Modern Health Science

Journal Information
ISSN / EISSN : 2576-7291 / 2576-7305
Published by: Ideas Spread (10.30560)
Total articles ≅ 28
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Noman Ul Haq, Tabassum Sehar, Maria Tahir, Yasmin Shah, Aqeel Nasim, Fakhra Batool, Muhammad Saood
Published: 25 April 2021
Modern Health Science, Volume 4; https://doi.org/10.30560/mhs.v4n1p15

Abstract:
Objective: The study was conducted to determine the pattern of skin diseases affecting by the socio-demographic characteristics of the patients visiting the dermatology department of public hospitals in Quetta, Pakistan. Methodology: The prospective cross-sectional study was undertaken using a self prepapred proforma to compile the data while interviewing the patients attending the Dermatology Department of two public hospitals of Quetta, Pakistan, in order to determine the relationship between the demographic characteristics of patients and pattern of skin diseases. Results: A total of 503 patients were enrolled in the study. Majority of the participants (33.8%) were categorized in the age group of 21-30 years. The most common patterns of skin diseases seen in outpatient department were eczema (21.5%), scabies (19.7%) and bacterial infections (12.7%). Inferential statistics revealed a significant relationship (p=0.001) between pattern of skin diseases and age, education, house occupancy, location and living standards of the study participants. Most of the patients were found to be living in a combined family system (65.6%), with poor living standards (81.7%) and uneducated (51.1%). Conclusion The current study presented that eczema and infectious diseases were the most common pattern of skin diseases in Quetta and they are significantly related with socio-demographics of the patients so it can be concluded that better health education, maintaining personal hygiene, and improvement in the standard of living may aid a lot in managing and preventing the common skin diseases.
Mahnaz Nosratabadi, Nasrin Sarabi, Leila Masoudiyekta, Zahra Abbaspoor, Aziz Kassani
Published: 25 April 2021
Modern Health Science, Volume 4; https://doi.org/10.30560/mhs.v4n1p1

Abstract:
Introduction: Choosing the birth method is a major issue for pregnant women that is affected by multifaceted physiological, psychological and socio-cultural factors. Aim(s): The aim research was performed to explore factors influencing pregnant women’s attitude toward birth method. Methods: This is a cross-sectional study on 220 healthy nulliparous pregnant women with uncomplicated pregnancies without any contraindication for vaginal birth in Medical Centers of Dezful, in the south west of Iran. Data collection tool was a questionnaire for factors affecting the choice of delivery method. Differences in attitude were compared between two groups of natural vaginal delivery preference and cesarean delivery preference. Statistical analysis was performed with SPSS Version 16.0 statistic software package. Descriptive statistics were used to report percentages, mean, and standard deviation, and t-test, chi-square were applied to analyze the data. Results: During the study period, 206 primary pregnant women were examined to determine the attitudinal influencing factors the birth method preference. 131 women (64%) chose the natural delivery method and 71 women (36%) chose the cesarean delivery method. In addition, the results showed a statistically significant difference between the two groups regarding the general attitude of the participants towards natural delivery (164.43 in the normal vaginal delivery (NVD) group versus 134.50 in the cesarean section (CS) group (p < 0.001)). Conclusion: There is a direct relationship between the attitude of pregnant women towards vaginal birth and the tendency to normal vaginal delivery and cesarean section. Also, according to the results of the study of 8 components of attitudes, counseling sessions and prenatal training sessions can be identified based on counseling needs and be guided counseling sessions more purposefully.
Wajeeha Siddique, Noman Haq, Maria Tahir, Ghulam Razzaque Razaque
Published: 25 April 2021
Modern Health Science, Volume 4; https://doi.org/10.30560/mhs.v4n1p7

Abstract:
Chronic diseases and their treatment regimen plays a greater role in determining the patient related health outcomes of which one is Health Related Quality of Life. Hypertension itself along with its pharmacotherapy impacts HRQoL of hypertensive patients. The primary objective of the study was to determine the impact of f hypertensive medications on the health-related quality of life among hypertensive patients with the secondary objective to assess which medication significantly affects health related quality of life of hypertensive patients. A quantitative questionnaire based cross-sectional survey was undertaken in outpatient departments of Sandeman Provisional Hospital (SPH) Quetta using an EQ-5D-3L to determine the Health-Related Quality of Life. Convenience Sampling technique was used for data collection. Majority of respondents (8.7%) had no problem in first three domains while having some problem in pain and anxiety domains. Following them 7.6% of patients had some problems in all domains of the EQ5D tool. Moreover. the ACE Inhibitors and Diuretics impacts HRQoL of patients of current study. A total of 263 participated in the study of which (25%) of the respondents were of age group 48 -75 years old and were married 73.4% mostly. Majority (8.7%) had no problem in first three domains while having some problem in pain and anxiety domains. ACE Inhibitors and Diuretics significantly influence the health status of hypertensive patients acquiring pharmacotherapy. It was concluded that antihypertensive agents have a significant impact on HRQoL of hypertensive patients especially Angiotensin Converting Enzymes and Diuretics, which show significant impact on HRQoL of hypertensive patients. However, it is also suggested to assess the impact of antihypertensive therapies given in combination must also be studied in order to provide health professionals a better understanding of their prescribed regimen to improve patient related health outcomes.
Aklima Aklima, Prodip Kumar Baral, Mohammad Tohidul Amin, Tariqul Islam Emon, Mohammad Salim Hossain
Published: 17 August 2020
Modern Health Science, Volume 3; https://doi.org/10.30560/mhs.v3n2p14

