https://journalajmpcp.com/index.php/AJMPCP/issue/feed Asian Journal of Medical Principles and Clinical Practice 2020-08-05T07:50:02+00:00 Asian Journal of Medical Principles and Clinical Practice contact@journalajmpcp.com Open Journal Systems <p style="text-align: justify;"><strong>Asian Journal of Medical Principles and Clinical Practice</strong>&nbsp;aims to publish high quality papers (<a href="/index.php/AJMPCP/general-guideline-for-authors">Click here for Types of paper</a>) in all areas of Medical Science and Clinical Practice.&nbsp;AJMPCP will not only publish traditional full research reports, including short communications, but also this journal will publish reports/articles on all stages of the research process like study protocols, pilot studies and pre-protocols. AJMPCP&nbsp;is novelty attracting, open minded, peer-reviewed medical periodical, designed to serve as a perfectly new platform for both mainstream and new ground shaking works as long as they are technically correct and scientifically motivated.&nbsp;The journal also encourages the submission of useful reports of negative results.&nbsp;This is a quality controlled,&nbsp;OPEN&nbsp;peer reviewed, open access INTERNATIONAL journal.</p> https://journalajmpcp.com/index.php/AJMPCP/article/view/30117 Assessment of the Knowledge and Attitude to Radiation Safety Standards of the Radiological Staff in Damaturu, Yobe State, Nigeria 2020-06-09T09:18:03+00:00 Samson Dauda Yusuf samsonyusufu@yahoo.com Ibrahim Umar1, Abba, Idris Bukar Mustapha Mohammed Idris <p>Radiation protection and safety has been a major concern of many national and international bodies because of the potential hazardous effects associated with ionizing radiation if not properly controlled. However, no much research has been done on the compliance of Radiographers to radiation safety standards in Nigeria. In this study, we access and evaluate the level of compliance of the radiological staff in Damaturu, Yobe State using a self-structured questionnaire. The simple random sampling technique was used to collect 25 valid responses from radiographers, radiologist, technicians and other staff, corresponding to 92.86% response rate. Results show that even though the radiographers show high compliance rate to radiation safety standards, majority of the workers do not have thyroid shields and monitoring devices and since the total number of exposures given during radiography is usually not recorded, it means they are over exposing themselves as well as the patients to radiation which is not a good safety measure. However, hospital management should focus attention on providing continuous professional development programs and quality assurance programs so as to maintain good processing of X-ray films for good quality radiographs as this will reduce repeated exposures. Provision of monitoring devices and thyroid shields are of great importance.</p> 2020-06-09T00:00:00+00:00 ##submission.copyrightStatement## https://journalajmpcp.com/index.php/AJMPCP/article/view/30118 Concentration of Potentially Toxic Elements in the Clinical Waste Dumpsites in Ebonyi State, Southeast Nigeria: Its Evaluation and Policy Dimension 2020-07-23T11:18:54+00:00 N. C. Eze ezenelson24@gmail.com R. N. Eze A. P. Agu <p><strong>Background:</strong> Clinical wastes are potentially toxic elements (PTE) and harmful microorganisms which can infect health workers and their patients. They comprise both biodegradable and non-biodegradable elements. Clinical waste management (CWM) is the control of all waste generated in the hospitals using professional methods that help to prevent the spread of ailments. This study therefore evaluated the concentration of potentially toxic elements (PTE) in the clinical dumpsites in Ebonyi State.</p> <p><strong>Materials and Methods:</strong> The PTE studied were chromium (Cr), lead (Pb), and nickel (Ni). Samples were collected from three major hospitals namely Federal Teaching Hospital Abakaliki (FETHA), Rural Improvement Mission (RIM), and Matar Hospitals in Ebonyi North, Central and South senatorial zones respectively. A total of fifteen samples were collected in addition to control samples. Four samples from each of the hospital dumpsites. The samples were dried, digested, filtered, and analyzed for PTE using Atomic Absorption Spectrophotometer (Shimadzu; AA-7000).