Effect of Health Management in Raising Awareness Rate of Disease Prevention and Treatment in Patients with Prehypertension

Objective: To analyze the effect of health management on improving the awareness rate of disease prevention and treatment in patients with prehypertension, so as to provide guidance for clinical management of patients with prehypertension. Methods: 108 patients diagnosed with prehypertension in our hospital were divided into a control group and an experimental group. The control group was not given management measures, while the experimental group was given health management. The incidence of hypertension and cognition level of hypertension knowledge were compared between the two groups after management. Results: The incidence of hypertension in the experimental group was 7.41% lower than that in the control group 29.63%. The cognitive level of hypertension in the patients (66.54 ± 1.25) was significantly higher than that in the patients without health management (41.45 ± 2.45), and P < 0.05;Conclusion: For patients with prehypertension, the implementation of health management is helpful to improve their cognition of hypertension, master related prevention knowledge, and reduce the incidence of hypertension.

Mosquito vector management with botanicals-the most effective weapons in controlling mosquito-borne diseases

Dear editor,Mosquito-borne diseases,viz.,malaria,filariasis,dengue hemorrhagic fever,chikungunya,Japanese encephalitis etc.,created huge impact on humans over the world,and the chemical insecticides remain the mainstay of effective control.But,indiscriminate and rampant use of the chemical insecticides in controlling mosquito vectors,in order to prevent diseases vectored by them,has resulted problems related to the adverse environmental effects for their(insecticides)potential toxicity,high operational cost,community acceptance,and the development of insecticide resistance among the vectors.The factors mentioned above prompted the search for new means of control strategies.Currently,the botanicals(viz.,plant extracts,essential oils and phytochemicals)with mosquitocidal potential

A Cross-Sectional Study of the Causes, Effects and Management Strategies for Stress and Burnout among Nurses in the Fako Division, Cameroon

Introduction: Stress and burnout are a reality which nurses encounter and try to cope with especially in the Emergency Department (ED) so that they can provide optimal patient care. Nurses who work in ED are front line providers of immediate medical care needed to stabilize patients. With the known critical shortage of health workforce in Cameroon, nurses are overloaded with work and often experience stress and burnout. Aim: This study aimed at determining the causes, effects and management strategies of stress and burnout among nurses working in the ED in hospitals in the Fako Division, Cameroon. Methods: This study was a descriptive cross-sectional study. The sample consisted of seventy nurses from five different hospitals. A purposive sampling technique was used and data was analyzed using SPSS version 16.0. Data was collected using a structured questionnaire developed from the International Stress Management Scale. Results: The highest reported cause of stress in this study was heavy workload (12.88%) and the least was no experience in handling the challenges of the department. The leading reported effect of stress was the development of musculoskeletal disorders such as joint and back pain (16.48%) and the least effect was contemplating quitting the profession (5.99%). The major management strategy used was humour (8.27%), while the least was crying out stress to feel relieved (2.18%). Conclusion: The major cause of stress and burnout among nurses in our study setting was heavy workload, which mostly results in joint and back pain. Moreover, humour was the prime management strategy for stress and burnout among nurses in the emergency department in the study setting. Thus more nurses should be employed and the working conditions of nurses improved to reduce the workload in the study hospitals.

Traditional cultural effect on modern management in China

1.0 Summary The report is stated the influence of traditional cultural and ideology arouse from old-time feudality system and Confucianism in modern management in China. The features of the culture provide many implications to modern managers in evaluation, motivation and recruitment.……

Study on the Management Effect of Pharmaceutical Care on Adverse Reactions of Traditional Chinese Medicines in Joint Surgery and Neurology

Objective:In general hospitals,pharmaceutical care was carried out to reduce the incidence of adverse drug reactions(ADR),and this effect was significant.It can significantly reduce the incidence of adverse drug reactions and improve the safety of drug therapy.The Joint Surgery Department and the Department of Neurology of Changle County People's Hospital in Shandong province were investigated for the effect of pharmaceutical care on reducing adverse drug reactions.Methods:120 patients were selected from the Department of Joint Surgery and Neurology,Changle County People's Hospital,Shandong Province from May 2015 to May 2020.According to the random table method,the patients were divided into experimental group(60 cases)and control group(60 cases).Control group:routine drug therapy.Experimental group:pharmaceutical care treatment was carried out jointly,and the incidence of adverse reactions was compared between the two groups.Results:The incidence of adverse reactions in experimental group was lower than that in control group.Conclusion:In general hospitals,pharmaceutical care is effective in reducing adverse drug reactions,which can significantly reduce the incidence of adverse drug reactions.At the same time,this improves the safety of drug treatment,which is worthy of clinical promotion.

307 W high-power 1018 nm monolithic tandem pump fiber source with effective thermal management

We report a 307 W 1018 nm Yb-doped fiber laser pumped by a single 976 nm laser diode. The cavity slope efficiency is up to 75.9% and the amplified spontaneous emission is suppressed by 54 dB. The beam quality of the output laser has an M2 factor of 1.17. Effective thermal management is considered to ensure the stable operation of our system. The power stability at the maximum output power level is measured during a period of0.5 h and the power fluctuation is less than 0.8%. This architecture can be an effective high brightness pump source of core-pumping high-power fiber amplifiers.

Spatial optimization of soil and water conservation practices using coupled SWAT model and evolutionary algorithm

Soil and water conservation practices have been extensively used in effective watershed management.The impact of each conservation practice is site specific and dependent on the implementation site in the watershed.In order to select cost effective placement of conservation practices with high impact,a large number of spatial combinations is needed to be compared.In this study,an optimization model framework is presented to find cost effective solutions for sediment yield and runoff control in the Fariman dam watershed in the Northeast of Iran.This was accomplished by integrating soil and water assessment tool(SWAT)for simulation of watershed hydrology and multi objective genetic algorithm(NSGA-II)for spatial optimization of soil and water conservation practices.The optimized solutions provided a trade-off between the two objective functions.The final Pareto-optimal shows that the impact of soil and water conservation practices on sediment yield is more than stream flow.The trade-offs between the objective functions show that the implementation of the median cost can lead to a significant decrease of 22.1%in the amount of sediment yield,and 10%in stream flow.Also,percent change achieved through median cost is very close to percent reduction with the highest cost.Results of low cost solution show that the vegetative practices are a suitable economic scenario for soil and water conservation.The introduced framework can be adapted as a suitable tool for selecting cost effective conservation practices in different regions.