Nutritional support is an integral component in the treatment of head and neck cancers (HNC). Studies indicate 90% of HNC patients are at high risk of developing malnutrition. Chemo-radiation and ...surgery, the three common treatments used to treat HNC are highly susceptible to toxic side effects. Dysphagia is often underestimated in HNC patients. A prolonged impaired swallowing process can lead to severe morbidities like malnutrition, dehydration, aspiration, pneumonia, and even death. These complications have adverse effects on patients' QoL (Quality of Life) and mental health. These adverse reactions further complicate the nutritional status of the patients and the final treatment outcome, increasing morbidity and mortality. The consensus statements try to address nutritional issues and provide practical recommendations for practicing dieticians and clinicians. Keywords: Head and neck cancer guidelines, Nutrition in head and neck cancers, Consensus statements in nutrition in Head and neck cancers, IAPEN head and neck cancer guidelines
The COVID-19 Pandemic has left a devastating trail all over the world, in terms of loss of lives, economic decline, travel restrictions, trade deficit, and collapsing economy including real-estate, ...job loss, loss of health benefits, the decline in quality of access to care and services and overall quality of life. Immunization from the anticipated vaccines will not be the stand-alone guideline that will help surpass the pandemic and return to normalcy. Four pillars of effective public health intervention include diagnostic testing for both asymptomatic and symptomatic individuals, contact tracing, quarantine of individuals with symptoms or who are exposed to COVID-19, and maintaining strict hygiene standards at the individual and community level. Digital technology, currently being used for COVID-19 testing include certain mobile apps, web dashboards, and online self-assessment tools. Herein, we look into various digital solutions adapted by communities across universities, businesses, and other organizations. We summarize the challenges experienced using these tools in terms of quality of information, privacy, and user-centric issues. Despite numerous digital solutions available and being developed, many vary in terms of information being shared in terms of both quality and quantity, which can be overwhelming to the users. Understanding the testing landscape through a digital lens will give a clear insight into the multiple challenges that we face including data privacy, cost, and miscommunication. It is the destiny of digitalization to navigate testing for COVID-19. Block-chain based systems can be used for privacy preservation and ensuring ownership of the data to remain with the user. Another solution involves having digital health passports with relevant and correct information. In this early draft, we summarize the challenges and propose possible solutions to address the same.
Aims: This study was undertaken to determine the knowledge, attitude & practice of self medication among engineering students of all the years of NIMS Engineering College, Jaipur, Rajasthan. Methods: ...This study was an anonymous, questionnaire-based, descriptive study. A self-developed, pre-validated questionnaire consisting of both open-ended and close-ended questions was filled by 1st, 2nd, 3rd & 4th year engineering students. Data was reviewed, organized and summarized as counts and percentages and evaluated using the Chi-square test and p-value of <0.05 was considered statistically significant. Results: Out of a total of 346 students, 70.5% were male & 29.4% were females. Their age ranged from 17-27 years. Out of these, 75.7% students had taken self medication with 22.3% being females and 77.86% being males. The commonest indications for self-medication were fever seen in 176(67.1%) of the students followed by, cough/common cold 104(39.69%). 37.4% of the students didn’t feel the need to go to a doctor and this was the most frequent reasons for resorting to self-medication and the main source of self medication was guardians (54.9%). Analgesics were the commonest drugs used (56.5%) followed by antimicrobials (15.6%) with 52% of the students completed the recommended course of antimicrobials. 46.5% students thought that self medication was harmful. Conclusion: The practice of self-medication in our study was common and often inappropriate and this high prevalence is a cause of concern. Education and proper information about the drugs may go a long way in promoting responsible self medication.
Concept of truth in science and religion Gangrade, K D; Kothari, L S; Verma, A R ...
Indian journal of political science,
04/2006, Volume:
LXVII, Issue:
2
Book Review
Peer reviewed
Full text
Available for:
BFBNIB, NMLJ, NUK, PNG, UL, UM, UPUK
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