Vol 6 Issue 1 April 2018-September 2018

Abstract: Diaphragma sellae is the dural fold which covers the sella turcica and extends over the pituitary gland, except in the center which is defective because of the pituitary stalk presence. It can be elevated in cases of pituitary adenoma and this elevation can be in different degrees. Diaphragma sellae elevation may even affect the pattern of adenoma growth. During endoscopic transsphenoidal pituitary surgery, the descent of diaphragma sellae is one of the master scenes. Surgeons try as much as they can to guard against the early descent of diaphragma sellae due to its effect in surgical field block and possibility of residual tumor presence or cerebro-spinal fluid leak. Not many articles were done about diaphragma sellae in the literature covering all the applied points related to it. In this article, we try to discuss important points regarding the diaphragma sellae, including its anatomy, radiological picture and the operative considerations related to it.

Keywords: Diaphragma sellae, pituitary macroadenoma, transsphenoidal surgery, cerebrospinal fluid leak.

Title: Diaphragma Sellae in Transsphenoidal Pituitary Adenoma Surgery: Anatomical, Radiological and Operative Considerations

Author: Ahmed Abdelmaksoud, Peng Fu, Osamah Alwalid, Ahmed Elazab, Ahmed Zalloom, Wei Xiang, Xiaobing Jiang, Hongyang Zhao

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Abstract: The relationship between Managerial Leadership Adaptability Score and job satisfaction was investigated among 240 randomly selected subordinates, between the ages of 20 – 65 years of age working in hospitals within the southern region of the United States. The Hersey’s perspective of the Situational Leadership® Model and Spector’s (1997) Job Satisfaction Scale were used in this investigation to obtain data for analysis. Results of the investigation revealed that the selling leadership style (S2 - 40%) and delegating leadership styles (S4 - 33.3%) were the dominant styles practiced by managers.  However, multimodal managerial leadership styles were also identified (S1S2S3, S2S3, and S2S4). Participants considered contingent reward the most important component of job satisfaction, while communications was considered the least.    Sixty percent of the participants indicated their managers had a low level of adaptability (LAS < 24). Conversely, 10 percent reported that their leader had a high level of adaptability (LAS > 30); and 30 percent reported their leader had moderate adaptability (LAS ≥24≤30).

Keywords: Dominant Leadership Style: Job Satisfaction: Situational Leadership: Leadership Adaptability.

Title: Hospital Manager Leadership Adaptability Score and Subordinate Job Satisfaction: Is there a Link?

Author: David Augustine Bull, PhD., DBA., M.Sc., MBA

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Abstract: The biomerieux minividas chemiluminescence immunoassay is a modernized, reliable, and unbeatable technique which is used to quantify the Procalcitonin, D-dimer and Vitamin-D from the human serum sample. For most of the patient’s symptoms are non specific. The immunoassay (RIA) methods results are showing the significant inconsistency, lead to miscalculation in the immunoassay methods when compared with the reference method. LIA, ELFA, ECLIA and SRP immunosorbent assay methods are highly effective, compared with qualitative immunoassay. Hence, the SPR biosensor is a high sensitivity pipetting device, applied to recognize the sepsis, severe sepsis, thrombosis (DIC, DVT and pulmonary embolism), rickets, deficiency or insufficiency of vitamin D.

Keywords: Procalcitonin, sepsis, D-dimer, DIC, pulmonary embolism, Vitamin D, rickets and SPR.

Title: SPR Biosensor for Early and Rapid Detection of Procalcitonin, D-dimer and Vitamin-D from Human Plasma / Serum by using Mini VIDAS System

Author: Yuvaraj sampathkumar, M.Dinakaran, N. Silambarashi, S.Elumalai

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Abstract: Patient Centered  is providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions that will lead to state of pleasure or contentment with an action, event or services providing desired needs to satisfy the patients. Delivering service quality has significant relationship with customer satisfaction. However, the poor state of customer service in some public hospitals and faith-based hospitals in Kenya has resulted in high turnover and weak morale among staff, problems with patients care, increased cost of operations due to inefficiencies leading some patients to look for an alternative provider and to spread negative word of mouth which affects potential clients hence growth of the hospitals. This situation is further worsened by the patients or customers perception of functional issues which they perceive and interact with during the course of seeking treatment such as physical facilities, internal process; interactions with doctors, nurses and other support staff as poor and unresponsive. Nairobi being metropolitan centre with high population provided the opportunity for the study and Kiambu being reasonable rural provider centre may be influenced by Nairobi. Public and Faith-based hospitals are preferred since they handle patients from all classes and with various health problems.           

