International Journal of Endorsing Health Science Research (IJEHSR) <p>International journal of endorsing health science research (IJEHSR)&nbsp;aims to&nbsp;improve health care by providing the most recent research results&nbsp;leading to advancement in health science.</p> <p>IJEHSR&nbsp;is quarterly, open access, peer-reviewed&nbsp;journal keen to endorse the need for finest healthcare globally, it was founded in 2013 as a biannual journal, and converted into quarterly in 2015. &nbsp;IJEHSR is included in the journal list of International Committee of Medical Journal Editors (ICMJE) since 2014. This Journal is indexed by WHO Index Medicus (IMEMR) for Eastern Mediterranean Region.</p> <p>We would like to encourage you to submit your intellectual effort in&nbsp;IJEHSR, we consider manuscripts from all fields of health sciences.&nbsp;The journal publishes original research, reviews, clinical reports, case studies, legal and policy perspectives.</p> Advance Educational Institute and Research Center en-US International Journal of Endorsing Health Science Research (IJEHSR) 2307-3748 <p>By submitting a manuscript in&nbsp;<strong>IJEHSR</strong>, the Author (Authors if a multi-authored paper) confirms all the clause of the <a href="">Copyright Notice</a></p> Impact of Vitamin D repletion on treatment of chronic lower back pain <p><strong>Background:</strong> Chronic lower back pain is precisely a distressing condition not only because of associated physical debilitation but the psychological hassle as well. Along with various etiological factors, low vitamin D levels in the body is also a significant cause of this ailment. This study focuses on monitoring the effect of Vitamin D repletion on intensity of chronic (non-traumatic) lower back pain.</p> <p><strong>Methodology:</strong> This longitudinal-prospective analysis was conducted upon a sample of 374 lower back pain patients presenting with vitamin D deficiency from February to October 2018. Inquiries were made regarding basic socio-demographics, history of chronic lower back pain, dietary and medicinal supplement usage, hours of sun exposure and pain levels, assessed using a Visual Analogue Scale (VAS). The vitamin D levels and the VAS pain score were assessed upon baseline visit to the orthopedic out-patient department and followed up after 2 months (1<sup>st</sup> follow up visit) and 6 months (2<sup>nd</sup> follow up visit). Data obtained was analyzed using SPSS version 21.0 and Microsoft Excel 2013.</p> <p><strong>Results:</strong> Among the 374 respondents, 52.67% were males while 47.33% were females with the mean age of 47.5 years. The mean baseline (pre-intervention) vitamin D levels were found to be 10.3 ng/ml, which raised significantly to 34.3 ng/ml. The mean (pre-intervention) VAS score dropped significantly, from 81.9 at baseline visit to 31.4 at 2<sup>nd</sup> follow up visit.</p> <p><strong>Conclusion:</strong> It is concluded that vitamin D repletion has a marked impact on reducing the intensity of chronic lower back pain. Future studies may confirm further to validate the findings of this research.</p> Dildar Khan Muhammad Muneeb Hameed Ullah Khan Aatir H. Rajput Abid Ali Zaheer Hussain Memon ##submission.copyrightStatement## 2019-06-01 2019-06-01 7 2 61 66 10.29052/IJEHSR.v7.i2.2019.61-66 Early operative outcome of pericardiectomy for symptomatic chronic tuberculous constrictive pericarditis <p><strong>Background:</strong> Pericardiectomy procedure is commonly indicated for constrictive pericarditis (CP). One of the most important clue to diagnosis of CP is the signs and symptoms of right-sided heart failure that are not completely explained by presence of pulmonary disease or left-ventricular failure. The aim of this study was to assess clinical data presentation and early operative outcomes of pericardiectomy performed for symptomatic chronic constrictive pericarditis who had failed maximal medical therapy.</p> <p><strong>Methodology:</strong> A retrospective analysis was carried out of consecutive constrictive pericarditis adult age patients who underwent pericardiectomy procedure from 2002 to 2012. The patients who had intraoperative diagnosis of other then constrictive pericarditis were excluded from further analysis. A total 51 patients were selected for this study. The preoperative assessment, intraoperative findings and postoperative course and outcome such as hospital stay, prolonge ICU stay, post-operative CPV etc. were evaluated.</p> <p><strong>Results:</strong> 43 males and 8 females were include in the study among them 41% gave history of previous (TB) and 35% were pediatric patients (teens, as shown less than 19 years). 8 patients had effusive type pericarditis. The preoperative findings revealed dyspnea 54%, Chest Pain 45% and persistent cough 31%. Furthermore, 43% patients had ascites and 41% with pleural effusion. The mean preoperative central venous pressure (CVP) was 20.5 respectively. The post-operative outcome was short hospital stay, the post-operative patients CVP was estimated 13.5 and the mean drop of CVP due to pericardiectomy was estimated 7 respectively.