Background: Sleep quality in hospitalized medicine patients is poor, with environmental factors among the most frequently cited reasons.
Objective: We tested the efficacy of a non-pharmacologic intervention on the sleep quality of medicine inpatients.
Design/Methods: A controlled study to evaluate our non-pharmacologic multidisciplinary ‘TUCK-in’ protocol (which includes timed lights-off periods, minimizing night-time noise, distribution of earplugs at bedtime, cued toileting before bedtime, and identification and reduction of modifiable interruptions) was deployed on two of five identical medicine wards. Randomization was at the level of the ward.The main outcome measure was self-reported duration of night-time sleep within 48 hours prior to discharge. Additional outcome measures included the Verran–Snyder-Halpern (VSH) Sleep Score and inpatient sleep pharmaceutical use.
Results: Self-reported duration of night-time sleep (median 5.0 vs. 5.0 hours, p = 0.29) and daytime sleep (1.0 versus 0.5 hours, p = 0.43) did not differ between the 40 intervention patients and the 41 control patients (p = 0.13 on multivariate analysis). Cumulative VSH sleep disturbance (median 420 versus 359, p = 0.19), efficacy (median 169 versus 192, p = 0.29), or supplementation (median 97 versus 100, p = 0.51) scales were also not different between study arms.
Conclusions: Although staff reported the protocol to be achievable and worthwhile, there were no significant differences in any of the outcomes between intervention and control patients.
Objectives: The objective of this work was to estimate the diversity of gastrointestinal (GI) para¬site species, their prevalence, and risk factors in Black Bengal goats (BBGs) of Natore, Bangladesh.
Materials and Methods: Fecal samples from randomly selected 260 BBGs were processed through Stoll’s ova counting method, floatation, and simple sedimentation method. Microscopy-based identification of parasitic eggs, cysts, or oocysts was made. A semi-structured question¬naire-based data on host and management practices were collected from the owner. Data analysis was done using Statistical Package for Social Sciences.
Results: The overall prevalence of GI parasites in BBGs was 65.4%, with an individual prevalence of 8.5% for Fasciola gigantica, 21.5% for Paramphistomum spp., 20% for Haemonchus spp., 34.2% for Strongyloides spp., 8.5% for Trichuris spp., and 9.2% for Eimeria spp. No significant effect of host age, gender, body condition, animal rearing system, or housing floor type was observed on parasitism. Animals of young age, female, poorly body-conditioned, living in a free-range system, and housed on a muddy floor had a relatively higher susceptibility to infection. Deworming had a significant impact on reducing the frequency of caprine GI parasitism.
Conclusions: Despite the significant effect of anthelmintic, the elevated prevalence of GI parasites in BBGs suggests a critical need for developing effective strategies to prevent caprine parasitoses.
India's interest in Antarctica dates from 1956, when the Indian government first raised the question of the peaceful use of Antarctica in the UN. Although India began as a strong critic of the Antarctic Treaty System, and, indeed, conducted scientific activities on the continent for two years without being a member of it, India recognised that her interests would be better served by joining the Treaty as a full member.
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