Current Issue
Volume 13, Issue 6 - 2026 (June 2026 Issue 6 )
Issue Details:
Volume 13 Issue 6 (June 2026 Issue 6)Issue Description:
Welcome to the 2026 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 J S Patel
Editor-in-Chief
British Journal of Medical and Health Research
Articles in This Issue
Cemented Total Hip Arthroplasty in Protrusio Acetabuli in Rheumatoid Arthritis Using Impacted Morselized Bone Grafting and Wire Mesh: A Novel Technique with Literature Review
Abstract Introduction Protrusio acetabuli secondary to rheumatoid arthritis (RA) presents a complex reconstructive challenge during total hip arthroplasty (THA), particularly in the presence of medial wall deficiency and osteoporotic bone. Restoration of hip biomechanics and medial support is essential to prevent cup migration and recurrence of protrusion. Case Report A 75-year-old female with long-standing RA presented with bilateral end-stage hip arthritis and advanced protrusio acetabuli. Radiographs demonstrated Tönnis grade 3 osteoarthritis and Sotelo-Garza grade 3 (left) and grade 2 (right) protrusio. Intraoperatively, Paprosky Type 2C medial wall defects were identified. Staged bilateral cemented THA was performed using titanium mesh and impacted morselized autologous femoral head graft prior to cementation of the acetabular component. Results At five-year follow-up, radiographs demonstrated graft incorporation and restoration of the hip center without evidence of cup migration or loosening. Harris Hip Score improved from 36 preoperatively to 86 at final follow-up. Conclusion Titanium mesh combined with impacted autologous cancellous graft provides a biologically favorable and cost-effective option for medial wall reconstruction in rheumatoid protrusio acetabuli undergoing cemented THA.
Contributors:
Age‑Specific Patterns of Childhood Skin Disease in Southwestern Nigeria: A Multicentre Study
Background: Paediatric dermatoses contribute substantially to childhood morbidity and impaired quality of life, yet data from resource-poor settings remain limited. This study describes the age‑specific and geographic distribution of dermatoses in children attending dermatology clinics in suburban and semi‑urban centres in Southwestern Nigeria Results: Among 589 children (mean age 7.9±4.8 years; 53.7% male), non-infectious dermatoses (71.1%), particularly eczematous (29.2%) and hereditary disorders (10.2%) predominated. Infectious dermatoses (36.8%) were significantly more common among children aged 0–11 years (p=0.012). Fungal infections peaked among school-aged children (p=0.013), while viral dermatoses were most frequent in preschool-aged children (p<0.001). Children in the suburban cohort had significantly higher odds of infectious (OR=1.72; 95% CI 1.18–2.50; p=0.004) and eczematous dermatoses (OR=1.72; 95% CI 1.15–2.56; p=0.008). Whereas hereditary skin conditions (OR = 0.60; 95% CI 0.34–1.03; p = 0.061) and papulosquamous dermatoses (OR = 0.60; 95% CI 0.33–1.06; p = 0.098) were more frequently observed in the semi‑urban setting Conclusion: Eczematous dermatoses dominate paediatric-dermatology consultations in Southwestern Nigeria, with distinct age and geographic patterns. Early‑childhood programmes should prioritise recognition and management of infectious and eczematous conditions, while school health services should strengthen fungal screening and treatment.
Contributors:
Incidence of Inferior Alveolar Nerve Injury Following Mandibular Third Molar Surgery: A Systematic Review
Protrusio acetabuli secondary to rheumatoid arthritis (RA) presents a complex reconstructive challenge during total hip arthroplasty (THA), particularly in the presence of medial wall deficiency and osteoporotic bone. Restoration of hip biomechanics and medial support is essential to prevent cup migration and recurrence of protrusion. A 75-year-old female with long-standing RA presented with bilateral end-stage hip arthritis and advanced protrusio acetabuli. Radiographs demonstrated Tönnis grade 3 osteoarthritis and Sotelo-Garza grade 3 (left) and grade 2 (right) protrusio. Intraoperatively, Paprosky Type 2C medial wall defects were identified. Staged bilateral cemented THA was performed using titanium mesh and impacted morselized autologous femoral head graft prior to cementation of the acetabular component. At Seven-year follow-up, radiographs demonstrated graft incorporation and restoration of the hip center without evidence of cup migration or loosening. Harris Hip Score improved from 36 preoperatively to 86 at final follow-up. Titanium mesh combined with impacted autologous cancellous graft provides a biologically favorable and cost-effective option for medial wall reconstruction in rheumatoid protrusio acetabuli undergoing cemented THA.
