Improving Outcome for the Elderly Surgical Patients in a Singapore Teaching Hospital by Si Ching Lim*, Peter Chow, Peter CL Chow, Fuyin Li, Swee Sim Hiew, Lau Soy Soy and Zhang Di in Crimson Publishers: Surgical Medicine Open Access Journal
The elderly patients admitted under surgery have longer lengths of stay and develop multiple complications during their hospital stay particularly with delirium, medical complications and functional decline. A Geriatrician’s input was helpful to identify incident and postop delirium early and put in measures to improve outcome, together with better nursing care and pharmacist’s input to reduce harm from medications.
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This document outlines the structure and contents of a research study on assessing the knowledge of staff nurses regarding prevention and management of perineal tears during normal delivery. It includes 6 chapters that discuss the introduction, literature review, methodology, data collection process, data analysis plan, and expected outcomes including conclusions and recommendations. The study aims to assess nurses' current knowledge and identify any associations between knowledge and demographic factors, with the goal of developing an educational module to improve nurses' understanding of perineal tears.
This document lists over 70 potential topics for nursing research projects related to medical/surgical nursing. The topics cover a wide range of clinical areas and patient populations, and focus on assessing the effectiveness of various nursing interventions like education programs, relaxation techniques, yoga, and more. Many of the proposed studies would take place in selected hospitals in Mehasana, India.
This document provides an overview of an 8-week online nursing course on advanced pathophysiology and pharmacology for nurse educators. It includes discussion questions for each week covering topics like genetic disorders, immunizations, electrolyte imbalances, respiratory diseases, cardiovascular conditions, genitourinary infections, neurological disorders, and endocrine disorders. Students are asked to analyze case studies, compare conditions, research treatments, and consider implications for patient education. The course aims to enhance understanding of disease processes and pharmacology to inform nursing practice.
The document summarizes several studies on the effects of various interventions on health-related outcomes. One study found that pranayama practice was effective in reducing anxiety among jail inmates. Another study found that patients were satisfied with nursing services but only partially satisfied with general hospital services. A third study found that most nurses were satisfied with supervision and salary at a particular hospital.
This study measured patient satisfaction among 133 neurosurgical inpatients at a hospital in Pakistan. It found high overall satisfaction levels, with a patient satisfaction score of 91.32% and an overall satisfaction index of 94.89%. Behavior of staff received the highest ratings, while management received the lowest. Dissatisfaction was more common among younger, more educated patients and relatives of patients. The study aims to identify areas for improvement by analyzing dissatisfied groups to enhance quality of care.
This article summarizes the use of a patient group direction (PGD) at a hospital to provide pre-operative Staphylococcus aureus decolonization treatment to patients undergoing spinal surgery to reduce their risk of surgical site infection. Staff were trained to distribute the PGD in pre-operative clinics and patients self-administered the treatment at home for 5 days before surgery. An audit found that over 50% of eligible patients received the PGD, and infection rates decreased from 2.4% to 0.6% after implementation. Both staff and patients reported that the PGD was well-explained and adhered to.
This document contains a proforma for registering a dissertation topic for a Master's in Nursing student named Sonia Jasmine Pinto. The proposed topic is on the "Effectiveness of Video Assisted Teaching Programme (VATP) in Improving Skills on Antenatal Examination Among Nursing Student’s in Selected College of Mangalore." The proforma provides background information on the need for the study based on literature reviews showing video-assisted teaching can improve skills more than traditional lectures. It outlines the objectives to assess skills before and after VATP, evaluate VATP effectiveness, and compare skills between experimental and control groups.
This document outlines the structure and contents of a research study on assessing the knowledge of staff nurses regarding prevention and management of perineal tears during normal delivery. It includes 6 chapters that discuss the introduction, literature review, methodology, data collection process, data analysis plan, and expected outcomes including conclusions and recommendations. The study aims to assess nurses' current knowledge and identify any associations between knowledge and demographic factors, with the goal of developing an educational module to improve nurses' understanding of perineal tears.
This document lists over 70 potential topics for nursing research projects related to medical/surgical nursing. The topics cover a wide range of clinical areas and patient populations, and focus on assessing the effectiveness of various nursing interventions like education programs, relaxation techniques, yoga, and more. Many of the proposed studies would take place in selected hospitals in Mehasana, India.
This document provides an overview of an 8-week online nursing course on advanced pathophysiology and pharmacology for nurse educators. It includes discussion questions for each week covering topics like genetic disorders, immunizations, electrolyte imbalances, respiratory diseases, cardiovascular conditions, genitourinary infections, neurological disorders, and endocrine disorders. Students are asked to analyze case studies, compare conditions, research treatments, and consider implications for patient education. The course aims to enhance understanding of disease processes and pharmacology to inform nursing practice.
The document summarizes several studies on the effects of various interventions on health-related outcomes. One study found that pranayama practice was effective in reducing anxiety among jail inmates. Another study found that patients were satisfied with nursing services but only partially satisfied with general hospital services. A third study found that most nurses were satisfied with supervision and salary at a particular hospital.
This study measured patient satisfaction among 133 neurosurgical inpatients at a hospital in Pakistan. It found high overall satisfaction levels, with a patient satisfaction score of 91.32% and an overall satisfaction index of 94.89%. Behavior of staff received the highest ratings, while management received the lowest. Dissatisfaction was more common among younger, more educated patients and relatives of patients. The study aims to identify areas for improvement by analyzing dissatisfied groups to enhance quality of care.
This article summarizes the use of a patient group direction (PGD) at a hospital to provide pre-operative Staphylococcus aureus decolonization treatment to patients undergoing spinal surgery to reduce their risk of surgical site infection. Staff were trained to distribute the PGD in pre-operative clinics and patients self-administered the treatment at home for 5 days before surgery. An audit found that over 50% of eligible patients received the PGD, and infection rates decreased from 2.4% to 0.6% after implementation. Both staff and patients reported that the PGD was well-explained and adhered to.
