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British Journal of Medical and Health Research

📢 Latest Update: Call for Papers: Special Issue on Medical and Health Research – Submit to British Journal (BJMHR) by March 31, 2026

📢 Latest Update: Call for Papers: Special Issue on Medical and Health Research – Submit to British Journal (BJMHR) by March 31, 2026

Volume 4, Issue 3 - 2017 (March 2017 Issue 3)

Volume 4 Issue 3 Cover

Issue Details:

Volume 4 Issue 3
Published:Invalid Date

Editorial: March 2017 Issue 3

Welcome to the 2017 issue of British Journal of Medical and Health Research. This issue showcases the remarkable breadth and depth of contemporary research across multiple disciplines. From cutting-edge applications of machine learning in climate science to the revolutionary potential of quantum computing in drug discovery, our featured articles demonstrate the power of interdisciplinary collaboration in addressing global challenges.

We are particularly excited to present research that bridges traditional academic boundaries, reflecting our journal's commitment to fostering innovation through cross-disciplinary dialogue. The integration of artificial intelligence with environmental science, the application of blockchain technology to supply chain management, and the convergence of urban planning with smart city technologies exemplify the transformative potential of collaborative research.

As we continue to navigate an era of rapid technological advancement and global challenges, the research presented in this issue offers both insights and solutions that will shape our future. We thank our authors, reviewers, and editorial board members for their continued dedication to advancing knowledge and promoting scientific excellence.

Dr Hemangi J Patel
Editor-in-Chief
British Journal of Medical and Health Research

Articles in This Issue

Showing 12 of 12 articles
Research PaperID: BJMHR0403001

How the Ayurveda can be helpful for HIV-AIDS in children?

Bharat Bhoyar, Hema

AIDS is a syndrome caused by infection with Human Deficiency Virus (HIV), a member of Lentivirus subfamily of retrovirus family. Serotypes HIV-1 is most virulent. The virus is transmitted sexually, vertically, through contaminated blood transfusion, syringes, needles, blades, tattooing, etc. The incubation period is 3 months to five years depending on pre-existing immunosuppressant. The T-helper lymphocytes are major target of viruses because CD4 receptor is present predominantly on it. And hence the progressive immunodeficiency state resulting from T-cell deficiency (T4/ CD4) with viremia with opportunistic infection which leads to malignancy or cachexia. In children the clinical features includes failure to thrive, severe recurrent infections, lymphadenopathy, delayed development, Persistent weight loss, chronic diarrhea, microcephaly, hepatospeenomegaly, chronic Parotid swelling, lymphocytic interstitial pneumonia, recurrent otitis media. Pediatric HIV has been categorized in four types as N, A, B, C. In Allopathy there is no specific treatment yet for HIV infection and immunodeficiency state rather than preventative aspects. However antiretroviral drugs can improve the quality of life and prolong it. Ayurveda provides a number of single, compound herbal, Herbomineral Rasayan drugs contributing unique Rasayan Therapy having diversified actions on different systems of the body like Immunomodulation, Antioxidant. Also several of drugs have its own Adaptogenic effect on Psychological, Neurological, Endocrine systems etc, which also helps in the HIV-AIDS. Scientific studies showed that Ayurvedic preparations were effective in improving immune status and quality of life of the patients having HIV-AIDS.

Acquired Immunodeficiency SyndromeHuman Deficiency VirusCD4 receptorImmunodeficiencyAntiretroviral drugsRasayan+2 more
21,334 views
6,406 downloads

Contributors:

 Bharat Bhoyar
,
 Hema
Research PaperID: BJMHR0403002

Significance of work-related stress among emergency department nurses in Australian hospitals – A critical review.

James Rufus John

Work-related stress (WRS) has been widely recognized as an emerging occupational health issue, resulting in negative ramifications to employees’ health due to the pressures of the contemporary workplace environment. Since the nurses working in ER deal with the imminent situations of life or death of their patients, they are forced to act rapidly without prior planning which significantly raises their stress levels, subsequently leading to injuries. Whilst there are numerous legislative standards and industry protocols in place to reduce WRS, the average cost of claims and injury incidence have only further increased. The aim of this article is to critically review the significance of WRS in the healthcare organization among ER nurses. Therefore, this article will provide insights on the economic burden related to WRS with focus on healthcare industry. The critical interplay of the manifestation of WRS as potential health hazards and their harmful effects on ER nurses will be discussed in-depth. Finally, the review will outline the best practices employed in minimizing WRS for further improvement.

