Open Access Review Article

Are Children Who Grow Up on Traditional Farms Protected From Asthma, Allergic Rhinitis and Allergic Sensitization?

T. R. Djimadjor, F. Kyei

Asian Journal of Medicine and Health, Page 1-11
DOI: 10.9734/AJMAH/2016/30038

Epidemiological studies have revealed that children who grow up on traditional farms are protected from asthma, hay fever and allergic sensitization. It has been speculated that allergic diseases may replace infectious diseases in developing countries and should be prioritized and treated as a major public health problem. Exposure to farming materials at early life such livestock, mostly cattle, pigs and poultry; contact with animal feed such as hay, grain, straw and silage; and the consumption of unprocessed cow’s milk have been identified as most farm protective elements. This review discusses the evidences supporting the claim that children from rural areas who grow up on farms are at a significantly lower risk of developing these conditions than children who live in the same rural area but do not grow up on farms.

 

Open Access Original Research Article

Complementary Medicine Intervention in Breast Cancer Patients with Pain

A. M. Tacón

Asian Journal of Medicine and Health, Page 1-10
DOI: 10.9734/AJMAH/2016/29939

Aims: The purpose here was to investigate for the first time effects following five-weeks of a complementary medicine intervention or mindfulness-based intervention (MBSR) in cancer patients with chronic pain. Specifically, psychological inflexibility in pain, pain self-efficacy, and expressive suppression were investigated for the first time in breast cancer patients with cancer-related pain.

Study Design: One group pre-post intervention design.

Place and Duration of Study: Lubbock, Tx medical center, spring 2010.

Methodology: Sample: The sample consisted of 46 participants with 36 women in stage II (78%) and 10 (22%) in stage III with a mean age of 55 years. The MBSR intervention was held in a hospital counseling center for 1.5 hours/week for eight-weeks, with preliminary data collected at five weeks (reported here), at the end of the full program three weeks later, and three months post the 8-week program. Preliminary data here were collected on standardized instruments before (pre) and after (post) the five-week point of the eight-week MBSR program to evaluate intervention effects on the following: Psychological inflexibility in pain, pain self-efficacy, emotional regulation of suppressive expression, and pain intensity.

Results: Psychological inflexibility in pain scores prior to the program (M=60.05, SD=14.22) decreased significantly by the end of five-weeks of the program (M=57.68, SD=13.46) (t=3.76, P = 0.01); Pain self-efficacy prior to the program (M=20.61, SD=11.47) increased significantly by the end of the five-week period of the mindfulness intervention (M=22.47, SD=10.63) (t=3.11, P < 0.05); Emotional regulation strategy of suppression before the program (M=22.77, SD=7.75) dropped significantly by the end of the five-week mark (M=19.63, SD=8.43) (t=3.68, P = 0.01); lastly, pain intensity prior to the beginning of the intervention (M=33.67, SD=8.48) did not change significantly by the end of the five-week mark (M=32.86, SD=8.20) (P > .05).

Conclusion: These findings after five weeks of the intervention should be interpreted cautiously, for replication and future research need to be conducted at this time period. The results, however, provide data in the neglected area of cancer patients with cancer related pain and the possibility of effective yet shortened mindfulness interventions.

 

Open Access Original Research Article

Risk Factors of Stroke among Patients Admitted to Alkhadra Hospital, Tripoli, Libya (2009-2010)

Miluda Elhamadi, Nada Belkheir, Ahmed Sulaiman

Asian Journal of Medicine and Health, Page 1-11
DOI: 10.9734/AJMAH/2016/29903

Aims: To identify the risk factors of stroke among patients admitted to Alkhadra Hospital and to study the association between modifiable risk factors, gender and the type of stroke.

Study Design: A cross sectional hospital based study.

Place and Duration of Study: This study was carried out at Alkhadra Hospital, during the period from 1st of January 2009 to 31st of January 2010.

