Background: Bronchial hygiene techniques (BHT) play a crucial role in the management of critically ill patients, particularly those on mechanical ventilation. These techniques aim to improve pulmonary function by promoting secretion clearance and optimizing respiratory mechanics. The impact of BHT on various clinical outcomes in mechanically ventilated patients remains an important area of study. Methods: A cohort of 128 critically ill patients receiving mechanical ventilation was included in this study. Bronchial hygiene techniques, including chest physiotherapy, suctioning, and postural drainage, were administered regularly as part of their respiratory care. The primary outcomes assessed were oxygen saturation (SpO2), the Horowitz index (PaO2/FiO2 ratio), inspired oxygen fraction (FiO2), and arterial oxygen saturation (SaO2). Results: Post-intervention analysis revealed significant improvements in all measured outcomes. SpO₂ increased from 89.5 ± 4.1% to 94.7 ± 3.2% (p < 0.001), PaO₂/FiO₂ ratio improved from 235 ± 58 to 296 ± 72 (p < 0.001), FiO₂ decreased from 0.55 ± 0.12 to 0.45 ± 0.09 (p < 0.001), and SaO₂ increased from 90.3 ± 5.1% to 95.1 ± 3.3% (p < 0.001). Additionally, ICU stay duration was reduced from 10.2 ± 5.6 days to 7.3 ± 4.1 days (p = 0.002), and mechanical ventilation duration decreased from 8.5 ± 3.8 days to 6.2 ± 2.7 days (p = 0.004). Conclusion: The implementation of bronchial hygiene techniques in mechanically ventilated patients led to a significant enhancement in pulmonary function. The observed improvements in oxygenation parameters, including SpO2, SaO2, and the Horowitz index, suggest that BHT plays an important role in optimizing respiratory status in critically ill patients. These findings support the use of BHT as a valuable adjunct to routine critical care management in improving respiratory outcomes.
This article aims to review about the antimicrobial efficacy of different herbal formulations against various oral pathogens in Dentistry. Background: Based on literature about ten essential oils were chosen for this study and their antimicrobial efficacy was evaluated on different oral microorganisms. Review results: Different essential oil showed different results over oral bacteria. The most common oral bacteria on which effect was seen are Streptococcus mutans, E. faecalis, Candida albicans and Porphyromonas gingivalis. Conclusion: Herbal formulations were found to be effective against oral microorganisms in dentistry. Clinical Significance: This review provides an alternative approach for the treatment of dental diseases and periodontal issues.
This study aims to determine the spiritual well-being of students at Asia-Pacific International University The sample in this study amounted to 52 samples obtained during a period of 1 month The data analysis technique used in this research is the factor analysis technique, which is processed using SPSS 16 The results showed that the following are factors regarding spiritual health of students at university, they are in terms of developing worship of the Creator, developing oneness with God, developing peace with God, developing joy in life, developing prayer life, developing infer peace, developing respect for others and developing kindness towards other people
Stress and anxiety have been implicated as contributors to many chronic diseases and to decreased quality of life, even with pharmacologic treatment. Efforts are underway to find non-pharmacologic therapies to relieve stress and anxiety, and yoga is one option for which results are promising. The focus of this review is on the results of human trials assessing the role of yoga in improving the signs and symptoms of stress and anxiety. A significant decrease in stress and/or anxiety symptoms when a yoga regimen was implemented;however, many of the studies were also hindered by limitations, such as small study populations, lack of randomization, and lack of a control group. Biochemical and physiological markers of stress and anxiety, but yielded inconsistent support of yoga for relief of stress and anxiety. Evaluation of the current primary literature is suggestive of benefits of yoga in relieving stress and anxiety, but further investigation into this relationship using large, well-defined populations, adequate controls, randomization and long duration should be explored before recommending yoga as a treatment option.
