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Siddha herbo-mineral drug Kandhaga Rasayanam in the treatment of Dermatophytoses (Padarthamarai)
Get PDFThe symptoms of dermatophytosis goes congruent with the disease entity Padarthamarai in Siddha medicine. Kandhaga Rasayanam (KR) is a Siddha herbo-mineral formulation indicated for padarthamarai. In recent times, treatment of dermatophytosis challenge to dermatologists. The present study was carried out to clinically evaluate the efficacy of KR as a trial drug for Dermatophytosis. The objective of the present study was to study the efficacy of the drug KR in giving mycological and clinical cure. This was an open-label, non-randomized, single -arm clinical study in which 51 patients of either gender diagnosed with padarthamarai were included. The trial was registered in Clinical trials registry India with CTRI number CTRI/2012/01/002362. The treatment period was 45 days. Out of the 51 participants enrolled in this study, 45 participants were included in the final analysis based on their adherence to the conditions. 66.67% showed skin scraping negative for dermatophytes. There was a significant reduction in the clinical signs after the treatment without any adverse reactions. This trial has brought to limelight the efficacy of the Siddha drug Kandhaga Rasayanam in treating padarthamarai . Further, randomized controlled clinical trials are necessary to substantiate the traditional claim and make KR a plausible treatment option for Dermatophytosis
Assessment of diabetes mellitus related knowledge and its association with glycemic control level among adult diabetic patients attending ministry of health primary health care centers in Makkah al Mukarramah, Saudi Arabia
Get PDFBackgroundː Diabetes mellitus (DM) has a high prevalence rate in Saudi Arabia. Patients must have sufficient knowledge about DM to improve their self-management skills and prevent complications. This research was conducted to estimate the knowledge level among diabetic patients attending primary care centers about DM and its impact on their health. Methods A cross-sectional study was conducted on a sample of type II diabetic patients in Makkah city. Self-administered validated Arabic questionnaire was used to collect sociodemographic data, knowledge about the disease, and the level of control. Results The study included 293 patients, 50.2% were females and 85.3% were Saudis. Mean age was 50 years (ranged 31 -77). Blood glucose was uncontrolled in 90.4% of patients. The overall knowledge regarding DM score mean 8.3±2.5 SD (ranged 3 -16) out of 20 and a median (Interquartile range) of 8 (7-10). Higher educated patients (p=0.043) and those who practiced physical activities (p=0.007) were more knowledgeable than their counterparts. None of the diabetes-related variables was significantly related with participants` information. Score of knowledge was not significantly related with level of glycemic control. 
General health practitioner skills and procedures
Get PDFNursing skills and procedures constitute the foundation of competent and compassionate patient care, serving as essential tools in the arsenal of nursing practice. Throughout this exploration, we have delved into the multifaceted realm of nursing skills and procedures, examining their significance, acquisition, application, and impact within the broader context of contemporary healthcare delivery. From basic tasks such as vital signs monitoring to complex interventions like wound care and medication administration, nursing skills and procedures play a pivotal role in promoting patient comfort, safety, and well-being across diverse clinical settings. Mastery of these skills not only enhances the efficiency and effectiveness of nursing care but also fosters trust, confidence, and satisfaction among patients and their families. the acquisition and refinement of nursing skills and procedures are lifelong endeavors, requiring ongoing education, training, and professional development. As the healthcare landscape evolves, nurses must adapt to emerging technologies, evidence-based practices, and changing patient care needs, continuously updating their skillset to meet the demands of contemporary practice. the integration of technology, simulation, and interdisciplinary collaboration has reshaped the landscape of nursing education, offering innovative avenues for teaching, learning, and skill development
Management of acute spinal cord injuries: Emergency view
Get PDFBackground: Acute spinal cord injuries (SCIs) are devastating events often leading to irreversible neurological damage and significant long-term disabilities. SCIs affect young, otherwise healthy individuals, contributing to a considerable economic and quality-adjusted life years (QALY) burden. Aim: This review aims to provide an overview of current acute management strategies for SCI and to explore emerging therapeutic approaches that may mitigate injury progression and improve outcomes. Methods: The study reviewed existing literature on SCI management, including established protocols and experimental therapies. A comprehensive analysis of surgical and medical treatments, such as early decompression, hemodynamic management, and novel interventions targeting ischemia, inflammation, and cytotoxicity, was conducted. Results: Early surgical decompression, within 24 hours of injury, has been shown to enhance neurological recovery, reduce hospital stays, and lower complication rates. Hemodynamic management, aiming to maintain a mean arterial pressure of 85–90 mmHg, was crucial in improving functional outcomes. Experimental treatments such as cerebrospinal fluid diversion, spinal cooling, and minocycline demonstrated promising results, though further clinical trials are necessary to establish efficacy. Conclusion: While significant advances have been made in the surgical management of SCI, challenges remain in optimizing medical treatments. 
Developing interdisciplinary protocols to enhance communication between pharmacists, nurses, and laboratory technicians
Get PDFBackground: Multifaceted communication occurs throughout the healthcare system, thereby incorporating the interaction between pharmacists, nurses and laboratory technicians and the patients they serve. Unfortunately, analyzing communication between these disciplines indicates that such gaps create errors and potential threats to patients’ safety. Communication protocols between these disciplines have been suggested in countering such issue. Aim: This research will seek to look at the standards of communication protocols between different healthcare disciplines and the best ways that the standards can be adopted. Methods: This paper discusses literature, case, and field studies of effective communication that have been applied and adapted in healthcare facilities, with emphasis on technological innovation, training, and protocol formulation and implementation. Results: The results include that the planned communication, in form of structured communication meetings and use of Electronic health records facts the team and enhances patient safety. It also reveals that the training delivered in technical and soft skills help in the improvement of the communication flow. Conclusion: The framework of cross-disciplinary working is crucial for improving communication and consequently for reducing medical risk. 
