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


Title: UTERINE POSTMENOPAUSAL FIBROID WITH CALCEROUS DEGENERATION IN A HEPATITIS ‘B’ PATIENT
Author: Dr. Bhushan Malhari Warpe and Dr. Rucha Dilip Chandane
Keyword: Hepatitis B, post menopausal, uterine fibroid, calcerous degeneration.
Page No: 37-41
Abstract: Uterine leiomyomas are common in women of child-bearing age group but rare in post-menopausal women. They present a greater diagnostic challenge because of dilemma related with differential diagnosis of leiomyosarcoma for that age. Here we present a HBsAg positive case of a 50- years-old postmenopausal woman with a persistent intra-mural fibroid with secondary calcerous degeneration who presented as pelvic pain. This is probably first such HBsAg positive case presenting at such an age. The case was successfully managed by hysterectomy. Key words: Hepatitis B, post menopausal, uterine fibroid, calcerous degeneration. Download PDF


Title: NEURONS AND CHEMICALS ARE BITS (ANATOMY), IT IS MIND (PHYSIOLOGY) - (CCP, CODE PCPS AND CP) BEHIND SENSE OF LOVE AND ORGASM IN MAN AND WOMAN.
Author: Dr V M Das
Keyword: Divine mechanics, Mind and Mass, Atomicgenetics, Basic Building blocks.
Page No: 42-64
Abstract: Adolescents hold the future of every nation and it is vital to ensure that they are socially integrated beings. The complexity of adolescence however may prove to be a stumbling block in ensuring tha t they grow to be holistically well individuals. The aim of the paper is to discuss a model of holistic and multidisciplinary promotion of the mental health of adolescents in a specific township in Swaziland. The model came up as a result of a study aimed at developing a model for psychiatric nurses to assist families, adolescents and organization including teachers to reintegrate mentally disintegrated adolescents into the family and community and to develop strategies for implementation and evaluation of the model following an observation made by families in a previous study in which adolescents were found to lack a supportive environment. A model with its strategies was developed and as per this article a three steps process in model development was discussed. In conclusion, it was recommended that the model strategies be used to promote mental health of adolescents in and out of school in the specific township or in the country, Swaziland at large. Key words: Divine mechanics, Mind and Mass, Atomicgenetics, Basic Building blocks. Download PDF


Title: RHEUMATIC PULMONARY STENOSIS– A RARE CASE OF RVOT OBSTRUCTION
Author: Dr. Thabish syed, Dr. Dilip Ahir, Dr.Mahesh Gupta, Dr. Mihir Rathod, Dr.Saurabh Bharadwaj
Keyword: Rheumatic heart disease, pulmonary stenosis, valvular heart disease.
Page No: 65-67
Abstract: We report a rare case of rheumatic pulmonary stenosis presented with signs and symptoms of right ventricular outflow tract obstruction completely recovered after surgery. Key words: Rheumatic heart disease, pulmonary stenosis, valvular heart disease. Case Presentation: Download PDF


Title: PREVALENCE OF BETA-THALASSEMIA TRAIT IN AND AROUND PATNA, BIHAR
Author: Dr. Iffat Jamal
Keyword: ß-thalassemia trait,electrophoresis,microcytic,hypochromic.
Page No: 68-76
Abstract: Beta-thalassemia continues to be a major burden to the society particularly in developing countries like India.Among its various types,prevalence of ß-Thalassemia trait in India varies from <1% to 1 7% with an average of 3.3%.There is a diagnostic challenge in distinguishing it from Iron deficiency anaemia as both present with features of microcytic hypochromic anaemia. Aim: This study was carried out to assess the prevalence of ß-Thalassemia trait in and around Patna so that a rough estimate could be made regarding its occurrence in patients presenting with chronic resistant microcytic anaemia. Materials and methods: The study was carried out in 300 patients coming to PMCH with complains of fatigue, weakness, lethargy and dizziness.Out of 300 cases, 197 cases were proved to be of Iron deficiency anaemia by their low serum ferritin level and peripheral blood picture. Rest 103 cases with normal or increased serum ferritin level were screened by NESTROF TEST, with 31 giving positive results which were then subjected to Haemoglobin electrophoresis .HbA2 was found to be raised(>3.5%) in 5 patients confirming the diagnosis of Beta-thalassemia trait in them. Results: Prevalence of ß -thalassemia trait in the study sample was-5/300 =0.016 i.e. 1.6%. Conclusion: This study gave a rough estimate of prevalence of ß-thalassemia trait in our region.Recognition of ß-Thalassemia Trait is important in differentiating it from microcytic hypochromic anaemia of Iron deficiency origin. Key words: ß-thalassemia trait,electrophoresis,microcytic,hypochromic. Download PDF


