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 Tuesday, 18 January 2022

Author(s):  
Md Iftekhar Salam ◽  
Abdus Salam

Abstract not availableInternational Journal of Human and Health Sciences Vol. 06 No. 01 January’22 Page: 3-5


Author(s):  
Noor Hafizah Abdul Salim ◽  
Aneesa Abdul Rashid ◽  
Ahmad Luqman Md Pauzi ◽  
Mohd Hisham Isa

Every year, the Federation of Islamic Medical Association (FIMA) conducts a basic life support (BLS) course for the public, not just in one, but in several countries. It is held in mosques as a method of raising awareness on the importance of BLS among the public, apart from highlighting the function of a mosque as a place of obtaining knowledge. Traditionally, it was conducted as face-to-face training. However, with the 2019 novel coronavirus pandemic, the training was changed to a hybrid method to balance between the needs to teach BLS skills to the public and the necessity of avoiding the spread of infection. This article discussed the Islamic Medical Association of Malaysia (IMAM)’s experience in organizing a mass BLS course for public in the midst of the COVID-19 pandemic while utilising a small mosque as a hub of learning.International Journal of Human and Health Sciences Vol. 06 No. 01 January’22 Page: 6-10


Author(s):  
Charul Mittal ◽  
Hiba Sami ◽  
K Gururaj ◽  
Fatima Khan ◽  
Asfia Sultan ◽  
...  

Introduction: Brucellosis is a significant but lesser-known cause of pyrexia of unknown origin (PUO) in India. Studies documenting the prevalence of Brucellosis in different parts of India are sparse and few. Clinicians thus usually don’t consider it in their differential diagnosis. This study assesses its prevalence in two groups: febrile patients with unknown etiology and individuals presenting with arthritis and/or joint pains. Knowledge, Attitude, and Practices (KAP) among clinicians about the disease was evaluated.Materials and Methods: This is a prospective study conducted at a tertiary care center of North India catering to urban, semi-urban, and rural populace. Ninety-two patients with fever of unknown origin, arthralgia, or similar constitutional symptoms were recruited in this study. Detailed clinical history was elicited from all patients as per predesigned proforma and a rigorous physical examination was conducted. Following primary screening to rule out malaria, enteric fever, and leptospirosis, secondary screening for Brucellosis was done by Rapid Screen Test (PUO screen) and IgM and IgG ELISA. A predesigned survey was used for assessing KAP among clinicians about Brucellosis.Results: Brucella infection was diagnosed in 27 (29.3%) cases. The most common symptoms among the patients apart from fever were arthralgia (77.8%), fatigue (70.8%), pallor (66.1%), headache (59.2%), backache (53.8%) and cough (33.3%). PUO screen is a specific test for brucellosis but lacks sensitivity. It detects acute cases but misses chronic cases. IgM ELISA being more sensitive should be used for confirmation. Low ODs point to chronic brucellosis which was confirmed by IgG ELISA. Normal CRP levels in patients with PUO and chronic joint pains should point to brucellosis. KAP revealed that 25% to 50% of doctors considered Brucella in their differential diagnosis of acute and chronic fever respectively while 10% Orthopedics considered it in cases of arthralgia.Conclusion: Our results highlight the significance of Brucella as a cause of PUO and arthralgia. Brucellosis is an underrecognized but important cause of pyrexia of unknown origin and chronic joint pain. It should be actively suspected, diagnosed, and treated.International Journal of Human and Health Sciences Vol. 06 No. 01 January’22 Page: 80-88


Author(s):  
Mehdi Ashik Chowdhury ◽  
Asim Ranjan Barua ◽  
- Asaduzzaman ◽  
Mohammad Mahabubul Hoque ◽  
DM Arifur Rahman

Background: Cervical cancer screening can actually prevent most cervical cancers and also facilitates early detection which allows fruitful treatment.Objective: To evaluate and compare the efficacy of Liquid-based cytology (LBC) with conventional Pap smear test.Methods: This crosssectional study was conducted between March 2015 and June 2017. A total of 72 women participated in this study attending the Out-Patient Department (OPD) of Gynaecology (Colposcopy Clinic) of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, for VIA test. The smears prepared by the conventional Pap smear method and Liquid-based cytology method were observed by two independent observers in Department of Pathology of the same institution.Results: The mean age of the patients was 40.22±12.29 years. Considering histopathology as gold standard, in conventional Pap smear preparation our data suggested its sensitivity 87.5%, specificity 92.2%, accuracy 91.7%, positive predictive value 58.3% and negative predictive value 98.3%. In contrast, in Liquid-based cytology, we found its sensitivity 75.0%, specificity 90.6%, accuracy 88.9%, positive predictive value 50.0% and negative predictive value 96.7%.Conclusion: LBC has practical advantages over conventional preparation by producing monolayer of cells, smaller area to screen, reproducibility and availability of doing adjunct molecular techniques from residual sample. However, conventional preparation shows better sensitivity and positive predictive value and almost similar specificity, negative predictive value and accuracy with LBC.International Journal of Human and Health Sciences Vol. 06 No. 01 January’22 Page: 36-40