Objectives: To identify health care quality dimensions for patients satisfaction in Public and Faith Based hospitals in Kiambu and Nairobi Counties, Kenya.

Methods: A descriptive cross-sectional study of health care quality dimensions for patients satisfaction in public and Faith based hospital in Kiambu and Nairobi Counties in Kenya was conducted.  A total of 384 patients were interviewed, 238 from public and 146 from faith-based hospitals, and 276 were female and 146 male. Both qualitative and quantitative methods of data collection were used. Interviews were conducted to solicit information on dimensions that satisfies patients on health care service. Qualitative data was categorized into structure, process and outcome and then the qualitative data was analyzed using Atlas. ti ( Atlas text interpretation). Atlas.ti is a software program was developed by Thomas Muhr in Berlin and released commercially in 1993. It is data software program that enables a researcher to manage and analyze qualitative data.

Results: Results on dimensions shows that Faith-based hospitals had many satisfies as compared to public hospitals these were cleanliness of the environment, availability of equipment, maintenance of physical structure, adequate meal, availability of drugs and services, caring, courtesy, efficiency, doctors attitude and low mortality and morbidity rate while in public hospitals were cost of services, adequate meal, doctors attitude and interpersonal skills. The results also confirmed that Faith-based hospitals (94%) compliance was higher than public hospitals (68%) to Ministry of Health Quality Standards.

Conclusion: The study revealed that major dimensions of patient’s satisfaction in Faith-based were cleanliness of the environment, availability of equipment, maintenance of physical structure, adequate meals, availability of drugs and services, caring, courtesy, efficiency, doctors attitude and low mortality and morbidity rate while in public hospitals major dimensions of patient’s satisfaction were very few as compared to Faith-based they included; cost of services, adequate meals, doctors attitude and interpersonal skills. The study revealed that there was high compliance to Ministry of Health Quality Standards in Faith-based hospitals and low in public hospitals.

Keywords: Health Care Quality, Dimensions for Patients Satisfaction, Public and Faith Based Hospitals.

Title: Health Care Quality Dimensions for Patients Satisfaction in Public and Faith Based Hospitals in Kiambu and Nairobi Counties, Kenya

Author: MARGARET WANDERA NYONGESA

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Abstract: In this perspective review, it is adopted the neurobiological interactions and conflicts of both perceived realities and acquired memories with the instinctual drives to represent such terms and interactions as unconscious/preconscious/conscious or id/ego/super-ego of the Freudian theories in psychoanalysis. During waking, it is demonstrated the interactions and conflicts of realities/memories with the instinctual drives are present in all vertebrates including humans. For the rapid eye movement (REM) sleep, it is well evidenced to process the emotional memories, while disrupt the emotional balance toward depression, supporting the Freudian psychoanalysis. For the slow-wave sleep (SWS), it was demonstrated by Cai as ameliorating the depression caused by accumulated emotional memories, supplementing a new complementary half story neglected by Freudian psychoanalysis. It was simultaneously suggested the differentiation of the noradrenergic/serotonergic activities in waking and sleep result in the differentiation of conscious and subconscious interactions and conflicts in psychoanalysis. Finally, it is briefly depicted the gradual evolution of psychoanalytic interactions and conflicts in vertebrates, substantiating the scientific basis for these core contents of Freudian psychoanalysis. In all, due to the support and extension of the core Freudian theoretical contents as unconscious/preconscious/conscious psychoanalysis from neurobiology, it is approaching a prospective neurobiological scenario of psychoanalysis.

