European Journal of Medical and Health Sciences European Journal of Medical and Health Sciences European Open Access Publishing en-US European Journal of Medical and Health Sciences 2593-8339 Emotional Intelligence and its Association with Motivational Levels and Perception of Pain during Orthodontic Treatment <p><strong>Introduction</strong>: During orthodontic treatment pain is experienced by the patient but here the stimulus is not withdrawn,so the pain and discomfort continues throughout the duration of treatment. Patient’s ability to withstand this constant and continuous pain and discomfort depends a great deal on the emotional quotient of the patient .<strong>Aims &amp;Objectives</strong>: To record the emotional quotient and assess the relation between emotional intelligence and perception of pain during orthodontic treatment. Also, to find out the relation between emotional intelligence and the patient motivational level for orthodontic treatment. <strong>Methodology</strong>: The study was designed as a cross sectional prospective research on a sample of 30 participants between 15-25 yrs. The patients were asked to fill the questionnaire the next day of separator placement along with the Visual Analog Scale (VAS). Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF)was used. <strong>Results</strong>: The results showed no significant correlation between EQ and pain when compared in general but was negatively correlated and significant for males when compared separately for males and females.. <strong>Conclusion</strong>: The findings of the study clearly emphasizes the importance of a patient’s motivation for orthodontic treatment. It also reveals the importance of Emotional Quotient to tolerate the pain experienced during the orthodontic treatment.</p> Ashwathi Mohan Pillai Supriya Nambiar Unnikrishnan B. Copyright (c) 2019 Supriya Nambiar 2019-09-06 2019-09-06 1 4 10.24018/ejmed.2019.1.4.39 Spatial Analysis of Risk Factors of Potable Water and The Efficiency of HIV/AIDS in Ekiti State, Nigeria <p>Human immunodeficiency virus (HIV) and Acquired immunodeficiency syndrome&nbsp;(AIDS) have been a major problem around the world, and various control have been put in place to tame this potentially life-threatening virus. The research aims to expose the relationship between HIV/AIDS and potable water. However, it is generally believed that the virus cannot be contacted through water, but the interface between HIV/AIDS may likely be influenced through scarcity of water. The data for this research was collected through administration of questionnaire to people leaving with HIV/AIDS (PLWHA) at major health institutions in the three senatorial districts in Ekiti state. The data collected were analyzed using statistical tools and the results show that 44.5% of the respondents believed that water availability can reduce the spread of HIV/AIDS infection around the study area. 84.5% of the respondents had an increased need of water after HIV infections. While 92.7% of the respondents agreed HIV positive people have increased need for better hygiene and sanitation. The study discovers that water, sanitation, hygiene and population are agents determining the spread of HIV/AIDS in the environment. Thus, planning and proper spread of infrastructure that support supply of potable water will reduce and control the virus.</p> Folorunso Owoola Wole W. Adebayo Kayode O. Olowe Copyright (c) 2019 Folorunso Owoola, Wole W. Adebayo, Kayode O. Olowe 2019-09-06 2019-09-06 1 4 10.24018/ejmed.2019.1.4.70 Biofilm Measurement, Site Specific Variation in Biofilm Production, Biofilm Typing: An Acinetobacter Trilogy <p>Acinetobacter baumannii is a member of the ESKAPE pathogens, notorious for causing multidrug resistant nosocomial infections worldwide. Biofilm has an important role in its persistence and spread in hospital environment, as well as its multidrug resistance potential. The present study was aimed at finding out whether the strength of Biofilm formation varies with infection of different organs / system.&nbsp; A total of 136 isolates of Acinetobacter baumannii were taken from a variety of samples. Strength of Biofilm formation, determined by Tissue culture plate method, was graded according to OD value in ELISA reader as nil, moderate and strong.&nbsp; It was seen that association between variations in biofilm forming capacity depending on different sites of infection was statistically significant.