Medicine and Health Sciences Commons^™

Implementasi Lean Management Untuk Efisiensi Pengelolaan Linen Dan Kesesuaian Standar Pencegahan Dan Pengendalian Infeksi Di Rsu X, Rionugrah Sari, Alih Germas Kodyat, Apri Sunadi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Linen management is an important process in hospitals that is directly related to service quality and Infection Prevention and Control (IPC) efforts. This study aimed to analyze the implementation of Lean Management in linen management at the laundry unit of RSU X and to evaluate its contribution to improving process efficiency and strengthening IPC practices. The study employed an operational research design with a qualitative approach through observation, in-depth interviews, and document review. Data analysis was conducted using Value Stream Mapping, waste identification based on the eight waste concept, and root cause analysis using the 5 Whys method. The results …

Real-World Outcomes Of Dedicated Leaflet Modification For Bioprosthetic Valve-In-Valve Tavr: A 150-Patient Commercial Experience., Raj R Makkar, Aakriti Gupta, Ignacio Inglessis, Curtiss T Stinis, Pradeep K Yadav, Vinod H Thourani, Stanley J Chetcuti, Matthew Summers, Vivek Patel, Bassem M Chehab, Apurva Patel, Gilbert H L Tang, Sahil Khera, Michael Rinaldi, Trevor Simard, Jeffrey Southard, Benjamin R Stripe, Brian Whisenant, Keith Allen, Yoseph Rozenman, Danny Dvir, Carlos E Sanchez, Jeffrey Popma, Martin B Leon, Philippe Généreux

Heart and Vascular Articles

BACKGROUND: Coronary obstruction during valve-in-valve (ViV) transcatheter aortic valve replacement (TAVR) is infrequent but catastrophic. Mechanical splitting of bioprosthetic leaflets may mitigate this risk, but real-world experience remains limited.

OBJECTIVES: The aim of this is to evaluate procedural performance and in-hospital outcomes of a dedicated mechanical leaflet-splitting device in ViV TAVR.

METHODS: Consecutive postapproval cases were performed at 28 centers from February to November 2025. Patients were selected for elevated risk based on preprocedural computed tomography criteria, including virtual valve-to-coronary distance ≤4 mm and/or virtual valve-to-sinotubular junction distance ≤3 mm. Procedural outcomes were assessed among patients in whom splitting was …

Reducing Postpartum Hemorrhage Through Evidence-Based Interventions, Ciara Hamilton, Mallory Mock, Liza Baker

Cohort 36

No abstract provided.

Understanding Delirium In Icu Patients: The Role Of Nurses And Noise Reduction, Eanna Mari Almerol, Aonima Kalam, Mansurun Rahman

Cohort 36

No abstract provided.

Turning Up The Healing: Pressure Injury Prevention, Abdullah Mahdi, Chiliah Harper, Dylan Giofu, Jessica Hamilton, Ronnie Bryans, Jonathan Buck

Cohort 36

No abstract provided.

How Does Taking A Non-Meaningful Break, As An Inpatient Nurse, Affect Nurse Turnover And Burnout?, Samantha Apil, Fatuma Fofana, Olivia Crawford, Jacqueline Nenninger, Tonesia Nesbitt, Rayyan Zeini

Cohort 36

No abstract provided.

No-Fly Zone: Protecting Patient Safety During Shift Change, Briana Fecteau

Cohort 36

No abstract provided.

Effect Of Individualised Homoeopathic Treatment In Case Of Vulval Vitiligo In An 8-Year-Old Girl: A Case Report, Sonia Raizada, Minakshi Kamboj

Indian Journal of Research in Homoeopathy

Introduction: Vitiligo is an autoimmune skin condition that causes white patches due to loss of pigment-producing cells. This condition often significantly affects the self-esteem and emotional well-being of the affected person, requiring a holistic approach for treatment of such conditions. Case Summary: An 8-year-old girl was brought in with pale, depigmented patches on her genital area. Based on clinical presentation, a diagnosis of vitiligo was made. She underwent individualised homoeopathic treatment and was followed over for a period of seven months. During this period, visible re-pigmentation was observed, supported by photographic evidence and a decrease in her VETI score from …

Vocal Fold Nodules In An 11-Year-Old Boy Treated With An Individualised Homoeopathic Medicine: A Case Report, Shivani Singh, Mahendra Pal Singh

