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Azerbaijan Medical Journal

(ISSN: 0005-2523)

Azerbaijan medical journal (ISSN: 0005-2523) - is a scopus indexed journal since 1961. The publisher of the journal is Izdatel'stvo Elm by WHO Office in Azerbaijan. Azerbaijan medical journal (AMJ) is also UGC approved. The journal publishes general medicine, health science, psychological, pharmaceutical journals and so on. Gongcheng Kexue Yu Jishu/Advanced Engineering Science Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery Interventional Pulmonology Zhenkong Kexue yu Jishu Xuebao/Journal of Vacuum Science and Technology

Aim and Scope

Azerbaijan Medical Journal

Azerbaijan Medical Journal (ISSN: 0005-2523) - is a peer-reviewed journal. The journal seeks to publish original research articles that are hypothetical and theoretical in its nature and that provide exploratory insights in the following fields but not limited to. Zhongguo Shiyou Daxue Xuebao (Ziran Kexue Ban)/Journal of China University of Petroleum (Edition of Natural Science) Tobacco Science and Technology Teikyo Medical Journal Connected Health Wuhan Ligong Daxue Xuebao (Jiaotong Kexue Yu Gongcheng Ban)/Journal of Wuhan University of Technology (Transportation Science and Engineering) Zhonghua yi shi za zhi (Beijing, China : 1980) Agricultural Mechanization in Asia, Africa and Latin America International Medical Journal Technology Reports of Kansai University Asia Life Sciences Open Access Journals Tagliche Praxis

Anatomy Physiology Biochemistry Pharmacology Pathology Forensic medicine Microbiology Community Medicine Otorhinolaryngology Internal Medicine General Surgery Obstetrics and Gynecology Radiology Pulmonary Medicine Dermatology and Venereal diseases Infectious Diseases Anaesthesia Cancer research Neurosurgery Orthopedics Gastroenterology Neurology Nephrology Medical education Orthopaedics Paediatrics Reproduction Cardiology Diabetes Surgery Nursing Otolaryngology Dental Psychology Anesthesiology Dermatology Endocrinology Hepatology Urology Venereology Psychiatry Biotechnology Pharmacy ENT Pharmaceutical Chemistry Pharmaceutical Analysis Pharmaceutics Pulmonology Pharmacognosy Pharmaceutical Phatmaceutical Technology Biopharmaceutics Pharmacokinetics Pharmacodynamics Industrial Pharmacy Drug Design Quality Assurance Drug Regulatory Affairs Phytochemistry Drug Delivery Systems Pharmaceutical Nanotechnology Pharmaceutical Microbiology Hospital Pharmacy Clinical Pharmacy Pharmacy Practice Drug Discovery Drug Metabolism Toxicology Clinical Research Pharmacogenomics Phrmacoinformatics Pharmacovigilance< Life Sciences like Chemistry Biomedical Sciences Microbiology Immunology Forensic Epidemiology Oncology Biomedicine Dentistry Physiotherapy Gynaecology Dermatoepidemiology Neuroscience Ophthalmology Sexology Osteology Kinesiology Angiology/Vascular Medicine Critical care Medicine Haematology Infectious Diseases and Vaccinology Bariatrics Pharmacy and Nursing Pharmacognosy and Phytochemistry Radiobiology Clinical immunology Clinical and Hospital Pharmacy Cell Biology Genomics and Proteomics Healthcare Services Healthcare Management Bioinformatics and Biotechnology Geriatric Medicine Bulletin of National Institute of Health Sciences Journal of the Austrian Society of Agricultural Economics Gongcheng Kexue Yu Jishu/Advanced Engineering Science Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery Interventional Pulmonology Zhenkong Kexue yu Jishu Xuebao/Journal of Vacuum Science and Technology Wuhan Ligong Daxue Xuebao (Jiaotong Kexue Yu Gongcheng Ban)/Journal of Wuhan University of Technology (Transportation Science and Engineering) Zhonghua yi shi za zhi (Beijing, China : 1980) Zhongguo Shiyou Daxue Xuebao (Ziran Kexue Ban)/Journal of China University of Petroleum (Edition of Natural Science) Tobacco Science and Technology Teikyo Medical Journal Connected Health