This document contains a proforma for registering a dissertation topic for a Master's in Nursing student named Sonia Jasmine Pinto. The proposed topic is on the "Effectiveness of Video Assisted Teaching Programme (VATP) in Improving Skills on Antenatal Examination Among Nursing Student’s in Selected College of Mangalore." The proforma provides background information on the need for the study based on literature reviews showing video-assisted teaching can improve skills more than traditional lectures. It outlines the objectives to assess skills before and after VATP, evaluate VATP effectiveness, and compare skills between experimental and control groups.
R S Mehta has conducted numerous research projects related to nursing at BPKIHS over the past two decades. The projects covered topics such as patient and nurse satisfaction, oral hygiene care, kala-azar and breast cancer prevalence, diabetes risk factors, turnover among nurses, HIV/AIDS knowledge and profiles, mechanical ventilation skills, and home-based care for people living with AIDS. Many of the studies examined nursing practices, education programs, and the impacts of training. The research was presented at BPKIHS Scientific forums and aimed to improve nursing care and outcomes.
The document discusses the role of nurses in improving patient safety in colorectal surgery. It emphasizes that patient safety should be the top priority and is a shared responsibility. The Enhanced Recovery After Surgery (ERAS) program plays an important role in pre-operative patient safety, focusing on goals like reduced fasting and avoidance of unnecessary interventions. Proper pre-operative stoma site marking by nurses is also discussed as an important way to reduce postoperative complications. Overall, the document stresses the importance of multidisciplinary teamwork and a holistic, patient-centered approach to ensure high quality, safe care.
This document reports on a study examining treating open hand injuries as elective day surgery rather than emergency admissions. The study found that treating open hand injuries as semi-elective day surgery procedures rather than surgical emergencies avoided 76.45% of unnecessary admissions, saved 578 bed days, and increased day surgery utilization by 196.3% with consultant-delivered care. Of the 232 open hand injury cases treated, 3 patients (1.3%) developed deep infections, showing delayed treatment of up to 120 hours did not significantly impact infection rates. The study demonstrates open hand injuries can be safely treated as elective day surgery.
This document discusses the use of general anesthesia to facilitate dental treatment. It finds that 91.5% of house surgeons did not perform any treatment under sedation. Those who did use sedation obtained their training through postgraduate studies, with only 30.2% receiving undergraduate training. Oral and maxillofacial surgeons were found to provide most sedation services compared to other specialists. Guidelines for sedation are needed to standardize patient assessment, practitioner training, emergency management and more.
Saleh Neama Hassan has over 20 years of experience as a Nursing Supervisor in Bahrain. He obtained several nursing qualifications including a Diploma in Practical Nursing, A/D in General Nursing, Diploma in Psychiatric Nursing, B.Sc. in Nursing, and M.Sc. in Health Care Management. Throughout his career, he has conducted numerous studies and implemented various projects focused on improving nursing practices and patient care. He has held several leadership roles serving on committees to advance nursing policies and research.
This document summarizes a case study on reengineering processes at Nethrajyoth International Hospital in southern India. [1] The hospital aimed to increase services for poor patients without increasing fees for other patients, but faced constraints on resources and staff. [2] The old process involved patients moving between departments with long wait times. Reengineering focused on eliminating wait times using a centralized IT system. [3] The reengineered system links 60 terminals to schedule appointments, registration, payments, and hand patients between departments, cutting perceived wait times for a better patient experience.
A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...QUESTJOURNAL
Purpose: This questionnaire based study was aimed at identifying common occupational hazards affecting dentists in Pondicherry which may help to make dentists aware and to take adequate precautions in their practice to prolong the service imparted to patients as well as improve the overall well being of the dental professionals The prevalence of work related musculoskeletal problems among dentists in Pondicherry was evaluated with this study. Methods: A pretested and validated questionnaire was used to collect details from practising dentists in Pondicherry .272 dentists responded to the questionnaire. Results: The data obtained was statistically analysed with SPSS Version 20 for calculating proportion and mean.84.9% (n=272) of respondents had some kind of musculoskeletal problem affecting different parts of the body.52.2% had low back pain and 50% had neck pain. Conclusion: The dental professionals are regularly exposed to various health hazards in their day to day practice. Chronic musculoskeletal disease is one of the common ailments affecting majority of dentists It is important for the dentists to be aware of the work related factors affecting their health and take adequate precautions or modifications in their working environment
This document provides over 30 potential topics for nursing research proposals. The topics cover a wide range of issues including examining the role of nursing in treating various medical conditions, exploring relationships between factors like sleep quality and depression, assessing tools for measuring outcomes like pressure ulcer risk, and studying nursing interventions and practices across clinical settings and patient populations. Many of the proposed topics focus on evaluating nursing care, interventions, practices and their impact on outcomes such as patient quality of life, disease management, and prevention of issues like infections.
An Epidemiological Data of Oral Health Status and Treatment Needs in Pamulapa...DrHeena tiwari
An Epidemiological Data of Oral Health Status and Treatment Needs in Pamulapadu Village of Guntur District, Andhra Pradesh, India: An Original Research
Impact of a designed nursing intervention protocol on myocardial infarction p...Alexander Decker
This study examined the impact of a designed nursing intervention protocol on myocardial infarction patients' outcomes at a university hospital in Egypt. Forty adult myocardial infarction patients were included. The study found that after exposure to the nursing intervention protocol, patients had significantly higher total mean knowledge scores and total mean practice scores. It also found that patients had medium to high levels of compliance to lifelong instructions. The results support the hypotheses that the nursing intervention protocol improved patients' knowledge, practices, and compliance. The study concluded that a nursing intervention protocol can have a positive impact on myocardial infarction patient outcomes.
The study aimed to assess the effectiveness of intradialytic exercises in reducing muscle cramps and improving quality of life among patients undergoing hemodialysis. 80 patients were randomly assigned to experimental and control groups. The experimental group performed intradialytic exercises for 2 weeks, while the control group received usual care. Results found significant reductions in muscle cramps and improvements in quality of life in the experimental group compared to the control group. The study demonstrated that intradialytic exercises are an effective non-pharmacological approach for reducing muscle cramps and improving quality of life in hemodialysis patients.
