Prevalence of Scapular Dyskinesis in Breastfeeding Postnatal Women in Satara District - An Observational Study

BACKGROUND Poor posture like hunching forward is one of the most commonly practiced postures by women during breastfeeding. The maintenance of such postures for prolonged period can result in progressive weakness of the scapular muscles and subsequent increase in the kyphotic curve. Both lordosis and kyphosis increase during pregnancy and are observed to be maintained for up to 2 months postnatally. The thoracic spine position and slouched position significantly affects the scapular dynamics during scapular abduction resulting in decreased muscle forces. Thus, scapular dyskinesis, defined as an alteration of normal position or motion of the scapula during coupled scapulohumeral movements can occur as a result of decreased muscle forces. Thus, this gives rise to the need for evaluating scapular dyskinesis and its prevalence in postnatal women. The purpose of the study was to find the prevalence of scapular dyskinesis in breastfeeding postnatal women. METHODS An observational analytical study was undertaken at Krishna Institute of Medical Sciences, including a total of 40 subjects within the age group of (15 - 40) yrs. who had been breastfeeding for 6 months or more. These subjects were assessed for scapular dyskinesis using Yes / No test and the lateral scapular slide test (LSST). Kyphosis was assessed on observational basis through postural assessment in these individuals. Statistical analysis was done using the InStat app. RESULTS 67 % and 75 % of the subjects were found to be positive for scapular dyskinesis through Yes / No Test and LSST test respectively. Observational assessment showed that 55 % of the subjects were positive for kyphosis. Subjects demonstrated significant prevalence of scapular dyskinesis and subsequent kyphosis in postnatal females due to wrong ergonomic practice of breastfeeding. CONCLUSIONS The study shows that women lack proper knowledge about the breastfeeding ergonomics leading to weakness of scapular muscles. Thus, a significant prevalence of scapular dyskinesis was seen in breastfeeding postnatal women. KEY WORDS Breastfeeding, Scapular Muscle Weakness, Kyphosis, Ergonomics, Scapular Dyskinesis

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Correlation Between Scapular Dyskinesis Test and Lateral Scapular Slide Test in Scapular Assessment

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967114s00279 ◽

2014 ◽

Vol 2 (11_suppl3) ◽

pp. 2325967114S0027

Author(s):

Ertuğrul Yüksel ◽

Sevgi Sevi Yeşilyaprak

Keyword(s):

Frozen Shoulder ◽

Assessment Method ◽

Assessment Methods ◽

Scapular Dyskinesis ◽

Moderate Correlation ◽

Observational Assessment ◽

Overhead Athletes ◽

Static Assessment ◽

Slide Test

Objectives: Alterations of the normal position or any abnormal motion of the scapula during active motions of shoulder is termed Scapular Dyskinesis (SD). SD is quite common in overhead athletes with or without shoulder pain. In addition to overhead athletes, SD has also been identified in healthy, asymptomatic individuals. Although there are several proposed methods to identify SD, there are two common methods used in clinical practice; as Lateral Scapular Slide Test (LSST) and Scapular Dyskinesis Test (SDT). SDT was developed as a dynamic functional test after the development of LSST which is a static measurement. SDT has also relatively higher reliability than LSST. In the 2013 consensus statement from ‘scapular summit’, SDT was recommended as a simple and reliable method for scapular assessment because of being a dynamic functional assessment method. The purpose of this study was to investigate the correlation of these two observational tests in asymptomatic population Methods: Eighty-three healthy participants (mean age 21.74±2.3 years, 166 arms, 32 Female-51 Male) were recruited. Participants were eligible if they were ≥18 years of age, having active full shoulder motion, and who have no health problem to hinder them from participate. Individuals with symptoms produced by cervical spine motion, impingement syndrome, frozen shoulder, shoulder instability and a history of shoulder fracture/surgery were excluded. All participants performed SDT and LSST in a random order. Pearson's chi-squared test was used for statistical analysis. Results: SDT detected SD in 44 participants (53%), LSST detected SD in 30 participants (36%). 20 participants (24%) determined as having SD in both tests. There was a moderate significant correlation between SDT and LSST (p=0.000, Pearson Chi-Square value=32.856, Phi=0.445). Conclusion: SDT and LSST have moderate correlation in identifying SD. In recent years, it is suggested that scapula shouldn’t be assessed in static positions/postures. Although both SDT and LSST show the presence of SD, they don’t evaluate SD in the same way because of the fact that LSST is a static assessment method whereas SDT is a dynamic method. Furthermore, SDT has higher reliability rather than other static assessment methods. Moderate correlation between these two tests may not always provide compatible outcome. For these reasons, we don’t recommend the use of LSST solely or instead of SDT in examination of SD. LSST’s complementary role in determination of SD with other assessment methods is arguable due to reliability issues. Optimal observational assessment algorithm in determination of SD should be investigated in future studies.

