Open Access Clinical Practice Article

Effectiveness of Teaching Lazarus Multifaceted Approach on Mental Health of the Elderly

Mahoory, Parisa, Aghdasi, Ali Naghi, Seyyedvalilou, Mirmahmood

Journal of Advances in Medicine and Medical Research, Page 1-11
DOI: 10.9734/jammr/2019/v30i330175

The purpose of the present study was to investigate the effectiveness of teaching Lazarus multifaceted approach on mental health and well-being of elderly people in Tabriz city. The method of this research is applied. For this purpose, among all elderly women covered by health care institutions or in nursing homes of the elderly, 24 women The elderly of Tabriz city in 2012 and in two experimental and control groups (12 people) were selected by random sampling method. The experimental group was trained for 2 months in 10 sessions of 90 minutes in the Lazarus multifaceted training sessions and the control group did not receive any intervention. Oxford Happiness Questionnaire and Mental Health Questionnaire (GHQ) in both groups were performed and the results were reported in SPSS20 software using one-variable covariance test. Findings showed that teaching Lazarus' multifaceted approach on the happiness of elderly women in Tabriz has a significant level of P = 0.012, as well as teaching Lazarus multifaceted approach on mental health of elderly women in Tabriz at a significant level of P Has an impact. Therefore, we conclude that teaching Lazarus' multifaceted approach will increase the health and improve the mental health of the elderly.

Open Access Original Research Article

The Role of Hemic Hypoxia in the Development of Sensorineural Hearing Loss in Children Associated with Hepatitis B

D. Sh. Islomov, A. A. Khadjimetov, E. Sh. Amonov

Journal of Advances in Medicine and Medical Research, Page 1-6
DOI: 10.9734/jammr/2019/v30i330176

Background: There are not enough studies and evidenced researches conducted related to this topic. Therefore, we studied fetal haemoglobin in various somatic diseases in children with sensorineural hearing loss associated with hepatitis B.

Materials and Methods: 26 children with sensorineural hearing loss associated with hepatitis B, aged from 5 to 18 years, were examined. The comparison group consisted of 8 children with sensorineural hearing loss without concomitant somatic pathology. The control group consisted of 12 healthy children. The compulsory examination plan for patients included generally accepted laboratory and instrumental diagnostic methods: complete blood count, urine, feces, Wasserman reaction, ECG.

Results: Hb concentration in blood inpatient children with sensorineural hearing loss of the associated chronic hepatitis B (CHB) was reduced significantly by 58% compared with the healthy children. In children with Sensorineural Hearing Loss (CHT) without CHB, the studied parameter decreased when compared with healthy children by 25%. Analysis of the results showed a significant increase in the level of fetal haemoglobin in the blood of children with CHT associated with hepatitis B on average by 1.5 times, indicating hypoxia.

Conclusion: Dependence of the indices of partial oxygen in the blood and, to a greater extent, HbF, on the blood content of the vasoconstrictor endothelin-1, von Willebrand factor, indicates the pathogenetic significance of the leading markers of endothelial dysfunction in the development of tissue hypoxia in children with sensorineural hearing loss combined liver disease.

Open Access Original Research Article

Immune Disorders of Dentoalveolar Anomalies in Schoolchildren

Olimov Siddik Sharifovich

Journal of Advances in Medicine and Medical Research, Page 1-5
DOI: 10.9734/jammr/2019/v30i330177

Increasing in IL-1, IL-6, IL-8 and TNF-α level in blood and oral fluid indicates an increase in antigenic stimulation of monocyte-macrophage, lymphoid cell elements, endothelial cells, fibroblasts of various organs and tissues, specifies systemic inflammatory response syndrome development and protective-adaptive reactions and maladaptation reactions formation at children with DAA.

Open Access Original Research Article

Prevalence of Tuberculosis among Children with Severe Acute Malnutrition at Ola during Children’s Hospital in Freetown Sierra Leone

Lucy Eberechukwu Yaguo Ide

Journal of Advances in Medicine and Medical Research, Page 1-7
DOI: 10.9734/jammr/2019/v30i330179

Prevalence of Tuberculosis among Children with Severe Acute Malnutrition at Ola during Children’s Hospital in Freetown Sierra Leone. Worldwide, pediatric tuberculosis account for about 1million cases, annually, accounting for 10-15% of all tuberculosis; with more than 100,000 estimated mortality annually, it is also one of the 10 most common causes of childhood mortality. Aim of this study was to determine the prevalence of tuberculosis among children with severe acute malnutrition at Ola During Children’s Hospital in Freetown Sierra Leone. It was a descriptive cross-sectional study, carried out at the therapeutic feeding center (TFC) of Ola During Children’s Hospital in 2018. An opportunistic sampling method in which every next patient whose mother gave consent was recruited until the number 74 was reached. Patients who met the World Health Organisation (WHO) criteria for diagnosis of severe acute malnutrition were admitted into the TFC and consecutively selected and interviewed using a structured questionnaire after obtaining written informed consent, from their mothers or caregivers. All the mothers approached during the study period consented for the study. Diagnosis of tuberculosis was both clinically and by laboratory investigations, 74 children whose mothers/caregivers consented for the study were recruited. Data was entered into an excel spread sheet and analyzed using Epi info version 7. There were 74 children with a median age of 11 months ± 9.9SD. Forty (54.1%) Males and 34(45.9%) Females, with a M:F ratio of 1.18:1. Prevalence of tuberculosis was 20%. Diagnosis of Tuberculosis was based on clinical findings of extreme weight loss or failure to gain weight, Chest x-ray findings of perihilar infiltrates. Gene Xpert MTB RIF results were all negative 0(0%). Most of the mothers 59 (79.7%) were aged between 20-29 years, 45(60.9%) of them were petty traders, while 15(20.3%) had no formal education. The chi square was used to determine the statistical difference, there was no statistically significant difference between gender and TB, P= 0.3415, there is a statistically significant difference between no formal education and occurrence of tuberculosis in their children P= 0.0467.

