scholarly journals To determine the effectiveness of physical therapy management among the toe walking children’s in Karachi Pakistan: An observational study

Author(s):  
Chughani Vikash ◽  
Sachdev Sonum ◽  
Lekhraj Shobha ◽  
Ali Aadil Ameer

Objective: To evaluate the effectiveness of Physical Therapy Management among the toe walking children’s in Karachi Pakistan. Methodology: A cross sectional survey was conducted from June to October 2018 in Department of physiotherapy, Liaquat National medical college and hospital, Karachi, Pakistan. A self-fabricated questionnaire was used in 36 Toe walking children’s. The questionnaire consists of demographics (age and gender), evaluation of pain through visual analogue scale, range of motion through goniometer and cadence was measured .The statistical package for social sciences (SPSS) version 23 was used to interpret the data. Result: The majority (n=24, 66.6%) were belongs to age group of 8 to 12 years and (n=25, 69.4%) were male. Mostly (n=25, 69.4%) were clinically diagnosed cases of cerebral palsy. After checking the involvement it was found that (n=21, 58.3%) were suffering from bilateral toe walking and (n=22, 61.1%) were affected from the day of their birth. Conclusion: The study finalized that the Physical Therapy is effective in decreasing the pain, increasing the range of motion and improving the number of steps among the toe walking children’s.

Background: Information technology (IT) is a new way of teaching and learning. One of the promising media of information technology is e-Learning, which is used to enhance knowledge and skills among users. A student gains better and deep knowledge through a useful tool. This survey aimed to determine practices among medical students for e-Learning. Methods: This cross-sectional survey was conducted on 184 students amongst the 500 students currently enrolled in medical college. Data was collected using questionnaires and were analyzed through SPSS version 22. Chi-square was used for qualitative values. Results: Majority 90.80% (n=167) students were aware of e-Learning and were statistically high in first year students (p-value: 0.018). The student did not show statistically significant results for content learned through e-Learning with a p-value of 0.063. Different resources were used for e-Learning in which videos had the highest percentage (87.60%) and audios were used as the least resource for e-Learning (29.20%). Daily, 56% of the students use e-Learning for 1 hour or less and only 3% of the students used it for more than 4 hours. Conclusion: Majority of undergraduate medical students were aware of the use of e-Learning and most of them preferred e-Learning for their course work and studies showing a significant increase in understanding and use, compared to studies conducted earlier. Participants found e-Learning useful and effective tool in increasing knowledge and understanding of their subject. Keywords: e-Learning; Practices; Students.


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e043421
Author(s):  
Rae Thomas ◽  
Hannah Greenwood ◽  
Zoe A Michaleff ◽  
Eman Abukmail ◽  
Tammy C Hoffmann ◽  
...  

ObjectivePublic cooperation to practise preventive health behaviours is essential to manage the transmission of infectious diseases such as COVID-19. We aimed to investigate beliefs about COVID-19 diagnosis, transmission and prevention that have the potential to impact the uptake of recommended public health strategies.DesignAn online cross-sectional survey.ParticipantsA national sample of 1500 Australian adults with representative quotas for age and gender provided by an online panel provider.Main outcome measureProportion of participants with correct/incorrect knowledge of COVID-19 preventive behaviours and reasons for misconceptions.ResultsOf the 1802 potential participants contacted, 289 did not qualify, 13 declined and 1500 participated in the survey (response rate 83%). Most participants correctly identified ‘washing your hands regularly with soap and water’ (92%) and ‘staying at least 1.5 m away from others’ (90%) could help prevent COVID-19. Over 40% (incorrectly) considered wearing gloves outside of the home would prevent them from contracting COVID-19. Views about face masks were divided. Only 66% of participants correctly identified that ‘regular use of antibiotics’ would not prevent COVID-19.Most participants (90%) identified ‘fever, fatigue and cough’ as indicators of COVID-19. However, 42% of participants thought that being unable to ‘hold your breath for 10 s without coughing’ was an indicator of having the virus. The most frequently reported sources of COVID-19 information were commercial television channels (56%), the Australian Broadcasting Corporation (43%) and the Australian Government COVID-19 information app (31%).ConclusionsPublic messaging about hand hygiene and physical distancing to prevent transmission appears to have been effective. However, there are clear, identified barriers for many individuals that have the potential to impede uptake or maintenance of these behaviours in the long term. We need to develop public health messages that harness these barriers to improve future cooperation. Ensuring adherence to these interventions is critical.


