A closer observation of the dedicated responsibilities of nurses at public hospitals in Bangladesh

Background: Nurses are important health caregivers in Bangladesh. They help to improve health-facilities every day and reach it to helpless people. This study aimed to assess the responsibilities of professional nurses in public health hospitals. Methods: The descriptive cross-sectional study conducted at Rajshahi Medical College (RMCH), Bangladesh from 18 September 2018 to 19 February 2019 included 300 individuals with following inclusion and exclusion criteria. A pre-tested questionnaire was used as a tool for data collection. Results: Majority of participants age range of 31-40y 46.33%, 41-50y 27%, 20-30y, and 51-60y 19% and 7.67%, respectively. Moreover, Female are 96.33% and males constitute only 7.74%. Based on religion, Muslim 87%, Hindu 10%, Christian 1.67%, and Buddhist 1.33%. Beginning of education, diploma was compared to very few with advanced training for instance Master's and Ph.D. 38.67% nurses were 1-5 years of experience. But only 11 had ?21 years of experience. A significant portion, 48.02%, had a good level of assessment of patients and 36.67% of individuals excelled at a high level of proficiency. While only 2% showed an inferior level of patient assessment. Improvement of quality care, the majority of respondents 48.33% good, 17.67% excellent, 21.67% average, and 3.33% poor quality care. Conclusions: Nurses are the key element of the healthcare system. The study outcomes showing their best to provide quality service despite of lack of resources. If the responsible authority has a deep look at this domain, in the future they could make a role model in Bangladesh.

Chronic desquamative gingivitis as part of mucocutaneos manifestations

Desquamative gingivitis is a clinical feature of a variety of diseases. In this paper, the clinical features of dermatoses or mucocutaneous disorders where desquamative gingivitis is presenting manifestations have been reviewed [lichen planus, mucous membranes pemphigoid and pemphigus vulgaris]. Other less common mucocutaneous disorders affecting the oral mucosa [lupus erythromatosus, linear IgA, plasma cell gingivitis, chronic ulcerative stomatitis and psoriasis] are also described. Correct identification of these conditions entails taking a careful history and performing a thorough intra-oral examination. Presence of cutaneous, nasal, ocular and genital lesions should be carefully elicited from the patient. The clinical manifestations, investigations and modalities of treatment are reviewed. Desquamative gingivitis [DG] is a clinical feature of a variety of diseases. It is characterised by epithelial desquamation, erythema, ulceration, and/or the presence of vesiculobullous lesions of the gingiva and other oral tissues. This phenomenon can be a manifestation of a number of dermatoses, most commonly lichen planus, mucous membrane pemphigoid [cicatricial pemphigoid], and pemphigus vulgaris [1-3]. Other causes include allergic reactions to toothpastes/mouth rinses [plasma cell gingivitis] [4-6], Crohn's disease [7], psoriasis [8], linear IgA disease [9] and chronic ulcerative stomatitis [10]. Desquamative gingivitis can be mistaken for plaque induced gingivitis and this can lead to delayed diagnosis and inappropriate treatment of serious dermatological diseases such as pemphigoid or pemphigus [11-14]. Desquamative gingivitis as a presenting feature is most commonly noticed in oral lichen planus [OLP] [15-17]

Local anesthetic and antiarrhythmic activity of certain new 1,3,4-thiadiazole derivatives

A series of 2-[1-oxo-2-[substitutedamino] ethylamino and 2- or 3-[substitutedamino] propylamino] 5 trifluoromethy1-1,3,4-thiadiazoles [5a-f, 6a-f and 7a-f] was synthesized and evaluated for their local anesthetic and antiarrhythmic activity. Some of the tested compounds showed promising activity. The detailed synthesis, spectroscopic and biological data are reported