The document summarizes a study that assessed the skills of nurses working in critical care units in B. P. Koirala Institute of Health Sciences, Dharan, Nepal. It found that most nurses were younger than 25 and had less than 3 years of critical care experience. Few had received basic life support or advanced life support training. Nurses showed adequate skills in areas like starting IVs and assessing vital signs, but limited skills in interpreting arrhythmias, managing temporary pacing, and caring for patients on hemodialysis. The study concluded that skill development training is needed for nurses to provide quality critical care.
1) The document summarizes several journal articles related to physical medicine and rehabilitation (PMR). It includes abstracts on topics like cognitive communication skills after mild traumatic brain injury, seizure comorbidity and hospital readmissions after traumatic brain injury, effects of traumatic brain injury and spinal cord injury on sexual function, the relationship between white matter hyperintensities and response to language treatment in post-stroke aphasia, using mental imagery therapy to treat neuropathic pain in spinal cord injury patients, and impairments in spatial navigation during walking in younger patients with mild stroke.
2) The editor's preface welcomes readers to the first issue of 2021 and thanks contributors and the recognition from IAPMR. It encourages readers to keep learning with the
This study aimed to audit doctors' knowledge and attitudes towards surgical informed consent (SIC) at a tertiary hospital in Pakistan. A questionnaire was administered to 231 doctors, including 199 junior doctors and 32 senior doctors. The results showed overall deficiencies in knowledge of SIC processes and guidelines. Junior doctors performed poorer than seniors. Doctors often delegated obtaining consent and did not directly involve patients. Key information like complications was often not communicated. No formal training on SIC had been received. The study concluded knowledge and attitudes towards proper SIC, especially among junior doctors, was suboptimal and improvements are needed.
This study assessed the knowledge of pediatric nurses regarding pulse oximetry at B.P. Koirala Institute of Health Sciences in Nepal. The study found that most nurses felt they needed more training on pulse oximetry. While most nurses knew what a pulse oximeter measures, few understood how it works or could interpret oxygen saturation readings in clinical scenarios. The results indicate a lack of basic knowledge about pulse oximetry principles among pediatric nurses. Improving education programs and ongoing training for healthcare providers was recommended.
Effect of nursing intervention on clinical outcomes and patient satisfaction ...Alexander Decker
1) The study aimed to determine the effect of nursing intervention on clinical outcomes and patient satisfaction among patients with upper gastrointestinal bleeding.
2) A quasi-experimental study was conducted on 50 patients divided into a study group that received nursing intervention and a control group.
3) Statistically significant differences were found between the groups in clinical outcomes like bleeding, vital signs, and lab tests as well as higher patient satisfaction scores in the study group compared to the control group, showing that nursing intervention improved patients' outcomes and satisfaction.
This study evaluated the feasibility and usefulness of geriatric screening and assessment in older cancer patients. Researchers prospectively studied 1,967 patients aged 70+ from 10 Belgian hospitals. They found that geriatric screening detected previously unknown geriatric problems in over half of patients. When physicians were aware of screening results, it led to geriatric interventions in 26% of patients and influenced treatment decisions in 25% of patients. The study demonstrates that large-scale geriatric screening and assessment can significantly impact cancer care for older adults.
This study assessed the acceptability, tolerability, and satisfaction of the contraceptive vaginal ring (NuvaRing) among 39 Thai women over 6 cycles of use. Nearly all (38/39) continued using the ring for the full 6 cycles. Some experienced difficulties inserting/removing the ring initially (12%) and feelings of a foreign body (49%), but these issues resolved over time. One third experienced increased vaginal discharge. Overall, 71% reported being very satisfied with the ring, and it demonstrated no significant effects on the menstrual cycle or adverse health impacts. The study concluded the NuvaRing was well accepted and tolerated by Thai women.
This study compared non-operative management (antibiotics only) to surgical management (appendectomy) for uncomplicated acute appendicitis in children. 102 children were enrolled and allowed to choose their treatment. At 1 year, the success rate of avoiding appendectomy with non-operative management was 75.7%, and children who received non-operative management had fewer disability days and lower healthcare costs compared to those who received surgery. Non-operative management is an effective treatment option for children with uncomplicated appendicitis that results in less morbidity and costs than surgery.
Delirium in intensive_care_units__perceptions_of.6 (1)Ahmad Ayed
1) Delirium is common in ICU patients and is associated with negative outcomes like longer hospital stays and higher costs, but it often goes underdiagnosed.
2) The study assessed the knowledge, attitudes, and practices of Palestinian healthcare professionals regarding delirium in ICU patients. It found delirium appears to be underrecognized or misdiagnosed in Palestinian ICUs.
3) Educating medical and nursing teams on delirium assessment tools could help reduce the length and costs of hospital stays by improving early diagnosis and management of delirium.
This document discusses a nursing case study that assesses a patient using the Roper-Logan-Tierney model of nursing. The model covers 12 activities of daily living and how they can be influenced by biological, psychological, socio-cultural, environmental, and political-economic factors. The document focuses on assessing one patient admitted to a cardiac ward named Ann and identifies one problem during the assessment and the corresponding nursing care provided.
R S Mehta has conducted numerous research projects related to nursing at BPKIHS over the past two decades. The projects covered topics such as patient and nurse satisfaction, oral hygiene care, kala-azar and breast cancer prevalence, diabetes risk factors, turnover among nurses, HIV/AIDS knowledge and profiles, mechanical ventilation skills, and home-based care for people living with AIDS. Many of the studies examined nursing practices, education programs, and the impacts of training. The research was presented at BPKIHS Scientific forums and aimed to improve nursing care and outcomes.
The document discusses the role of nurses in improving patient safety in colorectal surgery. It emphasizes that patient safety should be the top priority and is a shared responsibility. The Enhanced Recovery After Surgery (ERAS) program plays an important role in pre-operative patient safety, focusing on goals like reduced fasting and avoidance of unnecessary interventions. Proper pre-operative stoma site marking by nurses is also discussed as an important way to reduce postoperative complications. Overall, the document stresses the importance of multidisciplinary teamwork and a holistic, patient-centered approach to ensure high quality, safe care.
