PERCEPTION AND ATTITUDE OF HEALTH-CARE PERSONNEL REGARDING THE CONCEPT OF INTEGRATION IN NURSING

ABSTRACTObjectives: To assess the perception of health-care personnel regarding the concept of integration in nursing, to assess the attitude of health-carepersonnel toward the concept of integration in nursing, and to determine the association of perception and attitude toward the concept of integrationin nursing with selected socio-demographic variables.Methods: Research approach adopted was descriptive survey approach. Population were 159 health-care personnel's working at various hospitalsand institutions in Maharashtra. Purposive sampling technique was used. Data were collected using structured rating scale, which consisted of3 sections. Section 1 comprising demographic data, Sections 2 and 3 consisted 10 questions to assess the perception and attitude of health-carepersonnel. Tool was developed pretesting and reliability of the rating scale was done.Results: Findings of the study showed that majority 118 (74.21%) of respondents had low perception, 41 (25.78%) had medium perception, andnone of respondents had high perception regarding the concept of integration. Classification of respondents based on the levels of attitude, the79 (49.68%) had unfavorable attitude, 75 (47.16%) had moderately favorable attitude, and 5 (3.14%) had favorable attitude.Conclusions: As the result shows that there is medium to low level of perception between the health-care personnel regarding the concept ofintegration and the attitude is also unfavorable, there is need to find out the barriers of integration in nursing profession.Keywords: Perception, Attitude, Integration, Health-care personnel

Illness beliefs and the sociocultural context of diabetes self-management in British South Asians: a mixed methods study

Background: British South Asians have a higher incidence of diabetes and poorer health outcomes compared to the general UK population. Beliefs about diabetes are known to play an important role in self-management, yet little is known about the sociocultural context in shaping beliefs. This study aimed to explore the influence of sociocultural context on illness beliefs and diabetes self-management in British South Asians. Methods: A mixed methods approach was used. 67 participants recruited using random and purposive sampling, completed a questionnaire measuring illness beliefs, fatalism, health outcomes and demographics; 37 participants completed a social network survey interview and semi-structured interviews. Results were analysed using SPSS and thematic analysis. Results: Quantitative data found certain social network characteristics (emotional and illness work) were related to perceived concern, emotional distress and health outcomes (p < 0.05). After multivariate analysis, emotional work remained a significant predictor of perceived concern and emotional distress related to diabetes (p < 0.05). Analysis of the qualitative data suggest that fatalistic attitudes and beliefs influences self-management practices and alternative food ‘therapies’ are used which are often recommended by social networks. Conclusions: Diabetes-related illness beliefs and self-management appear to be shaped by the sociocultural context. Better understanding of the contextual determinants of behaviour could facilitate the development of culturally appropriate interventions to modify beliefs and support self-management in this population

Fracture of humerus in a newborn during cesarean section: A case report

Risk of birth injuries and long bone fractures are common in vaginal breech deliveries but have also occurred in the cesarean section.&nbsp;Here, we report the case of a term neonate who was admitted with swelling and paucity of movement of the right arm with a history&nbsp;of energetic traction during the emergency cesarean section. The diagnosis was confirmed by radiography and managed by plaster&nbsp;of paris slab. Obstetrician and pediatrician should remain vigilant regarding such rare complications so that these cases are not&nbsp;overlooked, as timely intervention and management are necessary to prevent disability and deformities in the future

Metal-organic frameworks as kinetic modulators for branched selectivity in hydroformylation.

Finding heterogeneous catalysts that are superior to homogeneous ones for selective catalytic transformations is a major challenge in catalysis. Here, we show how micropores in metal-organic frameworks (MOFs) push homogeneous catalytic reactions into kinetic regimes inaccessible under standard conditions. Such property allows branched selectivity up to 90% in the Co-catalysed hydroformylation of olefins without directing groups, not achievable with existing catalysts. This finding has a big potential in the production of aldehydes for the fine chemical industry. Monte Carlo and density functional theory simulations combined with kinetic models show that the micropores of MOFs with UMCM-1 and MOF-74 topologies increase the olefins density beyond neat conditions while partially preventing the adsorption of syngas leading to high branched selectivity. The easy experimental protocol and the chemical and structural flexibility of MOFs will attract the interest of the fine chemical industries towards the design of heterogeneous processes with exceptional selectivity

Virulence traits and novel drug delivery strategies for mucormycosis post-COVID-19: a comprehensive review

The outbreak of a fatal black fungus infection after the resurgence of the cadaverous COVID-19 has exhorted scientists worldwide to develop a nutshell by repurposing or designing new formulations to address the crisis. Patients expressing COVID-19 are more susceptible to Mucormycosis (MCR) and thus fall easy prey to decease accounting for this global threat. Their mortality rates range around 32-70% depending on the organs affected and grow even higher despite the treatment. The many contemporary recommendations strongly advise using liposomal amphotericin B and surgery as first-line therapy whenever practicable. MCR is a dangerous infection that requires an antifungal drug administration on appropriate prescription, typically one of the following: Amphotericin B, Posaconazole, or Isavuconazole since the fungi that cause MCR are resistant to other medications like fluconazole, voriconazole, and echinocandins. Amphotericin B and Posaconazole are administered through veins (intravenously), and isavuconazole by mouth (orally). From last several years so many compounds are developed against invasive fungal disease but only few of them are able to induce effective treatment against the micorals. Adjuvant medicines, more particularly, are difficult to assess without prospective randomized controlled investigations, which are challenging to conduct given the lower incidence and higher mortality from Mucormycosis. The present analysis provides insight into pathogenesis, epidemiology, clinical manifestations, underlying fungal virulence, and growth mechanisms. In addition, current therapy for MCR in Post Covid-19 individuals includes conventional and novel nano-based advanced management systems for procuring against deadly fungal infection. The study urges involving nanomedicine to prevent fungal growth at the commencement of infection, delay the progression, and mitigate fatality risk

IZ KAJKAVSKE MORFOLOGIJE (o DL sg. im. ž. roda)

U radu se nastoji dati odgovor na pitanje: da li je u svim govorima kajkavskoga narječja u kojima je u DL sg. imenica ženskoga roda morfem –i riječ o generalizaciji toga morfema iz nekadašnjih ja-osnova ili se u govorima s ograničenom distribucijom kontinuante jata i šva (u dijelu govora samo jata) i njegovom zamjenom vokalom i, ili vokalom i-tipa, u nenaglašenim slogovima, može govoriti o morfemu –i < -ẹ < ě