Application and Feasibility Study of Integrated Nursing Information Construction in Nephrology Nursing

With the continuous deepening of medical reforms and the continuous attempts and explorations of various management models, the traditional health care model is undergoing tremendous changes, and patients’ needs for medical institutions are becoming more and more comprehensive. Medical institutions are meeting the needs of providing medical services to patients at the same time. It is even more necessary to change our thinking and enhance the service concept. This article is based on case-based deep learning hospital nursing business process reengineering and the application and feasibility study of integrated nursing information construction in nephrology nursing. This article uses the literature analysis method, the social survey method, and other methods to discuss the construction of integrated nursing information. On the one hand, the content of this article uses the concept of process reengineering to analyze the current development status and existing problems of the hospital care industry and find countermeasures to solve problems. On the other hand, the main research content of this article is the construction of integrated nursing information and its analysis of the application and feasibility of nursing in the nephrology department. At the same time, under the background of the rapid development of the mobile Internet, we will carry out extended thinking on the continuous transformation of the construction of nursing information. According to the survey results, 87.5% of patients in the nephrology department are dissatisfied with the current hospital’s work efficiency, and 85.7% of the nursing staff in the nephrology department are generally satisfied with the information management of the current department. After the implementation of the hospital information integration system, patient satisfaction is as high as 98.2%, and the satisfaction of medical staff reached 94.2%. The construction of integrated nursing information has played a great role in the application of nephrology nursing.

Association of pre-ESRD care education with patient outcomes in a 10-year longitudinal study of patients with CKD stages 3–5 in Taiwan

There is little comprehensive education for people with end-stage renal disease (ESRD) progress. We investigated the differences in terms of outcomes between patients with CKD stages 3–5 who enrolled and did not enroll in the pre-ESRD care education in Taiwan. This retrospective cohort study was conducted using data from the National Health Insurance Research Database (NHIRD). All patients diagnosed with CKD stages 3–5 who received the pre-ESRD care education through the pay for performance (P4P) program were enrolled. Based on whether or not they participated in the program, they were categorized into P4P or non-P4P groups. All analyses were performed from January 2006 through December 2015. Study outcomes were risk of hemodialysis dependency, hospitalization, and all-cause mortality. In this study of 29,337 patients, those with CKD stages 3–5 in the P4P group had lower events of hemodialysis, hospitalization, and all-cause mortality compared to patients in the non-P4P group. This study suggested that pre-ESRD care education is associated with increased patient outcomes, resulting in lower hemodialysis and hospitalization events and a higher overall survival rate in patients with CKD stages 3–5. Patient education could raise opportunities to improve pre-ESRD care by reaching patients outside the traditional health care setting.

Common Health Problems and Health-seeking Behavior Among the Tribals of Odisha, India

The present study aims to explore the common health problems and the health-seeking behavior among the tribal population in Koraput district of Odisha. In order to assess the common health problems and the treatment-seeking behavior, 300 tribal individuals from 173 households in the age group of 18–64 years and 24 health care staff were recruited for the study. Information regarding health facilities, their affordability, and morbidity status were obtained through pre-structured questionnaires. Data analysis was carried out using SPSS-20 and Microsoft Excel software tools. Anemia, diarrheal problems, cold, pneumonia, vaginal problems, skin infection, fever, malnutrition, and sickle cell anemia were the common health problems reported by the respondents. In addition, the study found that the majority of the respondents relied on traditional health care practices. The initiation of proper awareness can help in reducing traditional health care practices among the tribal communities. Furthermore, the involvement of modern health care practitioners would help to reduce the disease burden in tribal communities.