&nbsp; We suggest biofilm typing by this method for this pathogen, as a potentially feasible alternative in countries with cost restrained healthcare set ups. Moreover, biofilm typing report would be more meaningful to the clinicians as well.</p> Baishali Chakraborty Dibyendu Banerjee Shubhankar Mukherjee Copyright (c) 2019 Baishali Chakraborty, Dibyendu Banerjee, Shubhankar Mukherjee 2019-09-06 2019-09-06 1 4 10.24018/ejmed.2019.1.4.74 Possible Role of P-Glycoprotein in Cyclosporine -Acitretin Drug Interaction <p>P-glycoprotein, an efflux transporter prevents intracellular accumulation of xenobiotics. Cyclosporine A and acitretin are used to treat psoriasis. The present research work aims to investigate the possible role of P-glycoprotein in Cyclosporine- Acitretin drug interaction due to evidence of both drugs having affinity for P-glycoprotein.The study has three different objective namely to assess apparent permeability coefficient of cyclosporine in presence of acitretin by non-everted sac technique, to study the intestinal permeation and absorption kinetics of cyclosporine in presence of acitretin by single pass intestinal perfusion (SPIP) technique and to study the influence of acitretin on oral bioavailability of cyclosporine in Wistar rats.The result of ex vivo, in situ and in vivo study showed that cyclosporine level increased in a time dependent manner. As the dose of acitretin increases the cyclosporine concentration in all three methods tend to increase and was statistically significant. The improvement in absorption of cyclosporine may be due to the inhibition of P-glycoprotein transporter in the intestine by acitretin. Thus acitretin may enhance the oral pharmacokinetics of cyclosporine. Hence this combination may require close monitoring for better therapeutic outcome. Our study confirmed the inhibitory role of acitretin on P-glycoprotein leading to increase concentration of cyclosporine.</p> Subhashri Shrihari Rajendran Vimalavathini Ramesh Copyright (c) 2019 Subhashri Shrihari Rajendran, Vimalavathini Ramesh 2019-09-06 2019-09-06 1 4 10.24018/ejmed.2019.1.4.62 Isolated Sacrococcygeal Tuberculosis, A Case Report Of A Rare Atypical Presentation <p>Tuberculosis is a major health problem in India and in view of rise in the MDR tuberculosis atypical presentations are getting commoner these days and are difficult to diagnose. Musculoskeletal tuberculosis is very common among the&nbsp; hematogenous spread cases of pulmonary tuberculosis involving thoracic spine the most. Involvement of sacrum and coccyx is rarest of&nbsp; the possibility and isolated sacrococcygeal tuberculosis thus is very rare. Being a rare entity a high index of clinical suspicion is required to diagnose it. We hereby report a very rare case report of sacrococcygeal tuberculosis.</p> Daksh Gadi Saket Nigam Deepti Gupta Akanksha Sinha Copyright (c) 2019 Daksh Gadi, Saket Nigam, Deepti Gupta, Akanksha, Sinha 2019-09-11 2019-09-11 1 4 10.24018/ejmed.2019.1.4.68 Tamsulosin And Dementia In Old Age: Is There Any Relationship? <p>Tamsulosin is used to treat Benign Prostatic Hyperplasia (BPH), prescribed annually to about 12.6 million patients worldwide. It is an alpha-adrenergic antagonist that reduces the tone of the prostate smooth muscle involved in the pathophysiology of BPH. By acting on alpha 1A receptors, predominant in the prostate, tamsulosin also acts on receptors present in the brain. This study consisted of a literature review aimed at disseminating scientific knowledge about the relationship between the use of tamsulosin and the onset of dementia. Pubmed, Scopus, Scielo, Embase, and Web of Science studies involving dementia in patients using tamsulosin in the last five years were selected. The review showed a risk correlation and a higher incidence of dementia in treated patients. The risk ratio, when compared to other medicines, approached 1.20. In conclusion, it was identified the need for clinical trials with higher sampling power to increase relational significance due to the high prevalence of BPH and the extensive use of tamsulosin in elderly patients with the disease.