Asian Journal of Medicine and Health <div> <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.&nbsp;The journal also encourages the submission of useful reports of negative results.&nbsp;This is a quality controlled,&nbsp;OPEN&nbsp;peer reviewed, open access INTERNATIONAL journal.&nbsp;</p> <p style="text-align: justify;">Every volume of this journal will consist of 4 issues. Every issue will consist of minimum 5 papers. Each issue will be running issue and all officially accepted manuscripts will be immediately published online. State-of-the-art running issue concept gives authors the benefit of 'Zero Waiting Time' for the officially accepted manuscripts to be published. This journal is an international journal and scope is not confined by boundary of any country or region.&nbsp;<strong>This journal has no connection with any society or association, related to&nbsp;</strong><strong>Medicine or Medical research and allied fields. This is an independent journal.</strong>&nbsp;</p> <div> <p style="text-align: justify;"><u><strong>Disclaimer:</strong></u>&nbsp;This international journal has no connection with any scholarly society or association or any specific geographic location or any country (like USA, UK, Germany, etc). This is an independent journal .&nbsp;</p> </div> </div> en-US (Asian Journal of Medicine and Health) (Asian Journal of Medicine and Health) Sat, 27 Nov 2021 09:50:45 +0000 OJS 60 Sudden Cardiac Death <p><strong>Background:</strong> Sudden cardiac death (SCD) remains a major open clinical and public health problem, with an estimated 300,000 deaths per year in the United States. The possibility of identifying potential SCD victims is limited by the large size of the large number of SCD victims and the apparent time-dependent risk of sudden death. The latter refers to the tendency of SCDs to detect other cardiovascular events during the most dangerous period of 6–18 months following a major cardiovascular event and the risk of subsequent collapse. The combination of time and lake size provides the basis for future research to find more vulnerable people. Pathologically, SCD can be seen as an interaction between some electrophysiological events that causes abnormalities in cardiac structure, temporal dysfunction, and malignant arrhythmias. Structural deformities represent an anatomical matrix of chronic risk and include the effects of electrophysiological anatomical abnormalities such as coronary artery disease, left ventricular hypertrophy, myopathic ventricles, and bypass leaflets in the myocardium.</p> <p><strong>Conclusion:</strong> Macroscopic cardiac features are common in about one-third of young SCD victims. However, in 79% of them, histological studies reveal hidden pathological features such as local myocarditis, heart disease and motor system disorders. A total of 16 (6%) victims had no evidence of systemic heart disease and the mechanism of SCD was not described.</p> Omar Elsaka ##submission.copyrightStatement## Wed, 01 Dec 2021 00:00:00 +0000 Online Information Seeking Behavior among Indonesian during the COVID-19 Pandemic <p><strong>Background</strong><strong>:</strong> The COVID-19 vaccination movement in Indonesia until mid-2021 has still not reached the expected number, which is less than 20% of the Indonesian population who receive the first dose of vaccine. Meanwhile, the government's target for accelerating herd immunity is to achieve immunization coverage of 70% by November 2021. Several issues have arisen regarding the public's reluctance to accept the COVID-19 vaccine, such as vaccine readiness, efficacy, conspiracy, halal issues, and the negative side of this vaccine.</p> <p><strong>Aims</strong><strong>:</strong> This study aims to assess the online behavior of the Indonesian community in seeking information related to the COVID-19 vaccine.</p> <p><strong>Methods</strong><strong>:</strong> Google trends was used as a data source to see the public interest in several issues including COVID, vaccines, and government policies.</p> <p><strong>Analysis</strong><strong>:</strong> The analysis was carried out descriptively.</p> <p><strong>Results</strong><strong>:</strong> The results of this study indicate the movement over time of society towards several terminologies in line with events or the implementation of policies in Indonesia.</p> <p><strong>Conclusion: </strong>This research contributes to surveillance of the public's information needs on the COVID-19 issue to avoid misinformation.</p> Sulistyawati Sulistyawati, Herman Yuliansyah, Surahma Asti Mulasari, Tri Wahyuni Sukesi ##submission.copyrightStatement## Sat, 27 Nov 2021 00:00:00 +0000 Antibiotic Susceptibility Pattern of Group A Beta-Haemolytic Streptococcal Throat Isolates of Primary School Children in Rivers State, Nigeria <p>Group A beta-haemolytic streptococcus (GABHS) pharyngitis when untreated can cause non-suppurative sequelae such as acute rheumatic fever and post-streptococcal acute glomerulonephritis. Prompt treatment of infected individuals with appropriate antibiotics that the organism is susceptible to, is important in preventing these untoward complications.</p> <p>This study intends to identify the antibiotic susceptibility of GABHS in Rivers State, Nigeria, and to guide health care workers in choosing effective antibiotic for the treatment of GABHS infections in children.