Methodology: The study included all medical record of patients with a stroke, relevant socio demographic characteristics and medical data were collected .Data analyzed by SPSS program version 18.

Results: There were 294 patients suffering from a stroke during the study period; majority of patients were older than 60years. Mean age was 71.37± 10.07 years and 55% of study group were male. Ischemic stroke was diagnosed in 88.4% of patients and 11.6% had hemorrhagic stroke.

Hypertension was present in 76.5% of patients, 70% of patients were diabetic and 39% of them were smokers. Cholesterol level was high among 8.8% of patients, HDL level was low in 65.3%, Level of LDL was high in 11.9% and Triglyceride level was high in 10.2% of the cases. Frequency of atrial fibrillation was 3.4% among the stroke patients.

Conclusions: Ischemic stroke was the most common type. No gender difference in the majority of association with risk factors apart from high level of triglyceride and smoking which were more frequent in males than females; there was no major difference between types of stroke in relation with modifiable risk factor except with hypertension.

 

Open Access Original Research Article

Elucidation of Phytochemical and Pharmacological Nature of Methanolic Extract of Ixora cuneifolia

Sujan Banik, Gulfan Ara Hury, Umaychen ., Md. Saddam Hussain

Asian Journal of Medicine and Health, Page 1-7
DOI: 10.9734/AJMAH/2016/30130

This study describes the preliminary phytochemical and pharmacological investigations on Ixora cuneifolia, which is an unexplored medicinal plant belonging to the family of Rubiaceae, widely distributed in hilly forests of Bangladesh. The present study protocol was undertaken to evaluate anthelmintic, antidiarrheal, thrombolytic, and antioxidant properties with phytochemical screening of methanolic extract of I. cuneifolia for the first time in Bangladesh. Anthelmintic property was tested by using Perthima posthuma. Streptokinase enzyme was used as the standard for thrombolytic test, and antioxidant property was calculated as Gallic acid equivalent (GAE). Finally, antidiarrheal activity was tested by following castor oil induced method with Swiss albino mice as experimental animals. The phytochemical screening revealed the presence of alkaloids, glycosides, saponins, carbohydrates, phytosterols, protein, and terpenes in the crude methanolic extract. I. cuneifolia showed significant antidiarrheal activity at 200 mg/kg dose following castor oil induced method and anthelminthic assay yielded positive results at 60 mg/ml and 80 mg/ml concentration. In thrombolytic assay, the plant extract showed significant thrombolytic activity (33.03%, p<0.05). Total phenolic content determination as an antioxidant activity confirmed that, the plant extract possesses moderate antioxidant activity. The current study data confirmed that methanolic extract of I. cuneifolia possesses remarkable anthelmintic, thrombolytic, antioxidant, and antidiarrheal activity. 

 

Open Access Minireview Article

Occupational Health Regulations in Nigeria: A Narrative Overview

B. O. Ogbonna, L. N. Ezenekwe, S. U. Uzodinma, C. P. Isidienu, C. E. Ejim, I. K. Asogwa, I. G. Ohiaeri, O. L. Okwuosa

Asian Journal of Medicine and Health, Page 1-7
DOI: 10.9734/AJMAH/2016/29540

The immediate and remote consequences of morbidity and mortality associated with occupational health are alarming. It underscores the need to put measures in place to protect employees who are the most vulnerable. This study examined the existing occupational health regulations in Nigeria. A narrative overview of related literatures published texts, manual search, and materials obtained from official data bases and texts was carried out using selected criteria and search terms based on medical sub-headings. Search terms were used individually and in stringed form. Occupational health regulations in Nigeria are underdeveloped. Workrooms are meant to be above 2.75 m high measured from floor to the lowest part of the ceiling. Each worker has a cubic capacity space of at least 11.33 m3. Most employees do not know their rights and labor regulations especially those that are applicable to their own actions and conduct due to high level of illiteracy. Policies and their implementation are below international standards and global best practices to protect the health and promote the safety of workers.