Asian Pacific Journal of Health Sciences
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Masters Says…
Homoeopathy is a holistic form of medicine that has been practiced for over two centuries. Many homoeopathic masters have developed clinical tips and guidelines for selecting and prescribing homoeopathic remedies based on their extensive clinical experience. Some of the key clinical tips offered by homoeopathic masters include taking a thorough case history, paying careful attention to the patient’s unique symptoms and constitution, and selecting remedies based on the principle of “like cures like.” Homoeopathic masters, such as Dr. Hahnemann, Dr. Hering, Dr. Kent, and Dr. Boericke developed homoeopathic materia medica to guide the selection of homoeopathic remedies based on the patient’s symptoms. These resources provide detailed information on the properties and indications of various homoeopathic drugs, allowing practitioners to match the patient’s symptoms with the most appropriate remedy, but sometimes applying the knowledge of materia medica in clinical practice is difficult. Hence, our homoeopathic masters had given some advice for clinical application of homoeopathic materia medica. These advices and tips are scatter in various homoeopathic books and literatures. In this manuscript, important clinical tips were collected after reviewing various homoeopathic books and literatures
Proniosome-Based Transdermal Drug Delivery of Resveratrol
Vesicular systems have been receiving a lot of interest as a carrier for advanced drug delivery. The present investigation aimed at the development and characterization of proniosome based transdermal delivery of resveratrol. The proniosomal structure was a liquid crystalline-compact niosomes hybrid which could be converted into niosomes upon hydration by skin itself. To optimize the formulation, various proniosomes composed of various ratios of sorbitan fatty acid esters, polysorbates, cholesterol, and lecithin were prepared by the coacervation-phase separation method. From each of the prepared proniosomes, the entrapment efficiency with span 60 was found to be the highest. The effects of cholesterol, phospholipids, and solvents were also assessed. Optimized formulation was characterized for entrapment efficiency, scanning electron microscope, transmission electron microscope, in vitro release study, vesicle size, and stability studies at 4°C and room temperature. Thus, proniosome was found to be a promising carrier system for resveratrol because of ease of preparation and better bioavailability
Effect of Psychological First Aid Training on Knowledge and Self-efficacy of Nurses: A Randomized Controlled Trial
Psychological first aid (PFA) is an approach used to provide first-hand psychosocial support to individuals who are exposed to the acute aftermath of an adversity such as the COVID-19 pandemic. Even though PFA is being used worldwide at times of disasters or emergencies, few researches have been carried out in terms of PFA training of health care professionals. Hence, the present study aimed to assess the effect of PFA training on knowledge and self-efficacy of nurses. A two-armed randomized controlled trial was utilized in the study. Purposive sampling technique with random allocation and assessments at 3 time points was applied. Data were collected using self-reported questionnaires and socio-demographic variables performa. Statistical analysis was performed using non-parametric tests as data were not normally distributed. The findings of the Wilcoxon sign-rank test ranks of knowledge were (Z = −3.53, P < 0.01) and (Z = −1.3, P = 1.92) among experimental and control groups. Meanwhile, scores of self-efficacy for both groups were (Z = −4.26, P < 0.01) and (Z = −1.04, P = 0.3). Mann Whitney U-test revealed non-significant scores (U = 895.00, P = 1.99) for knowledge and significant scores (U = 798.50, P = 0.043) for self-efficacy. The findings of the Friedman test of differences showed results that were significant (15.24 at P < 0.01) in the intervention group and non-significant (2.28 at P = 0.32) in the control group for knowledge and self-efficacy. Overall, study findings demonstrated that the necessary training of nurses on PFA aids in building knowledge and self-efficacy in rendering psychosocial interventions
Stage-stratified Analysis of Handgrip Strength and Body Composition of Chronic Kidney Disease Patients
