https://www.journalajmah.com/index.php/AJMAH/issue/feed Asian Journal of Medicine and Health 2020-07-06T12:09:48+00:00 Asian Journal of Medicine and Health contact@journalajmah.com Open Journal Systems <div> <p style="text-align: justify;"><strong>Asian Journal of Medicine and Health</strong>&nbsp;<strong>(ISSN: 2456-8414)</strong>&nbsp;aims to publish high quality papers (<a href="/index.php/AJMAH/general-guideline-for-authors">Click here for Types of paper</a>) in the areas of Medicine and Health Science.&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.&nbsp;</p> <p style="text-align: justify;">Every volume of this journal will consist of 4 issues. Every issue will consist of minimum 5 papers. Each issue will be running issue and all officially accepted manuscripts will be immediately published online. 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This is an independent journal run by SCIENCEDOMAIN international.&nbsp;</p> </div> </div> https://www.journalajmah.com/index.php/AJMAH/article/view/30218 Haematological Alterations among Cement Loaders in Port Harcourt, Nigeria 2020-07-06T11:58:00+00:00 Ransom Baribefii Jacob ransom.jacob@ust.edu.ng Chinyelu Obianuju Mba Patience Deborah Iduh <p><strong>Background:</strong> Exposure to cement dust without necessary precautions to prevent its inhalation is found to cause respiratory, dermatological, ocular as well as hematological problems and this is a matter of great concern to the health of cement loaders.</p> <p><strong>Aim of Study:</strong> This study was aimed at determining haematological alterations among cement loaders in Port Harcourt, Nigeria.</p> <p><strong>Study Design: </strong>Cross sectional study design.</p> <p><strong>Methodology: </strong>A total of 100 apparently healthy male subject consisting of 50 cement loaders and 50 non cement loaders aged between the ages of 20- 45years old were recruited for the study. Four millilitres (4 mls) of blood was collected aseptically from the antecubital vein of each participant using standard venepuncture technique into ethylene diamine tetra acetic acid (EDTA) anticoagulated vacutainer bottles with proper mixing to avoid blood clotting and then analysed using Sysmex haematology autoanalyser. Graphpad prism version 6.2 was used to analyse the data obtained.</p> <p><strong>Results: </strong>Results obtained showed a statistically higher value (p&lt;0.05) in platelet count (p=0.0001), lower values (p&lt;0.05) in haemoglobin concentration (Hb), Packed cell volume (PCV), Mean cell volume (MCV) and Mean cell haemoglobin (MCH) (p=0.0001). No significant difference (p&gt;0.05) was observed in the mean red blood cell (RBC) count value (p=0.3110), white blood cell (WBC) count (p=0.8138) and mean cell haemoglobin concentration (MCHC) (p=0.0584) respectively.</p> <p><strong>Conclusion and Recommendation:</strong> This study has confirmed that there are haematological alterations among cement loaders in Port Harcourt, Nigeria and these alterations are attributed to inhalation of cement dust during work. It is recommended that cement loaders should be mandated to use appropriate personal protective equipment during work hours and around areas where cement dust are generated.</p> 2020-07-06T00:00:00+00:00 ##submission.copyrightStatement## https://www.journalajmah.com/index.php/AJMAH/article/view/30219 Accuracy of Monofilament in the Assessment of Diabetic Neuropathy 2020-07-06T12:09:48+00:00 Vasudha Sanklapur drvasudhas@live.in S. Shruthi Nazir Attar <p><strong>Background:</strong> Diabetes Mellitus is one of the leading contributors of global burden of chronic diseases. Detection of diabetic end-organ damage, particularly during its early stages, is very crucial and significant. Peripheral neuropathy is a known vascular complication of chronic diabetes. Several modalities of detecting peripheral neuropathy clinically are available. The purpose of this study was to evaluate Semmes-Weinsten monofilament10gm in screening the diabetic peripheral neuropathy.</p> <p><strong>Aims and Objectives:</strong> To assess the accuracy of monofilament test in assessment of Diabetic neuropathy.</p> <p><strong>Materials and Methods:</strong> We analysed the data collected from 50 patients admitted in the medical wards or attending medical outxpatient department, diagnosed to have Diabetes, from august 2018 to august 2019. The results of three clinical tests, monofilament test, vibration (test) and ankle jerk (test), were performed. In the next phase nerve conduction velocity was examined in those with peripheral neuropathy. The results then compared with each other and with the gold standard nerve conduction velocity study.</p> <p><strong>Results:</strong> Data were pooled and coded in Microsoft Excel spreadsheet. R Version 3.4.1 and SPSS V.22 software was used to analyze the data. The sensitivity and specificity of monofilament test as in comparison with other clinical tests as well as the gold standard nerve conduction test was found to be 58% and 88% respectively. The sensitivity of achilles reflex was 30% and specificity being 80% in comparison with the nerve conduction velocity test. The sensitivity and specificity of vibration sense was 38% and 58% respectively. Hence the Simmes-Weinstein monofilament test was found to be more accurate test for clinical diagnosis of peripheral neuropathy in patients with diabetes.</p> <p><strong>Limitations:</strong> Study population was small.</p> <p><strong>Conclusion:</strong> This study showed that Semmes-Weinstein monofilament can be easily used as a simple and inexpensive device for screening for peripheral neuropathy.</p> 2020-07-06T00:00:00+00:00 ##submission.copyrightStatement##