ARCHIVES(Journal of Harmonized Research in Medical and Health Sciences)


Title: A PROSPECTIVE STUDY ON THE RISK FACTORS, ANGIOGRAPHIC SEVERITY AND THEIR CORRELATION WITH STEMI AND NSTEMI IN PATIENTS WITH ACUTE CORONARY SYNDROME
Author: Treesa P. Varghese, L. Panayappan*, K. Krishnakumar, Lincy George
Keyword: Acute Coronary Syndrome; Risk Factors
Page No: 01-05
Abstract: Cardiovascular diseases are the leading cause of death globally; representing 30% of all global death. Coronary artery disease has assumed epidemic proportions in India. Several modifiable and non mo difiable risk factors have been documented in Indian population. The aim of work is to study about the risk factors, angiographic severity and their correlation with segment elevated myocardial infarction (STEMI) and Non ST segment elevated myocardial infarction (NSTEMI) in patients with acute coronary syndrome (ACS). A prospective study was carried out to identify the risk factors angiographic severity in acute coronary syndrome including S T elevation and non S T elevation myocardial infarction. Patients meeting the inclusion criteria were studied with detailed history and investigation along with angiographic assessment of coronary lesions. This study showed a significant male predominance. Patients with STEMI were slightly younger at presentation than those with NSTEMI. Hypertension and dyslipidemic were seen to be significantly higher amongst NSTEMI subjects compared to STEMI subjects. Regarding angiographic severity single vessel disease was more associated with STEMI and mild Cardio vascular disorders (CVD) was more associated with NSTEMI that was found to be statistically significant. Double vessel diseases are more associated with STEMI and triple vessel disease more associated with NSTEMI but, they were not significant statistically. Key Words: Acute Coronary Syndrome; Risk Factors Download PDF


Title: PSYCHOLOGICAL EXPERIENCES AND ADAPTATION STRATEGIES BY MENOPAUSAL WOMEN IN A RURAL COMMUNITY IN ANAMBRA STATE NIGERIA.
Author: Ilo I. C., Agbapuonwu, N. E., Okeke J. E., Makachi M. C., Orji I. N., & Odira, C. C.
Keyword: Menopause, physiologic adaptation
Page No: 06-11
Abstract: Menopause is a period of natural physiologic adaptation which occurs in women when their finite numbers of ovarian follicles are depleted due to decreased levels of reproductive hormones. Menopause i s a natural transition all women experience and may present with mild or no obvious disturbances in some women. Others may undergo severe and unbearable health and psychological challenges that may require medical intervention. This descriptive survey aimed at determining the psychological and health challenges experienced and the adaptation strategies utilized by menopausal women in a rural community in Anambra state Nigeria. Using the stratified random sampling technique a total of 112 women within the age range of 45-55 years were selected to participate in the research. A pre-tested self- developed questionnaire was utilized to elicit responses from the respondents usingthe snowball technique.The data collected were organized and analyzed using frequencies and percentages for the research questions and chi square for testing the hypotheses at 0.05 level of significant. The result show that almost all 109 (99.1%) of the respondents experience menstrual irregularities, 75(68.2%) experience sleeping problems or insomnia, 68 (61.8%) reported hot flushes and other problems.Majority 66 (60.0%) of the respondents buy drugs from patent medicine shops to treat their symptoms, 27 (24.5%) cope by modifying their lifestyle while onlyfew 12 (10.9%) seek proper management from health professionals.There is need for women to be educated prior to this period and health workers should communicate, counsel, support and empower middle-aged women through this period of transition.Download PDF


Title: RADIOGRAPHIC STUDY OF PREVALENCE OF SPONDYLOLISTHESIS AND TRANSITIONAL LUMBOSACRAL SEGMENT IN CHRONIC LOW BACK PAIN SUBJECTS
Author: Dr Rupali Shastrakar, Dr A P Kasote, Dr V G Sawant,
Keyword: Low Back Pain, Prevalence, Spondylolisthesis, Radiography, Lumbosacral transitional segment.
Page No: 12-17
Abstract: The purpose of this study is to measure the prevalence of, spondylolisthesis, transitional lumbosacral segmentation, in patients 21 to 65 years of age with chronic low back pain (CLBP).This retrospec tive study analyzed 100 digital lumbar radiographic series obtained during a case control study of patients with CLBP. Chronic low back pain is defined as pain in the low back lasting 12 weeks or longer. Radiographic findings of spondylolisthesis, and lumbosacral transitional segmentation were graded by 2 authors using established classification criteria. Lumbosacral transitional segments graded I to IV (Castellvi classification) were present in 14% of cases. Isthmic spondylolisthesis was present in 5% of cases, with L5 the most common location. Degenerative spondylolisthesis demonstrated a prevalence of 34%, most commonly occurring at L4. The prevalence of degenerative spondylolisthesis was 60 % for women aged 50 to 59 years and 40% for men in the same age range. Key words: Low Back Pain, Prevalence, Spondylolisthesis, Radiography, Lumbosacral transitional segment.Download PDF