scholarly journals CLINICAL CHARACTERISTICS AND KINESITHERAPY TREATMENT OF CONGENITAL TORTICOLLIS MUSCULAR

2017 ◽  
Vol 10 (8) ◽  
pp. 366
Author(s):  
Zheralldin Durguti ◽  
Ardiana Murtezani ◽  
Eqrem Gara ◽  
Teuta Durguti
Keyword(s):  
Clinical Characteristics ◽  
Age Group ◽  
Physical Treatment ◽  
Significant Difference ◽  
Congenital Torticollis ◽  
In The Beginning ◽  
Muscular Torticollis ◽  
Neck Mobility ◽  
Therapy Clinic

  Objective: Torticollis is a deformity characterized by the lateral flexion of the head to the arm on the side of the localization of deformity and its rotation on the opposite side. The aim of this paper is to identify the clinical characteristics that have an impact on the progression of the congenital muscular cramping, as well as to show the role of kinesitherapy in the treatment of torticollis.Methods: The research was conducted in the “Therapy” - Physical Therapy Clinic in Pristina, in the 2-year period since February 2014 until 2016. The total number of infants diagnosed with torticollis is 160, ranging from 0 to 9 months. At the beginning of the research, the examinations of all infants were performed, all the necessary tests, measurements, and motor functions. Afterward, they were rehabilitated for 3 consecutive weeks with 5 sessions per week, a total of 15 sessions for each. After the rehabilitation was completed, over again, the same tests were made as it was done in the beginning. Questionnaires were completed on the first and last visit for all infants.Results: In the first visit of the infants’ examination, there was no significant difference between the groups (Chi-test=0.96, p=0.1), whereas in the second examination, after 15 rehabilitation sessions, there was a significant difference in improvement of all the treated groups with kinesiotherapy. Significant result was achieved in mobility where at the beginning of the treatment, there was a very large limitation of neck mobility (different mean = −31.0±10.0.95% CI: 33.7-−28.2, p<0.001). A small limitation of mobility remained only among some third-degree infants in the 6-9 month age group because of the time appearance for physical treatment was delayed (different mean = −27.8±12.6, 95%, CI: 31.2-−24.4, p<0.001).Conclusion: From the results of our research on kinesiotherapy with infant toddlers with torticollis, we conclude that kinesitherapy has a primary and very successful effect on the treatment of babies with muscular torticollis.

Management of Infants with Congenital Muscular Torticollis

2018 ◽  
Vol 17 (04) ◽  
pp. 138-142
Author(s):  
Zheralldin Durguti ◽  
Ardiana Murtezani ◽  
Lidvana Spahiu ◽  
Teuta Durguti ◽  
Eqrem Gara
Keyword(s):  
Physical Therapy ◽  
Mean Difference ◽  
Chi Square ◽  
Congenital Muscular Torticollis ◽  
Significant Difference ◽  
Chi Square Test ◽  
The Mean ◽  
Muscular Torticollis ◽  
Therapy Clinic

AbstractCongenital muscular torticollis (CMT) is a deformation characterized by unilateral shortening of the sternocleidomastoid muscle resulting in lateral inclination of the neck associated with contralateral torsion. The purpose of this study was to assess the role of physical therapy in infants with CMT according to the age when treatment was started. The study was conducted in the Physical Therapy Clinic “Therapy” in Pristina for a period of 1 year from June 2016 to June 2017. The number of infants diagnosed with a CMT was 130 (71 girls and 59 boys). The infants were examined two times during the study period. The first visit was at the baseline and the second after the intervention. Three comparative groups are created based on time to start treatment. The infants were treated for 3 consecutive weeks with five sessions per week with the same therapeutic procedure. In the first examination of infants, there was no significant difference between the groups (chi-square test = 0.78, p = 0.08), whereas in the second examination after the 15 therapeutic sessions there was significant difference in the improvement of all the groups treated with physical therapy. Significant result was achieved in mean range of motion in infants of the group aged 3.1 to 6 months (mean = –35.9 ± 12.3, 95% confidence interval [CI], –39.3 to –32.4, p < 0.001) and in the mean side flexion of group aged 3.1 to 6 months (mean difference = –24.5 ± 7.9, 95% CI, –16.9 to –9.7, p < 0.001). While exercises in the 6- to 9-month age group have shown less success, because the time of appearance for physical therapy has been delayed (mean difference = –23.5 ± 10.7, 95% CI, –15.6 to –8.4, p < 0.001). From the results obtained from this study, we can conclude that the early start of the physical therapy gives much better results.

