Nephrotic syndrome is a collection of symptoms due to kidney damage. This includes protein in the urine, low blood albumin levels, high blood lipids, and significant swelling. Other symptoms may include weight gain, feeling tired, and foamy urine. Complications may include blood clots, infections, and high blood pressure. Causes include a number of kidney diseases such as focal segmental glomerulosclerosis, membranous nephropathy, and minimal change disease. It may also occur as a complication of diabetes or lupus. The underlying mechanism typically involves damage to the glomeruli of the kidney. Diagnosis is typically based on urine testing and sometimes a kidney biopsy. It differs from nephritic syndrome in that there are no red blood cells in the urine. Treatment is directed at the underlying cause. Other efforts include managing high blood pressure, high blood cholesterol, and infection risk. A low salt diet and limiting fluids is often recommended. About 5 per 100,000 people are affected per year. The usual underlying cause varies between children and adults.
{"title":"A review on nephrotic syndrome with their causes, complications and epidemiology","authors":"Monika Semwal","doi":"10.46811/apjnh/3.1.2","DOIUrl":"https://doi.org/10.46811/apjnh/3.1.2","url":null,"abstract":"Nephrotic syndrome is a collection of symptoms due to kidney damage. This includes protein in the urine, low blood albumin levels, high blood lipids, and significant swelling. Other symptoms may include weight gain, feeling tired, and foamy urine. Complications may include blood clots, infections, and high blood pressure. Causes include a number of kidney diseases such as focal segmental glomerulosclerosis, membranous nephropathy, and minimal change disease. It may also occur as a complication of diabetes or lupus. The underlying mechanism typically involves damage to the glomeruli of the kidney. Diagnosis is typically based on urine testing and sometimes a kidney biopsy. It differs from nephritic syndrome in that there are no red blood cells in the urine. Treatment is directed at the underlying cause. Other efforts include managing high blood pressure, high blood cholesterol, and infection risk. A low salt diet and limiting fluids is often recommended. About 5 per 100,000 people are affected per year. The usual underlying cause varies between children and adults.","PeriodicalId":253253,"journal":{"name":"Asian Pacific Journal of Nursing and Health Sciences","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125344033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sickle cell disease is an autosomal recessive disorder that is common in people of African, Middle-Eastern and Mediterranean ancestry and its incidence varies from 10 to 40% of the population across equatorial Africa. The homozygous sickle cell disease affects about 2% of neonates in Nigeria and accounts for 25% of deaths in children under 5 years in Africa annually. The most common clinical manifestations are pain and anaemia. Pain associated with sickle cell pain crisis is usually severe, requiring treatment with strong opioids in addition to other interventions such as oxygen therapy and hydration with isotonic solutions. In order to accommodate the complex biopsychosocial components of this condition, pharmacotherapy, psychotherapy, functional restoration and other nonopioid pharmacotherapies need to be integrated in a multidisciplinary protocol for optimal outcome. There is a dearth of studies on the ideal analgesic regimen in the management of sickle cell crisis. Adoption of morphine PCA as the Gold standard in this condition is derived from studies on acute pain management protocols that are nonspecific for sickle cell pain crisis. More research is needed to identify the most appropriate opioid analgesic protocol in the management of sickle cell pain crisis. Such study requires exploration of alternative methods of opioid administration as PCA equipment may not be universally accessible in places (especially, resource-limited settings) where sickle cell disease is most endemic.