2019 ◽  
Vol 12 (2) ◽  
pp. 53-58
Author(s):  
S. Singh ◽  
BR Sharma ◽  
M. Bhatta ◽  
N. Poudel

Aim: The aim of this study is to assess the anteroposterior diameter of brainstem (midbrain, pons and medulla) of normal Nepalese people to establish normal ranges and to correlate the measurement with pa­tient’s age and gender. Method: The study is a cross-sectional prospective study which is per­formed in Gandaki Medical College, Pokhara. The data is collected over the period of 5 months from May 2018 to September 2018. The data of total 103 patients are collected who underwent (Magnetic Resonance Imaging) MRI head. Measurements of sagittal diameter at predefined levels i.e. distance between upper border of pons to midway between superior and inferior colliculi (A) for midbrain, distance between an­terior surface of pons to the floor of fourth ventricle (B) for pons and anteroposterior diameter perpendicular to the long axis of medulla just above the posterior kink at cervicomedullary junction for medulla ob­longata were made and noted. Result: The mean anteroposterior diameter of midbrain, pons and me­dulla oblongata was found to be 1.7048 ± 0.12 cm, 2.27 ± 0.13cm and 1.3 ± 0.088 cm respectively. The average ratio of sagittal diameter of pons to sagittal diameter of midbrain was 1.34 ± 0.099 cm and average ratio of sagittal diameter of pons to medulla oblongata was 1.75 ± 0.123 cm. Conclusion: There was no statistically significant correlation of the sagittal diameter of midbrain, pons and medulla with patient’s gender. The sagittal diameter of brainstem reached maximum at the age 20 and stopped increasing. The sagittal diameter of midbrain and medulla ob­longata decreased slightly after the age of 50 and decreased significant­ly after the age of 70. There was no decrease in the sagittal diameter of pons after age.


Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 311
Author(s):  
Nora A. Althumiri ◽  
Mada H. Basyouni ◽  
Norah AlMousa ◽  
Mohammed F. AlJuwaysim ◽  
Rasha A. Almubark ◽  
...  

The global prevalence of obesity is increasing. Obesity is associated with many chronic diseases and health conditions. This study aims to estimate the current prevalence of obesity in Saudi Arabia and described the current national-level status of the association between obesity and various health conditions. This study is a nationwide cross-sectional survey conducted over phone-interviews in June 2020. In this study, a proportional quota-sampling technique was used to obtain equal distributions of participants, stratified by age and gender, across the 13 regions of Saudi Arabia. Weight and height were self-reported, and the obesity was determined as BMI ≥ 30. Logistic regression adjusted for age and gender was used for exploring current associations between obesity and health conditions. Of the 6239 participants contacted, 4709 participants responded and completed the interview with a response rate of 75.48%. Of them, 50.1% were female, the mean age was 36.4 ± 13.5 (Range: 18–90), and the median age was 36. The national weighted prevalence of obesity (BMI ≥ 30) was 24.7%, and the prevalence in the sample (unweighted) was 21.7%. Obesity was significantly associated with type 2 diabetes [Odd ratio, (OR) = 1.52], hypercholesterolemia (OR = 1.69), hypertension (OR = 1.61), lung diseases (OR = 1.69), rheumatoid arthritis (OR = 1.57), sleep apnea (OR = 1.82), colon diseases (OR = 1.31), and thyroid disorders (OR = 1.8). This study provides an update on the recent prevalence of obesity in Saudi Arabia. It also shows the variation in prevalence rates between different regions, which might be explored further. Although obesity shows a decreasing trend, almost one-quarter of this study sample were obese. Obesity is currently associated with many health conditions that can affect the individuals’ quality of life, impose stress on the healthcare system and impose an economic burden on the country. This evidence highlights the need for action to focus more on obesity in Saudi Arabia.


