Experience of Developing a Cognitive Exercise Program in Patients Screened for Breast Cancer - A Pilot Study

Introduction: The pathophysiology for cognitive impairment is observed both in healthy women having false-positive mammography screening results and as a side-effect of breast cancer treatment. This randomized controlled pilot trial, a sub-study of Onk-kong trial aimed to compare the feasibility and acceptability of CRT versus standard of care on patients with an objective cognitive impairment in association with false-positive screening results as well as breast cancer treatment. Method: Women with false-positive screening results or breast cancer completed the Headminder Web-based neuropsychological battery Cognitive Stability Index for response speed, processing speed, memory, and attention before diagnosis, 9 months after diagnosis (T1), and after another 3 months of follow-up (T2). A total of 31 women with an objective cognitive impairment at T1 were prospectively enrolled and randomized between training programs and expectancy. A modified psychological training program developed for schizophrenic patients, Cognitive Remediation Therapy was used and tested, by trained nurses. Result: In total 14 women were randomized to Cognitive Remediation Therapy and 17 to expectancy. Of the randomized women, 12 fulfilled the criteria for inclusion in this study. Of these 12 women, 6 attended and fulfilled Cognitive Remediation Therapy. Five declined participation in the program, because of not having time, one couldn’t start due to lack of available trainer. At T2 the results showed no improvement in any group. The dependence of the clinical setting caused problem. Conclusion: Our study design did not enable us to demonstrate the feasibility and acceptability of the modified CRT-program among women with a breast cancer diagnosis as well as false-positive screening results or breast cancer. The study has identified several logistical issues. Changes need to be made in the conduct of the CRT to be useful also for breast cancer patients.

Psychosocial Impact of Acne: A Community Based Cross Sectional Study

Background: It is well-known that acne vulgaris is a common malady of adolescence and is easily recognized Objective: To evaluate the level of impact among acne patients on their quality of life. Methods: A total of 200 patients studied. Acne severity was graded using Global Acne Grading System (GAGS) after the clinical diagnosis. All the patients went through self-administered questionnaire of Cardiff Acne Disability Index (CADI) to fill out, to assess the reflection of patients’ experiences and perceptions. Result: Out of 200 patients, 114(57.0%) were females and 86(43.0%) were males. The maximum number of patients was in the age group of 16-20 years (142/200, 71%). Out of total 86 males, 50 (58.3%) had moderate to severe acne, whereas 62(54.38%) females had such a severe acne. 50.87% (58/114) of females had high CADI scores in comparison to only 27.9(24/86) of males. The impact on quality of life was more in the age-group of 21-30 years even though in this age group clinical severity of acne was mild to moderate only. Conclusion: Study found that individuals with acne had profound emotional, as well as, social impact on their quality of life.

SciaticNeuralgia an Agonising Encumbrance and its Modern Approach

Sciatica not a medical diagnosis but is a symptom of an underlying vertebral condition i.e.,-lumbar herniation. dislocated disc, Spondylolisthesis and spinal stenosiswhere usually practiced medicine.Physicaltherapy, surgery and even alternative therapyfails to ensure cure but present regimea composite ofintravenous Calcium supplementation, cholecalciferoland bio neurogen composite achieved grade I clinical response in 93% cases without anywithdrawal. Drug adversity, hepatorenal alteration and recurrence in 5yrs of post therapy follow up with excellent quality of life

Every Child is Special

Today’s children are tomorrow’s responsible citizens of the world. 35 to 45 percent constitutes the young children of total world’s population. The future of our country depends on the health of young people. However, one in 10 children and adolescents have medical problems, below average intelligence, specific learning disability, attention deficit hyperactivity disorder, dyslexia, emotional problems, poor socio-cultural home environment and psychiatric disorders [1,2]. Language is acquired naturally in a sequence of listening, speaking, reading and writing. Failure in any of these processes may lead to serious problems at school, at work and in social situations. There are many types of language disabilities; the most common is dyslexia, which is defined as difficulty in learning to read and spell despite adequate education, intelligence, socio-cultural opportunities and without any obvious sensory deficits. It accounts for 80 percent of learning disabilities

A Descriptive Study to Assess the Knowledge of Mothers Regarding the Nutrition for Under Five Children in Selected Areas of Bagalkot with a View to Develop a Self Instructional Module

