We hope that the present work has extended a circuit theory to explain the functional control of embedded human body systems and the conservation of the creative energy of the soul. The energy of the soul reverses its path and merges to GOD for further reincarnation. The soul is connected as the power to deliver energy to the circuit through body and mind as messenger and information are processed during life state of body while it stops its activity of physiological function of body and mind lead to death. It is also proposed in an electrical model that the body as resistive, mind as capacitance and soul as the power of energy and find themselves as engine, controller/regulator, and source of energy respectively. In the present work, an attempt has been made to develop an electrical circuit model to connect each other and to purpose a communication network among body mind and soul. Although the previous work supports the action of the body takes place in association with mind and soul, inter and intra-interaction/working principle are not well understood. The initiative also established the efficacy of the 'Adapted ADAPTE,' as well as the importance of clinical and methodology expert panel collaboration for local CPG adaptation.Īncient knowledge and mythological studies have shown a tri-unity in the human body which comprises three integrated parts i.e. Conclusions: The finalized CPG provides evidence-based guidelines to healthcare providers for the management of children with ALOC inĪUCH. The recommendations included: (i) service organization and training, (ii) recognition of the health problem and referral, (iii) diagnostic approach (iv) providing support (v) management of ALOC, and (vi) indication to PICU admission (vii) recommended medications (viii)monitoring and follow up. Results: Eight major recommendations were adopted by the panel from one source (RCPCH) guideline. We went over the entire process in depth, including the setup, adaptation, and finalization phases. Methods: For CPG adaption, we utilized the Aim: To present the adaptation pathway that was used to create the first local CPG in AUCH for the management of children with ALOC. It is hypothesized that adapting clinical practice guidelines (CPGs) to the local healthcare situation, rather than developing them, will increase their acceptance without putting a large strain on the resources. After initial assessment and stabilization, management centers on determining the specific diagnosis and continuing supportive care.īackground: We recently adapted the published Royal College of Pediatrics and Child Health (RCPCH) clinical practice guideline (CPG) for the management of children with an altered level of consciousness (ALOC) to the Alexandria University Children’s Hospital (AUCH) context. Disorders of metabolism, liver, kidneys, lungs, or heart as well as toxic exposure are common medical causes for alteration of consciousness. Specific neurologic findings associated with elevated intracranial pressure are seen in both central and uncal herniation. Asymmetric neurologic findings such as a dilated and fixed pupil, dyscongugate extraocular movements, and asymmetric motor findings suggest brainstem dysfunction as a result of a structural lesion slowly progressive but symmetric neurologic findings usually result from a medical disorder. Structural or medical causes usually can be differentiated through a focused history and physical examination. The clinician must assess the level of consciousness rapidly as well as determine likely causes. An altered level of consciousness is an important clinical entity in pediatrics and carries the potential for significant morbidity and mortality.
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