Conclusions/Recommendations: Prevalence of Tuberculosis is still high among children with severe acute malnutrition. Gene Xpert MTB RIF was unable to make a bacteriological confirmation. There are difficulties with making bacteriological confirmation of tuberculosis in resource poor settings. Guidelines requiring mainly clinical parameters need to be developed for use in resource limited countries.

Open Access Original Research Article

Contraceptive Choices and Acceptability among New Clients Attending the Family Planning Unit of Rivers State University Teaching Hospital, Nigeria

P. A. Awoyesuku, B. O. A. Altraide

Journal of Advances in Medicine and Medical Research, Page 1-7
DOI: 10.9734/jammr/2019/v30i330180

Background: Effective contraception can prevent unwanted pregnancy, unsafe abortion and ensure adequate birth spacing. The choice of a method depends on consideration of its advantages and disadvantages based on individual perception and interpretations.

Objective: To assess contraceptive choices and acceptability among new clients at the family planning clinic of a tertiary health facility in Rivers State, Nigeria.

Methodology: This was a one-year retrospective review of clinical records of new clients attending the Family Planning Unit of the Rivers State University Teaching Hospital from January 1, to December 31, 2018. Data on age, education, marital status, parity, contraceptive choice and reason for contraception were retrieved and analyzed using Epi-Info version 7.1.4.

Results:  A total of 124 female clients were enrolled during the time period. The mean age of the participants was 33.8±5.1 years and the median parity was 3. The most common method of contraception accepted by the clients was implants 87 (70.2%), followed by intrauterine device 32 (25.8%), then injectable 4 (3.2%) and oral contraceptive pills 1(0.8%). Reasons proffered for use of contraceptive was mainly completed family size 69 (55.6%), pregnancy prevention 53 (42.8%) and child spacing 2 (1.6%). There was no significant difference on comparism of mean age and median parity of clients by choice of contraceptive method.

Conclusion: The implant methods were the most commonly accepted, while the oral contraceptive pill was the least preferred. Completed family size was the most common reason for contraception.

Open Access Original Research Article

Cerebral Hemodynamics in Chronic Disorders of Cerebral Circulation

Janna A. Nazarova

Journal of Advances in Medicine and Medical Research, Page 1-7
DOI: 10.9734/jammr/2019/v30i330181

The experience of using different methods of magnetic resonance study of the arterial and venous parts of the vascular bed of the head and neck is analyzed, and the feasibility and possibility of simultaneous assessment of the state of the brain and the study of the anatomy of the cerebral bed are shown. 87 patients with chronic cerebral ischemia (CCI) on the background of hypertension (GB) were examined, of the 36 women and 51 men aged from 46 to 72 years. All patients underwent standard neurological examination, MRI of the brain with venography (MRV) of the brachiocephalic veins and venous sinuses of the brain, duplex scanning (DS) in the modes of color Doppler mapping and pulsed Doppler of extra- and intracranial vessels. Comparative assessment of brain MRI results in patients with CCI revealed diffuse changes in the signal intensity from the white matter of the brain (periventricular, subcortical leucoarea, LA), single or multiple ischemic foci of 115 mm, external and internal cerebral atrophy (CA). the feasibility and the possibility of a one-stage assessment of the state of the brain and the study of the anatomy of the cerebral bed are substantiated. The need for an extended magnetic resonance study of the vascular system in the defeat of the arterial bed of the brain is due to certain anatomical and functional relationships between the arterial and venous sections.

Open Access Original Research Article

Predictors and Protectors of Pathological Menopause

Dilrabo T. Kayumova

Journal of Advances in Medicine and Medical Research, Page 1-8
DOI: 10.9734/jammr/2019/v30i330182

A prospective study of 1484 women aged 35-70 years was conducted, which were divided into 3 groups - late reproductive, perimenopausal and postmenopausal. Menopausal syndrome (MS) was detected in 1369 (93.3%) women. Every third woman in peri- and postmenopause had a moderately severe MS. The metabolic imbalance worsened more as the severity of the MS increased, rather than with increasing age. Predictors of pathological menopause are identified - these are the main components of the metabolic syndrome (diabetes mellitus, hypertension, obesity); uterine fibroids, as well as urbanization and higher education. The protective factors for the development of the MS was the absence of the fact of marriage (single), medical education and waist circumference of 80 cm or less.Late reproductive stage

Open Access Review Article

Anterior Knee Pain Syndrome

M. Y. Karimov, K. P. Tolochko, K. M. Mamatkulov

Journal of Advances in Medicine and Medical Research, Page 1-8
DOI: 10.9734/jammr/2019/v30i330178

Many diseases and types of injuries of the knee joint take a lot of time for diagnosis and the elimination of all nosologies that may cause pain. The complexity of the anatomical device of the knee joint makes it possible to isolate from the general concept of pain in the knee joint of this pathogenetically grounded syndrome. The review gives an idea of ​​a significant number of types of knee joint pathology, which, due to the structural features and similarity of the clinical picture, can be combined into the anterior knee joint pain syndrome.