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This lesson plan aims to improve Nursing students’ attitudes toward collaborative practice by engaging them in a case study to treat a fictitious patient with an opioid addiction problem.

Introduction – Dengue is a mosquito-borne viral disease considered a global health problem. It is considered one of the major health concerns in Sri Lanka because of being a tropical country. Even though dengue cases are being reported throughout the year, there are some significant differences between incident rates in some months. The highest incident rate is usually reported from the western province. Aim – This study aims to understand the relationship between dengue incidences and monsoon seasons in the Colombo District of Sri Lanka, and the effect of the rainy season on spreading the disease. The results of this study are expected to be helpful in the implementation of new dengue prevention methods and in strengthening the existing preventive methods. Study Design – The study is a statistical analysis using SPSS – 16 version. Graphical analysis is carried out between monthly rainfall and dengue incidences in the Colombo District of Sri Lanka from January 1st of, 2010, till December 31st of, 2019. Methodology – The number of reported dengue cases in the Colombo district during the mentioned ten-year period is obtained from the Bureau of Health Information, Colombo municipal council. Those obtained data are analyzed using bivalent graphs opposite the months and rainfalls of the relevant months. The discussion will be based on the results of the graphs.

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The effectiveness of Intralipid against SARS-Cov2/COVID/19 with Multiple Organ Dysfunction Syndrome (MODS) prevention or regression is described in the original scientific paper [1]. Intralipid at Oxidative and Nitro-Galogenic stress in patients with SARS-Cov2 / COVID /19, favors the predominance of the membrane-cytoprotective action of Reactive Oxygen Species (ROS) / Reactive Nitrogen Species (ROS/RNS) over the membrane-to-destructive action, restoring the balance between [ROS /AS] / [RNS / ANOS]. Membrane-cytoprotective mechanism Intralipid is due to a decrease in ROS and RNS and an increase in the activity of the Antioxidant System (AS) and Anti Nitro Oxidant System (ANOS), stopping lipid peroxidation (LPO), reducing Electro-Ion Membrane Distress Syndrome (Maria&Irina Vasilieva syndrome) [2], accelerates the regeneration of endothelial and epithelial cells of the alveolar acinus, restoring gas-respiratory metabolism and the predominance of physiological cell apoptosis over necrosis. Intralipid at SARS-Cov 2 / COVID / 19 opposes Microcirculatory Mitochondrial Distress syndrome (MMDS) by Microcirculatory - Mitochondrial Recruitment; as a result of which pCO2 (AVgap) <6 mm Hg, since LPO decreases and at the level of mitochondrial membranes, improving the function of Mitochondrial permeability transition pore-dependent Ca uniporter, mPT pore, support energy metabolism, eliminating energy deficits, restoring Extreme / Abnormal myelopoiesis and impaired autophagy (mitophagy). Thus, Intralipid has been shown in the strategy of targeted treatment of LPO in Oxidative and Nitro-Galogenic stress in patients with SARS-Cov2 /COVID / 19.