scholarly journals Pre and Post Test Clinical Study to Assess the Combined Effect of Brihatyadi Ksheera Kashaya, Chandraprabhavati and Shweta Parpati in Urinary Tract Infection

2021 ◽  
pp. 21-26
Author(s):  
Anjana.S ◽  
Mahesh.C.Kundagol ◽  
Devipriya Soman ◽  
James Chacko
Keyword(s):  
Urinary Tract ◽  
Health Care Providers ◽  
Urine Analysis ◽  
Clinical Symptoms ◽  
Urine Culture ◽  
Combined Effect ◽  
Rank Test ◽  
P Value ◽  
Care Providers ◽  
Post Test

Purpose: UTI is the broad term used to describe infection of any part of urinary tract and is a problem frequently encountered by health care providers today. E.coli is found to be the main causative agent for causing UTI (80%). The prevalence of UTI are increasing and the present standard of care includes the usage of antibiotics. The alarming and exponential use of nonspecific antibiotics, increased resistance and the high cost of prescribed medications for the management of the infective microorganisms will raise the need for alternate and safe medication. The signs and symptoms of Mutrakruchra and UTI are similar in nature. The combination of Brihatyadi Ksheera Kashaya, Chandraprabhavati and Shweta Parpati is widely practiced in Mutrakruchra. The present study was aimed at exploring the combined effect of the above combination in UTI. Materials and Methods: The present study was a single group study with pre and post test study design. 20 diagnosed cases of UTI based on ICD10N39.0 diagnostic criteria and proper exclusion were selected from IPD and OPD of Amrita Ayurveda Hospital. They were administered Brihatyadi Ksheera Kashaya, Chadraprabhavati and Shweta Parpati for 15 days. Result: The obtained data were analyzed statistically with symptoms of UTI, Urine analysis and urine culture by using Wilcoxon signed rank test done on the 0th and 16th day. There was significant change with 100% of improvement in clinical symptoms of UTI after treatment. Statistically significant result was obtained in reduction of WBC with p value 0.001, Epithelial cells with p value 0.005, and Nitrites, Leucocyte esterase, Bacteria with p value 0.0001. There was reduction in growth of E.coli in urine culture with statistically significant p value 0.0001. Conclusion: The combination of Brihatyadi Ksheera Kashaya, Chandraprabhavari and Shwetaparpati is effective in UTI.

scholarly journals Covid-19: e-Learning as a tool for improving the knowledge

2021 ◽  
Vol 45 (3) ◽  
Author(s):  
Maria do Carmo Barros de Melo ◽  
Unaí Tupinambás ◽  
Priscila Menezes Ferri ◽  
Solange Cervinho Bicalho Godoy ◽  
Rosália Morais Torres ◽  
...  
Keyword(s):  
Medical Students ◽  
Health Care Providers ◽  
Health Professionals ◽  
Cross Sectional Study ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
Professional Performance ◽  
Post Test ◽  
Degree Of Satisfaction

Abstract: Introduction: Preventing and fighting COVID-19 are of the utmost importance. In this context, the importance of using telemedicine tools has grown, including teleconsultations, epidemiological telemonitoring, remote diagnosis, support, and training of health professionals. Objective: This article aims to report the results of a distance-training course on SARS-CoV-2 and COVID-19. We analyze the course adherence, the students’ profile, pre, and post-test proficiency index and satisfaction with the course. Methods: This is a cross-sectional study that evaluated data from the course on SARS-CoV-2 and COVID-19. The data were analyzed in terms of distribution and comparisons of means and frequencies. A paired t-test was used to compare the pre and post-test grades. A p-value <0.05 was considered significant. Data were collected from the Moodle teaching platform, without identifying the participants. Results: From March 23 to May 14, the course was offered to 1,008 medical students and health care providers. Most were from the state of Minas Gerais, some from other Brazilian states, and Mozambique. The majority completed the course, with an 89.8% adherence. The evaluations related to the course, the tutors, the degree of satisfaction, and the security for the professional performance after the course obtained maximum scores. The comparison between the pre and post grades showed proficiency gain (p<0.0001). Conclusion: The course has contributed to the training of medical students and health professionals from Brazil and Mozambique. The organizing committee was able to prepare students and provide knowledge to professionals with difficulty to access good technical and evidence-based information. After the training, the students were selected to work on university projects aiming at supporting city halls, health departments, and the community.

