Innovative Journal of Medical and Health Science <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> en-US All paper submissions must carry the following duly signed by all the authors:<br />“I certify that I have participated sufficiently in the conception and design of this work and the analysis of the data (wherever applicable), as well as the writing of the manuscript, to take public responsibility for it. I believe the manuscript represents valid work. I have reviewed the final version of the manuscript and approve it for publication. Neither has the manuscript nor one with substantially similar content under my authorship been published nor is being considered for publication elsewhere, except as described in an attachment. Furthermore I attest that I shall produce the data upon which the manuscript is based for examination by the editors or their assignees, if requested.” (medical and health science) (santosh dutt) Thu, 25 Apr 2019 05:19:34 +0000 OJS 60 Level of Adherence to Antihypertensive Medications Among Adult Hypertensive Patients in Riyadh City <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> Khaled Abdullah Albishi Copyright (c) Thu, 25 Apr 2019 00:00:00 +0000 RISK FACTORS FOR CARDIOVASCULAR EVENTS IN RURAL NIGERIA: A CROSS SECTIONAL SURVEY AND A REVIEW OF THE CURRENT LITERATURE <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> Anthonia A. Ikpeme*,Nchiewe E. Ani, Edoise M. Isiwele, Andrew E. Ekpenyong,Emmanuel E. Ekanem Copyright (c) Thu, 25 Apr 2019 00:00:00 +0000 Using a structured assessment of technical skills checklist for surgical management of postpartum hemorrhage <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> Meleen Chuang*,Melissa Fazzari, Heather Smith,Julie Kaplan, Erika Banks Copyright (c) Thu, 25 Apr 2019 00:00:00 +0000 The Functional Preparedness Of Football Players With Various Ability <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> Dao Chanh Thuc Copyright (c) Thu, 25 Apr 2019 00:00:00 +0000 Building The Model Of Recreational Sports Club For Students Of An Giang University, Vietnam <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> Dao Chanh Thuc Copyright (c) Thu, 25 Apr 2019 00:00:00 +0000