DOI: 10.37421/2573-0347.2024.9.368
Generic medicines play a pivotal role in modern healthcare systems, offering cost-effective alternatives to brand-name drugs while maintaining comparable safety and efficacy. This paper explores the multifaceted role of generic medicines in reducing healthcare costs. By examining the economic, regulatory, and therapeutic aspects of generics, we illustrate their significance in expanding access to essential treatments, enhancing medication adherence, and promoting sustainability in healthcare expenditure. Through comprehensive analysis and case studies, this paper elucidates the vital role that generic medicines play in driving affordability and accessibility in healthcare, ultimately contributing to improved patient outcomes and system-wide cost savings.
DOI: 10.37421/2573-0347.2024.9.369
The democratization of healthcare is a fundamental principle aimed at ensuring equitable access to essential treatments for all individuals, regardless of their socio-economic status. Generic medicines play a pivotal role in realizing this vision by offering affordable alternatives to brandname drugs. This paper explores the accessibility of generic medicines as a cornerstone of healthcare democratization. By examining economic, regulatory, and therapeutic dimensions, it highlights the critical role of generics in expanding access to essential treatments, improving medication adherence, and reducing healthcare disparities. Through case studies and empirical evidence, this paper underscores the transformative potential of generic medicines in fostering a more inclusive and accessible healthcare system.
DOI: 10.37421/2573-0347.2024.9.370
Generic drugs serve as a critical bridge between affordability and quality healthcare, offering cost-effective alternatives to brand-name medications without compromising safety or efficacy. This paper explores the role of generic drugs in healthcare, examining their economic, regulatory, and therapeutic implications. By analysing factors such as pricing dynamics, regulatory standards, and patient outcomes, this paper highlights how generic drugs contribute to expanding access to essential treatments while reducing healthcare costs. Through case studies and empirical evidence, it underscores the importance of leveraging generic drugs to bridge the gap between affordability and quality healthcare, ultimately improving patient outcomes and promoting healthcare sustainability.
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N. Chinna Chadayan* and D. Melba Sahaya Sweety
DOI: 10.37421/2573-0347.2024.9.398
Introduction: Smartphones have become integral to daily life, providing extensive connectivity and convenience. However, concerns about smartphone addiction have grown, especially among student populations, due to its potential impacts on mental health and academic performance.
Objective: This research intends to evaluate the prevalence of smartphone addiction and examine its related health consequences among General Nursing and Midwifery (GNM) students at a nursing college in Murshidabad District, India.
Methods and materials: Using a cross-sectional survey design, data were collected from 50 GNM students via self-structured questionnaires. The survey covered demographic details, smartphone usage patterns, self-assessment of addiction levels and reported health impacts. Sampling was conducted through total enumeration to ensure comprehensive representation.
Results: The study found a significant prevalence of smartphone addiction among GNM students, with 57.43% exhibiting moderate addiction levels. They commonly reported usage included social networking (100%) and entertainment (81.08%), with daily usage averaging 3 to 6 hours. Health impacts such as inadequate sleep, poor concentration, headaches and mental fatigue were prevalent, with a mean health impact score of 28.05 (± 4.67).
Conclusion:These findings underscore the importance of implementing strategies to encourage responsible smartphone usage and reduce health impacts among nursing students. Taking action on these matters could improve student welfare and academic achievements significantly.
DOI: 10.37421/2573-0347.2024.9.378
Simulation-based education has become increasingly integral in nursing education, offering students a safe and immersive environment to develop clinical skills and enhance confidence in patient care. This review explores the use of simulation in nursing education, examining its impact on clinical skill acquisition, confidence building, and educational outcomes. By elucidating the principles underlying simulation-based learning, discussing its applications in nursing curricula, and reviewing the empirical evidence supporting its effectiveness, this review provides insights into the role of simulation in preparing nursing students for real-world clinical practice.
DOI: 10.37421/2573-0347.2024.9.379
Integrating Evidence-Based Practice (EBP) into nursing education and clinical practice is essential for ensuring the delivery of high-quality, patient-centered care. This review explores the importance of EBP in nursing, examining strategies for incorporating EBP principles into nursing education curricula and promoting their application in clinical settings. By elucidating the benefits of EBP, discussing challenges and barriers to its implementation, and reviewing evidence-based teaching strategies, this review provides insights into the role of EBP in preparing nursing students and clinicians to utilize the best available evidence in their practice.
