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Effectiveness of “Health Promotion Interventions” on Selected Perinatal Outcomes among Mothers Admitted for Elective Caesarean in PGIMER, Chandigarh 2018-20 健康促进干预措施 "对昌迪加尔 PGIMER 2018-20 年择期剖腹产产妇的部分围产期结果的影响
Pub Date : 2024-07-25 DOI: 10.52403/ijhsr.20240750
Praveena Kumari, V. Venkadalakshmi, M. Dhandapani
Peripartum and pregnancy are the period of transition which would nearly disturb every aspect of a woman’s life. The postoperative course of a mother having a caesarean section is different for each mother. The health promotion interventions protocol makes the mothers more competent and confident in self-care and care of neonates.Objective: The objective of this study was to assess the effectiveness of ‘Health Promotion Interventions’ on pregnant women undergoing elective caesarean on maternal practices and outcomes during the postpartum period and on baby care practices and outcomes during the postpartum period.Material and Method: A quasi-experimental design was used and 80 mothers with gestational age 32 weeks were selected by using purposive sampling technique. Ethical clearance was obtained and informed consent was taken from the mothers. Data was collected in the period of July-August 2019. “Health Promotion Interventions” were implemented at the time of pre-assessment and after 3 days, in interventions, the mothers were educated regarding self- care, newborn care and about contraception by using the scrapbook, a booklet was prepared for this package and with the help of demonstration by using a baby dummy. Follow up was done till discharge, telephonically at 12th and 21st day and at 6th weeks of postpartum. The control group was asked to follow routine care including advices and instructions by health care workersResults: In both groups placenta previa was the main indications for elective caesarean section. The results revealed that in experimental group majority of the mothers were initiated early breastfeeding (85%), passed first flatus within 24 hours after caesarean section (82.5%), performing postnatal exercises (55%), continued exclusive breastfeeding (100%), having normal bowel pattern (100%) lesser number of mothers were having breast engorgement (22.5%) as compared to control group (p<0.05).In terms of neonatal outcome, 97.5% of newborns were gaining normal weight at 6th weeks and 100 % of the newborn was having normal bowel and bladder pattern and there was no incidence of re-hospitalization of mother and baby in the experimental group. The difference between both the groups were found statistically significant (p<0.001). The findings also revealed a significant difference between control and experimental group in relation with selected outcomes.Conclusion: Hence, it has been concluded ‘Health Promotion Interventions’ improved knowledge and practices of mothers regarding, postnatal self-care, newborn care and care of the baby upto 6 weeks of the postpartum period. Findings also revealed that ‘Health Promotion Interventions’ was effective in improving the perinatal outcomes after elective caesarean and reducing the occurrence of postpartum complications.Key words: Elective caesarean, postnatal care, newborn care, Health Promotion Interventions.
围产期和妊娠期是一个过渡时期,几乎会扰乱妇女生活的方方面面。剖腹产产妇的术后情况因人而异。健康促进干预方案使产妇在自我护理和照顾新生儿方面更有能力和信心:本研究的目的是评估 "健康促进干预 "对选择剖腹产的孕妇在产后期间的做法和结果以及在产后期间的婴儿护理做法和结果的有效性:采用准实验设计,通过目的性抽样技术选择了 80 名孕龄 32 周的母亲。研究获得了伦理许可,并征得了产妇的知情同意。数据收集时间为 2019 年 7 月至 8 月。在预评估时和 3 天后实施了 "健康促进干预",在干预过程中,通过使用剪贴簿(为该套餐准备了一本小册子)和使用婴儿假人进行示范,对母亲进行了自我护理、新生儿护理和避孕方面的教育。随访一直持续到出院,并在产后第 12 天、第 21 天和第 6 周进行电话随访。结果:结果:两组中,前置胎盘都是选择剖腹产的主要指征。结果显示,在实验组中,大多数母亲开始了早期母乳喂养(85%),在剖腹产后 24 小时内排出了第一次胀气(82.5%),进行了产后锻炼(55%),继续纯母乳喂养(100%),排便模式正常(100%)。在新生儿结局方面,97.5% 的新生儿在第 6 周时体重增长正常,100% 的新生儿排便和膀胱模式正常,实验组没有发生母亲和婴儿再次住院的情况。两组之间的差异具有统计学意义(P<0.001)。研究结果还显示,对照组和实验组在某些结果上存在明显差异:因此,"健康促进干预 "改善了母亲在产后自我护理、新生儿护理和产后 6 周内婴儿护理方面的知识和做法。研究结果还显示,"健康促进干预 "能有效改善选择性剖腹产后的围产期结果,减少产后并发症的发生:选择性剖腹产、产后护理、新生儿护理、健康促进干预。
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引用次数: 0
Microbial Quality of Water Used as Drinking Sources in Urban and Rural Households of Gujarat, India: A Cross-Sectional Study 印度古吉拉特邦城乡家庭饮用水源的微生物质量:横断面研究
Pub Date : 2024-07-25 DOI: 10.52403/ijhsr.20240741
Sucheta Lakhani, Neil Shah, Nidhi Bhalodia
