The impact of interdisciplinary collaboration on patient care in various fields such as pharmacy, administration, psychology, radiology, and nursing cannot be overstated. The integration of knowledge and expertise from these diverse disciplines has significantly improved the quality of care provided to patients, leading to better health outcomes and overall patient satisfaction. One of the key benefits of interdisciplinary collaboration is the ability to bring together different perspectives and approaches to problem-solving. In a healthcare setting, this can be particularly valuable as it allows for a more comprehensive understanding of a patient's needs and challenges. The value of interdisciplinary collaboration lies in its ability to leverage the unique expertise and perspectives of professionals from different fields, thereby fostering a more holistic and comprehensive approach to problem-solving. Interdisciplinary collaboration has the potential to generate fresh perspectives and comprehension across boundaries between disciplines. Multidisciplinary study that is new can cross borders of disciplines to address complex and referred to as vicious issues facing culture.

Health informatics has revolutionized the way healthcare professionals collaborate and deliver care, with significant implications for patient outcomes. This abstract explores the impact of health informatics on the collaboration between radiologists, laboratory technicians, pharmacists, and physicians, and its influence on patient outcomes. The abstract provides an overview of the role of health informatics in facilitating communication, information sharing, and decision-making among these healthcare professionals. It also discusses the potential benefits and challenges associated with integration of health informatics in collaborative care, and highlight the importance of leveraging technology to improve patient safety, treatment efficacy, and overall healthcare quality. The review concludes that, the professions of radiologists, laboratory technicians, chemists, doctors, and patient outcomes have all been significantly impacted by health informatics. Healthcare practitioners are now able to make better decisions thanks to the increased efficiency and accuracy of diagnostic imaging and laboratory tests brought about by the integration of technology and data management systems. Electronic prescribing and medication management systems have improved collaboration between chemists and doctors, guaranteeing safe and efficient pharmaceutical use. The application of health informatics has also helped patients receive more individualized care, better communication, and access to health information. All things considered, the use of health informatics has changed the way that healthcare is delivered and may continue to enhance patient outcomes in the future.

Nursing interventions cover a wide range of actions, including physical care, emotional support, patient education, prescription delivery, and coordination of healthcare services. They play a vital effect on patient outcomes. This study aims to evaluate the effectiveness of nursing interventions in educating patients about the importance of adhering to medication regimens. The research will focus on assessing the impact of nurse-led education on patient understanding and compliance with medication regimens. The study will utilize a mixed-methods approach. The findings will provide valuable insights into the role of nursing interventions in promoting medication adherence and improving patient outcomes. Nurse care, medication adherence, and importance of following medication regimens post-procedures will also be discussed in this review. The review concluded that, nursing interventions are essential in informing patients about the need of sticking to prescription schedules after X-ray and laboratory procedures. Nurses may help patients realize the importance of adhering to their prescribed drug regimens by giving them clear and thorough information, which will eventually enhance their health outcomes. Nurses may enable patients to actively participate in their own health and well-being management by using effective communication techniques and patient education. This emphasizes how critical nursing interventions are to encouraging drug compliance and guaranteeing the efficacy of medical procedures.

Background: NAFLD is a spectrum of liver disease ranging from fatty liver to steatohepatitis, fibrosis and cirrhosis. Due to the epidemic proportion of individuals with NAFLD worldwide, liver biopsy evaluation is impractical, and noninvasive assessment for the diagnosis of NASH and fibrosis is needed. In this study we aimed to compare FIB-4, APRI, and NFS score to FibroScan for the assessment of hepatic fibrosis in patients with NAFLD. Methods: This prospective study included 103 patients with NAFLD and was conducted in the Hepato-Gastroenterology Unit of Functional Digestive Explorations at CHU Ibn SINA in RABAT MOROCCO and covers the period from 01/2016 to 04/2023. A checklist was used to record the demographic features and biological data of the patients. Then, all patients underwent FibroScan using the FibroScan compact 530 device (Echosens, France). Results: Of the 103 patients with NAFLD included in this study, with a mean age of 54.4 ± 11.4 years, 35(34%) were male and 68 (66%) were female. Based on FibroScan results, 58 patients (56.3%) were classified as F1, 13 (12.6%) as F2, 5 (4.9 %) as F3, and 27 (26.2 %) as F4. A significant correlation was found between FibroScan and FIB-4 (r = 0.365), APRI (r = 0.376), and NFS score (r = 0.356) (P < 0.001). Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of APRI at the 0.64 cut-off for the differentiation of F3F4 from F2F1 were 59.4, 84.5, 63.3, 82.2 and 76.7%. FIB-4 at the 1.8 cut-off 68.8, 83.1, 64.7, 85.5, 78.6% and NFS at the 0.89 cut-off 71.9, 69, 51.1, 84.5 and 69.9% respectively. Moreover, the area under the receiver operating curve of APRI, FIB-4, and NFS for the differentiation of F3F4 from F1F2 was 0.782, 0.779, and 0.723, respectively. Conclusions: Based on these results, APRI appears to be the most appropriate substitute of FibroScan for the detection of significant fibrosis in NAFLD patients.

