Journal of Medical & Clinical Nursing is an open access peer-reviewed journal from the publishers of Scientific Research and Community (SRC) which publishes articles in the form of written, video and power-point presentations from the arena of Medical & Clinical Nursing. The journal focuses to build up accessing the complete content of articles freely from online for reader’s perusal. Article acceptance will be in the form of Research, Review, Case Reports, Analysis, Magazines, Editorials, Opinion, Communications, Mini-Review, Short Communications, Picturized, Book Review, Video Type and Power Point Presentations (PPTS). Articles can be submitted through online from https://www.onlinescientificresearch.com/submit-online or can send through an Email with attachment for nursing@onlinescientificresearch.info
Predictive Values of CSF Ferritin in Cognitive Assessment ofPatients after Acute Central Nervous System Infections
CNS infections represent a unique challenge to clinicians due to significant morbidity and mortality. The role of ferritin as a reactant of various pathological conditions is currently being intensively investigated. The pathogenesis of cognitive impairment after acute neuroinfectious disease is not yet fully understood. It is believed to be a direct consequence of neuronal damage by the infection, but also by the activation of immunocompetent brain cells, with consequent disruption of signal conduction in a varying period of time after the infection has resolved. The aim of the study is to examine the prediction of ferritin on the degree of cognitive impairment in patients who have suffered from a CNS infection. The values of CSF ferritin were evaluated in three analyzed groups of subjects (bacterial, viral and group with normal CSF findings - meningism). The analyzed clinical data were correlated with the degree of neurocognitive impairment, and the relationship between CSF ferritin and the degree of cognitive impairment was analyzed. The conducted research is a retrospective-prospective analytical and clinical study that was conducted in the period from 01.01.2017 to 01.01.2020. The research includes 90 patients according to previously nominated criteria, divided into three groups, two “examined” and one “control”. The assessment of the cognitive status of the subjects was performed using the MMSE test. The SPSS for Windows software package (version 20.0, SPSS INC, Chicago, Illinois, USA) was used for statistical analysis of the obtained data. We confirmed that the CSF protein ferritin is a good predictor of distinguishing purulent from viral meningitis / meningoencephalitis. The obtained results did not confirm the hypothesis that elevated CSF ferritin values have a negative impact on cognition. Impairment of individual domains of cognition measured by MMSE I, such as “attention”, “calculation” and “memory” are more pronounced in purulent CNS infections. Impairment of individual domain MMSE II “calculation” is more pronounced in the purulent CNS infection category
Copyright (c) 2025 Journal of Medical & Clinical Nursing
Financing for Universal Health Coverage, A Myth or a Realityin Low- and Middle- Income Countries (LMICs): The Case ofCameroon
The 17 Global Sustainable Development Goals were conceived and adopted by the United Nations in 2015, with an overall purpose to end poverty while protecting the planet and ensuring global peace and prosperity by 2030. One of the goals, Goal 3, directly relates to health by proclaiming good Health and wellbeing. Target 3.8 focuses on Universal Health Coverage (UHC). Universal Health Coverage is enshrined in the concept that all people have access to the full range of quality health services they need, when and where they need them, without suffering financial hardship. Therefore, UHC encourages financial risk protection including access to safe, effective, quality affordable essential medicines and vaccines to all. The achievement of target 3.8 of the Global Goals entails Government engagement and good political will in healthcare financing to limit out-of-pocket financing of healthcare. This can be achieved through dedicated government budgets to finance various aspects of the healthcare delivery system including essential medicines and health commodities, as well as health facilities within the rural communities. To realise this dedicated government funding, a structured questionnaire shall be administered to commercial directors of Brasseries du Cameroun, Guinness Cameroun, Kadji Beer Company, and Tobacco factories in Cameroon. The current rate of out-of-pocket financing of healthcare in Cameroon is approximately 70%. Thousands of families still suffer financial hardship. Besides, long travel distances to the nearest health facility, with no road networks are real obstacles to access to healthcare. This in turn affects targets 3.1 to 3.4 of the global goals. The current healthcare expenditure in Cameroon is 3.82% of GDP as of 2021, below the African average of 5.76%, the Sub-Saharan Africa average of 5.10% and the global average of 7.02% GDP. Considering the low political will, the low current healthcare spending, and the current crisis that are almost paralysing the economy, as recommendation, dedicated taxes on some commodities consumed within the country as source of finance to exclusively finance healthcare in enclaved areas of the country so that all people can indeed have access to the healthcare they need and where they need without suffering financial hardship.