INTRODUCTION: Globally nearly 2 billion people have no access to safely managed drinking water services and over 1.7 billion lack adequate or basic sanitation facilities. India is a growing and developing nation and the quality of ground water and drinking water needs to be regularly monitored. There are several diseases in India that spread due to contaminated water. Annually about 37.7 million Indians are affected by waterborne diseases.AIMS AND OBJECTIVES: This research has been undertaken with the Aim and Intent to study, test, assess, evaluate and understand the aspects of Microbial quality of water used as drinking sources in urban and rural households.MATERIAL AND METHODS: The 40 numbers of drinking water samples were collected.20 water samples from the urban area of Vadodara city and 20 water samples from the rural areas on outskirts of Vadodara city. Multiple Tube Fermentation Technique was used for detecting presence of coliforms. The free residual Chlorine was measured by use of Chloroscope equipmentRESULTS: A total of about 17 water samples (11 rural samples of untreated water and 06 urban samples of treated water) showed a higher MPN. The growth of E. coli which indicates the fecal contamination rate was noted in 09 water samples which is about 22.50% (09 water samples - 06 rural samples and 03 urban samples). The absence of fecal streptococci, E. coli and total coliforms was found in only 6 samples which is about 15.00%.CONCLUSION: Pathogens, coliforms and other microorganisms were found in water samples collected from both urban as well as rural areas. It is now important to educate and bring awareness among local people about quality of their water source, the importance of clean surrounding near water source, boiling of drinking water to eliminate contamination.Key words: Fecal coliforms, E. coli, Chloroscope
导言:全球有近 20 亿人无法获得安全管理的饮用水服务,超过 17 亿人缺乏足够或基本的卫生设施。印度是一个不断发展壮大的国家,需要定期监测地下水和饮用水的质量。在印度,有几种疾病是由于水污染而传播的。每年约有 3770 万印度人受到水传播疾病的影响:这项研究的目的和意图是研究、测试、评估、评价和了解城市和农村家庭饮用水源的微生物质量。采用多管发酵技术检测大肠菌群的存在。结果:共有约 17 份水样(11 份未经处理的农村水样和 06 份经处理的城市水样)显示出较高的 MPN。大肠杆菌在 09 个水样中生长,表明粪便污染率约为 22.50%(09 个水样 - 06 个农村水样和 03 个城市水样)。结论:在城市和农村地区采集的水样中都发现了病原体、大肠菌群和其他微生物。现在,重要的是要对当地人进行教育,让他们认识到水源质量、水源附近清洁环境的重要性以及煮沸饮用水以消除污染的重要性:粪大肠菌群 大肠杆菌 氯镜
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引用次数: 0
Effectiveness of Movement Control Exercise and Core Stability Exercise on Reducing Pain, Improving Range of Motion and Functional Activities in Patients with Mechanical Low Back Pain 运动控制锻炼和核心稳定性锻炼对机械性腰痛患者减轻疼痛、改善活动范围和功能活动的效果
Pub Date : 2024-07-25 DOI: 10.52403/ijhsr.20240753
G. Naveen, Y. Ashraf, R. Mahesh
Study Design: Experimental study pretest-posttest design with comparative treatment.Summary of background: Low back pain is a common condition that affects the Most people at some point of their lives with up to an 84%lifetime prevalence. Mechanical low back pain may be due to faulty posture sedentary lifestyle and improper ergonomics. Core muscles maintain the stability of the lumbar spine. Due to improper mechanics of the spine, there leads muscle imbalance in the lumbar spine. Thus, the rehabilitation of the core muscle results in improving the muscular control around the lumbar spine to maintain functional stability of the spine during activities. Movement control exercises are aimed to identify the Kinesio pathological models of movement dysfunction of the spine. Based on the principle, the treatment aimed to correct and restore the movement pattern and avoiding the posture which provokes them.Objective: This study is to investigate the effectiveness of movement control exercise and core stability exercise on reducing pain, improving range of motion and functional activities in patients with mechanical low back pain. The primary outcomes include pain intensity andFunctional disability. The secondary outcome includes lumbar range of motion.Study Setting: Department of Orthopedics, Neurology and Physical Medicine &Rehabilitation PSG hospitals, Coimbatore.Participants: A total of 32 individuals with mechanical LBP participated in the study.Intervention: Included individuals were randomly assigned to receive 2 weeks treatmentProgram on movement control exercise and core stability exercise.Measurements: Pain intensity measured by NPRS, functional disability by Modified ODIAnd lumbar ROM by MMST.Results: Subjects receiving movement control exercise showed greater change on pain Intensity, functional disability, and lumbar ROM at p value <0.05 after 2 weeks of intervention than comparing with core stability exercise.Conclusion: So, we conclude that the movement control exercise is effective on reducing pain, improving range of motion and functional activities in patients with mechanical low back pain compared to core stability exercise.Key words: Mechanical Low Back Pain, Modified Oswestry Disability Index, Numerical Pain Rating Scale, Movement Control Exercise, Core Stability Exercise, Un Controlled Motion, Non-Specific Low Back Pain, Lumbar Flexion, Lumbar Extension Significant.
