The Homoeopathic physician最新文献_第5页

Omicron and the future of the Pandemic 欧米克隆和大流行的未来

The Homoeopathic physician Pub Date : 2021-12-25 DOI: 10.38192/1.7.2.4

S. Chakravorty

引用次数: 1

Haematuria readmission rates in DOAC patients undergoing TURP/TURBTs and urinary tract biopsies – is there any need for a bridging plan? 接受TURP/ turts和尿路活检的DOAC患者血尿再入院率-是否需要桥接计划?

The Homoeopathic physician Pub Date : 2021-12-14 DOI: 10.38192/1.7.2.3

Tavishi Kanwar, Alice Li

{"title":"Haematuria readmission rates in DOAC patients undergoing TURP/TURBTs and urinary tract biopsies – is there any need for a bridging plan?","authors":"Tavishi Kanwar, Alice Li","doi":"10.38192/1.7.2.3","DOIUrl":"https://doi.org/10.38192/1.7.2.3","url":null,"abstract":"Aim - The purpose of our quality improvement project was to reduce readmission rates for haematuria in patients on direct oral anticoagulants (DOACs) who had undergone a urinary tract biopsy or resection.\u0000Methods - For each cycle we used operating lists, pre-assessment clerking and departmental inpatient lists to identify the proportion of patients on DOACs readmitted post-operatively within 1 month from date of surgery. Cycle 1 was completed over a six-month period. We then discussed these results with a Haematologist, who advised a bridging plan with low-molecular weight heparin to mitigate the risk. Following implementation of the bridging plan, we then completed the second cycle over a three-month period.\u0000Results - The first cycle showed that 37.5% (n=16) of all patients on DOACs who had undergone one of these procedures were readmitted with significant haematuria. After implementation of the bridging plan with Low molecular weight heparin, the second cycle showed a reduced readmission rate of 33.3% (n=9), despite a higher percentage of patients on a DOAC in this cycle.\u0000Discussion - There was no uniform practice or protocol for restarting DOACs in our hospital. After completion of this project, a uniform protocol has been established.\u0000Recommendations included: (1) rediscuss with a Haematologist whether further measures were needed; present our data at a regional meeting to survey protocol and practices in neighbouring hospitals. Limitations included: a small sample size; non-uniform duration of data collection per cycle; reduction of elective operative lists due to COVID-19.","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75357696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alexithymia and Empathy in a Non-Clinical Population: How do they Correlate? 非临床人群述情障碍和共情:它们是如何相关的?

The Homoeopathic physician Pub Date : 2021-12-02 DOI: 10.38192/1.7.2.1

N. Chakraborty, Harry Mehmet, T. Brugha

引用次数: 0

Equality & Diversity Perspectives for the Proficiency in English Assessment for IMGs 国际学生英语水平评估的平等与多样性视角

The Homoeopathic physician Pub Date : 2021-10-25 DOI: 10.38192/1.7.2.2

I. Chakravorty

引用次数: 0

Research & Innovation Abstracts 研究与创新摘要

The Homoeopathic physician Pub Date : 2021-10-11 DOI: 10.38192/1.7.2.bapio25

S. Bisht, P. Nageswaran, K. Gajanan, S. Daga, S. Chakravorty

引用次数: 0

Remedies 补救措施

The Homoeopathic physician Pub Date : 2021-08-05 DOI: 10.1093/oso/9780192896919.003.0005

P. Daly

引用次数: 0

A Novel Minimally Invasive Retro Rectus Repair of Ventral Hernia 一种新型的微创腹疝后直肌修复术

The Homoeopathic physician Pub Date : 2021-08-04 DOI: 10.38192/1.7.1.11

Anil Kumar, M. Taggarsi, R. Subhash

{"title":"A Novel Minimally Invasive Retro Rectus Repair of Ventral Hernia","authors":"Anil Kumar, M. Taggarsi, R. Subhash","doi":"10.38192/1.7.1.11","DOIUrl":"https://doi.org/10.38192/1.7.1.11","url":null,"abstract":"Background \u0000Ventral hernia repair is one of the common general surgical procedures. A novel eTEP technique has been developed where in a mesh is placed in retro muscular plane through minimally invasive approach. There is scarcity of data on its effectiveness as compared to conventional Laparoscopic IPOM hernioplasty. \u0000Aims and Objectives \u0000We aim to introduce our innovative Kumar-Subhash’s modified 3 port eTEP technique for ventral hernia repair and compare its clinical effectiveness with conventional IPOM repair. \u0000Methods \u0000A prospective comparative study was undertaken at Devagiri Hospital, Bangalore, India from January 2017 to December 2019. 30 patients were included in the study (12 in eTEP group and 18 in IPOM group) based on predefined inclusion and exclusion criteria. Patients were followed up to 30 days post-operatively. The outcomes were compared with respect to postoperative pain, length of hospital stay and early postoperative complications. \u0000Results \u0000Baseline characteristics and presenting complaints were comparable for both the groups. The mean pain score on POD 1 in eTEP group was 3, and 1 on POD 7 as compared to 7 and 3 in IPOM group on POD1 and 7 respectively, which was statistically significant. Patients in eTEP group had a shorter length of hospital stay (LOS). None of the patients had any complications related to the novel technique. \u0000Conclusions \u0000Kumar-Subhash’s modified 3 port eTEP technique is a novel and easy approach for laparoscopic repair of ventral hernia with significantly less post-operative pain and LOS with an additional cosmetic advantage for patients.","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"205 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72952645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenges Facing IMGs in General Practice and Solutions Founded on Educational Praxis IMGs在全科实践中面临的挑战和基于教育实践的解决方案