Title: PREVALENCE OF ANEMIA IN PREGNANCY IN WOMEN ATTENDING ANTENATAL CLINIC IN KABWATA, LUSAKA, ZAMBIA
Author: Pule R., Kristinsson S., Sijumbila G.
Keyword: Anemia, Antenatal clinic, Pregnancy, Hemoglobin,
Page No: 77-85
Abstract: Anemia in pregnancy is regarded as a major risk factor for pregnancy complications.The aim of this study was to determine the prevalence of anemia during pregnancy in all pregnant women attending ant enatal clinic at Kabwata Clinic in Lusaka, Zambia. Anemia was determined by hemoglobin estimation using a full blood count automated machine (pocH-100i), and the study was conducted over a period of 3 months. A prevalence rate of 32.8% of anemia in pregnancy was found and the most common was the microcytic hypochromic type.Anemia in pregnancy was found to be associated with the stage of the pregnancy and was most common during both the second and third trimesters. No correlation was found between maternal age, parity and anemia in pregnancy and the mean Hb level in pregnant women was found to be 11.3g/dl. In conclusion there is high prevalence of iron deficiency anemia in pregnancy women attending antenatal clinic at Kabwata clinic in Zambia Key words: Anemia, Antenatal clinic, Pregnancy, Hemoglobin, Download PDF


Title: THE DEVELOPMENT OF A HOLISTIC AND MULTIDISCIPLINARY MODEL FOR THE PROMOTION OF MENTAL HEALTH OF ADOLESCENTS IN A SPECIFIC TOWNSHIP IN SWAZILAND.
Author: *Siphepho Jameson S. & HlopheLondiwe D.
Keyword: Adolescent, development, holistic, mental health, multidisciplinary.
Page No: 86-91
Abstract: Adolescents hold the future of every nation and it is vital to ensure that they are socially integrated beings. The complexity of adolescence however may prove to be a stumbling block in ensuring tha t they grow to be holistically well individuals. The aim of the paper is to discuss a model of holistic and multidisciplinary promotion of the mental health of adolescents in a specific township in Swaziland. The model came up as a result of a study aimed at developing a model for psychiatric nurses to assist families, adolescents and organization including teachers to reintegrate mentally disintegrated adolescents into the family and community and to develop strategies for implementation and evaluation of the model following an observation made by families in a previous study in which adolescents were found to lack a supportive environment. A model with its strategies was developed and as per this article a three steps process in model development was discussed. In conclusion, it was recommended that the model strategies be used to promote mental health of adolescents in and out of school in the specific township or in the country, Swaziland at large. Key words: Adolescent, development, holistic, mental health, multidisciplinary. Download PDF


Title: OCCUPATIONAL RISKS AND HAZARDS EXPOSURE, KNOWLEDGE OF OCCUPATIONAL HEALTH AND SAFETY PRACTICE AND SAFETY MEASURES AMONG WORKERS OF A NIGERIAN BOTTLING COMPANY PLC, MAIDUGURI, BORNO STATE
Author: Salamatu Umar Aliyu*, Ibrahim Muhammad Auwal
Keyword: Occupational Risks and Hazards Exposures, Occupational health and safety practice, Personal protective equipment, Safety precautionary measures.
Page No: 92-101
Abstract: Abstract- Background: Working in an industry is full of potential risks and hazards that can be mitigated through proper occupational health and safety practices or adoption of safety precautionary m easures and use of personal protective equipments among workers. Aim: The purpose of this study was to investigate exposure to occupational risks and hazards, knowledge of occupational health and safety practices, safety precautionary measures and use of protective equipments among workers at a Nigerian bottling company. Method: A close-ended structured questionnaire adapted and modified from the Weymouth and Portland health and safety questionnaire was used to investigate health and safety of the workplace. The questionnaire consists of four sections which sought information on workers sociodemographic characteristics, occupational risks and hazards exposure, knowledge of occupational health and safety practices and safety precautionary measures and use of personal protective equipments among workers. Sample of convenience was used to recruit a total of 231 workers at the Nigerian bottling company Plc Maiduguri. Result: It is a male dominated workplace comprising of 226(97.8%) males with mean age 25.2±7.1 years. About 50.6% of the participants were permanent staff, while 43.3% had a diploma. Exposure to occupational risks and hazards in this bottling company was majorly moderate among workers (48.5%) with (24.7%) high exposure among workers. Significant association was found between occupational risks and hazards exposure and age (p<0.05). No association was found between the level of exposure of occupational risks and hazards, gender (p>0.05) and educational status of the participants (p>0.05). The workers have a good level of knowledge of occupational health and safety practices (66.7%). Significant association was found between knowledge of occupational risks and hazards, age (p=0.05) and educational status (p<0.001). Participants in this bottling company also have good adoption of safety precautionary measures and use of personal protective equipments. Conclusion: The study revealed more than a quarter of the workers were exposed to high occupational risks and hazards exposure among workers at the Nigerian bottling company Plc. Also majority of the workers have good knowledge of occupational health and safety practice with good adoption of safety precautionary measures and use of personal protective equipments. It is recommended that government should enforce compliance to health and safety measures in industries so as to minimize to minimum the level of occupational risks and hazards. In the same light government and supervising institutions should enforce compliance to occupational health and safety measures in the industries. Keywords - Occupational Risks and Hazards Exposures, Occupational health and safety practice, Personal protective equipment, Safety precautionary measures. Download PDF