Quality management systems (QMS) have been increasingly implemented in healthcare settings to improve patient care and safety. This study aims to explore the implementation of QMS in laboratory, nursing, and radiology departments and their impact on patient care and safety. The implementation of QMS in the laboratory involves the establishment of quality control measures, standard operating procedures, and continuous monitoring of processes to ensure accuracy and reliability of test results. Nursing is at the forefront of patient care, and the implementation of QMS in nursing departments focuses on standardizing care processes, improving communication and collaboration among healthcare teams, and ensuring patient safety through the use of evidence-based practices. Radiology departments also benefit from the implementation of QMS, as it helps to standardize imaging protocols, ensure equipment maintenance and calibration, and improve the accuracy and timeliness of diagnostic reports. The impact of QMS implementation on patient care and safety is significant. Studies have shown that healthcare organizations with robust QMS in place have lower rates of medical errors, reduced patient complications, and improved patient outcomes. Furthermore, QMS implementation can also lead to cost savings by reducing waste, improving efficiency, and minimizing the need for rework.

Since time immemorial medicinal tree plants have been harvested for use in traditional remedies for treating not only common ailments but also serious diseases like diabetes and cancer besides heart diseases. In advanced countries, however, plant-based medicines are purified and modified to use with increased awareness of their medicinal value. Of 65 tree species of medicinal importance reported in Oman, Moringa peregrina (Forssk) Fiori. is often found in either hilly or mountainous areas of Oman on rocky slopes amongst stones and wadi beds and is known for its medicinal use among ethnomedicine practitioners. The present investigations explore indigenous Moringa peregrina of Oman in terms of physical characteristics of seed and kernel, proximate, mineral, and fatty acid composition for plausible nutritional and nutraceutical applications. The soil and plant features, physical characteristics of mature seeds, and proximate and fatty acid composition of mature and immature seeds were recorded following standard procedures. The results indicated that indigenous wild Moringa peregrina trees were 6.8m tall occupying an area of 59.16 m2 with satisfactory chlorophyll content (57.5 at LEAF value). Mature seeds were trigonous and grayish brown and able to give 68.91% of the milky white kernel. Seeds were highest in carbohydrates (36.05%), followed by total fat (33.52%) and proteins (22.21%), and contain more than 10% each of Oleic acid, Palmitic acid, Behenic acid, Eicisenoic acid, Palmitoleic acid, and Stearic acid. Moringa peregrina has been suggested for use for human consumption with caution until after the exclusion of the detrimental effects of phytotoxins possibly present in its products.

Background: Several research endeavours have endeavoured to evaluate the impact of smoking on the physiology of male and female reproduction. Encompassing sperm parameters, male reproductive architecture, and the male hormonal axes. However, the outcomes have been conflicting and ambiguous. Objectives: To investigate the published literature on the effect of smoking on female and male reproductive health. Methods: PubMed, SCOPUS, Web of Science, and Science Direct were systematically searched for relevant literature. Rayyan QRCI was employed throughout this comprehensive process. Results & interpretation: We included thirteen studies with a total of 10092 participants; 4419 (43.8%) were males, and 5673 (56.2%) were females. Smoking is a risk factor in and of itself for male reproductive health. This is more likely to explain smokers' elevated SHBG levels and differential activity of the seminal antioxidant system. These negative effects included abnormal semen motility, volume, count, and morphology. Additionally, smoking had no discernible impact on women's fertility or ovarian reserve, according to this study. More research is needed to determine whether stopping smoking can treat male infertility caused by these substances and to better understand how cigarette smoke affects both female and male fertility.