Latest Journals Agricultural Mechanization in Asia, Africa and Latin America International Medical Journal Technology Reports of Kansai University Asia Life Sciences Open Access Journals Tagliche Praxis Bulletin of National Institute of Health Sciences Journal of the Austrian Society of Agricultural Economics

Azerbaijan Medical Journal

The Implementation of The Healthy City/District Program in Pangkep District
Journal ID : AMJ-17-01-2023-11072; Author : Nur Qalbi Talib, Sukri Palutturi, Darmawansyah, Balqis Nazaruddin, Nurhaedar Jafar, Masni,
Abstract : The Healthy District Program has been officially and systematically effective since the issuance of a Joint Regulation between the Ministry of Home Affairs and the Ministry of Health in 2005. Meanwhile, the implementation of this program in Pangkep Regency began in 2007. The purpose of this study was to analyze the implementation of such a program in the Pangkep Regency. This research was descriptive with a qualitative approach. The data were collected using in-depth interviews and document reviews. Ten informants were involved in the research. Content analysis was used to analyze the data. The findings showed that communication was carried out well within the scope of the advisory and healthy district forum teams. However, it could still be maximized to reach the community. Regarding resources, the staff (advisory and healthy district forum teams) performed quite well. However, it was found that the level of participation decreased, and some staff had excessive workloads. Regarding the facilities and infrastructure, secretariat offices were there to support the program. However, there were budget constraints for regional organizations in achieving healthy district indicators and for the teams’ incentives. The implementation of the healthy district program in Pangkep district has so far been carried out well in terms of communication and resources. However, in its implementation, a sectoral ego was found. Therefore, for the successful implementation of a healthy district program in Pangkep district, this program is led directly by the Regent or Regional Secretary to align with the Regional Head's vision and mission.
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The Impact of Alcoholic Beverage Consumption Habit on Women in Maluku Province, Indonesia
Journal ID : AMJ-17-01-2023-11071; Author : Ravenska Laturette, Ridwan Mochtar Thaha, Sudirman Nasir, Suriah, Ummu Salmah, ndi Zulkifli,
Abstract : The culture of drinking alcohol which is done by men and women in activities related to traditional events has grown into a habit for Maluku People. The purpose of this study is to investigate the effects of alcohol and non-alcohol consumption on women in Solea Village, East Taniwel District, West Seram Regency, Maluku Province. This is a quantitative study with an analytical study design and a cross sectional approach. A sample of 124 people was divided into 62 who consume alcohol and 62 who do not. In this study, the significant value on health impact and social impact was <0.001, while the economic impact was 0.250. So it can be concluded that there is difference in health impact and social impact on alcohol consumption habit and non-alcohol consumption, while on economic impacts it is concluded that there is no difference in economic impact on alcohol consumption habit and non-alcohol consumption. it is recommended for women in Solea Village to be more active in doing positive activities so that they can avoid alcohol and be more active in looking for information about the impact of consuming alcohol.
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An Analysis of Minimum Service Standard Implementation on Health Service for Pregnant Women in South Konawe Regency
Journal ID : AMJ-17-01-2023-11070; Author : Rismadianti, Indar, Sukri Palutturi, Alwy Arifin, Vonny Polopadang, Agus Bintara,
Abstract : Minimum Service Standard (MSS) for health is a reference for Regional Government to provide Health Services that every citizen deserves to receive minimally. This study aimed to analyze the implementation of Minimum Service Standard for pregnant women's health service in South Konawe Regency. The research design used a case study method with a qualitative-explorative approach through observation, in-depth interviews and literature studies of all research informants that selected by purposive sampling. The variables of this study used the theory of policy implementation by Edward III (1980) including: communication, resources, disposition and bureaucratic structure. The results of this study indicate that communication has not run optimally, information is not clear