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Evaluation of Etiology of Epistaxis and its Management in Dhulikhel Hospital

Kathmandu University Medical Journal ◽

10.3126/kumj.v13i1.13753 ◽

2015 ◽

Vol 13 (1) ◽

pp. 49-55 ◽

Cited By ~ 1

Author(s):

I Shrestha ◽

M Pokharel ◽

BL Shrestha ◽

A Dhakal ◽

RCM Amatya

Keyword(s):

Surgical Treatment ◽

Analytical Study ◽

Cost Effective ◽

Medical Intervention ◽

P Value ◽

Medical Sciences ◽

Cross Sectional ◽

Institutional Review ◽

Specific Objective ◽

Non Surgical Treatment

Background Epistaxis is one of the most common and most difficult emergencies presenting in 7-14% of the general population each year. Although its lifetime incidence is about 60%, only 6% require formal medical intervention but they can be serious and even life threatening.Objective The main objectives are to study different etiology, types, modality of treatment of epistaxis. Specific objective is also to find out if the modality of treatment is associated with age, site, amount of bleeding and etiology.Method It is a prospective, cross sectional, longitudinal, analytical study done in Department of ENT, Dhulikhel hospital, Kathmandu University School of Medical Sciences (KUSMS) from Aug. 2010 to Aug. 2013. Data was collected. This study was cleared through institutional review committee of hospital. Statistical analysis was done using SPSS 16.0.Result 487 patients were studied during the period. There was significant association between age group with type of treatment (p value 0.002); and with admission (p value < 0.001). Significance in the study was also shown in the correlation between site of bleeding and the type of treatment and also with alcohol intake with site of bleeding (p value < 0.001).However there was no significance between hypertension and the type of treatment methods chosen (p value >0.01).Conclusion Management of epistaxis is challenging. Most are managed by non surgical means whereas some by surgical treatment. Non surgical treatment is still useful, safe and cost effective. Type of treatment and need for hospital stay is related to age and site of bleeding.Kathmandu University Medical Journal Vol.13(1) 2015; 49-55

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Role of Breast-Feeding in Postnatal Women

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i44a32636 ◽

2021 ◽

pp. 441-447

Author(s):

Sowmiya Sri, Nithya

Keyword(s):

Breast Feeding ◽

Exclusive Breastfeeding ◽

Cultural Practices ◽

Respiratory Infections ◽

World Health ◽

Medical Sciences ◽

Postnatal Women ◽

Postnatal Mothers ◽

Health And Development ◽

Health Organization

To assess the attitude of breastfeeding in postnatal women. Breastfeeding is essential for the health and development of the child. It is protective against gastrointestinal and respiratory infections of the baby. Early initiation of breastfeeding, exclusive breastfeeding and introduction of complementary food in conjunction with continued breastfeeding is necessary for the sensory and cognitive development of the child. Even though the prevalence of breastfeeding is high, certain undesirable cultural practices delay initiation of breastmilk and colostrum. World Health Organization recommends the practice of exclusive breast feeding for infants up to 6 months of age and continue breast feeding up to 2 years along with weaning foods. Hence this study was conducted to follow up the breastfeeding practices of postnatal mothers and regarding its initiation and duration of exclusive breastfeeding in Sri Lakshmi Narayana Institute of Medical Sciences.

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Evaluating the Effective Factors in Motivating Nurses to Participate in On-the-job Training Courses

Nova Journal of Medical and Biological Sciences ◽

10.20286/nova-jmbs-050302 ◽

2016 ◽

Vol 5 (3) ◽

Author(s):

Purreza Abolghasem ◽

Leila Dehghankar ◽

Moslem Jafarisani ◽

Ali Pouryosef ◽

Hamidreza Tadayyon ◽

...

