Journal of Ideas in Health

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EISSN : 2645-9248
Published by: Journal of Ideas in Health (10.47108)
Total articles ≅ 103
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Serdal Sökmen, Egemen Ünal
Journal of Ideas in Health, Volume 5, pp 707-715;

Background: Anesthesia technicians work in places with a high risk of infectious diseases. Vaccination is one of the most essential methods that protect society and healthcare workers against infectious diseases. This study aims to determine anesthesia technicians' knowledge, behavior, attitude, and vaccine hesitancy. Methods: A cross-sectional web-based study was conducted between October 2021 and February 2022 at the Ankara Yildirim Beyazit University, Turkiye. A semi-structured and self-reported online survey was recruited to collect data from the Turkish anesthesia technicians’ community. Data of 1600 participants have undergone descriptive and univariate analyses to evaluate the differences in mean scores on knowledge, attitudes, and vaccine hesitancy. Results: The mean age of respondents was 24 years (±6.15). More than two-thirds (79.2%) were females, single (84.9%), aged less than 30 years (88.4%), and unemployed (61.1%); however, 12.4% had chronic diseases. The mean knowledge, attitude, and vaccine hesitancy score were 13.24± 3.22 (range: 0-21), 11.19 ± 3.19 (range: 0-15), and 28.67± 6.64, range: 12–60), respectively. Most respondents had information (1458, 91.1%) about COVID-19 vaccines, and 1247(77.9%) had been vaccinated. However, 240 (16.3%) did not receive vaccines at all compared to 59 (3.7%) who completed the thirteen recommended vaccines in Turkiye. The mean of vaccine hesitancy was significantly higher among females (P=0.001), unemployed (P=0.007), residents in Southeast Anatolia (P=0.001), and those who did not use medication continuously (P=0.016). However, participants aged 40 years and above (P=0.013) showed the lowest mean of vaccine hesitancy than the other age groups. Conclusion: Appropriate training and guidance might increase the vaccination information and enhance the vaccination rates among anesthesia technicians.
Muayad Kadhim Rashid, Saad Ahmed Ali Jadoo, Adil Hassan Alhusseiny, Ismail Ibrahim Latif
Journal of Ideas in Health, Volume 5, pp 693-699;

Background: Excessive use of portable electronic devices causes neck flexion and the emergence of text neck syndrome (TNS). This study aims to explore the prevalence of TNS among medical students during the COVID-19 lockdown in Iraq. Methods: A prospective cross-sectional web-based study was conducted from 1st to 20th March 2021 at the faculty of medicine, Diyala University, Iraq. A self-administered questionnaire was distributed among the medical students using Google Form through social media (WhatsApp group). The semi-structured questionnaire included the sociodemographic, the valid smartphone addiction scale-short version (SAS-SV), and the neck disability index (NDI). Univariate, bivariate, and multiple logistic regression were used to analyze the data. SPSS version 16. The statistical significance is considered at less than 0.05. Results: Out of 273 medical students included in the study, 59.3% were males, unmarried (88.3%), and from the 1st year (21.6%). The mean age of students was 21.27 ± 1.74 years. The prevalence of text neck syndrome was 64.5%. About two-thirds (61.5%) of students were addicted to their smartphones and used them more than five h/daily (63.7%). Factors associated with neck disability were the students who did not warm up neck muscles before using the smartphone (OR = 8.796, 95% CI: 1.724 to 24.884), addicted to the smartphone (OR = 6.803, 95% CI: 3.455 to 13.397), experienced increase in daily hours using the smartphone during the COVID-19 related quarantine (OR = 5.370, 95% CI: 2.523 to 11.427), maintained smartphone use five hours and more daily (OR = 2.818, 95% CI: 1.422 to 5.587), had neck pain (OR = 2.876, 95% CI: 1.356 to 6.098), the female gender (OR = 2.756, 95% CI: 1.221 to 6.221), and those who did not have a frequent break when using the smartphone (OR = 2.693, 95% CI: 1.329 to 5.454). Conclusion: In conclusion, the prevalence of neck disability was high among the surveyed medical students. Addiction and excessive smartphone use with a lack of attention to warm up the neck muscles before usage was the most prominent predictors of neck disability.
Saad Ahmed Ali Jadoo, Mustafa Ali Mustafa Al-Samarrai, Badeaa Thamer Yahyaa, Adil Hassan Al-Hussainy, Ismail Ibrahim Latif, Shukur Mahmood Yaseen
Journal of Ideas in Health, Volume 5, pp 700-706;

