Volume-9, Issue-7, July 2023

Abstract

Bipolar disorder carries a substantial long-term risk, and can lead to cognitive impairment. This can have farreaching impacts on both social and professional realms of life, thus contributing to increased disability. This case report describes a patient with bipolar disorder who was treated with lithium and suffered worsening cognition. Switching to endoxifen led to an alleviation of symptoms and restoration of cognitive function. It also enabled the discontinuation of lithium therapy within 4 weeks of initiating endoxifen. The case highlights the potential of endoxifen to be used as a primary mood stabilizer in patients with bipolar disorder in the presence of cognitive function.

Keywords: Endoxifen, bipolar disorder, lithium, cognitive dysfunction.

References

References not available

Abstract

Hypertension is a public health issue and a silent risk for cardiovascular disease. The goal of this study is of health education sessions and home visits to reduce blood pressure in patients and adults with uncontrolled hypertension. The study is a cluster randomized controlled trial was performed. The trial will be conducted on 40 individuals aged 36 to 45 years old with hypertensive (with systolic BP  140 mmHg and diastolic BP 90 mmHg and patients with uncontrolled blood pressure were equally and randomly allocated into 2 groups. We provide health education sessions with the syllabus of the American Heart Association with modification of booklet and a home visits. The period of intervention is 12 weeks. 2 weeks each month. The participants of the control received only usual care. SPSS 22 programs utilize to analyze the findings, using the analysis of covariance. 

Results: The level of knowledge hypertension is 80% with Low level pre interventions and post-intervention with knowledge of 80% High level. This shows that statistically there is a significant effect of Health Education interventions through Home Visits on the level of knowledge (p-value 0.000; <0.05). The difference in the level of knowledge after the intervention with the control group was obtained (p-value 0.00; <0.05). Health Education intervention based on Home Visit to Self Efficacy (pvalue 0.000; <0.05). 

Conclusion: The results showed that health education and home visits were very effective in increasing patient knowledge about hypertension and reducing blood pressure in patients with hypertension.

Keywords: Implementation, Health Education, Home Visits, Adult Patient’s, Hypertension.

References

References not available