研究设计:背景概述:腰背痛是影响大多数人一生的常见疾病,终生发病率高达 84%:腰背痛是一种常见病,影响着大多数人的一生,发病率高达 84%。机械性腰背痛可能是由于姿势不正确、久坐不动的生活方式和不恰当的人体工程学设计造成的。核心肌肉能保持腰椎的稳定。由于脊柱的机械结构不当,导致腰椎肌肉失衡。因此,对核心肌肉的康复训练可改善腰椎周围的肌肉控制,从而在活动中保持脊柱的功能稳定性。运动控制练习旨在确定脊柱运动功能障碍的运动病理模型。根据这一原则,治疗旨在纠正和恢复运动模式,避免引发运动模式的姿势:本研究旨在探讨运动控制锻炼和核心稳定性锻炼对机械性腰背痛患者减轻疼痛、改善活动范围和功能活动的效果。主要结果包括疼痛强度和功能障碍。次要结果包括腰部活动范围:研究地点:哥印拜陀 PSG 医院骨科、神经科和物理医学与康复科:共有 32 名机械性腰背痛患者参与研究:干预措施:随机分配患者接受为期 2 周的运动控制锻炼和核心稳定性锻炼治疗:结果:接受运动控制锻炼的受试者的疼痛强度变化更大,而接受核心稳定性锻炼的受试者的疼痛强度变化更大:结果:接受运动控制锻炼的受试者在干预 2 周后,疼痛强度、功能障碍和腰部 ROM 的变化均大于接受核心稳定性锻炼的受试者,P 值小于 0.05:因此,我们得出结论,与核心稳定性锻炼相比,运动控制锻炼能有效减轻机械性腰背痛患者的疼痛,改善活动范围和功能活动:机械性腰背痛、修正的 Oswestry 失能指数、数字疼痛评分量表、运动控制锻炼、核心稳定性锻炼、不受控制的运动、非特异性腰背痛、腰屈、腰伸 意义重大。
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引用次数: 0
Retesting the Reliability and Factor Structure of PSSQ-29 重新测试 PSSQ-29 的可靠性和因子结构
Pub Date : 2024-07-25 DOI: 10.52403/ijhsr.20240738
Georgios Pilafas, Georgios Lyrakos, Penelope Louka
The ‘Psycho-Somatic Screening Questionnaire - 29’ (PSSQ-29) was initially introduced in 2020 in order to serve as a self-reported tool that may measure both mental and somatic symptoms in a research protocol in Greece regarding the impact of COVID-19. PSSQ-29 was then used in two more studies with different populations and conditions. Therefore, the aim of the present study is to test and present the reliability and factor structure of PSSQ-29 after performing an analysis on all data. In this study the dataset of three previous studies was used to answer the research questions. The only tool that was analysed is PSSQ-29 and its individual items for providing Cronbach’s alpha scores, internal-consistency, factor structure and factor loadings in each sample of the three studies. The results show that the Cronbach’s alpha scores range between .955 and .959, while regardless of how many factors were presented in the exploratory factor analysis the items were predominantly loaded into one factor suggesting that PSSQ-29 is likely measure only psychosomatic symptoms as one entity as the initial article that introduced the questionnaire supports. Lastly, a great limitation to this study is that although there are datasets from three different studies, the samples consist of Greek participants and the original data collection was performed throughout the COVID-19 era in Greece.Key words: Psycho-Somatic Screening Questionnaire – 29; PSSQ-29; Psychosomatics; Self-reported Measure
精神症状筛查问卷-29"(PSSQ-29)最初于 2020 年推出,目的是在希腊一项关于 COVID-19 影响的研究方案中,作为一种可测量精神和躯体症状的自我报告工具。随后,PSSQ-29 又被用于两项针对不同人群和条件的研究中。因此,本研究的目的是在对所有数据进行分析后,测试并展示 PSSQ-29 的可靠性和因子结构。本研究使用了之前三项研究的数据集来回答研究问题。分析的唯一工具是 PSSQ-29 及其单个项目,以提供三项研究中每个样本的 Cronbach's alpha 分数、内部一致性、因子结构和因子载荷。结果显示,Cronbach's alpha 分数介于 0.955 和 0.959 之间,而无论探索性因子分析中出现多少个因子,各项目都主要被加载到一个因子中,这表明 PSSQ-29 很可能只测量作为一个整体的心身症状,正如最初介绍该问卷的文章所支持的那样。最后,本研究的一个很大的局限性是,尽管数据集来自三项不同的研究,但样本都由希腊参与者组成,而且原始数据收集工作是在希腊整个 COVID-19 时代进行的:心理症状筛查问卷-29;PSSQ-29;心理疾病;自我报告测量法
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引用次数: 0
A Survey to Predict Risk Factors for Coronary Artery Disease Using ACSM Risk Factor Categories Amongst Officer Grade Bank Employees 使用 ACSM 危险因素分类预测银行职员患冠心病危险因素的调查
Pub Date : 2024-07-25 DOI: 10.52403/ijhsr.20240743
Vijayendra Rajguru, Gursheen Kaur Gill
