Crucial role of physiotherapy in treating COVID-19 patients

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 967-971
Author(s):  
Poonam Thakre ◽  
Waqar M. Naqvi ◽  
Trupti Deshmukh ◽  
Nikhil Ingole ◽  
Sourabh Deshmukh

The emergence in China of 2019 of severe acute respiratory syndrome coronavirus2 (SARS-CoV-2) previously provisionally names 2019-nCoV disease (COVID19) caused major global outbreak and is a major public health problem. On 30 January 2020, the WHO declared COVID19 to be the sixth international public health emergency. This present pandemic has engrossed the globe with a high rate of mortality. As a front line practitioner, physiotherapists are expected to be getting in direct contact with patients infected with the virus. That’s why it is necessary for understanding the many aspects of their role in the identification, contains, reduces and treats the symptoms of this disease. The main presentation is the involvement of respiratory system with symptoms like fever, cough, sore throat, sneezing and characteristics of pneumonia leads to ARDS(Acute respiratory distress syndrome) also land up in multiorgan dysfunction syndrome. This text describes and suggests physiotherapy management of acute COVID-19 patients. It also includes recommendations and guidelines for physiotherapy planning and management. It also covers the guidelines regarding personal care and equipment used for treatment which can be used in the treatment of acute adult patients with suspected or confirmed COVID-19.

2016 ◽  
Vol 5 (4) ◽  
pp. 433
Author(s):  
Sunarsih Sunarsih ◽  
Kuntoro Kuntoro ◽  
Chatrin U.W ◽  
Nugroho Susanto

Dengue is a major public health problem in Indonesia. The program of elimination of mosquito breeding places is still low. This study was aimed to analyze the effectiveness of village surveillance officer for decrease container index. Study design was quasy experiment. The intervention included: community workshops; community involvement in clean-up campaigns; and distribution of information, education and communication materials in the village surveillans officer. Data were analyzed with t test, and path way analyzed. There is significantly differences knowdlege, attitude, behaviour, sanitation, and container index p<0.05. Based on the path analysis was concluded that village surveillance officer increased knowledge, attitude, behavior, sanitation and container index.Surveillance village officer is concluded to be more effectively decreased of larva index through comunity behavior. Surveillance village officer is important because it effectively the coverage of larva index through community behaviour participation.


Author(s):  
Rupesh Jung Belbase ◽  
Amrut Diwakar Raje ◽  
Anchal Singh

<p class="abstract">Osteoporosis is a major public health problem, affecting many individuals. The aging population will require problem related prevention, education, and treatment to maintain bone density and reduce the bone fractures and falls. Inadequate intake of nutrients increases the risk for bone loss and subsequent osteoporosis. Protein, calcium and vitamin D are vital nutrients for optimal bone health. Adequate calcium is essential for bone maintenance. There are several other vitamin and mineral needed for metabolic processes related to good bone health, including manganese, copper, iron, zinc, vitamin A, vitamin K, vitamin C and the B vitamins. Related macro- and micronutrients play an important role in bone mass integrity and quality. Adequate nutrition for older adults needs to be encouraged to promote and maintain bone health.</p>


2018 ◽  
Vol 2 (1) ◽  
pp. 21-26
Author(s):  
Jolanta Mazurek

Tuberculosis (TB) remains a major public health problem and the main cause of death from the infectious diseases worldwide. Mycobacterium tuberculosis (Mtb), a causative agent of tuberculosis, is the oldest known human pathogen. The only available TB vaccine, BCG, was first administered in 1921 and since then remains the only protecting tool against TB. Yet, its efficacy is limited and there is an urgent need to design and produce a novel vaccine that will protect against this deadly disease in the era of emerging problems with antibiotic resistance. In this review a current, global TB situation is outlined and the characteristics of BCG are presented. Finally, the strategies leading to generation of BCG variants providing improved protecting efficacy are shortly described.


2011 ◽  
Vol 30 (6) ◽  
pp. E22 ◽  
Author(s):  
Julie Dubourg ◽  
Mahmoud Messerer

Nontraumatic intracerebral hemorrhage constitutes a major public health problem worldwide. Intracerebral hemorrhage leads to a high rate of morbidity and mortality. To date, no medical or surgical trials have clearly attested to the benefit of a particular therapy. The aim of this review was to summarize the best evidence for management decision-making in intracerebral hemorrhage.


2016 ◽  
Vol 5 (4) ◽  
pp. 433
Author(s):  
Sunarsih Sunarsih ◽  
Kuntoro Kuntoro ◽  
Chatrin U.W ◽  
Nugroho Susanto

Dengue is a major public health problem in Indonesia. The program of elimination of mosquito breeding places is still low. This study was aimed to analyze the effectiveness of village surveillance officer for decrease container index. Study design was quasy experiment. The intervention included: community workshops; community involvement in clean-up campaigns; and distribution of information, education and communication materials in the village surveillans officer. Data were analyzed with t test, and path way analyzed. There is significantly differences knowdlege, attitude, behaviour, sanitation, and container index p&lt;0.05. Based on the path analysis was concluded that village surveillance officer increased knowledge, attitude, behavior, sanitation and container index.Surveillance village officer is concluded to be more effectively decreased of larva index through comunity behavior. Surveillance village officer is important because it effectively the coverage of larva index through community behaviour participation.