A Complex Case of Febrile Illness in an Elderly Male withNeurological Symptoms and Negative Csf Cytopathology: ADiagnostic and Management Challenge
An elderly male in his eighties presented with persistent high-grade fever, altered mental status, and features suggesting central nervous system (CNS) involvement. The clinical picture was concerning for infectious or inflammatory encephalopathy. The diagnostic workup included cerebrospinal fluid (CSF) analysis, cartridge-based nucleic acid amplification test (CBNAAT), line probe assay (LPA), cytopathology, fungal microscopy, and aerobic culture. Despite significant systemic symptoms, CSF analyses returned negative for tuberculosis, fungal infection, and malignant cytology. MRI and MR spectroscopy findings revealed pontine hyperintensities and metabolic abnormalities suggestive of neuronal dysfunction. The imaging also showed decreased N-acetylaspartate (NAA) and elevated choline, with a lactate peak—findings supportive of encephalopathy or inflammatory pathology. Treatment was initiated empirically with broad-spectrum antibiotics, antifungals, and supportive neurological and systemic care. Electrolyte imbalance and hypertension were addressed promptly. Despite extensive diagnostics, no specific pathogen was identified, and the patient’s clinical course required close multidisciplinary monitoring. The case exemplifies the diagnostic and therapeutic challenges posed by febrile encephalopathy in the elderly, where overlapping features of metabolic, infectious, and vascular etiologies complicate definitive diagnosis. This report highlights the role of advanced imaging and CSF analysis in guiding management when primary infectious markers are inconclusive. Further follow-up, especially with culture data and clinical evolution, remains essential for ongoing care.
Novel Emerging Inflammatory Biomarkers Predict the Coronary Artery Diseases-Related Complications: An Integrative Review
This integrative Review aims to evaluate the utility of novel emerging inflammatory biomarkers in predicting major adverse cardiac events (MACEs) in patients with acute coronary artery disease (CAD). Cardiovascular diseases (CVDs), primarily driven by myocardial ischemia due to atherosclerosis, are the leading cause of global morbidity and mortality. Traditional biomarkers have offered mixed prognostic capabilities, necessitating the exploration of new markers that encompass complete blood count (CBC) parameters and CBC-derived indices. We conducted a comprehensive review, following PRISMA guidelines, and searched databases such as PubMed, Web of Science, ERIC, and Science Direct up to May 2023, focusing on inflammatory indices and their correlation with cardiovascular outcomes. The selected studies, published within the last five years and meeting our inclusion criteria, provided data on various biomarkers including Platelet Distribution Width (PDW), Mean Reticulocyte Volume, and systemic inflammatory indices such as Neutrophil-to- Lymphocyte Ratio (NLR) and Platelet-to-Lymphocyte Ratio (PLR). Emerging indices like the Systemic Inflammatory Index (SII) demonstrated significant predictive power for both short-term and long-term cardiovascular complications. Our findings suggest that these novel biomarkers, particularly CBCderived indices, offer valuable prognostic information that could enhance clinical decision-making in managing coronary artery disease. Further research and standardization are required to fully integrate these biomarkers into routine clinical practice.
Nursing informatics plays an essential role in modern healthcare by merging the disciplines of nursing, computer science, and information technology. It involves the use of technology to enhance nursing practice and improve patient care outcomes. This paper explores the evolving role of nursing informatics, particularly in the context of artificial intelligence, and highlights its significance in clinical decision-making. Additionally, it discusses the growing need for nursing informatics education and competencies to meet the demands of today’s healthcare systems. As healthcare becomes increasingly data-driven, the ability of nurses to effectively use technology and information systems is paramount. By integrating electronic health records (EHRs), decision support systems, and artificial intelligence, nursing informatics enables more efficient workflows, better clinical outcomes, and enhanced patient safety. The future of nursing is inextricably linked to the continued advancement and adoption of informatics tools that will help shape both patient care and the nursing profession itself.
The Challenge of Post-Acute Compliance with Infection Preventionand Control
Healthcare-acquired infections (HAIs), also known as nosocomial infections, are infections that patients acquire while receiving treatment for other conditions within a healthcare setting. These infections pose a significant challenge to healthcare systems worldwide, affecting millions of patients each year and leading to substantial economic burdens and adverse health outcomes.