This document reports on a study examining treating open hand injuries as elective day surgery rather than emergency admissions. The study found that treating open hand injuries as semi-elective day surgery procedures rather than surgical emergencies avoided 76.45% of unnecessary admissions, saved 578 bed days, and increased day surgery utilization by 196.3% with consultant-delivered care. Of the 232 open hand injury cases treated, 3 patients (1.3%) developed deep infections, showing delayed treatment of up to 120 hours did not significantly impact infection rates. The study demonstrates open hand injuries can be safely treated as elective day surgery.
This document discusses the use of general anesthesia to facilitate dental treatment. It finds that 91.5% of house surgeons did not perform any treatment under sedation. Those who did use sedation obtained their training through postgraduate studies, with only 30.2% receiving undergraduate training. Oral and maxillofacial surgeons were found to provide most sedation services compared to other specialists. Guidelines for sedation are needed to standardize patient assessment, practitioner training, emergency management and more.
Saleh Neama Hassan has over 20 years of experience as a Nursing Supervisor in Bahrain. He obtained several nursing qualifications including a Diploma in Practical Nursing, A/D in General Nursing, Diploma in Psychiatric Nursing, B.Sc. in Nursing, and M.Sc. in Health Care Management. Throughout his career, he has conducted numerous studies and implemented various projects focused on improving nursing practices and patient care. He has held several leadership roles serving on committees to advance nursing policies and research.
This document summarizes a case study on reengineering processes at Nethrajyoth International Hospital in southern India. [1] The hospital aimed to increase services for poor patients without increasing fees for other patients, but faced constraints on resources and staff. [2] The old process involved patients moving between departments with long wait times. Reengineering focused on eliminating wait times using a centralized IT system. [3] The reengineered system links 60 terminals to schedule appointments, registration, payments, and hand patients between departments, cutting perceived wait times for a better patient experience.
A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...QUESTJOURNAL
Purpose: This questionnaire based study was aimed at identifying common occupational hazards affecting dentists in Pondicherry which may help to make dentists aware and to take adequate precautions in their practice to prolong the service imparted to patients as well as improve the overall well being of the dental professionals The prevalence of work related musculoskeletal problems among dentists in Pondicherry was evaluated with this study. Methods: A pretested and validated questionnaire was used to collect details from practising dentists in Pondicherry .272 dentists responded to the questionnaire. Results: The data obtained was statistically analysed with SPSS Version 20 for calculating proportion and mean.84.9% (n=272) of respondents had some kind of musculoskeletal problem affecting different parts of the body.52.2% had low back pain and 50% had neck pain. Conclusion: The dental professionals are regularly exposed to various health hazards in their day to day practice. Chronic musculoskeletal disease is one of the common ailments affecting majority of dentists It is important for the dentists to be aware of the work related factors affecting their health and take adequate precautions or modifications in their working environment
This document provides over 30 potential topics for nursing research proposals. The topics cover a wide range of issues including examining the role of nursing in treating various medical conditions, exploring relationships between factors like sleep quality and depression, assessing tools for measuring outcomes like pressure ulcer risk, and studying nursing interventions and practices across clinical settings and patient populations. Many of the proposed topics focus on evaluating nursing care, interventions, practices and their impact on outcomes such as patient quality of life, disease management, and prevention of issues like infections.
An Epidemiological Data of Oral Health Status and Treatment Needs in Pamulapa...DrHeena tiwari
An Epidemiological Data of Oral Health Status and Treatment Needs in Pamulapadu Village of Guntur District, Andhra Pradesh, India: An Original Research
Impact of a designed nursing intervention protocol on myocardial infarction p...Alexander Decker
This study examined the impact of a designed nursing intervention protocol on myocardial infarction patients' outcomes at a university hospital in Egypt. Forty adult myocardial infarction patients were included. The study found that after exposure to the nursing intervention protocol, patients had significantly higher total mean knowledge scores and total mean practice scores. It also found that patients had medium to high levels of compliance to lifelong instructions. The results support the hypotheses that the nursing intervention protocol improved patients' knowledge, practices, and compliance. The study concluded that a nursing intervention protocol can have a positive impact on myocardial infarction patient outcomes.
The study aimed to assess the effectiveness of intradialytic exercises in reducing muscle cramps and improving quality of life among patients undergoing hemodialysis. 80 patients were randomly assigned to experimental and control groups. The experimental group performed intradialytic exercises for 2 weeks, while the control group received usual care. Results found significant reductions in muscle cramps and improvements in quality of life in the experimental group compared to the control group. The study demonstrated that intradialytic exercises are an effective non-pharmacological approach for reducing muscle cramps and improving quality of life in hemodialysis patients.
The document summarizes a study that assessed the skills of nurses working in critical care units in B. P. Koirala Institute of Health Sciences, Dharan, Nepal. It found that most nurses were younger than 25 and had less than 3 years of critical care experience. Few had received basic life support or advanced life support training. Nurses showed adequate skills in areas like starting IVs and assessing vital signs, but limited skills in interpreting arrhythmias, managing temporary pacing, and caring for patients on hemodialysis. The study concluded that skill development training is needed for nurses to provide quality critical care.
1) The document summarizes several journal articles related to physical medicine and rehabilitation (PMR). It includes abstracts on topics like cognitive communication skills after mild traumatic brain injury, seizure comorbidity and hospital readmissions after traumatic brain injury, effects of traumatic brain injury and spinal cord injury on sexual function, the relationship between white matter hyperintensities and response to language treatment in post-stroke aphasia, using mental imagery therapy to treat neuropathic pain in spinal cord injury patients, and impairments in spatial navigation during walking in younger patients with mild stroke.
2) The editor's preface welcomes readers to the first issue of 2021 and thanks contributors and the recognition from IAPMR. It encourages readers to keep learning with the
This study aimed to audit doctors' knowledge and attitudes towards surgical informed consent (SIC) at a tertiary hospital in Pakistan. A questionnaire was administered to 231 doctors, including 199 junior doctors and 32 senior doctors. The results showed overall deficiencies in knowledge of SIC processes and guidelines. Junior doctors performed poorer than seniors. Doctors often delegated obtaining consent and did not directly involve patients. Key information like complications was often not communicated. No formal training on SIC had been received. The study concluded knowledge and attitudes towards proper SIC, especially among junior doctors, was suboptimal and improvements are needed.