DOI: 10.37421/2573-0347.2024.9.380
Nursing interventions play a pivotal role in the management of chronic diseases, contributing to improved patient outcomes and enhanced quality of life. This review examines the strategies employed by nurses in the management of chronic diseases, including patient education; medicati ynthesizing current literature on nursing interventions in chronic disease management, this review highlights the on management, lifestyle modification, and self-management support. Interdisciplinary collaboration is key in chronic disease management, as patients often require input from multiple healthcare providers, including physicians, nurses, pharmacists, dietitians, physical therapists, and social workers, to address the complex nature of their condition. Interdisciplinary healthcare teams work together to develop comprehensive care plans tailored to the individual needs and preferences of each patient, coordinate care across various settings, and ensure continuity of care throughout the continuum of care.
DOI: 10.37421/2573-0347.2024.9.381
Mental health nursing plays a critical role in providing compassionate and holistic care to individuals experiencing mental health challenges. This review examines innovative approaches to patient care in mental health nursing, focusing on evidence-based practices, therapeutic interventions, and emerging technologies. By synthesizing current literature on innovative approaches in mental health nursing, this review highlights the importance of person-centered care, interdisciplinary collaboration, and continuous professional development in improving outcomes for individuals with mental health disorders.
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DOI: 10.37421/2573-0347.2024.9.387
The nurse-patient ratio is a critical factor influencing healthcare quality and patient safety. This review explores the relationship between nursepatient ratios and various outcomes in healthcare settings, including patient morbidity and mortality, nurse job satisfaction, and overall care quality. By synthesizing current literature, the review highlights the impact of staffing levels on patient care and nurse well-being, and discusses potential strategies for optimizing nurse-patient ratios to enhance healthcare delivery. This involves regular assessment of healthcare outcomes, patient satisfaction, and compliance with clinical guidelines. Healthcare organizations often use quality improvement methodologies, such as Plan-Do- Study-Act (PDSA) cycles and Six Sigma, to identify areas for improvement, implement changes, and measure the impact of those changes. These methodologies provide a structured approach to problem-solving and facilitate the systematic improvement of healthcare processes.
Areeba Rahim*, Inara Saleem, Maria Baber, Meraj Uddin, Nusrat Fatima, Sanila Nadir and Zainish Salim
Healthcare nowadays is a far more advanced field than it was half a century ago. This advancement could only happen due to the new nursing technologies introduced in past years.
Intense agony is an intricate cycle including actuation of nociceptors, substance middle people and aggravation.
The attendants' job is to save patient wellbeing and forestall hurt during the arrangement of care in both present moment and long haul care settings. Attendants are relied upon to hold fast to authoritative techniques for distinguishing damages and dangers through surveying the patient, making arrangements for care, observing and observation exercises, twofold checking, offering help, and speaking with other medical care suppliers.
Prity R Singh*, Shakib H Sheikh and Ashish Bhagat
Introduction: Gangrene is a term used to describe dead or dying body tissue that occurs when the tissue's local blood supply is lost or insufficient to keep it alive. Since ancient times, gangrene has been recognized as a localized area of tissue death. The term gangrene was coined by the Greeks to describe the putrefaction (death) of tissue. Although many people think of gangrene as a disease that affects the feet, it is a disease that affects the whole body. Clinical Finding: Following a physical examination and investigation, a case of foot gangrene with bleeding in the toes was found, and the patient was treated with antibiotics and analgesics to relieve the discomfort. Fever is treated with an antipyretic medication. Therapeutic intervention: Present case to medical management with a case of foot gangrene in bleeding in toes, antipyretics give such Tab. Paracetamol 500 mg BD, Tramodol.5mg in 100 ml NSBD, Penicillin 250 mg BD, Inj. Pan 40mg OD. Nursing Perspectives: Administered fluid replacement i.e., DNS and NS. Monitor the Vital signs and check the B.P hourly. Maintain the intake and output chart and provide adequate rest and sleep to the patient. Administer medication as per the doctor ordered. Conclusion: The patient was admitted to A.V.B.R. Hospital with a Chief complaint of fever, weight loss, bleeding in toes, pain in toes, irritability, insomnia. a patient takes all treatment with proper medication.
