A necessary education intervention to parents has been proven to be statistically effective in improving the overall malnutrition status in primary children through a pilot study.
HORTICULTURE THERAPY, LEVEL OF DEPRESSION, INSTITUTIONALIZED OLD AGE POPULATION, old age home, Preparation of flower bed (session I),The results revealed that the mean score of depression before the intervention was (15.47 ± 3.40). But after the intervention, the results revealed that the mean scores of depression were (11.87±4.71).
Planting of seedling (session II)
Watering (daily)
Weeding (as needed)
Fertilizing (once in 2 weeks)
Walking around
Admiring other participants’ plants
Watching and listening to birds, insects, and butterflies The results revealed that the mean score of depression before the intervention was (15.47 ± 3.40). But after the intervention, the results revealed that the mean scores of depression were (11.87±4.71). it was concluded that the horticulture therapy was found to be effective in reducing the depression level of institutionalized older population in the old age home. In particular, more experimental studies are needed to investigate between-group effects of HT on older adults
HORTICULTURE THERAPY, LEVEL OF DEPRESSION, INSTITUTIONALIZED OLD AGE POPULATION, old age home, Preparation of flower bed (session I),The results revealed that the mean score of depression before the intervention was (15.47 ± 3.40). But after the intervention, the results revealed that the mean scores of depression were (11.87±4.71).
Planting of seedling (session II)
Watering (daily)
Weeding (as needed)
Fertilizing (once in 2 weeks)
Walking around
Admiring other participants’ plants
Watching and listening to birds, insects, and butterflies The results revealed that the mean score of depression before the intervention was (15.47 ± 3.40). But after the intervention, the results revealed that the mean scores of depression were (11.87±4.71). it was concluded that the horticulture therapy was found to be effective in reducing the depression level of institutionalized older population in the old age home. In particular, more experimental studies are needed to investigate between-group effects of HT on older adults
Intensive care patients are deprived of enteral or parenteral nutrition. This article gives you detailed information of all your queries regarding Nutrition in ICU patients
Feeding in the Intensive Care - A trickle or a torrent, is a great summary of several key critical care nutrition trials and how we can apply the evidence from these to the ICU patient. Providing adequate nutrition to patients in the intensive care is an extremely complex therapy that must be carefully titrated on a daily basis. The evidence for how to provide nutrition to critically ill patients is largely lacking and what evidence there is is often contradictory. In this presentation I will look at four feeding trials conducted in the ICU setting and published over the last 3 years. While the results are somewhat conflicting, there are lessons from each that we can apply at the bedside.
Professor Andrew Davies is an Intensivist working at Peninsula Health in Melbourne. He has performed clinical research in the field of critical care for 20 years, as a participating investigator in over 50 studies (mostly clinical trials), predominantly in the areas of critical care nutrition, mechanical ventilation and acute lung injury and severe sepsis. He is a past Vice Chair of the Australian and New Zealand Intensive Care Society Clinical Trials Group (ANZICS-CTG) with a special interest in nutrition in the ICU, and is a past Chair of the Australian and New Zealand Society of Parenteral and Enteral Nutrition (AuSPEN).
In this talk, Professor Davies tackles the often overlooked aspect of nutrition in the ICU and it’s potential benefits for our patients.
Total enteral nutrition and total parenteral nutrition in critically ill pat...Prof. Mridul Panditrao
Prof. mridul panditrao, discusses intricate problems of starvation, the pathophysiological changes, Total enteral nutrition, total parenteral nutrition, various protocols etc...
A brief presentation on how to proceed with anaesthesia for hysteroscopy.
This endoscopic procedure is being more and more performed, especially by infertility experts.
Most of the procedures go off in a jiffy; but the going gets tough when this simple endoscopy gets prolonged or the operator decides to go for an intervention.
Intensive care patients are deprived of enteral or parenteral nutrition. This article gives you detailed information of all your queries regarding Nutrition in ICU patients
Feeding in the Intensive Care - A trickle or a torrent, is a great summary of several key critical care nutrition trials and how we can apply the evidence from these to the ICU patient. Providing adequate nutrition to patients in the intensive care is an extremely complex therapy that must be carefully titrated on a daily basis. The evidence for how to provide nutrition to critically ill patients is largely lacking and what evidence there is is often contradictory. In this presentation I will look at four feeding trials conducted in the ICU setting and published over the last 3 years. While the results are somewhat conflicting, there are lessons from each that we can apply at the bedside.
Professor Andrew Davies is an Intensivist working at Peninsula Health in Melbourne. He has performed clinical research in the field of critical care for 20 years, as a participating investigator in over 50 studies (mostly clinical trials), predominantly in the areas of critical care nutrition, mechanical ventilation and acute lung injury and severe sepsis. He is a past Vice Chair of the Australian and New Zealand Intensive Care Society Clinical Trials Group (ANZICS-CTG) with a special interest in nutrition in the ICU, and is a past Chair of the Australian and New Zealand Society of Parenteral and Enteral Nutrition (AuSPEN).