Role of inertia in the measurement of dynamic compliance

1975 ◽  
Vol 38 (1) ◽  
pp. 64-69 ◽  
Author(s):  
J. Dosman ◽  
F. Bode ◽  
J. Urbanetti ◽  
R. Antic ◽  
R. Martin ◽  
...  
Keyword(s):  
Frequency Dependence ◽  
Dynamic Compliance ◽  
Age Group ◽  
Older Individuals ◽  
Breathing Frequency ◽  
Frequency Dependent ◽  
Younger Age ◽  
Significant Difference ◽  
Males And Females

Dynamic compliance (Cdyn) was measured at different frequencies (breaths/min) in 30 nonsmoking males and females aged 30–59 yr. In those aged 30–49 yr Cydn at 90 breaths/min was significantly higher than at 15 breaths/min while those aged 50–59 yr showed no significant difference. Assuming an inertance of 0.01 cmH2O/l per s-2, and a sinusoidal breathing frequency, Cydn at 60 and 90 breaths/min was corrected for inertia. In the 30–49 yr age group corrected Cydn did not change with increasing frequency of breathing whereas in the 50–59 yr age group Cydn at 15 breaths/min was significantly higher than at 90 breaths/min (P is less than 0.05). In this age group, four of eight subjects were frequency dependent when corrected for inertia. These findings indicate that inertia influences Cydn at breathing frequencies of 60 per min and above. Unless this is taken into account, frequency dependence of compliance may be missed. The results also indicate that frequency dependence of compliance is normal in some older individuals but is not normal in the younger age group.

scholarly journals Role of cytohormonal study in normal pregnancy and in threatened abortion

2018 ◽  
Vol 7 (5) ◽  
pp. 1735
Author(s):  
Shailesh B. Patil ◽  
Milind B. Patil
Keyword(s):  
Normal Pregnancy ◽  
Fetal Outcome ◽  
Control Group ◽  
Vaginal Smear ◽  
Age Group ◽  
Number Of Patients ◽  
Significant Difference ◽  
Parity Number ◽  
Threatened Abortion

Background: It is certain from clinical experience of many that one or more hemorrhages in early pregnancy can still end up in good fetal outcome. So, our study deals with comparison of cytohormonal study in pregnancy and threatened abortion. The study was conducted with the aim of utilizing colpocytogram as a tool in assessing and treating cases of threatened abortion and comparing them with normal pregnant women.Methods: Patients attending antenatal care unit on outdoor basis and labelled as normal pregnancy cases were considered as control group. The patients of threatened abortion were studied when they were admitted in Gynecology department for indoor treatment. Patients were studied taking into consideration their age, parity, number of abortions, complaints (P/V bleeding, pain in abdomen), gestational age, per abdomen and per vaginal findings and also USG findings and vaginal smear pattern.Results: Maximum number of patients was present in the age group of 21-25 years in both the groups. While only 13.33% had normal smear pattern in threatened abortion group. 86.67% patients in threatened abortion group showed abnormal smear pattern. There is statistically significant difference was found (p<0.05). There is statistically significant was found (P<0.01) and indicates good effects of the drug on the vaginal epithelium.Conclusions: The cytohormonal study acts as a simple, reliable, good, noninvasive method for evaluation of hormonal pattern in normal pregnancy and threatened abortion. 

scholarly journals Role of CT-guided transthoracic biopsy in the diagnosis of mycobacterial infection

2019 ◽  
Vol 67 (5) ◽  
pp. 850-855
Author(s):  
Kyongmin Sarah Beck ◽  
Dae Hee Han ◽  
Kyo Young Lee ◽  
Seung Joon Kim
Keyword(s):  
Clinical Characteristics ◽  
Mycobacterial Infection ◽  
Diagnostic Process ◽  
Related Factors ◽  
Transthoracic Needle Biopsy ◽  
Ct Guided ◽  
Significant Difference ◽  
Group 2 ◽  
Group 1

Mycobacterial infection(MI) is sometimes diagnosed using CT-guided transthoracic needle biopsy (TNB). However, the exact role of CT-guided TNB in this diagnostic process is not clearly known. The purpose of this study is to analyze the role of CT-guided TNB in patients with MI who present with a focal lung lesion. Of 1233 patients who underwent CT-guided TNB from January 2010 through February 2016 at our institution, patients with a final diagnosis of MI were included for analysis. Clinical characteristics and biopsy-related factors were compared between patients whose diagnosis could be established using TNB samples alone (group 1) and those whose samples from additional tests were necessary for diagnosis (group 2). We also analyzed the possible benefit of CT-guided TNB as compared with bronchoscopy in a subgroup who underwent both procedures. 47 patients with MI were included in the study, with 37 patients (78.7%) in group 1 and 10 patients (21.2%) in group 2. There was no statistically significant difference in clinical characteristics or biopsy-related factors between the two groups. Of 41 patients with MI who underwent both bronchoscopy and TNB, success in diagnosis was solely attributable to TNB in 16 (39.0%) patients; in 19 (46.0%) patients, diagnosis could be made based on bronchoscopy results alone. MI can be successfully diagnosed by CT-guided TNB in about 80% of patients with MI who underwent TNB, but 46% of the patients could have been diagnosed with bronchoscopy results alone. CT-guided TNB is inferior to bronchoscopy in the differentiation of Mycobacterium species even in peripheral lung lesions.

