Introduction: Traumatic Brain Injury (TBI) is an alteration in the brain's normal function that an external force can cause. The most reliable outcome prediction is essential to portray the burden of TBI. Hence, the present study compared two scores of the Full Outline of UnResponsiveness (FOUR) scale and GCS in predicting mortality in patients with traumatic brain injuries. Methodology: A comparative observational study was conducted with 60 patients with traumatic brain injury who matched with inclusion criteria at the Intensive care unit of Saveetha Medical College and Hospital. The mortality rate was predicted by measuring the responses mentioned in the Full Outline of Unresponsiveness (FOUR) scale and Glasgow Coma Scale daily from the day of admission to till seven days. Results Both scale was statistically effective in predicting mortality rate. The predicted mortality rate on all seven days using the FOUR score was statistically (p

Introduction: One of the most common causes of admission to the intensive care unit is the need for mechanical ventilation. Orotracheal intubation for life support can cause dysphagia and delay oral feeding after extubation. Hence, the current study was conducted to determine the effectiveness of swallowing and oral care intervention on dysphagia among post-extubation patients. Methods: Quasi-experimental research design was adopted to conduct the study with 60 samples that met the inclusion criteria at saveetha Medical College and Hospital. Samples were selected by convenience sampling and assigned to the experimental group (n=30) and the control group (n=30). Demographic and clinical variables were collected using multiple choice questionnaires followed by a pre-test assessment using the Gugging swallowing screen for both the experimental and control groups. The experimental group received the swallowing and oral care intervention twice daily for five consecutive days. The control group received routine care at the hospital. The post-test assessment was done using the Gugging swallowing screen at the end of the 5th day of intervention for both the experimental and control group. Results: Out of 30 participants, more than 50% had slight dysphagia to moderate levels of dysphagia samples in both the experimental and control group. The pre-intervention mean score was compared with a post-intervention score in the experimental group by paired t-test, showing statistical significance (p

Introduction: Hemodynamic instability is most commonly seen among critically ill patients in Intensive care units and it is essential to detect circulatory changes. As peripheral tissues are sensitive to alterations in perfusion, the non-invasive monitoring of peripheral circulation could be used as an early marker of systemic hemodynamic derangement. Hence, the current study was conducted to associate the peripheral perfusion status with the prognostic significance among mechanically ventilated patients. Methodology: A Descriptive research design was conducted in Intensive care unit at Saveetha Medical College and Hospital with 60 samples selected using Convenience sampling technique who matched inclusion criteria. Results: The study results had shown that, Prognosis had a significant association between level of peripheral perfusion among mechanical ventilated patients at p<0.001.The demographic variables of age (χ2=9.364, p=0.023), history of smoking (χ2=4.220, p=0.040) and the clinical variables of ventilator mode (χ2=4.169, p=0.032), illness severity score on the day of admission (χ2=13.310, p=0.021), SPO2 (χ2=7.367, p=0.025), and Lactate levels (χ2=5.372, p=0.043) had shown statistically significant association with level of peripheral perfusion status at p<0.05.Conclusion: Monitoring peripheral perfusion not only provides a different point of reference to reflect a disturbance of the circulation but it also does not require invasive techniques and can be used directly at the bedside. Furthermore, peripheral perfusion status has an impact on prognosis of the patient.

Introduction: Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder. Untreated OSA is associated with potential long-term adverse health consequences. Oropharyngeal exercise is one of the treatment modalities to manage the symptoms of OSA. Hence, the current study was conducted to evaluate the effectiveness of oropharyngeal exercises on snoring, daytime sleepiness, and the selected anthropometric measurement among adults with obstructive sleep apnea. Methods: Quasi-experimental research design was adopted to conduct the study with 60 samples that met the inclusion criteria at Saveetha Medical College and Hospital. Samples were selected by convenience sampling technique and were assigned to the experimental group (n=30) and the control group (n=30). Samples were determined using the Berlin questionnaire, and the pre-test assessment was done by using the snoring sleepiness scale (SSS), Epworth sleepiness scale (ESS), and anthropometric measurements for both groups. The experimental group received the oropharyngeal exercise twice daily for 15 days. The control group received the day-to-day practices. The post-test assessment was done using the same tool at the end of 15 days for both groups. Results: There was a statistically significant change in snoring, daytime sleepiness, BMI, and neck and waist circumference between pre and post-intervention within the experimental group and post-intervention between the experimental and control group at the level of P

Introduction: Diabetic foot ulcer is one of the most significant and devastating complications and a major cause of hospitalization among patients with diabetes. It leads to severe economic and social burdens. The management of Diabetic foot ulcers remains a major therapeutic challenge. Hence, the present study was conducted to compare the topical insulin and normal saline dressing on wound healing among patients with a diabetic foot ulcers. Methods: An experimental research design was adopted to conduct the study with 60 samples matched with the inclusion criteria in Saveetha Medical College and Hospital. Samples were allocated into experimental group I (n=30) and experimental group II (n=30) by simple random sampling. The baseline outcomes were measured at the beginning of the study. Pre-assessment was done using the Bates-Jensen wound assessment tool in experimental I & II. Experimental group I received topical insulin dressing, and experimental group II received normal saline dressing daily for 14 days. Post-assessment was done on the seventh and fourteenth days using the same tool for both groups. Data were analyzed using SPSS. Results: A significant improvement in the level of wound healing was observed at the level of p< 0.001 within and between a group of pretest, post-test I, and Post-test II by repeated measures ANOVA. The overall comparison of wound healing between experimental groups I & II revealed that the calculated F value of F=12.679 shows a statistically (p