Ethnomedicinal and traditional uses of the Ferns of Khyber Pakhtunkhwa, Pakistan

Ferns are often used by indigenous people in Khyber Pakhtunkhwa, Pakistan. This study was designed to collect the ethnomedicinal and traditional knowledge of these locals about this group of vascular plants. Forty taxa belong to nineteen genera and ten families are used in the treatment of different diseases. The Pteridaceae was the most representative family with twelve taxa (30%), followed by Athyriaceae and Dryopteridaceae with six taxa each (30%), and Thelypteridaceae with five taxa (12.5%). Regarding the genera, Adiantum, Asplenium and Dryopteris ranked first with four taxa each (30%), followed by Aleuritopteris, Diplazium, Pteris and Equisetum with three taxa each (30%), followed by Athyrium, Oeosporangium, Polystichum and Pseudophegopteris with two taxa each (20%). These taxa were commonly used in the treatment of respiratory disorders i.e. asthma, bronchitis, emphysema, pneumonia; intestinal ulcer, stomach, urinary ailments and skin disorders by the methods of decoction and infusion. Traditional knowledge about ethnomedicinal plants is a valuable and essential source for the discovery of allopathic, herbal and homeopathic medicines.

SARS-Cov-2 Infection in Postmenopausal Women. New Data on Menopause Hormone Therapy

ObjectiveTo address the factors involved in hospital admission and medical follow up in postmenopausal women with COVID-19 diagnosis.MethodsRetrospective observational study. Postmenopausal women aged between 40-70 years since September 2020 until June 2021 with COVID-19 diagnosis were included. Of the 300 women cohort, 50 were receiving menopause hormone therapy (MHT)Results 288 patients were analyzed. The mean age was 56.20 years (+/-6.06y SD). Age (p=0.030), High blood pressure (HBP) (p=0.002), respiratory disorders (p=0.003), depression (p=0.028) and fibromyalgia (p=0.030) were associated with a greater risk for hospital admission, while MHT was found as a protective factor (p=0.042). Being a health professional (p<0.001), HBP (p=0.029), respiratory disorders (p=0.022), vitamin D deficiency (p=0.010), depression (p=0.005) and fibromyalgia (p=0.001) were related with a longer follow up while MHT was related with a shorter one (p=0.010). Regression analysis showed that HBP and respiratory disorders acted as independent factors for hospital admission while MHT and fibromyalgia were for the length of follow up. ConclusionsMHT has a positive impact in postmenopausal women with SARS-CoV-2 infection. HBP and respiratory disorders are associated with a higher risk of hospital admission of these patients.

The Effect of Ocimum basilicum L. and Its Main Ingredients on Respiratory Disorders: An Experimental, Preclinical, and Clinical Review

Ocimum basilicum L. (O. basilicum) and its constituents show anti-inflammatory, immunomodulatory, and antioxidant effects. The plant has been mainly utilized in traditional medicine for the treatment of respiratory disorders. In the present article, effects of O. basilicum and its main constituents on respiratory disorders, assessed by experimental and clinical studies, were reviewed. Relevant studies were searched in PubMed, Science Direct, Medline, and Embase databases using relevant keywords including “Ocimum basilicum,” “basilicums,” “linalool,” “respiratory disease,” “asthma,” “obstructive pulmonary disease,” “bronchodilatory,” “bronchitis,” “lung cancer,” and “pulmonary fibrosis,” and other related keywords.The reviewed articles showed both relieving and preventing effects of the plant and its ingredients on obstructive pulmonary diseases such as chronic obstructive pulmonary disease (COPD), asthma, and other respiratory disorders such as bronchitis, aspergillosis tuberculosis, and lung cancer. The results of the reviewed articles suggest the therapeutic potential of O. basilicum and its constituent, linalool, on respiratory disorders.

CPAP Hardware/Simulation and Control Design for Respiratory Disorders: A Review

Continuous Positive Airway Pressure (CPAP) ventilation remains a mainstay treatment for different respiratory disorders. Good pressure stability and pressure reduction during exhalation are of major importance condition to ensure the clinical efficacy and comfort of CPAP therapy. Obstructive Sleep Apnea (OSA) and today coronavirus (COVID-19) are the main two diseases mitigated by the CPAP. This paper introduced a systematic review of the CPAP design in terms of the hardware design, Simulation-based CPAP system, control algorithm, and the measured performance. The accuracy is used as measurement of performance and calculated from the pressure value. The accuracy was compared to the predefined U.S. Food and Drug Administration (FDA)-based threshold value in which it considers this value as a reference. The results related to the modern CPAP devices introduced in this study to explain the accuracy of experimental CPAP. These were compared with a commercial CPAP devices. Also, it was revealed how the results coincide with the error ratio defined by the FDA as an evaluation measurement. The FDA error ratio determines the performance of the optimized CPAP device. This work is the first review that presented the knowledge about engineering design of the CPAP system, so it will be the first in the literature.