Handgrip strength (HGS) is strongly associated with lean muscle mass and can accurately determine nutritional compromised state of chronic kidney disease (CKD) patients at all stages of illness. Methodology: In this cross-sectional study, 114 CKD patients from different stages were enrolled. HGS of the patients was measured by Jamar Hydraulic Hand Dynamometer. Body composition for 47 patients was measured by body composition monitor. Stage stratified analysis was done using various statistical tests. Results: CKD patients had low HGS at all stages. Patients at Stage 4 had significantly (P < 0.001) lower HGS (19.45 ± 7.09 kg) than patients of stage 2 (25.7 ± 8.53 kg). With one unit increase in age, the value of HGS significantly (P < 0.001) decreased by 6.35 units. Female patients had significantly lower HGS by 21.36 unit, (P < 0.001) at all age groups as compared to males. The value of lean tissue mass (LTM) was significantly (P = 0.03) low at Stage 4 as compared to Stage 2. HGS was positively correlated with LTM (r = 0.65). Muscle strength and muscle mass were strongly related with disease progression. Conclusion: Timely assessment of HGS and muscle mass of CKD patients determine nutritional status at early stage of illness
Impact of Diet on Nutrient Intake, Glycemic Index and Glycemic Load of Meals of Urban Indian Diabetic Population
Background: India is heading toward becoming the global diabetic capital directly interconnected to poor lifestyle and obesity. Aims and Objectives: The aim of the study was to find an association between glycemic index (GI) and glycemic load (GL) with macronutrients and fiber in the diet of the urban Indian population. Materials and Methods: The dietary intake using food frequency questionnaire and 24–h dietary recall of 240 recruited subjects (male and female), between 25 and 60 years were taken in the study. GI and GL of all meals were calculated using values from National and the International Table of GI and GL. Results: Average mean and standard deviation of GI and GL of major meals were on the higher side. A significant correlation between GI of lunch and dinner with total available carbohydrate (CHO) and total starch intake. A positive significant correlation was observed between GI to energy intake at dinner, total available CHO, and total starch. GL of breakfast was negatively correlated to iron, zinc, insoluble, and soluble fiber intake in females. GL for lunch was positively correlated to the intake of total available CHO, total starch, insoluble, and soluble fiber. Conclusion: The present study showed high GI and GL of processed foods and refined CHO indicating that dietary habits with high GI and GL foods are an indicator to risk of diabetes and pre-diabetes among both genders
A Study to Assess the Psychological Impact of the COVID-19 Pandemic among Adults of Age 18–30 Years in Vengara Panchayath of Malappuram District, Kerala
Introduction: The coronavirus disease 2019 (COVID-19) pandemic hit India in 2020. The first case of infection was reported in the State of Kerala on January 27, 2020, and the continuous surge of cases, variants of concern, lockdown restrictions, social distancing, and economic impacts were increasingly testing the psychological resilience of the masses. When the global focus has been chiefly on testing, preventing transmission, and vaccination, people are going through a myriad of psychological problems in adjusting to their current lifestyles and fear of the disease. Materials and Methods: An online survey was conducted using principles of convenience sampling and by invitation through text messages to participants. The survey collected data on socio-demographic details and specific incidents that triggered participants’ mental health and measured psychological impact with the help of the Impact of Event Scale-Revised (IES-R) scale. Results: There were 275 responses from the Vengara Panchayath of Malappuram district, Kerala. The respondents’ ages ranged from 18 to 30. Overall, 93.54% of respondents had an extended psychological impact (IES-R score>24). Using the Chi-square test, there is no significant association between the demographic variables and the psychological impacts of COVID-19. Financial hardship during COVID-19 triggered respondents’ mental health (Male-62.67%, Female-58.4%). Conclusion: During the COVID-19 pandemic in India, almost one-third of respondents had a significant psychological impact. This shows a need for a more longitudinal and systematic assessment of the psychological needs of the population, which can help the government formulate holistic interventions for affected individuals
An Etiopathological Study of Vitamin D3 Deficiency with Special Reference to Rasavaha and Asthivaha Srotodushti
As we know, there are different deficiencies of vitamins and minerals due to improper nutrition, improper absorption, or malabsorption so we have to find out exact cause of deficiency of vitamin so it will easy to treat the deficiency. Patients always complain low level of Vitamin D3 in present era. People who are in the exposure of sun also suffering from Vitamin D3 deficiency and the need is to observe dietary phenomenon of Vitamin D3 deficiency patients according to Ayurveda. To observe The Vitamin D3 deficiency symptoms in rasavaha and asthavaha srotodushti lakshane. Vitamin D3 deficiency patients often show the rasavaha and asthivaha srotodushti lakshana so it will be easy to diagnose the early Ayurvedic diagnosis
Study on the Validity and Reliability of Turkish Cooking and Food Skills Confidence Measure