</p> <p><strong>Methodology: </strong>Throat swabs were taken from primary school pupils aged 6 to 12 years in Rivers State between May and July 2015. The throat swabs were cultured using 5% sheep blood agar. Antibiotic susceptibility was carried out on the Group A beta-haemolytic streptococcal isolates. Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 23.0 using descriptive statistics. Chi square tests of significance were used with a 95% confidence interval (<em>P</em>&lt; 0.05).</p> <p><strong>Results: </strong>A total of 18 out of 456 pupils had a positive streptococcal throat culture for GABHS giving a prevalence rate of 3.9%. The isolated GABHS were most susceptible to azithromycin (87%) followed by penicillin (81.5%) and ampicillin (64.8%). The pathogens were least susceptible to tetracycline (37%) and co-trimoxazole (18.5%).</p> <p><strong>Conclusion: </strong>The prevalence of GABHS was low and it was mostly susceptible to Azithromycin and penicillin. These could be used as the drug of choice in the empirical treatment of GABHS throat infection in the locality.</p> Wonodi Woroma, Okari Tamunoiyowuna Grace, Opara Peace Ibo ##submission.copyrightStatement## Mon, 29 Nov 2021 00:00:00 +0000 Anatomical Variations of Uncinate Process in a Tertiary Care Hospital of a Coastal city in Karnataka <p><strong>Introduction: </strong>Superior attachment of uncinate process is the most important anatomical landmark in frontal recess surgery. The uncinate process is an integral struc­ture of osteomeatal complex and prevents the direct contact of the inspired air with the maxillary sinus. It acts as a shield and also plays a role in muco-ciliary activity. Anatomic variations of the uncinate process have surgical implications.</p> <p><strong>Aim: </strong>This study was done to know the different variations of superior attachment of uncinate process.</p> <p><strong>Materials and Methods: </strong>In this retrospective observational descriptive study, Computed Tomography (CT) scans of Para Nasal Sinuses (PNS) of 256 patients from Sept 2018 to May 2020 were studied. The results were expressed in percentages and proportions.</p> <p><strong>Results: </strong>Among 256 CT images, 139 belonged to males and 117 females. In the CT films examined, on the right side, the most common attachment of uncinate was to lamina papyracea which was (64.8%) followed by skull base (19.5%) and to the middle turbinate(15.6%). Similar findings were seen on left side.</p> <p><strong>Conclusion: </strong>Uncinate process shows different variations in its superior attachment. Superior attachment to lamina papyracea was the most common attachment of uncinate in our study.</p> Carol Jacob, Anita Aramani, Basavaraj N. Biradar, Shaista Naaz ##submission.copyrightStatement## Tue, 30 Nov 2021 00:00:00 +0000 Status of Public Primary Schools: Safety, Health Service Provision and Environmental Health Facilities in Sokoto Metropolis, Northwestern Nigeria <p><strong>Background: </strong>Provision of security, health services and environmental health facilities in schools is crucial in achieving the overall goals of the School Health Programme (SHP) because of their implications in all the areas of school health and plays an important role in the safety of school community and in retention and learning outcomes of students. We aimed to determine the status of public primary schools with respect to safety, health service provision and environmental health facilities in Sokoto metropolis, Northwestern Nigeria.</p> <p><strong>Methods: </strong>We conducted a cross sectional descriptive study among 40 public primary schools by multistage sampling technique. We collected data with an observation checklist using an electronic Open Data Kit (ODK) and analysed for descriptive statistics using SPSS version 23.</p> <p><strong>Results</strong><strong>:</strong> The majority of schools had no security fence 21 (52.5%). Security/ safety teams were present in about a third 15 (37.5%) of the schools. None of the schools had a fire alarm. However, fire extinguisher was available in only 3 (7.5%) of the schools. Health room or sick bay 16 (40.0%) and health register 14 (35.0%) were available in less than half of the schools. Health personnel 3 (7.5%) and school ambulance or school bus 3 (7.5%) were available in only a few schools. First aid box was available in most, 38 (95.0%) of the schools. However, less than half, 17 (40.0%) of the schools had Iodine in their first aid boxes. Presence of handwashing facilities with soap was observed in only 3 (7.5%) of schools. All the schools use open dumping as means of refuse disposal; however, dustbin for refuse collection in classes was observed only in about a third, 15 (37.5%) of the schools. Traditional pit latrine was the most predominant toilet type 27 (67.5%) in schools.</p> <p><strong>Conclusion</strong>: Resources concerning safety, health service provision and environmental health facilities were found to be grossly inadequate in most of the schools observed. Government agencies involved in school administration should collaborate with other stakeholder’s in ensuring the provision of adequate resources for school health program.