Experience of nurses in identifying delirium among cancer patients: A qualitative study

Background: Information about how nurses screen for delirium in cancer patients can provide insights into improving recognition. This study aimed to investigate the experiences of nurses while identifying delirium in cancer patients. Methods: The study\u27s design was qualitative, using thematic analysis. Data were gathered via a focus group discussion with ten nurses from two oncological wards of Nursing and Health Research Universitas Riau, Pekan Baru Riau, Indonesia. The focus group discussion lasted roughly 90 minutes. Participants provided feedback on their experiences with assessment in delirium through semi-structured and open-ended questions. Data collection occurred in September 2023 at two oncology wards. Data analysis in this phenomenological research used the Collaizzi method to describe the meaning of an experience identified through the important themes of a phenomenon consisting of seven stages. Results: Categories, subcategories and themes were constructed. Experiences of nurses in identifying delirium among cancer patients were identified i) delirium, agitation and confusion are almost similar  (the term delirium is not well known, and the type of delirium is not familiar); ii) tools for assessing delirium are needed (the tool does not exist and is unknown, used clinical experiences supported by laboratory testing); and iii) nurses can play an important role in identifying delirium (important role in assessing delirium, advising to prevent delirium among healthcare professionals). Conclusion: Nurses who work in oncology wards need to know more about delirium screening since they play an important role in early detection and treatment. Therefore, appropriate knowledge and measurement tools are required to identify delirium earlier among cancer patients

Social media and depression among young adults in Bangladesh: Patterns, predictors, and implications

Background: Consequences have arisen about the impact of growing social media use on users’ psychological adverse well-being.  Especially in young adults, it can increase feelings of loneliness, inadequacy, and social comparison. This study examines the role of social media in contributing to depression among young adults in Rajshahi city, Bangladesh. Methods: A cross-sectional study was conducted among 450 young adults in Rajshahi city, Bangladesh, using a structured questionnaire administered through face-to-face interviews and a purposive sampling technique. The Patient Health Questionnaire-9 (PHQ-9) was used to assess respondents’ depression status. Univariate and multivariate logistic regression were used to identify the factors of depression. Results:  Over half of the respondents (57.8%) experienced depression, predominantly at moderate to severe levels, with higher rates observed among younger individuals (21–24 years) and females. Depression status was found to be significantly associated with respondents’ age, social media usage, time spent on social media, and following specific types of accounts such as celebrities or models, gaming, and animals or birds. Ultimately, Facebook usage (odds ratio (OR) 2.1; 95% confidence interval (CI) 0.9–5.0), WhatsApp usage (OR 0.5; 95% CI 0.3–0.7), and following accounts related to celebrities or models (OR 1.5; 95% CI 0.9–2.6), gaming (OR 1.9; 95% CI 1.0–3.6) were identified as significant factors of depression among young adults. Conclusion:  More than half of young adults had depression. Social media usage, online time, and following accounts such as celebrities, models, and gaming are key contributors, emphasising the need for targeted mental health interventions, awareness campaigns, and digital literacy programs

Lewy body dementias: One spectrum or two diseases?

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Current issues with antibody-conjugated lipid nanoparticles

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Barraquer–Simons syndrome: A case report

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Effectiveness of the flipped classroom versus the traditional teaching method in enhancing learning among undergraduate medical students

Background: The flipped classroom is a form of interactive teaching strategy in which traditional learning is reversed by delivering core content outside the classroom and moving activities into the classroom. This study aimed to determine the effectiveness and medical students’ perception of flipped classroom. Methods: This quasi-experimental study included 100 first-year medical students who were divided into four groups (A, B, C, D), with 25 students in each group.  Groups A and C received didactic lectures, while groups B and D participated in flipped classroom. Thereafter, there was a crossover for ethical purposes. All students took multiple-choice pre-tests and post-tests, and there was also a retention test two weeks after the flipped classroom sessions. Students were further divided based on their pre-test scores into two categories: the <50% and the ≥50% category. Wilcoxon and Mann-Whitney tests were used to analyse the data for statistical significance. Student perceptions were collected by Google questionnaire. Results: The result showed a significant improvement in the post-test marks for both the teaching learning methods. However, the flipped classroom groups outperformed the didactic groups, with mean post-test scores of 82.2 (10.8) and 84.2 (10.3) for the <50% and ≥50% groups, respectively, compared to 63.2 (9.4) and 72.4 (14.9) for the traditional groups, with a P <0.001. Knowledge retention was also notably better in the flipped classroom groups. The students\u27 feedback supported flipped classroom method. Conclusion: The flipped classroom boosts students’ performance and encourages active participation and higher order thinking in them. It can be adopted to make the MBBS students self-directed and lifelong learners

Swimming exercise on spatial memory performance and hippocampal oxidative stress in colchicine-induced memory-impaired male Long-Evans rats

Background: Spatial memory is one of the necessary components of our typical day-to-day life. Therefore, its impairment should be alleviated or prevented. The purpose of this study was to assess the effects of swimming exercise on spatial memory performance and hippocampal oxidative stress in male Long-Evans rats with colchicine-induced memory impairment. Methods: Thirty male aged 8 standard deviation (2) weeks; weight 225 (75) gm Long-Evans rats were assigned to normal control, sham control, colchicine control, pre colchicine swimming exercise and post colchicine swimming exercise groups. A memory-impaired rat model was established by administering colchicine intrahippocampally. Swimming exercise was performed before and after spatial memory impairment. For spatial reference and working memory performance evaluation, the Morris water maze test was used. Hippocampal malondialdehyde and glutathione peroxidase were estimated for oxidative stress assessment in all rats. Results: Intrahippocampal colchicine administration significantly impaired spatial memory, and elevated malondialdehyde, decreased glutathione peroxidase level in the hippocampus of colchicine control rats. In contrast, both pre- and post-treatment with swimming exercise significantly improved learning and spatial memory retention and attenuated oxidative damage to nearly normal levels. Conclusion: Swimming exercise prevents as well as alleviates colchicine-induced spatial memory impairment along with hippocampal oxidative stress in male Long-Evans rats. Moreover, this swimming exercise  schedule is sufficient to reverse these alarming consequences to almost normal

Conversion disorder with psychogenic vomiting and coexisting organic etiology in an adolescent: A case report

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Analysis of strengths, weaknesses, opportunities, and threats: Analytical hierarchy process based dental waste management in Odisha

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Decoding the revolution of total arterial coronary artery bypass graft surgery

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