Tension and Pulse at Intubation before and after 5 Minutes onNeurology Patients with General Anaesthesia: An ObservationalStudy
Background: General anesthesia is still the best choice for neurosurgery, even it must be maintained so that the airway remains open. Airway management measures that can be carried out in several ways include intubation using laryngoscopy. There may be an increase in the hemodynamic response, namely blood pressure and pulse rate starting from 5 seconds after intubation. However, it is still being debated by experts. The aim of this study was to determine blood pressure and pulse frequency after being given Fentanyl and after the 5th minute of intubation in neurosurgical patients under general anesthesia. Method: An observational research design, 30 neurosurgical patients using fentanyl 2 mcg/kg BW and intubation techniques. The variables measured were blood pressure and pulse frequency after being given Fentanyl and after 5 minutes of intubation. The instruments used were an intra-anesthetic Hemodynamic Observation Sheet, a watch, and a bedside monitor. Data was analyzed using the independent T-test with a level of confidence 95%. Results: The results showed that there was an increase in the average Systolic blood pressure (p value 0.009) and pulse frequency (before intubation) and after intubation at the 5th minute (p value 0,000). Conclusion: The study can trigger anesthesia experts to look forward to this problem appropriately.
Menstrual Hygiene Management Practice and Associated Factorsamong Urban and Rural Primary School Adolescent Girls inGondar City Administration and Gondar Zuriya District NorthwestEthiopia, 2021
Background: Menstrual hygiene management is the practice done by girls or women through; using a clean material, changing a private way body using water with soap,and having disposal facilities. It is insufficiently acknowledged among adolescent school girls in Ethiopia. Therefore, understanding the level of hygiene management practice and identifying determinant factors is a crucial first step to taking appropriate interventions. Method: An -institution-based cross-sectional study design was employed among 335 urban adolescent girls from March to April 2021.Study participants were selected by using a multistage stratified sampling technique. Aninterviewer-administered structured questionnaire was used for data collection. The data were entered by using EPI INFO version 7.2 and analyzed by using STATA version 14.1 software. Bivariate and multivariable logistic regression analysis with a 95% confidence interval was employed. A P-value< 0.05 was considered as statistically significant and AOR with a 95% confidence interval was considered to show the strength of the association. Result: Overall, prevalence of menstrual hygiene practice among adolescents’ girls were 66.0% (95% CI: 60.7, 70.9) among urban school girls. urban residence [AOR= 3.41(95% CI: 1.1, 10.58), media exposure for SNP advertisement [AOR=2.43 (95%CI; 1.08, 5.48)], good menstrual knowledge [AOR=3.68 (95% CI: 1.76, 7.69)], female toilet inside locked [AOR=2.66 (95%CI; 1.1, 6.45)], girls who have private room at home [AOR=3.53(95% CI: 1.46, 8.5)], good water accessibility (AOR=3.35(95% CI:(1.62,6.95), gain information from friends [AOR=3.35(95%CI:1.04,10.77)] were found to be significantly associated with good MHP among overall school adolescent girls. Conclusion: Though the overall prevalence of the study was low.it was relatively better among urban school girls. It shows a significant variation between the urban and rural study groups. Therefore, Implementation of girl friendly WASH services in all schools should be applied, health education should be strengthened, WASH facilities constructed at school levels, free discussion with parents and teachers in order to practice safe MHM.
The nursery medical services and knowledge is attracting un-precedent attentions. Nursery knowledge and education in areas of healthcare and medical fields change a lot. However, sustainable supporting in funding, position and technology can be further improving. The different pressures and personal condition of nurses may be eased in the clinic. This editorial discusses these medical translations for nursery services and knowledge in details.
Challenges and difficulties of Nursing Students, at the Universityof Gjakova, in Relation to Work and Employment Models
Migration is a very complex and challenging factor in Kosovo, whose trends continue to play an extraordinary role in the economic and political developments in the country. Historically, Kosovo has faced the departure of citizens towards developed western countries, whose main destinations have been Germany, Switzerland and Austria. Despite the fact that the majority of the Kosovar diaspora lives in Germany, the migration reforms, driven mainly as a result of the labor shortage in Germany, continue to attract Kosovars, influencing that the trend of emigration still continues to a large extent. Only in 2021, 21,487 people entered Germany from Kosovo, and 4,323 people originating from Kosovo left Germany, where the net migration in this year was 17,164 people. Human capital and a qualified workforce that can satisfy the labor market’s needs for skills and drive innovation are essential for increasing competitiveness, attracting investment and the ecological and digital transition of the region. They are also the main pillars of an economy’s resilience and prosperity, which is particularly important in a changing international environment and its consequences covid-19 pandemic. The continued high levels of labor force emigration, especially of young talents, constitute a serious development challenge for the region. While they relieve pressure from the labor market and reduce unemployment levels, they also promote and accentuate the region’s apparent skills mismatches and shortages; they, in turn, reduce the growth potential of local companies and may prevent potential investors from finding adequate skills. Creating the right conditions for attracting investment and creating new jobs by stimulating career prospects – while producing skills that match the needs of the labor market – is a prerequisite for building a resilient economy and retaining or attracting of talents. Globalization and the increased interconnection of economies, societies and cultures also extends to higher education and academic life. The internationalization of higher education serves as a context, at the same time it is driven by the mobility of students between countries and institutions in different parts of the world. In addition to the physical movement of students, there are other initiatives that globalize education such as international research networks, harmonization of curricula, online courses, university branches in different countries, bilateral and multilateral schemes for the exchange of students and staff, and the prevalence of English as a global academic language. Chamber of Nurses of Kosovo (OIK), reports that during 2023, the Chamber has issued 713 licenses for nurses, certificates that serve them for employment abroad. “According to the statistics, the year 2021 has seen a decline, of course, based on the analysis, the pandemic is also the cause. The increase was in 2022, which started significantly, and 543 nurses from all over Kosovo applied for non-plasticizing licenses. While in 2023 this number has increased, it means that by the 25th of December they requested 713 non-plasticized licenses, which means that they are looking for these licenses to migrate to the countries of the region and to develop the profession further “.