Background: International efforts to confront the COVID-19 pandemic are joining forces by accelerating the pace of vaccination. This study aims to explore the attitude and the intent to get vaccinated against COVID-19 among healthcare providers (HCPs) in Iraq. Methods: A cross-sectional survey was conducted in January 2021 using web-based facilities to access the respondents. The data were collected through a semi-structured and self-administered questionnaire, including sociodemographic and close-ended questions related to attitude and intention toward COVID-19 vaccination. Bivariate and multivariate logistic regression were recruited to predict variables. The statistical significance is considered at less than 0.05. Results: Data of 209 HCPs with a mean age of 45.12 (± 6.37) years have undergone final analysis. Most of the HCPs were males (112, 53.6%) and nurses (110, 52.6%), who had close contact (64.6%) with COVID-19 patients, and forty percent have been infected with COVID-19. Overall, 115 HCPs (58.0%) reported intention to get vaccinated compared to 94 (42.0%) who declined vaccination. Variables associated with intention to get vaccinated among HCPs were high attitude toward COVID-19 vaccination (odds ratio (OR) = 1.740, 95% confidence interval (CI): 0.799, 3.786), aged less than 45 years (OR = 3.713; 95% CI: 1.647, 8.367), married (OR = 2.155; 95% CI: 0.984, 4.720), highly educated (OR = 2.657; 95% CI: 1.202, 5.871), doctors (OR = 3.153; 95% CI: 1.428, 6.963), contracted with COVID-19 (OR = 4.119; 95% CI: 1.623, 10.455), directly engaged in management of COVID-19 patients (OR = 3.962; 95% CI: 1.569, 10.005), and had lost a close relative due to COVID-19 (OR = 5.698; 95% CI: 1.506, 12.564). Conclusion: The urgent need to improve the COVID-19 vaccine uptake rates among Iraqis requires a positive attitude and a high vaccination rate among HCPs.
Tasnim Abdary Anonna, Moniruzzaman, Abdul Hadi Al Nafi Khan Hadi Al Nafi Khan, Ashis Kumar Sarker, Palas Samanta, Mohammad Iqbal Naser, Shamim Ahmed, Hafiz Al Asad
Journal of Ideas in Health, Volume 5, pp 655-663;

The new catastrophe of a novel coronavirus (COVID-19s) with unstable symptoms has rapidly pulled danger to all age groups worldwide. We investigate possible causes of the different nature and demography of COVID-19. We collected and used secondary data from the IEDCR website and “Worldometer” from 1st April to 24th June for the statistical analyses, including multi-criteria decision-making method (MCDM), topsis, advanced topsis, simple additive weighting (SAW) and weighting product method (WPM) and PCA. The total number of known COVID-19 patients in Bangladesh was 122,709 as of 24th June. Radical growth will be found with 4912 cases in one day on 16th July as per the time-series forecasting. The infection rate among the young (60) had the maximum death rate (≈39%). Both of India and Bangladesh, approximately one-third of total COVID-19 cases belong to the under 30 age group. Preliminary observation finds India and Bangladesh have a high risk for young people and the working class. PCA indicates the highest positive association among the youths and the highest negative association among the older. In this study, older age (>60) individuals are in danger with the fifth rank, and the young and working-age people are at comparatively lower risk with a third to the fourth rank in terms of infection rate as indicated by MCDM. 41-50 age group remains at lower risk with the first rank in all cases. The nature of activities of younger people and the poor immunity system of older people are the reason for the non-homogenous attitude toward the coronavirus among different age groups. In Bangladesh, drug addiction, gambling habits, uncontrolled lifestyle, and social obliquity have led the youth through danger, threatening the older age of family and society.
Soujanya Karpay, C.V. Sarada, Deepthi Kondu, Pratyusha Pavuluri, Ramesh Gadepalli, Bandaru Naresh
Journal of Ideas in Health, Volume 5, pp 664-668;