Abstract:
The present study is targeted to formulate and prepare effervescent tablets of Glipizide to provide more elegancy, comfortability, and improved pharmacokinetics in diabetic treatment than the conventional dosage. Three formulations (F1, F2, and F3) of the effervescent tablet of Glipizide (5mg) were formulated with different amounts and ratios of excipients. By wet granulation technique, 60 tablets for every formulation were prepared with a weight of 700mg per tablet. Then, the features of both granules and tablets were evaluated by published methods. The angle of repose, Hausner ratio, Carr's index, Loss on drying (LOD), and Moisture Content (MC) used to measure granules property successfully proved right follow ability and compressibility. In contrast, physical and drug content related investigation failed to determine the perfectness of all three formulations. Friability on the formulations was around 0.70%, indicating the expected USP limit of friability (0.5 to 1%). The mean disintegration time of the formulations was from 95s to 105s. The tablet potency assay found 95.20% for F1, 88.80% for F2, and 97.40% for F3. The dissolution pattern of the drug followed a linear relationship with time. After one and a half hours, the highest amount of 59.20% cumulative dissolution was determined for F3 that revealed its strategic improvement of the drug solubility. As Glipizide is a poorly water-soluble drug, the effervescent tablet might mitigate disintegration and dissolution-related limitations and, consequently, enhance the drug's bioavailability.
Sandro Sbordone, Adele Ragucci, Gennarfrancesco Iaccarino, Domenico De Robertis, Giovan Battista Scazzi, Michele Lanza
Published: 17 August 2020
Modern Health Science, Volume 3; https://doi.org/10.30560/mhs.v3n2p7

Abstract:
Introduction: To measure corneal layers’ light reflectance (LR) in eyes affected by dry eye disease caused by Sjögren's syndrome (SSDE) with corneal confocal microscopy (IVCM) and to study the correlations with tear film tests. Materials and Methods: Thirty-six patients affected by SSDE and 36 healthy subjects (HS) were enrolled in this retrospective study, participants of both groups were age and sex matched. Each study participants had a complete eye visit and break up time (BUT), Schirmer test, with and without stimulation, at the end of the visit an IVCM scan was performed. LR measured by IVCM at Bowman membrane (BM) level and at 50 µm, at 100 µm and at 200 µm deeper was compared in the two groups of participants. The correlations between LR measurements and tear film test results were investigated. Results: In SSDE eyes, LR was significantly higher (p
Sandro Sbrodone, Adele Ragucci, Gennarfrancesco Iaccarino, Domenico De Robertis, Giovan Battista Scazzi, Michele Lanza
Published: 17 August 2020
Modern Health Science, Volume 3; https://doi.org/10.30560/mhs.v3n2p22

Abstract:
Background: The study of the corneal biomechanical properties (CBP) is gaining always more interest, thanks to the applications to refractive surgery and to the overall management of several corneal diseases. Purpose: To analyze the eventual relationships between corneal distortion and morphologic features in healthy subjects. Methods: one eye of one hundred and fifty-two healthy participants, 87 women and 65 men, aging from 23 to 65 years old, were evaluated in this study. Every eye underwent a complete clinical examination, that included also a tomographic scan using Pentacam HR (Oculus, Wetzlar, Germany) and a biomechanical evaluation using Corvis ST (Oculus, Wetzlar, Germany). Linear regressions among refractive defect, corneal volume (CV), anterior corneal curvature and central corneal thickness (CCT) vs corneal biomechanical features provided by Corvis ST have been ran using SPSS software version 18.0. Results: Corneal distortion factors showed a low correlation both with corneal morphological parameters and with refractive defect. No significant correlations (p> 0.01) were found among morphologic and biomechanical features evaluated. Discussion: results observed in this study could help in recognize the healthy range of values of CBP parameters provided by CST. This information could be very useful in many ophthalmology topics such as the accurate IOP measurement, the early diagnosis of corneal degenerations, such as keratoconous, and the screening of subject undergoing refractive surgery. Conclusions: even if data of this study need to be confirmed in further ones with larger populations, results here observed suggest that Corvis ST is a device providing an evaluation of corneal distortion not influenced by morphological corneal factors. This information could help in better screening and managing the diseased corneas.
Roya Davoodi, Mohammad-Reza Eydian, Hessein Karampour, Mahdi Nassarpour, Reza Rezazadeh-Farokh, Asma Maraei, Mohammad Chavideh
Published: 17 August 2020
Modern Health Science, Volume 3; https://doi.org/10.30560/mhs.v3n2p1