Copyright (c) 2024 Journal of Medical & Clinical Nursing
Hyper-Stimulation of the Endometrial Thickness and Egg Relaeseof Women between the Ages of 18-46 years in Imo State, Nigeria
The uterus is a dynamic tissue under the control of ovarian steroids, estrogen and progesterone, it comprises of endometrial layer of the uterus which undergoes proliferation, secretion and menstrual cycle to reach the receptive state in the implantation of the embryo. Endometrial thickness and growth during ovarian stimulation is a possible predator of implantation in invitro fertilization. Objective: To ascertain the endometrial thickness and number of ovulation egg released by hyper-stimulation. Research Design: The study population contains 10 women aged 18-46 years. Groups were randomly selected from clients that came to seek for medical help in vaden specialist clinic, Owerri, Imo State Nigeria. Result: The age group 18-25 had the highest thickness of endometrium (45MM thick) while the age group 36-40 had the least thickness of endometrium (7MM thick). The age group 20-25 produced the greatest quantity of eggs (53.8%) while the age group 36-40 produced the least quantity of eggs (0.77%). Summary: This study has shown that Endometrial thickness increases under hormonal influence which affect the egg release from the ovaries.
Effective Strategies for Managing Substance Use Disorders in OlderAdults in Nursing Homes
Substance use disorder is very prevalent in nursing home (NH) residents due to aging, the number of prescription drugs that are being used to manage their physical and psychological pain, and several discharges with the diagnosis of substance use disorder from hospitals to NH for aftercare support. However, many nursing homes are not equipped to provide adequate care for residents with a diagnosis of substance use. The staff is not well-trained to care for this type of population, which is becoming a challenge for the staff to manage residents in-house, leading to overdose, recurrent hospitalization, and unsuccessful discharges to communities due to relapses and an increase in the number of frequent flyers. Substance use disorder has become a significant public health concern in the United States, especially in the older population from the past couple of decades, which tends to increase. Discharging older adults with substance use disorders into nursing homes without ensuring established resources in the long-term care setting raises safety and quality concerns, emphasizing a pressing need for innovative preventive and management approaches for substance use disorders to meet unique needs of older adults in nursing homes. Purpose: The purpose of the study is to explore and identify the interventions, treatments and care models to effectively manage substance use disorders in older residents who are living in nursing homes. The study further focuses on the unique challenges that are faced by older adults and staff in nursing homes to understand the need for integrating addiction treatments in Long-term care settings to assess the need to enhance care strategies to improve resident outcomes, which includes handling overdose emergencies, prevention, rehabilitation and relapse management of substance use disorders (SUDs). Scope: Provides valuable insights for future researchers and points out the need for collaborative models among the rehabilitation, addiction centers, and LTC and the need for virtual health platforms to improve access to care, interdisciplinary approaches, and policy innovation on resident retention and optimum resource allocation to reduce the health care cost of frequent flyers or unnecessary hospitalizations, therefore, improve patient outcomes.
Cardiac Auscultation: A Practical Method for Instruction andLearning
In response to the worldwide deficiency in the use of standard acoustic stethoscopes for the analysis of cardiac disorders, we have developed a cost-free platform for learning and teaching of cardiac auscultation by combining graphic images with actual patient recordings.