{"title":"What is the optimal opioid analgesic in the management of sickle cell pain crisis?","authors":"E. O. Okubuiro, C. Nnaji, C. Okoli","doi":"10.46811/apjnh/1.1.4","DOIUrl":"https://doi.org/10.46811/apjnh/1.1.4","url":null,"abstract":"Sickle cell disease is an autosomal recessive disorder that is common in people of African, Middle-Eastern and\u0000Mediterranean ancestry and its incidence varies from 10 to 40% of the population across equatorial Africa. The\u0000homozygous sickle cell disease affects about 2% of neonates in Nigeria and accounts for 25% of deaths in children\u0000under 5 years in Africa annually. The most common clinical manifestations are pain and anaemia. Pain associated\u0000with sickle cell pain crisis is usually severe, requiring treatment with strong opioids in addition to other interventions\u0000such as oxygen therapy and hydration with isotonic solutions. In order to accommodate the complex biopsychosocial components of this condition, pharmacotherapy, psychotherapy, functional restoration and other nonopioid pharmacotherapies need to be integrated in a multidisciplinary protocol for optimal outcome. There is a\u0000dearth of studies on the ideal analgesic regimen in the management of sickle cell crisis. Adoption of morphine PCA\u0000as the Gold standard in this condition is derived from studies on acute pain management protocols that are nonspecific for sickle cell pain crisis. More research is needed to identify the most appropriate opioid analgesic protocol\u0000in the management of sickle cell pain crisis. Such study requires exploration of alternative methods of opioid\u0000administration as PCA equipment may not be universally accessible in places (especially, resource-limited settings)\u0000where sickle cell disease is most endemic.","PeriodicalId":253253,"journal":{"name":"Asian Pacific Journal of Nursing and Health Sciences","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115656534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Food sector produces million tons of waste. Out of which some is discarded as animal feed, as fertilizer or mostly treated as waste which further creates environmental hazards. The present study was done to utilize the waste pomace from vegetables – carrot and beetroot after juice extraction in the formation of Cellulose Nano Particles (CNPs). Pomaces of carrot and beetroot were treated with alkali treatment and bleaching treatment separately.So formed CNPs have shown good adsorption behavior and have shown good reduction in polluting parameters , specially colour was reduced upto 80 % in waste water.
{"title":"Synthesis of CNPs from beetroots and carrot Pomaces and Application in reduction of Color from waste water","authors":"A. Singh, H. Kaur, N. Joshi, W. Ahmad","doi":"10.46811/apjnh/3.1.4","DOIUrl":"https://doi.org/10.46811/apjnh/3.1.4","url":null,"abstract":"Food sector produces million tons of waste. Out of which some is discarded as animal feed, as fertilizer or mostly treated as waste which further creates environmental hazards. The present study was done to utilize the waste pomace from vegetables – carrot and beetroot after juice extraction in the formation of Cellulose Nano Particles (CNPs). Pomaces of carrot and beetroot were treated with alkali treatment and bleaching treatment separately.So formed CNPs have shown good adsorption behavior and have shown good reduction in polluting parameters , specially colour was reduced upto 80 % in waste water.","PeriodicalId":253253,"journal":{"name":"Asian Pacific Journal of Nursing and Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125510316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing is an integral part of the health care system and Nurse’s direct their energies towards the promotion, maintenance and restoration of health. A quasi experimental, with single group pretest post test design was used to assess the existing knowledge and improvement after providing information booklet was carried out among 60 staff Nurse’s. The total mean score was 19.28. this shows that the knowledge deficit is around 50%.
{"title":"Effectiveness of information booklet on the knowledge of psychiatric nurses regarding legal responsibilities about patient care at selected mental hospital","authors":"Binu Joe, A. Joykutty","doi":"10.46811/apjnh/3.1.6","DOIUrl":"https://doi.org/10.46811/apjnh/3.1.6","url":null,"abstract":"Nursing is an integral part of the health care system and Nurse’s direct their energies towards the promotion, maintenance and restoration of health. A quasi experimental, with single group pretest post test design was used to assess the existing knowledge and improvement after providing information booklet was carried out among 60 staff Nurse’s. The total mean score was 19.28. this shows that the knowledge deficit is around 50%.","PeriodicalId":253253,"journal":{"name":"Asian Pacific Journal of Nursing and Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129157472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A quasi experimental study with pre test, post test without control group design was undertaken on 60 mothers selected by purposive sampling technique to assess the effectiveness of teaching programme on home management of low birth weight baby among mothers using closed ended questionnaire. Result reveals that more or less similar percentage 47% was in the age group of 21-25 and 46% in the age group of 26-30 years. The overall mean knowledge on practice score in pre test was 13.34±3.25 whereas it was 24.18±3.09 in post test revealing 31.89% enhancement of knowledge scores.