</p> <p><strong>Results:</strong> At FETHA, the concentration of Cr was 37.00 mg/kg while lead concentration varied from 51.00-19.40 mg/kg and Ni concentration ranged from 9.60-21.74 mg/kg. At R.I.M Hospital, the concentration of Cr varied from 18.50-37.00 mg/kg, the Pb concentration varied from 51.00-207.40 mg/kg while Ni concentration ranged from 7.20-21.70 mg/kg. The concentration of Cr at Matar hospital was observed to be relatively constant at 18.51 mg/kg while the concentration of Pb varied from 6.48-2832.00 mg/kg, and Ni concentration ranged from 2.40-14.50 mg/kg. The result also showed that in the control samples, Cr concentration ranged from 0.07-0.50 mg/kg, while the concentration of Pb and Ni varied from 0.40-0.96 mg/kg, and from 0.07-0.06 mg/kg respectively.</p> <p><strong>Conclusion:</strong> The concentration of PTEs in the clinical waste dumpsites of these facilities was high and therefore constituted a potential health risk to man and his environment. Environmental health officers should be charged with more responsibilities to ensure healthy environment and safety.</p> 2020-07-23T00:00:00+00:00 ##submission.copyrightStatement## https://journalajmpcp.com/index.php/AJMPCP/article/view/30119 Standardization of Moscow Coma Scale in Patients Hospitalized in Intensive Care Units in Iran 2020-08-03T07:13:13+00:00 Mehrdokht Mazdeh samane@gmail.com Hosein Kimiaei- Asadi hkimiaeimd@yahoo.com Mohsen Razavian Abbas Moradi <p><strong>Introduction:</strong> Moscow scale is an appropriate scale for the evaluation of the level of consciousness in patients hospitalized in intensive care units (ICU). This study aimed to standardize the Moscow scale in patients hospitalized in ICU based on Iran's demographics information.</p> <p><strong>Materials and Methods: </strong>This prospective study was performed on 60 patients admitted to ICU. The subjects were selected from Farshchian Medical and Educational Center, in Hamedan Hamadan, 2016. The Moscow questionnaire was translated into Persian by a translator familiar to the subject. Cronbach's alpha was used to determine the reliability of the questionnaire. Moreover, the correlation between the Glasgow Coma Scale (GCS) and Moscow scale was assessed using statistical analysis.</p> <p><strong>Results:</strong> In this quasi-experimental research design, 51.7% of the patients were male and 48.3% were female. The mean age of the subjects was 60.7±20.7 years. According to our findings, 31.7%, 30%, and 21.7% of the patients were in a deep coma, vegetative state, and moderate coma, respectively. Based on the Glasgow coma scale, consciousness level was within the range of 3-8 in 93.3% of the patients, while it was higher than 8 in 6.7% of them. Cronbach's alpha coefficient indicates that the Moscow scale is fairly reliable, whereas, in the Moscow scale, the coefficient of agreement between the two observations was obtained at 0.83.</p> <p><strong>Conclusion:</strong> Based on our results, the Moscow evaluation system has favorable reliability to assess the consciousness level in comatose patients. Therefore, this scale can be introduced as an alternative for the GCS scale in Iran.</p> <p><strong>Introduction:</strong> Moscow scale is an appropriate scale for the evaluation of the level of consciousness in patients hospitalized in intensive care units (ICU). This study aimed to standardize the Moscow scale in patients hospitalized in ICU based on Iran's demographics information.</p> <p><strong>Materials and Methods: </strong>This prospective study was performed on 60 patients admitted to ICU. The subjects were selected from Farshchian Medical and Educational Center, in Hamedan Hamadan, 2016. The Moscow questionnaire was translated into Persian by a translator familiar to the subject. Cronbach's alpha was used to determine the reliability of the questionnaire. Moreover, the correlation between the Glasgow Coma Scale (GCS) and Moscow scale was assessed using statistical analysis.</p> <p><strong>Results:</strong> In this quasi-experimental research design, 51.7% of the patients were male and 48.3% were female. The mean age of the subjects was 60.7±20.7 years. According to our findings, 31.7%, 30%, and 21.7% of the patients were in a deep coma, vegetative state, and moderate coma, respectively. Based on the Glasgow coma scale, consciousness level was within the range of 3-8 in 93.3% of the patients, while it was higher than 8 in 6.7% of them. Cronbach's alpha coefficient indicates that the Moscow scale is fairly reliable, whereas, in the Moscow scale, the coefficient of agreement between the two observations was obtained at 0.83.