Laparoscopy Supports Implementation of Primary Infertility Diagnosis and Treatment: Case Reports
Background: Infertility is defined as conception failure in couples who have had sexual activity without regular contraception for one year and are still not pregnant. Abnormalities in the fallopian tube have the highest percentage of 30-45% as a cause of infertility. Hydrosalping is a condition where one or both fallopian tubes have fluid-containing clots and is the cause of 25–30% of all infertility cases. The condition of the fallopian tube and its patency can be detected with a hysterosalpingogram (HSG). Although a HSG examination can give a picture of the uterine cavity and tubes, other abnormalities such as adhesion and endometriosis are sometimes not detected. So, laparoscopy can be used to solve this problem. Results: We reported that a 27-year-old woman, Para 0, Abortus 0, came to the gynecology department with a major complaint of infertility. At the HSG examination, an unpatented right fallopian tube was found. So, the patient underwent laparoscopy, but both fallopian tubes were found in a patent state, and there was a tubal attachment on the omentum and a paratuba cyst, so adhesionolysis and cystectomy were performed. It can be concluded that tubal abnormalities can be detected more clearly with laparoscopy than with HSG. Conclusions: Laparoscopic is more recommended in cases of primary infertility, but further research to compare or combine these two modalities is still imperative.
Some contemporary organizations are going through a state of administrative corruption, which is represented by the organization’s leadership dismissing distinguished employees, either for the purposes of preserving the job position, or for the purposes of revenge for personal goals, or because it is convinced of the necessity of introducing new blood into the organization and replacing it with old blood.
Hybrid Prisms: Transforming Medical Imaging Technology
This research article delves into the groundbreaking use of hybrid prisms in X-ray imaging devices, emphasizing their role in enhancing the precision and efficiency of imaging systems. A hybrid prism, which integrates the functions of a lens and a reflective prism, is a versatile optical component capable of manipulating electromagnetic waves across a spectrum of wavelengths, including visible light and X-rays. This technology significantly improves the focusing and imaging capabilities of X-ray devices, making it indispensable in fields such as medical diagnostics.
Organoleptic Quality and Chemical Quality of Fish Meatspogo(Aluterus Monoceros) with Substitution Moringa Leaf (MoringaOleifera Lam)
Introduction: Meatballs are one of the most popular products by consumers. Until now, the meatballs have a standard taste so that it has the potential to be developed, one of which is being developed by adding new innovations to the pogo fish ball product with the addition of Moringa leaves. Pogo fish (aluterus monoceros) is a fish that is easy to find in coastal areas with cheap and affordable prices, this fish should be consumed by coastal communities because it can improve the nutritional status of children during growth. Moringa (Moringa oleifera) is a plant that is widely available in the surrounding environment and has leaves that contain vitamin A, tannins, steroids, flavonoids and other compounds that are beneficial to the body. This study aims to determine the acceptability and chemical analysis of the nutritional content of pogo fish balls with the addition of Moringa leaves. Method: The type of research used is descriptive. The panelists in this study were as many as 25 people who were selected from level II and III students of the D-IV Nutrition Study Program. Panelists are required to be healthy, not sick, not smoking, not color blind, not hungry and willing. The data collection technique carried out an acceptance test in the taste test laboratory, majoring in nutrition, and a chemistry test at the laboratory of the Faculty of Mathematics and Natural Sciences (FMIPA) at Haluoleo University in 2022. Results: The research shows that the panelists’ acceptance is the taste received by the panelists, namely the X1 treatment. The aroma received by the panelists was in the X1 treatment. The color received by the panelists is in the X2 treatment. The texture received by the panelists is in the X1 treatment. The highest chemical quality was obtained by product X3 protein 16.76%, fat 4.76%, carbohydrates 10.80%, water 32.86% and iron (Fe) 21.04 mg/100g. Conclusion: Acceptance of pogo fish balls with Moringa leaf substitution in terms of taste, aroma, color and texture, namely the taste received by the panelists, namely in the X1 treatment. The aroma received by the panelists was in the X0 treatment. The color received by the panelists is in the X0 treatment. The texture received by the panelists was in the X1 treatment. The highest chemical quality of pogo fish balls was obtained by X3 treatment of 16.76% protein, 4.76% fat, 10.80% carbohydrates, 32.86% water and 21 iron (Fe) 04mg/100g Keywords: Pogo Fish, Moringa Leaves, Meatballs, Acceptance Test, Chemical Quality.
Developing a Mind-Set Framework for Understanding the Way in which Diversity Contributes to Quality in Peri-Operative Care
This paper delves into the significance of patient diversity as a factor to improving peri-operative care. The focus is on diversity of mind-sets, ways of dealing with patients who have different needs and ways of thinking regarding issues surrounding their operation. We introduce the concept of AIgenerated mind-sets and AI-synthesized stages of a journey. We focus on what can be understood by knowing the patient mind-set and the stage in the journey. The objective is to open a new area of understanding patients. The paper introduces two assessment tools, the interview guide and the mind-set questionnaire. The objective is to create a systematic framework which comprehends the needs of individual patients, leading to recommendations for personalized care.
