BackgroundStaphylococcus has replaced streptococcus as the most common cause of infective endocarditis (IE) in developed health care systems. The trend in developing countries is less clear.AimTo examine the epidemiological trends of infective endocarditis in a developing nation.MethodsSingle-centre, retrospective study of patients admitted with IE to a tertiary hospital in Malaysia over a 12-year period.ResultsThe analysis included 182 patients (n = 153 Duke’s definite IE, n = 29 possible IE). The mean age was 51 years. Rheumatic heart disease was present in 42%, while 7.6% were immunocompromised. IE affected native valves in 171 (94%) cases. Health-care associated IE (HCAIE) was recorded in 68 (37.4%). IE admission rates increased from 25/100,000 admissions (2012) to 59/100,000 admissions (2017). At least one major complication on admission was detected in 59 (32.4%) patients. Left-sided IE was more common than right-sided IE [n = 159 (87.4%) vs. n = 18 (9.9%)]. Pathogens identified by blood culture were staphylococcus group [n = 58 (40.8%)], streptococcus group [n = 51 (35.9%)] and Enterococcus species [n = 13 (9.2%)]. staphylococcus infection was highest in the HCAIE group. In-hospital death occurred in 65 (35.7%) patients. In-hospital surgery was performed for 36 (19.8%) patients. At least one complication was documented in 163 (85.7%).ConclusionStaphylococcus is the new etiologic champion, reflecting the transition of the healthcare system. Streptococcus is still an important culprit organism. The incidence rate of IE appears to be increasing. The rate of patients with underlying rheumatic heart disease is still high.
Background of the study: Intrauterine contraceptive devices IUCD are a safe and cost-effective contraceptive method. Despite this, the utilisation rate for IUCDs is relatively low in many countries. Provision of training regarding IUCDs to nurses, is one approach to overcome some of the barriers that may prevent wider uptake of IUCDs.
Objectives: To assess the competence of nursing students regarding IUCD insertion. To evaluate the effectiveness of model based training on competence regarding IUCD insertion among nursing students and to find out an association between pre test competence scores of nursing students with their selected socio demographic variables.
Methodology: An evaluative study was conducted among 30 final year B.Sc Nursing students of KLES’ Institute of Nursing Sciences, Hubballi. The research design used for the study was Pre-experimental; one group pre-test, post-test design. OSCE based checklist of interval IUCD insertion procedure was used for obtaining the level of competence.
Results: The study results revealed that majority of the subjects 20 (66.7%) were females and 14 (46.6%) had previous knowledge regarding IUCD insertion. With respect to competence scores, majority of the subjects in pre-test 24 (80%) had unsatisfactory competence, 6 (20%) had satisfactory competence. In post-test 25 (83.33%) had satisfactory competence, 05 (16.66%) had unsatisfactory competence. After model based training on competence regarding interval IUCD insertion, there was a significant gain in competence i.e 41.4%. The calculated paired ‘t’ value (tcal = 24.44*) was greater than the tabulated value (ttab = 2.045). This indicates that the gain in competence score was statistically significant at 0.05 level of significance.
Conclusion: The study concludes that model based training on competence regarding interval IUCD insertion was effective in upgrading the skills of final year B.Sc nursing students. Hence, it is recommended to re-address & improve pre-service nursing education pertaining to the family planning services.
Key words: IUCD, competence, OSCE, nursing students, model based training.
Background: Diabetes is almost growing health concern worldwide and now emerging as an epidemic world over. Recently, full attention is being paid to the study of natural products as potential antidiabetics. Objective of the study was to evaluate the antidiabetic effect of hydroalcoholic leaf extract of Annona squamosa (HAEAS) plant in alloxan monohydrate induced diabetic albino rats.Methods: Almost a 30 Albino rats with 150- 200 grams weight were weighed and grouped into 5 equal groups taking 6 rats in every group. Group A served as normal control, Group B as diabetic control, received alloxan monnohydrate. Group C and D was received alloxan + HAEAS suspension at 350 and 700 mg/kg doses orally respectively, Group E was given alloxan + standard drug (Glibenclamide 5mg/kg) suspension for 28 successive days and the effect of HAEAS on blood sugar(BS) levels was measured at regular intervals. At the end portion of this investigational research study samples of blood were collected from all rats on 0day (initial), after 72 hrs and after 28th day (29thday) of given test drug HAEAS treatment for biochemical estimation of BS and the BS values were observed.Results: The present research study revealed that HAEAS leaves has antidiabetic effect against alloxan monohydrate induced diabetic rats on i.p. alloxan injection at 150mg/kg.b.w. and confirms that on i.p. alloxan injection causes a significant rise off BS in untreated albino rats when compared to control group. Diabetic rats treatment with HAEAS leaves for 28 days caused dose a dependent fall in BS values. Glibenclamide treated diabetic rats also showed a significant (P <0.00) fall in BS content after 28 days of treatment.Conclusions: This research study confirms that HAEAS leaves has shown significant antidiabetic effect at 350 and 700 mg/kg. b.w. doses in alloxan monohydrate induced diabetic rats.
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