Background: The present study aimed to adapt the cooking and food skills confidence measures developed by Lavelle et al. (2017) to Turkish cuisine and investigate its reliability and validity. Materials and Methods: A total of 300 adults aged between 22.0 and 34.0 years who live in Ankara were included in the study. The data were collected using the Turkish version of the cooking and food skills confidence measures (composed of 33 items), and a questionnaire form, which measured the level of knowledge on cooking (17 items) and food storage methods (11 items). Results: The respective Cronbach alpha coefficients for the cooking and food skills confidence measures in general and their subdomains were 0.880, 0.772, and 0.852, respectively. The results of confirmatory factor analysis (CFA) have indicated that the standardized load values of all items were above 0.20. In addition, participants’ body mass index (kg/m2) values were negatively correlated with cooking skills scale score. Cooking and food skills confidence measures total score was found positively correlated with cooking and food storage methods knowledge score (P < 0.01). Conclusion: The Turkish language version of the cooking and food skills confidence measures can be used as a screening tool to evaluate healthy nutrition-related studies in Turkey
An Introduction to Keraliya Panchakarma – A Systematic Review
Background: Panchakarma is an ancient Ayurvedic healing system that has been practiced in India for thousands of years. It is a holistic approach to wellness that focuses on balancing the body, mind, and spirit through a combination of procedures. In Keraliya Panchakarma, the Ayurvedic scholars in Kerala have adjusted some approaches and found them to be highly efficient based on Ayurvedic principles. While the treatment principles remain rooted in the ancient textual tradition of Ayurveda, their distinctive treatment techniques have been enhanced over centuries through an intimate interaction with Keralan folk medicine. The traditional Panchakarma procedures are Vamana (therapeutic emesis), Virechana (therapeutic purgation), Basti (medicated enema), Nasya (errhine therapy), and Raktamokshana (bloodletting). Keraliya Panchakarma is a more simplified process that includes Navarakizhi, Annalepana, Pizhichil, Dhara, and Thalapotichil. Objectives: This article lists the different types of Keraliya Panchakarma in detail and further goes on to describe how and when to perform each procedure, the materials required, the benefits, the indications, and contraindications. Materials and Methods: Inclusion criteria include books that focus on Keraliya Panchakarma and its various aspects. Exclusion criteria are those studies not written in the English language, studies with inadequate methodological quality, and those that do not meet the defined objectives of the review. Discussion: A detailed description of the following five Keraliya Panchakarma procedures was collected and presented. These are Navarakizhi, Annalepana, Pizhichil, Dhara, and Thalapotichil. The conciseness and simplicity of the procedures mentioned here can be reproduced and performed by any Ayurveda practitioner with a desire to do so. Some limitations of the study may be the limited availability of high-quality studies on the topic, language differences, and differences in the interpretation of cultural practices. Conclusion: Keraliya Panchakarma is recognized to be a highly efficient treatment modality based on Ayurveda principles of Panchakarma procedures developed and perfected by the Vaidyas of Kerala and it can be adopted by Ayurveda practitioners everywhere
Comparative Evaluation of Antioxidant and Anti-inflammatory Properties from Piper peepuloides Roxb and Piper schmidtii Hook. F. – An in vitro Approach
In this article, the antioxidant and anti-inflammatory properties of Piper peepuloides and Piper schmidtii are discussed. The study was focused on the secondary metabolites, antioxidant, anti-inflammatory, and antibacterial activities of the extracts from the successive solvent extractions. The ethanol extract of P. peepuloides was the most active in the total phenolic (783.91 mg gallic acid equivalent [GAE]/100 g extract), tannin (597.81 mg GAE/100 g extract), and flavonoid (52.23 mg RE/100 g extract). Ethanol extract of leaves responded well against diphenyl-1-picrylhydrazyl (IC5010.16 μg/mL), ABTS (55763.89 μg TE/g extract), superoxide (42.94%), and phosphomolybdenum (751.46 mg AAE/100 g extract) antioxidant assays. The P. schmidtii leaf extract was found to be good at getting rid of free radicals. The ethanol extract of P. peepuloides leaves also had a lot of antioxidant power. In the anti-inflammatory assay, the ethanol extract of P. peepuloides showed a high level of inhibition (69.59%). P. peepuloides and P. schmidtii leaf extracts have a lot of antioxidant power and could be used as a good source of natural antioxidants and anti-inflammation