scholarly journals Effectiveness of nurses-led cardiac rehabilitation program among coronary artery disease patients attending a teaching hospital, Bharatpur

2020 ◽  
Vol 10 (1) ◽  
pp. 48-53
Author(s):  
Rosy Shrestha ◽  
Laxmi Rajbanshi ◽  
Jaya Prasad Singh ◽  
Kshitiz Shrestha ◽  
Sajeeb Shrestha
Keyword(s):  
Coronary Artery Disease ◽  
Health Care ◽  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Health Care Providers ◽  
Teaching Hospital ◽  
P Value ◽  
Care Providers ◽  
Post Test ◽  
Artery Disease

Background: Cardiac rehabilitation (CR) is a comprehensive secondary prevention program, de­livered by multidisciplinary team including nurses. This portion in health care sector is found to be lacking and communication between health care providers and cardiac patients is frequently suboptimal. The aim of this study was to identify the effectiveness of nurse-led cardiac rehabilita­tion program among coronary artery disease patients attending a teaching hospital in Bharatpur, Nepal. Methods: One group pre-test post-test design was used. Total 85 CAD patients were selected for pre and post-test, baseline information was collected using consecutive sampling technique. The educa­tion intervention on CR was developed in Nepali language and distributed to each respondent after pre-test in separate room of OPD of Chitwan medical college and teaching hospital, Bharatpur. After one month of education intervention program, post-test was conducted with same subjects using face to face interview questionnaire using CADE-Q. Data was analyzed using Wilcoxon Rang signed test. Results: Of all 85 respondents, median difference between pre-test was 17 (IQR=14-22) and post-test was 39 (IQR=32-44) which was statistically significant (p=<0.001). The percentage of respondents with non-acceptable level (<50%) of knowledge sharply declined from 96.4% to 11.7% whereas those with acceptable knowledge (≥50%) significantly increased to 3.53% to 88.2% at p value <0.001. Conclusion:The nurse-led educational intervention programme considerably improved the knowl­edge on Cardiac Rehabilitation among CAD patients. Hence, it is strongly recommended that nurses should be involved in establishing and organizing cardiac rehabilitation programs at each tertiary level hospital in Nepal.

scholarly journals OSTEOPOROSIS – A HIDDEN DISEASE AND ITS MANAGEMENT

2019 ◽  
Vol 8 (3) ◽  
Author(s):  
Arun Chandran R ◽  
Yogananda R ◽  
B Shankar Reddy
Keyword(s):  
Risk Factors ◽  
Health Care Providers ◽  
Modern Society ◽  
P Value ◽  
Care Providers ◽  
Women Subjects ◽  
The People ◽  
Osteoporosis Knowledge ◽  
Post Test ◽  
Baseline Knowledge

With the increasing life expectancy, osteoporosis is becoming a serious health problem affecting the modern society especially among women of older age whose early detection can help in reducing the fracture rates and overall socio-economic burden. Objectives: To assess the baseline knowledge regarding osteoporosis, to improve it by giving awareness, thereby creating a positive attitude among the individuals and to find the risk factors that can lead to this condition. Materials and Methods: A prospective Interventional study carried out in a community setup by enrolling 204 women subjects between the age of 35 to 65 years, which began with a pre test to assess the knowledge and to find out the risk factors for osteoporosis aided by a self designed questionnaire among the subjects and they are educated by means of leaflets. After a gap, post test been done on the same subjects to assess their improvement of knowledge Results: The mean pre and post scores are 8.50 and 10.87 respectively which indicates a significant improvement in knowledge with a p value of 0.001 (significant).The major risk factors identified were menopause as well as lack of dairy products in diet. Conclusion: There is a great need for screening people for this disease and proper intervention as well as involvement of health care providers in community setup can make the people gain knowledge and also getting rid of risk factors. Key words: Osteoporosis, Knowledge, Women, Interventional, Screening