and detailed. The elements of transmission and consistency are good, but the element of clarity is not running optimally. Resources are still inadequate, human resources are available as needed, but Human Resource capabilities are still not optimal, budget is still limited, and there are still problems that related to support health facilities. Disposition has been going pretty well. commitment and implementation support are quite good, it has carried out coordination and commitment that involve cross-program and related cross-sectors. The bureaucratic structure is already running quite well. The implementation of Minimum Service Standard for pregnant women's health services in South Konawe Regency has is already running quite well. It is hoped that the health office, Public Health Center, local government of South Konawe Regency will improve aspects of communication, resources, disposition and bureaucratic structure in their implementation.
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In Silico Analysis of Non-Synonymous Single Nucleotide Polymorphisms (SNPs) of the Human IRAK1 Gene as a Risk Factor for Systemic Lupus Erythematosus Disease
Journal ID : AMJ-17-01-2023-11068; Author : Adnan, Dyah Aryani Perwitasari, Rita Maliza, Nanik Sulistyani,
Abstract : Single nucleotide polymorphisms (SNPs) play a crucial role in distinguishing disease-prone individuals. Identifying SNPs that affect protein stability is crucial. IRAK1 is one of the genes associated with Systemic Lupus Erythematosus susceptibility (SLE). This study aimed to identify nsSNPs within the IRAK1 gene that influence protein structure and function as a risk factor for SLE disease. Several in silico servers were used, including SIFT, PolyPhenv2, PROVEAN, SNAP, PhD-SNP, and Panther. Furthermore, nsSNPs identified as potentially harmful were investigated further using I-Mutant. The GeneMania server was used to identify gene interactions in order to determine whether the effect of existing polymorphisms was due to interactions with other genetic factors. Four nsSNPs with missense mutations in the human IRAK1 gene were identified: rs10127175, rs11465830, rs1059702, and rs1059703. Using the SIFT server, each of the four nsSNPs is tolerant. The Polyphen server's results demonstrated that the four SNPs were all benign. According to server data from Provean, four SNPs were all neutral. The SNAP server resulted one SNP to have no effect and three others to have an effect. Four SNPs on the PhD-SNP server were neutral. The Panther server yielded four SNPs all likely benign. According to the I-Mutant server analysis, four SNPs have the potential to reduce protein stability (decrease). There are nsSNPs of the IRAK1 gene, rs10127175, rs11465830, rs1059702, and rs1059703, that impair protein stability and are risk factors for SLE disease.
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The Kidney Donor and the Gift of Life: ‘I really want to donate my kidney to my sister, doctor.
Journal ID : AMJ-17-01-2023-11067; Author : Natasha Subhas, Azizul Awaluddin, Nicholas Tze Ping Pang, Sylas Sebastian, Benny Wee Tat Ong,
Abstract : Kidney donations are fraught with psychological distress, leading to significant depression and anxiety. This case report highlights a potential donor undergoing psychological assessment as part of the Kidney transplant assessment by the Consultation-liaison psychiatry team. This potential donor is a biological sibling of the recipient and was second in line after another sibling was rejected. As part of the transplant assessment, he was referred to the consultation-liaison psychiatry (CL) team for a psychological assessment. En Z was seen on the 12th October 2022. His Depression, Anxiety, and Stress Scale (DASS) score were 4 (Anxiety component -normal). Upon review, he has no psychopathology or psychiatric diagnosis. He had an adequate understanding of the benefits and risks of the procedure to make an informed consent. There was no coercion or manipulation in his voluntary decision. He had psychosocial preparation, including a care plan during the postoperative period, with good emotional and financial support from his family. He understood the importance of maintaining a healthy lifestyle post-operation. Hence the team deemed him psychologically fit for the operation. Organ donation can impact the mental and physical well-being of living donors, and often, the mental health of donors is overlooked. All potential kidney donors undergo pre-donation assessment, psychological assessment, surgical assessment, and post-donation care plans curated by the transplant society. Hence, donors’ mental health and physical well-being cannot be overlooked as they are providing the gift of life to the recipients. Throughout their journey, emphasis should be made on adequate psychosocial support for them and maintaining a good quality of life with the appropriate support and interventions.