Mayur Mandawkar*, Priyanka S Meshram and Aniket Pathade
Introduction: The Glenn and Fontan procedures are still the two most popular operations for those with a single ventricle. Some people may be difficult to treat because of their cardiopulmonary anatomy. This article describes the Glenn shunt procedure in a patient with a single pulmonary artery and a hereditary lung. Main diagnosis, therapeutic intervention, and outcome: After a physical examination and inquiry, the doctor diagnosed the patient with Ischemic Stroke and prescribed analgesics to relieve the pain. Antipyretic medications are used to lower fever. Therapeutic intervention: This patient was administered Glenn shunt antipyretics for 7 days, including Tab. paracetamol 500 mg (BD), Inj. Ceftriaxone 1 gm IV (BD), Inj. Pantoprazole 40 Mg iv (OD), and Inj. Ondansetron 4MG iv (TDS). Outcome: The patient was given medications prescribed by the doctor, such as paracetamol. In addition, the patient's condition improved as a result of the medical treatment. The patient's problems had subsided, and he was in better shape. Nursing perspectives: - DNS and RL were used to administer fluid replenishment. Check vital signs and blood pressure every hour. Maintaining the patient's intake and output chart, as well as ensuring that he or she gets enough rest and sleep. Administered drugs as directed by the doctor. Because the patient had a fever, he was given hydrotherapy. Conclusion: The patient was hospitalized to A.V.B.R.H. with bradycardia, exhaustion, weakness, gait trouble, impaired balance and coordination, fever, chills, headache, and other symptoms. In this case of heart illness, the patient received the necessary treatment and medication. The patient's health has improved.
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Background: Expecting and keeping away from preventable intrahospital heart failure and clinical crumbling are significant needs for global medical services frameworks and organizations. One of the universally followed techniques to further develop this matter is the presentation of the Fast Reaction Frameworks (RRS). Despite the fact that there is huge proof from the global local area, the proof detailed in a Spanish setting is scant.
Methods: A cross country cross-sectional examination comprising of an intentional 31-question online study was performed. The Spanish Society of Serious, Basic and Coronary Consideration Medication (SEMICYUC) upheld the examination.
Results: We got 62 completely finished overviews disseminated inside 13 of the 17 areas and two independent urban communities of Spain. 32 of the members had a laid out Quick Reaction Group (RRT). Normal recurrence on estimating indispensable signs was somewhere around once per shift however different frequencies were mulled over (48.4%), generally founded on proficient standards (69.4%), as just 12 (19.4%) focuses utilized Early Admonition Scores (EWS) or computerized cautions on strange boundaries. In the example, specialists, medical caretakers (55%), and other medical services experts (39%) could actuate the RRT through phone, yet just 11.3% of the example authorized this at early indications of weakening. The responders on the RRT are the Emergency unit), (specialists, and medical attendants, who are accessible day in and day out more often than not. Concerning the instruction and preparing of general ward staff and RRT individuals, this differs from essential to cutting edge and explicit specific level, reproducing a developing instructive procedure among members. An extraordinary number of members have crisis revival gear (drugs, aviation route assistants, and defibrillators) in their general wards. As far as quality improvement, just 50% of the example enlisted RRT action pointers. Concerning the utilization of correspondence and cooperation strategies, the most utilized is clinical post-op interview in 29 communities.
Conclusions: As far as the idea of RRS, we found in our setting that we are in the beginning phases of the foundation cycle, as it isn't yet a summed up idea in the greater part of our clinics. The focuses that have it are in still during the time spent developing the framework and adjusting to our unique situation.
DOI: 10.37421/2573-0347.2022.7.288
Coronavirus is a profoundly infectious sickness brought about by the respiratory Covid SARS-CoV-2. In late 2019, the infection spread rapidly, influencing the wellbeing of many individuals all over the planet. On 11 Walk 2020, the World Wellbeing Association (WHO) proclaimed a pandemic. The main instance of SARS-CoV-2 contamination in Poland was accounted for on 4 Walk 2020, in the western piece of the nation.
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Evidence about the effect of the Coronavirus pandemic on the psychological wellness of Palestinian medical care experts is missing and has been dismissed during the Coronavirus pandemic. This study expects to portray Palestinian Healthcare Workers (HCWs) feelings and variables causing pressure, and factors used to lessen the pressure experienced at work and to analyze the connections between HCWs level of pressure and their methods for dealing with especially difficult times and inspirational elements during the Coronavirus pandemic. A self-detailed web-based study was finished by 506 specialists and medical caretakers working in medical care offices that give Coronavirus care. Clear insights, bivariate and multivariate relapse models were created to adapt to the relationship between HCWs adapting and inspiration factors with HCWs' apparent stressors. The discoveries showed that 24.1% of the members had a high-feeling of anxiety, and 25.7% had a low degree of stress. The member's primary survival technique was evasion and the key profound element was the moral and expert commitment to work. Furthermore, a significant reason for their pressure was their own wellbeing and having the Coronavirus contamination. Discoveries showed a positive relationship among stress and the more youthful period of members, with doctors being less worried than medical caretakers. Moreover, getting no preparation on the treatment of Coronavirus was unequivocally connected with feelings of anxiety. Besides, there was a huge positive connection between's pressure scoring and survival techniques scoring however not with inspiration score. Taking everything into account, this study shows that Palestinian Healthcare Workers experienced personal disturbance during the Coronavirus pandemic.