</p> Auwal Usman Abubakar, Ismail Abdullateef Raji ##submission.copyrightStatement## Wed, 01 Dec 2021 00:00:00 +0000 Study of Antioxidants Vitamin E and Ascorbic Acid level in Pre-eclampsia and Normotensive Pregnant Women Attending the Antenatal Department of a Rural Hospital in Imo State South East Nigeria <p><strong>Background: </strong>Deficiencies of nutrition are common during pregnancy especially in developing countries. Pregnant women in developing countries have been reported to consume diets that are low in minerals and vitamins. Inadequate dietary intake during pregnancy might be a high risk not only for the mother but also for the fetus. Deficiencies of antioxidant vitamins have been implicated in various reproductive disorders like infertility, congenital anomalies, pre-eclampsia, placental abruption, premature rupture of membranes, still births and low birth weight.</p> <p><strong>Objective/Aim:</strong> This investigation was performed to compare the level of serum antioxidant vitamin E and Ascorbic Acid status in women with preeclampsia and normal pregnancy in Imo State. It was a randomized cross sectional study of 50 preeclampsia and 50 normotensive pregnant women attending the Dept. of Medicine and Antenatal clinic of specialist Hospital Umuguma, Owerri Imo State Nigeria. The study protocol was reviewed and the ethical committee and participants gave their consent. Data analysis was done using the statistical package for social sciences (SPSS) version 20.0. P-value of &lt; 0.05 was considered to be statistically significant.</p> <p><strong>Results:</strong> The mean antioxidant vitamins E and C were significantly lower in the preeclampsia group (0.29±0.07 and 0.31±0.20mg/dl) against the control (0.64±0.16 and 0.89±0.27mg/dl) P&lt;0.05 respectively.</p> <p><strong>Conclusion:</strong> The study showed significant decrease in the level of vitamin E and Ascorbic Acid suggesting the failure of compensatory antioxidant functions in preeclampsia women.</p> C. J. J. Nnamdi, E. C. O. Izuchukwu, I. S. Nwaisaac, S. C. Okeke, F. D. Ukodei, E. C. Ahams, R. I. Uzoma, O. G Iwuagwu, A. A. Ezinwa ##submission.copyrightStatement## Sat, 04 Dec 2021 00:00:00 +0000 Vitamin D Deficiency and Risk of Hair Loss: Knowledge and Practice of Adult Female Population in Saudi Arabia, 2020 <p><strong>Background:</strong> Vitamin D deficiency is a global problem related to public health causing multiple disorders, for example rickets, osteoporosis (weak bones) and osteomalacia. Lack of information, education and perception about the normal requirements of vitamin D is leading to emergence of many diseases in Saudi population. We aimed to assess Knowledge and practice of vitamin D deficiency and risk of hair loss among adult female population in Saudi Arabia.</p> <p><strong>Method: </strong>We performed a cross sectional study in adult females older than 16 years who are residing in Saudi Arabia using an electronic, self-administered, author designed, pre-tested, close-ended questionnaire. We excluded female healthcare workers. Knowledge and practice of vitamin D deficiency and risk of hair loss were measured among included females. Data were analyzed using SPSS.</p> <p><strong>Results: </strong>A total of 810 female were included. Most of participants were between 18-25 (41.6%) and 26-35 (39.5%) years old. 42.6% of total participant were single. 96% of them heard about vitamin D. The main source of information were Relatives &amp; friends (55.8%) followed by health care professional (50.75%).&nbsp; 503 (62.1%) of the participating females correctly knew that there is a relationship between vitamin D deficiency and hair loss, 188 (23.2%) thought that there is no relationship while 119 (14.7%) did not know or did not have any opinion. Regarding practice, about 216 (26.7%) participants exposed themselves to sunlight, and 40% were taking Vitamin D supplement. The overall knowledge score was 9.4 ± 2.80 out of 18. A significant difference in knowledge score was found according to age, nationality, residence and marital status.</p> <p><strong>Conclusions : </strong>The overall knowledge score was average among participants, and majority of them heard about vitamin D. About two third of the participants knew that there is a relationship between vitamin D deficiency and hair loss. There is a need to increase the taking of vitamin D supplement among female for prevention from diseases.</p> Elsadig Yousif Mohamed Albadawi, Imad Abdulmajeed, Saeed Rahman, Khalid El Tohami Medani ##submission.copyrightStatement## Mon, 06 Dec 2021 00:00:00 +0000 Is Elevated Red Blood Cell Distribution Width Value a Prognostic Marker in Sepsis Patients? <p>Sepsis and its complications are a common cause of infectious disease and death in worldwide. But the infection can be challenges to confirm and there is gold standard methods to confirm it. Red blood cell distribution width (RDW) value frequently measured at every complete blood count. In sepsis the RDW morphology changes are believed to be mainly related to prognosis. RDW has also been studied as an independent variable in different predictive score. We systematically review the articles can RDW be used as prognostic marker in patient with sepsis.</p> Sethuraj Selvaraj, A. Tumbanatham ##submission.copyrightStatement## Thu, 02 Dec 2021 00:00:00 +0000