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National Nutrition Week 2021: Feeding Smart Right from Start—Role of Nursing Professionals 2021年全国营养周:从一开始就聪明喂养——护理专业人员的角色
Pub Date : 2021-10-30 DOI: 10.5005/jp-journals-10084-13116
S. Parija
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引用次数: 0
Butterfly Children/Epidermolysis Bullosa 蝴蝶儿童/大疱性表皮松解症
Pub Date : 2021-10-30 DOI: 10.5005/jp-journals-10084-13106
J. Dhandapani
Epidermolysis bullosa is a collection of a typical medical conditions that end in easy blistering of the skin and mucous membranes. Its severances can extent from mild to fatal. Children born with it are often called “butterfly children” because their skin seems as brittle as a butterfly wing. Epidermolysis bullosa was first identified in the late 1800s. Its association is with family of conditions called blistering diseases. There are the top five types of epidermolysis bullosa. Approximately 5,000 people have been affected by this disease in the UK. A positive family history raises the risk, based upon the type of inheritance and the closeness of affected relatives. All kinds of epidermolysis bullosa are genetic through the family so having a history of family or an impaired parent is a risk factor. Generally, signs of epidermolysis bullosa first arise in babies or toddlers. Painful skin and pustules are the major symptoms. Skin biopsy is prime. To make the diagnosis, immunofluorescence is necessary and also electromicroscopy. Treatment option includes minimizing friction, effusing blisters, maintaining a cool temperature, recognizing the signs of infection and maintaining a proper diet. The complications are anemia, oral cavities constipation, dehydration, dry skin, eye problem, infection, malnutrition, and skin cancer.
大疱性表皮松解症是一种典型的医学病症,最终导致皮肤和粘膜容易起泡。它的危害可以从轻微到致命。患有这种病的孩子通常被称为“蝴蝶孩子”,因为他们的皮肤看起来像蝴蝶翅膀一样脆弱。大疱性表皮松解症在19世纪晚期首次被发现。它与一种叫做水疱病的疾病有关。大疱性表皮松解症有前五种类型。在英国,大约有5000人感染了这种疾病。根据遗传类型和受影响亲属的亲密程度,阳性家族史会增加患病风险。所有类型的大疱性表皮松解症都是通过家族遗传的,所以有家族病史或父母有残疾都是一个危险因素。一般来说,大疱性表皮松解症的症状首先出现在婴儿或幼儿身上。皮肤疼痛和脓疱是主要症状。皮肤活检是首要检查。诊断需要免疫荧光和电镜检查。治疗方案包括尽量减少摩擦,排出水泡,保持凉爽的温度,识别感染的迹象和保持适当的饮食。并发症包括贫血、口腔便秘、脱水、皮肤干燥、眼部问题、感染、营养不良和皮肤癌。
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引用次数: 1
Role of Palliative Care at the End of Life: To Enhance the Quality of Life and Positively Influence the Course of Illness 临终关怀的作用:提高生活质量,积极影响病程
Pub Date : 2021-08-06 DOI: 10.5005/jp-journals-10084-13102
Sumana Choudhary, P. Mahala
The palliative care goal is to relieve the patients' suffering and their families by assessment of the comprehensive treatment of physical, psychosocial, and spiritual symptoms felt by the patients. It helps patients and their relatives to conclude suitable medical care and to support the goal of patient care with healthcare professionals. Finally, palliative care establishing the requirement of a proxy, resuscitation status, and advance directives is an essential part of palliative care at the end of life. This review aims to recognize the role of palliative care at the end of life. As death approaches, the symptom burden of a patient may worsen and require more aggressive palliation. As ease measures strengthen, so does the care provided to a dying patient’s family. Once death has occurred, the role of palliative care focuses primarily on the support of the patient’s family and bereavement.