Estimation of Trace Elements in Mixed Saliva of Caries Free and Caries Active Children

2018 ◽  
Vol 42 (2) ◽  
pp. 135-139 ◽  
Author(s):  
Punya Sekhri ◽  
Meera Sandhu ◽  
Vinod Sachdev ◽  
Radhika Chopra
Keyword(s):  
Trace Elements ◽  
Dental Caries ◽  
Potassium Fluoride ◽  
Caries Experience ◽  
P Value ◽  
Age Group ◽  
Significant Difference ◽  
Unstimulated Saliva ◽  
Mixed Saliva

Objective: Composition of saliva plays an important role in defining the dental caries risk for an individual. The role of trace elements present in saliva on dental caries is still not clear. Thus this study was designed to evaluate the effect of certain salivary trace elements like copper, potassium, fluoride, selenium and lead on the caries experience of children. Study Design: 60 subjects in the age group of 3–15 years were selected and divided into two groups, caries active and caries free. 5 ml of unstimulated saliva from each subject was collected and analyzed for the levels of trace elements using Induced Couple Plasma Spectrophotometer (ICP-OES). Results: Copper and Fluoride levels were significantly higher in caries free as compared to caries active individuals whereas Lead was significantly higher in caries active as compared to caries free children (p-value&lt;0.05). Potassium and Selenium though present in appreciable amounts did not show any significant difference between the two groups (p-value&gt;0.05). Conclusion: In caries free subjects, copper and fluoride levels were significantly higher while the level of lead was lower as compared to caries-active children. Potassium and selenium did not show any significant differences within the two groups.

scholarly journals A comparative study of demographical and clinical characteristics on the level of pain severity

2020 ◽  
Vol 8 (11) ◽  
pp. 3844
Author(s):  
Sekplin A. S. Sekeon ◽  
Arthur H. P. Mawuntu
Keyword(s):  
Clinical Characteristics ◽  
School Level ◽  
Bivariate Analysis ◽  
P Value ◽  
Age Group ◽  
Global Public Health ◽  
Body Area ◽  
Personality Dimension ◽  
Significant Difference ◽  
Group Sex

Background: Pain is one of the global public health challenges. Pain is not only contributing to physical complaint but also mental and personality dimension as well as productivity issues. Severity of pain is affected by multiple factors, including biological, psychological, and social factors. The objective of the study was to analyse whether there is difference of severity level of pain among several demographical and clinical characteristics of patients with pain.Methods: A hospital-based observational study was conducted with cross-sectional design for six months period. Population of research were patients with pain as the chief complaint treated at the neurology outpatient clinic. Eligible sample were obtained through consecutive total sampling technique. The difference of severity of pain (mild/moderate/severe) and 6 characteristics of patients (age group, sex, number of morbidities, body area of pain, onset and working diagnosis) were analysed. Chi square statistical analysis with SPSS version 17.0 was employed with p value <0,05 were regarded as significant level.Results: Majority of patients were female (58.8%), in the 51-60 age group, at senior high school level and living in urban area. Almost half of the patients with pain have no history of comorbidity (45.9%), which relatively almost equal with patients with single comorbidity. Three mostly affected body areas were shoulder, wrist, and lower back. Majority of patients admitted with moderate level of pain. The onset of pain was mostly above 6 months before visiting the clinic. During the study period, the most frequently working diagnosis were carpal tunnel syndrome and osteoarthritis knee. In bivariate analysis, we found that among 6 demographical and clinical characteristics, body area of pain and working diagnosis have significant difference associated with severity of pain (p value<0.05).Conclusions: There is significant difference of severity of pain based on body area of pain and working diagnosis. We could not detect significant difference of severity of pain based on age group, sex, number of comorbidity and onset of pain.