StressOccupational healthnurseshealth professionalsworkplace.
21,166 views
6,463 downloads

Contributors:

 James Rufus John
Research PaperID: BJMHR0403003

Assessing antennal visits and skilled birth attendant at birth in the West Gonja District in the Northern Region of Ghana

Edmund Muonir Der, Azure E S, Ama . K, Yakong V N

Antenatal care (ANC visits) utilization and skilled birth attendance during delivery are found to be low in developing countries, more so the rural communities of Ghana. The aim of this study was to determine the proportion of pregnant women (PW) who had prenatal care (ANC visits) with the number who had skilled birth attendance during labour in at the West Gonja District of the Northern region of Ghana. This was a cross-sectional descriptive study involving 110 postpartum women (PPW) from 6 health facilities selected through purposive sampling. Data was entered and analysed using SPSS software version 23 (Chicago). The mean age of the PPW interviewed was 28.9 years (SD=6.0) and all were married. The great majority (83.6%) did not have any formal education and approximately, 41.8% were traders. Majority (86.4%) of the postpartum women initiated ANC for their last delivery in the second trimester and that 94.0% had 3 – 4 visits before labour. The majority (76.4%) of the PPW had their last deliveries in a health facility and were all attended to by skilled birth attendant (100.0%). Only 8 (7.2%) out of the 110 PPW had their deliveries by a traditional birth attendants (TBAs). Of this number, 4 (50.0%) had no reason for delivering at the TBA, 3 (37.5%) said there was no health facility in their community, however, 1 (12.5%) said she did not have complications during her last delivery by a TBA. The study found that ANC care services were well-patronized in the West Gonja District by the women. Approximately 76.4% of the women had their last deliveries in a health facility and were all attended to by skilled birth attendant, only 7.2% were attended to by TBAs.

Antenatal carepostpartum womenSkill birth attendanttraditional birth attendantWest GonjaGhana.
21,238 views
6,369 downloads

Contributors:

 Edmund Muonir Der
,
 Azure E S
,
 Ama . K
,
 Yakong V N
Research PaperID: BJMHR0403004

Volume of Intracerebral Hemorrhage: A Powerful Predictor of 30-Day Mortality

MIZANUR MD RAHMAN, Md . Hassanuzzaman, Md Anawarul Kibria, Md Mahfuzur Rahman Babul, Akramul . Azam, Md Jahangir Khan, Md Nurul Absar, Md Mizanur Rahman

Cerebrovascular diseases have recently emerged as a major health problem affecting the elderly population. Volume of the blood is one factor which can determine the prognosis of the patient with intracerebral hemorrhage. A prospective observational study was done at Neurology ward of Chittagong Medical College Hospital (CMCH). The aim of this study was to determine the 30-day mortality of intracerebral hemorrhage in a hospital population and to determine the most important predictor of 30-day outcome. Seventy cases of spontaneous intracerebral hemorrhage were analyzed and followed up for 30 days in hospital and house where necessary. Statistical analyses were performed to see the outcome in relation with blood volume by SPSS-18. In this study, 50(71.42%) patients had hypertension. Diabetes mellitus was found among 6(8.57%). aphasia was found 40(57.1%) patients, dysarthria was in 11(15.7%), motor deficit in 65(92.9%) patients, 48(68.6%) patients had cranial nerve involvement and 32(45.7%) patients had abnormal fundoscopic findings. Regarding analysis of volume of hemorrhage, <5 ml was found in 9(12.9%) patients, 5-15 ml was found in 32(45.7%) patients, >15-30 ml was found in 15(21.4%) patients, >30-60 ml was found in 10(14.3%) patients and >60 ml was in 4(5.7%) of patients. Among all patients, no of death was 9(12.8%) within 30 day and rest 61(87.2%) were alive. After analysis, it was found that fatal outcome is more with increased volume of hemorrhage (p<0.05). It was 100% with >60ml of hemorrhage. Volume of intracerebral hemorrhage is a powerful and easy-to-use predictor of 30-day mortality in patients with spontaneous intracerebral hemorrhage.