Role of point-of-care lung ultrasound in different respiratory disorders

Point-of-care lung ultrasound either standalone or in a combination with other ultrasound techniques is a useful diagnostic method for patients with different respiratory disorders. Nowadays lung ultrasound helps to identify emergency conditions, such as acute respiratory distress syndrome, pneumothorax, cardiac arrest, acute respiratory failure, pneumonia. Moreover, a semi-quantitative evaluation of pulmonary congestion can be performed to determine the severity of interstitial syndrome and COVID‑19 associated pneumonia. In this review the basic semiotics of ultrasound are described, as well as the role of point-of-care lung ultrasound in various respiratory disorders.

The Corelation of Compliance to Use PPE (Mask) and The Event of Respiratory Disorders in Workers in Bukit Kapur Jaddih, Parseh Village, Socah District, Bangkalan Regency

The process of limestone mining will resulted in limestone dust on the working environment. This can lead to inhalation of the limestone dust which can cause respiratory problems.The type of the research was analytic with Cross Sectional design. The population was all workers in Bukit Kapur Jaddih, Parseh Village, Socah District; 52 workers. The sample was 45 workers taken by simple random sampling technique. The independent variable was compliance to use mask protective equipment, while the dependent variable was respiratory disorders. The data was collected by questionnaires and observation physical observation. The data was analyzed using Lambda test, with α= 0.05.The results of the research showed that workers who did not use PPE (masks) were 35 workers (77.8%), who experienced respiratory problems were 39 workers (86.7%), and 6 workers (13.3%) did not experience respiratory problems. The lambda test results p Value of 0.073>α (0.05) meant that H0 was accepted and H1 was rejected. The compliance to use personal protective equipment (masks) and the presence of respiratory problems showed no correlation. For this reason, workers must continue to use masks while working to protect themselves from the effects of occupational breathing (lime dust).

Relationship of Knowledge on Respiratory Disorders with Lung Function in Masons in East Surabaya

Masons are regularly exposed to air pollution in the workplace The pollution exposure received by them is a risk factor for respiratory problems. Most of the masons had insufficient knowledge that is very important for the management of a person's illness. The purpose of this study was to determine relationship of knowledge on respiratory disorders with lung function in masons in east surabaya. This research was an observational study with a cross-sectional design with a purposive method.The research was conducted from April to July 2019 in the East Surabaya area. The variables that will be observed in this study are the level of knowledge of risk factors, symptoms, and treatment and therapy regarding respiratory disorders. In this study, there were 158 respondents consisting of 79 groups with impaired lung function and 79 groups without lung function disorders. Most of the level of knowledge of both groups was good in risk factors and treatment of respiratory disease, but instead on the symptoms regarding respiratory disease. The research showed that there was a relationship between the level of knowledge about risk factors for respiratory disease (p(0.223)<0.05) and lung function, but there was no difference in knowledge about symptoms (p(0.745)<0.05) and treatment (p(0.741)<0.05) respiratory disease with pulmonary function. Therefore, it was necessary to plan further educational programs in increasing masons' knowledge of respiratory symptoms so that they could catch respiratory diseases earlier.

Relationship of Nutritional Status to Incidency Symptom Respiratory on Online Ojek Drivers in Malang City, East Java, Indonesia

Backgrounds/Aims: Respiratory disease is one of occupational disease that increasing and becoming the biggest three diseases that contribute more than three-quarters of total work-related deaths with circulations disease and neoplasm. Exposure to dust, allergens and toxins are some of the risk factors for respiratory diseases. One of the jobs with a high risk of exposure to air pollution is online motorcycle taxi drivers, they inhale pollution from the transportation sector and pollutant gases in the air which can cause respiratory problems. In addition, nutrition and respiratory disorders have an important relationship. In the recovery process, nutritional status has an important impact in the process of breaking down proteins contained in muscles including respiratory muscles in the catabolism process. Methods: This study was an analytic observation and the data was collected retrospectively in online motorcycle taxi drivers in Malang City with inclusion criteria on April 2021. Results: 108 online motorcycle taxi drivers in Malang, aged 15-55 years, 96.3% men, respiratory disorders 76.9% respondents with 93.6% underweight. Respiratory symptom more having common cold 66,7%, cough 42,6% and phlegm 38,9%. The relationship between nutritional status and the incidence of respiratory symptoms was 8.1 times (95% CI (1.9-16.4) p = 0.017). Conclusions: There is a significant relationship between nutritional status and symptoms of respiratory disorders in online motorcycle taxi drivers in Malang City with 8 times. Keywords: acute ischemic, stroke, platelet lymphocyte ratio, poor outcome.