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Relationship Between Bolus Delivery Methods And Penetration-Aspiration Incidences In Post-Radiotherapy Nasopharyngeal Cancer Patient
Journal ID : AMJ-17-01-2023-11065; Author : Reza Rumanda, Sri Herawati Juniati, Nyilo Purnami,
Abstract : Radiotherapy on patients with nasopharyngeal carcinoma (NPC) can induce oropharyngeal dysphagia (OPD). Giving a diet to OPD patients may increase penetration-aspiration risk, resulting in pneumonia and death. One of the methods to reduce penetration-aspiration risk in OPD patients is adjusting the bolus delivery. This study aims to determine the relationship between bolus delivery methods and the incidence of penetration-aspiration in NPC patients after radiotherapy. The type of research is pre-experimental with nine sequential observations. Sampling was carried out for three months consecutively until the sample size was met (n=23). Samples were instructed to swallow three boluses (puree, thick, and thin liquid) using three types of delivery (spoon, straw, and cup). The incidence of penetration-aspiration using spoons, straws, and cups for each kind of bolus was recorded. The statistical data analysis was performed using the Cochran comparison test and the McNemar comparison test. The incidence of penetration-aspiration occurred in as many as 64 out of 207 swallow attempts (30,91%). Puree bolus viscosity resulted in a p-value = 0.054, thick liquid bolus resulted in a p-value = 0.080, and thin liquid bolus resulted in a p-value = 1,000. There is no relationship between the bolus delivery methods and penetration-aspiration incidence in patients with NPC after radiotherapy.
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Protective Effects of Sufentanil and Remifentanil Preconditioning on Testicular Ischemia Reperfusion Injury
Journal ID : AMJ-16-01-2023-11059; Author : Muzaiwirin, Prananda Surya Airlangga, Herdiani Sulistyo Putri, Christrijogo Sumartono, Prihatma Kriswidyatomo,
Abstract : Testicular torsion is a condition that manifests with acute pain in childhood and adolescence which can lead to infertility despite urgent surgical intervention. The aim of this study is to investigate and compare the protective and preventive effects of sufentanil, remifentanil and fentanyl, a potent analgesic agent on testicular ischemia-reperfusion injury (tIR). 28 adult male Wistar rat were divided into four groups (n=7). Torsion was performed on all left testicles rat 720' clockwise. 1 hour ischemia. 30 minutes before detortion, control group (Nacl 0.9%), fentanyl group (2 mcg/kg), Remifentanil group (1 mcg/kg), Sufentanil group (0.6 mcg/kg) were injected intraperitoneally. During 1 hour of ischemia, the left testes was detorted to restore physiology. 24 hours after reperfusion, rats in euthanasia were taken blood to see Malondialdehyde levels and ipsilateral testes to find germ cell damage. Leydig cells count and percentage tubular necrosis. Administration of Sufentanil before detortion significantly reduced malondialdehyde levels (6.01+0.24SD,P<0.05), damage to germ cells (5.93,P<0.05), Leydig cells count (20.2+4.5SD,P<0.05) and tubular necrosis (3.95+0.62SD,P<0.05) which were subjected to torsion compared to the fentanyl and remifentanil groups. However, lipid peroxidation content of malondialdehyde was significantly decline in remifentanil group (3.58+0.23SD,P<0.05). Sufentanil in ischemia preconditioning has the most protective effect compare to remifentanil by preventing testicular ischemia reperfusion injury leading to infertility in the future.
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Effect of intraarticular hyaluronic acid injection on knee OA patients
Journal ID : AMJ-15-01-2023-11058; Author : Sinan Ismael Khaleel,
Abstract : Osteoarthritis (OA) is a shared progressive disorder in old-aged adults that is marked by joint pains and dysfunctions. Hyaluronic acid (HA) is an integral constituent of synovial fluids that play as joints lubricants throughout shear-stress and shocks absorption Intraarticular injecting by exogenous HA is proposed to substitute this OA-persuaded deficit and for production stimulation of endogenous HA, which can alleviate signs of knee OA by means of various path-ways. Determine the impact of intra-articular HA injections on knee Osteoarthritis cases. A clinical trial to assess the impact of intraarticular HA on gait functions and clinical outcomes detected in radiographic imaging moderate-severe knee OA cases. A sample of 100 patients from 40 to 80-yrs old, provided knowledgeable agreement at the pretreatment visits 1-wk previous to the 1st injection, and all contributors have detected knee OA built on the criteria set forth via the American College of Rheumatology. A highly significant change was found among different periods regarding WOMAC score. We concluded that the findings of this work showed that a regime of intraarticular injections of hyaluronic acid has a significantly high influence on functional outcomes and a decrease in osteoarthritic knee pains for at least six months.