scholarly journals The Relationship Between Language Barrier in Non-Arabic Nurses and Anxiety in Cardiovascular Patients: A Cross-Sectional Descriptive Study

2021 ◽  
Vol 8 ◽  
pp. 237437352198924
Author(s):  
Jassem Almualem ◽  
Amal Darwish ◽  
Ahmed AlFaraj
Keyword(s):  
Health Care Providers ◽  
Care Delivery ◽  
Descriptive Study ◽  
Language Barrier ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
Related Information ◽  
Arabic Speakers ◽  
Arabic Speaking

Patients with cardiac conditions may suffer from anxiety related to prognosis and further rehabilitation. Anxiety could be exacerbated by different factors including miscommunication, which could be attributed to the linguistic barrier, that exists among health care providers. At Saud Al-Babtain Cardiac Center (SBCC), nurses who are non-native Arabic speakers could have difficulty communicating disease-related information at different stages of nursing care. Is it possible to identify the language barrier as a source of anxiety for admitted patients with cardiac diseases? In this cross-sectional, descriptive study, 50 patients were included following the diagnosis of cardiac disease and post-cardiac surgery. A questionnaire that measures anxiety level showed that patients who were handled by Arabic-speaking nurses reported less collective mean for the anxiety domain statements of (20.08) versus those who were handled by Non-Arabic-speaking nurses (28.55, P value = .041). Our finding indicates that anxiety levels increased when there was a language barrier between nurses and patients, which could affect the quality of care delivery at SBCC.

Digital Health Engagement in the US Population: Insights From the 2018 Health Information National Trends Survey

2021 ◽  
pp. e1-e4
Author(s):  
Chelsea L. Ratcliff ◽  
Melinda Krakow ◽  
Alexandra Greenberg-Worisek ◽  
Bradford W. Hesse
Keyword(s):  
Public Health ◽  
Health Information ◽  
Health Care Providers ◽  
Digital Health ◽  
Smart Device ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
The Us ◽  
National Trends

Objectives. To examine prevalence and predictors of digital health engagement among the US population. Methods. We analyzed nationally representative cross-sectional data on 7 digital health engagement behaviors, as well as demographic and socioeconomic predictors, from the Health Information National Trends Survey (HINTS 5, cycle 2, collected in 2018; n = 2698–3504). We fitted multivariable logistic regression models using weighted survey responses to generate population estimates. Results. Digitally seeking health information (70.14%) was relatively common, whereas using health apps (39.53%) and using a digital device to track health metrics (35.37%) or health goal progress (38.99%) were less common. Digitally communicating with one’s health care providers (35.58%) was moderate, whereas sharing health data with providers (17.20%) and sharing health information on social media (14.02%) were uncommon. Being female, younger than 65 years, a college graduate, and a smart device owner positively predicted several digital health engagement behaviors (odds ratio range = 0.09–4.21; P value range < .001–.03). Conclusions. Many public health goals depend on a digitally engaged populace. These data highlight potential barriers to 7 key digital engagement behaviors that could be targeted for intervention. (Am J Public Health. Published online ahead of print May 20, 2021: e1–e4. https://doi.org/10.2105/AJPH.2021.306282 )

scholarly journals Knowledge of Health Care Providers on HPV Related Issues in Cervical Cancer