DOI: 10.37421/2573-0347.2022.7.280
This study planned to analyze the psychological status of moms whose kids were hospitalized during the Coronavirus pandemic, particularly where hazard factors are higher like pediatric escalated care units, and to add to the improvement of a mental wellbeing arrangement, particularly for these high-risk bunches in plague circumstances. The number of inhabitants in the review was moms whose youngsters were hospitalized in the pediatric emergency unit the review time frame. Information assortment was done by means of an eye to eye interview strategy by experienced medical caretakers working in pediatric centers utilizing a sociodemographic information structure, the Beck Tension Stock, the Beck Discouragement Stock, the Anxiety toward Coronavirus Stock, and the Covid Uneasiness Stock. When offspring of moms with a background marked by Coronavirus are hospitalized, exceptional consideration ought to be given to their moms concerning mental help and help.
DOI: 10.37421/2573-0347.2022.7.274
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Weight is especially unmistakable among the different medical conditions looked during kids' development and advancement. The high predominance of life as a youngster weight has turned into a worldwide wellbeing challenge, and it is expanding overall. The predominance of overweight and weight is accounted for to be 11.1% and 7.9%, separately, in Chinese youngsters matured 6 to 17 years. Overweight and weight in youth are related with unfriendly wellbeing results, including mental issues, asthma, obstructive rest apnea, muscular issues, and antagonistic cardiovascular sickness. In addition, heftiness in adolescence might endure into adulthood and lead to unfriendly cardiovascular results or other stoutness related sicknesses. Past investigations have uncovered various elements that are related with adolescence heftiness, like unfortunate way of life, hereditary qualities, climate, and digestion. Among these, way of life is a reversible element that contributes generally to overweight and heftiness; consequently, various measures have been executed to work on sound ways of life to mitigate the effect of experience growing up corpulence.
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The discernments and perspectives of Healthcare Professionals (HCPs) to teleconsultations might influence the nature of the restorative cycle gave utilizing them. Thusly, this study intended to comprehend the mentalities to and view of clinical teleconsultation among different HCPs during the COVID-19 pandemic. We dissected information from a committed survey on inclinations, mentalities, and conclusions about teleconsultation, which was filled by 780 Polish HCPs. The greater part of the HCPs were specialists and medical attendants (69% and 19%, individually); the vast majority of the specialists were family doctors (50.1%). During the pandemic, teleconsultation and up close and personal contact were accounted for as the favored strategies for offering clinical types of assistance with comparable recurrence. Specialists and medical attendants showed the best mentality toward teleconsultation while the paramedics and physiotherapists took the most un-positive perspective on it. Most HCPs value the worth of teleconsultation, and the greater part of them will proceed with this type of correspondence with the patient when important or attractive.
DOI: 10.37421/2573-0347.2022.7.272
DOI: 10.37421/2573-0347.2022.7.270
Notwithstanding the advantageous impact of air pocket ceaseless positive aviation route pressure (BCPAP) oxygen treatment for kids with extreme pneumonia under the management of doctors that has been displayed in various examinations, viability preliminaries in emerging nation settings where low-stream oxygen treatment is the norm of care are as yet required. Consequently, the point of this study is to survey the viability of air pocket CPAP oxygen treatment contrasted with the WHO standard low-stream oxygen treatment among kids hospitalized with serious pneumonia and hypoxemia in Ethiopia. This is a group randomized controlled preliminary where six locale emergency clinics are randomized to BCPAP and six to standard WHO low-stream oxygen treatment. The all out example size is 620 for each arm. Right now, enlistment of the patients is as yet continuous where the administration and follow-up of the selected patients are performed by broad doctors and medical caretakers under the management of pediatricians. The essential result is treatment disappointment and fundamental optional result is demise. We expect to finish enlistment by September 2022 and information investigation followed by composition composing by December 2022. Discoveries will likewise be dispersed in December 2022. Our review will give information on the viability of BCPAP in treating youth serious pneumonia and hypoxemia in a certifiable setting.
