British Journal of Healthcare and Medical Research https://journals.scholarpublishing.org/index.php/BJHR <p>British Journal of Healthcare &amp; Medical Research (<strong>BJHR</strong>) is an international, peer-reviewed, open access journal that provides an easy access to high quality manuscripts in all related aspects of diagnosis, treatment, and prevention of disease, illness, injury, and other physical and mental impairments in human beings. The journal also focuses upon the challenges and opportunities and how healthcare can benefit from it in terms of reduced costs and improved diagnosis, therapy, and care. Access to health care manuscripts provides an insight that varies across countries, groups, and individuals, largely influenced by social and economic conditions as well as the health policies in place.</p> <p>The journal brings professionals in medicine, psychology, physiotherapy, nursing, dentistry, midwifery (obstetrics) and allied health, plus many other disciplines such as public health practitioners, community health workers and assistive personnel, who systematically provide personal and population-based preventive, curative and rehabilitative care services in health care under single roof.</p> en-US bjhmr@scholarpublishing.org (Victoria Bloom) bjhmr@scholarpublishing.org (Jennifer Steven) Thu, 01 Jan 2026 14:23:51 +0000 OJS 3.2.1.4 http://blogs.law.harvard.edu/tech/rss 60 Sharpening the Critique of Vaccination Mandates: A Review Essay https://journals.scholarpublishing.org/index.php/BJHR/article/view/19799 <p>-</p> Victor Wallis Copyright (c) 2026 Victor Wallis http://creativecommons.org/licenses/by/4.0 https://journals.scholarpublishing.org/index.php/BJHR/article/view/19799 Wed, 07 Jan 2026 00:00:00 +0000 Prevalence of Placental Malaria Relative to Placental Cytokines and Birth Anthropometry Among Sub-Sahara Black African Women in their First or Second Pregnancy https://journals.scholarpublishing.org/index.php/BJHR/article/view/19771 <p><u>Introduction</u>: Pregnancy is a complex condition during which pathological complications such as iron deficiency anemia, infections, under- or over-nutrition and excessive production of cytokines may occur to jeopardize the well-being of the fetus. <u>Objective</u>: The objective of this study was to evaluate the interactions between placental or peripheral&nbsp; malaria (PlacMal or PerMal), Tumor Necrosis Factor-α (TNF-α), Interferon-γ (IFN-γ), Iron deficiency anemia (IDA), Platelets (Plt) and immature granulocytes (IG) in the placenta and neonatal birthweight, birth length and birth head circumference among study subjects in their 1<sup>st</sup> or 2<sup>nd</sup> pregnancy in Nigeria. <u>Materials and Method</u>: This was part of a prospective and exploratory study carried out among women in their 1<sup>st</sup> and 2<sup>nd</sup> pregnancy at Ikorodu General Hospital and its annex, Ita-Elewa Primary Health Care Center at Ikorodu, Lagos, Nigeria. Complete data from 78 women in their 1<sup>st</sup> or 2<sup>nd</sup> pregnancy who were assessed for TNF-α and IFN-γ, and whose socio-demographic characteristics, ante-natal history, birth anthropometry, placental hemogram and malaria parasitemia were recorded and analyzed. Data analysis was conducted using&nbsp; NCSS and STATA softwares. <u>Results</u>: Study participants in their 2<sup>nd</sup> pregnancy were significantly older (t-test=4.51, P-value=0.00004) and heavier (t-test=2.44, P-value=0.02) than those in their 1<sup>st</sup> pregnancy. While the means of TNF-α&lt;20 pg/ml in subjects with (9.4±1.5) and without (20.3±24.1) PlacMal were notably different (t-test=3.74, P-value=0.0004), the means in subjects with (20.3±14.8) and without PerMal (19.8±25.4) were insignificant.&nbsp; At normal TNF of &lt;20 pg/ml, mean birth length of neonates from 1<sup>st</sup> pregnancy (50.6±1.8 cm) was notable higher (t-test=2.98, P-value=0.005) than that those 2<sup>nd</sup> pregnancy (47.8±5.1 cm). Overall birthweight was significantly higher (3.2±0.5) when Hgb was ≥9.5 and TNF-α was &lt;20 pg/ml than when Hgb was ≥9.5 and TNF-α was ≥20 pg/ml. Overall birth length (52.0±0.0) was notably longer (t-test=3.79, P-value=0.004) when IG was &gt;0.456 and Hgb was &lt;9.5 compared to when IG &gt;0.456 and Hgb was ≥9.5. The mean platelets count (x10<sup>9</sup>/L) of subjects with (27.7±14.2) and without (79.6±89.4) PlacMal were significantly different (t-test=3.94, P-value=0.002) but those of subjects with (69.2±50.5) and without (79.6±95.3) PerMal were not. Multivariate regression analysis indicates a positive, statistically significant relationship between birthweight and age group (coeff. = 0.22, SE=0.06, t-test = 3.78, P-value = 0.003). <u>Conclusion</u>: Placental TNF-α, IFN-γ, Platelet count, and IG may have a distinct or combined role to play the the development of gestation process and neonatal anthropometry. More studies are needed to support and substantiate these findings.</p> Bamgboye M. Afolabi, Jane O. Okwuzu, Susan J. Holdbrooke, Abideen Salako, Olusola Ajibaye, Oluwagbemiga O Aina, Abraham A. Osinubi, Toyosi Raheem, Leke J. Medubi, Veronica Enya, Chinedum T. Oparaugo, Tolulope Uzoka, Adeola Y. Olukosi Copyright (c) 2026 Bamgboye M. Afolabi, Jane O. Okwuzu, Susan J. Holdbrooke, Abideen Salako, Olusola Ajibaye, Oluwagbemiga O Aina, Abraham A. Osinubi, Toyosi Raheem, Leke J. Medubi, Veronica Enya, Chinedum T. Oparaugo, Tolulope Uzoka, Adeola Y. Olukosi http://creativecommons.org/licenses/by/4.0 https://journals.scholarpublishing.org/index.php/BJHR/article/view/19771 Wed, 07 Jan 2026 00:00:00 +0000