Introduction: My acquaintance from college married her fellow citizen, and after a few years gave birth to a healthy and beautiful baby. She had no sexual adventures in her marriage, but the baby was black, even though her husband was fair-skinned, which later led to many disagreements, divorces and the breakup of the family. The goal of the work is to enable the wider, and not only narrow scientific public, to learn about telegony and its positive or negative consequences for an individual, family or social community. The methodology of the work is based on research and study of knowledge obtained from available literature, as well as own experience. The results of the work confirm not only the scientific, but also the practical possibility of recording a wave genetic record and recording it in an intimate partner during sexual intercourse for an unlimited time. The recorded wave genetic record can be woven into the offspring after many years, not only in physical but also in spiritual traits, even though the woman has not had sexual relations with former partners for many years, and her child inherits the traits of the former or former sexual partners. This is how it happens that a white-skinned woman, who was once in a relationship with a black man and had sexual relations, after several years marries a white-skinned person and gives birth to a black child. A child born can inherit not only physical, but also mental characteristics of former sexual partners. These possibilities are confirmed by a scientific discipline called telegony. To conclude that telegony is not an everyday visible phenomenon in physical features, i.e. that white married pastners have a black child, but is often manifested in weaker or stronger noticeable physical and spiritual characteristics of former sexual partners. Sometimes in our life, we have probably heard Introduction: My acquaintance from college married her fellow citizen, and after a few years gave birth to a healthy and beautiful baby. She had no sexual adventures in her marriage, but the baby was black, even though her husband was fair-skinned, which later led to many disagreements, divorces and the breakup of the family. The goal of the work is to enable the wider, and not only narrow scientific public, to learn about telegony and its positive or negative consequences for an individual, family or social community. The methodology of the work is based on research and study of knowledge obtained from available literature, as well as own experience. The results of the work confirm not only the scientific, but also the practical possibility of recording a wave genetic record and recording it in an intimate partner during sexual intercourse for an unlimited time. The recorded wave genetic record can be woven into the offspring after many years, not only in physical but also in spiritual traits, even though the woman has not had sexual relations with former partners for many years, and her child inherits the traits of the former or former sexual partners. This is how it happens that a white-skinned woman, who was once in a relationship with a black man and had sexual relations, after several years marries a white-skinned person and gives birth to a black child. A child born can inherit not only physical, but also mental characteristics of former sexual partners. These possibilities are confirmed by a scientific discipline called telegony. To conclude that telegony is not an everyday visible phenomenon in physical features, i.e. that white married pastners have a black child, but is often manifested in weaker or stronger noticeable physical and spiritual characteristics of former sexual partners. Sometimes in our life, we have probably heard the words that someone’s child looks a lot like a neighbor.the words that someone’s child looks a lot like a neighbor.
Introduction: Pulmonary fibrosis is a progressive, incurable disease with a lower survival rate than most cancers. Due to the rapid increase in deaths following SARS-CoV-2 infection, evidence of a link between viral infection and the development of pulmonary fibrosis in patients with Covid-19 present with degrees of fibrotic change ranging from fibrosis, to disseminated fibrotic disease after severe acute lung injury. Objective: The purpose of the study is the management of patients with post-Covid-19 pulmonary fibrosis, with the aim of early treatment of these complications, so that patients can return to their previous lives. Materials and Methods: This is an observational study. Data were collected from the medical records of 60 patients hospitalized in “Shefqet Ndroqi” hospital, Tirana, in the internal pathology ward, where post-Covid 19 patients are treated, were reviewed. Their demographic, clinical, physiological, laboratory and imaging data were collected. These patients were followed in the period, March 2022-June 2022. Results: From the 60 patients who were clinically followed for 10 weeks, it was found that at the end of the 10th week, 25.6% of the patients had a significant improvement, 64% of the patients had a slight improvement, and 10.4% of these patients had no improvement. no improvement, compared to their previous condition. Conclusion: The elderly and those with severe symptoms during the acute phase are at greater risk of moderate and severe sequelae, which require multidisciplinary management, according to the patient’s condition.