2012 ◽  
Vol 29 (4) ◽  
pp. 213-218
Author(s):  
F Hussain ◽  
MS Flora ◽  
K Nahar ◽  
M Khan
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Cancer Prevention ◽  
Health Care Providers ◽  
Hpv Vaccination ◽  
Cervical Cancer Prevention ◽  
Care Providers ◽  
Before And After ◽  
Post Test ◽  
Cancer Prevention Program

Background: The field of cervical cancer prevention is  rapidly evolving because of identification of Human  Papilloma Virus (HPV) as the necessary cause of disease.  HPV vaccines are now in the market. For successful  triggering of cervical cancer prevention program, HPV  informations should be communicated to health care  providers whose understanding about HPV has lagged  behind the scientific and technical advances.Objective: The objective of this intervention study was to  identify gap and educate health care providers delivering  services to women and adolescents in Medical Colleges on  HPV related issues and vaccination.Methods: The study was done from July 2007 to June 2008  where 3 advocacy workshops were conducted. The  knowledge level of 106 participants were assessed before  and after intervention. Updated informations about HPV  and vaccine was given to participants as intervention.Results: Wide knowledge gap was identified among  participants on HPV related insues, but significant  improvement was observed following intervention. The  pretest and post test score of knowledge was 28.09 and 38.60  respectively showing an average increase of 10 after  intervention.Conclusions: HPV education should be extensively  disseminated to health care providers to obtain public health  benefits of HPV vaccination program. DOI: http://dx.doi.org/10.3329/jbcps.v29i4.11329 J Bangladesh Coll Phys Surg 2011; 29: 213-218

scholarly journals The Effect of Health Education to the Mother’s Attitude in Handling Febrille Post DPT Immunization

2014 ◽  
Vol 1 (1) ◽  
pp. 041-046
Author(s):  
Lia Rahmawati ◽  
Wahyu Wibisono
Keyword(s):  
Health Promotion ◽  
Experimental Design ◽  
Mass Media ◽  
The Body ◽  
Rank Test ◽  
P Value ◽  
Wilcoxon Sign Rank Test ◽  
Post Test ◽  
Wilcoxon Sign Rank ◽  
Sign Rank Test

DPT is an attempt to get immunity against the disease Diphtheria , Pertussis , Tetanus by entering the germs of diphtheria , pertussis , tetanus that have been weakened and turned off into the body so that the body can produce antibodies that will be used for the the body to fight the germs or the three of the disease ( Markum , 2005). The aim of this study was to determine the effectiveness health promotion to the mother’s attitudes post DPT immunization on the 3-5 months infants. Method: Research design was Pre-Experimental design using Pre - Post Test approach. Research sample was 19 mothers with infants aged 3-5 months at Pustu slorok District of Garum at June 25th until June 27th,2012, its choosed with total sampling. Data collected by questionaire. Analysis using Wilcoxon Sign Rank Test, with ≤0.05 significant level. Result: The results showed that there was an effect of health promotion to the mother’s attitudes in handling in febrile post DPT , with p value of  0.046. Discussion: Based on the results of the research,it was expected for the respondents to be more active in improving knowledge by emphasizing on information about febrile post DPT immunization either electronic nor mass media so respondents could  improve the attitude in handling the febrile post DPT and minimize the occurrence of Kipi ( Genesis Infection Post Immunization ).

scholarly journals Three Acupoints of Acupressure Improve the Anxiety Level in Cancer Patients based on Types of Cancer Therapy

2019 ◽  
Vol 13 (4) ◽  
pp. 110
Author(s):  
Yesiana Dwi Wahyu Werdani
Keyword(s):  
Cancer Therapy ◽  
Cancer Patients ◽  
Anxiety Level ◽  
The Body ◽  
Rank Test ◽  
P Value ◽  
Chemotherapy Group ◽  
Post Test ◽  
Physical Disorders ◽  
Signed Rank Test