Keyword(s):

Analytical Study ◽

Job Training ◽

Male Nurses ◽

Motivating Factors ◽

Nursing Management ◽

Medical Sciences ◽

Effective Factors ◽

Training Courses ◽

The Subject ◽

On The Job Training

Background: On-the-job Training is one of the most useful and economical methods for nurses to keep up with the latest progress in technology, as well as medical and social sciences. Encouraging nurses to improve their knowledge and skills is one of the most important responsibilities of a nursing management. This study aims to evaluate the effective factors in Motivating Nurses to Attend On-the-job Training Courses.Methods: This is a descriptive-analytical study which is on the basis of existing facts and information about the subject of the study. Our population comprises of 147 qualified nurses working in the hospitals of Torbat Heidariye University of Medical Sciences. Data was collected using questionnaire and analyzed using SPSS 21.Results: 46.3% of nurses were in 30-40 age group, 54.2% were females, 81.2% were married, 86.4% had B.S. 58.6% of nurses have been working in the hospital for less than 5 years. 87.8% of nurses were working on shifts, and the rest (1.8%) were supervisors. 94% of nurses agreed on the necessity of on-the-job training (moderately or highly required).Conclusion: we found out that there is no significant relationship between motivating factors and demographic characteristics. Also, there is an important difference between genders and organizational motivating factors. It means that the rate of male nurses’ participation in on-the-job training courses is higher than that of female nurses.Keywords: motivation, nurse, on-the-job training, hospital

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Determination of Effective Factors on Attendance in Theoretical Classrooms from The Viewpoint of Students and Faculty Members of Paramedical Sciences Faculty of Mashhad in 2015

Journal of Medical Education and Development ◽

10.18502/jmed.v14i1.681 ◽

2019 ◽

Author(s):

M Meraji ◽

A Ziaee ◽

M Erfani ◽

A Fathalizadeh ◽

M Nouri

Keyword(s):

Physical Environment ◽

Analytical Study ◽

Data Gathering ◽

Academic Failure ◽

Faculty Members ◽

Demographic Information ◽

Medical Sciences ◽

Scientific Texts ◽

Effective Factors

Introduction: The presence in the classroom is closely linked to academic achievement and the prevention of student academic failure. This is while students are unwilling to attend class today. Therefore, study was conducted to determine the effective factors in their absence from the theoretical classes from the viewpoint of faculty members and students of Paramedical Sciences Faculty. Methods: : In this descriptive-analytical study, 38 faculty members of Paramedical Sciences Faculty of Mashhad University of Medical Sciences and 447 students was participated The data gathering tool was a researcher-made questionnaire that it was included two parts of demographic information and attendance factors in the class including 25 questions in the faculty' questionnaire and 27 questions in the students' questionnaire and in the four areas of teacher, the student, the physical environment and the content of course which were based on Likert scale. The content validity of the questionnaire was evaluated after reviewing the relevant scientific texts and by qualified professors in this area and reliability of the questionnaire was calculated by Cronbach's alpha. Data were analyzed using SPSS18 software and descriptive tests. Result: The professors and students participating in this study were with an average age of (43.16 ± 9.39) and (21.64 ± 1.21). According to the opinion of faculty members and students, the most important factors were the teacher's teaching and mastery (73.7%) and (46.6%), respectively, The least importance was attached to environmental factors such as light (7.9%) and heat (13.2%). Conclusion: One of the most important reasons for the effective presence of students in theoretical classes is the positive qualities of professors, As a result, they can improve their teaching methods, raise their level of science, and create an appropriate relationship with students so interested them present in the classroom.