Indian Journal of Research in Homoeopathy

Introduction: Vocal fold nodules (VFNs) are a primary contributor to childhood dysphonia, accounting for about 63% of cases involving voice disturbances. They have a potentially negative impact over the Quality of Life (QoL), including diminished self-esteem and academic performance. The conventional management for voice improvement varies from vocal hygiene and voice therapy to endo-laryngeal microsurgery. This case illustrates the usefulness of Homoeopathy in managing VFNs. Case Summary: An 11-year-old boy presented with a year-long history of painless hoarseness of voice. He was diagnosed with VFNs and underwent extensive conventional treatment, without any improvement. The initial subjective assessment was done using …

Management Of Submandibular Sialolithiasis With Homoeopathic Medicine Mercurius: A Case Report, Partha Pratim Pal, Laijun Nahar, Faiza Khan

Indian Journal of Research in Homoeopathy

Introduction: Sialolithiasis is one of the most prevalent conditions affecting the salivary glands. Sialolithiasis is frequently encountered in clinical practice. A literature search reveals very few reported examples of non-surgical therapy because surgery is thought to be the main option for this clinical situation. Case summary: A 35-year-old female patient presented with symptoms of swelling and pain below the tongue since last two months. The homoeopathic medicine, Mercurius was prescribed at centesimal potency following the construction of the totality and repertorisation, and this led to the expulsion of the stone in three months and an improvement in the related symptoms. …

Alopecia Totalis Treated With Constitutional Medicine Calcarea Carbonica: A Case Report, Deepak Prasher, Urvashi Diwakar

Indian Journal of Research in Homoeopathy

Introduction: Alopecia totalis is an autoimmune disease that causes hair loss anywhere in the body, but it most commonly affects the hair of the scalp. It occurs in people of all ages and affects 1–2% of the human population. The homoeopathic literature suggests that cases of alopecia totalis have been treated successfully with homoeopathic medicines. Case Summary: This case highlights the potential of the individualised homoeopathic remedy in promoting hair regrowth in alopecia totalis in a 14-yr old girl. The patient was prescribed Calcarea carbonica 200C, 2 doses on the basis of totality of symptoms and individualisation. This evidence-based case …

Gangrenous Diabetic Foot Treated With Homoeopathic Medicine Opium: A Case Report, Sarang Suhas Rahalkar, Neelam Sarang Rahalkar, Sonali Suresh Dhote, Deep Rasik Mandali

Indian Journal of Research in Homoeopathy

Introduction: Diabetic foot ulcer (DFU) is the most common neuropathic complication of diabetes. Uncontrolled diabetes and improper foot care lead to serious conditions like gangrenous DFU, even from minor injuries. DFU also has gangrene as one of its major complications. In general, people with diabetes have a significantly higher risk of developing lower extremity gangrene, which may lead to amputation. Case Summary: A known case of a 68-year-old man of type 2 diabetes mellitus for the past five years, was presented with painless DFU on his right leg that had persisted for the past 6 months. He was …

Nasal Polyp Treated With Homoeopathic Medicine Lemna Minor: An Evidence-Based Case Report, Milan Sengupta, Laijun Nahar, Gurudev Choubey, Chittaranjan Kundu

Indian Journal of Research in Homoeopathy

Introduction: In the general population, nasal polyps (NPs) linked to chronic rhinosinusitis (CRS) are common. Patients with CRS are 60–65% more likely to develop NP. Treatment for NPs resulting from chronic rhino-sinusitis continuous to be challenging. Case summary: A 31-year-old female came with a swelling in her left nostril, clinically diagnosed as a case of NP. Homoeopathic medicine Lemna minor 1M was prescribed based on the acute complaints and pathological symptoms. The swelling was completely resolved within 45 days. This case report demonstrates the usefulness of homoeopathic medicine in the management of NP.

Exfoliative Cheilitis Treated With Homoeopathic Medicine Nitricum Acidum: A Case Report, Dinesh Sura, Niharika Shaw, Rubina Bashir, Chintamani Nayak

Indian Journal of Research in Homoeopathy

Introduction: Exfoliative cheilitis is an uncommon, persistent inflammatory disorder that impacts the vermilion border of the lips, characterised by ongoing peeling, dryness, and occasional bleeding. The condition can be resistant to conventional treatment and often causes significant emotional distress. Case Summary: A 16-year-old male presented with chronic dry, scaly eruptions on his lips, accompanied with a burning sensation and bleeding for the past 8 months. He reported anxiety about his appearance and also about his father's health. Based on a thorough evaluation of his overall symptoms and repertorial analysis, he was prescribed a single dose of Nitricum acidum 200C. By …

Homoeopathic Treatment Of Multiple Verruca Vulgaris On Dorsal Aspect Of Hands: An Evidence-Based Case Report, Shweta Singh Kureel, Gurpreet Singh, Bharti Wadhwa