In India it is observed from various nutrition surveys that the nutritional status of pregnant and lactating mothers and infants is not satisfactory, this is probably due to lack of basic knowledge regarding proper nutrition and wrong customs prevalent in the community besides non-availability and low intake of food. To bring about changes in the knowledge in the mothers regarding nutrition[1], an attempt was made to assess mothers’ knowledge and hence to improve it based on their learning needs through an instructional module. Children are future of society and mothers are guardian of that future [2]. Hence to ensure sound foundation and secure future of any society health and nutrition of their children need protection. Children below five years of age require most attention, as this is the period of rapid growth and development, which makes them highly vulnerable to malnutrition. Malnutrition in this stage has far reaching consequences on child’s future by severely effecting child’s physical and mental development [2]. Yet malnutrition among children is widely prevalent in South East Asia region more so in India. As per available data about half of children in this age group suffer from different grade of malnutrition. Malnutrition in turns weakens the immune system of the child, thereby contributes to more than 50% of deaths associated with infectious diseases among this age group

Current Practices Related to Feeding Preterm Neonates with Expressed Breast Milk: A Pilot Project

A pilot project was conducted to assess current practices related to feeding pretermneonates with expressed breast milk. The present project was conducted with the objectives to assess current practices related to feeding preterm neonates with expressed breast milk admitted in tertiary level hospital, North India. Practices related to expressed breast milk feeding in preterm neonates was assessed in 4 steps. In step one of Information and current practices related to expression of breast milk among mothers was assessed. Practices in neonatal unit revealed that 92% of mothers had knowledge about feeding schedule of babies. In context to infection control practices 96% mothers washed hands, 92% wore gown, and all mothers (100%) used boiled utensils. Eighty two percent mothers expressed milk at least eight times in 24hour including once during night. Feeding detail of preterm neonates revealed that amount of expressed breast milk fed was very less as compare to enteral feed calculated per day

Occupational Health Problems of Construction Workers in Valley of Kashmir

Occupational risks have been classed as the tenth leading cause of morbidity and mortality and occupational skin diseases are important problem in the construction industries. Aim: The aim of this study is to understand the occupational health problems of construction workers engaged at large construction site in Kashmir. Materials and methods: The cross-sectional study was conducted at a large scale construction site of a cement factory on outskirts of Srinagar.All workers (N=200) were enrolled as study subjects. Data was collected by the team consisting of investigators, doctors and social worker using a pre tested validated structured preformed. Result: Among 200 workers only 28.0% used protective measure and 70% had suffered with at least one form of disease. Among them different diseases were found in following percentages i.e. respiratory problems (45.7%), musculo-skelekal problems (32.8%), Dermatitis (78.6%), burn/scald (6.6%) and accidental injury (28.6%). Conclusion: Measures are needed to improve the work environment of construction workers by ensuring availability of protective gears, sanitation facilities at the sites along with an accessible, accountable occupational health services

Why Invest to Prevent Child Abuse? The Budgetary Impact of Direct, Indirect and Collateral Derived Costs

Violence, and neglect in childhood, present innumerable economic costs to nations, whose impact on spending the public budget fluctuates between 15% and 25% of the annual government budget, as shown by several studies carried out in the United States, the European Union, and Mexico. The Center of Developing Child, of Harvard, emphazises that during the first years of life, the development of the brain can be physiologically altered by the prolonged and severe abuse of a child, over time, the brain of a 3 year old child, grows disproportionately large and heavy [1], reaching nearly 90% of the size of an adult brain. This alteration in the development of the brain can negatively impact the physical, cognitive, emotional and social development, whose consequences will always be present, even 30, 40 or 50 years later. International studies with significant data, are herein in summary presented. All in unison insists not only on preventing but on eradicating child maltreatment, considering this scourge as the determining element that havoc in government budgets. With an encourage exhortatory that by investing in preventing children from violence, a significant reduction in gross domestic product from 20 to 25% would be achieved

Prevention of Risk and Complications Associated with Heart Catheterization

Nurses play a dynamic role, in the interdisciplinary team within the health care arena. The purpose of this paper is to demonstrate the nurse’s role in the prevention of risks and access site complications following heart catheterization using complexity integration nursing theory. The initiative could save our nation tax dollars towards health care by reducing length of hospital stay, loss of work days and reduce exorbitant costs related to the management of access site complications following percutaneous coronary intervention