StrokeIntracerebral hemorrhageVolume
21,327 views
6,556 downloads

Contributors:

 MIZANUR MD RAHMAN
,
 Md . Hassanuzzaman
,
 Md Anawarul Kibria
,
 Md Mahfuzur Rahman Babul
,
 Akramul . Azam
,
 Md Jahangir Khan
,
 Md Nurul Absar
,
 Md Mizanur Rahman
Research PaperID: BJMHR0403005

Increasing Levels of Test Anxiety and Psychological Distress with Advancing Years of Medical Education

Nusrat Aziz, Abdul Halim Serafi

A cross-sectional study was conducted on 411 female students (age group of 19-24 years) in second to sixth year of medical education at Umm Al-Qura University, Saudi Arabia to assess test anxiety and psychological distress among students during examinations and with the duration of the course. The study employed questionnaires from ‘Westside Test Anxiety scale’ and ‘Kessler Psychological Distress scale (K10)’ and the scores obtained were used to estimate the level of test anxiety and depression among students. Overall, there was high prevalence of test anxiety (53.04%) and psychological distress (82.50%) among students before examinations, with a significant (p<0.01) positive linear correlation between test anxiety and psychological distress with advancing years of the course. Test anxiety was alone found to have a significant effect with course length while psychological distress did not. Test anxiety and psychological distress was highest for students in fifth and sixth years of the course.

medical studentstest anxietypsychological distressclinicalpreclinical
21,713 views
6,573 downloads

Contributors:

 Nusrat Aziz
,
 Abdul Halim Serafi
Research PaperID: BJMHR0403006

Papillary carcinoma of breast with apocrine change clinically masquerading as fibroadenoma

Swagata Dowerah, Momota Naiding, Sikha Agarwal

: Introduction: Invasive papillary carcinomas comprise 1-2% of all invasive cancers of breast and are associated with a good prognosis. We report a case of invasive papillary carcinoma of breast with apocrine change and apocrine adenosis , clinically masquerading as a fibroadenoma of breast. Case history: A 34 year old woman complained of swelling in the right breast of 4 years duration. A clinical diagnosis of fibroadenoma/ carcinoma? was given . FNA gave a diagnosis of a cystic breast lesion. Patient underwent lumpectomy and specimen was sent to histopathology. On gross examination, four separate swellings were seen, largest measuring 5x4x3 cms and the smallest measuring 1x1x1cm. H& E stained sections of the larger swelling showed tumor cells arranged in papillary structures with fibrovascular core, invading into the surrounding stroma. Areas of apocrine adenosis were also noted. Immunohistochemistry for SMA was done and showed absence of myoepithelial cells in areas of invasive papillary cancer. Conclusion: Papillary carcinoma is a rare malignancy of the breast which may be missed clinically and on aspiration cytology. In doubtful cases, immunohistochemistry may be necessary to arrive at a definitive diagnosis.

papillary carcinomabreastapocrine changefibroadenoma
21,900 views
6,534 downloads

Contributors:

 Swagata Dowerah
,
 Momota Naiding
,
 Sikha Agarwal
Research PaperID: BJMHR0403007

Spectrum of Granulomatous Skin Lesions- A Dermato-Pathological Perspective

Kafil Akhtar, Feroz Alam, Kashmi Sharma, Mahboob Hasan

Granulomatous dermal lesions pose a diagnostic challenge, since several causes can produce an identical histologic picture and, conversely, a single cause may produce varied histologic pattern. The aim of this study is to analyze the spectrum of various etiologies involved in granulomatous skin diseases and their clinicopathological correlation. Cases of granulomatous lesions reported over last one year on histopathological and cytological examination were reviewed along with special stains. A total of 20 cases of different etiologies were taken for study including infectious and non-infectious underlying causes. Out of the 20 dermal granulomatous lesions studied, 12 cases (60.0%) were bacterial, 1 case (5%) each of fungal and associated with malignancy and 6 cases (30%) due to non-infectious etiology like granuloma annulare and foreign body associated were recorded. Amongst the bacterial granulomatous lesions, predominance of Mycobacterium leprae was seen, 6 cases (40%). The varied presentation of Hansen’s disease in our study included 4 cases (20%) of tuberculoid leprosy and 2 cases (10%) each of lepromatous leprosy and borderline tuberculoid leprosy. Three cases (15%) of cutaneous tuberculosis seen in our study and were typified as lupus vulgaris, 2 cases (10%) and a single case (5%) of tuberculosa verrucosa cutis. One case, (5%) of Klebsiella rhinoscleromatis was also seen. Skin biopsies help in arriving at a conclusive diagnosis, if aided by a proper clinical history and examination and assisted by special stains, culture of organisms, PCR and immunoflourescence.

