Journal on Medical Emphasis Research

Prevalence of Malaria, Typhoid fever, and their Co-nfection among Febrile Patients attending Aboh Mbaise General Hospital Imo State

Unegbu Nnachetam Valentine — 2020-09-09

Malaria and typhoid fever are endemic diseases with life threatening consequences especially in Sub-Saharan Africa; and due to their geographical overlap, co-infections are very common. Their mimicking symptomatology often present with gross misdiagnosis and mistreatment. This study was carried out to determine the prevalence of malaria, typhoid fever, and their Coinfection among febrile Patients attending Aboh Mbaise General Hospital as well as to establish the advantage of stool culture over widal agglutination test in the diagnosis of typhoid fever. A total of two hundred and eighty-four (284) each of blood and stool samples were collected from patients presenting febrile conditions suggestive of malaria and typhoid fever and analyzed using parasitological, agglutination (Widal) and stool culture techniques. All isolates were identified as Salmonella enteric serovar typhi using standard microbiological techniques. Questionnaire was administered to obtain information on malaria/typhoid management practices. Out of the 284 blood and stool samples analyzed, 71(25.0%) were positive for malaria, 82(28.9%) and 21(7.4%) were positive for Salmonella enterica serovar typhi for widal and stool culture respectively, while 34(12.0%) were positive for coinfection of typhoid and malaria. However, prevalence of malaria parasite was not statistically significant in relation to sex (p>0.05), as males had 43(15.1%) prevalence and females, 28(9.9%). For Salmonella enterica serovar typhi, the prevalence was not statistically significant in relation to sex (p>0.05) as males had 45(15.8%) to females 37(13.0%) for widal test and males 15(5.3%) to females 6(2.1%) for stool culture. Sex was not statistically significant (p>0.05). For malaria/typhoid co-infection; males had 20(7.0%) co-infection rate while females had 14(4.9%) but no statistical significance (P > 0.05). Infections of both diseases were higher in wet season than in dry season and was statistically significant (P < 0.05). Symptoms were not statistically significant in both diseases (P < 0.05). Both malaria and typhoid were prevalent among the studied population with high rate of co-infection. The use of widal test alone in the diagnosis of typhoid fever is unreliable, misleading and should be discouraged. Culture technique still remains the gold standard in the diagnosis of typhoid fever and should be embraced.

The Effect of Kutaneus Stimulus (Slow-Stroke Back Massage) and Music Therapy of Anxiety Levels Inpatient Pre Operations in Mardi Waluyo Blitar Hospital

Asri Purwanti Rahayu — 2020-10-15

Surgery will cause the patient to experience various stressors. Stressors that appear can be psychological stress such as anxiety. Someone who experiences severe anxiety tends to hamper the operation process; the patient will be short-tempered, and irritable. This study aims to determine the effect of a cutaneous stimulus (slow-stroke back massage) and music therapy on anxiety levels in preoperative patients at Mardi Waluyo Blitar Hospital. This research uses a quasi-experimental design. The number of samples in this study was 36 respondents who were divided into three groups, namely the slow-stroke back massage group, music therapy, and a combination of both. The sampling in this study is nonprobability sampling with a purposive sampling approach. This research uses statistical analysis test Paired T-Test and Anova Two Way. Paired T-Test results showed a p-value of 0,000 <α (0.05), which means there is a significant effect between slow-stroke back massage, music therapy, and a combination of both of them on the level of anxiety in preoperative patients. ANOVA Two Way test results found that the p-value 0.307> α (0.05) with no significant difference in effect between groups of slow-stroke back massage, music therapy, and a combination of both of them on the level of anxiety of preoperative patients. Cutaneous stimulus (slow-stroke back massage) and music therapy significantly reduce anxiety levels in preoperative patients. Meanwhile, there is no significant difference in effect between cutaneous stimulus (slow-stroke back massage).

Robotics and Diagnosis of Autism Spectrum Disorder

Konstantinos Karakiozis — 2020-11-25

Autism Spectrum Disorder (ASD) is an umbrella term that describes a neurodevelopmental disorder that affects children’s ability to communicate with those around them and to develop mutual relationships with them. There is a reduced social interaction and communication observed, as well as limited, repetitive and stereotyped behavior. The gradual increase over time of the prevalence of children evaluated with ASD suggests the growing need to have a valid diagnosis in time, in order to develop effective interventions. In the present work, the use of Robotics for the diagnosis of Autism Spectrum Disorder is investigated. Technological developments in the last decade have led to significant results in recording and decoding children’s behavior based on ASD criteria. The use of robots to record and decode eye contact, speech and behavior, and/or gestures of children with ASD can lead to more objective observations, improved objectivity and reliability of the diagnostic process, cost reduction and more early diagnoses. On the other hand, so far, the diagnosis by robots cannot work autonomously, so in many cases the presence of a robot operator is considered necessary.

Multiple Sclerosis

Paul T.E. Cusack — 2020-12-28

In this paper, we use AT math and knowledge of Astrotheology physics as applied to the nervous disorder of MS. MS is caused by the deterioration of the myelin sheath that acts as an insulator around the axons of the nerves leading to the muscles causing them to short circuit; thus paralysis. Familiarity with Astrotheology and AT math are presumed. This is important because MS is a serious debilitating disease. To make a small step forward is a huge milestone.

Anxiety Disorders

Paul T. E. Cusack — 2020-12-28

In this paper, we show how the chemistry of stress build up in the body can lead to anxiety and other illnesses. Anxiety is at the heart of many other mental illnesses and disorders.

The Cause of Alzheimer’s Disease: Hydrogen Peroxide

Paul T.E. Cusack — 2020-12-28

In this paper, we dig into a possible root cause of AD. It appears that the myelin sheath on the alveus is destroyed and causes the patient to lose memory in the hippocampus and limbic system. We also tag on some calculation regrading the senses. It is hoped that this is a great leap forward towards a cure for AD.