A CONCISE BOTANICAL CONSIDERATION ON VARIOUS PLANT PARTS (PRAYOJYANGA) STATED IN AYURVEDA

The plants are the backbone of many traditional health care practices, and they are always said as best friends of human beings. In Ayurveda, The Panchavidha Kashaya Kalpana has been quoted as the fundamental therapeutic preparations mostly as herbal preparations. Among them, Swarasa (Fresh juice) & Kalka (paste) are made gener- ally by fresh plant parts like leaves and tuberous roots. While dried Panchanga (whole plant) are mostly used in the preparation of Kwatha (decoction), Hima (cold infusion) and Phanta (hot infusion). The term Panchanga in- dicates Tvaka (bark), Pushpa (flower), Patra (leaves), Phala (fruit), and Mula (root). Apart from this, Saara (pith), Ksheera (latex), Niryasa (exudate/ oleoresin/gum) and Kanda (bulb) has been also cited in the Ayurveda text. With the help of modern plant science, information can be obtained for an upgraded, précised and easily un- derstanding of the individual plant part. Thus, this article provides ample information on the terminologies of plant parts in the classical text and their description in line with botanical science. Keywords: Panchanga, Ayurveda, Plant, Parts, Kashaya

Interface between biomedical and traditional systems of treatment and care among HIV positive fisher folk in two fishing communities on Lake Victoria, Uganda

Background: Fisherfolk have been identified as a key population in the HIV response in Uganda due to high HIV preva- lence and low engagement in HIV services. While studies have examined lifestyles and risk, much remains to be understood about help and health seeking experiences, including the combined use of biomedical and traditional health care. Objective: To examine the use of biomedical and traditional health care in two fishing communities around Lake Victoria in Uganda. Methods: Exploratory, in-depth qualitative study involving semi-structured interviews with 42 HIV positive fisherfolk. Results: Prior to HIV diagnosis, participants who described becoming ill sought different forms of help including biomedical treatment prescribed by health workers or self-prescribed; biomedical and herbal medicines together; herbal medicines only; or no form of treatment. Following HIV diagnosis, the majority of participants used ART exclusively, while a smaller number used both ART and traditional care strategies, or reported times when they used alternative therapies instead of ART. Prior to HIV diagnosis, fisherfolk’s health care seeking practices inhibited engagement with HIV testing and access to biomedical HIV treatment and care. After HIV diagnosis, most resorted only to using ART. Conclusion: Study findings provide insight into how fisherfolk’s use of biomedical and traditional care prior to diagnosis influences subsequent engagement with HIV treatment. Efforts are needed to reach fisherfolk through everyday health seeking networks to ensure HIV is diagnosed and treated as early as possible. Keywords: HIV care; fisherfolk; HIV; Uganda; traditional healers; anti-retroviral therapy.

A Pilot Outreach HIV Testing Project Among Homeless Adults

Background: The Memphis metropolitan statistical area (MSA) represents a Deep Southern U.S. city disproportionally affected by the ongoing transmission of new HIV cases as well as those diagnosed in late-stage disease. This region is a subset of nine states, including Memphis, Tennessee (project site), driving the epidemic in the United States. Memphis ranks 4th among all U.S. MSAs for new HIV infections and has been identified in the CDC's Ending the HIV Epidemic Initiative as a high HIV burden geographic focus area. The Memphis Ryan White Part A Program conducted a pilot project among adults seeking services in Memphis emergency and transitional housing shelters to offer on-site, rapid HIV testing. In this paper we describe the results from this aforementioned pilot study, including the rate of HIV test acceptance and potential factors associated with a history of HIV testing in Memphis.Methods: Community-engaged research approaches were employed via a partnership between the local health department, a federally qualified faith-based health center, and an academic university. An interviewer-administered survey to measure potential factors associated with HIV testing history and voluntary HIV testing services were offered to adults living in transitional housing establishments. Bivariate chi-square analyses were performed to determine the association between predisposing, enabling, and need variables with HIV testing history in the past 12 months.Results: Survey respondents (n = 109) were mostly cisgender male (n = 96; 88.1%), African American (n = 79; 72.5%) and reported engaging in condomless sex in the past 12 months (n = 55; 50.5%). Acceptability and uptake of HIV testing was high (n = 97; 89.0%).Conclusions: Implementing rapid HIV testing programs outside of traditional health care settings is a strategy that can be used to engage high-risk individuals and those unaware of their HIV status to get tested. To our knowledge, this study represents the first that documents HIV testing acceptance rates offered outside of traditional health care settings for homeless and transitionally housed adults in a Deep Southern state.