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Knowledge Translation Status in Shiraz University of Medical Sciences

Quarterly Journal of Management Strategies in Health System ◽

10.18502/mshsj.v4i3.2055 ◽

2019 ◽

Author(s):

Vahideh Rostami ◽

Peivand Bastani ◽

Zahra Kavosi ◽

Ramin Ravangard

Keyword(s):

Knowledge Translation ◽

Analytical Study ◽

Simple Random Sampling ◽

Faculty Members ◽

Validity And Reliability ◽

Medical Sciences ◽

Cross Sectional ◽

The Status ◽

Research Findings ◽

Gender Type

Background: The optimal use of research findings is crucial. One of the activities that improves application of research-derived knowledge is the knowledge translation. This study aimed to investigate the status of knowledge translation in Shiraz University of Medical Sciences. Methods: This cross-sectional and descriptive-analytical study was conducted in 2018. The sample size included 143 faculty members of Shiraz University of Medical Sciences selected using the stratified sampling and simple random sampling methods. The required data were collected using a standard knowledge translation questionnaire consisting of 50 items in 4 dimensions. The validity and reliability of the questionnaires were confirmed in the previous studies. The collected data were analyzed using SPSS 21 by descriptive and analytical statistics. Results: The results showed that overall status of the knowledge translation was weak (2.46 ± 0.67). In this regard, producing useful evidence for decision making (2.77 ± 0.77) and promoting application of evidence (2.33 ± 0.88) had the highest and lowest mean scores, respectively. Furthermore, the overall mean of knowledge translation was significantly different with gender, type of center, and scientific rank (P < 0.05). Conclusion: Given the undesirable and weak status of knowledge translation, creating a culture of knowledge translation, training about knowledge transfer and utilization of research findings, creating incentive mechanisms, developing transparent processes and guidelines, and strengthening the interaction between knowledge producers and research users are essential.

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ANALYTICAL STUDY OF DIFFERENT SURGICAL MODALITIES AND THEIR OUTCOMES IN THE MANEGEMENT OF SMALL BOWEL OBSTRUCTION.

10.36106/gjra/9103775 ◽

2021 ◽

pp. 49-50

Author(s):

Anand Deoraj ◽

Nadeem Ahmad ◽

Neel Ketu ◽

Prem Prakash

Keyword(s):

Emergency Department ◽

Small Bowel ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Analytical Study ◽

Adverse Outcome ◽

Surgical Techniques ◽

Pulmonary Complications ◽

Medical Sciences ◽

Overall Mortality

Background: Small bowel obstruction is one of the leading causes of admission in emergency department worldwide. The aim of this study is to evaluate different surgical techniques and their outcomes in the management of small bowel obstruction. Subjects and Methods: A retrospective study of 95 patients >14 years of age suffering from small bowel obstruction admitted in the department of general surgery in Indira Gandhi Institute of Medical Sciences was done. The study period was April 2016 to March 2018. Results: Various surgical techniques were employed among which adhesiolysis (34.7%) was the commonest operation done followed by resection anastomosis (23.15%) and ileostomy creation (15.7%). The commonest fatal post-operative complication observed was pulmonary complications (9.47%) with an overall mortality rate of 10.5%. Conclusion: Early diagnosis and timely intervention is the cornerstone in the surgical management of small bowel obstruction. Any delay may increase morbidity and adverse outcome.

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A Study of the Relationship Between Nurses’ Professional Self-Concept and Professional Ethics in Hospitals Affiliated to Jahrom University of Medical Sciences, Iran

Global Journal of Health Science ◽

10.5539/gjhs.v8n4p82 ◽

2015 ◽

Vol 8 (4) ◽

pp. 82 ◽

Cited By ~ 3

Author(s):

Nehleh Parandavar ◽

Afifeh Rahmanian ◽

Zohreh Badiyepeymaie Jahromi

Keyword(s):

Professional Ethics ◽

Analytical Study ◽

Medical Science ◽

Self Concept ◽

Teaching Hospitals ◽

Medical Sciences ◽

Cross Sectional ◽

Professional Performance ◽

Professional Self ◽

The Relationship

BACKGROUND: Commitment to ethics usually results in nurses’ better professional performance and advancement. Professional self-concept of nurses refers to their information and beliefs about their roles, values, and behaviors. The objective of this study is to analyze the relationship between nurses’ professional self-concept and professional ethics in hospitals affiliated to Jahrom University of Medical Sciences. METHODS: This cross sectional-analytical study was conducted in 2014. The 270 participants were practicing nurses and head-nurses at the teaching hospitals of Peimanieh and Motahari in Jahrom University of Medical Science. Sampling was based on sencus method. Data was collected using Cowin’s Nurses’ self-concept questionnaire (NSCQ) and the researcher-made questionnaire of professional ethics. RESULTS: The average of the sample’s professional self-concept score was 6.48±0.03 out of 8. The average of the sample’s commitment to professional ethics score was 4.08±0.08 out of 5. Based on Pearson’s correlation test, there is a significant relationship between professional ethics and professional self-concept (P=0.01, r=0.16). CONCLUSION: In view of the correlation between professional self-concept and professional ethics, it is recommended that nurses’ self-concept, which can boost their commitment to ethics, be given more consideration.