The present study aims to find out the prevalence of coronary artery disease (CAD) risk factors based on the American College of Sports Medicine (ACSM) risk factor guidelines among officer-grade bank employees. A cross-sectional survey with a sample size representing the target population was conducted. The study employed a structured questionnaire, ascertaining the risk factors of family history, lifestyle, and physiological parameters. The ACSM risk factors are significantly correlated with the incidences of CAD and are good indicators to predict the likelihood of suffering from CAD. It further illuminates that cardiovascular health for the banking sector, especially for the identified risks, would need specially targeted intervention programs.Despite numerous researches carried out on the risk factors of coronary artery disease (CAD) in the general population, some specific occupational groups have unique influences that affect their cardiovascular health. Officer-grade bank employees form one such group with potential stressors linked to their work environment, lifestyle choices, and physiological parameters.Study Objective: To predict risk factors for coronary artery disease (CAD) using ACSM risk factor categories amongst officer-grade bank employees in Panvel Municipal Corporation region.Methodology: 135 officer-grade Bank Employees were included according to inclusion andexclusion criteria between the age group of 30-60 years. Bank employees were interviewed for demographic details, IPAQ questionnaire, ACSM risk factor stratification scoring, and perceived stress scale. Spearman’s correlation test was carried out using Excel.Result: Our study revealed a strong positive correlation between the physical activity questionnaire (IPAQ-SF) and ACSM risk factor stratification scoring. The present study demonstrated a high prevalence (76.30%) of CAD risk factors, Sedentary lifestyle being the most common cause (62.96%) amongst officer-grade bank employees in the Panvel Municipal Corporation region. It was observed that bank employees were exposed to a volley of problems in all three domains of health viz. Physical, mental & social owing to their demanding job profile.Key words: Coronary Artery Disease (CAD), Risk Factors, ACSM, Bank Employees, Cardiovascular Health.
本研究旨在根据美国运动医学学院(ACSM)风险因素指南,了解银行职员中冠状动脉疾病(CAD)风险因素的流行情况。本研究对目标人群进行了横断面抽样调查。研究采用了结构化问卷,确定了家族史、生活方式和生理参数等风险因素。ACSM风险因素与CAD发病率有明显相关性,是预测患CAD可能性的良好指标。尽管对普通人群冠状动脉疾病(CAD)的风险因素进行了大量研究,但一些特殊职业群体对其心血管健康有着独特的影响。银行职员就是这样一个群体,他们的工作环境、生活方式选择和生理参数都会给他们带来潜在的压力:方法:根据纳入和排除标准,纳入 135 名年龄在 30-60 岁之间的银行职员。对银行职员进行了访谈,了解了他们的人口统计学详情、IPAQ问卷、ACSM风险因素分层评分和感知压力量表。使用 Excel 进行了斯皮尔曼相关性检验:结果:我们的研究表明,体力活动问卷(IPAQ-SF)与 ACSM 危险因素分层评分之间存在很强的正相关性。本研究表明,在 Panvel 市公司地区的银行职员中,CAD 危险因素的发病率较高(76.30%),其中久坐不动的生活方式是最常见的原因(62.96%)。据观察,由于银行职员的工作要求较高,他们在身体、精神和社交三个健康领域都面临着一系列问题:冠状动脉疾病(CAD)、风险因素、ACSM、银行职员、心血管健康。
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引用次数: 0
Combined Effectiveness of Ebbets Foot Drills and Wobble Board Training on Proprioception and Balance in a Patient with Chronic Ankle Instability: A Case Study 艾贝茨足部训练和摇摆板训练对慢性踝关节失稳患者的运动感觉和平衡能力的综合效果:病例研究
Pub Date : 2024-07-25 DOI: 10.52403/ijhsr.20240747
Chaithanya P, Sreejisha Pk, Tanmay K
Introduction: The most prevalent lower limb injury, a lateral ankle sprain, is associated with impaired proprioception, balance, and strength, and it occurs often. Chronic Ankle Instability (CAI) is characterized by a lack of function and recurrent episodes. The six movements that make up Ebbets foot drills work to develop the muscles like Tibialis Anterior, Tibialis Posterior, and Peroneus Longus. Sensorimotor re-education may be facilitated by wobble board training (WBT).Objective: This research seeks to determine the efficacy of combining Wobble board training with Ebbets foot exercises in improving balance and proprioception in a