2021 ◽  
Vol 15 (8) ◽  
pp. 2046-2049
Author(s):  
Ali Anwaar ◽  
Fareed Ahmad ◽  
Muhammad Shairaz Sadiq ◽  
Mustafa Qadeer ◽  
Muhammad Afzal ◽  
...  

Objective: The aim of this study is to discover effectiveness of interdental aid, their use in the daily oral hygiene and suggestion of interdental aid to be used. Methods & Materials: This study was conducted among 503 convenient samples of patients from outpatient department of IOD, CMH Lahore medical college. It is a questionnaire-based study. Data collected from February 2021 to April 2021. A written consent was taken. All the examiners were calibrated for check-up and questionnaire was filled on effectiveness of interdental aids and its uses and recommendation by individual. Results: Total 503 people with 230 females and 273 males were participated in the study. Majority of the sample size did not know how to do interdental cleaning. Also, there is lack of awareness about dental hygiene in the masses. Conclusion: Amongst the patients which came for their dental treatments who were using any interdental cleaning aid, toothpick was the most common choice. However, toothpicks are not a recommended aid because it can damage the gums and cause bleeding. Awareness should be given to the patients so that they use appropriate methods and aids for interdental cleaning. Keywords: Interdental Aids, Effectiveness


Med Phoenix ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 14-18
Author(s):  
Smita Singh ◽  
Deependra Prasad Sarraf ◽  
Prabin Singh ◽  
Pragati Poudyel

Introduction: Pharmacovigilance helps in the detection and prevention of adverse effects of drugs. For the effectiveness of this program, health care professionals should report adverse drug reactions (ADRs) considering it as their moral and professional obligation. The objective of the study was to assess the knowledge, attitude, and practices (KAP) of the doctors towards ADRs and pharmacovigilance in  National Medical College Teaching Hospital (NMCTH), a tertiary care teaching hospital situated in the Narayani zone. Materials and Methods: A cross-sectional study was carried out using a self-administered questionnaire consisting of four parts; first part included a demographic profile of participants, the second part consisted of ten questions for the assessment of the knowledge about pharmacovigilance, third part comprised of six questions on attitude and fourth part consisted of five questions on practice. The results were depicted in the form of percentages for each KAPs questionnaire.   Results: The response rate of participants was 85.16%. Pharmacovigilance was correctly defined by 52%. Department of drug administration was responsible for monitoring ADRs in Nepal was correctly given by 80%. Only 8% had reported ADRs, although 62% had encountered an ADR in their clinical practice. Conclusion: The doctors at NMCTH had a poor KAP towards pharmacovigilance and educational intervention is needed for the proper functioning of this program.


2021 ◽  
Vol 15 (12) ◽  
pp. 3198-3199
Author(s):  
Pervez Muhammad ◽  
Sajjad Muhammad ◽  
Muhammad Tariq ◽  
Amir Khan ◽  
Akhtar Munir ◽  
...  

Aim: Prevalence of colorectal carcinoma with respect to age and gender Study design: Observational / cross sectional study. Place and duration of study: This study was conducted at the Department of Pathology and Surgery, Post Graduate Medical Institute Lahore and Jinnah Medical College Peshawar from July, 2013 to February, 2015 Methodology: Surgical specimens of 60 histopathologically diagnosed cases of colorectal adenocarcinoma were included in this study. Age and sex were evaluated in CRC. Results: The mean±sd of age was 54.4±19.7 yrs. Out of 60 cases, 6 (10%) were between 16-29 yrs, 9 (15%) cases were between 30-49 yrs, 34 cases (56.7%) were of 50-69 yrs and 11 cases (18.33%) were of 70 yrs. Out of sixty cases, males were 33 (55%) and females were 27(45%). Conclusion: There are 34 out of 60(56.7%) patients were 50-69 years and 33 out of 60 (55%) cases were males i.e. males dominance. Keywords: Colorectal adenocarcinoma, immunohistochemistry, gender


2021 ◽  
Vol 71 (1) ◽  
pp. 351-56
Author(s):  
Naureen Waseem ◽  
Aaqiba Rasheed ◽  
Maria Gill ◽  
Ayesha Asad ◽  
Muhammad Omar Shamim ◽  
...  

