Anxiety after a catastrophic cardiac event can obstruct recovery and is linked to increased morbidity and mortality. A increasing body of research demonstrates that a negative emotional state such as anxiety is present in patients due to unusual special procedures like angiogram, angioplasty etc which affects them in numerous ways. Hence, this study has been conducted to assess effects of Peer-Facilitated Training (PT) and Peer-and-Video Training (PVT)on anxiety among patients undergoing cardiac procedures. This randomised controlled trial with comparative study design was conducted among 40 patients (20 in each PT and PVT group) undergoing cardiac procedures at two selected hospitals. The State-Trait Anxiety Inventory (STAI) was used to measure patient anxiety of both group, the day before the coronary angiography, before the intervention as well as 30 minutes before the patient was shifted to the operating room. The mean post intervention scores were 33.427 ± 7.24 and 30.17 ± 5.26 respectively for PT and PVT group which shows that there was a significant reduction in the level of anxiety among the patients after the intervention especially with PVT group which was significant at p =0.01 level. The study concluded that such trainings are recommended to decrease anxiety amongst patients undergoing cardiac procedures in hospitalsandto help them to develop appropriate coping strategies.
Liraglutide, a glucagon-like peptide-1 receptor agonist, is an anti-diabetic drug that has been linked to a lower incidence of fracture in diabetics. Rats with streptozotocin (STZ)-induced diabetes were given liraglutide and/or geraniin for eight weeks in this study. BMD (Bone mineral density) of the femur and lumbar vertebrae was assessed using dual-energy X-ray absorptiometry at the end of the trial (DXA). Serum glucose and glycosylated haemoglobin serum were also tested. Both alone and in combination, liraglutide and geraniin significantly reduced elevated blood glucose levels. Liraglutide treatment significantly lowered HBA1C levels when compared to the positive control. Geraniin and liraglutide together significantly lowered blood glucose and HBA1C levels. In the femur and lumbar vertebrae, liraglutide had little effect on BMD, where as geraniin treatment greatly improved these results. In conclusion, the findings imply that geraniin reduces STZ-induced bone degeneration in rats. These preliminary data suggest that geraniin may have a favourable effect on the bone health of diabetes postmenopausal women.
In Indian medicine, Hibiscus rosa sinensislinn (HRS) is a well-known medicinal plant that is used to cure a variety of skin ailments. The purpose of the research presented in this article was to assess the wound-healing capacity of the Hibiscus rosa sinensislinn ethanolic extract alone and in combination with β-glucans. The experiment was divided into two parts, excision wound model and incision wound model and betadine was used to compare the wound healing properties of the Hibiscus rosa sinensislinn flower extract. Along with a control group of rats, the groups were given their medications. The current research concludes that Hibiscus rosa sinensislinn flower extract +β-glucan (BG) improved wound breaking strength more effectively than the control but not as efficiently as the betadine ointment. Hibiscus rosa sinensislinn flower extract + BG aids wound healing by promoting early epithelization and reducing wound size. Betadine is linked to a variety of negative effects, including life-threatening allergic responses, water retention and more.
Krishnaraju Venkatesan*, Absar Ahmed Qureshi, Rajalakshimi Vasudevan, Ester Mary Pappiya, Premalatha Paulsamy, Rama Ramaiah, Kalpana Krishnaraju.
Inverted and flat nipple is frequently affecting primipara mothers which hinder the early initiation of the breastfeeding. During postnatal phase, nipple abnormalities are often come across in clinical practice in relation to lactation problems. The purpose of the study is to assess the effect of Hoffman's exercise on inverted nipples among primipara mothers.A quasi experimental design with 60 primipara mothers who had flat or inverted nipples was conducted. The mothers were selected using convenient sampling technique and allotted to study (n=30) and reference (n=30) group. The video module on Hoffman’s exercise was developed and teaching was given to the mothers’ on the Hoffman’s exercise and monitored them to practice the exercise at least 5 times a day. A dairy was maintained for 3 days and the data was collected on day one and day 4 with the modified Via Christi (mVC) Breastfeeding Assessment Tool. The mean score on level of breastfeeding on day 3 was 8.01±0.98 and 3.59±1.21 in study and reference group respectively. The mean difference was 4.42 and the improvement in the level of breasting status was significant at p = 0.001 level. This result showed that the Hoffman’s exercise was very effective in treating the flat or inverted nipple and helped to initiate as well as maintain the early breastfeeding among primipara mothers.
Dementia is the overall term for a group of degenerative brain disorders that affect memory, reasoning, behavior and emotion. Dementia is a chronic condition that not only worsens the elderly's incapacity and dependency, but also has an impact on their caretakers' lives. In 2018, over 50 million individuals worldwide were living with dementia and this number is expected to rise to 152 million by 2050. The aim of this study was to explore the knowledge of and attitude towards dementia among nurses in selected hospitals. A quantitative approach with survey method was used among 80 nurses. The tools include demographic information, Alzheimer’s Disease Knowledge Scale (ADKS) to assess the knowledge and Dementia Care Attitude Scale (DCAS) for attitude.The overall mean level of knowledge of the nurses was 10.86±4.16 which show that the nurses have moderate level of knowledge on dementia. The overall mean score of attitude was 27.94±8.97 with the maximum possible score of 50. The study concludes that the level of knowledge and attitude of nurses towards dementia was not adequate. Hence, the nurses need to be given frequent, need based continuing education to improve their level of knowledge and attitude towards care of elderly, especially those with dementia.
Premalatha Paulsamy*, Krishnaraju Venkatesan, M. D. Zaheen Hassan Ansari, Pranave Sethuraj.