</p> <p><strong>Conclusion:</strong> Based on our results, the Moscow evaluation system has favorable reliability to assess the consciousness level in comatose patients. Therefore, this scale can be introduced as an alternative for the GCS scale in Iran.</p> <p><strong>Introduction:</strong> Moscow scale is an appropriate scale for the evaluation of the level of consciousness in patients hospitalized in intensive care units (ICU). This study aimed to standardize the Moscow scale in patients hospitalized in ICU based on Iran's demographics information.</p> <p><strong>Materials and Methods: </strong>This prospective study was performed on 60 patients admitted to ICU. The subjects were selected from Farshchian Medical and Educational Center, in Hamedan Hamadan, 2016. The Moscow questionnaire was translated into Persian by a translator familiar to the subject. Cronbach's alpha was used to determine the reliability of the questionnaire. Moreover, the correlation between the Glasgow Coma Scale (GCS) and Moscow scale was assessed using statistical analysis.</p> <p><strong>Results:</strong> In this quasi-experimental research design, 51.7% of the patients were male and 48.3% were female. The mean age of the subjects was 60.7±20.7 years. According to our findings, 31.7%, 30%, and 21.7% of the patients were in a deep coma, vegetative state, and moderate coma, respectively. Based on the Glasgow coma scale, consciousness level was within the range of 3-8 in 93.3% of the patients, while it was higher than 8 in 6.7% of them. Cronbach's alpha coefficient indicates that the Moscow scale is fairly reliable, whereas, in the Moscow scale, the coefficient of agreement between the two observations was obtained at 0.83.</p> <p><strong>Conclusion:</strong> Based on our results, the Moscow evaluation system has favorable reliability to assess the consciousness level in comatose patients. Therefore, this scale can be introduced as an alternative for the GCS scale in Iran.</p> 2020-08-03T00:00:00+00:00 ##submission.copyrightStatement## https://journalajmpcp.com/index.php/AJMPCP/article/view/30120 Myasthenia Gravis at Presentation: A 14 Year Institutional Review of a Rare Disorder in Calabar, Southern Nigeria 2020-08-05T07:50:02+00:00 Sidney K. Oparah sidkele@yahoo.com Affiong Ibanga <p><strong>Aim:</strong> Spurred on by the prevailing dearth of data from Nigeria and West Africa, in the context of reports suggesting racially influenced phenotypic variation in the manifestation of myasthenia gravis, this study explored the clinical presentation of patients with myasthenia gravis at a tertiary health facility in Calabar, Nigeria.</p> <p><strong>Study Design:</strong> We employed a cross-sectional study design.</p> <p><strong>Place and Duration of Study:</strong> This study was conducted at the University of Calabar Teaching Hospital, Nigeria. The period under review spanned from January 2006 to December 2019.</p> <p><strong>Methods: </strong>We obtained relevant demographic and clinical data from those who presented with myasthenia gravis from June 2017 to December 2019, and retrospectively extracted demographic and clinical information at presentation, from the records of patients diagnosed with myasthenia gravis at the outpatient neurology and ophthalmology clinics of the hospital from January 2006 to May 2017. Data analysis was done with version 22 of the statistical package for social sciences software.</p> <p><strong>Results: </strong>26 patients with myasthenia gravis comprising 11 males and 15 females, with an overall mean age of 36.7 ± 18.79 years, presented at the clinics over 14 years; giving a male: female ratio of 1:1.4, and a prevalence of 26.3 per 100,000. Ocular and generalized forms of myasthenia gravis each constituted half of the number of cases.18.4%, 65.4% and 19.2% of the patients presented with juvenile-onset, early-onset, and late-onset myasthenia gravis, respectively. Ptosis (88.5%), diplopia (84.6%) and limb weakness (42.3%) were the top three presenting features. None of the patients had co-existing thymic enlargement at the time of the first presentation.</p> <p><strong>Conclusion: </strong>The majority of the cases had early-onset myasthenia gravis, with females more affected than males. Ocular symptoms comprise the predominant clinical features at initial presentation and there was no co-existing thymic enlargement.</p> 2020-08-05T00:00:00+00:00 ##submission.copyrightStatement##