The Homoeopathic physician Pub Date : 2021-06-06 DOI: 10.38192/1.6.3.7

S. Holloway, L. Jones

{"title":"Challenges Facing IMGs in General Practice and Solutions Founded on Educational Praxis","authors":"S. Holloway, L. Jones","doi":"10.38192/1.6.3.7","DOIUrl":"https://doi.org/10.38192/1.6.3.7","url":null,"abstract":"Objectives \u0000Primary care in the United Kingdom is delivered through the National Health Service medical workforce comprising 25% international medical graduates. This study explored the challenges experienced by international participants as they progressed through speciality training in General Practice and sought solutions to those challenges through the lens of applied educational theory, or ‘praxis’. \u0000Methods \u0000The case-based methodology was founded on a qualitative paradigm and postpositivist theoretical framework. Data were collected from international medical graduates and General Practice Trainers via focus groups, on-line questionnaire and semi-structured interviews. A strategy of convergence of evidence underpinned thematic data analysis, triangulating data to construct theory through cycles of continuous iteration. \u0000Findings \u0000Challenges relating to difference, relationships, conceptual understanding and expertise, practical barriers, wellbeing and risk were countered by applied metacognition, emotional intelligence, resilience and curiosity. Trainee passivity confounded these solutions. \u0000Conclusions \u0000The considerable challenges encountered by participants, not all comprehended before commencement of training, were compounded by poor conceptual understanding of the NHS and primary care and impacted on educational progression and wellbeing. Strategies centred on the application of metacognition and applied curiosity. These findings have considerable potential for training programmes and policymakers with respect to trainee orientation and workforce development. \u0000 ","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82382295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Vaccines against SARS-Cov-2 针对SARS-Cov-2的疫苗

The Homoeopathic physician Pub Date : 2021-01-19 DOI: 10.38192/1.6.3.11

S. Chakravorty

引用次数: 4

Drug resistance In Mycobacterium Tuberculosis 结核分枝杆菌的耐药性

The Homoeopathic physician Pub Date : 2021-01-01 DOI: 10.38192/1.7.1.8

Saad Jamal

{"title":"Drug resistance In Mycobacterium Tuberculosis","authors":"Saad Jamal","doi":"10.38192/1.7.1.8","DOIUrl":"https://doi.org/10.38192/1.7.1.8","url":null,"abstract":"The COVID-19 pandemic has also had a significant impact on the detection and management of infectious diseases worldwide. As the healthcare resources struggle to deal with the pandemic, there is widespread fear that there will be a rise in other infections and non-communicable diseases. Mycobacterium Tuberculosis remains one of the highest cause of mortality and morbidity in the world with 10 million new cases, 1.4 million deaths and nearly half a million cases of drug-resistant TB, in 2019. The need of the hour is to prevent the rise of drug resistance in TB. The rise in drug resistance can be mainly attributed to failure to adhere to treatment regimens. Recent studies show that the exposure of bacteria to sublethal levels of bacterial antibiotics, promotes cellular mutations, leading to increased mutations promoting drug resistance. Because of the problems associated with the detection and treatment of drug-resistant tuberculosis, it is of paramount importance that we aim to implement stringent measures of primary and secondary prevention against cases of drug-sensitive tuberculosis to prevent the rise of drug resistance. It is important to highlight the importance of DOTS while talking about measures of primary and secondary prevention. The involvement of the multidisciplinary health team and auxiliary health workers to monitor the treatment of affected patients cannot be stressed enough, since this is the most simple and effective way to prevent treatment failure. Furthermore, the cost of treatment of MDR-TB remains out of reach of the middle and lower middle-income strata of society. It is the need of the hour to lower the cost of drugs as well as provide easy and affordable access to rapid investigations to detect drug resistance","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83148504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0