Determinants of tuberculosis treatment outcomes in Asia and Africa
Get PDFTuberculosis (TB) is a disease that is both infectious and deadly. Although it can be prevented and treated, the increasing number of TB patients is a nation-wide and global challenge, and thus it requires efforts to control the disease appropriately leading to good treatment outcomes. Identifying the determinants of treatment outcomes is necessary to improve control strategies and programs for TB. Scientific evidence on this issue is still limited. This systematic review aims to describe the potential determinants of TB treatment outcomes regarding the patient’s internal and external factors. The review was carried out using the procedures specified in the PRISMA guidelines. Five databases were used to identify studies related to the determinants of treatment outcomes obtained. There were 829 articles meeting the screening criteria, 23 meeting the criteria for full article review, and 21 for analysis. Most scientific evidence reports the age, sex, HIV status, and location of TB as determinants of treatment outcomes. Sorting and selecting data consistently are necessary in reporting the results of TB treatment which then becomes the foundation for formulating appropriate, targeted, effective, and most needed policies or interventions in improving treatment outcomes and reducing incidence of TB
Assessment of situation in educational activities with need to introduce remote technologies during pandemic
Get PDFThe article aims to assess the options for DO according to their requirements for the competencies of employees; the correspondence of the existing competencies of the personnel to work with subsidiaries was revealed; Substantiated the criteria for choosing a subsidiary, taking into account the compliance with the objectives of the organization and the revealed discrepancy of competencies; methods for calculating labor costs are proposed; the possible motivational techniques were evaluated, to use them in personnel management in the process of transition to the use of distance learning in the educational process. The article identifies and analyzes various groups of risks associated with this process (prejudices, risks of losing that value that is accumulated by pedagogical experience, risks associated with the loss and change of authority in the teaching staff), the possibilities of their leveling, directions of work with them are offered. analysis of existing preschool education, based on the needs of the teaching staff, additional criteria for the selection of preschool education have been formulated
Healthy living culture as management of tuberculosis
Get PDFThe aim of this research is to examine the concept of a healthy living culture that exists in the Semarang city community in the management of tuberculosis. The forms of healthy culture management, strengthening aspects of public education to build awareness of a healthy living culture (living in a clean environment, not smoking, exercising enough, eating enough fruits and vegetables), and eliminating negative stigma against people with tuberculosis. The culture of healthy living carried out by the people of Semarang City is carried out in the form of 1). Implement healthy living behaviors such as; living in a clean environment, do not smoke, exercising enough, eat enough fruit and vegetables. 2). Availability of health facilities that are professional and easily accessible to the public such as hospitals and health centers 3). Remove the negative stigma against people who are sick with tuberculosis. Healthy living culture is part of the complexity of cultural elements and is also a concept of life by prioritizing various life activities based on healthy actions
Organizing treatment in emergency health care facilities during COVID-19 pandemic conditions in Eastern European countries
Get PDFThe purpose of the academic paper lies in identifying the practice of organizing treatment in emergency health care facilities in the conditions of the COVID-19 pandemic on the example of Poland and the Czech Republic. The qualitative content analysis of the organization of emergency medical care in the conditions of a pandemic in Poland and the Czech Republic has been used in the research. The COVID-19 Health System Response Monitor (HSRM) database and the Health Systems and Policy Monitor (HSPM) database have been used for conducting the analysis. In the course of the research, the following features of changes in the organization of treatment in emergency health care facilities in the context of the COVID-19 pandemic have been revealed, namely: postponement of scheduled examinations, non-urgent treatment, gradual reduction in the number of hospitalizations, especially for planned surgical interventions; limiting the availability of medical care; prohibition of regular vacations of medical workers; redeployment of personnel in case of deterioration of the condition of patients with COVID-19 and the need for the provision of emergency medical care; daily monitoring of intensive care beds and their filling status to predict the possible need for emergency care
Evaluating of academic nurses' clinical judgement skills in a critical care unit at Babylon City, Iraq
Get PDFClinical judgement is the foundation of nursing practices and recognized as essential skills for all nurses and serves as a distinguishing factor between professional nurses and those in strictly technical roles. Hence, the goal of this study was to evaluate of academic nurse’s clinical judgement skills. A cross-sectional quantitative design is used to conduct this study. The data was gathered during a period of time that started on July 10, 2021, and ended on September 20, 2021, using a non-probability purposive sampling approach that recruited (ninety-one) critical-care nurses from three public governmental hospitals in Babylon City, Iraq. The data was obtained through using a questionnaire format and amended by the researcher, data analyzed was through using (SPSS -version 25). More than half (56.0 %) of the study's participants are between the ages of 25 and 29, and more than two-thirds (61.5 %) are female, single, have a degree of Baccalaureate in nursing, within (1-5) years graduated from nursing, experience in nursing was (1-5 years), and live in urban regions. The results indicated that the majority of participants had average clinical judgement abilities, overall mean was (1.56)