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Detection of extended spectrum beta lactamase producing Proteus mirabilis by phenotypic and genotypic methods among various clinical isolates
Journal ID : AMJ-14-01-2023-11055; Author : Dr.Shireen Rana, Dr. Amreeen saba, Dr. Javeria Firdous, Dr. Bilal Ahmad Mir,
Abstract : Despite the advent of various antimicrobials, nowadays, the community acquired and health care associated infections are relatively frequent with Proteus species. Its resistance to various groups of antibiotic has been increasing, which needs a continuous survey for better therapeutic response. From total 5055 samples, 591 (11.7%) Proteus mirabilis isolates were obtained. 186 (5.4%) from urine samples, 120 (18.5%) from wound 105 (30.7%) from blood, 172 (28.5%) from pus were isolated. Out 591 samples of Proteus mirabilis 185 (31.3%) were ESBL positive. Maximum samples were obtained from wound (37.5%), followed by pus (36.0%), urine (31.7%), and blood (16%). Statistical analysis was done using chi – square test and p value was found to be significant. The frequency of ESBL producing strains in our study was 31.3 %. In the present study, presence of ESBLs was determined with CLSI phenotypic confirmatory test (PCT), double disc diffusion test (DDST) and E-test. PCT detected 185 (31.3%) isolates, DDST detected 169 (28.5%) isolates and E - test detected 185 (31.3%) isolates. Thus a higher rate of ESBL detection was found with CLSI phenotypic confirmatory test. All the positive isolates detected in PCT were confirmed by MIC using E-test. The clinical laboratory standards institute (CLSI) also recommends the use of the combination disc method for the phenotypic confirmation of ESBL production among Enterobacteriaceae. The raising resistance to various groups of antibiotics is a common problem and its management is a subject of concern. Identification, surveillance and study of the epidemiology of antimicrobial resistance will assist in the therapeutic management of patients by reducing the prescription of large spectrum antibiotics control of infections. This study is therefore a step towards the generation of national data on the prevalence of antimicrobial resistance pathogens.
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Comparing the probable complications and hemodynamic changes in Electro Convulsive Therapy under anesthesia with two 0.3 and 0.6 doses of Succinylcholine
Journal ID : AMJ-14-01-2023-11054; Author : Soroush Fatemi Naini, Leyla Rafiei, Azim Honarmand, Behzad Nazemroaya *,
Abstract : Electroconvulsive therapy (ECT) is one of the oldest and most effective methods to treat many psychiatric disorders. Succinylcholine is a short-acting depolarizing skeletal muscle relaxant used to relax muscles and facilitate patient control during intubation, mechanical ventilation, and surgical procedures. The aim of this study was to compare the probable complications and hemodynamic changes created as a result of applying 0.3 and 0.6 doses of Succinylcholine in candidates of ECT. In this clinical trial at Isfahan university hospital, 40 ECT candidate patients were randomly divided into two groups of 20 patients receiving 0.3 and 0.6 Milligrams per Kilogram dose of Succinylcholine. The age, sex, height, weight, and body mass index (BMI) of patients were recorded. Before induction of anesthesia (baseline) and 1, 5, 10, and 20 minutes later, symptoms like systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), heart rate (HR) and oxygen saturation (SPO2) measured and compared between two groups. There were no significant differences between the two groups regarding primary data and symptom values (P> 0.05). In patients that received 0.6 mg/kg of Succinylcholine, the prevalence of hypoxia and duration of apnea were significantly higher and the seizure duration was considerably shorter. Administration of Succinylcholine with 0.3 mg/kg lead to fewer complications including frequency and duration of apnea.
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