Background: One of the most serious acute metabolic complications of type 1 diabetes (T1D) is diabetic ketoacidosis (DKA), which is characterised by acidosis, ketosis, and frequently hyperglycemia. Objectives: To summarize the recent epidemiological data and risk factors for developing DKA in adult T1D patients. Methods: PubMed, SCOPUS, Web of Science, and Science Direct were systematically searched for relevant literature. Rayyan QRCI was employed throughout this comprehensive process. Results & interpretation: We included eleven studies with a total of 104388 participants, and 52733 (50.5%) were males. The incidence of DKA in patients with T1D ranged from 2% to 64.8%. Risk factors for developing DKA included non-adherence, alcohol, higher HbA1c levels, longer-term diabetes, teenage age group, female gender, associated comorbid conditions, and intake of fat and carbohydrates. It's interesting to note that despair, drug misuse, and social deprivation are prevalent among DKA patients who are admitted. Consuming fibre and using freeStyle Libre protected T1D patients from developing DKA. Future research is obviously needed to provide a more comprehensive description of the epidemiology of DKA among adult T1D patients.

The Food and Drug Administration (FDA) of the United States has approved drugs for sale in the country only if they are both safe and effective, meaning that the advantages of the medication must outweigh any known hazards. But over-the-counter (OTC) and prescription medications also have negative effects. (FDA) reactions, sometimes referred to as side effects, are undesired side effects that may be connected to a medication. Side effects can range in severity from little issues like a runny nose to potentially fatal situations like heart attack and in some case may lead to death. Age, use of other drugs, vitamins, or diet supplement, amount of drug, and route of administration can affect on degree of side effect as in IM or IV adverse effect is faster and stronger to appear than in oral route. According to laboratory tests, many tests have been done to detect impact of drug on body. In drugs cause liver failure tests appear elevated in liver enzyme as alkaline phosphatase (ALP), alanine transaminase (ALT), aspartate aminotransferase (AST). In kidney failure laboratory test indicate elevated in lipase and amylase serum.in drugs high cholesterol level such beta blocker, prednisone, and anabolic steroid in lab test detect high cholesterol level above 200mg\dl. Drugs elevate blood glucose as statins, corticosteroid, and beta blocker indicated elevation of blood glucose level above the normal. Analytical methods can consider also laboratory method as have been done in labs, it help in identification and separation of drugs so identify the drug these analytical method as spectrophotometry, gas chromatography, high performance liquid chromatography (HPLC).

Background: Researchers now have unprecedented access to low-latency data at affordable prices thanks to social media's widespread acceptance and continuous use. Given how often food is discussed and uploaded on social media, nutrition research may find this to be of special interest. Objectives: To summarize current published evidence on the impact of social media on fast food consumption and increased bad nutritional habits. Methods: PubMed, SCOPUS, Web of Science, and Science Direct were systematically searched for relevant literature. Rayyan QRCI was employed throughout this comprehensive process. Results & Interpretation: We included six studies with a total of 10988 participants, and 5899 (53.7%) were females. The reported rate of using social media ranged from 72.9% [15] to 95.9% [17]. The average daily usage of social media and the choices and behaviours related to fast food were found to be strongly correlated. The activity that most negatively impacted children's eating habits was watching food videos. Due to the previously identified connections between conventional forms of food marketing and children's eating habits, food marketing is controlled or prohibited in the majority of Western nations. In general, social media has a negative impact on people's relationship with food and how they view their bodies.

Background: Breast cancer presents a complex clinical scenario requiring multifaceted approaches for effective management. Objective: The primary objective is to analyze the Clinical status of Ocular Manifestations in Breast Cancer Patients. Method: A cross-sectional study was conducted involving 45 breast cancer patients. Data on age distribution, educational qualifications, socio-economic status, disease staging, primary treatment methods, and ocular manifestations were collected and analyzed to determine demographic trends and disease characteristics. Results: The study revealed a diverse demographic representation across age groups, with a notable concentration between 41 and 60 years. Educational qualifications and socio-economic statuses exhibited varied distributions. Disease staging indicated a significant prevalence of advanced stages (II and III), while diverse treatment modalities, primarily mastectomy and segmental resection, were employed. Ocular manifestations, although relatively infrequent at 11.10%, underscored the importance of vigilant monitoring. Conclusion: The findings highlight the multifaceted nature of breast cancer patient profiles and disease characteristics. Tailored approaches are warranted considering diverse patient demographics and disease stages. Enhanced early detection strategies and personalized treatment plans are imperative to optimize breast cancer care. The recognition and surveillance of ocular manifestations emphasize the need for comprehensive patient monitoring. Altogether, this study underscores the significance of personalized, comprehensive care strategies in breast cancer management to improve patient outcomes and well-being.