A Rare Case of Autosomal Recessive GLS-Related Epileptic Encephalopathy and Respiratory Failure
The student said, “Oh, that is why we learned that!”. The student that sparked this research admitted that as she went through the program she often thought, “why are we learning this? I cannot see utilizing this in my everyday job.” In academia today, we often treat the clinical or practicum experience as a separate component of the learning. Some schools even front load the content so they do all of the experiential learning after the classroom portion is over. Experiential learning works best when the learner can connect what they see and hear in the classroom to what they are actually seeing and doing in the field. There are a number of ways to bring the two worlds together. One program did just that and based on findings, the students felt better prepared for the job after graduation. The element of the unknow was removed. Students reported feeling more prepared for their new career and were able to fully grow during the orientation.
Beyond the Challenges: An Optimistic Perspective on Nursing asa Career
The nursing shortages in the United States are well documented in the literature, with COVID-19 further escalating the workforce shortage and exposing the drawbacks in the healthcare systems, such as unsafe work conditions, high levels of burnout, and long-standing neglected issues in the health care system, lead nurses to leave the profession. Studies have estimated that more than 100,000 Rn’s left the profession during 2021, which is a significant drop, unlike in the past 40 years [1]. While these problems are substantial and discussed in previous literature beyond the challenges in the nursing profession, this paper focuses on an optimistic perspective on nursing as a career.
Sudden changes in balance are often debilitating for manypatients in the general population but even more for sufferers in a safety-critical role, such as machinery operators, drivers, aviation industry workers, air traffic controllers, pilots, or others. 98 % of the presentation of vertigo in general practice is Benign Paroxysmal Positional Vertigo (BPPV), Acute Vestibular Neuritis and Meniere’s disease (MD) [1-3].
Knowledge-Based: Facilitating Access to Medicines in Latin America
Purpose: The World Health Organization (WHO), with the scientific support of the International Pharmaceutical Federation (FIP), guides the development of multisource pharmaceutical products for market authorization using in vivo bioequivalence studies or, where applicable, in vitro biowaiver strategies based on the Biopharmaceutical Classification System (BCS). A review of the regulatory framework guiding generic medicines approval in Latin American countries revealed that less than 50% of regional health authorities offer a generic medicines development pathway utilizing a BCS-based biowaiver strategy. Design/Methodology/Approach: Aligned with the ONE FIP Strategy to facilitate access to medicines, a regional case study was carried out to implement and harmonize BCS-based biowaiver knowledge in Latin American countries. A steering committee involving regional representatives from health authorities, the pharmaceutical industry, and universities were established to coordinate to develop activities. A series of digital engagement events were held in Spanish and English with representatives from Latin America to share knowledge on BCS-based regulatory strategy, promote collaborations, and explore the alignment of biowaiver approval and regulatory pathways among Latin American countries. Findings: Feedback from diverse Latin American stakeholders demonstrated inconsistent implementation of bioequivalence testing within the region. However, there is support for a synergistic approach among countries to reduce duplication and increase efficiency in market authorization for generic medicines. This includes alignment with the WHO Prequalification of Medicines program as well as the development of a computational database for the classification of active pharmaceutical ingredients to demonstrate therapeutic interchangeability of immediate-release oral dosage forms according to the BCS. Originality/Value: FIP-facilitated digital learning opportunities raised awareness of the BCS-based biowaiver regulatory strategy among Latin American stakeholders. It resulted in a plan to continually strengthen collaborative efforts in the region to harmonize regulations relevant to drug development generics medicines to introduce cost-effective medicines products that benefit public health.
Influence of COVID-19 Pandemic on Medical Education: A Literature Review
Background: The COVID-19 has disturbed societies’ organizations including higher educational institutes all over the world. With the mass look down, online education has quickly become the main academic pattern. Under these situations, teachers and students faced variety of challenges with the quick switch to online education. Aim: This paper will view literature of the current challenges facing medical education focusing on the integration of electronic learning to the already present technology used. Further, it will discuss the advantages and disadvantages of online education and its Implications in Low to medium income countries. Finally, it will assess the possible changes COVID-19 may have on the medical curricula. Conclusion: Under challenging conditions, medical education considered an area that accepts development. The recent success of online education in the COVID-19 pandemic offered new and advanced procedures for medical education to suit both students and profession. Considerations should be applied to provide remote clinical and practical skills.