Keywords: Psychoanalysis, Memory, Depression, Sleep, Serotonin, Evolution.

Title: Approaching the Neurobiological Scenario of Psychoanalysis

Author: Zi-Jian Cai

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Abstract: We discuss existing knowledge in classification, causes and modern diagnosis strategies, such as technologies and risk scoring foe early detection of appendicitis. We conducted a literature search of Medline (PubMed), the Cochrane Library, and CINAHL up to January, 2018. We used MeSH terms and key words to generate sets for the following themes: appendicitis diagnosis approach. Acute appendicitis is among the most common abdominal emergency situations worldwide. The cause remains badly recognized, with few advancements in the previous few years. To get a confident preoperative diagnosis is still a challenge, since the opportunity of appendicitis have to be entertained in any kind of patient providing with an acute abdomen pain. Although biomarkers and imaging are important adjuncts to history and examination, their limitations mean that clinical assessment is still the mainstay of diagnosis In diagnosis variable combination of clinical symptoms and signs has been used with each other with laboratory findings in several scoring systems proposed for recommending the possibility of AA.

Keywords: diagnosis strategies, clinical symptoms, technologies, laboratory.

Title: Reviewing Updated Evidence on Diagnostic Approaches for Appendicitis

Author: Roaa Ghazi Khan

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Abstract: This review will discuss the important features of malignant polyps, emphasize one of the most important clinical issues in colonic adenomas is the diagnosis of malignancy and reporting its different aspects by the pathologist. As well we will discuss effective strategies for their overall management and surgical treatment. A literature search was conducted using electronic databases such as MEDLINE, the Cochrane Library, and manuscript references for studies published in English up to December, 2017 on the malignant colorectal polyps with discussion its surgical management options. Medical diagnosis of malignant colon polyp requires the presence of tumor cells that are penetrating beyond the muscular mucosa right into submucosa (pT1). As well as developing a medical diagnosis of malignant polyp, it is extremely important to report the size of the invasive part, the existence or absence of lymphovascular invasion, the degree of tumor differentiation and the distance of the carcinoma from the line of resection.

Title: Overview of Malignant Colorectal Polyps, Surgical Management

Author: Roaa Ghazi Khan

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Abstract: Idiopathic guttate hypomelanosis is a benign, common and frequently ignored condition characterised by hypopigmented spots on the skin. It occurs more commonly in middle age and fair skinned people. It is related to long term sun exposure and usually occurs in the extremities. The case is a 60 year old male who complaints of hypopigmented spots from a long time. The spots are painless, non-itchy and characteristic in location. The patient gave a long history of exposure to sunlight due to his job. The diagnosis is based on the clinical presentations. Atypical lesions may require a biopsy for confirmation of the diagnosis unlike in this case where characteristic location and appearance is helpful. A variety of treatment options ranging from medical to surgical are available. The patient is advised with medical treatment with local topical steroids looking at the benign nature and low number of hypopigmented spots. The prognosis is excellent and usually there are no complications after treatment.

Keywords: Idiopathic guttate hypomelanosis, hypopigmented spots, patient, medical treatment.

Title: IDIOPATHIC GUTTATE HYPOMELANOSIS

Author: Dr. ASHISH SHRIVASTAVA, Dr. DON RAJAN

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Abstract: This article summarizes the current smoking cessation guidelines that can serve as an effective framework for tobacco cessation intervention in primary care, such as pharmacological and psychological help. A comprehensive search of the literature was conducted in the following databases; PubMed, and SciVerse Scopus for studies published before December 2017. During the first stage the above databases were searched using the following search criteria. The clinician needs to play a front line role due to the fact that. The promotion of cigarette smoking cessation need to be a top priority for clinicians and for governments. The family physician is main to reaching as numerous smokers as possible and aiding them quit. The combination of brief, empathetic and appropriate interventions, assistance and pharmacological therapies can assist motivate smokers to quit and provide their ideal opportunity to live smoke-free. Recognition of smokers and providing suggestions and support for cessation need to be a regular part of practice in primary care clinics; therefore.

Keywords: Family Physician, smoking cessation, pharmacological.