Indian Journal of Research in Homoeopathy

Introduction: Verruca vulgaris, widely recognised as warts, are benign epithelial growths with an exophytic nature, typically resulting from infection with the human papillomavirus (HPV). A general cutaneous ailment that can range in severity from a minor annoyance that resolves itself unexpectedly into a long-lasting condition. Homoeopathy aims to concentrate on the fundamental cause of the inherent susceptibility and tendency towards HPV infections by diminishing the size and occurrence of warts and enhancing the body's immune response, thereby minimising the risk of recurrence. Case Summary: A 46-year-old male presented at the outpatient clinic with multiple verruca vulgaris on the dorsal surfaces …

Homoeopathic Treatment Of Chronic, Relapsing Tinea Corporis: A Case Report, Lalit Kumar Chauhan, Shakti Priya

Indian Journal of Research in Homoeopathy

Introduction: Tinea corporis (dermatophysis) is a common dermatophytic infection that affects a significant proportion of the global population, with dermatophytosis accounting for nearly 20–25% of all superficial fungal infections worldwide. Increasing reports of resistance and relapse to conventional antifungal therapy highlight the need for alternative approaches. This case is unique in demonstrating how past history can decisively influence remedy selection in homoeopathic practice, contributing to the exsisting literature on individualised approaches for chronic, relapsing fungal infections. Case Summary: A 35-year-old female presented with multiple erythematous, scaly, pruritic plaques on the back and abdomen, with itching aggravated by sweating and tight …

Indian Standards For Methods Of Preparation Of Homoeopathic Mother Tinctures, Kumar Vivekanand, Daisy Katarmal, Indra Gaurav Saxena, Divya Taneja, Shrishti Dixit, Raj Kumar Manchanda

Indian Journal of Research in Homoeopathy

Homoeopathic mother tinctures form the foundation of homoeopathic pharmaceutical preparations, and their quality largely depends on the source material and the method of extraction. Standardisation of these processes of extraction is essential to ensure consistency, safety, therapeutic reliability, and reproducibility of preparations. The recently published Indian Standards IS 19327 (Part 1): 2025 and IS 19327 (Part 2): 2025 provide standardised procedures for the preparation of homoeopathic mother tinctures through maceration and percolation, respectively. This article reviews the salient features of these standards, including apparatus, materials, procedural steps, process modifications, and storage requirements. The standards emphasise the use of suitable extraction …

Homeopathy In Integrative Oncology: Ethical And Evidence Considerations, Sneha Pawar

Indian Journal of Research in Homoeopathy

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Cholelithiasis Treated With Homoeopathy: A Case Report, Girish Gupta

Indian Journal of Research in Homoeopathy

Introduction: The supersaturation of bile with cholesterol, necessary for maintaining bile salts in soluble state, leads to precipitation of cholesterol and other bile components in gallbladder lumen resulting in formation of gall stones. Cholelithiasis is a common digestive disorder that affects about 15% of people over 50 years of age, however in younger individuals it is common between the age of 20–40 years. Gall stones are asymptomatic in about 80% cases, but 1–4% of patients may present with symptoms like pain, nausea and vomiting etc. due to obstruction to bile flow. The treatment of gallbladder stone depends on the clinical …

Management Of Pilar Cyst On The Scalp With Individualised Homoeopathic Medicine: An Evidence-Based Case Report, Anindita Das, Suparja Sinha, Mihir Kanti Biswas

Indian Journal of Research in Homoeopathy

Introduction: Pilar cysts, also referred to as trichilemmal cysts, are benign cystic lesions that commonly occur on the scalp. Conventional management generally involves surgical excision. Homoeopathy provides an individualised, non-invasive therapeutic approach based on the totality of symptoms. Case summary: A 35-year-old female patient presented with a soft, cystic swelling on the scalp associated with itching and tenderness, clinically diagnosed as pilar cyst. Thuja occidentalis was prescribed on the basis of individualisation and a follow-up period of over twelve months showed gradual resolution of the cyst without any surgical intervention, along with improvement in general well-being. The patient was subsequently …

Delicate, Backward, Puny, And Stunted Children By J. Compton Burnett, M.D.- A Book Review, Shreyank Kotian

Indian Journal of Research in Homoeopathy

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Resolution Of Vocal Cord Papilloma With Potentised Causticum: An Evidence-Based Case Report, Partha Pratim Pal, Souvik Dutta