Contributors:
Prevalence of substance use and its associated risk factors among adolescents in an urban area –A cross sectional study.
Introduction- Substance use among adolescents has life-threatening consequences in future and also a challenge for policy makers to reduce this burden. This work outlines several important issues related to substance use among adolescents.: Objectives-(1) prevalence of substance uses among adolescents; (2) the presence risk factors associated with substance use. (3) current preventive interventions for adolescent population. Materials and Methods-A cross sectional study was carried out in the urban field practice area of a private medical college with use of a semi structured questionnaire and sample size collected was 350.Results-Majority of study population were male (76%) and mean age was 14.6 ± 2.8 years .Prevalence of substance use among adolescents was found to be 22.29% .Maximum were addicted to alcohol (66.6%) followed by Gutkha (44.8%), paan (30.7%), gudakhu (29.4%), cigarette(21.8%), cocaine(2.5%), heroine (1.28%) and bidi (1.28%).Addiction was found more in school dropouts , nuclear family ,broken family and problem family background and adolescents from upper lower socio economic status. Conclusion - This challenge of substance use among adolescents requires consistent and unremitting attention in order to execute effective prevention programs with continuous re-evaluation of the situation.
Contributors:
HOMOEOPATHIC MANAGEMENT OF PMOS USING PULSATILLA: A REPORT OF TWO CASES PREVIOUSLY DIAGNOSED AS PCOS
Background: Polyendocrine Metabolic Ovarian Syndrome (PMOS), previously known as Polycystic Ovary Syndrome (PCOS), is a prevalent endocrine disorder among women of reproductive age. Individualized treatment strategies may address underlying constitutional factors. Homoeopathy employs a personalized constitutional approach and may provide an alternative therapeutic option. Objective: To describe the homoeopathic management of two cases of PCOS treated with Pulsatilla pratensis as the similimum, with outcomes evaluated through pre- and post-treatment ultrasound imaging. Methods: Two women with ultrasound-confirmed PCOS, irregular menstruation, and clinical features corresponding to Pulsatilla received individualized homoeopathic prescriptions. Detailed case-taking and repertorization informed remedy selection. Patients underwent serial clinical follow-up and repeated transvaginal ultrasound assessments to monitor ovarian morphology and follicular patterns. Results: Both patients demonstrated significant clinical improvement within a year. Menstrual cycles became regular, symptoms decreased, and follow-up ultrasonography indicated resolution of polycystic ovarian morphology, supporting the clinical response to individualized Pulsatilla pratensis treatment. Conclusion: These cases indicate that Pulsatilla pratensis, when prescribed based on the totality of symptoms, may be effective in managing PCOS. Larger controlled studies are required to confirm these findings.
Contributors:
Applying Ayurvedic Concepts of Ritucharya and Janapadodhwamsa to Climate Change-Related Health Challenges: A Review
Background:Climate change has emerged as a major global public health concern, contributing to rising incidences of heat-related illnesses, vector-borne diseases, respiratory disorders, malnutrition, psychological stress, and environmental health disturbances. Ayurveda, the traditional system of Indian medicine, describes the close relationship between human health and environmental equilibrium through concepts such as Ritucharya (seasonal regimen) and Janapadodhwamsa (epidemic and environmental destruction). These classical principles may provide valuable preventive and adaptive strategies for modern climate-related health challenges. Objective:This review aims to explore the applicability of Ayurvedic concepts of Ritucharya and Janapadodhwamsa in understanding, preventing, and managing health issues associated with climate change and environmental disturbances. Methods:A narrative review of classical Ayurvedic texts, including Charaka Samhita, Sushruta Samhita, and Ashtanga Hridaya, along with contemporary scientific literature on climate change and public health, was conducted. Relevant articles were identified through electronic databases and analyzed to establish correlations between Ayurvedic principles and modern environmental health concerns. Results:The review highlights that Ritucharya emphasizes seasonal adaptation through dietary regulation, lifestyle modification, detoxification, and behavioral practices that strengthen physiological resilience against climatic variations. The concept of Janapadodhwamsa describes large-scale environmental deterioration affecting air, water, land, and seasonal patterns, leading to widespread disease outbreaks, which closely parallels contemporary understanding of ecological imbalance and pandemics. Integrating these Ayurvedic principles may support preventive healthcare, enhance community resilience, and promote sustainable living practices. Conclusion:Ayurvedic concepts of Ritucharya and Janapadodhwamsa offer a holistic framework for addressing climate change-related health challenges. Their integration into modern public health strategies may contribute to climate adaptation, disease prevention, and environmental sustainability.