姑息治疗的目标是通过评估患者感受到的身体、社会心理和精神症状的综合治疗,减轻患者及其家属的痛苦。它帮助患者及其家属完成适当的医疗护理,并支持医疗保健专业人员对患者的护理目标。最后,临终关怀建立代理,复苏状态和预先指示的要求是临终关怀的重要组成部分。这篇综述的目的是认识到临终关怀的作用。随着死亡的临近,患者的症状负担可能会加重,需要更积极的缓解措施。随着缓解措施的加强,为临终病人家属提供的护理也在加强。一旦死亡发生,姑息治疗的作用主要集中在对病人家属和丧亲的支持上。
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引用次数: 1
A Study to Assess the Prevalence and Contributing Factors of Ventilator-associated Pneumonia among Patients Admitted to Critical Care Units, MGMCRI, from January to December 2019 2019年1月至12月MGMCRI重症监护病房住院患者呼吸机相关肺炎患病率及影响因素评估研究
Pub Date : 2021-08-06 DOI: 10.5005/jp-journals-10084-13103
K. Renuka, S. Nandhini, Lavanya Sankar, M. Malarmathi
Background: Ventilator-associated pneumonia (VAP) is the most frequent life-threatening nosocomial infection in intensive care units (ICUs). Reported incidences vary widely from 5 to 40 % depending on the setting and diagnostic criteria. Aims and objectives: (1) To assess the prevalence of VAP among patients admitted to critical care units. (2) To find out the contributing factors of VAP among patients admitted to critical care units. Materials and methods: A retrospective approach was adopted for the study. The population of the study involves the patients diagnosed with VAP. The cluster sampling technique was used. Data were collected from the records based on the demographic variables and the contributing factors that were listed out in the study. Results: With regard to the contributing factors of the VAP, 40 samples were available. Out of these 40 samples, 12 (30 % ) were with respiratory illness, 7 (17.5 % ) were with cardiovascular disorders, 7 (17.5 % ) were with kidney diseases, 5 (12.5 % ) were with prolonged length of stay, 2 (5 % ) were with the resistance to antibiotics and invasive procedures, 3 (7.5 % ) were with trauma, and 1 (2.5 % ) was with septicemia and multiple organ dysfunction syndrome.
背景:呼吸机相关性肺炎(VAP)是重症监护病房(icu)最常见的危及生命的院内感染。根据环境和诊断标准的不同,报告的发病率从5%到40%不等。目的和目的:(1)评估重症监护病房住院患者中VAP的患病率。(2)探讨重症监护病房患者VAP的影响因素。材料与方法:采用回顾性研究方法。该研究的人群包括诊断为VAP的患者。采用整群抽样技术。数据是根据人口统计变量和研究中列出的影响因素从记录中收集的。结果:在VAP的影响因素方面,有40个样本。40例患者中,呼吸系统疾病12例(30%),心血管疾病7例(17.5%),肾脏疾病7例(17.5%),住院时间延长5例(12.5%),抗生素耐药和侵入性手术2例(5%),外伤3例(7.5%),败血症和多器官功能障碍综合征1例(2.5%)。
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引用次数: 0
Effectiveness of Bates Therapy (Ophthalmic Exercises) on Visual Acuity among Elderly People 贝茨疗法(眼操)对老年人视力的影响
Pub Date : 2021-08-06 DOI: 10.5005/jp-journals-10084-13110
K. Renuka, Ramesh Umamaheswari
Background: The eye is the window of the human body through which it feels its way and enjoys the beauty of the world, but as age rises, elderly people develop visual problems. Visual acuity is decreasing in most people older than 65 years. To improve the eyesight naturally, eye exercise is a set of massage that improves blood circulation and relaxes muscles in the ocular region. Objectives: To assess the level of visual acuity among elderly people, to assess the effectiveness of Bates therapy on visual acuity among elderly people, and to find out the association of visual acuity among elderly people with selected demographic variables. Methodology: Preexperimental—one-group pretest and posttest research design was adopted for the study. The population of the study was elderly people with decreased visual acuity. Thirty samples were selected by purposive sampling technique. The data were collected using a structured interview schedule and standardized visual acuity assessment scale (Snellen chart). Results: The study result shows that in the right eye, the level of visual acuity among elderly people was as follows: In the pretest, 8 (26.6 % ) had near-normal vision,19 (63.3 % ) had moderate low vision, and 3 (10 % ) had severe low vision. And in the posttest, 2 (6.6 % ) had normal vision, 9 (30 % ) had near-normal vision, and 19 (63.3 % ) belong to moderate low vision. In the left eye, the level of visual acuity among elderly people was as follows: In the pretest, 6 (20 % ) had near-normal vision, 22 had (73.35 % ) moderate low vision, and 2 (6.6 % ) had severe low vision. And in the posttest, 18 (60 % ) had near-normal vision, 11 (36.6 % ) had moderate low vision, and only one (3.3 % ) belongs to severe low vision. The effectiveness of Bates therapy on the level of visual acuity among elderly people was assessed by using Wilcoxon signed-rank test. In the right eye, the pre- and posttest median scores were both three, respectively, and the Wilcoxon signed-ranks test value was 2.828, and the obtained p value was 0.005. In the left eye, the pre- and posttest median scores were 3 and 2, respectively, and the Wilcoxon signed-rank test value was 3.357, and the obtained p value was 0.001, which is highly statistically significant at p < 0.001 * level. It shows that the Bates therapy was effective for decreased visual acuity. Conclusion: The study concludes that Bates therapy was effective in visual acuity among elderly people.