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The point of this study was to look at the degrees of wellbeing related personal satisfaction (HRQoL), torment force, and mental misery in members with persistent low back torment (CLBP), and to analyze the distinctions in the HRQoL of members as for mental trouble and the relationships of the inspected factors. Information was gathered from 148 patients utilizing the SF-36 Health Status Questionnaire (SF-36), the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) poll, and the visual-simple agony scale (VAS). The outcomes show less fortunate selfevaluation of actual wellbeing (Me=28.1) contrasted with emotional well-being (Me=39.4). Members with more significant levels of mental misery revealed huge close to home restrictions (p=0.003), lower energy (p<0.001), less fortunate mental wellbeing (p<0.001) and social working (p<0.001), more agony (p=0.007), and, eventually, less fortunate general wellbeing (p<0.001). The degree of mental trouble was connected with the degree of HRQoL, while a relationship with the degree of torment of the members was not found. The review results demonstrate an association between the presence of mental trouble and practically all parts of HRQoL in members with CLBP.
DOI: 10.37421/2573-0347.2022.7.286
Purpose: The sudden outbreak of COVID-19 pandemic and its impact induced various psychological impacts on the public. Early identification and management of the psychological distress can prevent mental health problems. The aim of the study is to assess the Psychological impact of (COVID-19) Pandemic among the public.
Methods: We conducted an online survey to collect the data from 250 participants. The demographic data, level of anxiety and depression were assessed by using Self-Rating Anxiety Scale and the Zung Self-Rating Depression Scale.
Results: The study finding shows that Out of 250 participants, 66(26.45%) were affected with anxiety and 143(58%) were depressed. Regarding physiological manifestation of Anxiety, 9.2% of people felt weak and tired quickly, 12.4% of people often had to urinate and 8% of suffered from head, neck, back pain. In terms of emotional responses, 10% of people were more nervous and anxious than usual, 6.8% were afraid for no reason, and 10.8% were easily upset or panicked. In terms of emotional response, 10.8% of people were feeling unhappy and depressed.
Conclusion: the finding shows that; the participants were affected with psychological problems of anxiety and depression. As per analysis, 0.8% of the participants were affected with severe anxiety and 5.0% with depression. Before it becomes worse, it is a time to counsel the general public to cope with the present situation and help them to lead a healthy life.
DOI: 10.37421/2573-0347.2022.7.282
The Coronavirus pandemic presented critical novel dangers for medical care laborers and medical care administrations. This study meant to decide the pervasiveness, patterns, qualities, and wellsprings of Coronavirus contamination among medical services laborers during the early Coronavirus pandemic in Malaysian clinics. A cross-sectional review utilized optional information gathered from a Coronavirus observation framework for medical services laborers among January and December 2020. Two floods in Coronavirus cases among medical services laborers in Malaysia were epidemiologically related to a correspondingly extreme Coronavirus example of transmission locally. Word related security and wellbeing units should be careful for the early identification of an illness episode to forestall the avoidable spread of sickness in high-risk settings. The change of a few tertiary medical clinics to committed Coronavirus care, the observing of new systems for the administration of Coronavirus patients, and fitting asset designation are critical to fruitful gamble moderation techniques.
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Pregnancy is a complex phenomenon requires a constant consistent supervision of health team members throughout the phase of pregnancy. The actual challenging phase in throughout pregnancy is the delivery phase; during which majority of complications will arose in fraction of minutes on such complication is post-partum haemorrhage. Prevention of postpartum haemorrhage begins by registration and confirmation of pregnancy, by regular intake of iron and folic acid supplements, balanced diet and exercise. During labour postpartum haemorrhage is prevented by good practice of AMTSL (Active Management of Third Stage of Labor), hence the present study aim to assess the practice of AMTSL by nurses during delivery and improve their skill by hand-on training. A total 98 nurses working in labor unit were selected by purposive sampling, using a structured practice checklist questionnaire the skill was assessed and hand-on training was given following which post training the skill was assess by using same practice checklist questionnaire. The results of the study showed that the hands-on training was effective and have brought the change in the skill and confidence level of the nurses. The study recommended that nurses should be given regular continuing nursing skill education in bettering the care of the patients and improving the nursing care in health care facilities.
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Areeba Rahim*, Inara Saleem, Maria Baber, Meraj Uddin, Nusrat Fatima, Sanila Nadir and Zainish Salim
Nurses use nursing technologies every day, which makes their work a lot easier. It includes automatic BP apparatus, Portable Defibrillator and monitors, Electronic IV apparatus, Electronic Health Records, Telehealth, Barcoding and Radiofrequency Identification Systems. Other than that, robotics is also introduced in nursing technology. These nursing technologies not only give advantages to nurses but also benefit the patients.
Journal of Advanced Practices in Nursing received 410 citations as per Google Scholar report
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