Title: Family Physician Roles in Smoking Cessation in Primary Care

Author: Dr. Tahani Ahmed Bukhari, Dr. Haneen Ahmed Bukhari, Dr. Fatimah Husni Rajab, Dr. Sara Bejad Hazza Al_otibi, Dr. Reham Othman Hasan Althomali, Dr. Afnan Faleh Alharthi, Dr. Bayan Abdullah Hamed Alnemari, Dr. Munirah Hamad Alsahel

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Abstract: In this review we discuss the role of family doctors in prevention, diagnosis and treatment of hypertension in adults. We emphasize the diagnostic methods and management strategies as lifestyle changes, drugs and self-management. This descriptive review summarizes current efficiency on primary care setting in prevention, diagnosis and treatment of hypertension in adults, treatment outcome, several studies of concerning management of hypertension in primary care were identified through electronic searches of Medline, Cinhahl, Embase, Psychlit, until JANUARY 2018. Family doctors and their groups have an essential duty to play in the identification and management of hypertension. The prevention and management of hypertension are major public health difficulties. If the increase in BP with age could be prevented or diminished, much of hypertension-related cardiovascular, renal disease and stroke may be avoided. Numerous aspects could account for FPs' absence of adherence to exercise guidelines for hypertension, consisting of understanding deficits, overestimation of compliance with standards, disagreement with standards, or reluctance making therapeutic modifications. Lifestyle changes, as weight loss and diet changes, physical activity are one of the most crucial management strategies.

Keywords: family doctors, diagnosis, hypertension.

Title: Roles of Family Doctors in Managing Hypertension

Author: Dr. Haneen Ahmed Bukhari, Dr. Tahani Ahmed Bukhari, Dr. Marwah Hassan Turkistani, Dr. Halah Abdullah Alotibi, Dr. Amal Saleh Alsofyany, Dr. Rabeah Ahmed Alsofyani, Dr. Norah Mohammed Alamri

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Abstract: This study was carried out to evaluate the relationship between single parenting and child nutrition in comparison to dual parenting. The analysis was carried out on a population of 1000 children between the ages 5 and 10 which the anthropometric method was used on the children while demographic characteristics was examined. The comparison was made between 500 children of single parents and 500 children of dual parents. The results obtained showed that there were differences in nutritional status between children reared by single parents in urban and rural settings. Children of lower parental educational level in the urban areas were less fed than their counterparts in the rural settings. Whereas children of dual parents in the urban areas were of better nutritional status than those in the rural areas. Summarily, children reared by dual parents had relatively adequate diet regardless of their residential location.

Keywords: Child Nutrition, Dual Parenthood, Single Parenthood, Nigeria.

Title: Effect of Single and Dual Parenthood on Children’s Nutritional Status in Nigeria

Author: M.L Aliyu, S.T Aliyu, S. Onyewu

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Abstract: A cross-sectional study was done on students preparing for various competitive exams to get a deeper understanding on depression, anxiety and stress and their social aspects, to identify the various factors responsible for depression, anxiety, and stress and to identify the ill-effects of depression, stress, and anxiety on their health and daily life. It also helps to find the relatable factors in depression-like income, duration of sleep, social media, peer pressure, parental support, mentor’s support and their relation to the level of mental stress. Depression is a common but serious mood disorder. Current research suggests that depression is caused by a combination of genetic, biological, environmental, and psychological factors. It can happen at any age but often begins in adulthood. It is the age of biological and physiological changes and hence there is greater vulnerability and susceptibility. Depression is a common but serious illness that leaves candidates feeling despondent and helpless, completely detached from the world. Candidates may show symptoms like- feelings of sadness or unhappiness change in appetite or weight, slowed thinking or speech, loss of interest in activities or social gatherings, fatigue, feelings of guilt or anger over past failures. Among 400 participants, 19.5% were found to be in a mild depression, 20.3% in moderate depression and 8.8% were found to be severely depressed. 21.8% were found to be mildly anxious, 17.8% with moderate anxiety and 27.3 % with severe anxiety. 19% were mildly stressed, 14.8% were moderately stressed and 7.5 were having severe stress. Overall, depression management involves complete lifestyle change that requires a range of strategies and techniques. They include good eating habits, proper exercise, good family and social life, mood management and relaxation techniques. These allow the individual to reduce, avoid or cope with the negative emotions related to the condition and recognize the triggers and situations that lead to these negative emotions.

