American Journal of Clinical Research and Reviews

  • Patient Medical History & Medical Record Keeping: Accurate Problem Identification for Effective Solution

    Obtaining an accurate medication history, keeping and proper maintenance of patient medical records, tracking medication lists are essential parts of medicine reconciliation and these are the processes where pharmacists play a vital role in. Without all these, prescribers may inadvertently make incorrect decisions about a patient’s treatment, causing harm if previously discontinued medicines are restarted, or if current medicines are omitted or prescribed at the wrong dose for the patient. Medical records are a fundamental part of a physician’s duties in providing patient care. Medical records can contain a wide range of material, such as handwritten notes, computerized records, correspondence between health professionals, lab reports, imaging records, photographs, video and other recordings and printouts from monitoring equipment. Poor record keeping is a major factor in litigation cases brought against healthcare professionals.

  • The Mystery of Patient Behavior

    Patient behavior is often described as disruptive behavior as they have an altered mental stage of fear of being sick, anxious about out of the pocket cost, alteration of lifestyle if suffered from a chronic illness. And the outcomes often faced by providers are inappropriate language, make unreasonable demands, and may even resort to physical abuse. The article comprises a few of this unusual behavior and a simple comparison between patients from developed world with those of the under-developed east. Purpose of the study: Discussion and projection of behavior pattern, health seeking behavior and monitoring status in both developed and under-privileged countries. The pharmacists have a vital role to play which is discussed along with comparison. Findings: Developed or under developed country, patients have a separate behavior pattern which develops and worsen with disease progression mostly. So many factors are behind but one thing clearly understood that the handling of such situation is a provider’s function, a challenge they have to face along with treatment intervention. Research Limitations: Very few articles found in matters regarding along with a very less interest paid by general people to talk about healthcare matters. It was very difficult to bring out facts of irrational patient behavior, giving it a substantial figure to discuss in this article. However, the major limitation is the article could be a comparison of behaviors of developed and under-privileged countries which requires an enormous exposure and financial support. However, the sole focus was to detail mysterious patient behavior and a greater part is covered. Practical Implication: The soul of this article was to detail about patient behavior, both in Bangladesh and developed countries. Along with students, researchers and professionals of different background and disciplines, eg. Pharmacists, marketers, doctors, nurses, hospital authorities, public representatives, policy makers and regulatory authorities have to…

  • Psychological action in the cardiac transplanta: a report of experience

    Introduction: Serious cardiac diseases interfere considerably in patients’ quality of life. In these cases, heart transplantation has been increasingly indicated as a treatment. It is a process marked by intense experiences for the patient and his relatives, often emerging ambivalent feelings, as they deal with issues of finitude and of life restarting simultaneously. In view of this situation, the importance of the presence of the psychologist in the heart transplant team is evident. Objective: To report the performance of a psychologist in the cardiac transplantation process in a General Hospital. Methodology: Experience report. Results and discussion: Given the complexity and diversity of demands, the practice of the psychologist in the Cardiac Transplantation Sector in General Hospital can happen throughout the different phases of the treatment, from the identification of the need for surgery, with psychological evaluation, preparation and support to patients and relatives, to follow-up after hospital discharge, with psychotherapeutic follow-up, when necessary. Conclusion: Psychological repercussions on the patient and his relatives in heart transplantation are evident, which reinforces the need for the psychologist to work on different fronts, aiming at better psychological conditions to confront the stages of that process, which favors adherence to the treatment.

  • Effect of Malaria Parasite on Platelet Among Pregnant Women in Owerri, Imo State Nigeria

    Malaria is a formidable global parasitic infection that presents a major health challenge in Tropical countries especially among pregnant women and children. It has a profound alteration or reduction effects on hematological parameters such as platelets in pregnant women. The study was carried out to determine the effects of Plasmodium falciparum on platelets of pregnant women in Owerri, Imo state Nigeria. A total of one hundred and fifty (150) blood samples of pregnant women were collected at Holy Rosary hospital Emekuku in owerri. The blood samples were screened for malaria infection using thick and thin Giemsa blood films. Results showed that 50 (33.33%) were positive for malaria parasite showing significant signs, with visible fever accompanying the infections. Normal platelet number ranges from 150 X 109/L; 400 X 109/L. The association of hematological parameters and diagnosis of malaria infection among people living in malaria endemic areas were retrieved. The most commonly changed parameters are platelet count. Presence of thrombocytopenia in pregnant women from endemic areas was useful as supportive diagnostic criteria for malaria in cases with low levels of parasite number. Therefore, when used with other clinical and microscopy parameters, it can significantly improve malaria diagnosis and timely treatment for malaria infection.