</p> <p><strong>Conclusion:</strong> The conclusive findings of our study revealed that among the patients of symptomatic chronic tuberculous CP, the timely pericardiectomy attempt can effectively improve the hemodynamics of the patient. The early pericardiectomy can also reduce the morbidity and mortality rate of these patients.</p> Azam Jan Muhammad Imran Kunwar Muhammad Aqeel Muhammad Tariq Khan Sumreen Begum Amir Mohammad Syed Mumtaz Shah Imran Ali ##submission.copyrightStatement## 2019-06-01 2019-06-01 7 2 67 77 10.29052/IJEHSR.v7.i2.2019.67-77 “Navigating Bachelor (generic) graduate nurses’ views about one-year internship program: a qualitative descriptive study related to role transition” <p><strong>Background:</strong> On completing the graduate study, nurses require to be posted for a one-year internship program (IP). In other words, it is a form of ‘transition or a change in a role.' As health care professionals, role transition is an inevitable, constant and dynamic process. The journey from student to a registered nurse is exciting as well as complex phenomena. The study was conducted to ‘explore the views of nurse internee, who have completed their one year internship period, about their experiences related to that important phase of transition.&nbsp;</p> <p><strong>Methodology:</strong> A qualitative descriptive study with purposive and convenience sampling method was conducted. Data was collected through interviews and analyzed through a method proposed by Colorafi KJ &amp; Evans B (2016).</p> <p><strong>Results:</strong> Eight interviews were conducted. The main theme identified was “Internship as a professional endeavor”. Four subthemes as ambiguity in understanding objectives of the internship, administrative and communication problems, supportive environment and ethical practice environment were also identified.</p> <p><strong>Conclusion:</strong> It was concluded that the internship period is a very essential component for achieving professional growth and skill acquisition, but it was also stressed that it can only be made effective, if objectives of internship be made clear to interns and communication and administrative problems solved on priority basis as to create an ethically sound and professionally favourable conditions for interns.&nbsp;&nbsp;</p> Pir Bux Jokhio Ghulam Abbas Panhwar Shazia Sultan Musrat Fatima ##submission.copyrightStatement## 2019-06-01 2019-06-01 7 2 78 85 10.29052/IJEHSR.v7.i2.2019.78-85 Evaluation of nutritional deficits among adolescents in Tando Muhammad Khan district via anthropometric measures <p><strong>Background:</strong> Researchers have long struggled to devise adequate measures that can be used to assess nutritional status. Apart from the ongoing debate, the most recommended indicator for identification of nutritional imbalances is anthropometry. The aim of the study was to assess the association of anthropometric measures with nutritional status among the children.</p> <p><strong>Methodology:</strong> This cross-sectional, observational study was conducted from February to September 2018 upon the children from grade 5-8. A total of 264 children were selected via non-probability; consecutive sampling technique from a welfare school of Tando Muhammad Khan District. Data was collected by means of a structured questionnaire inquiring the nutritional status and anthropometric measurements in addition to the demographic details. Informed consent was obtained from the guardians/parents of the respondents. The collected data was analyzed using Statistical Package for the Social Sciences (SPSS) version 21.0 and Microsoft (MS) Excel 2013.</p> <p><strong>Results:</strong> According to the results, 158 out of 264 subjects were males with the mean caloric intake of 1560±1120 calories while 106 females with a mean caloric intake of 1410±1340 calories. Furthermore, a greater number of females were observed having nutritional deficiencies. The anthropometric indices were found associated with nutritional status i.e. among the deficient group, children with deranged BMI, mid-arm, waist, hip and mid-thigh circumference were common.</p> <p><strong>Conclusion:</strong> It is apparent through the study results that the association of anthropometric measures and nutritional status is well established and it proves to be a remarkable indicator of nutritional status.&nbsp;&nbsp;</p> Masood Ahmed Allah Bachayo Rajar Mahwish Bhatti Muhammad Zakaria Aatir H. Rajput Muhammad Muneeb Nisar ##submission.copyrightStatement## 2019-06-01 2019-06-01 7 2 86 92 10.29052/IJEHSR.v7.i2.2019.86-92 Acne vulgaris leading to psychosocial problems among youth of Karachi <p><strong>Background:</strong> Acne Vulgaris (AV) is one of the most common prevalent dermal condition and is testified to have affected 80% of the world's populace around the vividly marked ages of 13 to 30 years. The current study is designed to investigate the association among acne and multifactorial pathogenesis along with social factors and psychological impacts on effected individuals.