of the review indicate the importance and regulatory status of Qarābādhīn and provide information about it. It can be helpful to explore Qarābādhīn and related publications of Greek and Medieval Islamic Arabic period, which gives foundations for the present-day pharmacopeias. Since these documents also take into account ethical considerations, its utility in the fields of medicine and medical ethics should be investigated.International Journal of Human and Health Sciences Vol. 05 No. 04 October’21 Page: 388-404


2021 ◽  
Vol 5 (4) ◽  
pp. 418
Author(s):  
Shahzaib Maqbool ◽  
Maryam Haider ◽  
Ather Iqbal ◽  
Arham Ihtesham ◽  
Waleed Inayat Mohamed ◽  
...  

Objective: Despite remarkable progress in scientific methods and measures against infectious disease transmission, the prevalence of infectious diseases is still on the rise in resource-poor countries. Hand hygiene is considered an effective way of fighting against deadly infectious diseases. Our study aimed to assess knowledge, attitude, and hand hygiene practices among mothers of children presenting for routine paediatric check-up in the department of paediatrics in a tertiary care hospital of Rawalpindi.Materials and Methods: It’s a descriptive cross-sectional study involving 400 mothers from the paediatric department of the Holy family hospital (HFH), Rawalpindi. A convenient sampling technique was used to select the study participants. A semi-structured, pre-tested questionnaire that included demographic details, knowledge, attitude, and practice levels were assessed through validated questionnaires used in previously published studies. Descriptive statistics were used for demographic details and chi-square analysis was used to find an association between handwashing practice with knowledge and attitude. A P<0.05 was taken as significant. Data analysis was done through SPSS.v.23.Results and Discussion: In total, 400 females participated in the study and the mean age (±SD) was 32.4±10.2 years. The mean age of children was 31.2±12.2 months. The level of good handwashing knowledge and attitude was 93% and 60% respectively. However, the level of good handwashing practice was just 40%. The age of mothers, residential area, occupation, socioeconomic status, and the level of knowledge regarding handwashing, showed significant association with handwashing practices.Conclusion: In our study handwashing practice among mothers was relatively low. Age of mothers, residential area, occupation, socioeconomic status, and the level of knowledge regarding handwashing, were significantly associated with handwashing practices.International Journal of Human and Health Sciences Vol. 05 No. 04 October’21 Page: 418-423


Author(s):  
Zainul Ikhwan Ahmad Khusairi ◽  
Rizz Fazali ◽  
Chung WM ◽  
Azmir Anuar ◽  
Afendi Ghazali

Introduction: Since time immemorial, mushrooms have been used as a part of human diet, some of them are very well known for their nutritive and medicinal properties and some are known to cause poisoning to the human body. A number of post ingestion fatalities due to poisonous mushrooms has been reported worldwide. These poisonous mushrooms are often misidentified as edible ones, which accounts for accidental poisoning.Objective: The main objective of this report was to describe the clinical manifestations of mushroom poisoning cases presented at the Emergency Department (ED), Taiping Hospital.Case Presentation: There were two cases presented, who suffered from moderate dehydration due to acute gastroenteritis after taking 'delicious mushrooms', also known as Chlorophyllum Molybdites. This study found that both cases had complaints of abdominal cramping, diarrhoea and vomiting more than twenty times a day. There was no history of numbness or weakness noted, and no chest pain or shortness of breath. On arrival, both cases presented signs of moderate dehydration with coated tongue and normal blood pressure, with slightly increased in temperature (37.30C). Abdomen was soft but discomfort upon palpation and described as bloated. Both cases were resuscitated with 20ml/kg normal saline. Charcoal, antiemetic, proton pump inhibitor and ceftriaxone antibiotic were given at the ED. Both survived and were treated as infectious acute gastroenteritis. Nausea and vomiting were the most common early symptoms of intoxication and should be considered as a medical emergency. Alpha Amanitin levels should be checked where possible if amanita poisoning is suspected. An early diagnosis and immediate treatment are required for a successful outcome.Conclusion: All patients with the history of mushroom ingestion should be admitted. If laboratory detection of toxin is not available, history of mushroom ingestion, clinical manifestation and their trends could define mushroom poisoning.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S17


Author(s):  
Aneesa Abdul Rashid ◽  
Cheong Ai Theng ◽  
Ranita Hisham Shanmugam ◽  
Nurainul Hana Shamsuddin ◽  
Dalila Roslan

Introduction: This is a part of a bigger study entitled “Exploring the Views of Healthcare Practitioners on the Teddy Bear Hospital (TBH) as a Personal Safety Module Towards Prevention of Child Sexual Abuse (CSA): A Qualitative Study”. TBH is a make-believe-play hospital utilising soft toys to demonstrate a pretend clinical setting with the aim to educate children on health issues. Studies has shown its effectiveness and reducing anxiety towards the hospital setting and increasing health-related knowledge. IMAM Children’s and Teen Super teen (IMACATS) is one of the non-governmental organisations (NGO) which has adopted this concept to tailor to the local community. The volunteers are healthcare practitioners who are engaged with children in their practice.Objective: To explore the views of healthcare professional towards TBH by IMACATS in Malaysia.Methods: In-depth qualitative audio recorded interviews were conducted with a purposive sample of 18 healthcare professionals. The data obtained were transcribed and analysed thematically.Results: Three themes were derived from the interviews: i) Awareness of the TBH concept. Seven participants have volunteered in TBH previously. However, there was a speculation that many doctors are still unknowing of this concept. ii) Benefits of TBH. This includes reducing children’s anxiety, changing children’s presumption on healthcare, increasing children’s health knowledge and encouraging healthy behaviour and bridging the gap between the public and healthcare. iii) Suggestion of Module for future TBH: (a) More school-based programmes should be organised in addition to hospital and community based; (b) Ministry of Health (MOH) should encourage children health screening using this concept; (c) A module for hospitalised children should be conducted.Conclusion: Participants interviewed suggested for TBH to be organised in a wider scale as it is an approachable concept for educating children. There are many ways in which it can benefit this community.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S18


Author(s):  
Zainul Ikhwan Ahmad Khusairi ◽  
Tan Ling Sze

Introduction: Most pregnant women will experience a normal pregnancy process. However, there are some complications that may occur during pregnancy, including intra-abdominal pregnancy. Intra-abdominal pregnancy, or pregnancy outside of the uterus, are commonly reported besides abortion, pregnancy-induced hypertension (PIH) and gestational diabetes mellitus (GDM). Thesecomplications are believed to be the main cause of maternal and perinatal death. Therefore, the use of appropriate diagnostic imaging inthe management of obstetric cases should be focused.Objective: This case study intended to evaluate the use of magnetic resonance imaging (MRI) in managing intra-abdominal pregnancy.Case Presentation: The study focused on one case with intra-abdominal pregnancy which continued into the second trimester. A 30-year-old woman, G2 P0+1 at 12-13 weeks’ gestation was presented to a public hospital complaining of recurrent epigastric pain with no history of vaginal bleeding. An MRI was performed and the mother was identified as having an intraabdominal pregnancy. Urgent laparotomy was done. Intraoperative finding noted hematoperitoneum with active bleeding seen from the placenta that adhered to the omentum. Partial omentectomy was done. The foetus in about 14 week’s gestation was seen and removed. Case studies have proven that the option to perform an MRI on a suspected intra-abdominal pregnancy can help provide information to establish an accurate diagnosis and appropriate patient care management.Conclusion: The use of MRI is highly recommended for all cases that are expected to experience intra-abdominal pregnancy as it will save the patient as well as avoiding obstetric complications.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S16


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