This study assessed the knowledge of pediatric nurses regarding pulse oximetry at B.P. Koirala Institute of Health Sciences in Nepal. The study found that most nurses felt they needed more training on pulse oximetry. While most nurses knew what a pulse oximeter measures, few understood how it works or could interpret oxygen saturation readings in clinical scenarios. The results indicate a lack of basic knowledge about pulse oximetry principles among pediatric nurses. Improving education programs and ongoing training for healthcare providers was recommended.
Effect of nursing intervention on clinical outcomes and patient satisfaction ...Alexander Decker
1) The study aimed to determine the effect of nursing intervention on clinical outcomes and patient satisfaction among patients with upper gastrointestinal bleeding.
2) A quasi-experimental study was conducted on 50 patients divided into a study group that received nursing intervention and a control group.
3) Statistically significant differences were found between the groups in clinical outcomes like bleeding, vital signs, and lab tests as well as higher patient satisfaction scores in the study group compared to the control group, showing that nursing intervention improved patients' outcomes and satisfaction.
This study evaluated the feasibility and usefulness of geriatric screening and assessment in older cancer patients. Researchers prospectively studied 1,967 patients aged 70+ from 10 Belgian hospitals. They found that geriatric screening detected previously unknown geriatric problems in over half of patients. When physicians were aware of screening results, it led to geriatric interventions in 26% of patients and influenced treatment decisions in 25% of patients. The study demonstrates that large-scale geriatric screening and assessment can significantly impact cancer care for older adults.
This study assessed the acceptability, tolerability, and satisfaction of the contraceptive vaginal ring (NuvaRing) among 39 Thai women over 6 cycles of use. Nearly all (38/39) continued using the ring for the full 6 cycles. Some experienced difficulties inserting/removing the ring initially (12%) and feelings of a foreign body (49%), but these issues resolved over time. One third experienced increased vaginal discharge. Overall, 71% reported being very satisfied with the ring, and it demonstrated no significant effects on the menstrual cycle or adverse health impacts. The study concluded the NuvaRing was well accepted and tolerated by Thai women.
This study compared non-operative management (antibiotics only) to surgical management (appendectomy) for uncomplicated acute appendicitis in children. 102 children were enrolled and allowed to choose their treatment. At 1 year, the success rate of avoiding appendectomy with non-operative management was 75.7%, and children who received non-operative management had fewer disability days and lower healthcare costs compared to those who received surgery. Non-operative management is an effective treatment option for children with uncomplicated appendicitis that results in less morbidity and costs than surgery.
Delirium in intensive_care_units__perceptions_of.6 (1)Ahmad Ayed
1) Delirium is common in ICU patients and is associated with negative outcomes like longer hospital stays and higher costs, but it often goes underdiagnosed.
2) The study assessed the knowledge, attitudes, and practices of Palestinian healthcare professionals regarding delirium in ICU patients. It found delirium appears to be underrecognized or misdiagnosed in Palestinian ICUs.
3) Educating medical and nursing teams on delirium assessment tools could help reduce the length and costs of hospital stays by improving early diagnosis and management of delirium.
This document discusses a nursing case study that assesses a patient using the Roper-Logan-Tierney model of nursing. The model covers 12 activities of daily living and how they can be influenced by biological, psychological, socio-cultural, environmental, and political-economic factors. The document focuses on assessing one patient admitted to a cardiac ward named Ann and identifies one problem during the assessment and the corresponding nursing care provided.
The document discusses the role of nurses in improving patient safety in colorectal surgery. It emphasizes that patient safety should be the top priority and is a shared responsibility. The Enhanced Recovery After Surgery (ERAS) program plays an important role in pre-operative patient safety, focusing on goals like reduced fasting and avoidance of unnecessary devices. Proper pre-operative stoma site marking by nurses is also discussed as an important way to reduce postoperative complications. Overall, the document stresses the importance of multidisciplinary teamwork and a holistic, patient-centered approach to ensure high quality, safe care.
The document discusses the importance of preoperative assessment and preparation of patients prior to surgery. Key aspects of assessment include taking a thorough medical history, conducting a physical examination, evaluating nutritional status, ordering relevant investigations, and determining surgical risk. Important elements of preparation are obtaining informed consent, preventing cardiovascular and respiratory complications, reducing risk of aspiration, preparing the bowels if needed, and ensuring adequate sleep, skin preparation, catheterization and pre-medication when applicable. The goals are to identify risk factors, optimize the patient's health status, and reduce postoperative complications.
The study aimed to analyze patient demographics and disease patterns among those admitted to the intensive care unit (ICU) and coronary care unit (CCU) of BP Koirala Institute of Health Sciences, Nepal over one year. A total of 601 patients were admitted, with 269 in the ICU and 346 in the CCU. Most patients were aged 20-60 years and from surrounding districts. Common ICU admissions were for exploratory laparotomy complications, organophosphorus poisoning, and encephalitis. Acute coronary syndrome, myocardial infarction, and shock were leading CCU admissions. Outcomes could be improved as many patients were referred or left against medical advice, suggesting further investigation is needed.
Nephrology leadership program 4 patient safety in dialysis and nephrology au...Ala Ali
This document discusses patient safety in nephrology. It defines safety and harm, and provides the iceberg model of accidents and errors. It notes that adverse events during hospital admission occur in approximately 9% of patients and lead to death in 7% of cases. Many adverse events are preventable. Examples of errors in nephrology include adverse drug reactions, drug interactions, and failures to adhere to protocols. Implementing patient safety requires acknowledging problems, diagnosing issues, accepting responsibility for improvement, encouraging participation, standardizing care through guidelines, and ensuring adherence to guidelines.