Copyright (c) 2021 Journal of Medical & Clinical Nursing
Evaluating the Impact of Cognitive Behavioral Therapy on Anxiety, Depression and Stigma Reduction in Patients with Substance UseDisorder: A Pre-Post Analysis Study
This longitudinal study assessed the effectiveness of Cognitive Behavioral Therapy (CBT) in addressing anxiety, depression, and stigma in patients with substance use disorder. Following a 45-day rehabilitation program and one-and-a-half-month follow-up, significant improvements were observed. Posttherapy, the median depression score decreased significantly (p < 0.001), with a remarkable reduction in very severe depression from 83.7% to 4.1%. Anxiety symptoms also showed a significant decrease (p < 0.001), with a decrease in moderate and severe anxiety from 46.9% and 20.4% to 8.2% respectively. Perceived stigma associated with substance use disorder was significantly reduced (p < 0.001) following therapy. These findings support the efficacy of CBT in reducing depression, anxiety, and perceived stigma, emphasizing its potential benefits in comprehensive treatment plans. Further research is needed to validate these results and investigate long-term effects.
Connecting Mental Health Clinical to Classroom Activities
When very advanced or in a terminal stage, cancer causes acute painful events. Care applied to patients with active, progressive, and incurable diseases such as cancer must receive effective and broad relief of symptoms, whether physical, psychosocial or spiritual, which only increases the challenge. In this context, this study aims to describe the means used to manage pain in cancer patients. To this end, bibliographical research was used in books and articles that discuss the topic under analysis. It has been seen that in patients with severe cancer, the objective is, until the moment of death, to maintain their dignity and ensure that their existence remains as comfortable as possible. Thus, at the end of the study it is concluded that, for professionals who deal with patients in an advanced stage of serious illnesses, such as cancer, it is crucial that in addition to technical procedures, there is a constant concern with alleviating suffering. In some moments, all that is possible to do is alleviate their pain and this is already a very important step to maintain the patient’s dignity even when, in curative terms, nothing more can be done.
Metabolic Syndrome in Obese Children and Adolescents
Introduction: Metabolic syndrome is one of the complications of obesity with a significant impact on health. This MS is diagnosed according to the International Diabetes Federation 2007 in children aged 10 to 16 years with waist circumference > 90th percentile according to the curves of McCarthy and two of the following metabolic characteristics: HDL C < 40 mg/dL, TG≥150 mg/dL, blood glucose ≥ 100 mg/dL and blood pressure≥130/85mmHg. Goals: We performed a retrospective and prospective study at the pediatric obesity consultation. The main objective is to assess the metabolic syndrome in a population of obese children and adolescents. The secondary objectives are the evaluation of the various criteria of the metabolic syndrome, and the impact of the degree of obesity, the search for comorbidities and their repercussions, and finally the evaluation of the care. Results: The survey involved 74 children and adolescents, from January 2011 to December 2021. The frequency of metabolic syndrome is 35.1%. with an average age around puberty of 12.92 years. There is no significant difference in frequency by sex. This frequency increases with the degree of obesity. Insulin resistance remains the first factor responsible for the genesis of MS, Dyslipidemia affects more than a third of these children. Arterial hypertension is noted in 14% of subjects. For glycemic abnormalities, 16.21% of children have fasting hyperglycemia for complications the non-alcoholic fatty liver disease NAFLD affects approximately 33 %of these children, the obstructive sleep apnea OSA was only confirmed in 4% of these children.
A Study to Determine the Prevalence, Risk Factors and Perceptionof Overweight and Obesity by Parent and Adolescent and Evaluatethe Effectiveness of a School-Based Intervention Program on BMI,Body Fat Composition and Selected Health-Related BehaviourPatterns among Adolescents in Kanyakumari District
Adolescents are increasingly susceptible to obesity, and thus at risk of later non-communicable diseases, due to changes in food choices, physical activity levels and exposure to an obese environment. This review aimed to synthesize the literature investigating the effectiveness of health education interventions delivered in school settings to prevent overweight and obesity and/ or reduce BMI in adolescents, and to explore the key features of effectiveness Aim: To find the effectiveness of a school-based intervention program provided to adolescents regarding changes in body mass index (BMI), body composition and selected health-related behaviour. Objectives: 1. To determine the prevalence of overweight and obesity in 10-18 year-old school going adolescents in Kanyakumari District. 2. To assess the perception of the adolescent about overweight/ obesity. 3. To evaluate the effectiveness of a school-based intervention program for three months and after six months follow up in changing the BMI, body composition, fitness and health-related Behaviour of adolescents aged 10 18years on both groups. Conclusion: Overweight and obesity continue to be a pressing issue among adolescents as the prevalence rate is 10.2 and 2% respectively among the school going adolescents of Kanyakumari district Interventional programs such as Zumba exercise and structured training was effective in reducing the BMI to 5% compared to the baseline BMI. This impact continued even 3months after the intervention was discontinued (2.5% reduction at the 6th month after the intervention) which reveals that the school adolescents would have continued to do the Zumba exercise as instructed by the investigator.