Background: pandemic Covid-19 isn't a simple health-care problem that will go away and never come back One of the most common symptoms of Post-acute covid-19 is fatigue Purpose of the study: To determine the prevalence of fatigue in adult people post mild and moderate covid-19 cases and the relation between fatigue post covid-19 and several factors Material and methods: Eighty-one post covid-19 patients from both genders were recruited from registry records of preventive medicine and surveillance of Ministry of Health and Population in the city of El Minya / Egypt The study was conducted from 15st September 2020 till 15st December 2020 Demographic data were collected (age, sex, BMI), smoking status, Data about status of covid-19 if they hospitalized or not hospitalized and received treatment Fatigue post covid-19 was evaluated by using Modified Fatigue Impact Scale (MFIS) and Shortness of breath (dyspnea) by Numerical rating scale of dyspnea Results: fatigue in adult patients post mild and moderate covid-19 cases after three to five months from their recovery was prevalent 64 2% using the MFIS There was no significant association between fatigue and age, sex, BMI, smoking, hospitalization and received treatment The association between NRS and MFIS was moderately positive and significant (r = 0 39, p = 0 0001) Conclusion: fatigue was prevalent among adult patients post covid-19 with 64 2% using the MFIS Continuous monitoring and timely intervention prevent long-term symptoms from being chronic
Coronavirus disease of 2019 (COVID-19) is a newly discovered respiratory syndrome which has adversely affected millions of people around the world The study aims to estimate the psychological impacts of COVID-19 in the form of fear and anxiety among the healthcare students of the Central Region of Saudi Arabia A cross-sectional study was conducted amongst health care students in Saudi Arabia A non-probability convenience sampling approach was adopted to collect data by mean of an online questionnaire on social media The sample size was determined by using Epi info software;the minimum sample required for this study was 567 Likert scale with five points was used to measure healthcare students' fear and anxiety level Data were analysed using SPSS version 23 The descriptive data were expressed as frequencies and percentages Spearman correlation was used to determine the strength of the relationship between variables Amongst 571 health care students, 359 were males, and 212 were females Data revealed that 84 (15%) of students had a severe level of anxiety, 438 (77%) had a moderate level of anxiety and 49 (9%) of the students had mild level of anxiety Correlation coefficient was found insignificant between gender, academic year and institute (р=0 066, p=0 116), (р=0 018, p=0 661) and (р=0 034, p=0 423) respectively The COVID-19 pandemic has a negative impact on higher education because of the long-lasting pandemic situation Our study's results illustrate the critical need to implement approaches and prevention measures to address healthcare students' mental health
Plants are the oxygen support for our planet and all living things They can be considered as of As mothers take care of a child, Plants do the same for all human beings and animals Medicinal plants have therapeutic properties that produce a beneficial pharmacological effect on the animal and human body In recent years plants are surveyed as new drugs and gain attention to the discovery of new bioactive compounds Hippocrates quoted Let thy be thy medicine, and thy medicine shall be thy food The flavor, aroma, taste, and nutritional properties make the Cinnamon offers a wide range of health benefits The present study explores the connection between the Cinnamon plant and medicine, our food, modern science
The COVID-19 pandemic is reported to have reduced air pollution and environmental-related noise and improved biodiversity and tourist sites, however, the impact of stay-at-home and preventive measures on waste management is alarming. The present review article highlighted the impact of improper biomedical waste disposal on human health and environment during COVID- 19 pandemic.
Introduction: The implementation of efforts to prevent the rapid community spread of Covid-19 slowed the spread of infection, however it also affected the routine antenatal care as well as emergency obstetric care. This study was planned to find out the number of obstetrical emergency admissions and their outcomes in the form of procedures done, maternal mortality and intrauterine dead fetus in our rural tertiary care center during Covid-19 pandemic and compare it before Covid-19 pandemic in India. Material and methods: This study was a retrospective observational study conducted over a period of 1 year (6 month during Covid-19 pandemic in India from April 2020 to September 2020 and 6 months before Covid 19 pandemic). All the patients who were admitted in the Covid-19 labour room as well as in the non Covid-19 labour room of our institute were included in the study. Ethical clearance for the study was taken from ethical committee of institute before study. Data was collected from hospital record and patients case sheets. Comparison of data before and during Covid-19 pandemic was done by using chi square test and p values analysed. Results: During the total study period of 12 months including 6 months during Covid-19 pandemic and 6 months before pandemic the total number of admissions in obstetrical emergency ward were 7630 out of which 5806 admissions (76.1%) were before Covid-19 pandemic and 1824 admissions were (23.9%) during Covid-19 pandemic and it showed significant reduction (p value <0.001) in emergency obstetrical admissions during pandemic. Out of total admissions, the number of cesareans were more during Covid-19 pandemic as compared to before it. Thus it showed significant increase in (p value < 0.001) number of caesarean deliveries during Covid-19 pandemic at our institute. Maternal mortalities were 0.89% (52 in 5754 admissions) of obstetrical emergency admissions before Covid-19 pandemic whereas it was significantly increased during Covid-19 pandemic to 2.63%. Total number of Intrauterine death and still births were 180 in 2652 vaginal deliveries (6.7%) before Covid-19 pandemic which was also increased significantly to 108 in 842 vaginal deliveries (12.8%) during 6 month of study period during Covid-19 pandemic. Conclusions: In this study we observed significant reduction in number of admissions in obstetrical emergency ward whereas significant increase in maternal mortality and intrauterine dead fetus and stillborn babies during Covid-19 pandemic. We should educate the women that delay in seeking health care can have more dangerous complications than Covid-19 infection if they will follow the Covid-19 prevention protocols. More multicentric studies should be done in India to know the effect of Covid- 19 pandemic on maternal health care services so that effect of Covid-19 pandemic can be minimized and maternal and child care can be resumed earliest as before.