Contributors:
PCOD case treated and cured with homoeopathy
PCOD treated and cured with homoeopathy. Homoeopathy has a very deep and important role to treat and cured PCOD and homoeopathy also regulate hormones in females
Contributors:
Clinico-Laboratory Profile and Outcomes of Geriatric COVID-19 Patients in a Tertiary Healthcare Setting in Kerala
Introduction: Older adults experienced disproportionate levels of morbidity and mortality during the COVID-19 pandemic, driven by physiological senescence and multi-morbidity. This research evaluates the clinical features, biochemical markers, and survival outcomes of elderly patients within a tertiary care environment in Kerala. Methods: We conducted a retrospective, record-oriented analysis of 626 COVID-19-positive individuals (age ≥60) admitted to T.D. Medical College Hospital, Alappuzha, between June 2020 and January 2021. Statistical associations between demographics, laboratory indices, and clinical outcomes were determined using IBM SPSS version 25. Results: The study population was mostly male (57.7%), with the majority falling in the 60–70 age bracket. Fatigue (58.6%) was the primary clinical complaint, whereas pyrexia was notably absent in many cases. Hypertension (67.3%) was the most prevalent underlying condition. A significant mortality risk was identified in Category C patients (33.9%), those with an admission SpO₂ below 90% (46.0%), and individuals with pre-existing cardiac disease. High ESR, D-dimer, and ferritin levels, along with sodium and potassium imbalances, served as robust predictors of mortality. Conversely, standard antiviral and corticosteroid therapies did not show a correlation with improved survival in this specific cohort. Conclusion: COVID-19 in the elderly frequently presents with non-classical symptoms, complicating early detection. Management should prioritize the monitoring of inflammatory markers and electrolyte levels, as conventional pharmacotherapy demonstrated limited benefit in this demographic.
Contributors:
Cardiovascular parameters and physical activity of pregnant women in 3 hospitals in the city of Douala (Cameroon)
Introduction: Physical inactivity and a sedentary lifestyle are linked to the occurrence of non-communicable diseases, which in some women can lead to maternal and fetal complications. This study aimed to determine the effect of physical activity on cardiovascular parameters in pregnant women. Material and methods: A cross-sectional study was conducted in three district hospitals (Deido, Logbaba, and City of palm trees) between October 2023 and February 2024. Physical activity levels were assessed using a questionnaire adapted for pregnant women. Cardiovascular parameters recorded included overweight and obesity, hyperglycemia, and hypertension. Results: A total of 205 women were included in the study. The mean age was 28 ± 5 years. Sedentary lifestyles accounted for 40.4%, obesity for 35.1%, and overweight for 34.1%. Elevated blood pressure was more prevalent in the third trimester of pregnancy compared to the second trimester. Nearly 57.6% had a level of light (43.9%) or moderate (13.7%) physical activity. Only the prevalence of SBP ≥ 140 mmHg, sedentary behavior, and DBP ≥ 90 mmHg varied (p = 0.0001) between physical activity levels. Conclusion: Physical activity has demonstrated its protective effect on certain cardiometabolic risk factors in pregnant women. Therefore, promoting physical activity and combating sedentary lifestyles is essential for pregnant women to prevent the onset of cardiometabolic diseases.