Emergency Care Practitioners Information PackArm inarm
Emergency Care Practitioners (ECPs) are trained to assess, treat, and refer patients, reducing unnecessary emergency responses and hospital admissions. ECPs complete a four module course covering patient assessment, acute/minor conditions, chronic conditions, and therapeutic interventions. They are qualified to diagnose, treat minor illnesses/injuries, monitor chronic conditions, and supply/administer certain medications. ECP teams respond in primary care vehicles to assess category B/C patients, provide follow up care, and support ambulance crews and hospitals to safely manage more patients outside of emergency departments. The overall aims of the ECP program are to improve patient safety, provide appropriate community-based care, and reduce emergency responses and hospital burdens.
This document discusses day care surgery performed at a tertiary level hospital in India from 2014-2017. Some key points:
- Over 4,500 day care surgical procedures and 2,757 outpatient procedures were performed. Only 212 (2.9%) day care patients required admission.
- The benefits of day care surgery include lower costs (20-75% less than inpatient), increased access to treatment, and improved patient satisfaction.
- Common low-risk procedures performed included hernia repairs, hydrocele operations, circumcisions, and hemorrhoidectomies. Local anesthesia and short-acting general anesthesia were primarily used.
This study compared the success rates of traditional intraoral versus a new extraoral technique for reducing temporomandibular joint dislocations. 58 dislocation reduction attempts were randomly allocated to the two methods. The traditional intraoral method was successful in 86.2% of cases, while the new external method was only successful in 55.2% of cases, a statistically significant difference. While the external method has benefits of avoiding hand bites, the study found it had a lower success rate than the traditional intraoral approach and often required additional techniques for reduction. More research is needed to better evaluate the potential advantages and disadvantages of the new external reduction method.
Journal Club on The clinical and radiographical characteristics of zygomatic ...Dr Bhavik Miyani
This document summarizes a study that compared the clinical outcomes of patients who underwent surgery to treat zygomatic complex fractures and were treated either surgically or non-surgically. The study found that extraoral steps, intraoral steps, and malar depression were significantly more common in surgically treated patients. While non-surgically treated patients also sometimes had displaced fractures, studying this group could provide insight into developing better methods for determining appropriate treatment. The study recommends further research on non-surgically treated patients with zygomatic complex fractures.
Objective: To evaluate the utility of a targeted lecture in improving FP awareness amongst clinicians.
Design: This is a dual institution, prospective survey-based study assessing if an educational lecture can increase the likelihood of FP consideration, discussion, and referral.
This document provides information for students on clinical placements about Enhanced Recovery After Surgery (ERAS). It discusses how surgical patient management has changed, with shorter hospital stays and improved outcomes. It summarizes the key aspects of ERAS, including carefully preparing patients before surgery, minimizing risks during surgery, early mobilization after surgery, and careful pain and nutrition management. The goal is for students to better understand modern post-operative care and for improved communication between clinical teams to identify complications early.
The document describes a research grant proposal to assess the knowledge and practices of nurses regarding life support measures at the B. P. Koirala Institute of Health Sciences in Nepal. The principal investigator is an Assistant Professor of Nursing. The study will use a pre-experimental design with pre- and post-tests to evaluate the effectiveness of an educational intervention. It aims to strengthen nurses' skills in emergency care through improving their understanding of life support protocols.
This document summarizes the results of a survey of 115 Japanese medical facilities that treat gynecologic cancers, regarding their palliative care practices. The survey found that about 30% of facilities had a dedicated palliative care ward. Most facilities had a palliative care team but about half of physicians on the team had other duties as well. End-of-life care was typically managed in the gynecology department. The median time between a patient's last chemotherapy treatment and death was 85 days. Over 15% of patients received chemotherapy within 30 days of death and over 7% within 14 days of death. The survey identified some gaps in palliative care coordination and opportunities to improve symptom management at the end of life.
preoperative preparation of surgical patient tsedalemekete1
This document outlines a seminar on patient safety and preoperative preparation of surgical patients. It discusses key topics like prevalence of adverse healthcare events, strategies for improving patient safety including checklists, preoperative assessment of patients, specific preparation for common medical conditions, obtaining consent, and arranging operating lists. It also describes systems for assessing patient risk like the American Society of Anesthesiologists scoring system. The overall goal is to understand how to optimize patient safety and condition before surgery.
This document summarizes a journal club presentation on a study assessing the knowledge and practices of intensive care nurses regarding the prevention of ventilator-associated pneumonia. The study found that the nurses had average knowledge but unsatisfactory practices in preventing VAP. It concluded that additional in-service education and training programs are needed to improve nurses' knowledge and practices and reduce infections among patients. The presentation reviewed the objectives, methods, findings and conclusions of the descriptive study conducted with 50 nurses in India. It also discussed relevant literature supporting the average knowledge levels found and the need for preventative protocols and guidelines.
ISBARR The purpose of this project is to practice formulatmariuse18nolet
ISBARR
The purpose of this project is to practice formulating and delivering patient report to other health professionals using the ISBARR format
Instructions:
1. Find an article on ISBARR (SBAR), summarize, and reflect on how it can be used in communicating assessment findings. Summarize your research on ISBARR/SBAR and cite your reference/s in no less than 500 words
Journal of Perioperative Nursing in Australia Volume 29 Number 1 Autumn 2016 acorn.org.au30
Peer-reviewed article
Handover between anaesthetists
and post-anaesthetic care
unit nursing staff using
ISBAR principles: A quality
improvement study
Authors
Patricia Kitney
RN, BAppSc-Nsg, DAppSc-Nsg Ed, MEd
(Research), GradCert LdrshipEdTrng,
GradCertPeriop
Western Health, Sunshine, Vic
Raymond Tam
MBBS FANZCA
Western Health, Sunshine, Vic
Paul Bennett
RN BN GradCertSc (App Stats) MHSM PhD
Deakin University, Geelong, Victoria,
Western Health – Nursing Research
Centre, Sunshine, Vic
Dianne Buttigieg
RN, BHSc (Nursing), Grad Cert Periop Nsg,
DipMgt
Western Health, Sunshine, Vic
David Bramley
MBBS MPH FANZCA
Western Health, Sunshine, Vic
Wei Wang
Msc (Stats) GdipSci (Stats) MD PhD
Deakin University, Geelong, Vic
Corresponding author
Patricia Kitney
Clinical Nurse Educator - Perioperative
Services
Western Health, Gordon Street, Footscray
VIC 3011
Tel. 03 8345 0506
[email protected]
Abstract
A structured approach to communication between health care
professionals contains introduction/identification; situation;
background; assessment and request/recommendation (ISBAR).