Keywords: depression, anxiety, genetic, biological, environmental, mental stress.

Title: Assessment of Depression, Anxiety and Stress among Students Preparing for Various Competitive Exams

Author: Dr. Ashish Shrivastava, Dr. Don Rajan

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Abstract: This was a descriptive cross-sectional study to determine the prevalence of obesity in Hail town. No probability sampling techniques (convenient sampling) was adopted to collect data from King Khalid Hospital to determine the prevalence rate and other factors associated with the occurrence of the problem, 200 samples were covered during the time of data collection (one week).

The study shows that the prevalence rate was 33.9 % at Hail town according to review of record. Eaten fast food for target group from three to four times in the week about 30% and 60%of target group prefer fast food than homemade food. 70% of the target group is not practicing any type of physical training, 75% of them don’t have enough time to do exercise, and 55% of target group thought that eating healthy food is being instead of practicing physical training.

The study finally recommended Exercise, the basic rule of weight loss is “Calories in “Calories out” In order to effectively lose weight, you need to burn more calories than you consume. Therefore, exercise—and portion control when eating—are essential components in combating obesity.

•     Health education about obesity at school and neighborhood.

•     Drink plenty of water

•     limit intake of foods containing saturated fat, added salt, added sugars

Title: EPIDEMIOLOGICAL FACTORS ASSOCIATED WITH THE OCCURRENCE OF OBESITY IN HAIL TOWN - SAUDI ARABIA - 2017

Author: Kamal Elbssir, Muteb.H. Alshammari, Yahya Moqbil, Fayz Hassan

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Abstract: Hypertension is a common health problem worldwide. The prevalence of hypertension is increasing. Due to the availability of a large variety of options to treat hypertension, there is good symptomatic control and prevention of complications is possible. On the other hand, Alzheimer’s disease is a potentially fatal condition which is usually prevalent in the elderly population. There is no cure for Alzheimer’s disease and treatment options for symptomatic control are very limited leading to an increasing need to work on prevention of risk factors predisposing to this fatal condition. Prolonged and uncontrolled hypertension leads to cerebrovascular insult, accumulation of plaques and tangles and predisposing the person to Alzheimer’s disease in long run. Since hypertension can be treated and complications can be prevented by strict control on blood pressure levels, hence it is important to understand the association of hypertension and Alzheimer’s disease and the fact that strict control on hypertension can prevent cerebrovascular insult and hence Alzheimer’s disease.

Keywords: Hypertension, Alzheimer’s disease, treatment.

Title: Association between Long-Standing Uncontrolled Hypertension and Alzheimer’s disease

Author: Dr. Ashish Shrivastava

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Abstract: This review discusses the current antidiabetes agents and focus on incretin based therapies, which have been shown to improve hyperglycemia, weight and other CV risk factors in patients with T2DM in primary care setting. We carried out a computerized literature search through several medical databases “Medline, Embase, PubMed” up to 2018 January. We hand‐searched selected articles for additional citations relevant with our objective. The central factors to take into consideration in taking care of T2DM in primary care are individualizing treatment and entailing the patient in care planning and management. The clinician must utilize an interdisciplinary strategy to care that integrates education and learning and management of hidden conditions. T2DM is a chronic, modern condition that does not need to define the patient. Comprehending and executing evidence-based practice and following clinical technique guidelines improve the quality of first and continuous care, directly influencing the burden of disease, rate of condition development, decrease of comorbidities, and, ultimately, the patient's lifestyle.

Keywords: Diabetes Mellitus Type 2, Primary Care.

Title: Challenges Facing Family Doctors in Management of Diabetes Mellitus Type 2 in Primary Care

Author: Abdullah Ali Al-Mazrua

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals