Journal of Medical and Clinical Sciences 2021-01-11T10:40:44-05:00 Open Journal Systems <p><strong>Dear colleagues,</strong></p> <p style="text-align: justify;"><em><strong>Advance Research Journal of medical clinical and science&nbsp;</strong></em> &nbsp;is a peer-reviewed, international journal for the rapid publication of original research on new and existing drugs and therapies, and post-marketing investigations. Equivalence, safety and efficacy/effectiveness studies are especially encouraged.&nbsp;</p> <p style="text-align: justify;">The aim of <strong>Advance Research Journal of medical clinical and science&nbsp;</strong>&nbsp;is to provide ethical, unbiased and rapid publication of quality content that is validated by rigorous peer review. Journal aim is to serve the information needs of the clinical medicine community, to help translate medical advances into patient care and be a leader in transparency/disclosure by facilitating a collaborative and honest approach to publication.</p> <h3><strong>Focus and Scope</strong></h3> <p><strong>AIM AND SCOPE</strong></p> <p><strong>Advance Research Journal of medical and clinical Science (ARJMCS)</strong>is a monthly, an international, refereed journal published with the aim to provide an online publishing platform for the academia, Medical &amp; Health Science researchers, and students to publish their original works. <strong>ARJMCS</strong> focuses on publishing scholarly articles from the areas of <em>General &amp; Introductory Medical &amp; Health Sciences, Basic Medical Health Sciences, Addiction, Allergy &amp; Clinical Immunology Andrology, Anesthesia &amp; Pain Management, Anatomy, Audiology, Cardiovascular Disease,&nbsp; Consumer Health, Dentistry, Dermatology, Emergency Medicine &amp; Trauma, Gastroenterology &amp; Hepatology, General &amp; Internal Medicine, Geriatric Medicine, Health &amp; Social Care, Health science, Hematology, Infectious Disease &amp; Microbiology, Brain, AIDS, Cosmetic Surgery, Implants, Medical Devices, Holistic Medicines, Intellectual Disability, Mental Health, Neonatology, Nephrology, Neurology, Nursing &amp; Midwifery, Nutrition &amp; Dietetics, Obstetrics &amp; Gynecology, Occupational Therapy, Oncology &amp; Radiotherapy, Ophthalmology &amp; Optometry, Pathology, Pediatrics, Pharmacology,&nbsp; Physiotherapy, Psychiatry, Public Health, Radiography, Renal Transplantation, Respiratory Medicine, Rheumatology, Sexual Medicine, Speech Therapy, Sports Medicine, Surgery &amp; Surgical and all other area covered in medical and health science.</em></p> <p><strong>Key Features </strong></p> <ul> <li class="show">ARJMCS aiming to bring out research in Medical &amp; Health Science with wider scope.</li> <li class="show">Emphasizes to bring out research articles that seek to uncover the science underlying technological advances.</li> <li class="show">Aims to cover all major works related to Medical &amp; Health Science domain.</li> <li class="show">Online availability throughout the year enabling the user to download articles.</li> </ul> <p>&nbsp;</p> <p>Indexed in Index Copernicus, Ulrich Database, GENEVA, NASS, Thomson Reuters (Under process), Google Scholar etc.&nbsp;</p> <p>Regards,</p> <p align="left">Editor&nbsp;</p> <p align="left">Advanced Research Journal of medical and clinical science&nbsp;</p> <p align="left"><a href=""><strong> &nbsp;</strong></a></p> <p align="left"><a href=""><strong></strong></a><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</strong></p> Factors Affecting Adherence to Antiretroviral Drugs among Adolescents [10-18] At Ahero County Hospital, Kisumu County, Kenya 2021-01-11T10:38:42-05:00 Kagoiyo N.S Danga A.A* Lukorito L.K Kagoiyo S.W <p><strong>Background:</strong> Appropriate use of ARVs has improved the lives of many HIV positive individuals. The effectiveness of HIV treatment depends on sustenance of high level of adherence to ARVs. However, ARV regiments are often complicated and can be affected by varying dosing schedule, failing to have proper dietary requirements and patients developing adverse effects. <strong>Objective</strong>: To determine the patients’ demographic, social and economic factors influencing adherence to antiretroviral drugs among HIV/AIDS adolescents. <strong>Design:</strong> A cross sectional quantitative study <strong>Setting:</strong> The study will be conducted at Ahero Sub county Hospital. <strong>Subjects/Participants</strong>: The study population comprised of ALHIV receiving ART in Ahero sub County Hospital and aged between 10-18 years. <strong>Results:</strong> A population consisting of adolescents aged 10-18years living with HIV/AIDS and who have been enrolled into care for more than one year. Qualitative methods of data collection will be used and these include key informants, focused group discussions and direct observation. The sample population will be 20 ALWHIV. Data will be analyzed and be presented in charts tables and graphs.</p> 2021-01-11T00:00:00-05:00 Copyright (c) Contextual Factors Influencing Utilization Of Antenatal Care Services Up To 4 Visits Among Pregnant Women At Enzaro Health Centre, Vihiga County, Kenya 2021-01-11T10:39:53-05:00 Kagoiyo N.S Kagoiyo S.W Lukorito L.K Shipaaka P.A* <p><strong>Background:</strong> Antenatal care contributes to good pregnancy outcomes and benefits of antenatal care depend on timing and quality of care provided. Antenatal care is important for the prevention of maternal and fetal mortality and morbidity. Maternal complications contribute to more than half of the deaths among women annually. <strong>Objective</strong>: To establish contextual factors influencing the utilization of antenatal care services up to four visits among pregnant women in Enzaro Health Centre, South Maragoli ward, Ideleri sub-location, Vihiga Sub-county, Vihiga County, Kenya.<strong>Design</strong>: A descriptive cross-sectional study. <strong>Setting: </strong>Enzaro Health Centre, South Maragoli ward, Ideleri sub-location, Vihiga Sub-county, Vihiga County, Kenya. <strong>Subjects/Participants</strong>: All mothers with children under one year within our mother-child welfare clinic. <strong>Results:</strong> The study established that long waiting hours that leads to delay in service delivery influences utilization of antenatal services greatly followed by geographical terrain and poverty among antenatal mothers explaining why there was delay in service delivery.</p> 2021-01-11T00:00:00-05:00 Copyright (c) Knowledge, attitude and practice on soil transmitted helminthiasis among pupils in ziwani learning centre, east kisumu location, kisumu county, kenya 2021-01-11T10:40:44-05:00 Kagoiyo N.S Kagoiyo S.W Lukorito L.K Obunde M.A * <p><strong>Background: </strong>Globally, approximately 1.5 billion people are infected with soil transmitted helminthes and more than half a billion children live in high transmission areas and are in dire need of treatment and control interventions In Kenya, about 15 million people are infected. <strong>Objective:</strong> To evaluate the level of knowledge, attitude and practice of soil transmitted helminthiasis among school children. <strong>Design:</strong> A descriptive cross-sectional study. <strong>Setting:</strong> Ziwani Learning Centre based in Usoma village adjacent to Kisumu International Airport, Kisumu County and also borders Lake Victoria. <strong>Subjects/Participants:</strong> The study population consisted of pupils from Ziwani Learning Centre aged 4- 15 years old. <strong>Results: </strong>The study participants reported relatively poor knowledge, attitude and practice on soil transmitted helminths, at 32%, 39% and 32% respectively. 37 pupils (41%) had never heard about intestinal worms.</p> 2021-01-11T00:00:00-05:00 Copyright (c) Effect of Human Handling during Postnatal Period on Learning and Memory in Adult Rats Tested In the Morris Water Maze 2021-01-05T02:29:35-05:00 Amir Manseur* Abdelmajid Bairi Amira Bakeche Amina Djouini Abdelkrim Tahraoui <p>Human-animal interactions occur in many sectors of livestock production. This study aims to determine whether human manipulation during the critical period could disrupt their long-term spatial memory and learning functions. Forty-four pups rats (22 males and 22 females), were divided into two groups (handling, non-handling: corresponding to the control group). Subsequently, each group was subdivided into two subgroups: male subgroup (Handling Males, H ♂) and a female subgroup (Handling Female, H ♀), which were handled daily for 5 min from birth to weaning. On postnatal day 81, they were subjected to Morris Water Maze test (MWM). The results showed that in both sexes, the manipulated group had spent more time in the quadrants where was the platform. Therefore, human handling during the neonatal period of rats could induce in long term better learning, and greater spatial memory without any negative effects on behavior.</p> 2021-01-05T00:00:00-05:00 Copyright (c) Biological Fixation for Segmental Subtrochanteric Fracture 2021-01-05T03:43:32-05:00 Dr S.Vijayakumar* <p><strong>BACKGROUND:</strong> Surgical treatment of comminuted subtrochanteric fractures may be associated with high incidences of non-union and implant failure. Biological fixation may solve this problem by encouraging rapid callus formation METHODS: In all, 4 patients with comminuted subtrochanteric femur fractures underwent indirect reduction and biological internal fixation. The mean age of the group was 38 (21-55) years. <strong>RESULTS</strong>: Patients were followed up for a mean of 24 (12-48) months. Union was achieved within14 to 16 weeks, with no cases of delayed union or non-union. According to the Traumatic Hip Rating Scale, functional results were excellent in 1 and good in 3 cases. CONCLUSIONS: Indirect reduction and biological internal fixation yield acceptable results in comminuted fractures.</p> 2021-01-05T00:00:00-05:00 Copyright (c)