Background: Early and accurate detection of acute myocardial infarction (AMI) is an important unmet clinical requirement. The present study sought to evaluate the levels of N-terminal pro-brain natriuretic peptide (NTproBNP), cardiac troponin I (cTnI), fasting lipid profile, random blood sugar, and serum creatinine in AMI patients compared to angina patients. Methods: In a single-center, hospital-based, cross-sectional, observational, prospective study conducted at Gandhi Medical College, Secunderabad, from October-2018 to September-2019. A total of 150 patients aged above 40 years with acute chest pain (within 2-6 hours) and who were clinically susceptive of AMI and angina were investigated. The patients were divided into group I (50 AMI patients) and group II (100 angina patients). Levels of all biochemical parameters of blood were assessed. The statistical analyses were performed using the SPSS statistical software, version 15. A student t-test was used to compare the continuous variables between the two groups. Results: Out of 150 patients, higher male prevalence was found in both the groups (60% and 63%, respectively). Group I had higher levels of NTproBNP (2909±273pg/ml vs. 110±20.74pg/ml, P<0.01), cTnI (2.06±1.3ng/ml vs. 0.006±0.002ng/ml, P<0.01), and fasting lipid profile (total cholesterol:216±41.2mg/dl vs.201±32.5mg/dl, P<0.05, triglycerides:217.7±63.6 mg/dl vs. 175.3±48.8 mg/dl, P<0.01, low-density lipoprotein:141.7mg/dl±41.5 vs. 127.1±30.24 mg/dl, P<0.05, very low-density lipoprotein:43.4±12.8mg/dl vs. 35.1±9.8mg/dl, P<0.01) than group II, except low levels of high-density lipoprotein (31.2±3.83mg/dl vs. 38.9±4.32 mg/dl, P<0.01). Conclusion: Assessment of NTproBNP, cTnI, and fasting lipid profile may aid in the early diagnosis of AMI and its management.
Sameeah Mejbel Hamad
Journal of Ideas in Health, Volume 5, pp 669-672;

In this work, we recruited CD105 and CD90 markers to identify the endometrial stem cells (EnSCs) in the human uterine endometrium. Fifty endometrial specimens have been extracted from twenty-five deceased women. All specimens have been embedded in paraffin block and prepared for immune-histochemical processing. The expression of CD105 and CD90 was counted per high power field (HPF). Paired sample t-test was used to compare the means between groups and age variables. The Statistical analysis was conducted using “SPSS16 software" The statistical significance was considered at less than 0.05. Results of paired sample t-test showed that the expression count (EC) at the Basalis layer (with CD105) was 5.26 points higher than the Functionalis layer (95% CI [3.43, 7.09]) and the correlation was strongly and positively related (r = 0.829, P < 0.001). The EC at Basalis layer (with CD90) was 4.96 points higher than Functionalis layer (95% CI [3.02, 6.89]) and the correlation was strongly and positively related (r = 0.746, P= < 0.001). The EC at Functionalis layer (with CD105) was 0.9 points higher than the Stroma layer (95% CI [2.27, 4.11]); however, the correlation was weak and positively related (r = 0.429, P = 0.032). The EC at Functionalis layer (with CD90) was 1.4 points higher than the Stroma layer (95% CI [2.1, 4.2]), but the correlation was moderately and positively related r = 0.547, P = 0.005). Findings of an independent-sample t-test showed that the EC of stem cells at the Functionalis, Basalis, and Stroma layers (with CD105 and CD90 markers) was more among patients of reproductive age (<50 years) than patients who were at non-reproductive age (50 years and above), a statistically significant difference [(m = 9.6, 95% CI (5.3, 14.6), t (19.630) = 4.413, P < 0.001)], [(m = 10.2, 95% CI (5.2, 15.2), t (20.714) = 4.202, P < 0.001)] and [(m = 8.4, 95% CI (3.5, 13.4), t (12.313) = 3.523, P = 0.002)], respectively. In conclusion, the EC of the stem cells in the endometrium decreases with age.
Badeaa Thamer Yahyaa, Mahasin Ali Altaha, Ru’Ya Abdulhadi Al-Rawi, Mustafa Ali Mustafa Al-Samarrai, Saad Ahmed Ali Jadoo
Journal of Ideas in Health, Volume 5, pp 673-678;