In this talk, Professor Davies tackles the often overlooked aspect of nutrition in the ICU and it’s potential benefits for our patients.
Total enteral nutrition and total parenteral nutrition in critically ill pat...Prof. Mridul Panditrao
Prof. mridul panditrao, discusses intricate problems of starvation, the pathophysiological changes, Total enteral nutrition, total parenteral nutrition, various protocols etc...
A brief presentation on how to proceed with anaesthesia for hysteroscopy.
This endoscopic procedure is being more and more performed, especially by infertility experts.
Most of the procedures go off in a jiffy; but the going gets tough when this simple endoscopy gets prolonged or the operator decides to go for an intervention.
Kailash Nagar Research article publicationKailash Nagar
A STUDY TO ASSESS EFFECTIVENESS OF TRAINING PROGRAMME
ON KNOWLEDGE AND ATTITUDE REGARDING DENTAL HYGIENE
AMONG UPPER PRIMARY SCHOOL CHILDREN IN SELECTED
GOVERNMENT SCHOOL, KHEDA, DISTRICT.
Phase 2 evaluation train the trainer power point and video with voiceoverSherriBrittWilliams
Phase 2 Module 1: Evaluation is the first in a series of modules for Phase 2 offering information about Evaluations, Family-Directed Assessments, and Child Assessments. This module focuses on Evaluation. Information about Family-Directed Assessments and Child Assessments will be covered in the next Phase 2 modules.
Support for healthy breastfeeding mothers with healthy term babies: What's th...Health Evidence™
Health Evidence hosted a 60 minute webinar examining breastfeeding support interventions for healthy breastfeeding mothers with healthy term babies. Click here for access to the audio recording for this webinar: https://youtu.be/fxDY-Q87xaY
Alison McFadden, Senior Research Fellow, Director, Mother and Infant Research Unit, School of Nursing and Health Sciences, University of Dundee and Anna Gavine, Research Fellow School of Nursing and Health Sciences, University of Dundee will be leading the session and presenting findings from their recent Cochrane review:
McFadden A, Gavine A, Renfrew M, Wade A, Buchanan P, Taylor J, et al. (2017). Support for healthy breastfeeding mothers with healthy term babies . Cochrane Database of Systematic Reviews, 2017(2), CD001141.
Evidence suggests that not breastfeeding negatively impacts the health of both infants and mothers. Additionally, data demonstrates an inadequate uptake of the World Health Organization’s recommendations regarding type and duration of breastfeeding in many countries. This review examines the impact of breastfeeding support interventions on breastfeeding duration and exclusivity in healthy breastfeeding mothers with healthy term babies, compared to usual care. One-hundred trials with over 83,246 mother-infant pairs were included in this review. Seventy-three of the one-hundred trials were involved in the data analyses. Findings suggest that breastfeeding support interventions reduce cessation of ‘any breastfeeding’ before 4 to 6 weeks and 6 months, and cessation of ‘exclusive breastfeeding’ at 4 to 6 weeks and at 6 months. This webinar will provide an overview of the impact of support on breastfeeding duration and exclusivity in healthy breastfeeding mothers with healthy term babies.
IJRET : International Journal of Research in Engineering and Technology is an international peer reviewed, online journal published by eSAT Publishing House for the enhancement of research in various disciplines of Engineering and Technology. The aim and scope of the journal is to provide an academic medium and an important reference for the advancement and dissemination of research results that support high-level learning, teaching and research in the fields of Engineering and Technology. We bring together Scientists, Academician, Field Engineers, Scholars and Students of related fields of Engineering and Technology
Successful Pediatric Studies: Key Study Design and Site Selection Considerationsjbarag
The industry recognizes the importance of ensuring the safety and well‐being of children involved in research studies. Medical and regulatory bodies have worked to provide a framework to support appropriately designed studies through regulations and guidance documents in this vulnerable population. However, it is crucial to understand the nuances associated with pediatric trials, for the site, patient and family, in order to manage them to successful completion.
During the 2012 ACRP Annual Meeting, Dr. Charlene Sanders and Angi Robinson from Premier Research reviewed topics including the evaluation of study design considerations such as duration of treatment, required assessments, use of placebo, and inclusion of specific age groups; selection of appropriate sites for pediatric trials and the unique needs of these sites; identification of pediatric recruitment/retention hurdles and site specific strategies to overcome these as well as a reflection on ethical concerns related to pediatric research.
For more information, go to http://www.premier-research.com/pediatrics.