patient suffering from chronic ankle instability.Materials and Method: With the use of inclusion and exclusion criteria, a person with chronic ankle instability was chosen. We used the Y balance test and an iPhone inclinometer to measure balance and proprioception as part of our pre-test. The patient participated in Ebbets foot exercises and Wobble board training for four weeks, with three 30-minute sessions each week. Using the same instrument as the pre-test, the impact of both components was evaluated after four weeks.Results: Ankle proprioception angles and Y balance test composite scores both showed improvement, indicating an improvement in proprioception and balance.Conclusion: The results of this research indicated that a patient with Chronic Ankle Instability shown higher improvements in proprioception and balance when the Ebbets foot exercise and Wobble board training were performed together.Key words: Ankle sprains, Balance, Chronic ankle instability, Ebbets foot drills, Proprioception, Wobble board training.
简介:最常见的下肢损伤是外侧踝关节扭伤:最常见的下肢损伤是外侧踝关节扭伤,与本体感觉、平衡和力量受损有关,而且经常发生。慢性踝关节不稳定(CAI)的特点是缺乏功能和反复发作。埃贝茨足部训练的六个动作可以锻炼胫骨前肌、胫骨后肌和腓肠肌等肌肉。摇摆板训练(WBT)可促进感觉运动再教育:本研究旨在确定将摇摆板训练与艾贝茨足部训练相结合对改善慢性踝关节不稳定患者的平衡和本体感觉的效果:根据纳入和排除标准,我们选择了一名慢性踝关节不稳定患者。作为预试验的一部分,我们使用 Y 平衡测试和 iPhone 倾角计测量平衡和本体感觉。患者参加了为期四周的艾贝茨足部训练和摇摆板训练,每周三次,每次 30 分钟。使用与预测试相同的工具,在四周后对这两个部分的影响进行评估:结果:踝关节本体感觉角度和 Y 平衡测试综合得分均有所改善,表明本体感觉和平衡能力有所提高:研究结果表明,慢性踝关节不稳患者在同时进行艾贝茨足部训练和摇摆板训练后,本体感觉和平衡能力得到了更大的改善:踝关节扭伤 平衡 慢性踝关节不稳定 艾贝茨足部练习 本体感觉 摇晃板训练
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引用次数: 0
Correlation Between Peak Expiratory Flow Rate (P.E.F.R.) And Abdominal Muscles Strength Among Voice Over and Dubbing Artists: A Correlational Study 配音和配音艺术家的峰值呼气流速 (P.E.F.R.) 与腹部肌肉力量之间的相关性:相关研究
Pub Date : 2024-07-25 DOI: 10.52403/ijhsr.20240755
Siddhima Hardikar, Manali Deshpande
Introduction: Voice over &dubbing artists are professionals who uses their voice to portray characters or provide information to an audience to entertain them. These artists use abdominal breathing rather than thoracic breathing. Respiratory function has correlation with voice production and quality. Pulmonary function tests can be used to assess the voice of a person. There is less literature support for nature of abdominal muscle activation among professional voice users. In this study the correlation between Peak Expiratory Flow Rate (P.E.F.R.) and abdominal muscle strength will be assessedMethod: 50 Voice over and dubbing artist with experience of at least 6 months in voice industry among which 17 were females and 33 were male artists within age group of 18-25 years were approached and consented for the assessment. Peak Expiratory Flow Rate (P.E.F.R.) were assessed using Peak Flow Meter and strength of abdominal muscles were assessed using pressure biofeedback unit. The statistical data was then analyzed for the result.Results: Linear regression test was performed to find the correlation between the Peak Expiratory Flow Rate (P.E.F.R.) and abdominal muscles. The statistical analysis of P.E.F.R. and abdominal muscles strength was calculated to be significant. The test showed significant results with p value <0.0001. Correlation coefficient (r) is 0.1959.Conclusion: it was concluded that there is correlation between Peak Expiratory Flow Rate (P.E.F.R.) and Abdominal Muscles Strength among voice over and dubbing artists.Key words: Voice over artists, dubbing artist, P.E.F.R., abdominal muscles, pulmonary function tests