  • CHIKUNGUNYA FEVER: A NEW VÍRUS TO THE OLD VECTOR

    Objective: The chikungunya fever is an arbovirus transmitted by chikungunya virus (CHIKV), using vectors like mosquitoes Aedes albopictus and Aedes egypti. This review aimed to gather up to date and official information on the Chikungunya fever in Brazil because of its resemblance to dengue and importance for public health. Methods: A review of scientific literature was conducted by searching articles in the mains databases, NCBI, SCIELO, BIREME, CAPES periodical portal between months February and April 2015. Results: Joint pain are the classic symptoms of chikungunya, and are being used as one of the clinical, laboratory and epidemiological for differential diagnosis. There are no vaccines for the disease, and palliative drugs used against inflammatory response caused by the virus. Mosquito control is the main preventive measure. Thus, it is necessary that the health workers are trained for the effective diagnosis and prevention.

  • How to detect subtle ischemic heart disease in athletes or ex-athletes: a case report with a brief review

    The identification and treatment of coronary artery disease (CAD) remain a great challenge for physicians in all the world. In this case report, the author explains how physicians can be able to detect a subtle coronary artery disease in otherwise healthy paucisymptomatic individuals, as athletes or ex-athletes, using only the exercise ECG stress (Ex-ECG) testing and clinical common sense, in the era of advanced technologies like cardiovascular imaging.

  • Widowhood and the Contending Odds in Africa: a Review

    The objective of this paper is to review the contending issues of widowhood in Africa with particular emphasis on Nigeria. Across different cultures in Nigeria, there exists harmful traditional widowhood practices that have attracted the attention of the global struggle especially on violence against women. Sufficient evidence suggests that, widows are often mal-handled by the society and thrown into financial, psychological, sexual and social trauma. The growing excess of widows in Nigeria is due to factors such as lower mortality rate among women than men, younger wives than husbands, wives with greater likelihood of outliving their husbands and higher remarriage rates among the widows than widowers. In the twenty first century, the clash of civilization reminiscent in culture and modernity has produced discernible patterns of decline in widowhood practices in all cultures in Nigeria. For instance, the factor of restricting a widow to a point of confinement is weakened by modernity and the economic demands of modern life. For an educated career widow, the return to work in an urban setting clearly negates the demand for respect for the rules of restriction in movement and association or interaction. Where the widow is perceived to be well educated and wealthy, the widowhood rights are observed more in breach than obedience. In the rural areas where widows may be illiterate, the demands of custom are more likely to be enforced with the presence of many pre-disposed to customary practices. The practice of widowhood rites has widespread negative effects and deeply ingrained social, psychological, economic and health implications for womanhood in Nigeria. From the little available literature, it is observed that, there is a high rate of widowhood among Africans especially in the crises prone areas of Africa such as Sudan, Liberia, Somalia, Sierra-Leone, Ethiopia, Eritrea, the Congo, Niger, Chad and recently Nigeria….

  • Pains and Challenges of Widowhood in Adamawa State, Nigeria

    The main objective of the study was to investigate the pains and challenges of widowhood in Adamawa State, Nigeria. The data was collected through the use of questionnaires and oral interviews. Data generated were analyzed using descriptive statistics. The results show that, majority of widows in Adamawa State are still young and sexually active with high reproductive tendencies that are within the age brackets of 20-30 (46.3%). Margi tribe had the majority (22.7%) widows who are mostly Christians (49.3%) with tertiary educational level of 31% and entrepreneurship of 37.3%. It was gathered that, 36.0% of widows had their marriage lives full of joy and happiness with high future expectations before the death of their husbands. The results also show that, 56.0% of the widows suffer greatly in processing the benefits of their deceased husbands. The findings show different levels of maltreatment experienced by widows across the state. It has been established that, at the initial stage of widowhood, most widows go to the cold shell of their homes to fight loneliness. Thus, the study would be of immense benefit to widows who are in need of practicable opportunity to reduce their pains and challenges. This is imperative, because the age-long cultural conception of marital expectations now seems inadequate for present day widows who have to grapple with new and multiple roles of breadwinning, physical protection, custodian of societal morality as well as caring, feeding and educating their children (most times all alone). The findings would be useful to the government, scholars, policy makers and opinion leaders in matters related to widows. Above all, professional counselors could benefit from the study in playing their roles as crisis managers and providers of relief materials to widows. On the basis of this awareness, counselors would be adequately equipped to counsel the widows, their…

  • Effects of Indian Epics in Psychotherapy

    This study in focuses on theory from a different Indian cultural background and to ascertain whether emotional intelligence can be used negatively, the reviewer chooses from the great Indian epics Vedas and Ramayana, Mahabharatha & Bhagavadgeetha’s aims to theoretically analyze the theory of Psychotherapy helps a person to manage stress, assists in problem solving and be successful in relationships.