Background: Family member's views are crucial in assessing the quality of intensive care unit (ICU) care. This study had been planned to assess satisfaction of family members with the quality of healthcare provided in ICU, to look into potential follow-up needs of the patients' relatives and to evaluate contribution of each domain in the care providing facilities of ICU. Method -A validated template of questions (Hindi version of questionnaires which were used in the studies published previously) was distributed amongst the family members of patients who are admitted to hospital in the Medicine ICU of a tertiary care hospital at Jawaharlal Nehru Medical College, Wardha. The results were then analyzed statistically. Results: Out of 300 family members enrolled 67.7% were male. 27.7% responders were having literacy up to secondary education. 88% of the responders were overall satisfied with the empathetic behavior of the nurses on duty. 80.7% were satisfied that doctors duly cleared the doubts regarding the prognosis of the patient and were timely addressed on the progress in the treatment of the patient. The concluded results were found significantly associated p = 0.001. Conclusion: This study highlights about key role in assessing the satisfaction and the level of knowledge, attitude and practices of families of the patients in context of the degree of the health care provided within the Medicine ICU.
A glioependymal cyst (GEC) is a rare type of cyst that occurs within the brain and spinal cord. A 42-year-old male patient with a cystic lesion in the right frontal lobe was admitted to the hospital to have his headache, vertigo, and body spasms evaluated. MRI scans showed a mass in the right side of the frontal lobe which caused a mass effect over the lateral ventricle and corpus callosum. The patient became symptom-free after the craniotomy, followed by fenestration of cortices and cyst wall removal.
Non Alcoholic Fatty Liver Disease refers to a group of hepatic histological abnormalities that ranges from noninflammatory intra-cellular lipid collection to NASH develop, fibrosis, or hepato-cellular carcinoma, which results from a mismatch between lipid supply and lipid clearance, is a characteristic of Non Alcoholic Fatty Liver Disease. Recent buildup aetiology. Hepatic FC build up in Non Alcoholic Fatty Liver Disease is caused by changes in intracellular cholesterol transport as well as a poorly balanced cellular cholesterol equilibrium characterized by an increased, and amplification of routes. With the induction of intra-cellular signalling pathway in stellate cells, Kupffer cells, including hepatocyte, FC build up causes liver damage. Inflammation and fibrogenesis are aided by the activation of Kupffer cells and stellate cells.. These episodes feed a never-ending cycle, which helps in forming steatosis while also promoting liver cells mortality, and hepatic injury, that can lead to disease progression. In this review, we highlight what we know about NAFLD's dysfunctional cholesterol homeostasis and look at the liver pathophysiologies and how they contribute to the disease's continuous liver injury. This knowledge's treatment implications are also highlighted. Inflammation and fibrogenesis are aided by the activation of KCs and HSCs. Furthermore, FC buildup in liver mitochondria causes mitochondrial malfunction, which leads to an increase in reactive oxygen species generation, as well as the unsettled response of proteins in the ER (endoplasmic reticulum), which leads to endoplasmic reticulum death.
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