简介配音和配音艺术家是用声音塑造人物形象或向观众提供信息以娱乐观众的专业人员。这些艺术家使用腹式呼吸而非胸式呼吸。呼吸功能与声音的产生和质量息息相关。肺功能测试可用于评估一个人的嗓音。关于专业嗓音使用者腹肌激活性质的文献支持较少。本研究将评估峰值呼气流速(P.E.F.R.)与腹部肌肉力量之间的相关性:访问 50 名在配音行业工作至少 6 个月的配音员,其中 17 名女性,33 名男性,年龄在 18-25 岁之间。使用峰值流量计评估了呼气峰值流速(P.E.F.R.),并使用压力生物反馈装置评估了腹部肌肉的力量。然后对统计数据进行分析:结果:对峰值呼气流速(P.E.F.R.)和腹肌之间的相关性进行了线性回归测试。经统计分析,P.E.F.R.与腹部肌肉力量的相关性显著。测试结果显示,P 值小于 0.0001,具有显著性。相关系数 (r) 为 0.1959。结论:得出结论认为,在配音员和配音员中,呼气峰流速 (P.E.F.R.) 和腹肌力量之间存在相关性:配音员、配音员、呼气峰流速、腹肌、肺功能测试
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引用次数: 0
Prototype Development of Offloading Knee Brace for Management of Knee Osteoarthritis: A Case Study 用于治疗膝关节骨性关节炎的卸力膝关节支架原型开发:案例研究
Pub Date : 2024-07-25 DOI: 10.52403/ijhsr.20240754
Pinki Swami, Sakshi Saharawat
Background: Osteoarthritis (OA) of the knee is a degenerative joint condition characterized by the gradual deterioration of the cartilage in the knee joint commonly affecting the medial compartment of knee joint due to the increased load bearing during various activities. As the cartilage diminishes, the bones in the medial compartment may start rubbing against each other, causing discomfort, pain, stiffness in the joints, reduced range of motion, quadriceps muscle weakness, joint instability which may cause a feeling of wobbliness or unsteadiness, making it more difficult for individuals to maintain balance and stability during movement and changes in proprioception. Different types of knee orthosis can be beneficial in the management of OA. The currently available knee orthoses are useful for offloading the medial compartment of the knee, but are highly expensive, unaffordable for most people in developing nations like India. Hence the study aims to develop an effective intervention that does not involve surgery or pharmaceuticals, providing alternatives for those who may prefer or cannot undergo more invasive treatments. A new offloading knee brace was developed at Indian Spinal Injuries Centre, which was designed appropriately providing potential to reduce symptoms, improve joint function, improve balance and enhance overall well-being. The developed new offloading knee brace is an economical solution for the patients as well as the findings of the study will help the orthotist to have an option for an appropriate knee brace for successful treatment of person with medial knee osteoarthritis.Objective: To develop a light weight and cost – effective offloading knee brace to assess the effects on balance and strength in patients suffering from medial osteoarthritis.Study design: Case reportSignificance: Unfortunately, the braces available are costly and unaffordable for Indian population, therefore the attempt was made to reduce the cost of the brace and the spiral design in new offloading brace resolve the balancing issues and improve the muscle strength of knee osteoarthritis.Method: A 45-year-old male with osteo knee arthritis of medial compartment of grade 2 (mild) was assessed and pre – test reading for balance and strength was done. The subject was then provided with new offloading knee brace for a period of 1 week, post – test for balance and strength was recorded.Result: The result shows a significant improvement in five – time sit to stand test, stair climb test, 6 - minute walk test, timed up and go test and lift and carry test thereby indicating improvement in balance and strength after the use of the brace.Conclusion: The offloading knee brace was effective in improving the balance and strength in person with medial knee osteoarthritis.Key words: Osteoarthritis, Balance, Strength, Knee orthosis, Offloading knee brace.