ISBAR was introduced into the post-anaesthetic care unit (PACU)
of a large Victorian health service in 2013. The aim of this study
was to measure the effect of an education program on ISBAR
compliance.
Method: A pre/post-test design using a 14-item audit tool was used to
measure compliance to ISBAR before and after an education intervention in
two acute hospitals in Melbourne, Victoria. The intervention consisted of one
30-minute education session to anaesthetists, and two 30-minute education
sessions to PACU nurses, combined with visual cues using ISBAR wall posters.
Results: In Hospital A, significant improvement from pre- to post-audit
was found in the items of cardiovascular assessment (χ2 (1) = 4.06, p < .05),
respiratory assessment (χ2 (1) = 12.85, p < .01), analgesia assessment and
actions (Fisher’s exact test p < .05) and responsibility + referral (χ2 (1) = 4.44,
p < .05). For Hospital B significant improvement was found in communication
difficulties (χ2 (2) = 13.55, p < .01) and significant decreased performance was
found in respiratory assessment (χ2 (1) = 8.98, p < .01) and responsibility +
referral (χ2 (1) = 13.26, p < .01).
Implication for practice: The results from this study cohort suggest an
augmented education program may produce mixed results for ISBAR
compliance. More than education and visual tools may be required to improve
PACU ISBAR compli ...
Similar to Improving Outcome for the Elderly Surgical Patients in a Singapore Teaching Hospital_ Crimson Publishers (20)
Recently published papers have defined the clinical characteristics and overall outcomes of COVID-19 patients with the influence on the healthcare system. Especially, general surgeons are uniquely affected due to the broad range of procedures they perform, many of which are conducted routinely in the outpatient setting. This report aims to represent the clinical presentation and outcomes of elective surgical patients during the COVID-19 epidemic.
Extramedullary hematopoiesis (EMH) occurs when hematopoietic tissue develops outside the bone marrow, such as in the liver, spleen, or paravertebral tissues, as a compensatory mechanism for ineffective hematopoiesis. EMH often presents as pseudotumors that can be mistaken for other tumors. The underlying cause is usually a hematopoietic disorder like thalassemia or myeloproliferative neoplasm. A thorough medical history, physical exam, blood tests, and imaging tests are needed to diagnose EMH and identify the cause. Treatment focuses on managing the underlying disorder, as this will often resolve the EMH without need for surgery. A hematologist's evaluation is
Dunbar syndrome or celiac artery compression syndrome was described for the first time by Harjola in 1963. It’s an infrequent clinical condition, with few criteria for diagnosis and with obscure pathophysiology. It is usually associated with an extrinsic compression upon the celiac axis near its takeoff from the aorta by fibrous diaphragmatic bands or sympathetic
neural fibers. This syndrome is as uncommon cause for upper abdominal angina. The classic sympthoms include vomiting associated to pos prandial pain, weight loss and soufle
in the epigastric region. Diagnosis is made by abdominal angiotomography, arteriography and magnetic resonance imaging. Surgical ligament release is indicated in case of severe
compression of the celiac trunk or in patient’s refractory to clinical treatment [1].
Female genital mutilation has been condemned far more than male genital mutilation. There seems to be a conspiracy in the scientific community to ignore the benefits of the intact
prepuce (foreskin) and to deny the horrors of male genital mutilation. Science and human rights must always trump and triumph over superstition. The prepuce is on the penis for
a purpose. The foreskin/prepuce is not something to be jettisoned like the umbilical cord.When the umbilical cord is severed neither baby nor mother feel any pain. Why? Because
there are no nerves in the umbilical cord.
Mathematical modeling of the structure of vortex zones between periodic surface-located flow turbulators of a semicircular and square cross-section is carried out on the basis of multi-block computational technologies based on the solution of the factorized finite-volume method of the Reynolds equations (closed with the help of the Menter shear stress transfer
mode) and the energy equation (on different-scale intersecting structured grids). This method was previously successfully applied and verified by experiment. An exhaustive analysis of the corresponding streamlines is presented, proving the advantage of abruded turbulators.
The SARS-CoV 2 pandemic, since its origin in China as a cluster of pneumonia cases, had reached almost every part of the world and had killed more than one million people
worldwide [1]. The case fatality differs substantially between countries along with the number of symptomatic patients, sequelae of the disease and those who require intensive lifecare
support. Such a perceived difference can be attributed to macroecological dissimilarities like the general well-being of the population and a more extent, its demographic structure.
The demographic characteristics, most notably the age structure and population density, has important implications in the spread of infectious diseases [2,3]. Like most of the infectious
diseases we have known so far, COVID-19 is seen more severely in groups like the elderly and those with comorbidities [4,5]. Robustness of the health system and abundance of resources might have helped the western countries to report proportionately a greater number of cases. However huge proportion of elderly population in these countries might have contributed to higher reporting of severe illness and deaths in these countries [6].
“Occam’s Razor is a scientific and philosophical rule that entities should not be multiplied unnecessarily which is interpreted as requiring that the simplest of competing theories be preferred to the more complex or that explanations of unknown phenomena be sought first in terms of known quantity”. [1] Merriam Webster Dictionary, in other words, Occam’s razor says that, of two explanations that account for all the facts, the simpler one is more likely to be correct. “The greatest disorder of the intellect is to believe things because one wishes they were so” [2] Louis Pasteur, 1875. Supposing a man finds a watch. Deliberately or by accident the man smashes the watch to smithereens.
:Extraocular foreign bodies (EOFBs) are a common presentation to the emergency
department (ED). Given that inadequate management can result in severe complications including visual
impairment, ED clinicians may be overly cautious and often schedule patient reviews in the ED even
where it is unnecessary, placing a burden on hospital resources.
