International journal of health sciences
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Effect of Surya Sakthi on fatigue, stress and balance among third year BDS students: A cohort study
Full text linkThe word Surya refers to the Sun, the powerhouse of our planet. All life on the earth is solar-powered, including humanity. Surya Shakti is the technique of using that energy to strengthen your physical and mental well-being. This study aims to assess the effect of Surya Sakthi on factors affecting our daily lives, such as fatique, stress, and balance. A total of 10 students of 3rd-year BDS were surveyed using 16 questionnaires to assess parameters like Stress, Fatigue, Sleep and Balance. These scores were collected at different time intervals- Baseline values(before Yoga) and at the end of 1 month(after Yoga). The average values were assessed between baseline values and 1-month intervals to observe the difference in different parameters focused on this study. From the study, we can infer that the one-month average of the questionnaires attempted by the students post-exposure and everyday practice of Surya Sakthi are significantly higher than that of the baseline values before exposure to Surya Sakthi. The study concludes that Surya Sakthi has a positive effect on improving an individual's mental and physical well-being of an individual, especially in improving the quality of sleep, coping with stress and fatique and hence improving the balance of life
To evaluate the effects of lubricating eye drops on the repeatability of keratometry (K) measurements in patients presenting for cataract surgery
Full text linkPurpose – To evaluate the effects of lubricating eye drops on the repeatability of keratometry (K) measurements in patients presenting for cataract surgery. Design – Prospective, Comparative, Hospital-based study. Method – K readings were taken using the automatic keratometer of an autorefractometer. At Study Visit 1, keratometry was performed twice consecutively before instilling any eye drops. After instilling artificial tears, K readings were taken at 30 seconds and 2 minutes. Tear Break-Up Time (TBUT) was measured, and patients were divided into two groups [normal and dry eye]. The next morning, a second set of readings was taken. At Study Visit 2, one week post-surgery, a third set of K1 and K2 readings was recorded. Result – This study investigates variations in keratometry readings (K1 and K2) across different time points and between normal and dry eye patients. At Study Visit 1, keratometry was measured before and after the instillation of artificial tears, with readings taken at multiple intervals. Post-hoc analysis reveals significant differences in the mean K1 values between various time points within the dry eye group, with p-values consistently below 0.0001. Additionally, significant differences were found between normal and dry eyes at 0.5 minutes and 2 minutes post-instillation
Non-verbal amusement in later life: An analysis of age-related shifts in humor comprehension
Full text linkHumor is the ability to understand and express what is funny, serving a crucial social function, fostering connection, relieving stress, and navigating awkward situations encompassing language, gesture, visual imagery, and situation management. This study aims to investigate the impact of aging on non-verbal humor processing in Malayalam-speaking adults. 150 healthy Malayalam-speaking adults, aged 31-80 years, were divided into five age groups with all meeting the criteria of normal cognitive function with humor exposure. Participants underwent humor assessment using a specially developed material consisting of non-verbal stimuli, with funniness responses being rated using funniness rating scales. Statistical analysis involving mean scores, Kruskal-Wallis, and Mann-Whitney U test with Bonferroni corrections was used to compare humor processing across age groups. The study revealed a significant age-related decline in humor processing, particularly after the age of 60, with cognitive factors like working memory, processing speed, and cognitive flexibility significantly impacting the humor comprehension. The most intriguing part of the study was that participants in the age range of 51-60 years performed better compared to other age groups.
Manifestations of EBV infection in children
Full text linkThe Epstein-Bar virus (EBV), is one of the most common viruses in humans. It was discovered in 1964, by electron microscopy, in the cultured cells from Burkitt Lymphoma. The primary EBV infection frequently presents as infectious mononucleosis, a clinical syndrome characterized by fever, sore throat, swollen posterior cervical lymph nodes, and fatigue. This study was conducted to explore characteristics of EBV infection children. In this sample of 107 hospitalized children, which resulted with primary EBV infection, the most common symptoms and signs were fever, pharyngitis, lymphadenopathy. The most affected age was 2-6 years old, and 40% of children presented with infectious mononucleosis. EBV infection in children often presents with symptoms which are indistinguishable from other childhood infections
Classical educational philosophy in the evolution of nursing education: A literature review
Full text linkThis literature review explores the influence of classical educational philosophy on the evolution of nursing education globally and in Indonesia. Drawing from the works of Plato, Aristotle, and Socrates, the study identifies how the moral, rational, and humanistic ideals of classical thought have shaped the foundations of professional and ethical nursing education. Using a qualitative literature review approach, this paper synthesizes scholarly sources related to philosophical foundations, historical development, and curriculum transformation in nursing education. The findings reveal that classical philosophy, emphasizing the harmony of intellectual, moral, and practical dimensions, continues to inform modern nursing education through values of compassion, moral responsibility, and professional integrity. In Indonesia, these philosophical roots are adapted within a contextual framework of local wisdom, spirituality, and national education policy. The study concludes that revisiting classical philosophical principles provides a robust conceptual framework for strengthening the character and humanistic orientation of nursing education worldwide