Background: Cancer and its therapeutic management trigger the multiorgans physical disorders, that can cause the patient to worry and become anxious about the condition. Three acupoints of acupressure therapy stimulates relaxation of the body and can reduce anxiety. The purpose was to determine the influence of three acupoints of acupressure therapy to improve the anxiety level in cancer patients based on types of cancer therapy.Methods: This was an interventional study using pre-experiment pre-test post-test design. Samples were 30 cancer patients living at the Indonesian Cancer Foundation East Java Branch Surabaya Indonesia, taken by purposive technique sampling based on inclusion criteria. The instrument was Beck Anxiety Inventory that it was valid and reliable based on the test. Ethical feasibility tests has been carried out. Acupressure therapy is given on acupoint St36, Li4 and Li11. It conducted 2 times per week for 4 weeks. Wilcoxon Signed Rank Test was applied to analyze this result with p < 0.05.Results: There was a significant effect of acupressure for improving anxiety levels in both groups with p value in the chemotherapy group 0.001 and in the chemoradiotherapy group 0.002. But a greater influence occurred in the chemotherapy group compared to chemoradiotherapy group.Conclusions: Acupressure therapy in three acupoints can stimulate relaxation condition, it can decrease the anxiety level for cancer patients with all types of cancer therapy.

Hyperammonemia in a patient with obstructive urinary tract infection due to Corynebacterium urealyticum

Open Medicine ◽  
2013 ◽  
Vol 8 (5) ◽  
pp. 597-599 ◽  
Author(s):  
Tsuneaki Kenzaka ◽  
Ayako Kumabe ◽  
Yuka Urushibara ◽  
Kensuke Minami ◽  
Takeshi Ishida
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urine Analysis ◽  
Urine Culture ◽  
Impaired Consciousness ◽  
Rapid Improvement ◽  
Urease Test ◽  
Tract Infections ◽  
Corynebacterium Urealyticum

AbstractA 93-year-old woman with neurogenic bladder was admitted to our hospital because of impaired consciousness. Her urine culture revealed urease-test-positive Corynebacterium urealyticum. She was diagnosed with hyperammonemia due to an obstructive urinary tract infection that was caused by urease-producing bacteria. The patient showed rapid improvement of impaired consciousness and hyperammonemia after urine analysis. It is necessary to consider obstructive urinary tract infection as a differential diagnosis of hyperammonemia, which commonly occurs in urinary tract infections owing to the presence of urease-producing bacteria. Relief from obstruction is the most important treatment for hyperammonemia caused by this mechanism.

scholarly journals Community-Based Intervention to Increase Usage of Medication Disposal Bins

2019 ◽  
Author(s):  
Sanjhavi Agarwal ◽  
Jordan Burr ◽  
Charis Darnell ◽  
Brett Ellison ◽  
Amir El-Khalili ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Healthcare Providers ◽  
Health Centers ◽  
P Value ◽  
Care Providers ◽  
Community Based ◽  
Before And After ◽  
Provider Knowledge ◽  
Informational Intervention ◽  
Medication Disposal

Despite the existence of medical waste disposal sites, many patients do not know how to discard their unused and expired medications. The goal of this project is to assess health care providers’ knowledge regarding proper medication disposal (PMD) and to measure the effectiveness of a brief provider informational intervention regarding PMD. Changes in knowledge were evaluated using paper pre and post surveys. The surveys were administered anonymously before and after the presentation. Principal findings: A total of 55 healthcare providers (Clinic A n = 25, Clinic B n = 28) received the PMD presentation. 52 (95%) completed the pre and post surveys. Pre-intervention knowledge of PMD was higher in Clinic B where there was an existing medication disposal box (92% accuracy) compared to Clinic B which did not have a medical disposal bin (52% accuracy). Surveys results showed improvement in 36% of Clinic A participants and 14.3% of Clinic B participants (p value = 0.0086). Based on these findings, we can conclude that the presence of a medication disposal bin is positively correlated with provider knowledge regarding PMD. This may be used to encourage the institution of medication disposal bins in more health centers and an increase in medical staff knowledge of the practice.

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