Occurrence of a mural thrombus in a diseased descending thoracic aorta (atherosclerotic or aneurysmal) is a well-known and commonly encountered vascular entity. However, thrombus formation in a normal appearing descending thoracic aorta (NADTA) is rarely reported in literature so far. We present an
unusual case report with a brief literature review of an aortic mural thrombus (AMT) in descending thoracic aorta in a young male. He presented at our center in the emergency department with acute onset abdominal pain and underwent a contrast enhanced CT scan that confirmed mural thrombus in
NADTA.
Two case reports: the first, 50-year-old male patient, A.M.B., who suffered from hemorrhoids (2003 to 2005). Moisturizers, medications and cauterization were not successful. The patient started treatment with auricular acupuncture and apex ear bloodletting. He also received measurement of the
chakras 10 years later, which attested his chakras were rated at the minimum level of energy (1) of 8. The second, a 38-year-old male patient, started treatment with ancient medical tools for vitiligo. On the middle of the treatment, he reported to have symptoms of hemorrhoids. Treatment was the same done in case 1 and received measurement of the chakras.
Neuroblastomas are rare extracranial tumors of the pediatric population arising from cells of the embryological sympathetic nervous system. These malignancies most commonly occur in the abdomen, but other sites include the chest, neck, and pelvis with a predisposition for lymphatic and hematogenous
spread. Metastasis to the bone is a poor prognostic indicator, requiring surgical excision and other extensive medical management.
Pilonidal sinus disease is a soft tissue infection. It presents either acutely with abscess or the chronic form of sinus formation. The disease affects multiple body regions but the commonest is the sacrococcygeal region. There are different treatment strategies ranging from simple incision and
drainage of an abscess to complex constructive procedures.
Papua New Guinea has about seven active mining and exploration activities for minerals like gold, copper, and other minor minerals. Each is managed by different company and
together employs about ten thousand workers. A fifth of this would be foreign workers. Most of the Mine workers that are screened at the Employees Health and Wellness clinics tend to
have similar compounding health risks
Inflammatory fibroid polyp (IFP) is a rare benign lesion, originating from the submucosa in the gastrointestinal tract. It generally appears as an isolated benign lesion, rarely located at the level of the ileum. Its origin is controversial. Clinical presentation varies depending on its location; invagination and
obstruction are the most common indicative symptoms when the polyp is located at the level of the small intestine. We report the case of a 60-year old patient with abdominal pain, nausea and vomiting and a personal history of intermittent constipation. Radiological imaging objectified ileo-ileal invagination
completely obstructing the ileum light. Segmental resection of the obstructed ileal segment and terminalterminal anastomosis were performed. The final diagnosis of IFP was established using histological examination.
Candida septic arthritis is a debilitating condition affecting joint function. Candida tropicalis, an organism found in normal human flora is noted to be the third most common pathogenic yeast in the elderly and immunosuppressed population. Infections are rare in the US, typically limited to the neonate
and elderly populations. Most infections occur in the south America and southeast Asian regions. In the last 2 decades, Tropialis infection rates have risen impart due to antifungal resistance. We present a case of Candida tropicalis infection in the knee of a 13-year-old female with a past history of relapsed Acute Myeloid Leukemia following bone marrow transplant, pancytopenia and graft vs. host disease.
When properly performed, the true Maze procedure is highly effective to eliminate any type of atrial fibrillation or flutter. Since non-paroxysmal atrial fibrillation is sustained by macro-reentrant circuits located anywhere in both atria, a full bi-atrial lesion pattern is the best way to approach all possible causes in one single step. As we move into less invasive surgical techniques, we must more clearly maintain the
scope of the Maze procedure. Difficult approaches are oftentimes the source for incomplete, unsuccessful,
and frustrated forms of the Maze. T
The discoveries include 2 new vascular shocks, namely Volumetric Overload Shocks (VOS) that complicate fluid therapy in hospitals. Proving a physiological law of Starling wrong and providing the correct replacement which is the hydrodynamic of the porous orifice (G) tube. Revealing many errors and misconceptions on fluid therapy and reporting its corrections. It all started with an investigation aimed
at understanding a rare obscure syndrome that kills patients in Urology; the Transurethral Resection of
The Prostate (TURP) syndrome.
A 10-year-old boy with a history of repaired tetralogy of Fallot underwent cardiac catheterization for recurrent left pulmonary artery stenosis. During the procedure, the patient's capnogram waveform displayed an unusual variable plateau pattern. This was attributed to ventilation-perfusion abnormalities from the critical left pulmonary artery stenosis, which caused differential lung perfusion with only 10% perfusion to the left lung. Balloon angioplasty and stent placement of the left pulmonary artery immediately normalized the capnogram waveform. The case report discusses how capnography can detect critical perfusion abnormalities through abnormal waveform patterns.
The objective of this letter is to report recent advances on the diagnosis and therapy of the loin pain hematuria syndrome (LPHS). The patho-aetiological link of LPHS with symptomatic
nephroptosis (SN) is a novel discovery of the 21st century that was first preliminary reported in 2002 [1]. The link was confirmed in 2016 in an article that précised the exact pathoaetiology of LPHS; ischemic nephritis and sympathetic neuropathy of SN. It also advanced a 100% curative therapy for LPHS namely; the renal sympathetic denervation and nephropexy (RSD&N) surgery [2].
Bortezomib is a proteasome inhibitor approved for the treatment of multiple myeloma and has known manageable toxicities. Blepharitis is an inflammatory condition of the eyelid that leads to formation of chalazia both causing visual field disturbance. Bortezomib induced blepharitis has not been
well reported in the literature.
Mercurius is named after the roman god mercurius, the god of trade and science. The planet mercurius is named after the same god. Mercurius is sometimes called hydrargyrum, means ‘watery silver’. Its shine and colour are very similar to silver, but mercury is a fluid at room temperatures. The name quick silver is a translation of hydrargyrum, where the word quick describes its tendency to scatter away in all directions.
The droplets have a tendency to conglomerate to one big mass, but on being shaken they fall apart into countless little droplets again. It is used to ignite explosives, like mercury fulminate, the explosive character is one of its general themes.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
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Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
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Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
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