Objective to explore the clinical efficacy of low-temperature plasma tonsillectomy in the treatment of patients with chronic tonsillitis and tonsillar hypertrophy. Methods: 100 patients with chronic tonsillitis and tonsillar hypertrophy admitted to the first affiliated hospital of Xinjiang Medical University from August 2021 to August 2023 were randomly selected as the research subjects. Based on the voluntary principle and different treatment plans, The patients were divided into two groups. 50 patients who underwent dissection tonsillectomy treatment were selected into the control group, and 50 patients who underwent low-temperature plasma tonsillectomy were selected into the observation group. The differences in clinical indicators between the two groups of patients were compared, The pain levels of patients at different postoperative periods were evaluated, and the differences in serum inflammatory factor levels were detected. Results: Compared with the control group, after surgical treatment, the operation time, and intra-operative bleeding volume of the blood observation group were significantly shorter, and the difference was statistically significant (P<0.05); 1, 3, 5 and 7 days after surgery in the observation group. The Visual analogue scale VAS pain scores at 7 days were lower than those in the control group, and the difference was statistically significant (P<0.05); after surgery in the observation group, the patient's high-sensitivity C-reactive protein (hs-CRP) (14.18±0.51) mg/L, Tumor necrotic factor-alpha (TNF-α) (4.23±0.31) pg/ml was significantly less, and the difference was statistically significant (P<0.05); 5 patients in the observation group suffered from postoperative bleeding and complications The incidence rate was 16.00%, which was significantly lower than that of the control group, and the difference was statistically significant (χ2=4.588, P<0.05). Conclusion: From our study it was able to show that tonsillectomy for adults and children with recurrent tonsillitis were widely used which improves health and quality of life and reduces the need to consume medical resources. When low-temperature plasma tonsillectomy is used in the clinical treatment of patients with chronic tonsillitis and tonsillar hypertrophy, the inoperative blood loss of the patients is significantly reduced, the clinical pain of the patients is further relieved, and the serum inflammatory factor levels of the patients are adjusted.

Preoperative rehabilitation, sometimes known as 'prehabilitation', is a contemporary method aimed at maximizing patient well-being before surgery to minimize surgical risks and enhance postoperative results. Prehabilitation therapies, which were traditionally limited to enhancing cardiorespiratory fitness and reducing patient weight, can now encompass all aspects of patient health, including the biopsychosocial domains. These interventions have been adopted by surgical units globally in diverse ways. In general, prehabilitation therapies offer prospective advantages such as enhanced patient physical condition, less anxiety, improved outcomes (including shorter hospital stays and fewer complication rates), and increased patient involvement before surgery. Nevertheless, they can also be linked to potential disadvantages such as the need for a significant amount of time, expenses, physical restrictions, delays in surgical procedures, especially for individuals with cancer, and a lack of definitive proof proving the benefits for patients. Prehabilitation involves proactive measures aimed at conditioning the body in anticipation of an impending injury or trauma. This phrase refers to the preoperative activities that aim to prepare a patient for surgery and facilitate their rapid recovery and restoration of physical fitness after the procedure.

E-cigarettes, also known as electronic cigarettes or vape pens, have become increasingly popular in recent years as an alternative to traditional tobacco products. However, there is growing concern about the potential impact of e-cigarettes on oral and dental health. This narrative review aims to provide an overview of the current evidence on the topic and to highlight the potential risks associated with e-cigarette use. One of the main concerns surrounding e-cigarettes is the potential for oral and dental health problems. E-cigarettes contain a liquid solution that is heated and inhaled as a vapor, and this vapor can contain a variety of chemicals and toxins. Some of these chemicals have been found to have adverse effects on oral health, including inflammation of the gums, dry mouth, and an increased risk of cavities. Additionally, the act of vaping itself can lead to oral health issues, as the repetitive motion of inhaling and exhaling can cause irritation to the mouth and throat. Furthermore, the nicotine content in e-cigarettes can also have negative effects on oral and dental health. Nicotine is a vasoconstrictor, meaning it restricts blood flow, which can lead to a decrease in the delivery of oxygen and nutrients to the gums and other oral tissues. This can result in a higher risk of gum disease and delayed healing after oral surgery or dental procedures. In addition, nicotine has been shown to contribute to the development of oral cancer, as well as other oral health issues such as tooth decay and tooth loss. More research is needed to fully understand the long-term effects of e-cigarettes on oral and dental health, but in the meantime, it is crucial for individuals to take steps to protect their oral health and to be aware of the potential risks associated with e-cigarette use.