Title: THE PSYCHOLOGICAL CONSEQUENCES OF HIV AND AIDS AND EFFECTS OF ART THERAPY ON HIV AND AIDS POSITIVE PATIENTS UNDERGOING ART THERAPY.
Author: *Siphepho Jameson S. & Hlophe Londiwe D.
Keyword: Psychological consequences, HIV and AIDS, Effects of antiretroviral
Page No: 102-111
Abstract: The purpose of the study was to identify situations contributing to the escalating of psychological sufferings experienced by HIV and AIDS positive patients on ART therapy. The HIV and AIDS positive patients who are on ART do suffer some psychological difficulties. According to the results, the HIV and AIDS positive patients on ART; do developmental alteration, memory loss, stress, depression, suicidal thoughts and others, eventually committing suicide. The psychological consequences and effects of ART therapy, most often cause patients default treatment and subsequently developing opportunistic infections. The objectives of the study were to identify issues of stigmatization and discrimination; to reveal whether the patients do suffer from depression; ascertain the amount of stress that they experience; identify the level of knowledge and understanding that health professionals and the patients have on ART therapy; to determine whether the patients do experience suicidal thoughts; to identify whether they do experience mental alteration. In conclusion, it is evident from the study that psychological impacts of HIV and AIDS and antiretroviral related therapy if not well addressed contributes immensely to issues of suicide, depression and stress as well as mental alteration. Key Words: Psychological consequences, HIV and AIDS, Effects of antiretroviral Download PDF


Title: CLINICAL PROFILE AND OUTCOME OF PATIENTS ADMITTED WITH STROKE.
Author: B. Khandelwal, G. Shankar, S. Kar
Keyword: Stroke, NIHSS, Outcome.
Page No: 112-121
Abstract: Introduction: Stroke, a global health problem, is the second commonest cause of death and fourth leading cause of disability worldwide. Effective primary and secondary prevention strategies, better r ecognition of at risk patients, early recognition and intervention, rapid advances in management and effective stroke rehabilitation has changed the traditional perception that stroke is simply a consequence of aging that inevitably results in death or severe disability Materials and methods: A hospital based prospective study was carried out in a teaching hospital in Sikkim for a period of one year in which 112 subjects fulfilling the inclusion criteria of stroke were recruited and their details recorded. National Institute of Health Stroke Score (NIHSS) was used for prognostic status. Results: 53.6% suffered from hemorrhagic stroke, 40.2% had ischemic and 6.2% hemorrhagic infarct.39.9% patients had history of previous TIA, 73.2% were smokers and 53.6% had history of alcohol intake.81.2% were hypertensive while 18.7% had diabetes mellitus. Mortality was higher in haemorrhagic stroke (48.3%) as compared to ischemic stroke (20%). Conclusion: Increased awareness, early referral, dedicated stroke unit and wider use of MRI with perfusion and diffusion weighted technique would be beneficial in improving the outcome. Key words: Stroke, NIHSS, Outcome. Download PDF


Title: DIAGNOSIS OF HUMAN PARAGONIMIASIS IN COSTA RICA USING INTRADERMAL TEST AND IMMUNOBLOT
Author: Edith Ulate, Gerardo Rojas, Roderico Hernández-Chea, Ana E. Jiménez-Rocha, Gaby Dolz
Keyword: Paragonimus mexicanus, secretory-excretory antigen, adult somatic antigen, immunoblot, intradermal test
Page No: 122-131
Abstract: Excretory-secretory antigen (ESA) and adult somatic antigen (ASA) were obtained from adult worms of Paragonimus mexicanus. These antigens were characterized, tested and compared for its use in serodi agnosis of human paragonimiasis. ESA proteins with 30-32.5 kDa and ASA proteins with 30-35 kDa molecular weight reacted consistently with positive control sera, these proteins were determined as specific for detection of antibodies against P. mexicanus in immunoblotting. ASA was also used to prepare an intradermal test. In an indigenous community, 100 children were administered the intradermal test, 23 reacted positive. ESA immunoblot carried out with blood samples of the children detected 11 sera positive, while immunoblot with ASA detected 14 sera positive. Results of ESA immunoblot showed good correlation (0.86) with ASA immunoblot results, but both immunoblots showed moderate correlation (0.50 and 0.58) to the intradermal test. Although both antigens, seemed to be adequate for its use in serodiagnosis, we recommend the use of ESA for serological diagnosis of paragonimiasis in Costa Rica, since cross-reactions with other parasitic infection, especially with other trematode infections, did not occur. Furthermore, intradermal tests should be used for monitoring population at risk, and ESA immunoblot to confirm active infections of P. mexicanus. Key words: Paragonimus mexicanus, secretory-excretory antigen, adult somatic antigen, immunoblot, intradermal test Download PDF