I have completed my Msc at the age of 30 years from Iran University of Medical Sciences. I am a premier in health information management and medical coding. I have published near 20 papers in reputed journals and 50 abstract in internal and international congresses. I am academic/faculty member and vice of education in paramedical sciences school.
Abstract\r\nBackground\r\nPersonal Health Record includes a wide range of data. This use of the data set is important. There are valid datasets for an integrated health care delivery is essential. People with disability make up a whole strata of society in the Iran that due to lack of their awareness of in enough attention to formation of PHR as self-care and following of their health process, researcher\'s aim was to determine dataset PHR for people with disability.\r\nMethods\r\nThis is a combination of 3-stage study: 1. In order to designing data set of PHR designed for people with disability with views of experts in specialized fields (medical, paramedical, nursing, and rehabilitation) items. 2. Its content validity has been approved by 4 experts and its reliability was confirmed with Cronbach\'s alpha value of 0.97. 3. The Delphi method was used. After the approval by consensus survey with Likert scale score higher than 4, proposed form designed.\r\n\r\nResults\r\nForm proposed was designed by agreement 96 % in 8 main sections including demographic data, history, information, physiological, clinical data, rehabilitation information, lifestyle, lab results and treatment, 73 % agreed with the 35 data, and 83% agreed with the 80 sub-categories. \r\n\r\nConclusions\r\nReaction people with disability were positive to form in research process as well as they demanded form for self-care and next referrals to health centers. Now the proposed form are distributed between patients who are disabled by the health centers in the province.\r\n
Jose John Thekkedam received his graduation from J.S.S University, Mysore, India. He did his post-graduation from Dr MGR Medical University, Tamil Nadu, India. Later he worked as a lecturer in various pharmacy colleges in India. In 2010, he immigrated to U.S.A and in 2015 became a Registered Pharmacist with the state of Florida (U.S.A). Currently, he is working as a Community Pharmacist.
Elderly population usually has gastro esophageal reflux disease (GERD) and other acid related disorders, due to age, concurrent use of other medications. Food and Drug Administration issued warnings regarding long term use of PPI (proton pump inhibitor): fracture risk, hypomagnesemia, clostridium difficile associated diarrhea, Vitamin B12 deficiency, acute interstitial nephritis and systemic lupus erythematosus events and several potential drug interactions. American Geriatrics Society 2015 updated Beer’s criteria for potentially inappropriate medications use in older adults recommends use of PPI for not more than 8 weeks unless for high risk patients. It also recommends avoiding Histamine-2 receptor antagonists (H2RA) in patients with delirium, dementia or cognitive impairment.\r\nTheoretical scope of approach: A simple physiological intervention like mild exercise would enhance a “healthy” vagal tone for gastrointestinal disorders including GERD. In contrast to the common mass discharge response of the sympathetic system, control systems of the para sympathetic system are much more likely to be highly specific. In other words, parasympathetic system usually causes specific localized responses. Usually, parasympathetic cardiovascular reflexes act only on the heart. Similarly, other parasympathetic reflexes causes secretion mainly in the mouth glands, where as in other instances secretion is mainly by the stomach glands. Finally, a urinary bladder emptying reflex, need not necessarily initiate a rectal emptying reflex. But it also important to consider that there is an association between closely allied parasympathetic functions.\r\n