Indian Journal of Research in Homoeopathy

Introduction: Vocal cord papilloma, also known as laryngeal papilloma, is a benign wart-like growth on the vocal cord folds caused by the Human papilloma virus (HPV). This condition presents with symptoms such as hoarseness, stridor, dysphonia, and potential airway obstruction, depending on the size and location of the papillomas. Diagnosis of vocal cord papilloma involves laryngoscopy, a procedure used to visualise the growths on the vocal cords. Treatment options for vocal cord papilloma include surgical excision, laser therapy, and antiviral medications. Case Summary: A 55-year-old male attended the outpatient department of Dr. Anjali Chatterji Regional Research Institute for Homoeopathy, Kolkata, …

From Clinical Success To Scientific Publication: Writing Meaningful Homoeopathic Case Reports And Case Series, Chaturbhuja Nayak

Indian Journal of Research in Homoeopathy

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Issue Editorial: Case Reports Special, Subhash Kaushik

Indian Journal of Research in Homoeopathy

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Individualised Homoeopathic Treatment In Alopecia Areata: An Evidence-Based Case Series, Dinesh Sura, Niharika Shaw, Rubina Bashir, Rahnuma Rao, Ramakrishna Ghosh

Indian Journal of Research in Homoeopathy

Background: Alopecia areata (AA) is an autoimmune disease characterised by hair loss in patches from one or more areas of skin. While it can affect the scalp, it may occur in other parts of the body as well. No age group is predominantly affected. Objective: This case series evaluates the effects of individualised homoeopathic treatment in patients with AA. Method: A total of 5 cases are included in this study. AA was diagnosed based on presentation of clinical symptoms. Two patients improved with Phosphorus. Another two were prescribed Natrium muriaticum and Typhoidinum respectively. One patient improved with Tuberculinum when …

Intraepidermal Squamous Cell Carcinoma In Situ (Bowen's Disease) Managed With Classical Homoeopathy: A Case Report, Anastasia Leivada, Aaditi Lakshmana, Ioannis Constantaras, Seema Mahesh, George Vithoulkas

Indian Journal of Research in Homoeopathy

Introduction: Bowen's disease, also known as intraepidermal squamous cell carcinoma in situ (SCCIS), is a pre-cancerous skin condition with the potential for progression into invasive carcinoma. Long-term exposure to ultraviolet (UV) radiation from sunlight is considered a primary causative factor, leading to DNA damage and subsequent cellular mutations within the epidermis. Conventional treatments are generally effective but may be associated with complications, including pain, local infection, scarring, pigmentation changes, and occasional recurrence. Case summary: This case report describes a 58-year-old male with Bowen's disease who experienced limited benefit from conventional treatments and sought homoeopathic therapy. The patient was treated with …

Research Highlights, Sujata Madhukar, Sakshi Chaudhary

Indian Journal of Research in Homoeopathy

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Bridging The Evidence Gap: The Need For Scientific Research On The Effects Of Thiosinaminum In Adhesive Capsulitis, Nuzhatul Arab

Indian Journal of Research in Homoeopathy

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Athletic Training Preceptors' Accuracy In Assessing Ai-Generated Clinical Scenarios Aligned With Caate Educational Standards, Elisabeth (Beth) Shoulders

Graduate Theses, Dissertations, and Capstones

Athletic training preceptors play a critical role in clinical education by evaluating student competence; however, little is known about their preparedness to assess competency-based standards, particularly when using emerging tools such as artificial intelligence (AI). The purpose of this study was to examine preceptors’ accuracy in applying Commission on Accreditation of Athletic Training Education (CAATE) standards and classifying student proficiency within AI-generated clinical scenarios, and to determine whether accuracy differed based on preceptor characteristics.

This quantitative, cross-sectional study included Board of Certification-certified athletic trainers who had served as preceptors within the past five years (N = 68). Participants completed an …

Effectiveness Of Lay Workers Delivering Behavioural Activation For People With Depression: Systematic Review And Meta-Analysis, Shwikar Othman, Lauren Blekkenhorst, Asangaedem Akpan, Irene Ngune, Nilufeur Mckay, Alison Kennedy, Elizabeth Armstrong, Michael Hunter, Kevin Murray, Mathew Coleman, Richard Gray, Emma Jones, Christopher Lee, Martin Jones

Research outputs 2022 to 2026

Background Behavioural activation is effective for depression, but its effectiveness in treating adults with depression when delivered by lay workers remains unclear. Aims To examine the effectiveness of behavioural activation delivered by lay workers, compared with any control group, in reducing depressive symptoms in adults. Method This systematic review searched six databases from inception to January 2025, for randomised controlled trials (RCTs) comparing behavioural activation and any control conditions for individuals with depression when delivered by lay workers. Additional searches were conducted in the international trial registries and reference lists (PROSPERO registration CRD42024625620). Risk of bias was assessed using the …