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Kapalbhati changes cardiovascular parameters

Janaki Medical College Journal of Medical Science ◽

10.3126/jmcjms.v3i2.16080 ◽

2016 ◽

Vol 3 (2) ◽

pp. 43-49

Author(s):

R Nayak ◽

S Prakash ◽

R K Yadav ◽

K Upadhyay-Dhungel

Keyword(s):

Statistical Analysis ◽

Nursing Students ◽

Data Collection ◽

Nursing Student ◽

Analytical Study ◽

Significant Rise ◽

Medical Sciences ◽

Medical College ◽

Significant Difference ◽

Structured Questionnaire

Background and Objectives: Kapalbhati is among one of the cleansing act (shatkarma) in yogic philosophy. It is one of the popular Pranayama which has several benefits. It is highly recommended for those who have to do great deal of study and need a clean, clear mind. This study was conducted among nursing students at Janaki medical college, Janakpur, Nepal.Material and Methods: This analytical study was conducted among PCL Nursing students of Janaki Medical College, Janakpurdham, Nepal. Total 40 nursing student who gave consent and performed Kapalbhati correctly were included in the study. A detailed demographic profile with a structured questionnaire and observational checklist was filled for data collection. HR, SBP, DBP were the cardiac parameters taken. Those parameters were taken before, during, immediately after and after 1 minute, 2 minutes, 3 minutes and 5 minutes Pranayama. The data were entered in SPSS and Statistical analysis was done using version 20.Results: As in usual exercises, the HR, SBP and DBP increases significantly during Kapalbhati session but immediate post effect was surprisingly significantly fall in those parameters when compared with the value during exercises. The basal (pre-Kapalbhati) mean HR, SBP and DBP were 88.25 ± 9.02, 111.43 ± 11.28 and 73.9 ± 7.70 which increases upto 133.58 ± 35.70, 89.63 ± 23.31 and 118.55 ± 19.08 respectively during exercises and fall immediately after exercises value being 114.48 ± 21.94, 76.43 ± 15.34 and 88.6 ± 17.25 respectively.Conclusion: There is no significant difference between pre and post value of HR, SBP and DBP as in other study. There is significant rise between Pre-value and during-value of all parameters and significant fall of all parameters if compared between during-value and post-value.Janaki Medical College Journal of Medical Sciences (2015) Vol. 3 (2): 43-49

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A PHARMCEUTICO ANALYTICAL STUDY OF AMAVATARI RASA - A HERBAL FORMULATION

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/iamj1308102020 ◽

2020 ◽

Vol 8 (10) ◽

pp. 4649-4655

Author(s):

Anitha Somarajan ◽

Laxmi B Kurle ◽

Shankara Gowda

Keyword(s):

Analytical Study ◽

Reference Standards ◽

The Body ◽

The Other ◽

Medical Sciences ◽

Future Studies ◽

Herbal Formulation ◽

Analytical Standards

Ayurveda is the most ancient medical sciences which deal with the powerful medicines with the use of herbals, minerals and herbo-minerals. Amavatari Rasa is one of the most powerful Ayurvedic formulation which comes under the polyherbal formulations, it contains Eranda moola, Triphala, Shuddha Chitraka, Shuddha Vatsanabha as main ingredients and Gomutra as Bhavana dravya indicated in SarvaVatavikara. as it is a VatsanabhayuktaKashtoushadi and irrespective of other Kashtoushadis its name and its less dose indicates that it is more potent than the other Amavataharakashtoushadhis, assimilation in the body is much faster even though the dose is very less and it can competent with other Amavatahara Rasaushadis. Amavatari Rasa was prepared as per the classical reference as there was no analytical standards available for Amavatari rasa in Ayurvedic pharmacopeia of India to check its quality, in this study an effort has been made to carry out the pharmaceutico Analytical study of Amavatari Rasa. The result obtained will be the reference standards and can also be used for future studies on Amavatari Rasa standardization.

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