Artificial intelligence in pharmaceutical manufacturing: Transforming sterile compounding and quality assurance
Full text linkArtificial intelligence (AI) applications in sterile compounding and 503B outsourcing facilities represent a transformative approach to enhancing quality, safety, and operational throughput in pharmaceutical manufacturing. This paper examines the current state of AI implementation in sterile compounding environments, focusing on key applications including AI-driven robotics for aseptic processing, real-time quality monitoring systems, predictive analytics, and regulatory intelligence platforms. However, implementation faces significant challenges related to data integrity, system validation, and regulatory compliance under current Good Manufacturing Practices (cGMP). The FDA's evolving regulatory framework, including the recent risk-based credibility assessment guidance, establishes structured approaches for AI system validation while emphasizing the importance of context-specific performance evaluation. Key data integrity challenges include ensuring accuracy, completeness, and consistency across multiplesystems, while maintaining comprehensive audit trails. This paper presents compliance-by-design strategies that embed regulatory requirements into AI system architecture from initial development phases, addressing critical areas such as traceability, accountability, and continuous performance monitoring. Successful AI implementation requires robust data governance frameworks, risk-based validation approaches, and integrated automation architectures that span compounding, release testing, and supply chain planning. Future opportunities include advances in explainable AI, integration with continuous manufacturing technologies, and collaborative development initiatives that will accelerate industry-wide adoption while ensuring compliance
Knowledge and skill on sepsis management bundle in prevention of multi-organ dysfunction syndrome among ICU Nurses: A review
Full text linkIntroduction: Sepsis is a life-threatening medical emergency that results from the body's extreme response to infection and often progresses to multi-organ dysfunction syndrome (MODS) if not managed promptly. The Surviving Sepsis Campaign (SSC) has introduced evidence-based sepsis management bundles to guide early recognition and timely intervention. ICU nurses are at the forefront of patient monitoring and care delivery, and their knowledge and skills in applying the sepsis bundle are crucial to improving patient outcomes. However, variations in knowledge and skill levels may contribute to delays in sepsis recognition and treatment, increasing the risk of MODS and mortality. Methodology: This review synthesizes data from peer-reviewed studies conducted between 2015 and 2024. Databases such as PubMed, Scopus, and CINAHL were searched using keywords like "sepsis bundle," "ICU nurses," "MODS prevention," and "nurse competency." The selected studies focused on assessing ICU nurses' knowledge and implementation of sepsis bundles and their impact on the incidence of MODS. Articles that evaluated educational interventions and outcomes related to sepsis management were also included. Results: The review revealed that a significant proportion of ICU nurses possess inadequate knowledge of the complete sepsis bundle, particularly regarding lactate monitoring, fluid resuscitation, and timely antibiotic administration. 
Evaluation of the effect of nursing intervention on perceived social support of patients with heart failure
Full text linkThe aim of the present study was to evaluate the effect of a dual nursing intervention, with an educational approach at the discharge of patients with HF and subsequent structured telephone follow-up, on perceived SS and its effect on the rate of readmissions, the total number of days of hospitalization and mortality. Material - Method: This is a RCT with an intervention and control group, which was carried out at the Cardiology Clinic of the General Hospital of Serres. A total of 186 hospitalized patients with HF (NYHA I-IV), who met the admission criteria and were scheduled for discharge, were randomized. The assessment of perceived SS was carried out using the Multidimensional Scale of Perceived Social Support (MSPSS). T Results: From the correlation of the level of perceived SS with the number of readmissions, the total number of days of hospitalization and the outcome of death, it was found that the total perceived SS and support from Friends, were associated with the lowest number of readmissions, in all time periods (1st year, Friends, p=0.033, total SS, p=0.019). Also, support from Friends was found to be associated with the total number of days of hospitalization (3-5 days), (1st year, Friends, p=0.001).
Assess the competency of staff nurses regarding pain assessment and monitoring in critically ill patients
Full text linkBackground and aim of the work: Pain is defined as an unpleasant emotional and sensory experience that is connected to or characterized by tissue damage, either real or potential. It is a reaction to hurt, disease, or other negative stimuli that is both bodily and emotional. Pain acts as a defense mechanism to notify the body of damage or possible danger. According to the International Association for the Study of Pain (IASP), pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Method: A study to assess the competency of staff nurses regarding pain assessment and monitoring in critically ill patients at selected hospital, Gurugram, Haryana.conductedon100 staff nurses of intensive care unit, Level of knowledge about pain were measured by pain assessment knowledge questionnaire, clinical competency observation checklist, pain assessment and monitoring attitude scales.
Feeding Pakistan in a changing climate
Full text linkDespite contributing less than 1% to the global carbon footprint, Pakistan is facing some of the most severe consequences of climate change. Pakistan is ranked as the fifth most climate-vulnerable nation in the world by the Global Climate Risk Index. In a country already struggling with socioeconomic challenges, the impact of climate change acts as a significant threat multiplier