Adnexal mass of ovary are a common gynaecological concern, often necessitating medical intervention. While conventional treatments typically involve surgical removal or hormonal therapies, this case report presents an alternative approach to managing an ovarian mass using homeopathic remedies. A 67-year-old female patient presented with right tubo ovarian adnexal mass measuring about 3.6x3.4x2.4cm and subserosal fibroid which was treated with homoeopathic medicine Bryonia based on homeopathic totality of symptoms. Over a period of 3 months, follow-up examinations and imaging, ultimately leading to its complete resolution. This case underscores the potential effectiveness of homeopathy in the management of ovarian adnexa and highlights the importance of individualized treatment plans within this complementary medical approach. Further research and exploration of homeopathy in gynaecological conditions are needed.

Pressure ulcers (PUs) care considered one of the crucial role of nurses working within in patient’s unit. Consequently, nurses must acquire sufficient knowledge concerning the potential risks associated with PUs development and be adept at managing complications that exacerbate patient conditions. Thus, the objective of this study was to assess the level of utilizing (PUs) prevention and treatment interventions in clinical practice among (SQCCCRC) Nurses’. Additionally, to investigate the impact various nurses’ personal characteristics on the level of Nurses’ practice. A cross-sectional study recruited 148 inpatient unit nurses from oncology center using census sampling. A validated assessment tool used to assess nurses level of utilizing (PUs) preventions and treatment interventions. Data were collected between NOV and DEC 2023. The consequences of the study reveal the overall level of practice and (PUs) prevention and treatment intervention was 81.2 out of 100, interpreted as a satisfactory practice level. Nurses’ age, years of experience, and involving in pressure ulcer courses were found aspects prompting nurses' level of practice. The outcomes of the study highlight the importance of implementing in-service training or continuous education programs specifically designed for pressure injury (PUs) preventions and treatment interventions. These programs are intended to address the knowledge gaps among nurses regarding pressure ulcer prevention and treatment interventions. The goal is to improve their attitudes and practices in this critical aspect of patient care.

Effective management of pressure ulcers(PUs) holds significant importance in the daily responsibilities of nurses operating within inpatient units. Hence, it is imperative for nurses to possess sufficient knowledge regarding the potential risks contributing to the onset of PUs, along with the skills to address complications that may exacerbate patient conditions. The objective of the current research was to identify the level of nurses’ knowledge regarding (PUs) prevention and treatments among inpatient units’ nurses in Sultan Qaboos Comprehensive Cancer Care and Research centre (SQCCCRC). To describe the association between nurses’ characteristics and the level of Nurses’ Knowledge. A questionnaire that underwent modification and validation was employed to assess and measure the variables. cross-sectional study recruited 148 nurses from SCCCRC using census sampling. The result reveals the comprehensive knowledge level regarding pressure ulcer (PUs) prevention was 61.3 out of 100, indicating a moderate level knowledge when evaluated with the 60% cut-off. Interestingly, age, years of experience, attending in pressure ulcer trainings, and engaging in reading SQCCCRC policy emerged as the factors influencing nurses' level of knowledge. Education curricula for nurses are to be screened thoroughly and the identified knowledge gaps should be covered. Besides, multifaceted strategies are needed to improve clinical practice. Simulation scenarios related to PU prevention and management will be an effective way to help nurses gain appropriate knowledge that can be applied in clinical practice. A thorough examination of educational curricula for nurses is necessary to address recognized knowledge gaps. Furthermore, it is crucial to incorporate diverse strategies to improve clinical practice. Utilizing simulation scenarios focused on (PUs) prevention and controlling emerges as an important approach to enable nurses to acquire pertinent knowledge applicable in real clinical settings.

Gangrene is the time period used to explain the demise or necrosis of tissue, usually as a result of an insufficient blood supply. The Greeks firstly used the time period to denote the putrefaction of tissue. While gangrene can have an effect on any a part of the frame, it maximum normally affects the extremities including the feet, hands, legs, and palms. There are most important styles of gangrene: dry and wet.Dry gangrene is less normally determined and isn't inflamed. Wet gangrene, on the other hand, is always taken into consideration inflamed, typically through microorganism. It is characterized through an inflammatory method, frequently as a result of accidents, chronic modifications within the affected region, or degenerative conditions like diabetes mellitus. Various reasons make a contribution to gangrene, both without delay and not directly. Direct causes consist of physical harm, non-stop stress on blood vessels and nerves, publicity to robust chemical substances, and microbial infections. Microbes which includes Clostridium septicum, perfringes, and chauvoei can cause gangrene, and situations like mastitis in livestock or pastuerella multocida in sheep may additionally bring about this tissue necrosis. Indirect causes contain changes in tissue, neighborhood obstruction of blood vessels due to factors like thrombi, emboli, and stenosis, and compromised immunity in AIDS patients, increasing the danger of gangrene formation.Wet gangrene is regularly as a result of acute occlusion due to trauma, restrictive bandages, or peripheral vascular disease. Various risk factors, inclusive of smoking, alcohol use, frostbite, burns, diabetes, Raynaud’s ailment, hernias, intravenous drug use, and a ruptured appendix, can increase the chance of developing gangrene. Gas gangrene, caused by bacterial exotoxins like those from Clostridia species observed in soil, involves the proliferation of microorganism in necrotic tissue, generating toxins that ruin nearby tissue and generate gas. Symptoms consist of swelling, decay, excessive ache, fever, discoloration, and a nasty odor. Treatment includes applying neighborhood astringents like boric acid and tannic acid, the usage of antibacterial dealers which include neobacrin ointment, administering strong antibiotics intravenously, and using blood thinners to prevent clotting and vessel blockage. In severe instances, amputation, along with toe or foot amputation or above-the-knee amputation, may be necessary for powerful remedy.

In the present investigation, the pharmacognostical evaluation was carried out to study its morphology and microscopy of Terminalia paniculata Roth. bark and its powder characters, followed by determination of proximate values. Hydro alcoholic bark extract of Terminalia paniculata Roth. (HBTP) was subjected to qualitative phytochemical screening by well established methods to confirm the presence of important primary and secondary metabolites. The total content of polyphenols in the extract was evaluated, spectrophotometrically as per the Ciocalteu model, The overall flavanoid contents of extract were determined by Aluminium chloride colorimetric assay. The gastric antiulcer activity of hydro alcoholic extract of bark Termenalia paneculata Roth. was performed by employing ulcerogenic models like ethanol-induced mucosal damage in rats. HBTP (200mg and 400 mg/kg) was administered for 15 days and 16th day 1ml/200gm absolute ethanol was administered orally. Sucralfate was used as standard drug (100mg/kg). After 4 h of administration of absolute ethanol, animals was sacrificed and stomach was incisioned for determination of severity of ulcer. The parameters like index of ulcer, volume of gastric, pH, total acid content and gastric mucin level were measured followed by their histopathological studies.The hydroalcoholic bark extract of plant (400 mg/kg,per.oral) revealed significant (p<0.001) antiulcer property.

This research paper provides an in-depth exploration of Rapid Assessment Teams (RAT) and Treatment Models in hospitals, examining their evolution, implementation, effectiveness, challenges, and future prospects. The paper delves into the historical context, objectives, and critical components of Rapid Assessment Teams, emphasizing their role in improving patient outcomes and healthcare system efficiency. Additionally, the study investigates various treatment models associated with RATs and their impact on the overall quality of care provided in hospital settings.