背景:膝关节骨性关节炎(OA)是一种关节退行性病变,其特点是膝关节软骨逐渐退化,由于在各种活动中承受的负荷增加,膝关节内侧室常受到影响。随着软骨的退化,内侧室的骨头可能会开始相互摩擦,从而引起不适、疼痛、关节僵硬、活动范围减小、股四头肌无力、关节不稳定,可能会导致摇晃或不稳定感,使患者在运动时更难保持平衡和稳定,本体感觉也会发生变化。不同类型的膝关节矫形器有助于治疗 OA。目前可用的膝关节矫形器对减轻膝关节内侧负重很有帮助,但价格昂贵,印度等发展中国家的大多数人负担不起。因此,该研究旨在开发一种不涉及手术或药物的有效干预措施,为那些可能更愿意或无法接受更具侵入性治疗的人提供替代方案。印度脊柱损伤中心开发了一种新型卸力膝关节护具,其设计合理,具有减轻症状、改善关节功能、提高平衡能力和增强整体健康的潜力。开发的新型卸荷膝关节支架对患者来说是一种经济的解决方案,研究结果也有助于矫形师选择合适的膝关节支架,成功治疗内侧膝关节骨性关节炎患者:研究设计:研究设计:病例报告不幸的是,现有的支具价格昂贵,印度人负担不起,因此,我们尝试降低支具的成本,并在新的卸荷支具中采用螺旋设计,以解决平衡问题并改善膝关节骨关节炎患者的肌肉力量:方法:对一名患有 2 级(轻度)膝关节内侧骨性关节炎的 45 岁男性进行评估,并进行了平衡和力量的测试前读数。然后为受试者提供为期一周的新卸力膝关节护具,并记录测试后的平衡和力量情况:结果:结果显示,受试者在五次坐立测试、爬楼梯测试、6 分钟步行测试、定时起立测试和提举测试中均有明显改善,这表明使用护具后受试者的平衡和力量得到了改善:结论:膝关节卸力支具能有效改善膝关节内侧骨关节炎患者的平衡和力量:骨关节炎 平衡 力量 膝关节矫形器 膝关节卸力支具
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引用次数: 0
Correlation of Peak Expiratory Flow Rate to Pulmonary Function Test in Chronic Obstructive Pulmonary Disease Subjects 慢性阻塞性肺病受试者呼气峰流速与肺功能测试的相关性
Pub Date : 2024-07-25 DOI: 10.52403/ijhsr.20240752
Sangeeta Appannavar, Khushboo Gupta, Sandeep Appannavar
Background: Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disorder (CRD) that progresses slowly and is characterized by an obstructive ventilatory pattern which is usually progressive and associated with an abnormal inflammatory response of the lungs to noxious particles or gases. COPD can be examined by using Pulmonary Function Test (PFT) which include Spirometry. In PFT, Forced Expiratory Volume in 1 second decreases due to fibrotic remodeling of the airways but however, PFT is not always available in the Primary care settings or Clinical setups. Hence, a simple and affordable method is required in COPD subjects for the assessment of pulmonary functions. This study used an alternative method to check pulmonary functions by using Peak Expiratory Flow Rate (PEFR) to measure FEV1. Thus, the need of the study is to correlate PEFR as a screening tool to PFT in the COPD subjects in clinical setups or primary care settings with the same efficacy and potentiality.Aim & Objective: The Objective of the study was to correlate the Peak Expiratory Flow Rate to Pulmonary Function Test in Chronic Obstructive Pulmonary Diseases subjects.Study design: Cross-Sectional StudyMethod: Subjects diagnosed with COPD of age 40 years and above were referred to CardioRespiratory Physiotherapy OPD by Medical Practitioner or Pulmonologist. The sample size was calculated based on the Convenient Method of Sampling, by which a total of 30 patients were recruited for the study. After obtaining scores of PFT, three readings were recorded of PEFR by using a Peak Flow Meter and the best of the three was considered for final analysis. The Statistical analysis was done using SPSS version 23.0. The descriptive analysis was done for the baseline characteristic that was presented as percentages, means and standard deviation (SD). Karl Pearson's correlation coefficient applied for correlation of PEFR with PFT respectively. P- value less than equal to 0.05 was statistically significant.Result: In this study, 30 subjects were taken of age 40 to72 years, out of which 22(73.33%) were males while 8(26.67%) were females. This study resulted that the correlation of PEFR scores with PFT that comprises of FEV1, FVC, FEV1/FVC is statistically significant as the Pvalue is less than 0.05i.e FEV1 (0.0005*), FVC (0.0005*), FEV1/FVC (0.0185*).Conclusion: We concluded that PEFR can be used as an effective and potential screening tool to the Physiotherapists and Clinicians for the assessment of the individuals with different stages of COPD in any sector of health care, including consultations/OPD or primary health care as an alternative to the PFT.Key words: Chronic Obstructive Pulmonary Diseases, Pulmonary Function Test, Peak Expiratory Flow Rate, Forced Expiratory Volume 1 second, Peak Expiratory Flow.