SkinGranulomatous lesionsBiopsy.
21,876 views
6,510 downloads

Contributors:

 Kafil Akhtar
,
 Feroz Alam
,
 Kashmi Sharma
,
 Mahboob Hasan
Research PaperID: BJMHR0403008

Necrobiosis lipoidica

hassan ouleghzal, Jalal El Benaye, Soumaya Safi

Necrobiosis lipoidica is a rare granulomatous dermatosis, we report observation a of 17-year-old patient, with any pathological history, has presented erythematous oval plaques with an atrophic yellowish center at the anterior surfaces of legs. The diagnosis of necrobiosis lipoidica was confirmed after biopsy. In view of this situation, additional tests were requested. They revealed an unknown diabetes. The anti-GAD antibodies and anti-IA2 antibodies were positive and the patient was placed on insulin therapy. The evolution was marked by a spontaneous regression of lesions.

Necrobiosis lipoidicadiabetes
22,148 views
6,556 downloads

Contributors:

 hassan ouleghzal
,
 Jalal El Benaye
,
 Soumaya Safi
Research PaperID: BJMHR0403009

Impact of occupational exposure to Municipal Solid Wastes, Saw-dust and Paint on Reproductive Hormones among Workers in Port Harcourt, Nigeria

Ologhaguo Macstephen Adienbo, Queen Ezinne Victor, Aranyeaziba Onyeke Okilo

Over the recent decades, there has been increasing global concern about exposure to work place chemicals and their impact on human health. This study is therefore aimed at assessing the impact of occupational exposure to municipal solid wastes, saw-dusts and paint, on the reproductive hormones levels among exposed workers in Port Harcourt, Nigeria. A cross-sectional analytical study was carried out on 157 apparently healthy male subjects comprising 45 unexposed (control), and 112 exposed (test) subjects. The test subjects consist of 37 workers involved in municipal solid waste disposal, 40 workers in saw-mill, and 35 in paint factory. Information on their anthropometric parameters and duration of exposure were obtained from subjects. 5ml of blood was collected from each subject by venipuncture, processed and serum used for assay of Luteinizing Hormone (LH), Oestrogen and Testosterone levels. The results showed a decrease in the mean level of luteinizing hormone (mlU/ml) among solid waste workers (p<0.05), saw-mill workers (p<0.05) and paint factory workers (p>0.05) when compared with the control subjects. Also, the serum oestrogen (pg/ml) decreased among solid waste workers (p>0.05), saw-mill workers (p<0.05) and paint workers (p<0.05), compared to control group subjects. Similarly, the serum levels of testosterone (ng/ml) decreased among solid waste workers (p<0.05), saw mill workers (p>0.05) and paint factory workers (p>0.05), when compared with control group subjects. The reductions in all the hormones in the test subjects were duration-of-exposure-dependent. This study shows that occupational exposure to municipal solid wastes, saw-dusts and paint decreases the serum levels of male reproductive hormones. This could negatively impacts on their reproductive functions.

Reproductive parametershormonesindustryworkersinfertility
22,195 views
6,664 downloads

Contributors:

 Ologhaguo Macstephen Adienbo
,
 Queen Ezinne Victor
,
 Aranyeaziba Onyeke Okilo
Research PaperID: BJMHR0403010

Impairments in serum Reproductive Hormones and Heavy Metals among Residents of Gas Flaring Communities in Ogbia Tribe, Niger Delta, Nigeria

Ologhaguo Macstephen Adienbo, Aranyeaziba Onyeke Okilo, Aranyeaziba Onyeke Okilo, Atuboyedia Wolfe Obianime

