Fulminant Guillain Barre syndrome with recurrent lung collapse

Fulminant Guillain-Barré syndrome (GBS) is a rapidly progressive form of polyneuropathy in which patients demonstrate eventual flaccid quadriplegia and an absence of brainstem function. Most patients present initially with a mild upper respiratory or gastrointestinal illness and have non-diagnostic cerebral imaging studies. Here we report the case of child aged 7 who was admitted initially with complaints of weakness of lower limbs lasting for 4-5 hours. He had difficulty in standing and walking, associated with pain in both lower limbs. Flaccid weakness rapidly progressed over 12 hours to involve both upper limbs along with difficulty in swallowing and nasal regurgitation of feeds. He was intubated and mechanically ventilated for respiratory failure. Over the period of time, after confirmation with all the test reports and symptoms, other differential diagnoses were ruled out and fulminant GBS was considered and hence plasmapheresis was started. Over the period of 3 months his muscle power slowly improved. During discharge, he was able to lift limbs against minimal resistance, turn sideways on bed, sit up with minimal support and likewise stand with support

An approach of clinical pharmacist pertaining to solve drug related problems in pediatric patients

Background: The objectives of the study were to assess the outcomes of clinical pharmacist intervention in solving drug related problems in pediatric patients and to identify the drug related problems in accordance with the causes observed.Methods: It was a prospective observational study done over a period of six months (October 2019 to March 2020) at Apollo children’s hospital in Chennai.Results: Total of 480 subjects were enrolled into the study, out of which 248 were male children and 232 were female children. The patients were divided into 4 age groups. In this study 60.41% pediatric patients were prescribed with less than 5 drugs 290 (60.41%). Drug related problems which were identified during the study was classified according to Pharmaceutical Care Network Europe (PCNE) and drug-related problem (DRP) classification (v9.00). The most frequent DRP was drug choice problem 37 (33.33%). The total number of caused drug related problems was 73 and same number of interventions was given by clinical pharmacist. The most frequent cause of drug related problems was identified as dose selection 31 (42.46%). Outcomes of interventions revealed that 70 (95.89%) problems were solved overall.Conclusions: In this study, clinical pharmacist’s level of involvement has shown interesting results. Moreover, they play an essential role in improving patient safety and outcome, reducing cost and providing quality of care for ill patients

Non-communicable diseases among Orang Asli of Kampung Ulu Tual

Introduction: Non communicable disease is increasing in trend and becoming one of significant major global problem that involves all strata of population including the aborigines. In fact, the prevalence might be higher in this population due to lack of access for regular screening and different sociodemographic background including tendency to migrate in different areas. Methodology: This study aims to identify the prevalence of non-communicable diseases among adult population of Orang Asli in the remote area of Pahang. A cross sectional study was conducted on 20th April 2019 during community service in Kampung Ulu Tual, whereby communicable diseases had been screened. SPSS version 23 is used for statistical analysis. Associations between variables were measured. Results: Prevalence of overweight/obesity is 36.6%, hypertension is 3.3% and abnormal blood sugar is 53.3%. There is no statistical significant association between prevalence of the non-communicable diseases across age and gender. Discussion: The prevalence of overweight/obesity among Orang Asli in this region is almost similar in our national prevalence with more than half of them are prone to develop diabetes. This study proved a linear relationship between overweight/obesity, abdominal obesity and diabetes. Conclusion: These results highlight the need for urgent interventions to reduce and prevent risk factors of non-communicable diseases even in rural area of Pahan

The Effect of Different Binder Compositions in Fabricating Silica Foam (SiO2) Via Replication Method / N.A.Nazaruddin...[et al.]

Ceramic foams or reticulated porous ceramic are form highly porous ceramic with closed, fully open and partially interconnected structure of porosity and wide range of application of the catalyst, electrical conductivity, refractory insulation of furnaces, filtration, adsorption and separation. There are various conventional method in fabrication silica foam such as direct forming, steam heating, freeze casting method and polymeric sponge method which is also well-known also as replication method. In this study, silica foam was fabricated using a 55wt. % of silica powder with different binder compositions of polyethylene glycol (PEG) and carboxymethyl cellulose (CMC) via replication method. The present work focuses in the effect of three variable compositions of PEG and CMC at high sintering temperature of 1250ºC in producing silica foams. The polyurethane foam (PU) acts as the template for slurry from silica powder compounds and mixed together with binders and distilled water. All samples are immersed into the SiO2 slurry and dried at a temperature of 100ºC for 24 hours. The green bodies of foams were further sintered at temperature of 1250ºC. The morphological analyses depicted that the size of the silica foam pores were in the range of 259.15μm to 559.83μm. It was found that the density of silica foam in the range of 0.4953 g/cm3 to 0.7170 g/ cm3. Whereas, the result of porosity percentage obtained from 61.38 % to 71.9 %. Density and porosity analysis shows that the density of foams increased with decreased porosity of the silica foam. Mechanical properties analysis with compressive strength give a result in a range of 0.1310 N/mm2 to 0.2329 N/mm2 respectively. Thus, the replication method adopted for the SiO2 foam fabrication was proven a success

The effect of six weeks CoBAgi training on coordination, dynamic balance & agility of adolescent handball players