Author(s):  
Dipayan Mojumder ◽  
Satabdi Paul ◽  
Anupam Podder

Oral cancer is one of the six leading cancers in the world and is a constant threat to the health sector in developing countries as well as developed ones. Late presentation, due to lack of awareness and invasive incisional biopsy is the crucial factor for this. Nowadays, scientists are trying to find out an easy and reliable method of early diagnosis of oral cancer and molecular biomarkers might be very helpful for that. This review was aimed to evaluate the published literature on molecular biomarkers which are related to oral cancer. For this, advanced searching was applied by specific keywords in PubMed-Medline resource database and found 12466 publications were clinical trials on humans. Then after applying all inclusion criteria, 19 articles were included finally in the review. This paper uncovered that recognition of biomarkers will be useful for the early detection of oral cancer and their prognosis after treatment. We can suggest that p53, EGFR, miR-34a, miR-143 estimation is important to decide the conceivable risk of oral malignant growth advancement in the speculated oral lesion and after the curative procedure EGFR, Podoplanin and miR-21can aid us regarding the prognosis of patient.International Journal of Human and Health Sciences Vol. 06 No. 01 January’22 Page: 11-16


Author(s):  
Esma Demırhan ◽  
Esma Ocal Eriman ◽  
Afitap Icagasıoglu

Objective: The aims of this study were to assess the demographic characteristics and functional status of children with cerebral palsy (CP) and to evaluate the psychological status of their mothers.Results: A total of 101 patients were included in the study (%57,4% boys, %42,6% girls). Their mean age was 6,79±4,48 (1,5-18) years. Mothers’ mean age was 33,31±7,72 (20-53) years. The neurologic classification were as follows: diplegia 27,7%, tetraplegia 45,5%, hemiplegia 19,8%, dyskinetic or ataxic 6,9%. The GMFCS levels were as follows: level 1 11,9%, level 2 14,9%, level 3 17,8%, level 4 25.7%, level 5 29,7%. SCL-90-R outcomes were as follows: 38,6% somatization, 18,8% anxiety, 37,6% obsessive-compulsive, 36,6% depression, 32,7% interpersonal-sensitivity, 21,8% eating-sleeping disorder. We didn’t detect any significant correlation between the GMFCS levels of children and mothers’ physicological status. Childrens’ low WeeFIM scores were related with anxiety, obsessive-compulsive, depression, interpersonalsensitivity, paranoid ideation and eating-sleeping disorder. (p=0,009, p=0,017, p=0,009, P=0,0001, p=0,021, p=0,001 respectively). The presence of chronic disease was related with somatization, anxiety and depression (p=0,001, p=0,024, p=0,008 respectively). The presence of pain was related with somatization (p=0,0001).Conclusion: Lower WeeFIM scores of children with CP and chronic disease and pain presence in their mothers were detected as the factors that negatively affect psychological status of mothers.International Journal of Human and Health Sciences Vol. 06 No. 01 January’22 Page: 17-23


Author(s):  
Md Ashraful Islam ◽  
Ismat Ara Begum ◽  
Khandker Md Nurul Arifeen ◽  
Manoshi Datta ◽  
Sk Mohammad Ali ◽  
...  