Garlic in Traditional Indian Medicine (Ayurveda) for Health and Healing

Traditional Indian Medicine (TIM)- Ayurveda is a Sanskrit Language word, which signifies “true knowledge of life”. It is recognized as one of the oldest Traditional health care systems of the World by World Health Organization. In fact, it was a main stream health care system till the introduction of convention medicine in India. Plant, animal and mineral origin natural substances are used in Ayurveda for health and healing. Of them, Garlic is one of the plant origin substances. Garlic is known as Lasuna, which signifies, destroyer of diseases. The fresh plants of Garlic are used as edible food substance and also the dried cloves are on ripening to alleviate the disorders rationally in TIM. Garlic is recommended as physical strength promoting, intellect promoting and as aphrodisiac to maintain healthy state of life. Its properties like- unctuous, hot, pungent, heavy has been described to alleviates skin diseases, intra abdominal tumor, chronic rhinitis, hemicranias, epilepsy, fainting etc. Its continuous use causes internal hemorrhage. The medicated milk, medicated oil preparation are used orally as well topically. A number of pharmaceutical forms are seen in more than 3000 years old original scriptures of Ayurveda and also in later works as it was in use by successive generation in India. A comprehensive review on Garlic is highlighted here, including original references with scientific evidences.

The Role of Wild Food Plants of Himachal Pradesh in Boosting Immunity to Combat COVID-19

Purpose: The study aimed to document wild food plants usefulness in boosting immunity, fighting COVID-19 and other related viruses. The study also examined the diversity, distribution, parts used and season of availability of wild food plants that can be useful in boosting immunity to fight COVID-19. Subjects and Methods: The study was conducted in Himachal Pradesh (300 22' 40" to 330 12' 40" N Latitudes and 750 45' 55" to 790 04' 20" E Longitudes) northwest Himalaya from March 2020 to April 2021 by survey, sampling and interviewing knowledgeable persons through a questionnaire for the plants which are traditionally used as tonic and medicine to cure cough, cold and fever. Plants rich in antioxidant, Vitamin A,C and Zn were documented for their potential to boost immunity. Results: Ninety-five wild edible plants have been documented in this study belonging to forty families and seventy-seven genera. Family Asteraceae is found dominant, represented by 8 species followed by Lamiaceae (7 sp), Rutaceae and Brassicaceae (represented by 6 species each). Among genus, Ficus is found dominant represented by 4 species followed by Amaranthus, Oxalis, Rumex and Citrus (represented by 3 species each). These plants have been documented based on their medicinal and nutritive value like the richness in antioxidants, their ability to act as a body cleanser, cure common cold, cough and fever (Symptom similar to COVID-19) as revealed by a discussion with locals and literature reviews. These plants can be incorporated in our day-to-day life as a food, flavoring agent, or food supplement to boost immunity, fight COVID-19 or future challenges like COVID-19. Traditional knowledge of using these plants is on a sharp decline and their acceptability as a medicinal herb, food plants, or food supplement is the need of the hour to combat present and future challenges of pandemic COVID-19. Conclusion: Revitalization of our traditional health care and herbal healing with the use of nutritionally important medicinal wild food plants will be helpful to boost immunity and face ongoing and future challenges of pollution, stress, depression and pandemic like COVID-19. This can be done by the addition of documented plants as food and food supplements with some modern twist to our food plate.

Re-Visioning Immigrant Couple Therapy: Immigrant Couples in the United States and Telebehavioral Health

This article aimed to address the following question: In what specific ways, can couple therapists improve their work with immigrant couples via telebehavioral health (TBH)? This article offers perspectives from experience working with immigrant couples via telehealth, which include key barriers to using in-person therapy for immigrant couples, the effectiveness of TBH for immigrant couples, and consideration for couple therapists as they venture into TBH with immigrant couples. With a focus on the expansion of services, one way to improve health equity for immigrant couples and bridge the gap between the traditional health care system and couples in undeserved communities is by developing TBH systems, which may lead to increase access to care for clients as well as expand provider options and resources.