Improved knowledge among women about maternal risk factors significantly reduced the likelihood of adverse events in pregnancy and childbirth. This study aimed to explore Iraqi women's knowledge and attitudes about maternal risk factors in pregnancy. A multicenter cross-sectional survey was conducted from 01 January to 31 March 2019 among women of the reproductive age (15-49 years). A convenient sampling technique using a semi-structured questionnaire was recruited to interview the sample. SPSS version 16.0 was used to analyze the data. Descriptive and inferential statistics (Chi-square test) were used to present data with the significance level considered at <0.05. Data of 250 women underwent final analysis. The mean age of respondents was 27.76 (±6.3 years). Most of the respondents (79.9%) correctly knew the maternal risk factors in pregnancy. A large percentage of women knew that poor nutrition, anemia (95.6%), smoking and passive smoke (95.6%), and obesity (85.2%) during pregnancy are risk factors affecting the fetus’ health. However, about 40.0% of women thought there was no harm during pregnancy, and therefore there was no need for medical check-ups regularly. In bivariate analysis, there was a significant association between knowledge and level of education. The higher the level of education, the greater the women's knowledge about risk factors such as malnutrition and anemia (P=<0.001), obesity (P=0.04), diabetes (P=0.002), repeated urinary tract infection (P=0.017), Rh incompatibility (<0.001), history of previous cesarean section (P=0.010), smoking and passive smoking (P=0.014) and evidence of bleeding (P=0.001). In conclusion, Iraqi pregnant women demonstrated a good level of knowledge about the risk factors during the pregnancy.
Francisco Javier Prado-Galbarro, Ana Estela Gamiño-Arroyo, Copytzy Cruz-Cruz, Juan-Manuel Martínez-Núñez, Carlos Sanchez-Piedra
Journal of Ideas in Health, Volume 5, pp 679-684;

Background: Among COVID-19–associated deaths reported in the United States (U.S.), minority communities were disproportionately represented. The objective was to assess differences in mortality by race and ethnicity among patients with coronavirus disease 2019 (COVID-19) in the U.S. Methods: This is a retrospective case series study with information extracted from the U.S. Centers for Disease Control and Prevention between January 20 and December 29, 2020. Clinical and sociodemographic data were analyzed by race and ethnicity from non-hospitalized and hospitalized patients with COVID-19. Binary logistic models were fitted to evaluate factors associated with COVID-19-related mortality. Results: A total of 434,076 patients with COVID-19 were characterized; 284,574 cases were Non-Hispanic White, 10,468 cases were Non-Hispanic Asian, and 949,022 cases were Non-Hispanic Black, and 89,407 cases were Hispanic/Latino. For non-hospitalized patients, Hispanic/Latino with pneumonia (OR 3.34, 95%CI: 1.70-6.58) and Non-Hispanic Asian with comorbidities (OR 3.88, 95%CI: 0.99-15.2) had the highest odds for mortality. For hospitalized patients, Non-Hispanic Black with comorbidities (OR 3.02, 95%CI: 2.24-4.08) and Non-Hispanic Asian and Non-Hispanic Black with pneumonia (OR 2.98, 95%CI: 2.09-4.26; and OR 2.97, 95%CI: 2.60-3.38, respectively) had the highest odds for mortality. Conclusion: Racial/ethnic disparities in mortality persist among patients with COVID-19 in the U.S. These findings support the assertion that racial and ethnic minorities are disproportionately affected by COVID-19 in the U.S.
Ansam Dawod Salman, Iman Abbas Ali, Asmaa Haseeb Hwaid
Journal of Ideas in Health, Volume 5, pp 685-692;

Background: Occult HBV infection (OBI) is the absence of hepatitis surface antigens (HBsAg) that is not apparent during detection by serological tests despite the presence of virus DNA. This study aimed to explore the prevalence of OBI infection among various populations in Diyala province, Iraq. Methods: A prospective cross-sectional study was conducted from 1st January to 30th September, 2021, at Ibn Sina Dialysis Center, Baquba Teaching Hospital, Iraq. Three hundred and sixty participants were equally involved (90 individuals for each) from the dialysis department, the thalassemia department, blood bank donation Centre, and the control group. Study populations were screened for HBV Ag, HBV c IgG, HBV c IgM, abusing the enzyme-linked immunosorbent assay (ELISA) test, and detecting HB core gene. Demographic data of the study group were recorded. Descriptive analysis was done using SPSS Version 25, and the P-value was considered significant wherever it was below 0.05. Results: The positivity rate of serological markers of OBI among the study population was (6.7%) of the participants were HBs Ag positive. Whereas 22 (6.1%) were anti-HBc IgG positive and 3 (0.8%) were anti-HBc IgM positive. The detection rates of the PCR products of 76 participants after amplification using specific primers for (core-gene) have been presented to the gel electrophoresis, which showed none of the 76 participants were positive for the HBc gene. Conclusion: The current study showed a medium percentage of anti-HBc IgG in the serum of the study groups without the presence of HBs Ag, which indicates the presence of a previous infection that was resolved or the occurrence of occult hepatitis B infection. The current study results also showed that the serum of any of the study groups was not positive for the core gene, which confirms the possibility of infection with OBI.
Atif Abdulhamid Katib, Bakr Bakr Kalo, Nadir Hamza Motair
Journal of Ideas in Health, Volume 5, pp 649-654;

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