Background: Dupuytren’s disease is a benign yet disabling, irreversible, progressive fibroproliferative condition affecting the palm and fingers, leading to flection contracture of metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints.Objective: To evaluate results of selective fasciectomy to correct the deformity of MCP and PIP joints and observe the complications.Methods: This crosssectional study was done on 30 patients of Dupuytren’s contracture treated by selective fasciectomy, between January 2015 and December 2018, in Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. Selective fasciectomy was done under brachial plexus block, tourniquet control and loupe magnification. Brunner zigzag incision was used. Indications for surgery was MCP flection contracture more than 30⁰ and any degree of PIP flection contracture. Postoperatively hand was immobilised in extension of MCP and PIP joints for 2 weeks and then active and passive movements were encouraged and intermittent splinting for 10 weeks (only at night in last 6 weeks).Results: Among 30 patients, 24 (80%) patients were male, 6 (20%) were female; mean age was 62 years (56-74 years). 12 (40%) cases were bilateral, ring and little fingers involvement were seen in most cases (92%). Mean MCP correction was 53⁰ and mean PIP correction was 34⁰ (p<0.001). There were 3 digital nerve injuries peroperatively which were repaired/reconstructed and protective sensation regained in repaired nerve area at 1 year and 3 (10%) marginal skin loss postoperatively which healed secondarily. Superficial wound infection developed in 3 (10%) patients which healed on dressing and antibiotics. Complex regional pain syndrome developed in 2 (6.66%) patients which were mild and resolved on conservative management. 3 (10%) patients developed scar sequilae which were mild and resolved on conservative treatment. Radial digital artery injury was observed in 1 (3.33%); however, no ischaemic insult was observed postoperatively. 2 (6.66%) patients developed recurrence of the disease who were more than 70 years old; however, they declined further intervention.Conclusion: Selective fasciectomy is an easy and effective procedure with less complication to correct the deformities and improve the gripstrength significantly in Dupuytren’s contracture patients.International Journal of Human and Health Sciences Vol. 06 No. 01 January’22 Page: 41-46


Author(s):  
Ika Rosdiana ◽  
Verina Gian Daniswari ◽  
Getri Sura ◽  
- Ariestiani

International Journal of Human and Health Sciences Vol. 06 No. 01 January’22 Page: 30-35


Author(s):  
Ebeye Oladunni Abimbola ◽  
Osahon Roli Itohan ◽  
Ehebha Santos Ehizokhale ◽  
Ojumah Nancy Chuwuma ◽  
Okoro Ogheneyebrorue Godswill ◽  
...  

Objective: Both tattoo and body piercing have a long history and are well known in various cultures in African, American, Asia, and Oceania. Although the appearance of the two varies geographically, they always possess a specific meaning for a particular culture. This study examined awareness, attitude, and knowledge of students towards tattooing and body piercing in Delta State University, Abraka. Nigeria.Material and Methods: Data was collected through the use of well-structured questionnaires. The study made use of 400 young adults randomly selected from six faculties in Delta State University, Abraka.Result and Discussion: Findings revealed that the majority of students (85%) are aware of tattoo and body piercing and 31.3% gave fashion as the main reason why they engage in body modifications. It was however observed that 40% of the subjects under survey regard their colleagues involved in tattooing and body piercing as irresponsible and reckless.Conclusion: The study gave a growing convergence on both gender toward tattooing and a sharp difference in the involvement of both gender towards body piercing. Majority of these young adult are also aware of the health risks associated with body modifications and may not consider them in future.International Journal of Human and Health Sciences Vol. 06 No. 01 January’22 Page: 24-29


Author(s):  
Md Azad Hossain ◽  
Mukul Kumar Sarkar ◽  
Imtiaj Mahbub ◽  
SM Shahinul Islam

Background: Diabetic autonomic neuropathy (DAN) is the most neglected major and widespread microvascular complication of type-2 diabetes mellitus, involving multiple body organs. DAN is a subtype of diabetic peripheral neuropathy.Objective: To investigate the relationship between the variability of HbA1c and diabetic autonomic neuropathy in type-2 diabetes patients.Materials and methods: This study recruited a total of 150 type-2 diabetic patients to screen for diabetic autonomic neuropathy and estimated quarterly levels of HbA1c were performed within the year before enrollment. With a noninvasive procedure, DAN was validated by careful history taking, anthropometric assessment, clinical manifestations and neurological assessment.Results: Out of 150 type- 2 diabetic patients, recruited randomly, where 81 were female and 69 were male. Among all patients 29 (19.33%) had been screened positive for DAN which showed higher HbA1c than non-DAN patients. Different autonomic neuropathic dysfunction among total diabetic patients were also studies and found that the highest prevalence of sexual dysfunction among all autonomic dysfunction prevalence which is 16.66% whereas the lowest prevalence was postural hypotension that is 6.66%. The second higher prevalence is urinary incontinence (10.66%). Abnormal sweating (9.33%) and nocturnal diarrheas (7.33%) are in third and fourth position respectively. No significant (p>0.05) differences were found in the case of BMI, sex, systolic, and diastolic blood pressure between DAN and non-DAN. Data shows a major (p<0.05) risk factor for DAN has also been the prolonged period of diabetes and older age.Conclusion: The study indicates that the increased level of HbA1c in type-2 diabetic patients is closely correlated with DAN and may be considered a potent predictor of DAN in the recruited patients.International Journal of Human and Health Sciences Vol. 06 No. 01 January’22 Page: 89-95


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