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
1. “EFFECTIVENESS OF THE EDUCATIONAL
INTERVENTION TO IMPROVE KNOWLEDGE ON
ESSENTIAL NUTRIENTS AMONG PARENTS OF
PRIMARY SCHOOL CHILDREN: A DESCRIPTIVE
STUDY”
Submitted By:
Supervisor:
Mrs. Vijayalakshmi Subendu Mukherjee
s044168
M.Sc. 2009 - 2010
2. INTRODUCTION & RATIONALE OF THE
STUDY
• Both protein-energy malnutrition and micronutrient deficiencies retards
physical and cognitive growth; increases susceptibility to infections.
• 820 million undernourished in developing countries: 524 million in Asia,
India has the largest number in the world; 250 million children below 10
years of age accounting for more 1/3rd of the Globe.
• Many previous studies have proved that one of the major factors of high child
malnutrition is maternal illiteracy or poor knowledge among mothers.
• Numbers of government programs implemented have been futile. 47%
Karnataka’s Child Population is malnourished.
• Growing children like primary school children are at maximum risk to be
affected from poor nutrition
• 22 % poverty rate but 47% Malnutrition rate. WHY?
3. AIMS AND OBJECTIVES
AIM:
• To assess the effect of educational intervention in developing knowledge on
essential nutrients among parents of primary school children.
OBJECTIVES:
Primary:
• To find out the effectiveness of the educational intervention in developing
knowledge on essential micro-nutrients among the parents of primary school
children.
Secondary:
• To determine the various factors influencing the nutritional status of primary
school children.
• To assess the nutritional status of the children and to determine the
prevalence of various types of malnutrition.
• To determine the prevalence of malnutrition in terms of child’s age and
gender.
•
4. MATERIALS & METHODS:
STUDY
SETTINGS Indiranagar & Koramangala ; BANGALORE
STUDY DESIGN Interventional, Non - randomized, Questionnaire
based, Descriptive case series study.
SAMPLE SIZE & 120; Frequency percent analysis, Descriptive
STATISTICAL Statistics – Cross Tabulation, Chi – square Analysis,
TOOLS Student t test
•Parents or Caregivers having atleast one children
aged between 3 to 10 years in the family.
INCLUSION •Child should be, a primary school going student, i.e. ,
studying within class nursery to standard five
•Parents or the caregivers could be able to read and
write in English.
EXCLUSION Subjects unwilling to give informed consent.
5. STUDY PROCEDURE
DESK ADMINISTRATIVE FIELD RESEARCH
RESEARCH FORMALITIES
Review of study
Extensive Web Search ANM was approached
documents by
ICRI SC.
Development of Study Door to Door evaluation of
Instruments STUDY Inclusion Criteria
APPROVAL
Preparation of
Informed Consent
Literature Review
section
Height & Weight of
the children
Post Score Noted
Part A of the questionnaire
Part B of the questionnaire Answered
Answered.
Study Intervention
- PPT Pre Score Noted Invited for Study
Intervention
6. RESULTS
• EFFECTIVENESS OF THE STUDY INTERVENTION:
Comparison t df p value
Pre - Post 12.919 119 .000
As per t- distribution table the value of t0.001 for df (119) is 3.37.
Therefore as |t| > t0.001 for df =119, H0 (null hypothesis) is rejected at
0.1% level of significance.
FACTORS v/s Nutritional Status.
SIGNIFICANT NON-SIGNIFICANT
FACTORS TOOLS p value FACTORS p value
Number of Chi- Square 0.38 [p<0.05 ] Family Income 0.652
Children Working Members 0.222
Outside Food Chi- Square 0.012 [p<0.05 ] Maternal Occupation 0.412
Intake
Maternal Education 0.512
Sanitary Chi- Square 0.042 [p<0.05 ]
Condition Drinking Water 0.932
7. PREVALENCE
Prevalence As per Age [NCHS]
19.17% Healthy
45.83 Stunted
18.33% Wasted
16.67% Both
Prevalence As per Gender
30.00%
25.00%
20.00%
Healthy
15.00%
10.00% Malnutri
5.00% tion
0.00%
BOY GIRL
9. Conclusion
• Study Intervention was found to be effective in developing
Knowledge among parents.
• 3 Factors; Number of Children in the Family, Frequency of Outside
Food intake, Sanitary condition of the residing area were found to be
negatively associated to nutritional status.
• As per NCHS scale majority of the study children suffered from
either form of malnutrition which were stunting, wasting or both.
• No difference in prevalence based on Gender. Micro-nutrient
deficiency in terms of Anthropometric measurements were found to
be much more higher in children aged 3 – 5 years compared to older
children.
10. Future Work
• Study on larger population for larger period with an inclusion of a
follow up period.
• Randomized design with an inclusion of a control arm could be used
within the study population to evaluate the effectiveness of the study
intervention between interventional arm and control arm in a more
robust way.
• Study findings can be used as basis by government in developing
stronger strategic plan to tackle these health problems such as
sanitation problem etc.