5 research outputs found

    Effectiveness of Pranic Healing in Treatment of Insomnia: Case Series

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    Introduction: Insomnia is the subject of a public health concern as it has affected the quality of life of millions of people. It has found to adversely influence physical, mental and social health as well as professional life. Globally, 37% of the adult population experience insomnia. There are many pharmacological, non-pharmacological and complementary and alternative measures to treat insomnia. Pranic Healing, the growing complementary energy medicine in the health care realm developed by Master Choa Kok Sui was used to describe its effectiveness in the healing of Insomnia. Methods: Case series study was applied to present the findings of two Nepalese adults being treated with insomnia with Pranic Healing. In this modality of energy medicine, treatment was done by assessing, cleansing and energizing the state of aura and energy level in the different energy centers through the rhythmic hand movement. Results: Pranic Healing therapy found that the over-activation of their Basic and Solar Plexus chakras were the immediate cause of insomnia. Pranic healer cleansed, energized and balanced their chakras with vital life energy or Prana for two healing episodes. Even today, both of the cases were found to have deep nocturnal sleep with active and efficient life. Conclusions: Pranic Healing, complementary therapy is effective in healing insomnia and in promoting, maintaining and restoring the health of people. However, experimental studies can be done to further validate the effectiveness of Pranic Healing. Keywords: Pranic Healing, Insomnia, Master Choa Kok Sui, Nepa

    Does Patient Counselling Correspond to Medication Adherence in Chronic Diseases? - A Scoping Review

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    Background: Quality care is essential to minimize the complication or consequences of chronic diseases. The main objective of this scoping review was to identify the role of patient counseling on medication adherence in chronic diseases. Methods:Scoping review framework, as described by Arksey and O’Malley was used to map out the literature. Databases were searched for published studies from 1 to 30 August 2020 which described medication adherence, factors contributing and role of patient counseling in medication adherence. Results: Total 21 primary studies, including 29% were randomized controlled trials designs and 76% of studies were conducted in the hospital setting. The medication non-adherence in the chronic disease was between 12-33% in reviewed studies. Conclusion: Most of the studies identified patient counseling as a major contributing factor for drug adherence in terms of chronic diseases. Similarly, pharmacist’s communication with patient is also described as important factor for medication non-adherence in reviewed articles. Thus, efforts must be broadened to improve counseling services within the health system to overcome chronic diseases through addressing drug non-adherence. Practical Implication: The findings of this review would be relevant for all health professionals, medical persons, and pharmacists to sensitize them about the importance of counseling in terms of overcoming chronic diseases

    Factors Influencing Dietary Diversity of Pregnant Women Attending Antenatal Care in Western Regional Hospital, Nepal: A Cross-sectional Study

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    Introduction: Diet during pregnancy is important to fulfill the nutritional demand of physiological changes as well as to create an environment for fetal development. In Nepal, meal diversity scores of mothers and children are low. The situation of dietary diversity among pregnant women was unknown in the Western Region of Nepal. Thus, this study was conducted to generate evidence regarding the status and determinants of dietary diversity among pregnant women. Methods: It was a cross-sectional study. Systematic random sampling was done to select 282 pregnant women of third trimester attending antenatal care in Western Regional Hospital, Nepal. The semi-structured questionnaires, 24-hour recall tool, and Household Food Insecurity Access Scale were used to collect information from participants. Univariate, bivariate and multivariate analysis was done to assess the status, association as well as strength of association between study variables respectively.   Results: The mean (±SD) Women's Dietary Diversity Score was 4.96 (±1.42). Pregnant women having education level < SLC compared to ≥ SLC were 74.7% less likely to have high dietary diversity to lowest dietary diversity (AOR: 0.253, CI: 0.103 – 0.620, p=0.003). Similarly, pregnant women having an unpaid occupation of husbands compared to paid were 74.5% less likely to have high dietary diversity to lowest dietary diversity (AOR: 0.255, CI: 0.074 – 0.876, p=0.030). Conclusions: Consumption of medium dietary diversity was predominant among pregnant women. The education of pregnant women and the occupation of her husband were the two significantly associated factors with dietary diversity. Keywords: ANC; Dietary diversity; Household Food Security; Nepal; Pregnant women DOI: https://doi.org/10.3126/jkahs.v2i3.2665

    Worldwide Disparities in Recovery of Cardiac Testing 1 Year Into COVID-19

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    BACKGROUND The extent to which health care systems have adapted to the COVID-19 pandemic to provide necessary cardiac diagnostic services is unknown.OBJECTIVES The aim of this study was to determine the impact of the pandemic on cardiac testing practices, volumes and types of diagnostic services, and perceived psychological stress to health care providers worldwide.METHODS The International Atomic Energy Agency conducted a worldwide survey assessing alterations from baseline in cardiovascular diagnostic care at the pandemic's onset and 1 year later. Multivariable regression was used to determine factors associated with procedure volume recovery.RESULTS Surveys were submitted from 669 centers in 107 countries. Worldwide reduction in cardiac procedure volumes of 64% from March 2019 to April 2020 recovered by April 2021 in high- and upper middle-income countries (recovery rates of 108% and 99%) but remained depressed in lower middle- and low-income countries (46% and 30% recovery). Although stress testing was used 12% less frequently in 2021 than in 2019, coronary computed tomographic angiography was used 14% more, a trend also seen for other advanced cardiac imaging modalities (positron emission tomography and magnetic resonance; 22%-25% increases). Pandemic-related psychological stress was estimated to have affected nearly 40% of staff, impacting patient care at 78% of sites. In multivariable regression, only lower-income status and physicians' psychological stress were significant in predicting recovery of cardiac testing.CONCLUSIONS Cardiac diagnostic testing has yet to recover to prepandemic levels in lower-income countries. Worldwide, the decrease in standard stress testing is offset by greater use of advanced cardiac imaging modalities. Pandemic-related psychological stress among providers is widespread and associated with poor recovery of cardiac testing. (C) 2022 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation
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