Journal of Advances in Medicine and Medical Research http://journaljammr.com/index.php/JAMMR <p style="text-align: justify;"><strong>Journal of Advances in Medicine and Medical Research (ISSN:&nbsp;2456-8899)</strong> aims to publish research papers, reviews and short communications in the areas of medicine and medical research.&nbsp; JAMMR will not only publish traditional full research reports, including short communications, but also this journal will publish reports/articles on all stages of the research process like study protocols, pilot studies and pre-protocols. JAMMR is novelty attracting, open minded, peer-reviewed medical periodical, designed to serve as a perfectly new platform for both mainstream and new ground shaking works as long as they are technically correct and scientifically motivated.&nbsp;The journal also encourages the submission of useful reports of negative results. This is a quality controlled,&nbsp;OPEN&nbsp;peer reviewed, open access INTERNATIONAL journal.</p> SCIENCEDOMAIN international en-US Journal of Advances in Medicine and Medical Research 2456-8899 Evaluation of Urine CCA Strips for (Field) Diagnosis of Active Schistosoma mansoni Infection in a Low Endemic Kenyan Community http://journaljammr.com/index.php/JAMMR/article/view/30301 <p>Schistosomiasis is a chronic parasitic disease caused by a digenetic trematode blood fluke of the genus <em>Schistosoma</em>. The disease remains a serious public health problem in endemic countries and affects at least 207 million people worldwide, with 85% in Africa. In Kenya, more than 3.5 million are infected. A definite diagnosis of the disease plays a key role in the control of schistosomiasis. The detection of Schistosome Circulating antigens is an effective approach to discriminate previous exposure and current infection. Simple, non-invasive tools for detection of <em>S. mansoni</em> would be highly valuable with the view of post-intervention assessment in programmes but also for treatment/re-treatment of the individual patient. The study was conducted in Makueni, a low infection area (6 to 90 years old). The prevalence was 56.4% after three consecutive Kato-Katz stools. A population sample of n= 521 individuals was selected from an initial study cohort in an epidemiological follow-up of Schistosome infections in this foci. All the subjects in the sub-sample had been treated with praziquantel 40 mg/kg. The study was to determine the prevalence of <em>S. mansoni </em>using Kato technique and CCA (Circulating Cathodic Antigen) urine Elisa strips at baseline and 24 hours then also at 2 years later. The cohort study population at baseline had a prevalence of 62% of the schistosomiasis infection. The detection of schistosomiasis CCA at baseline using the CCA Elisa strip on urine samples gave a prevalence of 71.9%. The CCA was determined 24 hours after treatment with PZQ and the prevalence was 44.1%. In conclusion, Kitengei village is low endemic for schistosomiasis. Finally, circulating cathodic antigen can be used as a diagnostic tool, for the follow-up of chemotherapy and re-infection and as a field test and/or screening tool in control programmes.</p> Ephraim Odek Adel George O. Orinda Mariam T. Mwanje ##submission.copyrightStatement## 2019-12-07 2019-12-07 1 11 10.9734/jammr/2019/v31i630301 Efficacy of Cognitive Behavoural Therapy and Logotherapy in Reducing Risky Sexual Behaviour among in-School Adolescents in Benin Metropolis Edo State, Nigeria http://journaljammr.com/index.php/JAMMR/article/view/30302 <p>The study investigated the efficacy of Cognitive Behaviour Therapy and Logotherapy in reducing risky sexual behaviours among in-school adolescents in Benin Metropolis, Edo State. Four research questions were raised and formulated to hypotheses to guide the study. A Quasi-experimental design, using pre-test-post-test, and non-equivalent control group was adopted. The population of the study consisted of twenty thousand, four hundred and twenty SS 2 students. The sample consisted of one hundred and thirty five participants, which was selected through multi-stage sampling technique. Three schools were randomly selected from thirty one mixed public Senior Secondary Schools. One school was selected from each Local Government Area that made up the Metropolis. School A served as the experimental group for Cognitive Behaviour Therapy, comprising fifty five participants. School B served as the experimental group for Logotherapy, comprising thirty six participants. School C served as the control group, comprising forty four participants. The Adolescent Sexual Behaviour Inventory was used for both the pre-test and post-test.&nbsp; The reliability coefficient of 0.926 was obtained on the instruments. The data collected were analysed, using t-test, ANOVA and did a post-hoc analysis, using the Least Significant Difference. The findings showed that Cognitive Behaviour Therapy and Logotherapy were both slightly efficacious in reducing risky sexual behaviours among in-school adolescents in Benin Metropolis. The study recommended that counselling psychologists and school counsellors should be well trained in the use of CBT and LT in addressing risky behaviours, especially among adolescents.</p> Adeyemi Florence Toyin Egbochuku Omotunde Elizabeth ##submission.copyrightStatement## 2019-12-10 2019-12-10 1 11 10.9734/jammr/2019/v31i630302 Comparative Analysis of Clinical History, Sociodemographic, Behavioural Factors and Cardiovascular Risk Factors among Hypertensive in Awka, Nigeria http://journaljammr.com/index.php/JAMMR/article/view/30303 <p><strong>Background:</strong> Hypertension is a major modifiable risk factor for cardiovascular diseases and research studies done in Nigeria observed prevalence rate of hypertension to range from 26.4% to 36.9%.</p> <p><strong>Aim:</strong> This study aimed to evaluate the sociodemographic, clinical, behavioral and cardiovascular risk factors associated with hypertension in Awka, South East, Nigeria.</p> <p><strong>Methods:</strong> Cross-sectional study was used.391 participants aged from 18 years above were recruited for this study. Structured questionnaires were constructed in line with World Health Organization Step approach was utilized for data collection. Hypertension was defined as systolic blood pressure ≥ 140 mmHg and Diastolic blood pressure ≥ 90 mmHg. Chi-square and independent sample T test were used to test comparison between two groups.</p> <p><strong>Results:</strong> The mean age of the subjects was 45.87±17. 49.33.7% of retired subjects has the highest prevalence was statistically associated with hypertension in occupational status of the subjects, marital status was statically significant with hypertension and prevalence of hypertension among the subjects were 81.1%, 8.5%, 8.6% for married, single and divorcee respectively, (P&lt;0.001) and also no association was observed between hypertension and subjects that occasionally use high salt often(x<sup>2</sup>=0.341, P&gt;0.001).</p> <p><strong>Conclusion: </strong>The study showed that age, family history of hypertension, consistent increase in blood pressure, occupational and marital status are associated risk factors of hypertension in Awka, South East, Nigeria. There is need to create awareness on the risk factors and encourage changes in sedentary life style.</p> Chidinma Ifeyinwa Mmaju Peter Osezele Okonudo Gladys Ahaneku Ufoaroh Chinyelu Uchenna ##submission.copyrightStatement## 2019-12-10 2019-12-10 1 8 10.9734/jammr/2019/v31i630303