Abstract:
Introduction: Given the high radiation tissue sensitivity of pediatric patients, it is necessary to monitor their received dose to optimize radiation protection. The first aim of this study was to evaluate the entrance surface dose (ESD) in pediatric patients undergoing a chest X-ray at the main hospital of Dezful, Iran. The second aim was to compare our results with the established dose reference levels (DRLs). Materials and Methods: The studied population included 204 pediatric patients less than 15 years who were referred to as chest X-ray. A calibrated dose area product meter (DAP-meter) with permanent installation on the X-ray unit was used to radiation dose measurements. For each patient, the demographic data, exposure parameters and the dose read by DAP-meter were recorded and ESD was calculated using a standard mathematical formula. Results: The average value of ESD was 119 μGy in patients less than 15 years. This value was 51.3, 122.3, 131.5 and 171.2 μGy for the age groups for less than 1 year, 1 to 5 years, 5 to 10 years and 10 to 15 years, respectively. A statistically significant difference was seen between ESD values ​​in different age groups (P
Gitanjli Sood, Vinata Rajendran, Tarun Sharma, Rajiv Raman
Published: 2 March 2020
Modern Health Science, Volume 3; https://doi.org/10.30560/mhs.v3n1p1

Abstract:
This is a retrospective case series of 4 patients with traumatic cyclodialysis cleft (CC) with features of hypotony and posterior segment manifestations of blunt trauma who were treated using encirclage and trans scleral cryoptherapy along with vitrectomy. Encirclage was placed anteriorly in order to support the cleft. There was closure of cleft and improvement in Intra ocular pressure (IOP) in all cases. Thus the identification and treatment of CC with encirclage in cases with varied posterior manifestation of trauma can lead to good anatomical and visual restoration.
Published: 7 October 2019
Modern Health Science, Volume 2; https://doi.org/10.30560/mhs.v2n2p1

Abstract:
Objective. Under certain circumstances, the results of multiple investigations – particularly, rigorously-designed trials, can be summarized by systematic reviews and meta-analyses. However, the results of properly conducted meta-analyses can but need not be stronger than single investigations, if (publication) bias is not considered to a necessary extent. Methods. In assessing the significance of publication bias due to study design simple to handle statistical measures for quantifying publication bias are developed and discussed which can be used as a characteristic of a meta-analysis. In addition, these measures may permit comparisons of publication biases between different meta-analyses. Results. Various properties and the performance of the new measures of publication bias are studied and illustrated using simulations and clearly described thought experiments. As a result, individual studies can be reviewed with a higher degree of certainty. Conclusions. Publication bias due to study design is a serious problem in scientific research, which can affect the validity and generalization of conclusions. The index of unfairness and the index of independence are of use to quantify publication bias and to improve the quality of systematic reviews and meta-analyses.
Endang Sri Dewi Hastuti Suryandari
Published: 7 October 2019
Modern Health Science, Volume 2; https://doi.org/10.30560/mhs.v2n2p26

Abstract:
Specificity and precision in writing the main diagnosis will give the accuracy of diagnosis code, and proper code will give an impact on the appropriate of the cost using INA-CBGs. Research objectives was to analyze the specificity and precision in writing the main diagnosis and the accuracy of main diagnosis code based on ICD-10, also the claims of financing in the case of Diabetes Mellitus (DM) in RSJ Dr. Radjiman Wediodiningrat Lawang, as well as analyzed their relationship. This type of research was a cross sectional correlasional. Independent variables were the specificity and precision in writing the main diagnosis and the accuracy of main diagnosis code, and the dependent variable was the claim of financing. The number of samples analyzed were 50 inpatient medical record document (MRD) of DM cases which hospitalization from January to September 2017, selected by simple random sampling. The results showed the unspecific and unprecise in writing the main diagnosis of DM disease had a risk 1.6 times greater impacting the inaccuracy the main diagnosis code of DM disease (95% CI: 1.05 - 2.30) and 1.8 times greater resulting in the claims for financing treatment not accordance (95% CI: 1.03 - 3.12). An internal verification team is needed for submission of financing claims, consisting of elements from the medical committee, medical recorders and other related elements, as well as conducting periodic monitoring and evaluation of how to write the main diagnoses and their coding.
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