Role of Teachers in Building the Concept of Sustainable Development: Success or Failure

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Ayaz Muhammad Khan ◽  
Amber Jamshaid ◽  
Tayyibah Roohi ◽  
Amna Ramzan
Keyword(s):  
Sustainable Development ◽  
Primary School ◽  
Sampling Technique ◽  
School Teachers ◽  
Primary School Teachers ◽  
Primary Level ◽  
Significant Difference ◽  
Role Of Teachers ◽  
Major Factors

Sustainable Development (SD) is a rich, challenging and thought-provoking construct in social sciences. The main purpose of this paper was to identify and explore the role played by primary school teachers in building up the idea of sustainable development (SD) among students. This paper was intended to identify that how a teacher can successfully execute the concept of SD by influencing students’ minds at the primary level. Quantitative survey technique were utilized for data collection. All the primary school teachers of Lahore division comprised the population of the study. Through multistage sampling technique, 352 primary school teachers were selected as participants of the study. A self-developed SD questionnaire incorporating four major factors (teachers’ awareness, pedagogy, curricular and co-curricular activities) with Cronbach’s alpha value = .93 was used to measure the role of teachers in building the sustainability concept among students at primary level. The results indicated a significant mean score difference among SD scores of teachers, sector wise (private and public). Furthermore, the results also reconnoitered the significant difference (p=.04) between the mean scores of female and male teachers in building up the SD concept in students’ minds.

The Great Reform and the Fate of Capitalism in Russia (On the 150th Anniversary of the Emancipation Reform)

2011 ◽  
pp. 119-136
Author(s):  
M. Voeikov
Keyword(s):  
20Th Century ◽  
Historical Research ◽  
150Th Anniversary ◽  
In The Beginning

The paper deals with the problem of the establishment of capitalism in Russia in the late 19 - early 20th centuries. Using a wide array of historical research and documents the author argues that the thesis on the advanced state of capitalism in Russia in the beginning of the 20th century does not stand up to historical scrutiny, and the role of the famous Emancipation reform of 1861 appears to be of limited importance.

Expansion of borders in the Kurdistan region and local and regional positions

2019 ◽  
Vol 3 (11) ◽  
pp. 1
Author(s):  
Harith Qahtan Abdullah ◽  
Abbas Fadel Atwan
Keyword(s):  
Middle East ◽  
Central Government ◽  
Kurdistan Region ◽  
War On Terrorism ◽  
National State ◽  
The Face ◽  
In The Beginning

The borders of Kurdistan represent an important point in Kurdish thought. They represent the hope of establishing their national state. The circumstances of the war on terrorism in Iraq and Syria have led to the emergence of what is known as a "propaganda" and the formation of a global front in its struggle. And with the signs of the collapse of the Syrian state and the weakness of the Iraqi state in the face of the "dashing" in the beginning. These circumstances led to the emergence of the role of the Kurdistan region in the confrontation "ISIS" and maintain the administrative border in the three provinces of Kurdistan in addition to the province of Kirkuk. That the circumstances of the war on terrorism created new international conditions on the Middle East arena, which will generate many problems between the Kurdistan region and the central government of Baghdad, as well as other problems between the region, Syria, Turkey and Iran. The war on terrorism has made countries free to fight the opposition groups under the name Terrorism by their classification. The Turkish side is fighting the PKK within the borders of the Kurdistan region, and this war can develop in a post-"warlike" phase. The war in Syria is also contradictory to vision and not resolved to a specific side and Iran's position on developments is encouraging.

Hepatic Encephalopathy and Liver Failure in Pediatric Patient with hepatitis A

2019 ◽  
Vol 9 (o3) ◽  
Author(s):  
Shaima’a Dakhel AbdulHassa
Keyword(s):  
Hepatic Encephalopathy ◽  
Liver Failure ◽  
Hepatitis A ◽  
Gene Sequence ◽  
Stool Examination ◽  
Age Group ◽  
Significant Difference ◽  
Medical City ◽  
Sequence Method ◽  
Stool Samples

Gairdia lamblia is one of parasites that cause intestinal problems within the human body, particularly private travelers and children. In this study a total of (100) diarrheal patients, 20 patients with Giardiasis were identified by fecal antigen. 9 out of 20(20%) of them were infected by fecal antigen, while 9(9%) of them were infected by using the screening general stool examination (GSE). The stool samples were collected from patient how vested the Medical City/ Baghdad and Tikrit teaching Hospital during the period from 1 st may 2018 to 1 February 2019. The results revealing a significant difference (p andlt; 0.05) between the two methods of detection for G. lamblia (Fecal antigen method and GSE). IT has been shown that out of 20 infected individuals 12(12%) were males and 8(8%) were females, indicating regarding no significant deference in the distribution of Giardiasis among genders. In regard the age, our results showed that highest infection rate 8(3.2%) was recorded in the age group (10-19) years, followed by the age group (20-2) years which was 692.4%). In this study five mutations were recorded at position (926, 1094, 1202and 1304), by using tpiA gene sequence method, and tpiB gene was on point mutation change (G254A), in the position (85) of triose phosphate isomease.

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