Innovative Journal of Medical and Health Science 2019-04-25T06:24:33+00:00 medical and health science Open Journal Systems <p><strong>Innovative Journal of Medical and Health Science [IJMHS],</strong> peer-reviewed and published monthly, is committed to publishing scholarly empirical and theoretical research articles that have a high impact on the medical &amp; health science field as a whole. <strong>IJMHS</strong> encourages new ideas or new perspectives on existing research. This journal has articles pertaining to the following fields of medical &amp; health science:</p> <p>&nbsp;</p> <p>General &amp; Introductory Medical &amp; Health Sciences, Basic Medical Health Sciences, Addiction, Allergy &amp; Clinical Immunology Andrology, Anesthesia &amp; Pain Management, Anatomy, Audiology, Cardiovascular Disease, Cellular &amp; Molecular Medicine, Consumer Health, Dentistry, Dermatology, Emergency Medicine &amp; Trauma, Endocrinology &amp; Diabetes, Gastroenterology &amp;Hematology, General &amp; Internal Medicine, Geriatric Medicine, Health &amp; Social Care, Health science, Hematology, Infectious Disease &amp; Microbiology, Brain, AIDS, Cosmetic Surgery, Implants, Medical Devices, Holistic Medicines, Intellectual Disability, Mental Health, Neonatology, Nephrology, Neurology, Nursing &amp; Midwifery, Nutrition &amp; Dietetics, Obstetrics &amp; Gynecology, Occupational Therapy, Oncology &amp; Radiotherapy, Ophthalmology &amp; Optometry, Pathology, Pediatrics, Pharmacology, &nbsp;Physiotherapy, Psychiatry, Public Health, Radiography, Renal Transplantation, Respiratory Medicine, Rheumatology, Sexual Medicine, Speech Therapy, Sports Medicine, Surgery &amp; Surgical and all other area covered in medical and health science.</p> <p><em>&nbsp;</em></p> <p>&nbsp;</p> Level of Adherence to Antihypertensive Medications Among Adult Hypertensive Patients in Riyadh City 2019-04-25T05:23:56+00:00 Khaled Abdullah Albishi <p><strong>Background:</strong> In 2015, there were 1.13 billion individuals living with hypertension<br>around the globe. The predominance of hypertension worldwide is of about 40%. In<br>Saudi Arabia, it reached 3.2% among those aged between 15-24 years, 51.2% among<br>those aged 55-64 years and up to 70% among those aged 65 years and more. Hypertension<br>causes 7.5 million deaths, about 12.8% of the total deaths every year. Adherence<br>to medication is essential for maintaining life for hypertensive patients.<br><strong>Objective:</strong> This study aimed to assess the level of adherence to hypertension medications<br>and to determine factors affecting the compliance of hypertensive patients to<br>their antihypertensive drugs.<br><strong>Methods:</strong> we have conducted a descriptive cross-sectional study in Riyadh city population,<br>Saudi Arabia. This study was conducted during the period from December<br>2018 to January 2019. The participants were selected by random sampling. Sampling<br>included the different geographical areas of the city. The total sample included<br>216 subjects, all of which were approached to obtain the desired sample size. A selfadministered<br>questionnaire about hypertension and complications was filled by the<br>participants.<br><strong>Results:</strong> in this study, participants classified to three groups according to age: less<br>than 40 years old from 40 to 65 years old and 65 years old or above. Male and female<br>groups contributed to 72.2% and 27.8% respectively. The majority of participants<br>had secondary education (55.6%) and about 33.3% were at least university level. The<br>majority of participants with hypertension were on one medication prescribed for the<br>treatment of their high blood pressure and the majority of participants (66.7%) were<br>poorly compliant to their hypertension medication.<br><strong>Conclusion:</strong> more attention is needed on preventive educational programs that focus<br>on awareness and assessment of the hypertension medications adherence, complications<br>of hypertension, and the danger of poor control of it.<br><strong>Key words:</strong> Hypertension–adherence–control–perception</p> 2019-04-25T00:00:00+00:00 Copyright (c) RISK FACTORS FOR CARDIOVASCULAR EVENTS IN RURAL NIGERIA: A CROSS SECTIONAL SURVEY AND A REVIEW OF THE CURRENT LITERATURE 2019-04-25T05:38:45+00:00 Anthonia A. Ikpeme*,Nchiewe E. Ani, Edoise M. Isiwele, Andrew E. Ekpenyong,Emmanuel E. Ekanem <p><strong>Introduction:</strong> Over 80% of cardiovascular deaths take place in low and middle income<br>countries. These cardiovascular deaths are caused by modifiable risk factors. Evidence<br>is emerging that some of these factors maybe even more prevalent in rural areas which<br>are generally underserved.<br><strong>Aim:</strong> The aim of this study was to record risk factors for cardiovascular disease in<br>rural communities in south southern Nigeria and review some related literature.<br><strong>Methods:</strong> A cross sectional study during clinical outreach activities that took place<br>in 2016 to 2018 in several rural and few urban communities in Cross River State,<br>Nigeria. Participating individuals gave full consent and ethical clearance obtained.