Innovative Journal of Medical and Health Science <p><strong>Innovative Journal of Medical and Health Science [IJMHS], </strong>peer-reviewed and published bi-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>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><strong><em>&nbsp;</em></strong></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) Wed, 01 Aug 2018 07:49:08 +0000 OJS 60 Combination approach with ambulatory Blood Pressure and Electrocardiography Monitoring in Patients with Hypertension and Myocardial Infarction – A Prospective Study. <p><strong><em>Introduction:</em></strong><em>&nbsp; With the increasing number of deaths due to cardiovascular events, there is an urgent need for optimising the risk factors associated with it. The safety and cost effective non-invasive method to assess the blood pressure and modulate the treatment plan accordingly is to utilise the ambulatory blood pressure monitoring and Holter Electrocardiography in daily use in patients with hypertension.</em></p> <p><strong><em>Aim:</em></strong><em> To examine the functional state of cardiovascular system and possible predictive value of the daily application of the combined method of arterial blood pressure monitoring and ECG monitoring in hypertensive patients at different levels of the disease progression.</em></p> <p><strong><em>Methods and materials: </em></strong><em>We examined 37 patients with AH without any clinical significant pathology were included in the first group and 32 hypertensive patients with a history of myocardial infarction (MI) in the second group. The average age of participants in this study was 59,02±2,18 years. All patients underwent a comprehensive examination of the functional state of the cardiovascular system using the combined ECG and arterial BP monitoring validated device «CardiosensBP» XAI-MEDICA (Ukraine). The statistical data was processed using </em><em>«STATISTICA® for Windows 6.0</em><em>» (StatSoft Inc., #AXXR712D833214FAN5).</em></p> <p><strong><em>Results:</em></strong><em> The hypertensive state is characterized by an excess of the target values ??of systemic blood pressure: the daily mean values ??of systolic blood pressure (SBP) and diastolic blood pressure (DBP) were higher at 6,93% (P&lt;0,05) and 5,68% (P&lt;0,01) respectively in both groups. Indicators of pressure increase and morning surge(MS) are significant in patients of the second clinical group exclusively SBP, namely: the index of time (IT) - by 24,68% (P&lt;0,01), the index of measurements (IM) - by 16,84% (P&lt;0,05), MS - by 31,98% (P&lt;0,01).</em></p> <p><strong><em>Conclusions:</em></strong><em> The practice of application of daily arterial blood pressure and ECG monitoring has an important prognostic value in cardiovascular system functional status estimation and also enables the physician in optimising the treatment plan accordingly.</em></p> Varahabhatla Vamsi*, Adunuthula Shrividya, Maganty Virajitha, Vedula Ushakiranmayi, Buriak Viktor ##submission.copyrightStatement## Wed, 01 Aug 2018 00:00:00 +0000 A RARE CAUSE OF SMALL BOWEL OBSTRUCTION: GALL STONE ILEUS – A RADIOLOGICAL CASE REPORT WITH REVIEW OF LITERATURE <p><em>Small bowel obstruction (SBO) is a common clinical condition. The effective management depends on an early and accurate diagnosis. Gall stone ileus is a rare cause of mechanical small bowel obstruction and contributes to 1-4% of all cases of mechanical small bowel obstruction. The incidence is typically seen in elderly females. The diagnosis is often difficult and a previous history of gall stone disease helps in reaching the correct diagnosis. Surgical management is the preferred modality for treatment. We are reporting a case of Gallstone ileus diagnosed recently in our hospital. A 54 year old elderly female presented with sudden onset abdominal pain with recurrent vomiting for one day. A&nbsp; Plain radiograph of abdomen done in Emergency department suggested findings of small bowel obstruction. It was followed by an urgent ultrasound of abdomen which showed collapsed Gall bladder, pneumobilia and dilated non-peristaltic small bowel loops. Finally a contrast enhanced CT scan of abdomen was done and it showed air within in the biliary tree and within the collapsed Gall bladder. The Small bowel loops were dilated to the upper border of a large radiolucent intraluminal filling defect in the distal ileum. It also showed loss of clear interface between Gall bladder and second part of duodenum suggesting a possibility of Cholecystoenteric fistula. The patient underwent an urgent laparotomy with enterolithotomy. A 35 x 35mm calculus was impacted in the distal ileum. A fistulous communication was noticed between Gall bladder and the second part of duodenum which was repaired along with cholecystectomy.&nbsp;&nbsp; </em></p> Abhishek Mishra*, Sunit Chand, Satya Prakash Tripathi, Bharat Jani ##submission.copyrightStatement## Mon, 20 Aug 2018 00:00:00 +0000