</p> Rebecca Renata Lapenda do Monte Karina de Andrade Vidal Costa Arnaldo Santiago Nunes Junior Amália Cinthia Meneses Rêgo Irami Araujo Filho Copyright (c) 2019 Rebecca Renata Lapenda do Monte, Karina de Andrade Vidal Costa, Arnaldo Santiago Nunes Junior, Amália Cinthia Meneses Rêgo, Irami Araujo Filho 2019-09-23 2019-09-23 1 4 10.24018/ejmed.2019.1.4.77 Knowledge, Attitude and Practice of Saudi Parents Towards Their Children's Oral Health: An Online Questionnaire Survey <p>Children's oral health is of paramount importance as it governs the oral health status of the upcoming generation. Their oral hygiene is a vital part of general childcare. This under-appraised issue is often neglected by young parents, which can result in poor children's oral health. Aim: To assess standard knowledge, attitude and behavior of Saudi parents pertaining to the oral health of their young children. Materials and Methods: a prospective cross-sectional online survey was conducted in Saudi Arabia in 2017. The questionnaire included a total of 16 questions which were divided into two parts; the first part asked about parents' general information such as the name, age, gender, educational level, occupation and total family income. The second part included questions related to knowledge, attitude and practices toward children on selected oral health issues. Results: 1038 Saudi parents responded to the online questionnaire (70% Females and 30% male). Majority Saudi parents recognized many preventive dental aspects like importance of early acquisition of tooth brushing, avoidance of caries-related diet and nocturnal on demand breast feeding. Seventy three percent were convinced that it is better to take their children to a specialized pediatric dentist rather than a general dental practitioner. However, it was revealed that there was limited knowledge and awareness of Saudi parents about the significance of the routine dental checkups, ideal timing of first dental visit and importance of topical fluoride. Hypothetical myths and social beliefs associated with dental treatment like endodontic treatment were common; creating barriers to early preventive and curative dental care of young Saudi children. Conclusion: Parents were found to have inadequate knowledge in regard to oral health of their young children. The present research points to a need for enhanced dental education of parents, particularly in planning for their children's first visit and effect of prolonged on-demand at night breast feeding on development of early childhood caries. Community based oral health programs are required in order to raise parents' awareness regarding their children's oral health.</p> Malaz Mohamed Elrafie Mustafa Ebtehaj Saleh Albeshri Mashael Khaled Althobati Copyright (c) 2019 Malaz Mohamed Elrafie Mustafa, Ebtehaj Saleh Albeshri, Mashael Khaled Althobati 2019-09-25 2019-09-25 1 4 10.24018/ejmed.2019.1.4.81 A Kuri Beef (Bos Taurus) Imported From The Lake Chad Has Introduced Hyalomma Impeltatum (Acari: Ixodidae), An Anthropophilic Tick To Gabon <p>The cross-border trade cattle, involve the movement of several thousands of animals with the risk of introduction of zoonotic diseases and vector borne-diseases between the countries. It was during a trade transaction that a kuri beef (Bos Taurus) coming from the lake chad area in order to cover the needs in meat of the populations of Gabon has introduced Hyalomma impeltatum an anthropophilic tick. The risk of introduction in Gabon of pathogens such as the arbovirus Sindbis and Dhori; the virus of Crimea-Congo hemorrhagic fever, Rickettsia africae as well as Rickettsia aeschilmannii is a real threat for public health. The treatment of cattle with effective acaricides at the frontier before entering to Gabon can prevent the introduction of ticks and tick borne diseases.</p> Dieudonne Moubamba Mbina G. D. Maganga A. Ndoutoume Ndong Copyright (c) 2019 Dieudonne Moubamba Mbina, G. D. Maganga, A. Ndoutoume Ndong 2019-10-02 2019-10-02 1 4 10.24018/ejmed.2019.1.4.72 Good Communication between Doctor-Patient Improves Health Outcome <p>Communication between doctor and patient has a very important impact on health outcomes. It is basic component of any relationship especially when it is between physician and patient.. It should be very strong and comprehensive. A good communication improves patient's consistence and satisfaction. It is a moral duty of&nbsp; &nbsp;a doctor that he should clear each and every query of the patient and to facilitate a patient regarding treatment and its consequences.</p> Firdous Jahan Hiba Siddiqui Copyright (c) 2019 Firdous Jahan, Hiba Siddiqui 2019-10-13 2019-10-13 1 4 10.24018/ejmed.2019.1.4.84