背景:慢性阻塞性肺疾病(COPD)是一种进展缓慢的慢性呼吸系统疾病(CRD),其特征是阻塞性通气模式,通常是进行性的,与肺部对有害颗粒或气体的异常炎症反应有关。慢性阻塞性肺病可通过肺功能检测(PFT)进行检查,其中包括肺活量测定。在肺功能测试中,由于气道的纤维化重塑,1 秒钟内的用力呼气量会减少。因此,慢性阻塞性肺病患者需要一种简单、经济的方法来评估肺功能。本研究采用了另一种方法,即使用呼气峰流速(PEFR)来测量 FEV1,从而检查肺功能。因此,该研究需要将 PEFR 作为慢性阻塞性肺病受试者的筛查工具,在临床或初级保健环境中与 PFT 进行关联,并具有相同的功效和潜力:研究的目的是将峰值呼气流速与慢性阻塞性肺病受试者的肺功能测试相关联:研究设计:横断面研究方法:被诊断为慢性阻塞性肺病的 40 岁及以上受试者由医生或肺病专家转诊至心肺物理治疗门诊。根据方便抽样法计算样本量,共招募 30 名患者参与研究。获得 PFT 评分后,使用峰值流量计记录三个 PEFR 读数,取三个读数中最好的一个进行最终分析。统计分析使用 SPSS 23.0 版进行。对基线特征进行了描述性分析,以百分比、平均值和标准差(SD)表示。卡尔-皮尔逊相关系数分别用于分析 PEFR 与 PFT 的相关性。P 值小于等于 0.05 则具有统计学意义:本研究选取了 30 名年龄在 40 岁至 72 岁之间的受试者,其中 22 名(73.33%)为男性,8 名(26.67%)为女性。研究结果表明,PEFR 评分与由 FEV1、FVC、FEV1/FVC 组成的 PFT 的相关性具有统计学意义,因为 P 值小于 0.05,即 FEV1 (0.0005*)、FVC (0.0005*)、FEV1/FVC (0.0185*):我们得出的结论是,PEFR 可作为一种有效且有潜力的筛查工具,供物理治疗师和临床医生在任何医疗保健领域(包括会诊/OPD 或初级医疗保健)评估不同阶段的慢性阻塞性肺疾病患者,作为 PFT 的替代方法:慢性阻塞性肺病、肺功能测试、呼气峰流速、1 秒用力呼气量、呼气峰流量。
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引用次数: 0
Comparison of Dental Caries and Malocclusion Prevalence Patterns Among the General Population of Erode and Namakkal Districts (Western Tamil Nadu) - An Analytical Cross- Sectional Study 埃罗德区和纳马克卡尔区(泰米尔纳德邦西部)普通人群龋齿和错颌畸形流行模式的比较 - 一项横断面分析研究
Pub Date : 2024-07-25 DOI: 10.52403/ijhsr.20240742
Nimmy P, P. D, Sindhu R
AIM: The aim of the study is to record the prevalence patterns of dental caries and malocclusion among the general population of western Tamilnadu (Erode and Namakkal districts).MATERIALS & METHODS: A Cross-sectional study was carried out in the selected number of samples to find out the prevalence of Dental Caries and Malocclusion in the index age group of 5, 12, 15, 35 – 44, 65-74 years and 12 and 15 years, respectively using “WHO oral Health assessment form 1997”. A total of 305 samples for Dental Caries and 544 samples for Malocclusion were collected in Western Tamil Nadu, India, using a Multistage random sampling technique. Samples were recruited from the randomly selected districts of Western Tamil Nadu i.e., Erode and Namakkal. Descriptive analysis was done using Microsoft Excel version 2016. The statistical test used was chi-square using SPSS Software Version 20.RESULTS: The overall prevalence of Dental caries was higher in the Namakkal district (60%) than in the Erode district (51.4%), and the overall prevalence of Malocclusion was also higher in the Namakkal district (36.2%) than in the Erode district (30.7%). The prevalence of dental caries and Malocclusion were recorded as high among the rural population in the Erode and Namakkal districts.CONCLUSION: The Western part of Tamilnadu (Erode and Namakkal district) records the high prevalence rates for Dental caries and Malocclusion, implicating the need for oral health awareness in that zone.Key words: Dental Caries, Malocclusion, Oral Health, Prevalence
材料与方法:采用 "1997 年世界卫生组织口腔健康评估表",对选定的样本进行横断面研究,以了解 5 岁、12 岁、15 岁、35-44 岁、65-74 岁以及 12 和 15 岁年龄组的龋齿和错颌畸形患病率。采用多阶段随机抽样技术,在印度泰米尔纳德邦西部共收集了 305 个龋齿样本和 544 个错合畸形样本。样本从泰米尔纳德邦西部的埃罗德和纳马卡尔两个地区随机抽取。使用 Microsoft Excel 2016 版本进行了描述性分析。结果:纳马克卡尔区的龋齿总患病率(60%)高于埃罗德区(51.4%),纳马克卡尔区的错牙合畸形总患病率(36.2%)也高于埃罗德区(30.7%)。结论:泰米尔纳德邦西部地区(埃罗德和纳玛卡尔区)的龋齿和错牙合畸形发病率较高,说明该地区需要提高口腔健康意识:龋齿 错牙合畸形 口腔健康 患病率
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引用次数: 0
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International Journal of Health Sciences and Research
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