The objective of this work was to determine the level of anxiety and aggressiveness in graduate students from a private university in Lima;likewise, establish the level of association between the variables under study in the COVID-19 context Methodology: quantitative approach, non-experimental descriptive cross-sectional design;population made up of 378 graduate students from the Cesar Vallejo University (San Juan de Lurigancho, Lima-Peru Campus) Non-probabilistic sample of 203 doctoral students from the mentioned university The instrument used to measure state anxiety and trait anxiety was the STAI “State-trait Anxiety inventory” and the Buss and Perry aggressiveness questionnaire (AQ) Results: 84 7% of the participants presented a high level of state anxiety, while 44 3% presented a trait anxiety above the average;on the other hand, 60 6% showed a low level of aggressiveness The Chi-squared test showed a significant association between the variable state anxiety and aggressiveness at a confidence level of p = 0 008 < 0 05;Likewise, the association between trait anxiety and aggressiveness showed a confidence level of p = 0 009 < 0 05 Conclusions: As a consequence of the confinement caused by COVID-19, the levels of state anxiety and trait anxiety increased, which is probably associated with the increase in aggressiveness in its different variants
Background:The incidence and prevalence of Corona virus among the population are increasing day by day It has spread globally It affects different people in different way Most of the people will have mild to moderate symptom and recover without hospitalization Coronavirus disease (COVID-19) is acontagious disease caused by a newly discovered coronavirus Senior citizen and those with underlying health problems like cardiac disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness People with diabetes develop a viral infection;it can be difficult to treat because of variations in blood glucose levels and probably, the presence of diabetes complications 1The best you to prevent and control transmission Corona Virus are of educating people regarding causative factor and spread of this infection The primary prevention of this disease is washing hands or use of alcohol based sanizer and mask The other preventive measures to keep safe from Covid 19 infection such as social distancing, avoid crowd and keeps rooms well ventilated Objective: To evaluate the effectiveness of educational interventions regarding knowledge of Self-care management of Diabetes Mellitus during Pandemic COVID 19 among senior citizens To find out the association between study findings and demographic variables Method: One group pre-testpost was adopted as study design and involved 60Senior Citizens The pretest was conducted followed by educational intervention and after 7 days post test was conducted Outcomes were stated that knowledge among the senior citizens residing in old age homes improved remarkably after educational interventions Result: Educational interventions were found to be significantly effective in improving the knowledge of the senior citizens Conclusion: The overall study findings concluded that educational intervention is an effective strategy in improving knowledge of Self-care management of Diabetes Mellitus during Pandemic COVID among the senior citizens
As the world reels from the effect of the pandemic, people and organisations across have greatly been impacted by the virus Numerous lessons are being learnt across all front The impact has left numerous people connecting to workplaces from home across the globe This new norm has also left many vulnerable areas in the field of security This paper aims to highlight security issues and their impact on society at large The catastrophic cybersecurity issues over the ages have been discussed and envisioned in today's digital world, which paves the way for a cyber pandemic making it a reality
The COVID-19 outbreak has affected human existence in many ways, with uncertainty faced globally. The dental practice and orthodontic care during the pandemic and future practice will require precautionary and selective case evaluation based on the practitioner’s judgment to reduce cross-contamination and prevent new outbreaks. This article aims to provide a comprehensive guideline for managing the pediatric dental patients at a clinical setup, using the currently available guidelines.
The present world is data world; without this data cannot survive in present stage. This data produced more from social media; this media data is public data; This public data not have good security; so to overcome this issue we apply the Salsa method. This method easily hack the data from the hackers. RBJ32 method has 5 steps. 1. Applying the key and multiply that key; 2. To apply the prime number in the S 2 and T 2 ; 3. To calculate the EA1 and EA2; 4. To swap the EA1 and EA2 in matrix EnA; 5. Apply the column operations. The proposed method provides good security while comparing with Salsa method.