Gas flaring activities in Ogbia communities Niger delta region of Nigeria has been on for about sixty (60) years now. These associated flared gases with its constituents are released into the environment, and absorbed into the body of the resident population. This study was therefore aimed at evaluating the effects of the prolong exposure to the flared gases on the serum level of heavy metals and reproductive hormones among residents of these gas flaring communities. A total of 200 adult subjects were involved in the study. It consist of 100 test subjects (50 males and 50 females) randomly selected from communities ≤ 5km from active gas flaring site; and 100 control subjects (50 males and 50 females) from a community about 200km from any gas flaring site. Demographic and socio-economic data of subjects were obtained. 4ml of blood was obtained from each subject and serum used to determine the concentrations of reproductive hormones and heavy metals. The results show significant (p<0.01) reduction in serum Leuteinising hormone, Follicle Stimulating hormone, Prolactin, Testosterone, Progesterone and Oestradiol; with a significant (p<0.01) increase in the serum concentrations of copper, cadmium, nickel, zinc, mercury, arsenic and vanadium among the test subjects, when compared with subjects in the respective control groups. In conclusion, prolong exposure to gas flaring by residents of Ogbia communities results in an abnormal increase in the serum concentrations of heavy metals, which led to impairments in their reproductive hormones; and consequently could impair their reproductive functions and reproductive capacities.

Gas flaringreproductive HormonesNiger Deltainfertility
22,187 views
6,620 downloads

Contributors:

 Ologhaguo Macstephen Adienbo
,
 Aranyeaziba Onyeke Okilo
,
 Aranyeaziba Onyeke Okilo
,
 Atuboyedia Wolfe Obianime
Research PaperID: BJMHR0403011

A Rare Case of Combined CRAO and Cilioretinal Vein Occlusion due to Carotid Artery Disease

Rahul Gupta, Abdul Waris, Naheed Akhtar, Mohd Saeed

Central retinal artery occlusion (CRAO) is an ophthalmic emergency and the ocular analogue of cerebral stroke. Best evidence reflects that over three quarters of patients suffer profound acute visual loss with a visual acuity of 20/400 or worse. This results in a reduced functional capacity and quality of life. There is also an increased risk of subsequent cerebral stroke and ischaemic heart disease. Here we present a case of combined central retinal artery and cilioretinal vein block secondary to carotid plaque.

Central retinal artery occlusioncarotid thrombuscilioretinal vein occlusionischaemic ocular syndromes.
22,502 views
6,682 downloads

Contributors:

 Rahul Gupta
,
 Abdul Waris
,
 Naheed Akhtar
,
 Mohd Saeed
Research PaperID: BJMHR0403012

Schizophrenia and the approach of Ayurveda

Jithesh Madhavan, Nasheeda karuvattil

Schizophrenia is a rigorous disorder which affects the way, a person thinks, feels and acts as well. Approximately 1 million cases are reported per year in India, as per reported trials. Schizophrenia is a major cause of disability, with active psychosis and ranked as the third most disabling condition after quadriplegia and dementia. The exact cause of schizophrenia isn't known, but a combination of genetical, environmental, altered neurotransmitters and structural or organic changes are expected to have a combined role in the pathology. Schizophrenia is characterized by thoughts or experiences that seem out of touch with reality, disorganized speech or behavior and decreased participation in the daily activities, difficulty with concentration and even memory. Treatment is usually lifelong and often involves a combination of medications, psychotherapy and coordinated specialty care services. Even with the ongoing medical advancements, the success rate of the management is less than the expectations, as per reports all over the world. The medical world is looking towards the alternate system for contributions, in this area. Ayurveda has seriously discussed mind, its function, the alteration of the functions and the resultant disorders, with their respective clinical approaches, in a very positive and enhanced manner. The disease can be well addressed using the Ayurvedic clinical parameters, assessing the doshas of the body as well as the mind, in the perspective of the condition of Unmada. A detailed clinical protocol starting with snehapana, followed by Vamana or Virechana, Vasthi, Nasya ending in Rasayana therapy is usually adopted in solemn conditions, such as Schizophrenia. In mild presentations, suitable samana drugs are also observed as effective, as per the condition. This paper is an attempt to explore the role of Ayurvedic modalities in the management of Schizophrenia with the rationalization, through the light of basic principles of Ayurveda.

SchizophreniaManasUnmadaSnehapanaRasayanaSatvavachaya
22,486 views
6,781 downloads

Contributors:

 Jithesh Madhavan
,
 Nasheeda karuvattil