Objective of Study: The objective of this study is to have an insight on student’s attitudes regarding histology’s clinical relevance in public and private sector medical college. Methodology: A cross sectional survey for attitude analysis towards histology’s clinical importance was carried out among 200 third year medical students from private and public sector medical college. Thurdstone and Chave attitude analysis questionnaire was employed to find the attitude score. Results: Students of both public and private sector medical college show scepticism towards the clinical importance of histology. There was no marked difference in the attitudes of students of public and private sector medical college. Most data remained on the borderline of the attitude scale employed. Conclusion: This study provided useful information for the teachers that students do not appreciate the clinical importance of histology much. Teachers need to devise strategies and to work on the students helping them comprehend the importance of histology.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Mazen Alqahtani ◽  
Faizan Kashoo ◽  
Msaad Alzhrani ◽  
Fuzail Ahmad ◽  
Mohammed K. Seyam ◽  
...  

Background. Early mobilisation of patients in the intensive care unit (ICU) is associated with positive health benefits. Research literature lacks insight into the current status of ICU physical therapy (PT) practice in the Kingdom of Saudi Arabia. Aim. To determine the current standard of ICU PT practice, attitude, and barriers. Methods. A questionnaire was e-mailed to physiotherapists (PTs) working in the hospital. The questions pertained to experience, qualification, barriers, and most frequently encountered case scenarios in the ICU. Results. The response rate was 28.1% (124/442). Frequent cases referred to the PTs were traumatic paraplegia (n = 111, 89%) and stroke (n = 102, 82.3%) as compared to congestive heart failure (n = 20, 16.1%) and pulmonary infections (n = 7, 5.6%). The preferred treatment of choice among PTs was chest physiotherapy (n = 102, 82.2%) and positioning (n = 73, 58.8%), whereas functional electrical stimulation (n = 12, 9.6%) was least preferred irrespective of the condition. Perceived barriers in the ICU PT management were of low confidence in managing cases (n = 89, 71.7%) followed by inadequate training (n = 53, 42.7%), and the least quoted barrier was a communication gap between the critical care team members (n = 8, 6.4%). Conclusion. PTs reported significant variation in the choice of treatment for different clinical cases inside ICU. The main barriers in the ICU setting were low confidence and inadequate training.


2021 ◽  
Vol 28 (10) ◽  
pp. 1519-1524
Author(s):  
Zahid Kamal ◽  
Nauman Aziz ◽  
Hafiza Swaiba Afzal ◽  
Ahmad Zeeshan Jamil ◽  
Muhammad Waseem ◽  
...  

Objective: Objective Structured Practical Examination (OSPE) is a growing way of assessing the students of medical universities particularly. This study is targeted to compare and assess different perceptions of the faculty and the students towards OSPE at a public sector medical college. Study Design: Cross Sectional Survey. Setting: Sahiwal Medical College Sahiwal. Period: 1st July 2020 to 15th July 2020. Material & Methods: The questionnaire was sent to all the participants by Whatsapp because of COVID-19 pandemic. All the undergrad students of MBBS (500) and all the faculty members (65) of clinical and basic medical sciences were included in the study. Results: The response rate of faculty members was 78.46% and that of undergraduate students was 70.80%. Out of 51 members who responded, 23 (45.10%) were males while 28 (54.90%) were female. Female students were having majority of participation (71.20%). Most of the faculty and students agreed with the fact that ‘The questions asked in the OSPE stations were appropriate and related to the curriculum’ (60.10% and 45.10% respectively). Response to a question ‘OSPE is more transparent, fair and objective as compared to traditional practical examination’ got a nod from faculty members (49%). Almost 76% of the students (strongly agreed and agreed) thought that OSPE was tiring and stressful for them but their respected faculty members thought the opposite. Conclusion: Our study concludes that there is satisfaction of both students and the faculty regarding their perceptions of OSPE at public sector medical college. In our study while comparing, the majority of both the groups were having almost same opinions.


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