Author(s):  
Nikita Jatai ◽  
Tanu Sharma ◽  
Karan Veer

All over the world, there is a new target of public health emergency looming the world along with an appearance and distribution of the novel coronavirus disease (2019-nCoV) also known as Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2). This Virus initially generated in bats and then after transferred to a human being over unknown animal playing the role of mediator in Wuhan, China in December 2019. This virus is passed by breathing or in contact with an infected person’s droplets. The Incubation period is between 2 to 14 days for COVID-19, that is the time between exposure of the virus (person becoming infected) and symptom on that person, is on an average of 5-6 days, however it can goes up to 14 days. Throughout this period, which can be also known as “pre-symptomatic” period, some of the infected patients or persons can be contagious. That is why, transferal from a pre-symptomatic case can happen before the symptoms onset. Where there is few number of case studies and reports, pre-symptomatic transferal has been documented via contact with someone who is diagnosed with virus and increase investigation of that particular clusters of total confirmed cases. The main problem is that the symptoms are just like the regular flu that are cough, fever, sore throat, fatigue and breathlessness. This virus is moderate or mild in most of the people, but in elder ones, it may proceed to pneumonia, multi-organ dysfunction and Acute Respiratory Distress Syndrome (ARDS). Coronavirus has significant consequences on the Health system, mainly on cardiovascular diseases and on the environment.


2013 ◽  
Vol 12 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Timothy W. Vogel ◽  
Biji Bahuleyan ◽  
Shenandoah Robinson ◽  
Alan R. Cohen

Object Hydrocephalus remains a major public health problem. Conventional treatment has relied on extracranial shunting of CSF to another systemic site, but this approach is associated with a high rate of complications. Endoscopic third ventriculostomy (ETV) is a novel treatment for select forms of hydrocephalus that can eliminate the need for implantation of a lifelong ventricular shunt system. However, the indications for ETV are contested and its long-term effectiveness is not well established. Methods The authors selected 100 consecutive patients who underwent ETV for hydrocephalus beginning in 1994. Patients were enrolled and treated at a single institution by a single surgeon. The primary outcome was success of ETV, with success defined as no need for subsequent surgery for hydrocephalus. Results Ninety-five patients satisfied the inclusion criteria. The mean follow-up period was 5.1 years (median 4.7 years) with follow-up data available for as long as 17 years. Patients commonly presented with headache (85%), ataxia (34%), emesis (29%), and changes in vision (27%). The success rate for ETV was 75%. Twenty-one patients (22%) in the series had malfunctioning shunts preoperatively and 13 (62%) were successfully treated with ETV. Preoperative inferior bowing of the third ventricle floor on MRI was significantly associated with ETV success (p < 0.05). Conclusions Endoscopic third ventriculostomy is an effective and durable treatment for select patients with hydrocephalus. When successful, the procedure eliminates the lifelong complications associated with implanted ventricular shunts.


JMS SKIMS ◽  
2012 ◽  
Vol 15 (1) ◽  
pp. 28-31
Author(s):  
Rajiv Kumar Gupta ◽  
Aruna Kumari Verma ◽  
Devinder Singh Jamwal ◽  
Vijay Mengi

BACKGROUND: IDD (Iodine Deficiency Disorders) is still a major public health problem in J&K as in other parts of country despite measures taken to combat it. Repeated surveys are only means to monitor the situation. OBJECTIVE: To study the present prevalence of goiter in various districts of Jammu province. METHODS: Using EPI 30 cluster methodology, 10800 school children (aged, 6-12 years) were selected from three randomly chosen districts of Jammu province. Subjects were clinically examined and graded for goiter as per joint WHO/UNICEF/ ICCIDD recommendations. RESULTS: The goitre prevalence in three districts was observed to be 19.84% with a highest prevalence of 26.75% in Samba district (p = 0.0001). Understandably the prevalence of goitre in age group of 6-9 years was lower than that in 9-12 age group. ( (p=0.005) CONCLUSIONS: Total goiter prevalence rate remains to be at an unacceptable high rate. Preventive public health measures need to be augmented in area along with strengthening of monitoring and surveillance of IDD. JMS 2012;15(1):28-31.


2018 ◽  
Vol 6 (9) ◽  
pp. 478-486
Author(s):  
Daniela Cipu ◽  
Dan Simion Cipu ◽  
Agneta Maria Pusztai ◽  
Anca Alexandra Matusz

Bronchopulmonary neoplasm is the first cause of cancer mortality in the world and a major public health problem, affecting 17% of men and 12% of women; in this context it is very important and necessary to establish the correct diagnosis in the early stages of the disease in order to initiate the required surgical therapy [1]


Author(s):  
Daniel Nan ◽  
Cristina Abraira-Meriel ◽  
Sandra de la Roz-Fernandez ◽  
Tamara Maestre-Orozco ◽  
Jose Luis Hernandez ◽  
...  

Coronavirus disease 2019 (COVID-19) is currently a major public health problem. The development of pulmonary fibrosis secondary to acute respiratory distress syndrome (ARDS) is one of the expected sequelae. In this case series, we describe five instances of the use of anakinra in late-phase COVID-19 pneumonia in hospitalized patients with pulmonary fibrosis and refractory respiratory failure fulfilling ARDS criteria. The study demonstrates that anakinra has promising efficacy and safety in late-phase COVID-19 infection in patients with ARDS and refractory hypoxaemia, and suggests its potential application as antifibrotic therapy in these patients.


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