Background and Study Aim. The aim of this study is to investigate the effects CoBAgi Training which apply neuromuscular training, sport specific movements that couple with perturbation variation on coordination, dynamic balance and agility among adolescent handball players. Material and Methods. Quantitative randomized controlled trials quasi-experimental design with pretest and posttest evaluation used for this study. A total of 30 adolescent handball players (aged: 14.00 ± 0.83 years) were recruited as participants. Purposive sampling methods were used for these purposes. The participants were randomly assigned into two groups i.e. control group (CG: n=15) and experimental group (EG: n=15). EG undergone six weeks CoBAgi training while CG followed their usual training routine with supervision of the researcher, there times a week for 6 weeks. In order to measure the effect of these training on coordination, dynamic balance and agility, participants have performed Carioca Test, Star Excursion Balance Test (SEBT) and L-Run Test during pre-training and post-training session. The data were analyzed through Independent Samples t-test with p<0.05 “Statistical Package for the Social Sciences” (SPSS) program. Result. After completed the six weeks training duration, there were significant difference identified in coordination (t=-2.290, P=0.030*), dynamic balance (t= 4.802, P=0.000*) and agility (t=-3.202, P= 0.003*) between EG and CG. Conclusion. Therefore, this study revealed that CoBAgi training could improve abilities performance of coordination, dynamic balance and agility, and this suggesting that CoBAgi training may be use as rehabilitation and pre-rehabilitation training strategies in order for injury prevention plan as well as improve sports performance especially among the adolescent handball players

The study of water losses using knowledge based system approach

Water represents about 70 % of the whole earth surface yet it is limited in its availability as a freshwater to human benefits. The importance is on freshwater assets since it is freshwater resources that are used for daily usage, agricultural and industrial intentions. According to Hu (2006), freshwater represents about 2.76 % of the total water available on earth. And even with this, it is only less than 1 % which is readily available to be accessed and used by human. About 20 % of the world’s population lack access to safe drinking water and about eighty countries, which inhabitat 40 % of the world’s population are in severe water crisis situation. Non-revenue water (NRW) can be defined as the amount or quantity of lost water starting from the water treatment plant to the consumers. In other words, it occurs within the distribution systems added with amount of water that is authorized to use but not billed

General anxiety predictors among frontline warriors of COVID: Cross-sectional study among health care workers

COVID-19 pandemic has increased &nbsp;the generalized anxiety among &nbsp;Healthcare workers, The cross sectional questionnaire based study aimed to determine the generalized anxiety disorders among the Healthcare workers working in secondary and tertiary care hospitals. GAD-7 scale and Perceived stress scale were used to assess anxiety. Non parametric statistics were applied to estimate the difference among the groups. A total of 270 Male 150 (55%) and Female 120 (44%) Healthcare workers responded to this survey. In Healthcare workers, the Doctors are revealed the more anxious and depression suffered than the other healthcare workers who participated in this study

General Anxiety Predictors Among Frontline Warriors of COVID: Cross-sectional Study Among Health Care Workers

COVID-19 pandemic has increased &nbsp;the generalized anxiety among &nbsp;Healthcare workers, The cross sectional questionnaire based study aimed to determine the generalized anxiety disorders among the Healthcare workers working in secondary and tertiary care hospitals. GAD-7 scale and Perceived stress scale were used to assess anxiety. Non parametric statistics were applied to estimate the difference among the groups. A total of 270 Male 150 (55%) and Female 120 (44%) Healthcare workers responded to this survey. In Healthcare workers, the Doctors are revealed the more anxious and depression suffered than the other healthcare workers who participated in this study

The level of knowledge, attitude and practice on complementary feeding among caregivers in Kampung Jeriah, Sibu, Sarawak from 23rd September 2013 to 8th December 2013

Background: The period for complementary feeding is crucial for young infants. Lack of awareness in knowledge, attitude and practice towards complementary feeding among caregivers will lead to improper practice of complementary feeding which may affect the health of children under their care. Objective: The purpose of this study is to determine the level of knowledge, attitude, and practice (KAP) on complementary feeding among caregivers in Kampung Jeriah, Sibu, Sarawak. Methods: This is a cross-sectional study done among 60 caregivers in Kampung Jeriah, Sibu, Sarawak. Non-probability sampling method was adopted to select at least one caregiver from each household in the village. A self-administered style of data collection was used. The data was analysed for descriptive data of mean, median, frequencies and standard deviation using SPSS version 20.0. Results: Among the respondents, the levels of KAP are 61.7%, 50% and 60% respectively. In this study, the respondents with lower income have significantly better knowledge regarding complementary feeding (p=0.01). The results also showed that respondents aged 25-44 years old had good practice towards complementary feeding as compared to younger or older group, which is reflected in the p value 0.032. Almost half of the respondents with good level of knowledge (48.6%) started to give complementary food to their child at age 6 months old. Conclusion: Generally, the respondents had a satisfactory level of knowledge and practices towards complementary feeding. However. the level of attitude on complementary feeding was relatively low compared to the level of knowledge and practice. Statistically, there was no significant correlation between the three components (knowledge, attitude and practice on complementary feeding). It was recommended that more health education should be held by the health authority on complementary feeding so that the knowledge, attitude and practice of caregivers on the topic could be improved. II