Asian Journal of Medicine and Health https://journalajmah.com/index.php/AJMAH <p style="text-align: justify;"><strong>Asian Journal of Medicine and Health</strong>&nbsp;<strong>(ISSN: 2456-8414)</strong>&nbsp;aims to publish high quality papers (<a href="/index.php/AJMAH/general-guideline-for-authors">Click here for Types of paper</a>) in the areas of Medicine and Health Science. By not excluding papers based on novelty, this journal facilitates the research and wishes to publish papers as long as they are technically correct and scientifically motivated. The journal also encourages the submission of useful reports of negative results. This is a quality controlled, OPEN peer-reviewed, open-access INTERNATIONAL journal.</p> en-US contact@journalajmah.com (Asian Journal of Medicine and Health) contact@journalajmah.com (Asian Journal of Medicine and Health) Sat, 18 May 2024 11:08:02 +0000 OJS 3.3.0.11 http://blogs.law.harvard.edu/tech/rss 60 A Narrative Review on Acute Cholecystitis in Pregnancy: Current Update on Management https://journalajmah.com/index.php/AJMAH/article/view/1041 <p>Acute cholecystitis in pregnancy is one of the common non obstetric causes for acute abdominal pain. The management can be divided into conservative treatment and surgical treatment. Conservative treatment involves the use of intravenous fluids and antibiotics, but patients are prone for developing recurrence of symptoms. Surgical treatment involves performing a cholecystectomy either as an open or laparoscopic method. As there is no consensus on the management of acute cholecystitis in pregnancy, we have conducted this review article to look at the role of conservative treatment, the role of laparoscopic cholecystectomy and when is the best time to perform this surgery. The role of percutaneous cholecystostomy is also mentioned in this review.</p> Kumar Hari Rajah Copyright (c) 2024 Author(s). The licensee is the journal publisher. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. https://journalajmah.com/index.php/AJMAH/article/view/1041 Wed, 22 May 2024 00:00:00 +0000 Anti-Urolithiasis Activity of Selected Plant Extracts by Titrimetry Method and Aggregation Assay https://journalajmah.com/index.php/AJMAH/article/view/1039 <p>A major global health concern with a high recurrence rate is urolithiasis. Various in vivo and in vitro techniques have been effective in assessing the anti urolithiatic capacity of therapeutic plants. Renal stone production can be studied using in vitro models, whereas the pathological implications of urolithiasis are declared using in vivo models. Therefore, preventative management can be considerably and successfully evaluated using in vitro models, whereas urolithiasis treatment can be directed by using in vivo models. This study explains the benefits, drawbacks, and uses of both models, with a focus on the contribution of in vitro research to the assessment of preventive care. We done Physicochemical Tests for <em>Phyllanthus acidus </em>(fruits) <em>Tinospora cordifolia </em>(leaves) and <em>Psidium gujava </em>(fruits and leaves ) and also Preliminary Phytochemical Investigation of <em>Phyllanthus acidus </em>(fruits)<em>, Tinospora cordifolia </em>(leaves) and <em>Psidium gujava </em>(fruits and leaves).</p> Siddhartha Lolla, Harika Peddinti, Sravanthi Gojuvaka, Samrin Saba, Uma Devi Dasari, Madhavi Pillalamarri Copyright (c) 2024 Author(s). The licensee is the journal publisher. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. https://journalajmah.com/index.php/AJMAH/article/view/1039 Sat, 18 May 2024 00:00:00 +0000 Assessing Perceived Service Quality and Satisfaction among Elderly Recipients of Free Health Services in Dodoma, Tanzania: A SERVQUAL Approach https://journalajmah.com/index.php/AJMAH/article/view/1040 <p><strong>Aims: </strong>This study aimed at assessing the perceived quality of free health services and satisfaction amongst elderly people.</p> <p><strong>Study Design: </strong>Cross-sectional research design was employed.</p> <p><strong>Place and Duration of Study: </strong>Study was conducted in Dodoma District, Tanzania from September – November 2023.</p> <p><strong>Methodology: </strong>A cross-sectional design was adopted in the study. Purposive and simple random sampling techniques were used to select 134 elderly from the study area. Data was collected using questionnaires through interviews. The SERVQUAL model was employed, looking at the gap score of five dimensions (tangible, reliability, responsiveness, assurance, and empathy). Data were analysed using IBM Statistical Package for Social Sciences Statistics software.</p> <p><strong>Results: </strong>Majority (57.5%) of elders are aware of free health services and 66.4% of them accessed services. Elderly’s perceptions were lower than their expectations (gap = -1.70). Gaps for five dimensions of SERVQUAL model were: Tangibles (−2.21), reliability (−1.96), responsiveness (-1.76), assurance (-1.31) and empathy (-1.37).&nbsp;</p> <p><strong>Conclusion: </strong>Due to a negative overall mean score and the negative scores from all dimensions, it implies that the quality of free health services for elderly people in Dodoma district has not been satisfying to patients and needs to be improved.</p> Hija Walad Mwatawala , Tumaini Daniel Kapene Copyright (c) 2024 Author(s). The licensee is the journal publisher. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. https://journalajmah.com/index.php/AJMAH/article/view/1040 Wed, 22 May 2024 00:00:00 +0000 Unravelling the Hurdles of Health Services Research (HSR): Staff Perception at a Teaching Hospital https://journalajmah.com/index.php/AJMAH/article/view/1042 <p>This research explores the challenges encountered by staff at King Abdulaziz University Hospital (KAUH) in conducting health services research (HSR). A descriptive-analytical approach was employed, utilizing a structured questionnaire adapted from Karimian et al. [1]. A total of 334 staff members from an array of careers at King Abdulaziz University Hospital (KAUH) were involved in this study, representing diverse professional backgrounds. Among the 188 respondents with prior research experience, the study found that 83.5% of 188 respondents with prior research experience had conducted health services research, with 79.8% encountering difficulties. 52.1% had applied research outcomes in their practice, which was seen as an instrumental aspect of HSR. Findings revealed that the major obstacles included; administrative issues such as limited integration of research outcomes into practice and unfair evaluations (78%), followed, respectively, by professional challenges such as job burden, financial challenges with funding and budgeting, facility-related issues like outdated research databases, and obstacles related to research skills. Additionally, the findings revealed a significant difference (P&lt;0.05), with academic staff facing fewer professional obstacles than non-academic staff, and Saudi researchers reporting more professional obstacles than non-Saudis. The findings emphasize the importance of addressing financial and facility-related obstacles to facilitate the practical utilization of HSR in health policy and community health services. Enhancing funding processes, clarifying budgeting regulations, and improving the research ecosystem are essential to overcoming these challenges and harnessing HSR's potential to improve healthcare access, quality, and cost-effectiveness.</p> Hala Alhenaidi, Mohammed Almalki Copyright (c) 2024 Author(s). The licensee is the journal publisher. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. https://journalajmah.com/index.php/AJMAH/article/view/1042 Wed, 22 May 2024 00:00:00 +0000