<br>Socio-demographic data, Anthropometric data and Blood sugar measurements were<br>obtained. Data extracted was transferred into EXCEL thereafter analysis was done<br>using SPSS version 21. p values less than 0.05 were deemed statistically significant.<br>Tests of significance included Anova, chi square and student t- tests.<br><strong>Results:</strong> Total population investigated over the 3 year period was 504. (2016-33.1%),<br>(2017 -37.9%), (2018 – 28%) with a Female: Male distribution of 1:1.<br>Most participants tended to be overweight across the years 59.7%, 59.1%, 73.7%,<br>2016, 2017, and 2018 respectively. The prevalence of Hypertension was 10.71%. No<br>significant gender difference in the prevalence of Hypertension (6.94% males to 3.77%<br>females, p=0.097). The prevalence of Diabetes Mellitus was 10.67%. There was no<br>significant gender prevalence (6.67% males to 4.00% females, p =0.431)<br><strong>Conclusion:</strong> Cardiovascular disease remains relatively uncommon in Sub-Saharan<br>Africa, despite an increasing prevalence of risk factors, but it’s incidence is rising.<br>Steps should be taken in Sub-Saharan Africa to prevent an epidemic. This involves<br>detailed and regular screening for cardiovascular risk factors in rural communities.<br><strong>Key words:</strong> RISK FACTORS FOR CARDIOVASCULAR EVENTS IN RURAL&nbsp;NIGERIA</p> 2019-04-25T00:00:00+00:00 Copyright (c) Using a structured assessment of technical skills checklist for surgical management of postpartum hemorrhage 2019-04-25T06:04:14+00:00 Meleen Chuang*,Melissa Fazzari, Heather Smith,Julie Kaplan, Erika Banks <p><strong>BACKGROUND:</strong> Maternal hemorrhage during cesarean sections can often be<br>identified and managed surgically with use of the B-Lynch compression suture, and<br>O’Leary (bilateral uterine artery ligation) stitch. Residents may improve their performance<br>of these procedures using a technical skills checklist with global rating scale.<br><strong>OBJECTIVE:</strong> To assess the reliability and validity of a technical skills checklist for<br>the B-Lynch Suture and O’Leary Stitch using a surgical model.<br><strong>METHODS:</strong> Two blinded evaluators reviewed the recordings of 52 obstetrics/<br>gynecology residents and 25 attending physicians performing the simulated BLynch<br>and O’Leary Stitch using a felt uterus model from March 1 2017 to August 31,<br>2017. The evaluators completed task-specific OSATS and global rating scales (GRS)<br>for the two simulations. Interrater reliability and construct validity were assessed.<br><strong>RESULTS:</strong> Interrater reliability was 97% for task-specific OSATS (task specific<br>checklist, TSC) and exceeded 98% for GRS. For construct validity regarding B-Lynch<br>simulation, attending physicians and senior residents scored higher than junior and<br>new residents; TSC (15.04 and 15.12, respectively vs. 5.63 and 3.38); GRS B-Lynch<br>(22.38 and 19.35, respectively vs. 8.85 and 6.75. For the O’ Leary simulation, senior<br>residents and attending physicians scored higher than junior and new resident on TSC<br>(15.20 and 13.65, respectively, vs. 11.54 and 2.83). Similar findings noted for O’Leary<br>GRS (23.76 and 21.32 vs. 14.89 and 6.83).<br><strong>CONCLUSION:</strong> There was good interrater reliability and construct validity using a<br>task-specific OSATS for B-Lynch and O’Leary Stitch. This instrument shows promise<br>as a tool for competency-based evaluations.<br><strong>Key words:</strong> Assessment of skills for postpartum hemorrhage</p> 2019-04-25T00:00:00+00:00 Copyright (c) The Functional Preparedness Of Football Players With Various Ability 2019-04-25T06:18:44+00:00 Dao Chanh Thuc <p>This study on the functional readiness of football players in the different game roles<br>of the teams of Vietnam’s first and second championships is revealed. The criteria for<br>the readiness of football players are indicators such as maximum oxygen consumption<br>and physical performance.<br>Functional status of the players is determined in the research laboratory of HCM State<br>Physical Culture Academy. The difference in the structure of the functional readiness<br>of the players with different abilities of different playing roles (goalkeeper, center and<br>wing, central midfield and wing and attack) is revealed.<br><strong>Key words:</strong> football players–playing role–functional readiness–VO2max–PWC170</p> 2019-04-25T00:00:00+00:00 Copyright (c) Building The Model Of Recreational Sports Club For Students Of An Giang University, Vietnam 2019-04-25T06:24:33+00:00 Dao Chanh Thuc <p>The study aims to research on the effectiveness of recreational sports club for students<br>of An Giang University - An Giang province, Vietnam. The study was conducted<br>through some methods, namely integrated research and relevant literature reviews,<br>experts interview, modeling, pedagogical, medical and psychological examinations,<br>pedagogical experiments and statistical mathematics. The author has demonstrated<br>the effectiveness of recreational sport club model with specific, scientific and logical<br>results.<br><strong>Key words:</strong> Model–Recreational sport club–An Giang University</p> 2019-04-25T00:00:00+00:00 Copyright (c)