</p> <p><strong>Methodology:</strong> A survey-based study on a sample of 500 subjects was conducted from February 2016 to October 2016. A structured questionnaire classified into different sections concerning the demographic characteristics, skin type, complexion were inquired while the lifestyle factors like smoking, drinking habits and other factors leading to AV or associated stress were also interrogated.</p> <p><strong>Results:</strong> According to the study results AV was found to be more prevalent in both sexes with a slightly increased outbreak in males (52.4%) as compared to females (47.6%). There was no significant relationship observed between the breakout places of AV and its impact on self-confidence (p=0.197) whereas its impact on the subject's social involvement was significant (p&lt;0.001). Skin type was also found significantly associated with AV outbreak (p&lt;0.05). Apart from physiological factors, smoking was also one of the triggers for AV (p&lt;0.05) while Stress was also correlated with acne and its severity (p&lt;0.000).</p> <p><span class="fontstyle0"><strong>Conclusion:</strong> Despite being the most prevalent common dermal condition, AV and its associated psychological impacts had been neglected worldwide. This under-rated public health concern leads to a number of psychosocial problems leading to diminished confidence, self-esteem, rejections and even suicidal thoughts among those affected with it.</span></p> Shadab Batool Sumera Sohail Ghazala Yasmeen Nazish Iqbal Lubna Naz Mufzala Shamim ##submission.copyrightStatement## 2019-05-31 2019-05-31 7 2 93 100 10.29052/IJEHSR.v7.i2.2019.93-100 Attitude and practice regarding effective blood pressure measurement among health professionals at a tertiary care hospital in Hyderabad - Pakistan <p><strong>Background:</strong> Blood pressure (BP) measurement is one of the basic indicator used for the diagnosis, treatment and research investigations of Hypertension. The accuracy of the measurements have the potential to influence the decision making and therefore is a prerequisite, regardless of which technique is used. Still, too often the accuracy of measurement is taken for granted in general practice. This study aims to gauge the attitude and practice of health professionals regarding effective BP measurement at a tertiary care hospital.</p> <p><strong>Methodology:</strong> This cross-sectional study comprised of 50 healthcare professionals, chosen via purposive sampling from Liaquat University Hospital, a tertiary care hospital at Jamshoro, Hyderabad during November, 2015 to January, 2016. A self-administered structured qualitative and quantitative questionnaire was used to evaluate the attitude and practice of effective BP measurement. The data was analyzed through SPSS version 19 and Microsoft Excel.</p> <p><strong>Results:</strong> According to the study results, 88% of the participants had clinical experience of up to 5 years. Around 56% of the respondents rated their BP measurement skills as very good, 38% as good while 6% as acceptable. It was found that 46% of the respondents use to measure BP only once whereas 54% do it twice to get a mean value. For the location of measuring the BP, 60% responded to use only one arm while, 40% reported to measure it from both arms. Furthermore, many of the respondents reported for never attending any Continuous Medical Education (CME) regarding BP measurement along with the 48%, who declared that they had never updated their knowledge regarding BP measurement guidelines.</p> <p><strong>Conclusion:</strong> It is evident from the survey that selected set of healthcare professionals had lesser focus toward accurate methods of BP measurement as well as low interest in updating their knowledge regarding the standard protocols. It is concluded that up gradation of knowledge and awareness reading standard and current practices must be taught regularly and must be mandatory to follow for all healthcare providers.</p> Rabail Zaman Sobia Anam Muhammad Muneeb Sabry Ashraff ##submission.copyrightStatement## 2019-06-01 2019-06-01 7 2 101 107 10.29052/IJEHSR.v7.i2.2019.101-107 Tuberculous lymphadenitis with anthracosis: an unusual cause of unilateral vocal cord paralysis <p><strong>Background:</strong> Tuberculous lymphadenopathy is an extremely common condition in developing countries; however, vocal cord paralysis secondary to compression by enlarged tuberculous lymph node is an extremely rare presentation.</p> <p><strong>Case Presentation:</strong> In this paper, we present the case of a 72-year-old male patient who came to us with concerns of hoarseness of voice for the last eight months with fever and chills. He had been treated previously at ear, nose and throat (ENT) clinics and on evaluation, we discovered he had left vocal cord paralysis. Imaging showed multiple enlarged mediastinal and right hilar lymph nodes.</p> <p><strong>Management &amp; Results:</strong> Mediastinoscopy with biopsy was done and after histopathologic confirmation of tuberculosis, the patient was prescribed antituberculous treatment.</p> <p><strong>Conclusion:</strong> Antituberculous treatment in such patients shows signs of clinical and radiologic improvement.</p> Sadaqat Ali Hina Inam Zainab Abbasi Sulaiman Bashir Hassan ##submission.copyrightStatement## 2019-06-01 2019-06-01 7 2 108 112 10.29052/IJEHSR.v7.i2.2019.108-112