Pak J Med Sci
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The main objective of this study was to assess the prevalence of stress, anxiety and depression, among nurses working in a tertiary hospital dedicated to the COVID-19 patients in Sri Lanka. A cross-sectional study was carried out among nurses working at Colombo East Base Hospital. The data was collected using a self-administered questionnaire and DASS-21, a set of three self-report scales designed to measure the negative emotional states of depression, anxiety, and stress over three months from October 2020. ⋯ The system of reporting mental health issues was unfortunately not in place. Staff felt that reporting stress/burnout or anxiety might seem like a negative attribute. Considering the above factors, one would expect more prevalence than we have seen in this study; therefore, we can infer that if mental health is not prioritised in healthcare institutions, then definitely lack of awareness/openness and under-reporting by staff will result in a long-term systemic problem (Suffering in the name of Resilience).
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To compare the effect of medial femoral muscle stimulation with medium frequency electrotherapy and conventional rehabilitation therapy on knee function recovery after anterior cruciate ligament (ACL) reconstruction. ⋯ Intermediate frequency electrotherapy to stimulate the medial femoris muscle can improve knee function and motion range and reduce the patient's pain after ACL reconstruction.
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Ischemia modified albumin (IMA) may aid in the early detection and management of diabetic retinopathy (DR). In this study, we examined the relationship between IMA and DR, and the effect of intravitreal anti-vascular endothelial growth factor (anti-VEGF) on IMA levels in patients with DR. ⋯ Ischemia modified albumin may be used as an effective and novel screening biomarker for assessing oxidative stress associated with DR, and to quantify response to and prognosis after intravitreal bevacizumab injection for DR.
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Medical education in Vietnam is going through a period of transformation. The number of medical schools is growing with increased enrollment of the students to meet the workforce needs of the country. Simultaneously, there is a need to ensure the quality of medical graduates and that there are mechanisms in place through relevant regulatory bodies. ⋯ There is a consensus among stakeholders that the accreditation of medical education programs will have a potential to drive quality improvement. In this paper, we present a brief overview of the trajectory of accreditation process in Vietnam with recommendations to move forward. The journey ahead will require a coordinated approach from all stakeholders to build an accreditation system, which ensures that quality healthcare, is offered by the workforce in Vietnam.
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To determine risk factors of cervical cancer and role of healthcare providers regarding awareness and counseling of PAP-smear. ⋯ Educational level, age at first intercourse, number of parity was the risk factors of CA cervix. Family history of CA Cervix, knowledge of cervical cancer screening, ever counseled for PAP smear, ever tested for PAP smear, never been tested for PAP smear due to cost were significantly predicted for CA cervix among controls.