{"title":"A study to assess the effectiveness of structured teaching programme on knowledge regarding care of low birth weight babies among mothers in selected rural areas of Rajkot, Gujarat","authors":"Binu Joe, A. Joykutty","doi":"10.46811/apjnh/3.1.3","DOIUrl":"https://doi.org/10.46811/apjnh/3.1.3","url":null,"abstract":"A quasi experimental study with pre test, post test without control group design was undertaken on 60 mothers selected by purposive sampling technique to assess the effectiveness of teaching programme on home management of low birth weight baby among mothers using closed ended questionnaire. Result reveals that more or less similar percentage 47% was in the age group of 21-25 and 46% in the age group of 26-30 years. The overall mean knowledge on practice score in pre test was 13.34±3.25 whereas it was 24.18±3.09 in post test revealing 31.89% enhancement of knowledge scores.","PeriodicalId":253253,"journal":{"name":"Asian Pacific Journal of Nursing and Health Sciences","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125685829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Adverse events results in unintended harm to the patients including permanent disability and death. MEWS was introduced to identify and document the deteriorating patients in hospital settings. Adequate training and education of nurses will enhance early recognition and response in preventing adverse events. Objective: The objective of the study was to assess the effectiveness of competency training program on MEWS among nurses. Methodology: A Quasi experimental study was conducted among nurses who were working in inpatient units of selected hospitals, Chennai. 140 nurses were selected as participants out of which (n=70) is constituted to experimental group and (n=70) was constituted to control group. Pre-test knowledge was assessed in both groups. Competency training program on MEWS was given to experimental group of nurses and post test was assessed after one month. Results: The mean post-test knowledge scores was significantly higher in experimental group (M=18.2) to that of control group (M=10.6) which shows the effectiveness of competency training program on MEWS with (t=22.29, p less than 0.001). Conclusion: The present study reveals that Competency training program on MEWS had a significant increase in the knowledge of nurses in the experimental group.
背景:不良事件会导致患者的意外伤害,包括永久性残疾和死亡。引入了MEWS,以确定和记录医院环境中病情恶化的患者。对护士进行充分的培训和教育将提高对不良事件的早期识别和反应。目的:本研究的目的是评估护士新医疗服务能力培训计划的有效性。方法:采用准实验研究方法,选取金奈某医院住院部护士140人作为研究对象,其中实验组70人,对照组70人。对两组的测试前知识进行评估。实验组护士进行MEWS胜任力培训,1个月后进行后测。结果:实验组(M=18.2)的平均后测知识得分显著高于对照组(M=10.6),表明胜任力培训项目对MEWS的效果显著(t=22.29, p < 0.001)。结论:本研究表明,实验组护士的MEWS胜任力培训项目显著提高了护士的知识水平。
{"title":"Effectiveness of Competency Training Program on Modified Early Warning System\u0000(MEWS) upon the Knowledge of Nurses in Selected Hospitals, Chennai","authors":"Anju Chandran, J. Gnanarani, L. Venkatesan.","doi":"10.46811/apjnh/1.1.5","DOIUrl":"https://doi.org/10.46811/apjnh/1.1.5","url":null,"abstract":"Background: Adverse events results in unintended harm to the patients including permanent disability and death.\u0000MEWS was introduced to identify and document the deteriorating patients in hospital settings. Adequate training\u0000and education of nurses will enhance early recognition and response in preventing adverse events. Objective: The\u0000objective of the study was to assess the effectiveness of competency training program on MEWS among nurses.\u0000Methodology: A Quasi experimental study was conducted among nurses who were working in inpatient units of\u0000selected hospitals, Chennai. 140 nurses were selected as participants out of which (n=70) is constituted to\u0000experimental group and (n=70) was constituted to control group. Pre-test knowledge was assessed in both groups.\u0000Competency training program on MEWS was given to experimental group of nurses and post test was assessed after\u0000one month. Results: The mean post-test knowledge scores was significantly higher in experimental group (M=18.2)\u0000to that of control group (M=10.6) which shows the effectiveness of competency training program on MEWS with\u0000(t=22.29, p less than 0.001). Conclusion: The present study reveals that Competency training program on MEWS had a\u0000significant increase in the knowledge of nurses in the experimental group.","PeriodicalId":253253,"journal":{"name":"Asian Pacific Journal of Nursing and Health Sciences","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127884578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}