背景:眼睛是人体的窗户,通过它来感知道路,享受世界的美丽,但随着年龄的增长,老年人的视力出现了问题。大多数65岁以上的人的视力都在下降。为了自然地提高视力,眼保健操是一套促进血液循环和放松眼部肌肉的按摩。目的:评价老年人的视力水平,评价贝茨治疗对老年人视力的效果,并探讨老年人视力与选定人口统计学变量的关系。方法:本研究采用实验前-单组前测和后测研究设计。研究对象是视力下降的老年人。采用目的抽样法选取30个样本。采用结构化访谈时间表和标准化视力评定量表(Snellen表)收集数据。结果:研究结果显示,老年人右眼视力水平为:前测中,近正常视力8人(26.6%),中度低视力19人(63.3%),重度低视力3人(10%)。后验视力正常2例(6.6%),近正常9例(30%),中低视力19例(63.3%)。老年人左眼视力水平:前测中,近正常视力6人(20%),中度低视力22人(73.35%),重度低视力2人(6.6%)。后验视力接近正常者18例(60%),中度低视力者11例(36.6%),重度低视力者1例(3.3%)。采用Wilcoxon sign -rank检验评价Bates疗法对老年人视力水平的影响。右眼测前、测后中位得分均为3分,Wilcoxon符号秩检验值为2.828,所得p值为0.005。左眼测前、测后中位得分分别为3分、2分,Wilcoxon sign -rank检验值为3.357,所得p值为0.001,在p < 0.001 *水平上具有高度统计学意义。结果表明贝茨疗法对视力下降是有效的。结论:贝茨疗法对老年人视力有较好的治疗效果。
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引用次数: 0
Nurses: A Voice to Lead—A Vision for Future Health Care 护士:引领的声音——未来医疗保健的愿景
Pub Date : 2021-08-06 DOI: 10.5005/jp-journals-10084-13108
S. Parija
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引用次数: 8
A Case Report on Rolandic Epilepsy 罗兰癫痫1例报告
Pub Date : 2021-08-06 DOI: 10.5005/jp-journals-10084-13109
S. Rajeswari, Jayaprakash Jayapriyanjali
Benign focal epilepsy of childhood is an entity that includes characteristic clinical and electroencephalographic manifestations. An epileptic seizure is a transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain. Epilepsy is a disorder of the brain characterized by an enduring predisposition to generate epileptic seizures and by the neurobiological, cognitive, psychological, and social consequences of this condition. Here we report a case of Rolandic epilepsy or benign childhood epilepsy with centrotemporal spikes (BCECTS), which is the most typical epilepsy, and the child presented with typical symptoms of active seizures in the form of uprolling of the eyes and jerky movements of the upper limbs.