The development of abrupt respiratory failure linked to fluid buildup in the lung's alveolar spaces due to an elevated heart-filling pressure is known as pulmonary oedema. Pulmonary oedema can result from any cardiac condition marked by a rise in left ventricular pressure. Long-term high capillary pressure can potentially break down the barrier, resulting in increased fluid transfer and permeability into the alveoli and atelectasis and oedema. Numerous variables, such as dysregulated inflammation, strong leukocyte infiltration, activation of procoagulant processes, cell death, and mechanical stress, contribute to the disruption of the alveolar-epithelial barrier. In order to properly treat patients with pulmonary oedema, a thorough medical history and a physical examination are necessary to assess the condition's symptoms and possible causes. In the interim, second-level diagnostic procedures such as echocardiography, chest radiograph, natriuretic peptide level, and pulmonary ultrasonography should be performed. To determine the best course of treatment for these patients, it is imperative to identify the unique pulmonary oedema phenotype. Early in the course of treating this illness, non-invasive ventilation should be taken into consideration. For pulmonary congestion, diuretics and vasodilators are employed. Vasopressors and inotropes are sometimes needed to address hypoperfusion. Additional strategies (i.e., beta-agonists and pentoxifylline) may be beneficial for patients with diuretic resistance and chronic symptoms. The pathogenesis, clinical manifestation, and therapy of pulmonary oedema are reviewed in this publication.

Mental health has become a critical global concern, with increasing awareness of mental illnesses and their profound impact on individuals, families, and communities. Saudi Arabia is experiencing rapid social and economic changes, with the Vision 2030 initiative aiming to enhance healthcare, including mental health services. Family physicians play a pivotal role in the healthcare landscape, acting as the first point of contact for patients seeking medical assistance. In Saudi Arabia, the integration of mental health services into primary care settings could revolutionize the approach to mental health, addressing the stigma associated with mental illnesses, minimizing the service gap, and delivering timely interventions. This review article aims to explore the current state of mental health services in Saudi Arabia and assess the role of family physicians in identifying and managing mental health conditions.

Introduction: Metabolic associated fatty liver disease (MAFLD) is one of the most common liver diseases worldwide. NAFLD is associated with metabolic syndrome, which consists of obesity, hypertension, diabetes, and hyperlipidemia. This study aimed to identify the role of Genetic polymorphism in the development of metabolic-associated fatty liver disease among the family members of metabolic-associated steatohepatitis cirrhosis patients. Methods: This was a cross-sectional observational study conducted in the Department of Hepatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, from January 2015 to December 2016. In this study, 50 patients with NASH cirrhosis attended Hepatology OPD or were admitted to the inpatient department within the study period, and 81 first-degree family members were included after considering inclusion and exclusion criteria. Result: The mean age was 35.34 ± 10.29 years, and the mean BMI was 25.59 ± 4.28. Serum lipid profiles showed mean HDL at 36.91 ± 7.49 mg/dL and triglycerides at 161.23 ± 59.76 mg/dL. Male predominance (54.32%) was observed among family members. A total of 78% of families had 1st-degree relatives affected by fatty liver. Fatty liver was present in 47 family members (58%), with 36 (76.6%) showing PNPLA3 polymorphism (C/G), compared to 19 (55.9%) in the non-fatty liver group (P=0.033). Comparing metabolic syndrome components, fatty liver family members showed significantly higher serum triglycerides (>150 mg/dL, P=0.001), fasting glucose (>5.6 mmol/L, P=0.003), and HDL <40 mg/dL for males or <50 mg/dL for females. Conclusion: This study showed that family members of MASH cirrhosis patients show a high prevalence of fatty liver, metabolic abnormalities, and PNPLA3 polymorphism, especially in 1st-degree relatives.