International Journal of Practical Nursing

End-stage renal disease is a chronic ailment that has a severe negative impact on the health related quality of life of patients. Aim: of the study is to Assess the Disease Specific Quality of Life, Quality of Sleep and sleep hygiene among patients with ESRD undergoing Haemodialysis. Descriptive research design was used and it was done among 60 samples selected by purposive sampling technique at dialysis departments of selected hospitals, Thrissur. The study tools are a predesigned questionnaire; Kidney disease Quality of Life-36 item (KDQoL-36) survey tool; Sleep quality scale (SQS); and a structured statement. Descriptive (frequency, mean, percentage, standard deviation) and inferential (Karl Pearson correlation coefficient, Chi-square) statistics were used. Result: Majority of the subjects responded to have an average disease specific QoL. About 70% of the subjects have good sleep quality and 83.3% did not practice basic sleep hygiene. The MCS subscales and Symptoms and problem subscales of KDQoL- 36 items had a significant positive correlation with quality of sleep at p≤0.05. Where as no significant correlation between sleep hygiene and the subscales of KDQoL-36 items survey tool and as well as between the quality of sleep. A significant association was found between MCS subscale with the education and type of family; Burden of Kidney disease subscale with education; Effect of kidney disease on their daily life subscale with type of family; sleep hygiene with age and gender. Conclusion: Health workers have a major role in improving the Disease specific Quality of Life, Quality of sleep and sleep hygiene among patients, to promote a positive treatment outcome.

Aim of this case report is to assess role of autologous lipoaspirate therapy in preventing abnormal scarring in scald burns. Clinical examination of the extent of the burn was done. Standard management (antibiotics, Intravenous Fluids, analgesics. Dressings, regenerative therapies, scar management) of the burns was done along with that autologous lipoaspirate therapy. Autologous lipoaspirate therapy is effective in preventing abnormal scarring. Autologous lipoaspirate therapy may be used preventing abnormal scarring.

The Limited Access Dressing (LAD) combines the principles of moist wound healing and topical negative pressure dressing along with a provision of an additional port for instilling antimicrobial solution/gas of choice without any need to change the dressing. The major advantage of LAD over other form of negative pressure wound therapy is the access it allows for wound wash and the possibility of monitoring the wound during treatment period through the transparent wound cover.

Aim of this case report is to predict the outcome of patients presenting with severe burns is crucial in guiding clinical judgment. Advancements in burn management over the years have significantly decreased burn mortality. There are various scoring systems that are formularized in predicting mortality in burns. In this article we would like to describe our study in using Belgium outcome of burn injury scoring system in predicting mortality in burn patients.

The placenta is an abundant source of growth factors. The use of placental extract in plastic surgery as topical wound healing agent earlier itself. The placenta is an abundant source of growth factors, including insulin like growth factors (IGFs), epidermal growth factor (EGF), transforming growth factor beta (TGF-β), and vascular endothelial growth factor (VEGF). This promotes its wide variety of application in various medical conditions.