儿童良性局灶性癫痫是一个包括特征性临床和脑电图表现的实体。癫痫发作是由于大脑中异常过度或同步的神经元活动而引起的体征和/或症状的短暂发生。癫痫是一种脑部疾病,其特点是具有产生癫痫发作的持久易感性,以及该病的神经生物学、认知、心理和社会后果。这里我们报告一例罗兰癫痫或良性儿童癫痫伴中央颞叶尖峰(BCECTS),这是最典型的癫痫,儿童表现为活动性癫痫发作的典型症状,表现为眼睛连根刺起和上肢运动不稳。
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引用次数: 0
Myths and Facts about COVID-19: The Pandemic 关于COVID-19的神话和事实:大流行
Pub Date : 2021-08-06 DOI: 10.5005/jp-journals-10084-13101
J. Dhandapani, Dhivagar Subburayan
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引用次数: 0
COVID-19 Pandemic and Mental Health Problems among Healthcare Professionals: A Review COVID-19大流行与卫生保健专业人员的心理健康问题:综述
Pub Date : 2021-03-01 DOI: 10.5005/JP-JOURNALS-10084-12160
P. Jayanthi
The prevalence of novel coronavirus disease (COVID-19) is increasing day by day locally, nationally, and internationally. The common mental health problems experienced by the healthcare workers (HCWs) are anxiety, stress, depression, and insomnia. In all, 59% of HCWs are experiencing moderate to severe perceived stress. Symptoms of depression and anxiety were found in one of five healthcare professionals. The occurrence of anxiety and depression was high among female HCWs and nursing staff. The prevalence of anxiety for doctors was 21.73% and nurses was 25.80%. The prevalence rate of depression for nurses was 29.65% and for the doctors was 24.5%. Four in 10 HCWs are experiencing sleeping difficulties and/or insomnia. Estimated insomnia prevalence rate was 38.9%. The possible solutions to overcome the mental health problems among HCWs are increased manpower, community awareness, adequate knowledge about virus prevention and transmission, social isolation, and adequate supply of personal protective equipments (PPEs).
新型冠状病毒病(COVID-19)的流行在地方、国家和国际上日益增加。卫生保健工作者(HCWs)经历的常见心理健康问题是焦虑、压力、抑郁和失眠。总的来说,59%的卫生保健工作者正在经历中度至重度的感知压力。五分之一的医疗保健专业人员出现抑郁和焦虑症状。女性医护人员和护理人员的焦虑和抑郁发生率较高。医生和护士的焦虑患病率分别为21.73%和25.80%。护士和医生的抑郁患病率分别为29.65%和24.5%。10个卫生保健工作者中有4个有睡眠困难和/或失眠。估计失眠症患病率为38.9%。克服医护人员心理健康问题的可行办法是增加人手、提高社区意识、充分了解病毒的预防和传播、社会隔离,以及提供足够的个人防护装备。
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引用次数: 0
Determinants of Ruptured Cerebral Aneurysm and the Presenting Symptoms among Patients with SAH Admitted at a Tertiary Care Center in North India 印度北部三级医疗中心收治的SAH患者脑动脉瘤破裂的决定因素和表现症状
Pub Date : 2021-03-01 DOI: 10.5005/JP-JOURNALS-10084-12172
Mahendra Kumar, S. Kaur, A. Aggarwal, P. Salunke, Monaliza Mittal
A bstrAct Introduction: Aneurysmal subarachnoid hemorrhage (SAH) is a serious disease with high rates of mortality and morbidity. The current study is carried out to assess the risk factors and clinical profile of the patients with aneurysmal SAH presenting to a tertiary care center in India. Materials and methods: A single-center cross-sectional study was carried out on 65 cerebral aneurysm patients with an aneurysmal SAH. The sociodemographic details, comorbidities, risk factors, and the presenting symptoms experienced by the patients at the time of rupture of aneurysm were recorded by using a pre-validated questionnaire. Results: The age of the participants ranged between 41 and 55 years and the majority were female. Maximum had experienced severe headache followed by vomiting and neck stiffness before rupturing of the aneurysm. Age above 45 years followed by hypertension, female gender, and smoking were identified as major risk factors among the study subjects. Conclusion: Advanced age, smoking, and female gender are found main risk factors with severe headache, vomiting, and neck rigidity as main symptoms. Risk factors and symptoms are important to know for future research and preparing treatment modules.
摘要简介:动脉瘤性蛛网膜下腔出血(SAH)是一种死亡率和发病率高的严重疾病。目前的研究是为了评估在印度三级医疗中心就诊的动脉瘤性SAH患者的危险因素和临床特征。材料与方法:对65例脑动脉瘤合并动脉瘤性SAH患者进行单中心横断面研究。使用预先验证的问卷记录患者在动脉瘤破裂时的社会人口学细节、合并症、危险因素和表现症状。结果:参与者年龄在41 ~ 55岁之间,以女性居多。在动脉瘤破裂前,maximo经历了严重的头痛、呕吐和颈部僵硬。在研究对象中,年龄大于45岁、高血压、女性和吸烟被确定为主要危险因素。结论:高龄、吸烟、女性为主要危险因素,以严重头痛、呕吐、颈部强直为主要症状。了解风险因素和症状对未来的研究和准备治疗模块很重要。
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引用次数: 1
期刊
Pondicherry Journal of Nursing
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